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All Journal Jurnal Manajemen Kesehatan Indonesia Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Silampari Indonesian Journal of Nursing Health Science Jurnal Pengabdian Masyarakat AbdiMas Journal of Islamic Nursing Manuju : Malahayati Nursing Journal International Journal of Nursing and Health Services (IJNHS) Indonesian of Health Information Management Journal (INOHIM) Jurnal Ilmiah Keperawatan Imelda Journal of Telenursing (JOTING) Jurnal Abdi Insani Jurnal Aisyah : Jurnal Ilmu Kesehatan BERNAS: Jurnal Pengabdian Kepada Masyarakat TEPIAN The Journal of Hospital Accreditation (JHA) Jurnal Abmas Negeri (JAGRI) Aptekmas : Jurnal Pengabdian Kepada Masyarakat Berita Kedokteran Masyarakat Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia DEVOTE: Jurnal Pengabdian Masyarakat Global Journal of Public Health Concerns DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN TELL - US JOURNAL Physical Therapy Journal of Indonesia Jurnal Berita Ilmu Keperawatan Jurnal Info Kesehatan
Mira Asmirajanti
Nursing Study Program, Faculty Of Health Science, Universitas Esa Unggul, Indonesia
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Identification Of Clinical Pathway Models To Prevent Complications And Improve The Quality Of Life Of Stroke Patients Asmirajanti, Mira
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2352

Abstract

Stroke is a disease with high cost, high volume, and high risk. The burden of these costs will increase if you experience complications that often occur in sufferers.  This study aimed to identify a clinical pathway model to prevent complications and improve the quality of life of stroke patients. This study is a quantitative descriptive study with crossectional, with 95 samples of stroke patients who have been treated for at least 1 day, can communicate 2 ways at Hospital dr. Chasbullah Abdulmadjid Bekasi City, and who have studied ethical feasibility. Participants must fill out informed consent. Data were collected using questionnaires and analyzed using univariate analysis. The results showed that the most participants were aged between 45 – 59 years (43.2%), male (61.1%). Hypertension, disease before stroke (71.9%), and 2 attacks (10.5%). (51.6%) were unaware of stroke with symptoms of muscle weakness (87.4%),  (45.3%) difficulty speaking, and (17.2%) blurred vision. (46.9%) complications of paralysis. Activity daily living eating and drinking (55.8%), (58.95) personal hygiene, (62.1%) elimination, (68.4%) ambulation, (65.3%) mobilization, and (54.7%) rest/sleep should be assisted. Treatment was carried out by taking medication (89.5%) and control to health facilities (75.8%), but (75.8%) did not carry out rehabilitation and exercise (54.7%). There are still many participants who do not know about stroke well, which affects their independence in carrying out activities. Therefore, a clinical pathway model is needed that is used as a reference in providing information and education to stroke patients, to prevent complications and improve the quality of stroke patients.
The visual feedback training effect of the walking abilities to improve quality of life of stroke patients: a systematic review Maratis, Jerry; Asmirajanti, Mira
BKM Public Health and Community Medicine Vol 40 No 06 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i06.11851

Abstract

Purpose: Stroke can cause problems with balance and gait ability. This research was conducted to describe the effectiveness of visual feedback training as an exercise method for stroke patients in training balance and gait abilities. Methods: A systematic review was conducted on articles published between 2019 and 2023 examining visual cue training for stroke patients. Results: Six relevant studies reviewed the benefits of visual feedback training on balance and gait ability, including benefits on recumbent stepping and improving the quality of post-stroke patients. Conclusion: Exercise is needed to improve post-stroke patients' balance and gait. The development of training techniques for post-stroke patients, one of which is visual feedback training, still needs to be carried out.
PEMBERDAYAAN IBU HAMIL MELALUI PROGRAM EDUGIZI SEBAGAI UPAYA PENCEGAHAN KURANG ENERGI KRONIS (KEK) Harna, Harna; Prita Dhyani Swamilaksita; Mira Asmirajanti; Asti Puji Lestari; Siti Fatimah Zahra; Venicia Eflin; Andi Muh Asrul Irawan
Aptekmas Jurnal Pengabdian pada Masyarakat Vol 7 No 1 (2024): APTEKMAS Volume 7 Nomor 1 2024
Publisher : Politeknik Negeri Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36257/apts.v7i1.8174

