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Stroke Rehabilitation Program in Improving ADL (Activity Daily Living): Literature Review Miftafu Darussalam; Zahroh Shaluhiyah; Bagoes Widjanarko
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

Background: One-third of stroke patients experience moderate to severe physical disorders, such as decreased independence in daily activities. Stroke therapy is vital in assisting stroke survivors in achieving optimal functional levels and preventing further functional loss. Objective: To see how stroke rehabilitation programs improve ADL (Activity Daily Living). Methods: There are six stages in this literature, including goal identification, literature selection using Prisma diagrams, data mapping by conducting critical appraisals based on the RCT research checklist, summarizing and reporting results, and expert consultation. Relevant literature was found using four databases, including JSTOR, Science Direct, ProQuest, and Cambridge core, using the keywords (stroke survivor) AND (rehabilitation program) AND (activities of daily living). Results: Literature obtained 186022 articles. Eight articles were selected for review. The intervention group in all articles showed a significant increase in ADL ability compared to the control group. Conclusion: Early rehabilitation management in acute stroke care is essential to optimize recovery potential and avoid secondary problems different from stroke sequelae. The improved physical recovery and daily functional abilities result from a rehabilitation program at a higher level of intensity and consistency. Abstrak: Latar belakang: Sepertiga penderita stroke mengalami gangguan fisik sedang hingga berat, seperti penurunan kemandirian dalam aktivitas sehari-hari. Terapi stroke sangat penting dalam membantu penderita stroke dalam mencapai tingkat fungsional yang optimal dan mencegah kehilangan fungsional lebih lanjut. Tujuan: untuk melihat bagaimana program rehabilitasi stroke meningkatkan ADL (Activity Daily Living). Metode: Ada enam tahapan dalam literatur ini, meliputi identifikasi tujuan, pemilihan literatur menggunakan diagram Prisma, pemetaan data dengan melakukan penilaian kritis berdasarkan checklist penelitian RCT, meringkas dan melaporkan hasil, dan konsultasi ahli. Literatur yang relevan ditemukan menggunakan empat database, termasuk JSTOR, Science Direct, ProQuest, dan Cambridge core, dengan menggunakan kata (stroke survivor) AND (rehabilitation program) AND (activities of daily living). Hasil: Literatur didapatkan 186022 artikel, 8 artikel terpilih untuk direview. Kelompok intervensi pada semua artikel menunjukkan peningkatan yang signifikan untuk kemampuan ADL dibanding dengan kelompok kontrol. Kesimpulan: Manajemen rehabilitasi dini dalam perawatan stroke akut sangat penting untuk mengoptimalkan potensi pemulihan dan menghindari masalah sekunder yang berbeda dari gejala sisa stroke. Peningkatan pemulihan fisik dan kemampuan fungsional sehari-hari adalah hasil dari program rehabilitasi pada tingkat intensitas dan konsistensi yang lebih tinggi.

Hubungan Pengetahuan Terhadap Sikap Family Caregiver dalam Merawat Penderita Stroke di Rumah Erwin; Miftafu Darussalam
Jurnal Indonesia Sehat Vol. 3 No. 1 (2024): JURINSE, April 2024
Publisher : SAMODRA ILMU: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: The level of knowledge of family caregivers has a significant impact on caregiving behavior for stroke sufferers at home. Sufficient knowledge allows caregivers to make informed decisions regarding treatment options. On the other hand, a lack of knowledge can cause misunderstandings, discomfort, fear, decreased physical well-being, and psychological disorders. Aim: To determine the relationship between knowledge and the attitude of family caregivers in caring for stroke sufferers at home. Method: This research used cross-sectional techniques. The target population was family caregivers who care for stroke sufferers in the area Wirobrajan Health Center, Yogyakarta City. This sample used a simple random sampling method with a sample size of 42 respondents. The inclusion criteria consisted of respondents being family members who provide care for stroke sufferers at home and as nuclear family members. Exclusion criteria include family members who work in the health sector and stroke sufferers who receive homecare therapy. Results: Most of the family caregivers in the good knowledge category were 36 respondents (85.71%), and 23 respondents (54.76%) had a good attitude. The results of statistical tests using the gamma test showed that the p-value was 0.045 (p<0.05) and the correlation value was 0.774. Conclusion: There is a strong relationship between the knowledge and attitudes of family caregivers in caring for stroke sufferers at home. Implications: Family caregivers with good knowledge and attitudes in caring for stroke sufferers can improve recovery and prevent worse complications during home care.

