Kolaborasi: Jurnal Pengabdian Masyarakat

Implementasi Aplikasi Perawatan Diri Berbasis Self Care untuk Meningkatkan Pengetahuan Pasien Pasca Intervensi Koroner Perkutan

2025-10-29T19:00:28+08:00

Introduction: Post Percutaneous Coronary Intervention (PCI) patients require continuous education to support self care knowledge, medication adherence, and follow up visits. Conventional education methods in healthcare settings are often limited by time and accessibility, making digital based educational media a relevant alternative to improve health literacy and patient self management.

Objective: To implement the PCI Care application based on Self Care Theory as a digital education media to improve self care knowledge among post PCI patients.

Method: This activity used a pre–post test design involving 10 post PCI patients who met the inclusion criteria. The intervention was delivered through the PCI Care application featuring educational content, medication reminders, and follow up schedules. Knowledge was assessed using a 15 item questionnaire administered before and after the intervention. Data were analyzed descriptively.

Result: The average knowledge score increased from 40.00 ± 8.25 before the intervention to 85.00 ± 6.10 after the implementation of the PCI Care application (p < 0.001). Participants reported that the application was easy to use via smartphone, contained understandable language, and provided clear information regarding post PCI self care. The educational and reminder features were considered very useful in supporting adherence and enhancing patient understanding of post PCI self care.

Conclusion: The implementation of the PCI Care application was proven effective in improving self care knowledge among post PCI patients. Digital education through this application helps patients and families better understand health information and supports adherence to medication and follow-up schedules. PCI Care has the potential to be further developed as a supportive tool in discharge planning and cardiovascular nursing services.

Penerapan Telemedicine dalam Mendukung Integrasi Pelayanan Kesehatan Primer

2025-10-29T18:57:55+08:00

Introduction: Primary health care serves as the frontline in achieving a healthy, independent, and equitable society. The implementation of the Integrated Primary Health Care (ILP) system is a strategic effort to improve efficiency, coordination, and service continuity. One of the innovations supporting ILP implementation is telemedicine, which utilizes digital technology to facilitate remote medical consultations, patient monitoring, and electronic referrals.

Objective: The purpose of this service was This study aims to describe the implementation of telemedicine services in supporting ILP at Ngambon Community Health Center (Puskesmas Ngambon), Bojonegoro Regency.

Method: This public service was conducted by used is a descriptive approach, with data collected through observation, interviews, and document review related to telemedicine implementation at the health center.

Result: Telemedicine has improved coordination among health workers, accelerated patient referral processes, and expanded service access, especially for communities in remote areas. However, several challenges remain, including limited technological infrastructure, uneven internet connectivity, and low digital literacy among some community members.

Conclusion: The implementation of telemedicine at Puskesmas Ngambon plays a significant role in strengthening ILP, yet it requires cross-sectoral support and capacity building to achieve optimal outcomes. Therefore, strong policy support, capacity building for human resources, and reinforcement of health information systems are essential to ensure the sustainability of telemedicine implementation. By optimizing telemedicine, primary healthcare services can become more responsive, efficient, and equitable in achieving the highest possible standard of public health.

Peningkatan Pengetahuan Keluarga Pasien tentang Mobilisasi Dini Pascaoperasi untuk Mendukung Proses Pemulihan

2025-10-31T22:04:20+08:00

Introduction: Early mobilization after surgery plays a crucial role in accelerating the patient’s recovery process and preventing complications such as deep vein thrombosis, pneumonia, and delayed wound healing. Despite its importance, the knowledge and participation of patients’ families in supporting early mobilization remain low. Family involvement is essential because proper support and motivation can significantly influence the patient’s postoperative recovery process.

Objective: This community service activity aimed to improve the knowledge and attitudes of patients’ families regarding early mobilization after surgery at Setio Husodo Hospital, Kisaran.

Method: The program was implemented through socialization and educational sessions conducted using interactive lectures, group discussions, demonstrations, and direct practice under the supervision of health workers. A pre-test and post-test design was used to assess changes in participants’ knowledge and attitudes toward early mobilization. Data were analyzed descriptively to identify improvement levels among participants.

Result: The results showed a significant improvement in participants’ understanding and awareness. After the intervention, 90% of families were able to explain the benefits, techniques, and proper stages of early mobilization, compared to only 45% before the program. The activity also fostered a more positive attitude among families in motivating patients to move gradually after surgery, while ensuring safety and comfort under professional supervision.