Abstract

This community service activity was conducted with a focus on enhancing nutritional education for pregnant women in Lumpang Village, Parung Panjang Subdistrict, Bogor Regency, with the aim of preventing Chronic Energy Deficiency (CED). The education was delivered through a pocketbook titled "Healthy Pregnant Women Free from Chronic Energy Deficiency". The primary objective of this activity was to increase the understanding of pregnant women about the importance of adequate nutrition and the negative impact of chronic energy deficiency on maternal health and fetal development. The educational method used was designed to provide comprehensive knowledge to pregnant women about nutrition and CED prevention strategies. The results from the implementation of this method showed a significant increase in knowledge about CED among pregnant women. Moreover, the knowledge obtained could also be shared within their community, thereby allowing its impact to spread broadly among the population. The conclusion drawn from this community service activity is that the educational approach is an effective method to increase the knowledge and awareness of the community regarding the importance of nutrition and health during pregnancy.
Revolutionizing Nursing Higher Education: Virtual Reality-Based Elderly Care Service Practice Simulation: A Systematic Review Asmirajanti, Mira; Antia, Antia; Tamly, Wahyu
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1530

Abstract

Nursing services in the elderly population play an important role in modern nursing practice, especially with the growth in the number of elderly. The presence of competent and trained nurses is crucial to providing effective care to this demographic. One potential method to improve nursing students' understanding and skills in aged care is the utilization of Virtual Reality (VR) technology to simulate aged services.  This study aims to identify the virtual reality-based elderly nursing service simulation revolution through a systematic review. Systematic Literature Review is conducted by searching the data sources ScienceDirect, Pubmed, CINAHL, and Google Scholar. Inclusion and exclusion criteria based on the PICO approach, are used to select suitable articles, with a range of publication years from 2018 to 2022. Of the 2241 articles identified at the start of the study, 46 relevant articles were selected after narrowing through a review of titles and abstracts. Of these, 24 articles were selected for further analysis according to the research theme. The results showed that the use of VR technology significantly increased the competence of nursing students, and increased clinical skills, confidence, and understanding of human physiological anatomy.  VR simulations have proven effective in providing services to elderly patients, including teaching elderly oral hygiene, training in the prevention of dizziness and falls, practicing ADL, and teaching relaxation techniques to reduce pain and symptoms of depression. The new opportunities in nursing higher education innovation, VR technology provides an immersive experience for students in caring for an aging population that is growing, along with technological developments.       
PENINGKATAN PENGETAHUAN KELUARGA TERHADAP PERAWATAN PASIEN DI RUMAH DALAM MENCEGAH KOMPLIKASI PADA PASIEN STROKE DENGAN IMPLEMENTASI TELENURSING Mira Asmirajanti; Azizah, Anik Hanifatul; Mustikawati, Intan Silviana; Romadhoni, Asisyafitri; Bahraini, Dwi; Pratama, Ariq; Syahputra, Agung Dwi
Jurnal Abdi Insani Vol 11 No 3 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i3.1914

Abstract

Stroke, one of the leading causes of neurological disability, has a significant impact on the patient's ability to perform daily activities. This community service aims to increase the knowledge of stroke patients' families about home care to prevent complications with the implementation of telenursing. This activity was held on February 6, 2024, in Desa Semanan, Jakarta Barat, involving 25 patients and their families, as well as Posbindu cadres. The activity began with coordination with partners to take care of permits and site reviews. Education was provided through presentations, demonstrations, and video tutorials on the care of stroke patients at home, followed by assistance through telenursing using WhatsApp groups. The evaluation was carried out with pre-test and post-test to measure the understanding of the patient's family. The results showed a significant increase in family knowledge by 44%. In conclusion, this education is effective in increasing family knowledge to improve the care of stroke patients at home, which is important in preventing complications and improving the quality of life of patients.
Analyzing and Designing Decision Support Systems for Stroke Patient Daily Treatment Azizah, Anik Hanifatul; Asmirajanti, Mira; Pratama, Ariq
TEPIAN Vol. 5 No. 4 (2024): December 2024
Publisher : Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tepian.v5i4.3186

