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EFEKTIVITAS LATIHAN ROM DAN BOLA KARET TERHADAP PENINGKATAN KEKUATAN MENGGENGGAM DAN FUNGSI MENGGENGGAM PADA PASIEN STROKE DI RSUD SLEMAN Hentu, Ardin; Rochmawati, Erna; Firmawati, Erfin
Media Ilmu Kesehatan Vol 7 No 2: MIK Agustus 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i2.284

Abstract

Background: Stroke is the third leading cause of death after coronary heart disease and cancer. In stroke patients the main problem that will arise is the damage / death of brain tissue. Signs of the occurrence of damage to brain tissue is paralysis. Range of Motion and Rubber Ball Exercises are Rehabilitation that can be given. This exercise can tone the acupuncture points of the hands that indirectly signal to the sensory part of the nerve to be delivered to the brain. Objective: To know the increase in grasping power and grasping functions in stroke patients after Range of Motion and rubber ball motion exercises. Methods: The design used in this study is experimental quasy, using a control group. This research was conducted in RSUD Sleman. The sample in this study were 26 respondents divided into two groups. Sampling using purposive sample technique. Result : The results of this study indicate an increase in the value of grasping muscle strength and grasping functions in Range of Motion and Rubber ball exercise. Conclusion : Range of Motion exercises and rubber ball movement are effective in improving the value of muscle strength grasping and grasping functions. In expecting further research can increase the number of respondents.                          Keyword : Grasping Power, Grasping Function, Range of Motion, Rubbing Ball, Stroke.
Effect of Self-Efficacy Enhancing Education Program on Family Caregivers’ Competencies in Caring for Patients with mild Traumatic Brain Injury in Yogyakarta, Indonesia Firmawati, Erfin; Songwathana, Praneed; Kitrungrote, Luppana
Nurse Media Journal of Nursing Vol 4, No 2 (2014): (DECEMBER 2014)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.55 KB) | DOI: 10.14710/nmjn.v4i2.8385

Abstract

Purpose: This study was conducted to examine the effect of a self-efficacy enhancing education program on family caregivers’ competencies regarding perceived confidence and performance in caring for patients with mild TBI in Yogyakarta, Indonesia. Methods: The quasi-experimental study, two groups pre-test and post-test design was conducted. Fifty family caregivers and patients with mild TBI who met the inclusion criteria were recruited. The first 25 control group received the routine care were, while another 25 subjects in the experimental group received a self-efficacy enhancing education program developed by the researchers. The program was constructed using Bandura’s four sources of self-efficacy. The family caregivers’ perceived confidence and performance were measured by using the Perceived Confidence Questionnaire (PCQ) and the Performance Questionnaire (PQ). The data were analyzed using paired t-test, independent t-test, Wilcoxon Signed Rank test, and Mann-Whitney U test. Results: The findings showed that the family caregivers who participated in the program had a higher in perceived confidence (t = 8.30, p < .05) and performance (U = .00, p < .05) in caring for patients with mild TBI upon the completion of the program. Conclusion: This study suggests the program may have contributed in improving the family caregivers’ competencies regarding perceived confidence and also influencing their performance in caring for patients with mild TBI. Therefore, this program is recommended for nurses to extend this knowledge for nursing practices and improve family caregivers’ competencies in caring for patients with mild TBI before and after discharge.
Perkembangan dan Faktor-faktor yang Memengaruhi Tingkat Kemandirian Pasien Strok Selama Rawat Inap di Yogyakarta berdasar atas Skor Modifikasi Indeks Barthel Chayati, Nur; Putranti, Dwi Puji; Firmawati, Erfin
Majalah Kedokteran Bandung Vol 50, No 4 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (80.946 KB) | DOI: 10.15395/mkb.v50n4.1427

