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ANALISIS FAKTOR YANG MEMPENGARUHI “PREHOSPITAL DELAY TIME” PADA PASIEN NON-ST ELEVATION MYOCARDIAL INFARCTION (NSTEMI) Linda Widyarani
MEDIA ILMU KESEHATAN Vol 7 No 1 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i1.224

Abstract

Background: AMI is the leading cause of morbidity and disability among Indonesian population. In referrals centre hospital, in-hospital mortality of NSTEMI is equal or even exceeds STEMI, increased from 17% to 21% during 12 months. Prehospital delay is an important cause of increasing early and also late mortality in NSTEMI. Objective: We investigated factors associated with prolonged prehospital delay in patients with NSTEMI. Method: In this cross-sectional study design, data were analyzed by chi-square and one-way ANOVA using SPSS 20 and data were collected from 50 patients with NSTEMI using patient’s medical notes and semi- structured interviews. Patients were pain-free and hemodynamically stable at the time of interview. Data were collected on the time from the onset of chest pain to hospital admission. Results: Mean of prehospital delay times were 7,89±1,44 hours. The predictor were singularly significantly associated with prolonged prehospital delay were self medication and health care seeking pattern. Traditional healers had longest prehospital delay time (24,30±2,65hours). Most of the people in Java from various social strata still believe in traditional healers (dukun) to treat their disease. Conclusion: Health care providers can educate the public on NSTEMI to enable them recognize the signs and symptoms of NSTEMI correctly and realize the benefits of early treatment. Keyword: Prehospital delay time and NSTEMI
PENGARUH PEMBERIAN TERAPI BERMAIN TERHADAP PEMBELAJARAN MITIGASI BENCANA PADA ANAK AUTIS BERBASIS DISASTER NURSING COMPETENCY Fika Nur Indriasari; Linda Widyarani; Prima Daniyati Kusuma
MEDIA ILMU KESEHATAN Vol 7 No 3 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i3.242

Abstract

Background: A powerful earthquake in Yogyakarta, causing major damage and many deaths. Children with autism are more vulnerable and have a greater risk of earthquake because they are have an intellectual, social and verbal disability to safe life independently. Objective: This research discussed the influence of play therapy on learning of disaster mitigation for children with autism. Method: This research used qualitative descriptive design and consider a sample of 30 children with autism in SLB N Pembina Yogyakarta. Play therapy in this research use drawing and coloring methods, also watching video about disaster preparedness. Results: Play therapy could effectively be applied as earthquake mitigation lesson to children with autism in SLB N Pembina Yogyakarta. Before interventions, there were 2 children (7%) able to draw on actions when an earthquake occurred, and increased to 19 children (63,33%) after interventions. Conclusion: Play therapy could be effectively applied to children with autism as earthquake disaster mitigation showed by an increase of children’s drawing and coloring ability on actions when an earthquake occurred for as much as 56,33%. Keyword: Children with autism, mitigation ability, play therapy
Pelatihan Footcare Bagi Kelompok Ibu-Ibu PKK Desa Sebagai Upaya Pencegahan Ulkus Kaki Diabetik Linda Widyarani; Cecilya Kustanti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 7 (2022): Volume 5 No 7 Juli 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i7.5958

