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Pengaruh Psikoedukasi Tentang Pengelolaan Stres terhadap Peningkatkan Self Efficacy Keluarga dalam Merawat ODGJ Bagus Dwi Cahyono; Evy Aristawati; Nurul Huda
Jurnal Ilmu Keperawatan Jiwa Vol. 5 No. 1 (2022): Februari 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

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Tren gangguan jiwa berat yang semakin meningkat setiap tahunnya membutuhkan perhatian dan penanganan yang komprehensif dan berkesinambungan. Sebagian besar masyarakat masih memiliki stigma tentang keberadaan orang dengan gangguan jiwa, sehingga masih adanya perlakuan diskriminatif terhadap Orang Dengan Gangguan Jiwa (ODGJ) yang akan menghambat proses pemulihan kesehatan jiwa bagi ODGJ. Penelitian ini dilakukan di wilayah kerja Puskesmas Sebani Kabupaten Pasuruan dengan menggunakan desain pra eksperimen (pretes-posttes) dengan psikoedukasi sebagai variabel bebas dan variabel terikat adalah efikasi diri. Pengumpulan data dilakukan dengan kuesioner tentang efikasi diri keluarga sebelum pemberian psikoedukasi dan setelah pemberian psikoedukasi diambil sampel sebanyak 22 responden dan metode total sampling adalah metode sampling. Pengujian hipotesis dalam penelitian ini menggunakan Wilcoxon Signed Rank Test mengingat kelas data diambil sebagai data ordinal. Hasil penelitian ini menunjukkan nilai p=0,006 yang lebih kecil dari = 0,05 yang berarti H0 ditolak. Kesimpulan dari penelitian ini adalah terdapat pengaruh yang signifikan pemberian psikoedukasi terhadap efikasi diri keluarga yang merawat anggota keluarga dengan gangguan jiwa. Dengan psikoedukasi, pemahaman keluarga tentang gangguan jiwa dan manajemen stres akan lebih baik yang berdampak pada peningkatan efikasi diri keluarga dalam merawat anggota ODGJ yang pada akhirnya angka deprivasi ODGJ di Indonesia akan menurun.

THE EFFECT OF CLINICAL TEACHING METHOD AND LEARNING STYLE ON CLINICAL NURSING LEARNING OUTCOMES Ida Zuhroidah; Nurul Huda; Bagus Dwi Cahyono
Nurse and Health: Jurnal Keperawatan Vol 8 No 2 (2019)
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Background: Nursing Academy of Pasuruan has used problem solving method for learning clinical nursing practice. However, there is obstacle in the implementation of the method due to wide variation in implementing the method among field instructors. Theoretically, bedside teaching method can be used for learning activities to improve learning outcomes. Theoretically, students' learning style is associated with learning outcomes.Objective: This study aimed to examine the effect of clinical bedside teaching method and learning style of students on clinical practice outcome among nursing students at the Academy of Nursing.Method: The research method used Quasi-Experimental. The population source was students at the Academy of Nursing, Pasuruan. A sample of 80 students were selected by simple random sampling. Problem solving was used as a comparison method. The data were collected using standard questionnaires, and analyzed by multiple linear regression model.Result: Results indicated that bedside teaching resulted in higher clinical nursing learning outcome than problem solving method (b = 3.5, p < 0.001, CI 95% 2.6 to 4.4). There was no statistically significant effect of learning styles on learning outcomes of nursing clinical practice (p > 0.05).Conclusion: This study concludes that bedside teaching method results in better clinical nursing learning outcome than problem solving method. It is recommended that all faculty members use bedside teaching as the learning strategy to improve learning outcomes in clinical practice. Key words: Bedside Teaching, Problem Solving, Learning Styles, Clinical Practical Learning Outcomes.