Abstract

Strok adalah gangguan fungsional otak fokal maupun global, bersifat akut, terjadi lebih dari 24 jam, berasal dari gangguan aliran darah otak dan bukan disebabkan oleh gangguan peredaran darah otak. Salah satu dampak dari strok adalah kelemahan anggota gerak baik hemiplegia atau hemiparesis sehingga mengganggu kemandirian pasien dalam aktivitas kehidupan sehari-hari (AKS). Tujuan penelitian ini mengetahui perkembangan tingkat kemandirian pasien strok berdasar atas skor Modifikasi Indeks Barthel serta faktor-faktor yang memengaruhi tingkat kemandirian pasien. Penelitian dilakukan di rumah sakit PKU Muhammadiyah Yogyakarta dan Rumah Sakit PKU Muhammadiyah Gamping pada bulan Mei hingga Juni 2016. Penelitian dilakukan dengan desain prospective longitudinal. Sejumlah 42 responden dipilih melalui accidental sampling. Instrumen yang digunakan adalah kuesioner Modifikasi Indeks Barthel.  Data dianalisis dengan regresi logistik berganda. Hasil penelitian menunjukkan untuk pasien strok perdarahan, pada saat masuk rumah sakit mayoritas dengan kondisi tingkat ketergantungan total (44%) dan pada saat keluar sakit sebagian besar menjadi tingkat ketergantungan parah (44%). Untuk pasien dengan strok iskemik, saat masuk rumah sakit mayoritas juga berada pada tingkat ketergantungan total (49%) dan terjadi perbaikan kondisi menjadi tingkat ketergantungan parah (42%) pada saat keluar rumah sakit. Variabel lama rawat inap berhubungan secara signifikan terhadap skor Modifikasi Indeks Barthel (p<0,05). Tidak ada faktor yang paling dominan berpengaruh terhadap skor Modifikasi Indeks Barthel pasien strok. Kata kunci: Aktivitas kehidupan sehari-hari, modifikasi indeks barthel, strok Development and Factors Affecting the Level of Independence of Stroke Patients During Hospitalization in Yogyakarta based on Modified Barthel Index ScoreStroke is a focal or global brain functional disorder which occur more than 24 hours and originating from a disruption of cerebral blood flow which is not caused by cerebral circulatory disorders. Consequences of stroke are extremity disability, hemiplegia, or hemiparesis. Furthermore, stroke makes it difficult for patients to do activities of daily life (ADL). The aim of this study was to determine the DLA independency level of stroke patient based on the Modified of Barthel Index score and to analyze the determinants that affect patient’s dependency level. The study was conducted at PKU Muhammadiyah Yogyakarta Hospital and PKU Muhammadiyah Gamping Hospital in May to June 2016. This was a prospective longitudinal study on forty two respondents selected through accidental sampling. Barthel Index Modification instrument was used to measure the ADL independency level. Data were analyzed by multiple logistic regression. Majority of hemorrhagic stroke patients had total dependency when they were admitted to hospital (44.4%) which improved to moderate dependency when they were discharged (44.4%). Meanwhile, ischemic stroke patients were in total dependency the first time they came to hospital (44.4%) and they also improved to severe dependency at discharge (42.4%). Length of hospital stay has a significant correlation with Barthel Index score (p<0.05). None of the variables affects the Modified of Barthel Index score dominantly. Key words: Activities of daily living, modified of barthel index, stroke
EFEKTIVITAS LATIHAN ROM DAN BOLA KARET TERHADAP PENINGKATAN KEKUATAN MENGGENGGAM DAN FUNGSI MENGGENGGAM PADA PASIEN STROKE DI RSUD SLEMAN S Hentu, Ardin; Rochmawati , Erna; Firmawati , Erfin
MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (75.914 KB) | DOI: 10.30989/mik.v7i2.235