Peningkatan Kualitas Asuhan Keperawatan Melalui Penerapan Perencanaan Pulang Iskandar, Rahayu; Darussalam, Miftafu
Jurnal Abdimas BSI: Jurnal Pengabdian Kepada Masyarakat Vol 6, No 1 (2023): Februari 2023
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Bina Sarana Informatika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31294/jabdimas.v6i1.13672

Rumah sakit sebagai sarana pelayanan kesehatan dapat memberikan dampak positif berupa kesembuhan bagi orang sakit tetapi dapat pula menimbulkan beberapa dampak negatif. Pelaksanaan discharge planning yang tidak efektif akan menyebabkan tidak terjadi kontinuitas perawatan ketika pasien di rumah. Kegiatan ini bertujuan meningkatkan kesadaran perawat akan pentingnya pelaksanaan discharge planning pada pasien, dan meningkatnya kepuasan pasien yang dirawat di Rumah Sakit Pusat Angkatan Udara. Kegiatan difokuskan kepada pasien dengan Diabetes Mellitus, dari 11 Mei sampai dengan 16 Juli 2022, dengan identifikasi SOP dan membuat video discharge planning. Evaluasi dilaksanakan setelah seluruh proses kegiatan terlaksana, dengan mengevaluasi kepatuhan perawat terhadap pelaksanaan discharge planning, dan evaluasi kepuasan pasien Diabetes Mellitus. Hasil evaluasi, terjadi peningkatan kepatuhan perawat Ruang Merak terhadap pelaksanaan discharge planning pasien Diabetes Mellitus, dari sebelum pembuatan sarana video adalah 87%, menjadi 97%, dan meningkatnya kepuasan pasien Diabetes Mellitus terhadap pelayanan asuhan keperawatan, dari 69% sebelum adanya media yang memudahkan pasien menerima informasi dari perawat menjadi 84%.

Sosialisasi Peran Perawat Tehadap Kelengkapan Pengisian Anamnese Dalam Mendukung Pengodean Diagnosis Cidera Penyebab Luar di RS Mitra Paramedika Nurdiyansyah, Andi Karisma; Darussalam, Miftafu; Asgiani, Piping; Ayu, Sandrita Mustika; Maulidina, Resky Nurul
Jurnal Pengabdian Sosial Vol. 1 No. 9 (2024): Juli
Publisher : PT. Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/22zqmy86