Abstract

Stroke is one of the neurological diseases that often requires complex management and treatment. Making the right decisions in diagnosing and treating stroke patients can have a significant impact on the recovery process and the quality of life for patients. To assist healthcare professionals and patients in making more informed decisions, this research has developed the "StrokeCare Navigator," a web-based Decision Support System (DSS) that utilizes the Decision Tree C4.5 algorithm. This system allows users, including healthcare professionals and patients, to input symptoms and patient medical information, providing an initial diagnosis of the type and severity of the stroke. Additionally, the system offers personalized treatment guidelines, treatment recommendations, and online patient monitoring services. The Decision Tree C4.5 model used in this system was developed through training with relevant patient data. Evaluation results indicate that the system can provide accurate and beneficial recommendations for healthcare professionals and patients. Testing and patient monitoring in clinical practice also demonstrate the potential to enhance stroke patient care. Therefore, StrokeCare Navigator is expected to be a valuable tool in stroke patient management and treatment, ultimately improving the prospects of patient recovery and providing better guidance for healthcare professionals. This research also provides deeper insights into the implementation of the Decision Tree C4.5 algorithm in the context of Decision Support Systems (DSS) in the medical field.
Improving family caregiver understanding of range of motion exercises for community-based stroke care: A pre-experimental study within the clinical pathway Asmirajanti, Mira; Handayani, Rini; Nurmawaty, Dwi; Yulhendri
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): Inpress January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.338

Abstract

Background: Family caregivers play a crucial role in the recovery of stroke patients, especially in community settings. An adequate understanding of the range of motion (ROM) exercises enables caregivers to actively support rehabilitation and prevent complications. This study aimed to analyze the improvement of family caregivers' understanding of ROM exercises after training. Methods: This pre-experimental one-group pretest-posttest study involved 25 families with stroke patients for ≥1 month, selected through consecutive sampling in the working area of Puskesmas Tambora, West Jakarta, in July 2025. Interventions included active and passive ROM exercises based on standard operating procedures (SOPs), also it was used to simulate the manual muscle testing (MMT). Measurement instruments used the validity and reliability questionnaires and MMT observation sheets. Data were analyzed by the Wilcoxon test at a significance level of p<0.05. Results: The results showed a significant increase in family caregiver understanding of ROM (p= 0.000). Before the training, 88% of respondents (22 people) had sufficient knowledge, and 12% (3 people) had good knowledge. After the training, the proportion of good knowledge increased to 56% (14 people), while moderate knowledge decreased to 44% (11 people). Conclusion: Structured training effectively enhanced family caregivers' understanding of ROM exercises, supporting their active participation in patient care. These findings suggest that such education can be integrated into community-based non-digital clinical pathways to prevent complications in stroke patients.
The Role of Nurse Mentoring in Enhancing Nursing Students’ Clinical Competence -A Cross-Sectional Study Asmirajanti, Mira; Novitasari, Nadia
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.11713

Abstract

Clinical practice is an essential component of nursing education, aimed at developing students’ competencies in real healthcare settings. The role of clinical nurse mentors is a key external factor influencing the success of students in achieving clinical competence. This study aimed to analyze the correlation between nursing students’ perceptions of nurse mentoring and their clinical competence achievement. This type of research is quantitative correlative analytic with a cross-sectional research design, namely by measuring variables at a certain time. The sample consisted of 82 nursing students from University A who had completed their clinical practice, selected through purposive sampling. Research instruments included a questionnaire on students’ perceptions of nurse mentoring and a clinical competence achievement questionnaire. Data analysis was performed using the Spearman correlation test. The results showed that most students had a positive perception of nurse mentoring (86.6%) and achieved clinical competence in the "good" category (93.9%). A significant relationship was found between students’ perceptions of nurse mentoring and their clinical competence (r = 0.698; p < 0.05), with the evaluation domain showing the strongest correlation (r = 0.650). These findings suggest that the more positive students’ perceptions of their clinical mentors, the higher their level of clinical competence. Associating the role of clinical mentors through training and ongoing evaluation is essential to support effective learning outcomes in nursing clinical education.
Penerapan terapi non-farmakologi sebagai pengendalian rasa mual dan muntah pada pasien post operasi laparotomi Ananti, Yosefi; Kartini, Kartini; Simamora, Erviana; Asmirajanti, Mira
JOURNAL of Public Health Concerns Vol. 6 No. 1 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v6i1.2714