Abstract

Background: Stroke is the third leading cause of death after coronary heart disease and cancer. In stroke patients the main problem that will arise is the damage / death of brain tissue. Signs of the occurrence of damage to brain tissue is paralysis. Range of Motion and Rubber Ball Exercises are Rehabilitation that can be given. This exercise can tone the acupuncture points of the hands that indirectly signal to the sensory part of the nerve to be delivered to the brain. Objective: To know the increase in grasping power and grasping functions in stroke patients after Range of Motion and rubber ball motion exercises. Methods: The design used in this study is experimental quasy, using a control group. This research was conducted in RSUD Sleman. The sample in this study were 26 respondents divided into two groups. Sampling using purposive sample technique. Result : The results of this study indicate an increase in the value of grasping muscle strength and grasping functions in Range of Motion and Rubber ball exercise. Conclusion : Range of Motion exercises and rubber ball movement are effective in improving the value of muscle strength grasping and grasping functions. In expecting further research can increase the number of respondents. Keyword : Grasping Power, Grasping Function, Range of Motion, Rubbing Ball, Stroke.
Penatalaksanaan Diare Berbasis Komunitas Dengan Pendekatan Manajemen Terpadu Balita Sakit di Kecamatan Ngampilan Rahmah, Rahmah; Firmawati, Erfin; Lestari, Nina Dwi
Berdikari: Jurnal Inovasi dan Penerapan Ipteks Vol 4, No 2 (2016): August
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/bdr.4211

Abstract

Penyakit diare merupakan salah satu penyakit gangguan sistem pencernaan yang tidak asing lagi di lingkungan masyarakat. Sampai saat ini penyakit diare masih menjadi masalah kesehatan tertinggi dan penyebab utama kematian pada anak di bawah umur 5 tahun terutama di negara-negara berkembang, salah satunya Indonesia. Tingginya angka kejadian diare disebabkan oleh banyak faktor diantaranya makanan dan minuman yang terkontaminasi akibat kebersihan yang buruk, infeksi virus dan bakteri. Disamping itu juga dipengaruhi oleh faktor dari anak balita yang rentan terhadap penyakit karena belum memiliki sistem kekebalan tubuh. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan Pengetahuan ibu dalam penatalaksanaan diare dengan pendekatan Manajemen Terpadu Balita Sakit (MTBS) dan meningkatkan sikap ibu dalam penatalaksanaan diare dengan pendekatan MTBS. Salah satu peran tenaga kesehatan adalah memberikan edukasi atau pendidikan kepada masyarakat berupa pendidikan kesehatan. tenaga kesehatan mempunyai peranan sangat penting dalam pencegahan terhadap meningkatnya penyakit diare. Informasi yang didapatkan oleh masyarakat, terutama ibu yang mempunyai anak balita sangat berpengaruh kepada tingkat pengetahuan dalam merawat anaknya, oleh sebab itu sebagai petugas kesehatan perlu untuk memberikan pengabdiannya pada masyarakat. Pengabdian masyarakat dengan memberikan edukasi untuk mencegah diare menggunakan pendekatan MTBS di daerah Serangan dan Gendingan, Kecamatan Ngampilan. Kata kunci: Diare, MTBS, Balita
Pengaruh Blog Edukatif Tentang Hipertensi Terhadap Pengetahuan Tentang Hipertensi dan Perilaku Diet Hipertensi pada Pasien Hipertensi di Wilayah Kerja Puskesmas Wirobrajan Yogyakarta Firmawati, Erfin
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 2 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.601 KB) | DOI: 10.18196/ijnp.v1i2.649

Abstract

Background: Hypertension is one of the noncommunicable diseases which is still a major problem around the world because of its prevalence remains high and continues to rise. Increasing prevalence of hypertension is caused by many factors including lack of knowledge about hypertension and unhealthy dietary behavior. One of the eff ort to improve the knowledge and dietary behavior is providing health education with the use of electronic media through utilization of educational blog.Porpose: the aims of this study were to determine the eff ect of the educational blog about hypertension on the knowledge of hypertensive and hypertension dietary behavior of the patients in Wirobrajan Public Health Care Center of Yogyakarta.Method: This research used Quasi Experiment with one group pre-post test design. The total samples were 21 respondents that taken by purposive sampling method. Statistical tests that used was Wilcoxon Signed Ranks Test with signifi cance level p 0.05 level to analyze knowledge about hypertension and Paired t Test to analyze dietary behaviors of hypertension.Result: The results showed that there were a signifi cant eff ect to the knowledge about hypertension (Z=-3.639, p=0,00) and dietary behavior of hypertension (t = -6,185, p =0,00) after providing educational blog about hypertensionConclution:There were eff ects of educational blog about hypertension on the knowledge about hypertension and dietary behaviors of hypertension of hypertensive patient in Wirobrajan Public Health Care Center of Yogyakarta.Keywords: educational blog, hypertension, knowledge, and dietary behavior.
Implementasi Perawat dalam Pemenuhan Kebutuhan Aktivitas Sehari-hari Pasien Stroke di RS PKU Muhammadiyah Yogyakarta dan RS PKU Muhammadiyah Gamping Lia Nurul Latifah; Erfin Firmawati; Nur Chayati
Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan Vol. 2 No. 2 (2018)
Publisher : Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan (Journal of Research and Development in Health Services)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (469.207 KB) | DOI: 10.22435/jpppk.v2i2.493