Informasi external causes digunakan untuk menentukan klasifikasi kode external causes. Informasi external causes dianalisa oleh petugas koder untuk menentukan kode external causes dengan lengkap sampai karakter kelima, meliputi kategori tiga karakter yang menunjukkan bagaimana kecelakaan terjadi, karakter keempat yang menunjukkan lokasi terjadinya kecelakaan, dan karakter kelima yang menunjukkan aktivitas pasien saat terjadinya kecelakaan. Jika anamnesa dilakukan dengan detail maka akan didapatkan informasi yang benar-benar dibutuhkan dalam pelayanan kesehatan tersebut. Oleh karena itu, tenaga medis atau dokter yang menangani pasien harus menuliskan anamnesa secara lengkap agar diperoleh informasi yang tepat dalam penegakan suatu diagnosa. Seorang perawat harus mampu melaksanakan dokumentasi asuhan keperawatan dalam catatan perkembangan pasien terintegrasi dengan lengkap, jelas, akurat, dan dapat dipahami oleh PPA (Profesional pemberi asuhan) yang lain. Tujuan dari pengabdian kepada masyarakat ini adalah untuk menyampaikan informasi tentang Kelengkapan Pengisian Anamnese Dalam Mendukung Pengodean Diagnosis Cidera Penyebab Luar di RS Mitra Paramedika. Lokasi PKM di RS Mitra Paramedika. Metode yang digunakan dalam menyelesaikan permasalahan mitra melalui pelatihan dan substitusi ipteks. Kegiatan pelatihan dilakukan dengan memberikan penyuluhan. Kegiatan pengabdian diawali dengan mengumpulkan coder rekam medis dan perawat IGD. Dalam kegiatan terbagi menjadi 4 kegiatan yang diawali pendataan peserta dilanjutkan melaksanakan pre test kemudian dilakukan penyamaian materi sosialisasi. Diahkir kegiatan dilakukan post test untuk untuk mengetahui tingkat pengetahui Perawat Tehadap Kelengkapan Pengisian Anamnese Dalam Mendukung Pengodean Diagnosis Cidera Penyebab Luar setelah dilaksanakan sosialisasi.

Cegah Komplikasi Gangguan Muskuloskeletal Dengan Balut Bidai Melalui Posyandu Remaja Parikesit Darussalam, Miftafu; Lestari, Ratna; Ferianto; Threes Harjanti, Dini
The Journal of Innovation in Community Empowerment Vol 4 No 2 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i2.731

ABSTRAK Fraktur merupakan terputusnya kontuinitas tulang yang dapat menimbulkan gejala yang umum seperti nyeri atau rasa sakit, pembengkakan dan kelainan bentuk tubuh. Fraktur atau patah tulang harus ditangani dengan cepat, tepat dan harus sesuai dengan prosedur pelaksanaan. Menurut WHO 70% kecelakaan lalu lintas dialami oleh pelajar atau remaja. Berdasarkan Survei Kesehatan Nasional melaporkan bahwa kasus fraktur pada tahun 2017 secara Nasional mengalami peningkatan sebesar 27,7%. Kecelakaan pada sistem musculoskeletal harus ditangani dengan cepat dan tepat. Apabila tidak dilakukan akan menimbulkan cidera yang semakin parah dan dapat memicu terjadinya perdarahan. Dampak lain yang terjadi dapat mengakibatkan kelainan bentuk tulang, kecacatan dan sampai kematian. Untuk mencegah terjadinya cidera pada sistem muskuloskeletal dibutuhkan pertolongan balut bidai. Balut bidai merupakan tindakan memfiksasi atau mengimobilisasi bagian tubuh yang mengalami cidera yang menggunakan benda yang bersifat kaku maupun fleksibel sebagai fiksator. Pertolongan balut bidai dapat dilakukan oleh semua orang awam yang terlatih. Salah satu orang awam yang terlatih disekolah yaitu siswa yang telah mendapatkan pendidikan dasar kegawatdaruratan melalui kegiatan ekstrakurikuler Palang Merah Remaja (PMR), dan seharusnya pendidikan dasar kegawatdaruratan tidak hanya diberikan kepada anggota PMR tetapi juga semua siswa disekolah atau remaja di lingkungan desa. Pengabdian masyarakat yang dilakukan di Kelurahan Tamanmartani ini diikuti oleh 21 kader remaja Parikesit. Metode yang digunakan dengan pemberian materi secara online pada hari pertama dan praktik secara langsung di hari kedua. Pengetahuan kader remaja sebelum dan setelah edukasi pembalutan dan pembidaian ada peningkatan pengetahuan dengan mean nilai pretest adalah 62,38 dan mean nilai posttest adalah 95,24. Jadi ada peningkatan sebesar 32,86. Kader sebelum pelatihan yang tidak terampil menjadi terampil sebanyak 12 (57%) kader, sedangkan 4 (19%) kader masih belum terampil. Dibutuhkan pendampingan dari pihak puskesmas Kalasan agar kader remaja Parikesit dapat mengaplikasi ilmu yang telah didapatkan untuk pencegahan komplikasi akibat gangguan fraktur. KATA KUNCI: Posyandu Remaja; Fraktur; Kader Remaja ABSTRACT A fracture is a break in the continuity of the bone that can cause general symptoms such as pain or tenderness, swelling and deformity of the body. Fractures or fractures must be treated quickly, accurately and follow the implementation procedure. According to WHO 70% of traffic accidents are experienced by students or teenagers. Based on the National Health Survey reports, fracture cases in 2017 increased by 27.7% nationally. Accidents to the musculoskeletal system must be treated quickly and appropriately. Failure to do so will result in more severe injury and lead to bleeding. Other impacts can result in bone deformities, disability and even death. To prevent injury to the musculoskeletal system, splints are needed. A splint is an act of fixing or immobilizing the injured body part using a rigid or flexible object as a fixator. Splint dressing can be performed by all trained laypeople. One of the laypeople who are trained in school is a student who has received basic emergency education through extracurricular activities of the Palang Merah Remaja (PMR), and basic emergency education should not only be given to PMR members but also all students in schools or youth in the village environment. The community service carried out in Tamanmartani Village was attended by 21 Parikesit youth cadres. The method used is giving the material online on the first day and hands-on practice on the second day. There was an increase in knowledge of adolescent cadres before and after education on bandages and splints, with the mean pretest value being 62.38 and the posttest mean value being 95.24. So there is an increase of 32.86. There were 12 (57%) cadres before training who were unskilled, while 4 (19%) cadres were still unskilled. Assistance is needed from the Kalasan Public Health Center so that the Parikesit youth cadres can apply the knowledge obtained to prevent complications due to fracture disorders. KEYWORDS: Posyandu Remaja; Fracture; Youth Cadre