Conclusion: Family health education effectively increases knowledge and participation in early mobilization after surgery. The program successfully empowered families to take an active role in supporting postoperative recovery. Therefore, it is recommended that similar family-based education programs be implemented regularly as part of standard postoperative care in hospitals.

Pemanfaatan Puding Kelor untuk Pencegahan Kekurangan Energi Kronik pada Ibu Hamil dalam Mendukung Persalinan dan Nifas Berkualitas

2025-11-10T16:23:20+08:00

Introduction: Chronic Energy Deficiency (CED) in pregnant women remains a significant health problem that can increase the risk of anemia, complications during pregnancy, and poor birth outcomes. Moringa leaves are a locally available nutrient-dense food source that can be processed into various products, including pudding, to help improve nutritional intake among pregnant women. However, limited knowledge and low utilization of moringa leaves in daily nutrition practices highlight the need for community-based education and practical training.

Objective: The purpose of this service was to improve the knowledge and skills of pregnant women in preventing CED through nutrition education and practical training on processing moringa leaves into pudding.

Method: This public service was conducted by providing health education and a hands-on demonstration of moringa leaf pudding preparation. The activity was carried out at the Bara-Baraya Health Center involving 15 pregnant women with CED as participants. The program consisted of education on balanced nutrition during pregnancy, discussion on the nutritional benefits of moringa leaves, and practical cooking sessions. Skills were evaluated using an observation checklist covering preparation, processing, and hygienic serving steps.

Result: The activity resulted in a 95% increase in participants' knowledge after the education session. Pregnant women demonstrated strong enthusiasm and active participation during the demonstration process. They showed improved understanding of the nutritional benefits of moringa leaves, including their content of iron, vitamins, protein, and minerals that support fetal growth and maternal health. Participants also expressed interest in preparing moringa pudding at home as an affordable and nutritious food option.

Conclusion: Education and practical training on moringa pudding preparation effectively increased the knowledge and skills of pregnant women in preventing CED. The program is expected to encourage sustainable use of moringa leaves as a local nutritional resource. Follow-up actions include distributing moringa seeds to participants to support independent cultivation and continuous utilization for daily nutrition.

Pemberdayaan Kesehatan Mental Ibu dan Praktik Pemberian Nutrisi pada Anak Usia Dini

2025-10-27T17:14:48+08:00

Introduction: Early childhood development is a golden period that significantly determines the quality of life in the future. During this phase, maternal mental health plays a crucial role in the quality of child care and development. In Badalpandean Village, Ngadiluwih District, Kediri Regency, mothers' understanding of the importance of mental health and proper nutrition for toddlers was found to be low. This can negatively impact child development, necessitating appropriate educational interventions.

Objective: The purpose of this service was increase mothers' knowledge about early childhood mental health and nutrition, teach practical strategies for maintaining mental health, and optimize the role of the Integrated Health Post (Posyandu) as a center for education and community empowerment.

Method: This public service was conducted on July 31, 2025, at the Melati Posyandu Park in Badalpandean Village. Methods used included interactive lectures, group discussions, simulations, pretests, and posttests. Media used included PowerPoint presentations, leaflets, and other visual aids. Participants were 14 mothers with toddlers.

Result: Pretest results showed that 42.86% of participants had good knowledge, 42.86% had sufficient knowledge, and 14.29% had insufficient knowledge. After the education, posttest results showed a significant increase, with 92.86% of participants having good knowledge, 7.14% having sufficient knowledge, and none in the insufficient category

Conclusion: This community service activity successfully increased mothers' knowledge regarding mental health and nutrition for toddlers. It is recommended that similar activities be conducted on an ongoing basis and expanded in scope, involving Posyandu cadres and the village government for program sustainability.

Silver Care: Art Therapy dengan Pendekatan Komunitas Ceria untuk Meningkatkan Interaksi Sosial Lansia

2025-10-29T19:02:26+08:00

Introduction: The increasing elderly population in Indonesia poses challenges to psychological and social well-being. Many older adults, particularly those in social care institutions, experience loneliness, anxiety, and reduced enthusiasm for life due to limited social interaction. Observations at the UPTD Pusat Pelayanan Sosial Griya Lansia Ciparay, Bandung, revealed that residents were often passive, less expressive, and socially withdrawn. This issue led to the development of the SILVER CARE program-an innovative psychosocial intervention integrating art therapy with a cheerful community approach to stimulate creativity, interaction, and emotional balance.