Abstract

Abstrak Penderita stroke di Indonesia meningkat setiap tahun. Salah satu dampak stroke adalah terjadinya gangguan fungsi motorik yang mengakibatkan pasien stroke memerlukan bantuan dalam melakukan aktivitas sehari-hari serta waktu perawatan yang cukup lama. Perawat berperan penting untuk meningkatkan kemandirian pasien, seperti mengkaji, membantu, dan mengajarkan aktivitas sehari-hari kepada keluarga dan pasien stroke sehingga pasien mampu memenuhi kebutuhannya. Penelitian ini bertujuan untuk mengetahui implementasi perawat dalam pemenuhan aktivitas sehari-hari pasien stroke di Rumah Sakit PKU Muhammadiyah Yogyakarta dan Rumah Sakit PKU Muhammadiyah Gamping. Desain penelitian adalah penelitian potong lintang. Pengambilan sampel menggunakan accidental sampling dengan besar sampel 42 responden. Instrumen penelitian menggunakan kuesioner bentuk-bentuk implementasi perawat dengan skala Likert. Analisis data dengan statistik deskriptif. Hasil penelitian menunjukkan implementasi perawat dalam pemenuhan aktivitas sehari-hari pasien stroke, semua termasuk dalam kategori kurang, baik dalam mengkaji aktivitas sehari-hari (59,52%), membantu aktivitas sehari-hari (83,33%), maupun mengajarkan aktivitas sehari-hari pada keluarga dan pasien stroke (90,48%). Kesimpulan dari penelitian ini menunjukkan bahwa implementasi perawat dalam pemenuhan aktivitas sehari-hari pasien stroke adalah kurang baik, baik dalam proses pengkajian maupun implementasi tindakan terhadap keluarga dan pasien stroke. Saran pada peneliti selanjutnya agar melakukan observasi tindakan perawat serta mengambil data dari pasien dan perawat untuk lebih menjamin keabsahan data. Kata kunci: pemenuhan ADL, perawat, stroke Abstract The number of stroke patients in Indonesia is increasing gradually. One of the effects of stroke was impaired of motor function that cause stroke patients required assistance in daily activity and long term care. The important role of nurses is to improve stroke patients independence, such as assessed, assisted, and taught stroke patient and their families so they could fulfill their own requirement This study aimed to describe of nursing implementation in stroke patients activity daily living (ADL) fulfillment at PKU Muhammadiyah Yogyakarta and PKU Muhammadiyah Gamping Hospital. This research was a quantitative descriptive study. Fourty two subjects were recruited by accidental sampling method. The research instrument was a questionnaire with Likert Scale. Data were analyzed using descriptive statistics. As results, nursing implementation in ADL fulfillment showed poor category with details in assessing ADL (59,52%), assisting ADL (66,67%), and teaching ADL for stroke patient and their families (90,48%). This study concluded that nursing implementation in stroke patients ADL fulfillment was not good, either on assessing or doing intervention for stroke patient and their families. Future studies were suggested to observe nursing activity and get the data both from patients and nurses. Keywords: Activities of Daily Living fulfillment, nurse, stroke
EFEKTIVITAS LATIHAN ROM DAN BOLA KARET TERHADAP PENINGKATAN KEKUATAN MENGGENGGAM DAN FUNGSI MENGGENGGAM PADA PASIEN STROKE DI RSUD SLEMAN Ardin S Hentu; Erna Rochmawati; Erfin Firmawati
MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i2.235