Abstract

Background: The most common complication after surgery, or postoperative nausea and vomiting (PONV), is nausea and vomiting. Treatment can be provided either pharmacologically with medications or non-pharmacologically through lifestyle modifications, physical activity, and simple therapies to address complaints arising from postoperative side effects. One non-pharmacological treatment that can be provided is acupressure therapy. For patients prone to nausea and vomiting, acupressure therapy, applied by pressing the PC6 and ST36 points, can be used as an alternative to manage PONV. Purpose: To provide knowledge about the application of acupressure therapy to reduce nausea and vomiting in patients who have undergone laparotomy surgery. Method: This activity was conducted in January 2026 at the Iman Sudjudi Pavilion, Gatot Soebroto Army Central Hospital. This qualitative research, using a case study approach, involved nursing care in the form of acupressure for postoperative patients experiencing nausea and vomiting (PONV). The intervention was given in the form of acupressure therapy at the Pericardium point (PC6) located on the inner wrist and the Stomach point (ST36) located below the knee after 2 hours of surgery. Measurements in the assessment used the Rhodes Index of Nausea, Vomiting and Retching (RINVR) which was given before the intervention (pre-test) and 7 hours after the intervention (post-test). Descriptive analysis was conducted to evaluate the effectiveness of the intervention and changes in the level of nausea and vomiting after acupressure therapy. Results: Measurement data using the RINVR instrument showed a decrease in scores from 7 before the intervention to 1 after. Subjective evaluations indicated a decrease in nausea, no vomiting, and an improved appetite. Objectively, respondents were able to correctly perform acupressure at points PC6 and ST36. Conclusion: The application of acupressure therapy at points PC6 and ST36 was highly effective in controlling nausea and reducing the incidence of vomiting in post-laparotomy patients. Acupressure therapy is an alternative solution as an effective non-pharmacological method for post-laparotomy patients, accelerating the recovery of bodily functions, preventing complications, and improving the patient's quality of life. Suggestion: Healthcare workers are encouraged to implement non-pharmacological therapies for patients, particularly post-laparotomy patients, as a complementary approach, and to educate the public about acupressure therapy for managing pain, nausea, and vomiting after laparotomy surgery. Keywords: Acupressure therapy; Health promotion; Nausea and vomiting; Post-laparotomy surgery Pendahuluan: Komplikasi yang paling umum setelah operasi atau postoperative nausea and vomiting (PONV) adalah mual muntah. Penanganan dapat diberikan baik secara farmakologi yaitu dengan obat-obatan atau secara non-farmakologi melalui pengaturan pola hidup, aktivitas fisik dan terapi yang dapat dilakukan secara sederhana sebagai upaya penanganan mengenai keluhan yang ditimbulkan karena efek samping dari tindakan post operasi. Sebuah upaya penanganan non-farmakologi yang dapat diberikan adalah terapi akupresur. Untuk pasien yang rentan terhadap gejala mual dan muntah, terapi akupresur dilakukan dengan penekanan pada titik PC6 dan ST36 yang dapat digunakan sebagai alternatif untuk mengatasi PONV. Tujuan: Untuk memberikan pengetahuan tentang penerapan terapi akupresur dalam mengurangi rasa mual dan muntah pada pasien yang telah menjalani operasi laparotomi. Metode: Kegiatan dilaksanakan pada Januari 2026 di Paviliun Iman Sudjudi, Rumah Sakit Pusat Angkatan Darat Gatot Soebroto. Penelitian kualitatif dengan