Objective: This community service program aimed to enhance creativity, strengthen social relationships, and improve the overall quality of life among the elderly through expressive and enjoyable group activities.

Method: The intervention consisted of four structured sessions based on art therapy principles, including puzzle assembly, drawing, coloring, listening to classical music, and lavender aromatherapy. Activities promoted cooperation, self-expression, and positive interaction within a supportive atmosphere. Pre-test and post-test observations were used to evaluate social and emotional changes.

Result: Findings showed notable improvements in communication, cooperation, and emotional expression. Participants became more active, confident, and enthusiastic. The program achieved 97% implementation success and produced a sustainability guidebook for partners.

Conclusion: SILVER CARE effectively improved the elderly’s social, emotional, and cognitive functions. Its adaptable model offers strong potential for replication in other institutions to promote active, joyful, and meaningful aging.

Health Coaching Implementation using CERDIK Strategy to Improve Health and Prevent Osteoporosis in Mothers

2025-11-10T16:20:46+08:00

Introduction: Women are at a higher risk of osteoporosis than men, particularly after menopause due to decreased estrogen levels, which contribute to bone mass loss. Osteoporosis in women deserves serious attention, given their important role in families and society. The majority of target partners are over 35 years old and there are several elderly mothers. Providing health coaching using the CERDIK strategy offers an effective approach to preventing osteoporosis in the population.

Objective: This community service aims to enhance knowledge and skills in osteoporosis prevention, improve health status and fitness by optimizing exercise activities, and provide comprehensive guidelines for osteoporosis prevention to women's groups.

Method: This community service conducted in September 2025 involving 23 participants from RT 02 Wadungasih Buduran-Sidoarjo, consisted of five stages. The activities were carried out using an educational and participatory approach through health examinations, interactive lectures, discussions, and demonstrations of osteoporosis exercises. Pre- and post-intervention evaluations were conducted using questionnaires and health assessments. Health assessments including measurements of blood pressure, pulse rate, and body temperature, were conducted 30 minutes before-after the osteoporosis exercise. Pre-post test data were analyzed using SPSS software with the Wilcoxon Signed-Rank test.

Result: There was a significant increase in knowledge (p = 0.005) and skills (p = 0.000) following the implementation of health coaching and osteoporosis exercise. The findings of this community service program indicate that health coaching and osteoporosis exercise are effective in enhancing participants’ knowledge and skills related to osteoporosis prevention.

Conclusion: Implementing health coaching as CERDIK (Periodic health checks, Smoking cessation, Regular physical activity, Balanced diet, Adequate rest, and Stress management) proved effective in raising knowledge and abilities. Health coaching combined with osteoporosis exercise represents a comprehensive and sustainable preventive strategy for promoting health and preventing osteoporosis.

Program Pendampingan Caregiver Formal dalam Pengenalan dan Tata Laksana Kegawatdaruratan Lansia

2025-11-11T09:46:06+08:00

Introduction: Older people in nursing home can experience emergency condition due to

trauma or non-trauma. Meanwhile, caregivers acted as first responder whom provide immediate assistance to reduce morbidity and mortality rates for the elderly in care. Furthermore, regularly documenting the examination results online will facilitate monitoring of the elderly's condition.

Objective: This community service aims to educate and train caregivers to provide first aid in emergency situations, as well as the application of periodic documentation of elderly vital signs through website-based medical record.

Method: This community service was implemented by the Community Service Team from STIKes Panti Waluya Malang and fully funded by the Ministry of Education, Culture, and Technology in the 2025 funding year at LKS-LU Pangesti Lawang, the partner in this activity was their 14 formal caregivers. This activities was designed to be implemented in eight meetings to improve caregiver’s knowledge and skills. In order to improve caregiver’s knowledge, lecture, discussion, question and answer method was used. Meanwhile to improve caregiver’s skill, demonstration, and simulation methods was used. The community provider was use questionnaire to evaluate the knowledge, and observation sheet to evaluate caregiver’s skill. The pre and post-test score were calculated, and categorized using N-Gain score.

