KIAN JOURNAL

The Effect of Speech Therapy on Aphasia Levels in Non-Hemorrhagic Stroke Patients in the Seruni Room of Rsud Hajjah Andi Depu

2025-07-21T13:54:47+08:00

Introduction: Non-hemorrhagic stroke is a brain disorder caused by the cessation or blockage of blood flow to the brain. Aphasia is a disorder in language function that arises from brain injury. Speech therapy is a rehabilitation process for people with communication disorders, so that they can interact more effectively. The use of the AIUEO method in therapy can help improve pronunciation, so that it is more easily understood by others by moving the tongue, lips, and facial muscles.

Objective: This study aims to determine the effect of speech therapy on the level of aphasia in patients who have non-hemorrhagic stroke in the Seruni Room of RSUD Hajjah Andi Depu.

Method: This research design is quantitative with a pre-experimental approach. The method used is one group pretest-posttest design.

Results: The results of statistical analysis using the Wilcoxon Signed Ranks Test with the help of SPSS showed a significant value (2-tailed) of 0.004. This means (p<0.05), so that the alternative hypothesis (Ha) is accepted and the null hypothesis (H0) is rejected. Thus, there is a positive effect of speech therapy on the level of aphasia in non-hemorrhagic stroke patients in the Seruni Room of RSUD Hajjah Andi Depu.

Conclusion: A 2024 study at Hajjah Andi Depu Hospital found that speech therapy significantly improved aphasia in non-hemorrhagic stroke patients. Patients' aphasia scores significantly improved after speech therapy (p < 0.05).

Implementation of Kegel Exercises for Pregnant Women with Urinary Incontinence in the Third Trimester at Kahuripan Public Health Center, Tasikmalaya

2025-07-31T12:44:49+08:00

Introduction: Third trimester pregnancy is often accompanied by physical discomfort such as urinary incontinence, which affects the quality of life of pregnant women. Kegel exercises are one of the exercises that can help overcome this problem by strengthening the pelvic floor muscles and bladder sphincter. This study aims to determine the effect of Kegel exercises on urinary incontinence in third trimester pregnant women in the working area of Kahuripan Community Health Center, Tasikmalaya City.

Objective: This study aimed to determine the response of changes in third trimester pregnant women who experience urinary incontinence after implementing Kegel exercises for three consecutive days.

Methods: This study used a case study design with two pregnant women in their third trimester experiencing urinary incontinence. Data were collected through interviews, physical examinations, and observations before and after the Kegel exercise intervention. Kegel exercises were performed three times a day for three consecutive days. Data were analyzed descriptively by measuring changes in urinary frequency, nocturia, enuresis, and bladder distension.

Results: Before the intervention, both subjects experienced an increase in urinary frequency, nocturia, enuresis, and bladder distension. After three days of Kegel exercises, there was a significant decrease in all these parameters, with increased control of the pelvic floor muscles and bladder sphincter.

Conclusion: Regular Kegel exercises can effectively reduce urinary incontinence in pregnant women in the third trimester. This intervention can improve the quality of life of pregnant women by improving urinary frequency, nocturia, enuresis, and bladder distension. It is recommended that pregnant women independently perform Kegel exercises as a preventative and treatment measure for urinary incontinence during pregnancy.

Implementation Of Wound Care Education In A Diabetic Ulcer Patient With Knowledge Deficits

2025-07-21T15:16:38+08:00

Background: Diabetes mellitus is a metabolic disease that can cause various complications, one of which is diabetic ulcers. These ulcers occur due to impaired circulation and peripheral neuropathy which causes wounds to heal. In an effort to manage diabetic ulcers, an educational approach is needed to increase patient awareness of the importance of proper wound care and infection prevention efforts. Nursing education plays an important role in helping patients understand the relationship between uncontrolled blood glucose levels and the impaired wound healing process. Increased patient understanding is expected to encourage behavioral changes in self-care and improve compliance with medical recommendations.

Objectives: This case study aims to evaluate the implementation of wound care education with impaired knowledge deficits in diabetic ulcer patients through a nursing approach. This research method is in the form of a case study using a descriptive

Method: with a research design using a nursing care approach which includes assessment, nursing diagnosis, nursing intervention, nursing implementation, nursing evaluation which is carried out for 3 meetings at the patient's home in the rose ray neighborhood, RT. 001 RW. 008, cigembor village, ciamis sub-district

Results: After implementing education for three meetings, the results showed that the client's understanding of wound care had increased. The client showed the ability to recite the correct wound care steps, recognize signs of infection, and understand the importance of controlling blood glucose levels in accelerating wound healing. The family also began to play an active role in assisting the wound care process at home.

Conclusion: The implementation of wound care education can improve client knowledge and skills in caring for diabetic ulcers to prevent infection. This education can be an important part of promotive and preventive nursing interventions to support the wound healing process and prevent further complications.

Implementation of Nutrition Education Toward Controlling Blood Glucose Levels of Diabates Mellitus (DM) Patients

2025-07-21T16:38:23+08:00

Background: Diabetes mellitus (DM) is a metabolic disorder with multiple etiologies characterized by blood sugar levels exceeding normal limits. The prevalence of DM continues to increase globally, nationally, and locally, including in the working area of the Cigembor Community Health Center, Ciamis Regency. The primary issue identified is non-compliance with dietary recommendations due to low nutritional literacy and the absence of effective and sustained education. The intervention implemented is structured nutritional education aimed at fostering healthy eating behaviors to control blood glucose levels and prevent complications.

Objective: This study aims to implement the nursing process with a focus on the structured, continuous, and patient-centered implementation of nutrition education in controlling blood glucose levels in DM patients.

Method: This study used a descriptive method with a case study design through a nursing care approach, starting from assessment, formulating diagnoses, planning, implementing nutrition education to control blood glucose levels in patients with diabetes mellitus, and evaluation.

Results: After three days of education, it was found that patients with diabetes mellitus who complained of dizziness, fatigue, decreased appetite, and high blood glucose levels were diagnosed with unstable blood glucose levels, with a focus on the implementation of nutrition education. Evaluation results showed a decrease in blood glucose levels to 213 mg/dL, improved appetite, and reduced complaints of dizziness.

Conclusion: The implementation of nutrition education has proven effective in controlling blood glucose levels and improving patients' nutritional status.