pendekatan studi kasus, kegiatan ini merupakan asuhan keperawatan berupa penerapan akupresur pada pasien pasca operasi yang memiliki keluhan mual dan muntah atau postoperative nausea and vomiting (PONV). Intervensi diberikan berupa terapi akupresur pada titik Pericardium (PC6) yang terletak pada pergelangan tangan bagian dalam dan titik Stomach (ST36) yang terletak pada bagian bawah lutut setelah 2 jam operasi. Pengukuran dalam penilaian menggunakan Rhodes Index of Nausea, Vomiting and Retching (RINVR) yang diberikan sebelum intervensi (pre-test) dan 7 jam setelah intervensi (post-test). Analisa deskriptif dilakukan sebagai evaluasi dari efektifitas intervensi dan perubahan tingkat mual dan muntah setelah dilakukan terapi akupresur. Hasil: Data pengukuran menggunakan instrumen RINVR menunjukkan adanya penurunan skor dari 7 sebelum diberikan intervensi menjadi skor 1 setelah pemberian intervensi. Berdasarkan evaluasi subjektif, menunjukkan bahwa rasa mual yang dirasakan mulai berkurang dan tidak lagi mengalami muntah serta nafsu makan menjadi lebih baik. Secara objektif, responden mampu melakukan teknik akupresur pada titik PC6 dan ST36 dengan benar. Simpulan: Penerapan terapi akupresur pada titik PC6 dan ST36 sangat efektif dalam mengendalikan rasa mual menurunkan jumlah muntah pada pasien pasca operasi laparotomi. Terapi akupresur adalah solusi alternatif sebagai metode non-farmakologis yang efektif pada pasien pasca operasi laparotomi sehingga mempercepat pemulihan kesehatan fungsi tubuh, mencegah komplikasi dan meningkatkan kualitas kesehatan pasien.  Saran: Diharapkan kepada tenaga kesehatan untuk menerapkan terapi non-farmakaologi kepada pasien yang khususnya pada pasien pasca operasi laparotomi sebagai salah satu pendekatan komplementer dan memberikan edukasi pada masyarakat tentang terapi akupresur dalam mengelola rasa nyeri, rasa mual dan muntah setelah operasi laparotomi.
Co-Authors Abna, Inherni Marti Adam Astrada . Agus Riyanto Agustina, Noni Aliyupiudin, Yufi Am, Kaylifa Ramadhanti Ananti, Yosefi Anggraeni, Gita Antia Antia Antoni Antoni Any Kurniawati, Any Arif, Rizca Arifta, Refaldo Asti Puji Lestari Azizah, Anik Hanifatul Azzah, Fhasa Lifiansah Bahraini, Dwi Budi Mulyana Cesilia Chairuni Shaliha Nurfitra Clara Maria de Jesus Aparicio Daniel Mada Dewi, Ratna Djuariah Chanafie Djuariah Chanafie Eff, Aprilita Rinayanti Eka Handayani Erwan Baharudin Ety Nurhayati Evi Medina Oktavia Fahrudin, Arif Fatmayanti, Sri Ayu Fauziah Rudhiati Fitri Nadiya Gledys Oksecargra Gunawan Irianto Harna, Harna Ichwani, Arief Iin Inayah Iin Inayah, Iin Juita Amaral Kartini Kartini Khairina Arare Lia Amelia LILIS ROHAYANI Listia Handayani Lopulalan, Syaneti Lusianah Lusianah Lusianah, Lusianah Mahadewi, Erlina Puspitaloka Maratis, Jerry Melati Putri Kurnia Michele Valensia Tapilatu Muh Asrul Irawan, Andi Muhammad Rizki Rafliyanto Muliyadi, Mulyadi Mulyati Mulyati Mulyati Mulyati Muniroh, Muniroh Mustikawati, Intan Silviana Nasrianti Nasrianti NOVITASARI, NADIA Nurmawaty, Dwi Nurshabrina, Nurshabrina Oyoh, Oyoh Pamungkas, Fhasa Lifiansah Azzah Patricia R Rumondang Permatasari, Bella Prisca Pratama, Ariq Puspitaloka, Erlina Rahmawati, Rahmawati Ramadhan, Naufal Maulana Ramadhanti, Dwi Ramadhanti, Kaylifa Ratu Dini Rahmawati Rian Adi Pamungkas Rini Handayani Rio Ardiyah Situmorang Rohayati, Lilis Romadhoni, Asisyafitri Rosya, Ernalinda Salamiyah, Barokatus Sari, Widia Setiawati Setiawati Setiawati Sherly Kalalo Shorayasari, Susi Simamora, Erviana Siti Fatimah Zahra Sonia Sri Rusmini Sukarno, Anita Supyono Supyono Susanto, Ratnawati Syahputra, Agung Dwi Syaneti Lopulalan Tamly, Wahyu Tubagus D.E. Abeng Venicia Eflin Vionalita, Gisely Virly Virda Verlina Widia Sari Yulhendri Yulhendri