THE EFFECT OF INFRARED RAY AND COUNSELING ON DIABETIC FOOT ULCER HEALING PROCESS Mokh Sujarwadi; Mukhammad Toha; Nurul Huda
Nurse and Health: Jurnal Keperawatan Vol 8 No 2 (2019)
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Background: Diabetic foot ulcer is one of the chronic complications of diabetes mellitus caused by neuropathy, angiopathy and decreased endurance. The risk of amputation in patient with diabetes mellitus fifteen times greater compared to non-diabetic. Various efforts on diabetic foot wound care have been carried out but the results are still far from satisfactory. Until now, infrared and counseling effect on wound healing in diabetic foot cannot be explained.Objective: The purpose of this study was to examine the effect of infrared ray and counseling on diabetic foot ulcer healing process.Method: The research design was quasi-experimental design with posttest control group design, the population in this study were patients with grade 3 diabetic foot wounds, blood sugar 100-200 g/ dl, BMI 18.5 to 24.9, aged 35-55 years. Large sample in this study as many as 20 were divided into two groups, the control random sampling. The collection of data for the dependent variable using the observation sheet after the tenth day of treatment, which consists of the rate of growth of granulation, ankle brachial index and capillary refill time. Furthermore, the data were processed using non-parametric statistical significance level < 0.05.Result: The results showed that the infrared and counseling effect on the growth of granulation with a significance level (p = 0.0003), infrared and counseling influence ankle brachial index (p = 0.024), infrared and counseling effect on capillary and counseling effect on capillary refill time (p = 0.024).Conclusion: It can be concluded from this study that applying infrared and counseling has any impact on healing in diabetic foot ulcer, on the growth of granulation and improved blood in diabetic foot ulcers. Key words: Infrared Ray, Counseling, Foot Ulcer Healing.

RELATIONSHIP OF HOW PARENTS EDUCATE CHILDREN WITH THE ABILITY TO TAKE THE DECISION OF NURSING STUDENTS Nurul Huda; Bagus Dwi Cahyono; Mukhammad Toha
Nurse and Health: Jurnal Keperawatan Vol 9 No 1 (2020)
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Background: The family is the most basic social institution to print human qualities, even the good and bad development of children determining by the formation of a person in the family. One of the tasks of child development is achieving decision-making abilities. But the fact is that teenagers who are represented by students often do the wrong thing because of their inability to make the right decision. The action can be non-academic or academic. The phenomenon of how to educate children at this time is also getting worse, and this can seek from the increasing number of cases of violence against children.Objectives: The purpose of this study was to determine the relationship between parents' educational patterns and decision-making abilities in nursing students at the Nursing Academy of Pasuruan.Methods: This research used observational analytic study with a cross-sectional design. The population was the student of Nursing Academy Pasuruan as many as 200 students. A sample of 80 students were selected by simple random sampling. Data were collected using two questionnaires that have been tested for validity and reliability, with item-total correlations > 0.20 and Cronbach alpha > 0.60 and analyzed by Spearman ranks.Results: The results of the study found that there is a relationship between parents' educational patterns and decision-making abilities in nursing students (p > 0.05). Positive experiences will encourage children to continue to look for better decision-making strategies in the future.Conclusion: Further research on parents' educational patterns needs to be done with more holistic measurements, namely relating to efforts to meet biological, psychological, social, and spiritual needs. Keywords: Parents’ Educational Patterns, Decision-Making Abilities, Nursing Students

Hubungan Skor Awal GCS dengan Outcome pada Pasien Cedera Kepala Ida Zuhroidah; Mukhammad Toha; Mokh. Sujarwadi; Nurul Huda
JI-KES (Jurnal Ilmu Kesehatan) Vol 5, No 1 (2021): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : STIKes Hafshawaty Pesantren Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v5i1.247

AbstrakCedera kepala adalah gangguan struktur dan fungsi otak yang diakibatkan oleh gaya mekanik dari luar tubuh, ada beberapa faktor prognosis yang berhubungan dengan outcome pasien cedera kepala meliputi jenis kelamin, usia, skor awal GCS, reflek pupil, gambaran CT scan, tanda vital dan hasil laboratorium. Penelitian ini bertujuan untuk menganalisis hubungan antara skor awal GCS dengan outcome pada pasien cedera kepala di Rumah Sakit X di Pasuruan. Penelitian ini menggunakan metode observasional analitik dengan pendekatan desain cross sectional. Pengukuran variabel independen berupa tingkat kesadaran (GCS) dan variebel dependen berupa nilai Trauma and Injury Severity Score (TRISS) dilakukan secara simultan pada satu saat dan dinilai hanya satu kali saja. Populasi yang digunakan adalah semua pasien cedera kepala di IGD Rumah Sakit X di Pasuruan. Besar sampel yang digunakan adalah 53 responden dengan teknik concecutive sampling. Data diuji menggunakan correlational Kendall Tau dengan level signifikan < 0.005. Hasil uji menunjukkan adanya hubungan antara Skor Awal GCS dengan Outcome pada Pasien Cedera Kepala dengan nilai p =0.00 < 0.05,nilai korelasi 0.402 yang berarti terdapat hubungan sangat erat dan bersifat positif, setiap terjadi penurunan GCS maka nilai TRISS juga akan menurun. Hasil penelitian ini memperkuat indikasi tentang pentingnya penanganan yang tepat dan segera pada penderita yang mengalami penurunan GCS diawal kejadian trauma.Kata kunci: penderita trauma, GCS, TRISS AbstractHead injury is a structure and function brain disorder caused by mechanical forces from outside the body; there are several prognostic factors related to the outcome of head injury, including gender, age, initial GCS score, pupillary reflex, CT scan images, vital signs and laboratory results. This study aims to analyze the relationship between the initial GCS score and the outcome in head injury patients in X Hospital Pasuruan. This study used an analytic observational method with a cross-sectional design approach. Measurement of the independent variable in the form of level of consciousness (GCS) and the dependent variable in the form of the Trauma and Injury Severity Score (TRISS) were carried out simultaneously at one time and were assessed once. The population was all head injury patients at the emergency department of X Hospital Pasuruan. The sample was 53 respondents taking by consecutive sampling technique. The data were tested using Kendall Tau correlational with a significant level of <0.005. The test results showed a relationship between the GCS Initial Score and the Outcome in Head Injury Patients with a value of p = 0.00 <0.05, a correlation value of 0.402 which means that there positive close relationship, every time there is a decrease in GCS, the TRISS value will also decrease. This study's results strengthen the indication of the importance of prompt and appropriate treatment in patients who experience a decrease in GCS at the beginning of trauma.Keywords: trauma sufferers, GCS, TRISS