Pencegah Komplikasi Akibat Peningkatan Tekanan Darah dengan Pola Hidup Sehat Darussalam, Miftafu; Iskandar, Rahayu; Riyadi, Sujono
JOURNAL OF PHILANTHROPY: The Journal of Community Service Vol. 1 No. 1 (2023): Journal of Philanthropy, Januari 2023
Publisher : Samodra Ilmu: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58353/jop.v1i1.84

Hypertension is one of the main risk factors for cardiovascular disease. Continuously high blood pressure conditions will cause the heart to work harder, so this condition will result in damage to the blood vessels, heart, kidneys, brain, and eyes. To achieve an increase in public health status through comprehensive health care, joint efforts from all levels of society are urgently needed so that health status is more evenly distributed. For this reason, it is considered necessary to pay attention to high-risk groups, namely the elderly, who need special treatment. The results of the health status of the elderly in RW 08 Patang Puluhan Village found that many older people did not understand the complications of hypertension and how to prevent them, so counseling about hypertension was necessary. Thirty-one participants attended this service. The activity was held at the Pendopo of Sindurejan Village, Patangpuluhan. Community service, as an effort to realize the Tri Dharma of Higher Education, is expected to help health promotion programs and interest the elderly in early detection or control of hypertension so that if there are signs of disease symptoms, they can be detected earlier. In addition, this community service can be a means to increase knowledge about hypertension. Implementation of activities consists of three stages: preparation, implementation, and evaluation. The results of community service showed that the knowledge of the elderly before and after education increased knowledge, with the mean value for the pretest score being 69.35 and the mean value for the posttest score being 92.34. So there is an increase of 22.99. Based on the Paired T-Test statistical test, there is a significant difference between knowledge before and after being given counseling with a p-value of 0.000. Suggestions for further development of community service require assistance from the Puskesmas Wirobrajan so that the elderly can apply the knowledge that has been obtained optimally. For the role of elderly cadres, support is needed from various aspects, such as coordination with the Puskesmas in realizing a sustainable program through the Posyandu Lansia.