Result: Based on the calculation of the pre- and post-test score, the average N-Gain was 0.81 (N-Gain >0.7) for the theory, so it can be concluded that this activity has high effectiveness in improving caregiver knowledge. In addition, the average N-Gain for BHD performance was 0.8 and the N-Gain for choking performance was 0.9. Both have N-Gain >0.7, which means this simulation activity has high effectiveness in improving caregiver skills. To support E-RM documentation, the service team designed a website-based elderly development record system at https://pangesti.mikspwm.com, which was tested using the Blackbox method.

Conclusion: Providing education on first aid for emergency situations in the elderly through lectures, question-and-answer sessions, and discussions can improve caregivers' knowledge. Demonstrations, including simulations and demonstrations, can improve caregiver skills.

Efektivitas Edukasi Kesehatan dalam Meningkatkan Pengetahuan Keluarga Pasien tentang Manajemen Nyeri Pascaoperasi

2025-11-01T08:20:15+08:00

Introduction: Postoperative pain management is a crucial aspect of nursing care that directly influences patient comfort and recovery outcomes. Effective pain control requires not only clinical intervention but also family involvement, as families assist in daily care and monitoring patient conditions. However, limited family knowledge regarding pain management often creates barriers to optimal recovery and increases the risk of postoperative complications.

Objective: This community service activity aimed to improve family knowledge of postoperative pain management at Setio Husodo General Hospital, Kisaran, and to strengthen family participation in supporting the patient recovery process.

Method: The activity was conducted on October 9, 2025, involving ten family members of postoperative patients. An educational and participatory approach was applied through health education sessions, interactive discussions, and direct demonstrations using leaflets. Educational materials included an explanation of postoperative pain, recognition of pain symptoms, pharmacological and non-pharmacological pain management strategies, and the role of families in patient care. Knowledge levels were assessed through pre-test and post-test questionnaires. The data were analyzed descriptively by comparing the average knowledge scores before and after the intervention.

Result: The results demonstrated a significant improvement in family knowledge. The average knowledge score increased from 54.8 before the intervention to 69.2 after the education sessions. Participants showed better understanding in identifying pain symptoms and applying non-pharmacological pain management techniques such as relaxation, distraction, and proper positioning. Active engagement during discussions reflected increased awareness of the importance of family involvement in postoperative care.

Conclusion: Health education effectively improved family knowledge regarding postoperative pain management at Setio Husodo General Hospital, Kisaran. This program is expected to become a sustainable initiative to enhance family engagement and improve the quality of nursing services.

Penguatan Pengetahuan dan Perilaku Hidup Bersih dan Sehat melalui Kegiatan Promosi Kesehatan dan Pemberantasan Sarang Nyamuk

2025-11-10T16:21:30+08:00

Introduction: Environmental-based diseases such as Dengue Hemorrhagic Fever (DHF) remain a major health concern in several remote regions of Indonesia, including the working area of Puskesmas Iwur. Low health literacy, inadequate hygiene practices, and lack of routine vector control contribute to the persistence of mosquito breeding sites and increase the risk of disease transmission. Promoting Perilaku Hidup Bersih dan Sehat (PHBS) or Clean and Healthy Living Behavior and implementing Pemberantasan Sarang Nyamuk (PSN) are essential strategies to reduce this risk and improve community health.

Objective: This community service aimed to improve community knowledge and behaviors related to PHBS and PSN as preventive actions against environmental-based diseases, especially DHF.

Method: The program was carried out by the Master of Public Health team from Universitas Strada Indonesia in collaboration with Puskesmas Iwur. Activities included coordination, field observation, health education sessions, interactive discussions, and direct demonstration of PSN 3M Plus (draining, covering, and recycling). A pre-test and post-test were administered to measure changes in community knowledge, and data were analyzed descriptively.

Result: A total of 43 participants were involved. The average knowledge score increased from 57.12 before the intervention to 71.21 after the intervention, indicating a significant improvement in understanding PHBS and PSN principles. Participants also demonstrated initial positive behavioral changes, including covering water containers and routinely cleaning potential mosquito breeding sites.

Conclusion: Health promotion through education and PSN demonstration is effective in improving PHBS-related knowledge and encouraging preventive behavior among communities in remote areas. Continued community engagement and multi-sectoral collaboration are recommended to ensure program sustainability and long-term impact.

