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INDONESIA
INOVASI LOKAL : Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan
Published by Tarqabin Nusantara Group
ISSN : -     EISSN : 30249716     DOI : 10.62255/noval
Core Subject : Economy, Humanities, Education, Social,
Humanities Economics, Econometrics & Finance Education Languange, Linguistic, Communication & Media Social Sciences
Inovasi Lokal is an academic journal published by Tarqabin Nusantara. Inovasi Lokal accepts articles on the results of community service activities from lecturers, students, researchers, practitioners throughout Indonesia. Inovasi Lokal is intended to contribute to the progress and improvement of the welfare of the Indonesian people through providing media for disseminating the results of community service activities that are solutive and innovative.
Arjuna Subject : Umum - Umum
Articles 66 Documents
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Celery Juice as a Gate Control Theory-Based Nursing Intervention for Chronic Pain in Hypertensive Older Adults: A Quasi-Experimental Community Health Study Zahrotul Fithria; Bagus Dwi Cahyono; Nurul Huda; Nadia Rohmatul Laili; Sri Wahyuni
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.284

Abstract

Chronic pain is a common yet under-recognized complication of hypertension, resulting from sustained vascular stress, sympathetic overactivity, and impaired tissue perfusion. Celery juice (Apium graveolens) has been proposed as a nonpharmacological adjunct to interrupt this pain–pressure cycle, but community-based nursing evidence remains limited. This study evaluated the effect of home-administered celery juice on chronic pain and blood pressure among hypertensive older adults in the Gadingrejo Community Health Center, Pasuruan City, using the Gate Control Theory of pain as the theoretical framework. A quasi-experimental, non-equivalent two-group pretest–posttest design compared one adherent and one non-adherent patient over seven days. Both met identical inclusion criteria and received the same education and intervention offers. The intervention consisted of 200 mL of celery juice administered 1–2 times daily alongside standard nursing care. Pain was assessed using the Numeric Rating Scale (NRS), and blood pressure was measured with a calibrated sphygmomanometer before and after the intervention. Both patients had baseline pain scores of 6 and blood pressure of 160/100 mmHg. The adherent patient improved to a pain score of 3 with reduced blood pressure and better functional comfort, whereas the non-adherent patient improved only to a pain score of 5 with minimal blood pressure change. Regular celery juice consumption was associated with greater reductions in chronic pain and blood pressure, supporting its use as a safe, low-cost nursing adjunct when combined with sustained patient adherence.
Virgin Coconut Oil Therapy for Coastal Dermatitis: A Community Nursing Application of Orem's Self-Care Deficit Theory Galuh Harini Sasiraya; Evy Aristawati; Apriana Rahmawati; Sri Wahyuni
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.289

Abstract

Dermatitis is one of the most common integumentary disorders encountered in community nursing practice, and its burden is amplified among populations continuously exposed to environmental irritants such as seawater, wind, dust, and extreme humidity. Coastal communities sit at the upper end of this exposure gradient, yet affordable, theory-guided non-pharmacological interventions for this population remain sparsely evaluated. This study evaluated the effectiveness of standardized topical Virgin Coconut Oil (VCO) therapy, delivered through a structured nursing process guided by Orem's Self-Care Deficit Theory, on impaired skin integrity among coastal residents with contact dermatitis. A quasi-experimental, one-group pretest-posttest design, reported in accordance with the TREND Statement, was conducted over three consecutive days (12–14 May 2026) with two purposively selected participants, aged 35 and 60 years, in the coastal working area of the Gadingrejo Community Health Center, Pasuruan City, Indonesia. VCO was applied topically per a standard operating procedure while nursing support progressed from a wholly compensatory to a partially compensatory and finally a supportive-educative system. Skin integrity was assessed daily using SDKI/SLKI-aligned indicators covering pruritus, erythema, skin texture, lesion status, and local skin temperature. Both participants showed a consistent decline in pruritus and erythema, smoother skin texture, and reduced local skin temperature (37.4°C to 36.5°C in the older participant), with near-complete symptom resolution by the third day. Structured VCO therapy delivered through a theory-guided nursing process meaningfully restored skin integrity within 72 hours and moved participants toward independent self-care, supporting its viability as a low-cost, evidence-based community nursing intervention for coastal dermatitis.
Slow Deep Breathing for Acute Post-Appendectomy Pain: A Gate Control Theory-Based Nursing Care Study Jihan Yafi Dzakiyyah; Erik Kusuma; Eko Prasetya Widianto; Suhendra Agung Wibowo; Yenny Perwitosari; Yahya Tfeil
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.297