The Impact of Family Caregiver Burden on Stroke Patient Care Behavior Darussalam, Miftafu; Adeana Putri
HEALTHY BEHAVIOR JOURNAL Vol. 3 No. 1 (2025): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v3i1.1640

Background: Stroke prevalence in the Special Region of Yogyakarta is ranked second highest in Indonesia, with a prevalence of 14.6%. The highest prevalence is in the city of Yogyakarta at 1.50%. In cases of stroke, family caregiver s must accompany the patient for up to 24 hours to meet all the patient's needs. The role of family caregiver s aims to restore the quality of life of stroke patients and improve the therapeutic efforts of patients. Objective: The research aims to determine the relationship between family caregiver burden and behavior in caring for stroke patients at the Yogyakarta City Hospital. Methods: The research is quantitative with a descriptive correlative design and a crosssectional approach. The number of samples used was 39 respondents selected using purposive sampling techniques. Data collection used the Zarit Burden Interview Questionnaire and the Family caregiver Behavior Questionnaire, which have been validated and are reliable. Data analysis in this study used univariate and bivariate analysis. Results: The results showed that family caregiver burden is related to behavior in caring for stroke patients (r=-0.335; p=0.037). The distribution of family caregiver burdens includes no burden 43.6%, light burden 51.3%, moderate burden 5.1%, while family caregiver behavior in the category of less 5.1%, family caregiver behavior in the category of sufficient 69.2%, and family caregiver behavior in the category of good 25.6%. Conclusion: Good family caregiver behavior in caring for stroke patients has a positive impact on the patients themselves. For family caregiver s who are detected to have a high burden, it is hoped that they can consult on how to overcome it so that the quality of life of stroke patients and family caregiver s can improve.

PENINGKATAN AKURASI PENGODEAN DIAGNOSIS CEDERA PENYEBAB LUAR MELALUI SOSIALISASI MANAJEMEN INFORMASI ASUHAN KEPERAWATAN PASIEN GAWAT DARURAT PADA MAHASISWA PROFESI NERS Nurdiyansyah, Andi Karisma; Darussalam, Miftafu; Asgiani, Piping; Praptana, Praptana
Journal of Community Empowerment Vol 4, No 2 (2025): September
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jce.v4i2.34427

ABSTRAK Analisis Situasi: Pengodean penyakit, khususnya external cause (penyebab luar) dalam rekam medis pasien gawat darurat, sangat esensial namun sering terkendala akurasinya karena kurang optimalnya kelengkapan dokumentasi asuhan keperawatan oleh perawat. Permasalahan ini menuntut peningkatan kompetensi manajemen informasi pada calon tenaga kesehatan. Tujuan: Pengabdian ini bertujuan meningkatkan pemahaman mahasiswa Profesi Ners UNJAYA tentang pentingnya manajemen informasi asuhan keperawatan dalam mendukung akurasi diagnosis cedera luar. Metode: Kegiatan dilaksanakan melalui penyuluhan berbasis transfer ilmu pengetahuan dan teknologi. Mitra Sasaran: Mitra kegiatan ini adalah 51 mahasiswa Profesi Ners UNJAYA. Evaluasi peningkatan pemahaman dilakukan menggunakan metode pre-test dan post-test. Hasil Kegiatan: Terjadi peningkatan pemahaman yang signifikan. Akurasi rata-rata kelas meningkat dari 91% menjadi 100%, disertai penurunan waktu pengerjaan rata-rata dari 2 menit 48 detik menjadi 1 menit 21 detik. Luaran kegiatan ini adalah publikasi artikel ilmiah pada jurnal terakreditasi dan peningkatan kompetensi mahasiswa dalam pengelolaan informasi klinis.. Kata Kunci: Manajemen Informasi Asuhan Keperawatan; Akurasi Diagnosis; Cedera Luar ABSTRACTSituation Analysis: Disease coding, particularly for external causes in emergency patient medical records, is essential but its accuracy is often challenged due to suboptimal completeness of nursing care documentation. This issue necessitates increasing the information management competency of Professional Nursing students, as they are future healthcare personnel. Objective: This community service program aimed to enhance the understanding of UNJAYA Professional Nursing students regarding the importance of nursing care information management in supporting the accuracy of external injury diagnoses. Implementation Method: The activity was carried out through training and counseling based on the transfer of knowledge and technology. Target Partner and Participants: The partner for this activity was 51 Professional Nursing students at UNJAYA. Evaluation of understanding improvement was conducted using pre-test and post-test methods. Activity Results: The program achieved a significant increase in understanding. The class-average accuracy improved from 91% to 100%, accompanied by a decrease in the average completion time from 2 minutes 48 seconds to 1 minute 21 seconds. The outputs of this activity are the publication of a scientific article in an accredited journal and a measurable increase in student competence in clinical information management.Keywords: Nursing Information Management; Diagnosis Accuracy; External Injury; Professional Nursing Students