Abstract

ABSTRAK Salah satu komplikasi DM yang paling sering terjadi adalah ulkus kaki diabetik. Pemberian edukasi dengan memberikan pelatihan footcare merupakan upaya pencegahan ulkus kaki diabetik bagi penderita DM. Tujuan kegiatan pengabdian kepada masyarakat ini adalah meningkatkan kemampuan Ibu-Ibu PKK Desa Karangtalun, baik secara kognitif dan juga skill/ketrampilan tentang perawatan kaki diabetik sebagai upaya pencegahan ulkus kaki diabetik. Kegiatan pengabdian kepada masyarakat ini dilakukan di Desa Karangtalun, Imogiri, Bantul, Daerah Istimewa Yogyakarta. Hasil dari kegiatan pengabdian kepada masyarakat ini, terdapat peningkatan pengetahuan Ibu-Ibu PKK Desa Karangtalun tentang bagaimana perawatan kaki diabetik (footcare) sebagai upaya pencegahan ulkus kaki diabetik, meningkat dari 68,45±6,30 menjadi 82,30±1,78, dan juga terdapat peningkatan skill/ketrampilan Ibu-Ibu PKK Desa Karangtalun tentang bagaimana perawatan kaki diabetik (footcare) sebagai upaya pencegahan ulkus kaki diabetik meningkat dari 65,50±2,039 menjadi 82,05±1,791. Kata Kunci : Ulkus Diabetik, Diabetes Mellitus, Perawatan Kaki  ABSTRACT  Diabetic foot ulcers are among the most common complications of patients who have diabetes mellitus which is not well controlled. The key to prevention of diabetic foot problems is education. The purpose of this activity is the guidance and assistance of foot care in the prevention of diabetic foot ulcers among PKK mothers with target area of Karangtalun Hamlet. This activity was conducted in Karangtalun Hamlet, Imogiri, Bantul, Daerah Istimewa Yogyakarta. Methods of this activity include 1) conducting FGDs with local officials; 2) conducting counseling and short demonstration of bamboo shoot baskets; 3) training and mentoring; 4) equipment facilitation; and 5) monitoring and evaluation. The result showed that the average knowledge score an increase, from 68,45±6,30 to 82,30±1,78, and the average skills score an increase, from 65,50±2,039 to 82,05±1,791.  Keyword : Diabetic Foot Ulcers, Diabetes Mellitus, Footcare
Pengaruh Pengembangan Media Booklet CPSS Terhadap Kemampuan Kader Kesehatan Dalam Deteksi Dini Stroke Cecilya Kustanti; Linda Widyarani
JURNAL KESEHATAN MERCUSUAR Vol. 5 No. 1 (2022): JURNAL KESEHATAN MERCUSUAR
Publisher : STIKes MERCUBAKTIJAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36984/jkm.v5i1.270

Abstract

Stroke has become the leading cause of death in almost all hospitals in Indonesia, which is around 21,1%, was higher than heart and blood vessel diseases (12,9%), TBC (6,7%) and hypertension (5,3%). Stroke prevention and control strategies has played an important role to prevent and reduce disease, disability and death from stroke. One of the strategy can be applied by early detection attack stroke in the community. The purpose of this study is to determine the effect of booklet CPSS as a learning media in health cadres ability In early detection prehospital attack a stroke. This study used a quasi-experimental method with one group pre-post test design, with a purposive sampling technique. The intervention used booklet CPSS. In this study, the average pretest value of knowledge was 59,37±3,102 and the posttest value of knowledge was 84,70±1,236, with a p-value of 0.000, which means that there is a significant difference between the knowledge before and after the intervention.
Optimalisasi Pemberdayaan Anak Usia Sekolah dalam Mitigasi Bencana Erupsi Gunung Berapi Linda Widyarani; Wiwi Kustio Priliana
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 2 April 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i2.2943

Abstract

ABSTRAK Secara geografis, wilayah Indonesia terletak di antara 3 lempeng tektonik yaitu lempeng pasifik, lempeng eurasia serta lempeng hindia-australia dan juga terletak pada kawasan ring of fire. Salah satu gunung api berstatus aktif di Indonesia dan merupakan gunung api teraktif adalah Gunung Merapi, yang terletak di Provinsi Daerah Istimewa Yogyakarta. Erupsi Gunung Merapi yaitu pada tahun 2010, tergolong erupsi besar dan menimbulkan dampak merugikan bagi masyarakat. Anak usia sekolah merupakan kelompok rentan saat situasi bencana. Salah satu upaya yang dapat dilakukan dalam mengantisipasi bencana erupsi Gunung Merapi adalah mitigasi bencana erupsi Gunung Merapi. Tujuan kegiatan pengabdian kepada masyarakat ini adalah meningkatkan pengetahuan anak usia sekolah tentang mitigasi bencana erupsi Gunung Merapi. Kegiatan pengabdian kepada masyarakat ini dilakukan pada Bulan Februari 2020 di SDN Payungan, Pandak, Bantul, Yogyakarta. Metode yang digunakan pada kegiatan pengabdian kepada masyarakat ini adalah memberikan penyuluhan kesehatan melalui media berbentuk buku cerita komik bencana erupsi gunung api dengan judul “Badu dari Desa Wanabalu dalam Gunung Api”, video animasi mitigasi bencana erupsi gunung api dengan durasi ±20 menit dan mini booklet. Hasil dari kegiatan pengabdian kepada masyarakat ini, berdasarkan hasil pretest dan posttest yang dilakukan, terdapat peningkatan pengetahuan dan pemahaman anak usia sekolah tentang mitigasi bencana erupsi gunung berapi mencapai 88,09%. Kata kunci : mitigasi bencana, erupsi gunung berapi, anak usia sekolah ABSTRACT Indonesia is one of the largest archipelago countries in Asia and even in the world. All of the disaster that occur due to the position of the Indonesia are surrounded by three tectonic plates of the world, the Indo-Australian plate, Eurasia plate and the Pacific plate. The earth plate in Indonesia is also surrounded by active volcanic pathways, so that Indonesia is included in the Pacific Ring of Fire. Mount Merapi is one of the most active volcanoes in Indonesia. One of the major disasters that occurred in 2010 on the island of Java was the eruption of Mount Merapi. Vulcanic eruptions have a large impact or potential loss. Children are one of the vulnerable populations affected by natural disasters, due to their inability to act independently in the event of a disaster. Seeing the status of Mount Merapi which until now is still fairly active, efforts are needed in disasater management, especially volcanic eruptions to reduce the impact of disaster risk. Mitigations is a series of efforcts to reduce disaster risk, both through physical development and awareness and capacity building to face disaster threats. Preparations in the form of preparedness or efforts to provide understanding to residents to anticipate disasters, through providing information, and increasing preparedness in the event of a disaster so that there are steps to minimize disaster risk. The objectives of this activity were to improve student’s knowledge about disaster mitigation volcanic eruptions using storytelling methods, animation video and mini booklet. This activity was conducted in SDN Payungan, Pandak, Bantul. The result showed that the average knowledge score experienced an increase, 88,09%, concluded that there was an effect of storytelling methods, animation video and mini booklet on increasing student knowledge about disaster mitigation volcanic eruptions. Keyword : disaster mitigation, volcanic eruptions, schoolchildren  
EFFECTIVENESS MONTASE AS TUBERCULOSIS AWARENESS PROGRAM AND ASSOCIATED CHANGES IN KNOWLEDGE LEVELS OF THE FAMILIES Linda Widyarani; Cecilya Kustanti
Journal of Nursing Science Update (JNSU) Vol. 8 No. 2 (2020)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.014 KB) | DOI: 10.21776/ub.jik.2020.008.02.6