Abstract

Acute pain is one of the most consistent complications after appendectomy and, when left poorly controlled, delays mobilization, disrupts rest, and slows recovery. Slow deep breathing (SDB) is listed among the independent, non-pharmacological interventions in the Indonesian Nursing Intervention Standards, yet detailed, session-by-session accounts of how the technique is delivered at the bedside and how patients respond across successive post-operative days remain scarce in the nursing literature. This study described the nursing care process for a post-appendectomy patient with acute pain and evaluated within-subject changes in pain intensity and physiological indicators before and after three days of SDB therapy at Bangil Regional General Hospital (RSUD Bangil), Indonesia. A quasi-experimental, one-group pre-test post-test case design, embedded in the nursing process and reported in line with single-case reporting conventions, was used. SDB was delivered once daily for three consecutive days: inhalation through the nose for four seconds, breath-holding for two seconds, and exhalation through pursed lips for eight seconds, repeated across three cycles per session. Pain was scored with the Numeric Rating Scale (NRS) before and after each session. Pain intensity declined from severe (NRS 7) at baseline to mild (NRS 3) after the third session, accompanied by a drop in pulse rate from 104 to 87 beats per minute and the resolution of grimacing, restlessness, and protective behavior. SDB is a feasible, low-cost, nurse-initiated intervention that surgical wards can integrate into routine post-appendectomy pain management protocols alongside pharmacological treatment.
Guided Autogenic Relaxation for Hypertensive Acute Pain: An Orem-Based Community Nursing Program Dian Ratna Sari; Evy Aristawati; Apriana Rahmawati; Heny Ekawati
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.298

Abstract

Hypertension rarely presents in isolation; a substantial proportion of affected adults also live with acute pain, most often occipital headache and neck tension, that erodes daily functioning and pushes patients toward unsupervised analgesic use. Community-based, non-pharmacological interventions capable of addressing this dual burden inside patients' own homes remain underdocumented, particularly when explicitly grounded in a nursing theoretical framework. This community nursing program examined the effect of guided autogenic relaxation therapy, structured around Orem's Self-Care Deficit Theory, on acute pain intensity, blood pressure, and self-care behavior among hypertension patients in a primary care catchment area. A quasi-experimental, one-group pretest-posttest design, reported following TREND and TIDieR guidance, was applied to three male patients aged 49-56 years with moderate acute pain (Numeric Rating Scale 4-5). Each participant received a standardized 15-minute guided autogenic relaxation session daily for three consecutive days at home, with pain, blood pressure, vital signs, and pain-related behavior recorded before and after every session. Mean pain intensity fell from 4.67 to 1.33, a 71.5% reduction; systolic pressure declined by 21 mmHg and diastolic pressure by 13 mmHg; and observable pain behaviors resolved by the third day. Two of the three participants began practicing the technique independently before the scheduled session on day two, consistent with Orem's transition from a partially compensatory to a supportive-educative nursing system. These findings support incorporating guided autogenic relaxation into home-based community nursing as an accessible, theory-consistent strategy for strengthening self-care agency in hypertension management.
Community Integrative Ethnomedicine for Diabetes Prevention: A Holistic Community Empowerment Approach Isnaini Chantika Yuliandari; Dhia Jinan Naura Nidaulhaq; Shabina Nurizzati; Wulan Riandini; Fatihah Halimatul Azizah; Oktavia Ramadhani Eka Fitri; Devita Fitri Azzahra; Dwi Setiani Sumardiko; Rini Hamsidi
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.307