Electronic-Module Range of Motion on Family Caregivers in Increasing Muscle Strength in Stroke Sufferers Miftafu Darussalam; Ferianto, Ferianto
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.94

The level of dependence of stroke sufferers on family caregivers will increase along with the complications experienced by stroke sufferers. The role of the family is to contribute to the rehabilitation process at home in the form of physical and psychosocial benefits. One effort can be made by providing Range of Motion exercises to stroke sufferers. Different family backgrounds and the importance of empowering the role of family caregivers require media that is informative and can be accessed anywhere. This study aimed to test the effectiveness of the Electronic-Module Range of Motion (E-ROM) for family caregivers in carrying out ROM and assessing muscle strength in stroke sufferers—a quasi-experimental research design with a pretest-posttest control group design. Research analysis used the Wilcoxon Test and Mann-Whitney Test. The sample consisted of 46 respondents for the treatment group and control group. The intervention providing E-Module ROM exercises was given to family caregivers, and assistance was provided. ROM exercises for stroke sufferers are carried out twice daily for two weeks. Health education with Electronic-Module Range of Motion (E-ROM) can increase muscle strength in stroke sufferers.

Hubungan Pengetahuan Terhadap Sikap Family Caregiver dalam Merawat Penderita Stroke di Rumah Erwin; Darussalam, Miftafu
Jurnal Indonesia Sehat Vol. 3 No. 1 (2024): JURINSE, April 2024
Publisher : SAMODRA ILMU: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58353/jurinse.v3i1.187

Background: The level of knowledge of family caregivers has a significant impact on caregiving behavior for stroke sufferers at home. Sufficient knowledge allows caregivers to make informed decisions regarding treatment options. On the other hand, a lack of knowledge can cause misunderstandings, discomfort, fear, decreased physical well-being, and psychological disorders. Aim: To determine the relationship between knowledge and the attitude of family caregivers in caring for stroke sufferers at home. Method: This research used cross-sectional techniques. The target population was family caregivers who care for stroke sufferers in the area Wirobrajan Health Center, Yogyakarta City. This sample used a simple random sampling method with a sample size of 42 respondents. The inclusion criteria consisted of respondents being family members who provide care for stroke sufferers at home and as nuclear family members. Exclusion criteria include family members who work in the health sector and stroke sufferers who receive homecare therapy. Results: Most of the family caregivers in the good knowledge category were 36 respondents (85.71%), and 23 respondents (54.76%) had a good attitude. The results of statistical tests using the gamma test showed that the p-value was 0.045 (p<0.05) and the correlation value was 0.774. Conclusion: There is a strong relationship between the knowledge and attitudes of family caregivers in caring for stroke sufferers at home. Implications: Family caregivers with good knowledge and attitudes in caring for stroke sufferers can improve recovery and prevent worse complications during home care.

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