Penerapan 4S pada Model Asuhan Keperawatan di Ruang Bedah Wanita dan Ruang Paru BLUD Rumah Sakit Umum Jayapura

2025-11-11T14:06:25+08:00

Introduction: The implementation of standardized nursing care documentation remains a challenge in many hospital units, especially in high-demand wards where workload and time constraints affect nurses’ compliance. The 4S model, comprising SDKI (Nursing Diagnosis Standard), SIKI (Nursing Intervention Standard), SLKI (Nursing Outcomes Standard), and SPO (Standard Operating Procedures), provides a structured approach to ensure consistency, accuracy, and accountability in nursing care. However, limited understanding and practical application among nurses often lead to variations in documentation quality.

Objective: This community service aimed to enhance nurses’ understanding and competence in implementing the 4S model through structured training and direct supervision at BLUD Jayapura General Hospital.

Method: The program was carried out by nursing lecturers and students from Universitas Strada Indonesia in collaboration with BLUD Jayapura General Hospital. The activities took place from October 10 to 12, 2025, involving 25 participants consisting of 2 head nurses and 23 staff nurses from the Women’s Surgery and Pulmonary Wards. The program included lectures, workshops, group discussions, and on-the-job training. Evaluation was conducted using pre- and post-tests to measure knowledge improvement, and data were analyzed using a paired sample t-test.

Result: The average pre-test score was 62.00 ± 8.12, which increased to 86.00 ± 6.47 after the training (p = 0.000). Participants reported better comprehension of the interrelation between SDKI, SIKI, and SLKI, as well as improved ability to formulate nursing diagnoses, interventions, and outcomes. Most participants also expressed that the integrated documentation format simplified their workflow and supported nursing quality audits.

Conclusion: The 4S-based nursing care training effectively improved nurses’ knowledge and practical skills in applying standardized nursing documentation. The program strengthened clinical accountability, enhanced documentation consistency, and supported quality improvement initiatives at BLUD Jayapura General Hospital. Future programs are recommended to expand this training model to other hospital units and integrate the 4S framework into electronic nursing documentation systems.

Edukasi Kepatuhan Obat dan Diet Rendah Garam pada Pasien Hipertensi di Ruang Penyakit Dalam Pria RSUD Jayapura

2025-11-19T22:45:50+08:00

Introduction: Hypertension is a non-communicable disease that remains a major public health problem in Indonesia. The prevalence of hypertension among adults aged 18 years and over reaches 34.1%, with most cases being asymptomatic yet potentially leading to serious complications such as stroke, kidney failure, and heart disease. This situation underscores the need for effective health education to control risk factors by improving patient adherence to antihypertensive medication and a low-salt diet.

Objective: This community service activity aimed to improve patients’ knowledge, awareness, and adherence to antihypertensive therapy and the implementation of a low-salt diet to maintain optimal blood pressure control.

Method: The program was carried out in the Internal Medicine Ward of RSUD Jayapura using direct health education and outreach methods with printed leaflets as educational media. This approach was chosen because it enables practical, clear, and direct communication of health information to patients and families. Leaflets also allow patients to review the material independently at home.

Result: The results showed a notable increase in patients’ and families’ understanding after participating in the educational activity. Post-education assessments indicated improved knowledge and awareness regarding medication adherence and dietary salt restriction. The leaflet proved to be an effective, easy-to-understand, and practical educational medium for supporting sustainable health promotion among hypertensive patients.

Conclusion: Health education through printed leaflets can effectively increase patient knowledge and adherence to antihypertensive medication and a low-salt diet. This medium supports healthcare workers in delivering consistent and continuous patient education for better hypertension management outcomes.

Edukasi Kesehatan untuk Meningkatkan Pengetahuan Pasien dan Keluarga tentang Tuberkulosis Paru

2025-11-23T07:05:30+08:00

Introduction: Pulmonary Tuberculosis (TB) remains a major public health challenge in Indonesia. Limited knowledge among patients and families regarding TB transmission, prevention, and treatment adherence contributes to persistent cases, including those reported at Madani Regional General Hospital, Palu. Strengthening health education is essential to improve disease control efforts.

Objective: This community service program aimed to enhance patients’ and families’ understanding of Pulmonary Tuberculosis, including its definition, clinical manifestations, modes of transmission, prevention strategies, appropriate treatment, and the consequences of non-adherence to therapy.

Method: The activity was conducted in the Durian Ward of Madani Hospital through health education sessions using lectures, discussions, leaflet distribution, and demonstrations. Knowledge improvement was assessed using oral pre- and post-tests involving TB patients and their accompanying family members.