Abstract

Introduction: Diabetes mellitus (DM) remains a major global public health challenge, particularly in low- and middle-income countries where delayed diagnosis and inadequate preventive behaviors contribute to increasing disease burden.  This study evaluated the effectiveness of a holistic community empowerment program combining diabetes education, self-acupressure training, preventive herbal medicine education, and opportunistic blood glucose screening, while introducing an integrated conceptual direction for community-based diabetes prevention. Methods: A one-group pretest–posttest pre-experimental study, reported according to the TREND Statement, was conducted among 30 women aged 40–60 years participating in the Family Welfare Movement (PKK) Indonesia. Diabetes knowledge was assessed using the 24-item Diabetes Knowledge Questionnaire before and immediately after the intervention.  Results: Twenty participants completed both knowledge assessments, while 16 underwent blood glucose screening. Participants demonstrating poor diabetes knowledge decreased from 70.0% at baseline to 0% after the intervention, whereas good knowledge increased from 0% to 100%. Blood glucose screening identified 14 participants (87.5%) within the normal range and two participants (12.5%) with random blood glucose levels exceeding 200 mg/dL, prompting immediate referral for further clinical evaluation. Conclusion: Integrating health education, self-acupressure, preventive herbal medicine, and opportunistic screening within existing community organizations is a feasible and culturally responsive strategy for strengthening diabetes prevention. These findings provide preliminary support for the proposed Community Integrative Ethnomedicine Prevention (CIEP) Model, which conceptually integrates health literacy, evidence-informed traditional medicine, community empowerment, and early metabolic surveillance as an emerging framework for sustainable diabetes prevention.
Toward Holistic Workplace Health: Integrating Ergonomics, Nutrition, Herbal Medicine, and Self-Acupressure for Shoulder Pain Prevention Among Manufacturing Workers Alya Kamilah; Nurul Inayah; Devany Rafika Anggraini; Sabitah Naura Eka Putri; Tita Mutia Rachma; Siti Fatimah Azzahra; Reza Akni Arifia; Dela Fadlilatul Arofa; Damayanti Nurmu’arofatun Ningtiyas; Dwi Setiani Sumardiko; Edith Frederika Puruhito
Inovasi Lokal Vol. 4 No. 1 (2026): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v4i1.308

Abstract

Background: Work-related shoulder pain remains one of the leading musculoskeletal disorders among manufacturing workers, resulting in impaired productivity, reduced functional capacity, and increased occupational health burden. Existing workplace education primarily emphasizes ergonomics, while integrated self-management approaches incorporating nutrition, complementary medicine, and self-care techniques remain underexplored. This study evaluated the effectiveness of a holistic educational intervention for improving workers' knowledge of shoulder pain prevention and self-management. Methods: A community-based one-group pre-test–post-test study was conducted among 20 workers from a plywood manufacturing industry in East Java, Indonesia. Participants attended a 90-minute educational program integrating occupational health education, ergonomic practices, nutritional counseling, herbal education using turmeric (Curcuma longa) and tamarind (Tamarindus indica), and guided self-acupressure.  Results: All participants completed the intervention (response rate: 100%). The mean knowledge score increased from 4.5 at baseline to 9.4 after the intervention, representing an average improvement of 4.9 points. Every participant demonstrated higher post-test scores, with individual improvements ranging from 1 to 8 points. Before the intervention, 60% of participants had poor knowledge, 25% had fair knowledge, and 15% had good knowledge.  Conclusions: The holistic educational intervention effectively enhanced workers' knowledge regarding shoulder pain prevention and self-management. The principal novelty of this study is the introduction of a Holistic Occupational Self-Management Framework, integrating occupational health education, ergonomics, nutrition, herbal medicine, and self-acupressure into a unified worker-centered model. This framework provides a foundation for future technology-enabled occupational health programs aimed at promoting sustainable prevention of work-related musculoskeletal disorders.

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