Abstract

Background: Stroke is the third leading cause of death after coronary heart disease and cancer. In stroke patients the main problem that will arise is the damage / death of brain tissue. Signs of the occurrence of damage to brain tissue is paralysis. Range of Motion and Rubber Ball Exercises are Rehabilitation that can be given. This exercise can tone the acupuncture points of the hands that indirectly signal to the sensory part of the nerve to be delivered to the brain. Objective: To know the increase in grasping power and grasping functions in stroke patients after Range of Motion and rubber ball motion exercises. Methods: The design used in this study is experimental quasy, using a control group. This research was conducted in RSUD Sleman. The sample in this study were 26 respondents divided into two groups. Sampling using purposive sample technique. Result : The results of this study indicate an increase in the value of grasping muscle strength and grasping functions in Range of Motion and Rubber ball exercise. Conclusion : Range of Motion exercises and rubber ball movement are effective in improving the value of muscle strength grasping and grasping functions. In expecting further research can increase the number of respondents. Keyword : Grasping Power, Grasping Function, Range of Motion, Rubbing Ball, Stroke.
PEMBERDAYAAN SRIKANDI ASI SEBAGAI DUTA PROMOSI ASI DI WILAYAH KECAMATAN NGAMPILAN Rahmah -; Erfin Firmawati
DHARMA BAKTI Dharma Bakti Vol 1 No 1 April 2018
Publisher : LPPM IST AKPRIND Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34151/dharma.v1i1.297

Abstract

Nationally, the coverage of exclusive breastfeeding in Indonesia in infants 0-6 months fell from 28.6% in 2007 to 24.3% in 2008, and increased again to 34.3% in 2009, related to that in the program the healthy improvement of healthy nutrition in 2010 is set by the national target of exclusive breastfeeding achievement is 80%, but in fact the coverage of exclusive breastfeeding in Indonesia in 2010 has not reached the target. Coverment of exclusive breastfeeding is influenced by several factors, especially the very limited energy of breastfeeding counselors, legislation on breastfeeding, lack of education, socialization, advocacy, and campaigns related to breastfeeding and breastfeeding, lack of facilities and infrastructure, as well as non-optimal support of breastfeeding support groups (Depkes RI, 2009). The issue of exclusive breastfeeding is a major and shared issue that concerns the State, the city government of Yogyakarta in particular and the Muhammadiyah-Aisyiah organization, as it is in line with the Quranic injunction Qs.Al Baqarah: 233 for mothers to breast-feed their children this joint concern can be realized by forming a support group of ASI in the community with optimization of posyandu cadres. Besides the training, this activity is also accompanied by assistance to the posyandu cadres so that they can be as Srikandi ASI/promoter of breast milk in the community.
PEMBERDAYAAN KADER AISYIYAH DALAM PROMOSI PIJAT BAYI DI NGAMPILAN YOGYAKARTA Rahmah Rahmah; Erfin Firmawati; Nurul Hidayah
DHARMA BAKTI Dharma Bakti-Vol 3 No 1-April 2020
Publisher : LPPM IST AKPRIND Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34151/dharma.v3i1.2677

Abstract

Baby massage is a tradition of decline in the family and society of Indonesia, because baby massage is believed to have many benefits for the baby as a stimulus for baby's growth and development and through family massage can communicate and as a form of attention, affection and acceptance among fellow family members brotherhood relationships besides love and affection among family members can be obtained by strengthening attachment bonding through baby massage classes intended for families and babies. Baby massage does not always have to be done in “ dukun pijat bayi”, clinics or other health services because mothers can do baby massage at home. The right way to massage a baby can be learned with training, so that all mothers who have babies can have the opportunity to learn the right way to massage babies needed by some human resources who are willing to train mothers to do baby massage at home while promoting baby massage in the community. The purpose of this activity was to empower “ kader Aisyiyah”promoting baby massage in community.