Result: The program resulted in a substantial increase in participant knowledge. Pre-test findings revealed that only about 20% of participants could correctly answer basic questions about TB. Post-intervention, approximately 90% demonstrated accurate understanding of the presented material and were able to apply preventive practices, such as correct handwashing and mask usage. Participants expressed commitment to practicing prevention at home and during hospital visits.

Conclusion: The community service intervention effectively improved patient and family knowledge regarding Pulmonary Tuberculosis. Continuous educational efforts by healthcare professionals are crucial to reinforcing treatment adherence and reducing transmission risk within healthcare and community settings.

Pendampingan Remaja dalam Upaya Pencegahan Ide Bunuh Diri

2025-11-19T05:57:20+08:00

Introduction: Suicidal ideation is a major predictor of suicide in adolescents. Suicide is the second leading cause of death in adolescents Prevention efforts that integrate peer support and school support are still very limited.

Objective: The aim of this community service is to increase the knowledge and skills of adolescents regarding strategies for preventing suicidal ideation based on school.

Method: This community service activity was held from September 5th to 26th at MTSN 2 Malang. The program involved 73 students. The program consisted of three sessions, once a week, with each session lasting 90 minutes, conducted face-to-face. Interventions provided in schools consist of education and training on danger signs, how to seek help, and coping skills as well as screening. The instrument used to measure suicidal ideation was the PANSI.

Result: After being given assistance, there was a significant difference: before being given assistance, there were 4 (5.5%) teenagers in the fairly vulnerable category, in the domain of protecting suicidal ideation, there were 6 (8.2%) in the less category, after assistance, there was 1 person (1.4%) in the vulnerable suicide category and as many as 62 people (84.9%) were in the good suicide ideation protection category.

Conclusion: The study results show that adolescents at MTSN 2 Malang are not vulnerable to suicidal ideation. These results highlight the importance of mentoring activities that combine education and targeted training. Integrating mentoring activities in a hybrid format allows for greater flexibility in monitoring adolescents. Investing in a safe, healthy educational environment that supports optimal adolescent development is crucial.

Peningkatan Pengetahuan Pasien Post Sectio Caesarea melalui Edukasi Manajemen Kesehatan Pasca Operasi

2025-11-21T16:47:38+08:00

Introduction: Sectio caesarea (SC) merupakan tindakan pembedahan mayor yang memiliki risiko komplikasi fisik dan psikologis sehingga dibutuhkan manajemen kesehatan yang optimal pada fase pemulihan pasca operasi. Edukasi kesehatan menjadi bagian penting dalam pemberdayaan ibu post SC agar mampu melakukan perawatan diri secara mandiri serta mencegah komplikasi yang dapat terjadi.

Objective: The purpose of this service was to increase the knowledge and independence of post sectio caesarea mothers in implementing postoperative health management through structured educational interventions in the PONEK Room of Siwa Regional Hospital.

Method: This public service was conducted by health education and empowerment activities involving 20 participants (post SC mothers and families) in the PONEK Room, using interactive lectures, discussions, demonstrations, and leaflet/poster media. Analysis of priority problems used Fishbone to determine the root causes of low patient knowledge, USG to establish priority ranking (where acute pain, infection risk, and mobilization barriers were the highest), and SWOT to design strategy improvements based on strengths, weaknesses, opportunities, and threats in service implementation.

Result: The results showed an increase in patient knowledge, with pre-test values averaging 60% increasing to 90% in the post-test. Participants demonstrated improved ability in wound care, early mobilization, pain control, nutrition management, and recognition of danger signs. Family involvement and support for patient recovery also increased.

Conclusion: Structured health education effectively improves knowledge, attitudes, and independence of post SC mothers in postoperative health management. Optimization of continuous education and stakeholder collaboration is recommended to sustain improved recovery outcomes and patient safety in the surgical ward.

Peningkatan Kepatuhan Hand Hygiene pada Tenaga Kesehatan dan Keluarga Pasien sebagai Upaya Pencegahan Infeksi Nosokomial

2025-11-21T16:49:30+08:00

Introduction: Nosocomial infections remain a major patient safety issue, particularly in Emergency Departments (ED) with high patient flow. Hand hygiene is the most effective preventive measure; however, compliance among healthcare workers and patient families at the Emergency Department of Hospital Nacional Guido Valadares (HNGV) remains low due to limited facilities, inadequate education, and high workload.