COMMUNITY EDUCATION IN OVERCOMING STIGMATIZTION FAMILY WITH MENTAL DISORDERS IN THE AGRICULTURAL AREA OF MOJOPARON PASURUN REGENCY Evy Aristawati; Bagus Dwi Cahyono; Nurul Huda
UNEJ e-Proceeding 2022: E-Prosiding Kolokium Hasil Penelitian dan Pengabdian kepada Masyarakat
Publisher : UPT Penerbitan Universitas Jember

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Psychosocial problems are problems that occur in the mental and social. Stigmatization of people with mental disorders is still common. Stigmatization about people with mental disorders who are considered dangerous and families who feel ashamed and worried about having family members with mental disorders, often lead to social isolation or intentionally isolate people with mental disorders by shackles. The purpose of counseling is to increase family knowledge about the importance of avoiding stigmatization in people with mental disorders. Counseling is done by providing education and leaflets according to the theme. Based on the results of the pre-survey conducted before this outreach activity, family knowledge about the importance of avoiding stigmatization in people with mental disorders was respondents with low knowledge (60%) and with sufficient knowledge (40%). After providing education, it was found that there was a significant increase in the knowledge of family members: enough (40%), good (60%). Keywords: education, community, stigmatization, mental disorders

Hipnosis Lima Jari untuk Menurunkan Derajat Kecemasan Bagi Petani Tambak Bandeng Kota Pasuruan di Masa Pandemi Covid-19 Evy Aristawati; Nurul Huda; Bagus Dwi Cahyono
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 6 (2022): Volume 5 No 6 Juni 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i6.5350

ABSTRAK Pandemi COVID-19 menyebabkan masyarakat mengalami masalah kesehatan mental mulai gejala ringan sampai yang berat. Stress yang diakibatkan COVID-19 akan berdampak pada penurunan mood, mulai merasakan kecemasan, depresi ringan sampai mengalami depresi berat yang membutuhkan pengobatan. Tujuan dari kegiatan ini untuk menurunkan derajat kecemasan para petani tambak bandeng saat pandemi COVID-19. Pengabdian masyarakat ini dilakukan di Kelurahan Tapaan Kota Pasuruan. Kegiatan ini diawali dengan memberikan kuesioner mengunakan instrument HRSA untuk mengetahui skala kecemasan berat yang dirasakan selama masa pandemi COVID-19 ini. Kemudian memberikan materi dengan menggunakan leaflet sebagai medianya, demonstrasi dan melakukan terapi hipnotis lima jari secara langsung kepada peserta. Para peserta terlihat antusias dan bersemangat dalam mengikuti kegiatan dibuktikan dengan banyaknya pertanyaan yang diajukan. Kegiatan ini efektif dilakukan dalam upaya menurunkan tingkat kecemasan para petani tambak bandeng dimana hal ini terlihat dari hasil kuesioner pre dan post test menunjukkan penurunan skala kecemasan menjadi ringan yang dialami. Kegiatan ini merupakan langkah awal untuk menurunkan stress dan tetap survive di waktu pandemi COVID-19 ini. Kata Kunci: hipnotis lima jari, kecemasan, petani tambak bandeng, covid-19 ABSTRACT The COVID-19 pandemic has caused people to experience mental health problems ranging from mild to severe symptoms. Stress caused by COVID-19 will have an impact on decreasing mood, starting to feel anxiety, mild depression to experiencing severe depression that requires treatment. The purpose of this activity is to reduce the degree of anxiety of milkfish farmers during the COVID-19 pandemic. This activity was carried out in the village of Tapaan, Pasuruan City. This activity began by giving a questionnaire using the HRSA instrument to determine the scale of severe anxiety felt during the COVID-19 pandemic. Then provide material using leaflets as a medium, demonstrate and perform five finger hypnosis therapy directly to participants. The participants looked enthusiastic and enthusiastic in participating in the activities as evidenced by the many questions asked. This activity is effectively carried out in an effort to reduce the anxiety level of milkfish pond farmers where this can be seen from the results of the pre and post-test questionnaires showing a decrease in the anxiety scale experienced. This activity is the first step to reduce stress and survive during this COVID-19 pandemic. Keywords: five finger hypnosis, anxiety, milkfish pond farmers, covid-19