Abstract

The success of TB control is strongly influenced by the role and support of the family.Families who do not care, do not support treatment programs, tend to be ignorant, donot make efforts to prevent transmission in the care of family members with TB, and givenegative stigma against TB disease has a negative impact on the success of TB control.One of the efforts to build and increase the role of the family in TB control is to provideeducation on prevention of transmission in the care of family members with TB using theMontage method. This study aims to determine the effectiveness of the montage learningmethod in increasing knowledge about control and prevention of transmission in thecare of family members with TB. This study used a quasi-experimental method withone group pre-post test design. We obtain 31 respondents with a purposive samplingtechnique. The intervention used is application of 3M art, namely folding, cutting andpasting pictures on paper that form pictorial stories. In this study, the average pretestvalue was 48.39 ± 5.536 and the posttest value was 73.23 ± 11.729, with a p-value of0.000, which means that there was a significant difference between the knowledgebefore and after the intervention. Therefore, the strategy of providing education withthe montage learning method needs to be integrated into the promotional program.
Pengembangan Pocketbook Sebagai Media Edukasi Dalam Pembentukan First Responder Emergency Response Pada Lingkup Prehospital Linda Widyarani; Cecilya Kustanti
JURNAL KESEHATAN MERCUSUAR Vol. 5 No. 2 (2022): JURNAL KESEHATAN MERCUSUAR
Publisher : STIKes MERCUBAKTIJAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36984/jkm.v5i2.269

Abstract

The health cadres play an essential role, as community health educator. The development of pocketbook emergency safety and first aid as a learning media to improve health cadres’s knowledge and skills as first responder emergency response. The purpose of this study is to determine the effect of pocketbook emergency safety and first aid as a learning media in health cadres ability as a first responder emergency response. This study used a quasi-experimental method with one group pre-post test design, with a purposive sampling technique. In this study, the average pretest value of knowledge was 57,50±4,075 and the posttest value of knowledge was 78,27±2,420, with a p-value of 0.000, which means that there is a significant difference between the knowledge before and after the intervention. The average pretest value of practice was 54,80±2,265 and the posttest value of practice was 73,73±1,999, with a p-value of 0.000, which means that there is a significant difference between the practice before and after the intervention.
Program Pelatihan Pertolongan Pertama Kegawatan Luka Bakar di Lingkungan Rumah Tangga Cecilya Kustanti; Linda Widyarani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 1 (2023): Volume 6 No 1 Januari 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i1.8101

