Proceedings of the National Health Scientific Publication Seminar

NURSING CARE FOR DECUBITUS ULCER PATIENTS WITH MAIN PROBLEM OF IMPAIRED TISSUE INTEGRITY AT NISHIHARA KEIAIEN HOSPITAL JAPAN

YORDAN DISKA ANANDA — 2025-05-31

Pressure sores or decubitus ulcers are conditions with injury to the skin or soft tissue located over a protruding bone, or caused by medical devices or other equipment. This study aims to describe appropriate nursing care and interventions for decubitus ulcer patients with impaired tissue integrity. The research method used is descriptive with a case study approach.. The case study instruments used were nursing care documentation format, observation, interviews, and physical examinations. A Case Study showed that after nursing intervention was carried out for 3 days. Skin/tissue integrity problems were partially resolved, with the criteria: decrease of tissue damage, improved skin layer damage, decreased redness, and pain. Treatment of pressure ulcers and bed sores must be carried out routinely and accompanied by pharmacological therapy so that patients can recover optimally

Effectiveness of Wet Cupping for Reducing Joint Pain in Temboro Village, Magetan Regency

Devita Anugrah Anggraini — 2025-05-31

Joint pain is a sign that is often complained about by people with gout, joint pain occurs due to the deposition of uric acid crystals in the joints caused by high uric acid in the blood exceeding normal limits so that the blood in the body settles into urate crystals which cause swelling, redness, and pain. The purpose of this study was to determine the effectiveness of wet cupping to reduce joint pain in Temboro Village, Magetan Regency. The research design used Pre experiment with one group pretest posttest design. The sampling technique used in this study was purposive sampling with a sample size of 18 respondents. The tools used in data collection are observation sheets, NRS (Numeric Rating Scale) pain scale measuring instruments. The results of the study with the Wilcoxon Signed Rank Test of joint pain before and after being given wet cupping obtained a p-value of 0.000 (α = 0.05), this shows a significance value of <0.05 which means that there is an effectiveness of wet cupping to reduce joint pain. Wet cupping for 2 times within 2 weeks can reduce joint pain. Therefore, cupping can be used as an alternative nonpharmacological treatment for joint pain. Where wet cupping plays a role in reducing the intensity of pain felt by stimulating nerve fibers through pressure, touch, or vibration.

Evacuation Implementation: Lifting and Moving Injured Patients (Lifting and Moving) to Disaster Resilience Cadres in Sempu Village

Anis Setyowati — 2025-05-31

The prevalence of injuries in Indonesia in 2018 was 9.2%, this prevalence increased compared to previous years. First aid is very important for people who are injured, because this first aid greatly influences their subsequent condition, whether they recover, become disabled or die. Help can be done by lifting and moving injured patients. Lifting and moving injured patients cannot be done haphazardly, so training needs to be carried out. The aim of this activity is to improve the abilities and skills of disaster resilient cadres in carrying out evacuations, lifting and moving (Lifting and Moving) injured patients. This activity was carried out in Sempu village, Wates sub-district, Kediri district, the training participants were a cadre of 33 people, carried out in Sempu village, for 7 days, with details of the planning stage starting from 14-17 October 2024, implementation starting from 26-27 October 2024 , and the monitoring and evaluation stage on November 2 2024. The results of this activity were that the maximum age range was >35 years as many as 20 cadres (60.6%), the majority gender is female, 18 cadres (54.55%), the majority education is high school/equivalent, 24 cadres (72.7%), and the majority of jobs are in the private sector, 21 cadres (63.6%). The training carried out on cadre knowledge increased to a good number of 31 cadres, and skills also increased to 31 cadres (93.94%) cadres who were skilled in providing living and moving assistance to injured patients. This shows that this training activity was successful in increasing knowledge and skills of disaster resilient cadres in Sempu village, Wates sub-district, Kediri district.

STUDY OF THE LEVEL OF INDEPENDENCE OF STROKE PATIENTS IN THE STROKE UNIT OF DR. SOEDOMO HOSPITAL, TRENGGALEK

Awan Hariyanto Awan — 2025-05-31

Stroke can cause mobility disorders or motor disorders, visual disturbances, speech disorders, emotional changes, and other symptoms according to the location of the brain that is blocked. Motor deficits in stroke patients can affect independence in carrying out daily activities and cause patients to experience self-care deficits or dependence on others who require continuous nursing assistance in carrying out daily activities. The purpose of this study was to identify the level of independence of stroke patients in the Stroke Unit Room of Dr. Soedomo Trenggalek Hospital. The research design used was quantitative descriptive. The population in the study was 42 stroke patients with a sample size of 29 respondents. The sampling technique used purposive sampling. Data analysis in this study used a frequency distribution in the form of a percentage. The results showed that the independence of stroke patients from 29 patients while being treated in the hospital experienced dependence in carrying out daily activities, namely 2 respondents (7%) experienced total dependence, 7 respondents (24%) experienced severe dependence, 7 respondents (24%) experienced moderate dependence, and 13 patients (45%) experienced mild dependence. The conclusion of the study showed that stroke patients experienced impaired independence dependence that must be assisted in carrying out daily activities.

EFFORTS TO EMPOWER COMMUNITIES WHO CARE ABOUT STROKE WITH EARLY STROKE DETECTION TRAINING

Awan Hariyanto Awan — 2025-05-31

Stroke or Cerebral Vascular Disease (CVD) is a disease that often causes death and disability, both in urban and rural areas. The impact of a stroke includes paralysis of the limbs, impaired vision, difficulty speaking and swallowing, and psychological impacts such as frustration and irritability. Stroke can also cause neurological deficits that have an impact on the patient's quality of life. Data from World Health Organization (WHO) shows that 75.6% of elderly people who experience stroke require home care, which has a positive impact on patient recovery. In Trenggalek Regency, the incidence of stroke reached 3,771 people in 2019. Early proper handling can improve the patient's condition, and the community needs to be educated to recognize stroke symptoms. In order to increase public awareness and knowledge about early detection of stroke, this Community Service activity aims to train community cadres in detecting stroke symptoms early. The method used is Focus Group Discussion (FGD) and training for community cadres who care about stroke, this method is very effective in increasing the knowledge and skills of cadre participants about early detection of stroke after receiving training materials, the cadre's knowledge and skills increased significantly, from 5 cadres (42%) who were initially in the good category and 7 cadres (58%) in the sufficient category, to all or 12 cadres (100%) whose knowledge and skills increased in the good category. This community empowerment can change the attitudes and behavior of participants from not knowing to knowing, from knowing to wanting, and finally being able to carry out early detection of stroke and can be disseminated to the community. This activity will contribute to improving the health and quality of life of the Trenggalek community.