Objective: To improve hand hygiene compliance among healthcare workers and patient families through a multimodal intervention as part of nosocomial infection prevention efforts in the ED of HNGV.

Method: This residency program with anylisis fishbone, SWOT, USG are implemented assessment, intervention, and evaluation stages. Compliance was measured using direct observation based on the WHO Five Moments before and after intervention. Interventions included structured education, improved hand hygiene facilities, visual reminders, and audit-feedback mechanisms.

Results: Pre-intervention compliance was 48% among healthcare workers and 42% among patient families, with an overall rate of 45%. Post-intervention results showed significant improvement: healthcare worker compliance increased to 82%, family compliance to 76%, and overall compliance reached 79%. The greatest improvement occurred in the moments before patient contact and after touching patient surroundings.

Conclusion: The multimodal intervention effectively enhanced hand hygiene compliance in the ED of HNGV. Sustained improvement requires ongoing education, adequate facilities, and regular monitoring to support a strong patient safety culture and reduce nosocomial infection risks.

Peningkatan Pengetahuan Lansia tentang Self-Management dalam Pengendalian Hipertensi melalui Pendidikan Kesehatan

2025-11-21T16:51:03+08:00

Introduction: Hypertension is one of the most prevalent non-communicable diseases among older adults, and low health literacy often becomes a major barrier to effective self-management. Health education plays an important role in improving the knowledge and ability of older adults to control blood pressure and prevent complications.

Objective: This activity aimed to evaluate the effectiveness of health education in improving hypertension self-management knowledge among older adults in Babakan Anyar Village, Kadipaten.

Methods: A pre-experimental one-group pre-test–post-test design was used, involving 32 older adults with hypertension identified through screening. The intervention consisted of a 60-minute educational session delivered through interactive lectures, discussions, and visual media covering low-salt diets, physical activity, medication adherence, blood pressure monitoring, and warning signs of hypertension. Knowledge was measured using a questionnaire before and after the session.

Results: Findings showed a significant improvement in knowledge levels, with participants categorized as having good knowledge increasing from 31% at pre-test to 78% at post-test. Wilcoxon analysis indicated a statistically significant difference between pre-test and post-test scores (z = –4.064; p < .001).

Conclusion: These results demonstrate that structured health education is effective in enhancing older adults’ knowledge regarding hypertension self-management. Similar programs are recommended to be implemented regularly as part of community-based efforts to empower older adults and improve hypertension control.

Program Edukasi "Gerakan Masakan Sehat Bergizi untuk Balita" untuk Mengatasi Underweight pada Balita

2025-11-23T14:48:56+08:00

Introduction: Underweight one of the growing health issues commonly found in developing countries, including Indonesia. The prevalence of underweight among toddlers nationally is still quite high. The results of the SSGI 2024 recorded a figure of 17.1%. Therefore, GEMASITA was present in the form of educational outreach to mothers of toddlers in Cipelang Village.

Objective: The purpose of this service was to increase the knowledge of mothers of toddlers in preparing nutritious meals to prevent underweight status in toddlers through education using print media and audiovisual media.

Method: This public service was conducted by lecturers and students from IPB University on October 18, 2025, at the Cipelang Village Office Hall in Bogor. The event was attended by 31 participants, 19 of them are mothers of toddlers. The implementation included a pre-survey and media preparation, a pre-test, education through lectures, discussions, and question-and-answer sessions, a live cooking session followed by a post-test to assess the increase in knowledge

Result: The pre-post-test results showed an insignificant increase in the knowledge (5.83%) and attitudes (6.12%) of mothers of toddlers. The pre-test standard deviation (SD) was 2.03 and 2.29, while the post-test SD was 2.77 and 2.48.

Conclusion: The GEMASITA program resulted in an insignificant increase in the knowledge and attitudes of mothers of toddlers (average 5%), with the distribution of results varying (some mothers increased, some remained the same, and others decreased).

Edukasi Tanda Bahaya Kehamilan dalam Meningkatkan Keselamatan Ibu dan Janin

2025-11-25T08:10:48+08:00

Introduction: Pregnancy is a physiological process experienced by every woman of reproductive age, but it still carries the risk of complications. Danger signs in pregnancy are symptoms that indicate the possibility of serious complications, such as preeclampsia, antepartum hemorrhage, infection, or fetal growth problems.

Objective: The purpose of this community service activity is to create a safe and healthy pregnancy and increase the knowledge of pregnant women and their families so that pregnant women and their families understand the danger signs during pregnancy.