Abstract

ABSTRAK Di Indonesia, 80% luka bakar terjadi di lingkungan rumah tangga. Masyarakat masih mempunyai kebiasaan, anggapan atau kepercayaan yang salah tentang pertolongan pertama kegawatan luka bakar di lingkungan rumah tangga. Pelatihan pertolongan pertama kegawatan luka bakar di lingkungan rumah tangga diharapkan dapat meningkatkan pengetahuan masyarakat sehingga masyarakat tidak hanya sadar, tahu, dan mengerti tetapi juga bisa melakukan suatu anjuran yang ada hubungan dengan kesehatan yaitu tentang pertolongan pertama kegawatan luka bakar. Tujuan kegiatan pengabdian kepada masyarakat ini adalah meningkatkan tingkat pengetahuan Ibu-Ibu PKK Desa tentang pertolongan pertama kegawatan luka bakar di lingkungan rumah tangga. Metode kegiatan pengabdian kepada masyarakat ini adalah memberikan pendidikan kesehatan melalui media poster/flyer. Hasil dari kegiatan pengabdian kepada masyarakat ini, skor pretest adalah 35,73±19,52 dan skor posttest adalah 74,12±11,59 sehingga pendidikan kesehatan melalui media poster/flyer dapat meningkatkan pengetahuan masyarakat tentang pertolongan pertama kegawatan luka bakar di lingkungan rumah tangga Kata Kunci: Luka Bakar, Pertolongan Pertama, Lingkungan Rumah Tangga ABSTRACT In Indonesia, most often burn injuries occurred in the home environment (80%). The public still have faulty habits, assumption and beliefs regarding first aid and emergency care of burn management in the home environment. Hopefully, the application of first aid and emergency care of burn management in the home environment training can improves their knowledge. The purpose of this activity is to assess the general knowledge, of relative for burn first aid and to know regarding first aid and emergency care of burn management in the home environment among PKK mothers with target area of Wukirsari Hamlet. This activity was conducted in Wukirsari Hamlet, Imogiri, Bantul, Daerah Istimewa Yogyakarta. Methods of this activity include 1) conducting FGDs with local officials; 2) training and mentoring; and 3) monitoring and evaluation. The result showed that the average knowledge score regarding first aid and emergency care of burn management in the home environment an increase, from 35,73±19,52 to 74,12±11,59.  Keyword : burn injury, first aid management, home environment
Pemberdayaan Ibu Rumah Tangga dalam Penanaman dan Pemanfaatan Tanaman Obat Keluarga (TOGA) sebagai Antidiabetik Cecilya Kustanti; Linda Widyarani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 4 (2023): Volume 6 No 4 April 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i4.9005