Pemberdayaan Santri Melalui Pelatihan Basic Life Support Mukhammad Toha; Ida Zuhroidah; Mokh. Sujarwadi; Nurul Huda
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 5 Oktober 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i5.4211

ABSTRAK Penyakit kardiovasuler merupakan penyakit yang menjadi ancaman dunia saat ini, di Indonesia menjadi penyakit ke-2 yang menyebabkan kematian. Di Dunia 17 juta lebih orang meninggal akibat penyakit jantung. Cardiac arrest merupakan kegawatdaruratan dari penyakit jantung yang akan menyebabkan kematian apabila pertolongan secara dini oleh orang awam tidak segera dilakukan. Tujuan dari resusitasi jantung paru yang dilakukan oleh orang awam adalah untuk mempertahankan fungsi vital. Apabila resusitasi jantung paru segera di lakukan, maka kelangsungan hidup mencapai 75%. Tujuan pemberdayaan santri ini adalah agar santri menjadi garda terdepan dalam memberikan pertolongan pada orang yang berada disekitarnya ketika mengalami serangan jantung sehingga komplikasi dapat di minimalkan serta harapan hidup korban meningkat serta mampu melakukan tindakan resusitasi jantung paru secara tepat, cepat dan akurat. Metode yang digunakan pada pelatihan ini adalah ceramah dan diskusi serta praktik resusitasi jantung paru pada manekin yang dilakukan pada hari ke-2. Hasil dari pelatihan ini adalah sebagian besar (85%) santri mengerti tentang konsep basic life support serta satu persatu santri mampu melakukan resusitasi jantung paru pada manekin. Kata Kunci : pemberdayaan, santri, basic life support ABSTRACT Cardiovascular disease is a world threat today; in Indonesia, it is the second disease that causes death. In the world, more than 17 million people die from heart disease. Cardiac arrest is an emergency of heart disease that will cause death if ordinary people's early help is not immediately carried out. The goal of cardiac pulmonary resuscitation performed by the layman is to maintain vital functions. If cardiac pulmonary resuscitation is performed immediately, the survival rate is 75%. The aim of empowering these students is to make the students at the forefront of providing help to those around them when they experience a heart attack so that complications can be minimized and the life expectancy of the victim increases and is able to perform cardiac pulmonary resuscitation actions appropriately, quickly and accurately. The methods used in this training were lectures and discussions as well as the practice of cardiopulmonary resuscitation on the mannequin which was conducted on the 2nd day. The result of this training was that most of the students (85%) understand the basic concept of life support and one by one one student able to perform cardiopulmonary resuscitation on the mannequins. Keyword : empowerment, student, basic life support

Tehnik Peningkatan Imunitas Jiwa dan Penerapan Protokol Kesehatan dalam Persiapan Kegiatan Pembelajaran Saat New Normal Era Bagus Dwi Cahyono; Nurul Huda; Evy Aristawati
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 4 Agustus 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i4.4007