Abstract

ABSTRAK Diabetes Mellitus (DM) dikenal sebagai silent killer karena sering tidak disadari oleh penyandangnya. Penatalaksanaan DM dengan mengkombinasikan obat sesuai petunjuk dokter dan tanaman obat dapat menjadi alternatif antidiabetik bagi penderita DM. Tanaman obat yang dapat digunakan sebagai antidiabetik adalah daun salam (syzygium polyanthum). Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan tingkat pengetahuan mitra tentang penanaman dan pemanfaatan TOGA sebagai antidiabetik. Kegiatan pengabdian kepada masyarakat ini dilakukan dengan memberikan pendidikan kesehatan melalui media poster/flyer, dengan program-program yaitu a) program edukasi kesehatan tentang penyakit DM dan tatalaksananya, b) program pembentukan Asuhan Mandiri Tanaman Obat Keluarga (ASMAN TOGA) penyakit DM, dan c) program pemberdayaan mitra melalui program pelatihan Cek Kadar Gula Darah Sendiri (CERDAS). Kegiatan pengabdian kepada masyarakat ini menunjukkan yaitu a) program edukasi kesehatan tentang penyakit DM dan tatalaksananya, skor pretest adalah 67,22±8,90 dan skor posttest adalah 78,57±3,45, b) program pembentukan Asuhan Mandiri Tanaman Obat Keluarga (ASMAN TOGA) penyakit DM, skor pretest adalah 52,34±3,39 dan skor posttest adalah 82,32±2,37, c) program pemberdayaan mitra melalui program pelatihan Cek Kadar Gula Darah Sendiri (CERDAS), skor pretest kemampuan kognitif adalah 25,57±5,77 dan skor posttest kemampuan kognitif adalah 72,34±5,47 sedangkan skor pretest kemampuan ketrampilan/skill adalah 25,89±5,89 dan skor posttest kemampuan ketrampilan/skill adalah 72,44±4,57. Kegiatan pengabdian kepada masyarakat tentang penanaman dan pemanfaatan TOGA sebagai antidiabetik dengan kombinasi obat sesuai petunjuk dokter perlu digalakkan secara optimal di masyarakat. Kata Kunci: Diabetes Mellitus, TOGA, Antidiabetik, Daun Salam   ABSTRACT Diabetes Mellitus (DM) is regarded as a silent killer because it often goes undetected until it has caused serious health problems. Management of DM using medicinal plants in combination with antidiabetic agents for glycemic control  and related beneficial effects in managing diabetes are. The use of medicinal plants that can be used as an alternative treatment for DM is an Indonesian bay leaf (syzygium polyanthum) containing antidiabetic. Indonesian bay leaf (syzygium polyanthum) has potential as an antidiabetic drug for patients with DM. The  purpose  of  this  activity  is  to  improve  understanding of families about planting and utilization of Indonesian bay leaf (syzygium polyanthum) as medicinal plants for management of DM. The methods used in this activity are providing health education through poster/flyer, with program : a) health education program about DM, b) program of planting and utilization of Indonesian bay leaf (syzygium polyanthum) as medicinal plants for management of DM, and c) program of self-monitoring blood glucose training. This activity showed that with program : a) health education program about DM, the average knowledge score an increase, from 67,22±8,90 to 78,57±3,45, b) program of planting and utilization of Indonesian bay leaf (syzygium polyanthum) as medicinal plants for management of DM, the average knowledge score an increase, from 52,34±3,39 to 82,32±2,37, and c) program of self-monitoring blood glucose training, the average skills score an increase, from 25,57±5,77 to 72,44±4,57. Management of DM using an Indonesian bay leaf (syzygium polyanthum) in combination with antidiabetic agents for glycemic control  and related beneficial effects in managing diabetes are. Keyword : Diabetes Mellitus, Family Medicinal Plants (FMP), Antidiabetic, Bay Leaf
DETEKSI DINI KEGAWATDARURATAN STROKE PADA LINGKUP PREHOSPITAL DENGAN METODE FACE-ARM-SPEECH-TIME (F-A-S-T): EARLY DETECTION OF STROKE BY FACE-ARM-SPEECH-TIME (F-A-S-T) METHOD IN PREHOSPITAL SETTING Linda Widyarani
Jurnal Keperawatan Notokusumo Vol. 10 No. 1 (2022): Juni
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.85 KB)

Abstract

Stroke merupakan penyakit kegawatdaruratan sistem cerebrovaskuler sekaligus sebagai penyebab kematian tertinggi di Indonesia, dengan persentase 21,1%. Deteksi dini serangan stroke di lingkup prehospital berpengaruh positif mencegah kecacatan lebih lanjut bahkan kematian. Tujuan dari penelitian ini adalah mensintesis artikel-artikel tentang metode deteksi dini serangan stroke yang dapat diajarkan pada masyakarat di lingkup prehospital agar masyakarat terbekali dengan baik dan kecacatan lebih lanjut bahkan kematian dapat dicegah. Desain penelitian ini adalah literature review, yaitu menelaah hasil-hasil penelitian sebelumnya pada artikel yang telah terpublikasi. Penelusuran artikel dilakukan melalui PubMed, EBSCO, Science Direct dan Google Scholar. Kriteria inklusi meliputi a) publikasi artikel dalam sepuluh tahun terakhir 2015-2020, b) artikel menggunakan Bahasa Inggris dan memiliki fulltext, c) studi yang terdiri dari randomized control trial, cohort study dan qualitative study, sedangkan kriteria ekslusi meliputi artikel yang tidak memenuhi kriteria inklusi pada penelitian ini. Hasil dari sintesis artikel yang telah ditemukan yaitu Face Arm Speech Time (FAST) dapat dikampanyekan dan diajarkan pada masyarakat di lingkup prehospital agar masyarakat terbekali dengan baik dan keberhasilan program terapi serta kecacatan lebih lanjut bahkan kematian dapat dicegah.        Indonesia has a high burden of stroke, and it became the number one cause of death, with 21.1% of total deaths. Early detection and identification of stroke by everyone is at risk for getting stroke and also his family as a layperson, with prehospital stroke scale is one of the key consepts on the chain of survival. The objective of this research is to assemble and systematically assess articles about prehospital stroke scales. In this systematic review, multiple databases were searched for articles that addressed our goal. We searched PubMed, EBSCO, Science Direct dan Google Scholar databases for articles that evaluated the performance of prehospital stroke scales. This literature review focuses on randomized control trial, cohort study dan qualitative study, published in the English language from 2015 to 2020. Prehospital stroke scales with Face Arm Speech Time (FAST) time can advertisement campaign is widely used to promote population awareness of stroke warning signs and appropriate response.