ABSTRAK Kondisi pandemic Covid-19 merubah dunia, hal yang tidak lazim menjadi lazim. Semua kegiatan dilakukan dari rumah, hal ini memicu seseorang mengalami stress dan menurunkan imun dalam tubuh. Kondisi pandemic memaksa remaja melakukan semua kegiatan di rumah. Remaja rentan mengalami stress, hal ini bisa menurunkan daya tahan tubuhnya dan lebih rentan sakit. Jika remaja sering mengalami sakit, maka akan mempengaruhi proses pertumbuhan dan perkembangannya. Orang tua memiliki peranan penting dalam menjaga kondisi anaknya. Pandemic Covid-19 mengharuskan pembelajaran dilakukan secara online, tapi di Madin Al Muhajirin pembelajaran dilakukan dengan tatap muka karena sudah masuk zona hijau. Pemberian pengetahuan dan latihan tehnik peningkatan imunitas jiwa serta penerapan protocol kesehatan dalam kegiatan pembelajaran saat new normal era adalah hal yang harus segera dilakukan agar santri memiliki pengetahuan serta terampil menerapkan terapi aktivitas kelompok serta penerapan protocol kesehatan baik dilakukan di rumah maupun di lingkungan madrasah diniyah. Metode yang digunakan dalam pengabdian ini adalah penyuluhan pada 27 santri. Hasil evaluasi sebagian besar santri (80%) memahami dan mengerti tentang dan mampu mempraktekkan cara cuci tangan, menggunakan masker dan melepas masker, serta melakukan kegiatan terapi aktivitas kelompok. Kata Kunci : imunitas jiwa, protokol kesehatan, pembelajaran new normal ABSTRACT The conditions of the Covid-19 pandemic have changed the world; things that are not uncommon are becoming commonplace. All activities are carried out from home; this triggers a person to experience stress and lowers immunity in the body. Pandemic conditions force teenagers to do all activities at home. Teenagers are prone to anxiety; this can reduce their immune system and are more prone to illness. If adolescents often experience illness, it will affect the process of growth and development. Parents have an essential role in maintaining the condition of their children. The Covid-19 pandemic requires learning to be done online, but at Madin Al Muhajirin, learning is done face-to-face because it has entered the green zone. Giving knowledge and training in mental immunity enhancement techniques and implementing health protocols in learning activities during the new normal era must be done immediately so that students can implement group activity therapy and implement health protocols both at home and in Madrasah Diniyah circles. The method used in this service was counseling 27 students. The results of the evaluation most of the students (80%) understand and understand about and can practice how to wash hands, use masks and remove masks, and carry out group therapy activities. Keywords: mental immunity, health protocol, new normal learning

Pelatihan Pertolongan Pertama Pada Kecelakaan (P3K) Pada Guru Pembina dan Anggota PMR Nurul Huda; Ida Zuhroidah; Mukhammad Toha; Mokh Sujarwadi
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.v4i2.3746

ABSTRAK Pertolongan pertama adalah penanganan atau perawatan awal dari terjadinya suatu penyakit atau kecelakaan. Hal ini dapat biasanya dilakukan oleh orang yang bukan ahli dalam menangani kejadian sakit atau cedera, sampai menunggu pengobatan definitif dapat diakses. Sehingga diperlukan suatu anggota non medis yang mempunyai kemampuan dan pengetahuan tentang metode penopang hidup dan pertolongan pertama. Dan yang lebih penting lagi adalah diperlukan tindakan cepat dan efektif dalam mempertahankan hidup dan dapat meminimalkan terjadinya kecacatan. Di Pondok Pesantren Siswa 24 jam berada di Asrama sehingga perlu di lakukan pelatihan tentang pertolongan pertama pada kecelakaan terutama pada anggota PMR dan guru Pembina PMR. Pemberian pengetahuan dan keterampilan melalui pelatihan pertolongan pertama pada kecelakaan sangat penting mengingat pusat kesehatan pesantren tidak buka 24 jam dan akses ke Rumah Sakit di tempuh lebih dari 15 menit. Kegiatan ini dilakukan dengan metode pelatihan dengan 45 peserta. Hasil yang didapatkan sebagian besar anggota PMR (80%) memahami dan mengerti tentang pertolongan pertama pada kecelakaan secara umum serta cedera jaringan lunak, patah tulang, jenis luka, cedera pada otot dan mampu mempraktekkan menghentikan perdarahan dan balut bidai serta penanganan gigitan ular. Kata Kunci : Pertolongan pertama pada kecelakaan, anggota PMR, guru Pembina PMR ABSTRACT First aid is the initial treatment or treatment of an illness or accident. This can usually be done by a person who is not an expert in managing a disease or injury until definitive treatment can be accessed. So we need a non-medical member who has the ability and knowledge of life support and first aid methods. And more importantly, the action is needed quickly and effectively to maintain life and minimize the occurrence of disability. At the Islamic boarding school, the students are in the dormitory 24 hours, so it is necessary to conduct training on first aid for accidents, especially for members of the youth red cross and the youth red cross's guidance teachers. Providing knowledge and skills through first aid training is very important considering the pesantren health center is not open 24 hours and access to the hospital takes more than 15 minutes. This activity was carried out using a training method with 45 participants. The results obtained were that most of the PMR members (80%) understood and understood first aid in general accidents and soft tissue injuries, fractures, types of injuries, injuries to muscles and were able to practice stopping bleeding and splint dressing and handling snake bites. Keywords: first aid, PMR members, PMR supervisors

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