Method: The implementation of this community service activity began with several stages, starting with a lecture and continuing through a discussion and question-and-answer session. The first stage involved an opening and introduction, conveying the purpose of the outreach. The material was presented using simple language and visuals (posters/leaflets). The final stage focused on strengthening the outreach and emphasizing the importance of recognizing danger signs early and seeking immediate medical attention if they appear.

Result: The results of the implementation of counseling activities on danger signs in pregnancy showed that pregnant women understood and increased their knowledge and were able to explain the meaning and signs of danger in pregnancy, pregnancy risk factors, dangers that can occur and preventing and anticipating dangers in pregnancy.

Conclusion: The community service program, implemented in collaboration with the team, has successfully increased the understanding of pregnant women and their families regarding danger signs during pregnancy. Pregnant women can recognize important symptoms such as bleeding, excessive swelling, severe headaches, decreased fetal movement, high fever, and severe abdominal pain as conditions requiring immediate medical attention.

Efektivitas Strategi Micro Teaching Berbasis 4S terhadap Kualitas Dokumentasi Keperawatan

2025-11-26T17:20:02+08:00

Introduction: Nursing documentation quality remains a critical challenge in Indonesian hospitals, with inconsistencies in the application of standardized terminology (SDKI, SLKI, SIKI, and SPO) affecting clinical decision-making, patient safety, and continuity of care. Microteaching, as an evidence-based pedagogical approach, offers promise for developing nursing competencies through structured practice-feedback cycles. However, few studies have evaluated microteaching combined with 4S framework content specifically for nursing staff in clinical settings.

Objective: This community service initiative aimed to evaluate the effectiveness of microteaching-based 4S intervention in improving nursing documentation quality in Asoka Ward, Bhayangkara RS H.S. Samsoeri Mertojoso Surabaya.

Method: An educational intervention was designed integrating microteaching principles with 4S standardized nursing terminology. The program involved 32 nursing staff across three implementation cycles over September–October 2025. Data were collected through pre- and post-intervention assessments of documentation completeness, accuracy of diagnosis-outcome-intervention linkage, timeliness of documentation, and knowledge retention using structured instruments aligned with PPNI standards.

Result: Post-intervention documentation quality showed significant improvements: diagnostic accuracy increased 24.3%, outcome specification improved 28.1%, intervention-diagnosis linkage improved 31.7%, and documentation timeliness (completion within 8 hours) increased from 34% to 78% compliance. Knowledge retention assessed through reflection-based performance rubrics showed sustained understanding in 87.5% of participants at 4-week follow-up.

Conclusion: Microteaching-based 4S intervention proved effective in strengthening nursing staff competency in clinical documentation. This evidence-based approach demonstrates feasibility for replication across Indonesia’s teaching hospitals and supports quality improvement initiatives aligned with national nursing standards and accreditation requirements.

Edukasi dan Praktik Pelvic Floor Muscle Training sebagai Upaya Pencegahan Gangguan Dasar Panggul pada Perempuan

2025-11-25T10:47:42+08:00

Introduction: Pelvic Floor Muscle Training (PFMT) is an evidence-based intervention proven to strengthen pelvic floor muscles and prevent disorders such as urinary incontinence, pelvic organ prolapse, and sexual dysfunction in women. These conditions significantly affect quality of life, daily activities, and emotional well-being. Community health cadres play a critical role in health promotion, making capacity building on PFMT essential to support early prevention of pelvic floor disorders at the community level.

Objective: This community service program aimed to improve the knowledge and practical skills of Aisyiyah cadres in Jambon Branch through structured education and hands-on PFMT practice as an effort to prevent pelvic floor disorders in women.

Method: The program applied a participatory educational approach consisting of interactive lectures, group discussions, PFMT demonstrations, supervised practice sessions, and evaluation through pre- and post-tests. The activity was carried out in August 2025 and involved 22 eligible cadres, all women actively serving as community health volunteers and willing to participate fully in the training. Skill assessment was conducted through direct observation to evaluate the accuracy of pelvic floor muscle contraction techniques according to facilitator guidance.

Result: The activity resulted in a significant increase in participants’ knowledge, with the average score rising from 40% on the pre-test to 80% on the post-test. Additionally, 80% of the cadres were able to perform correct pelvic floor muscle contractions after guided practice and individual correction. Participants expressed positive feedback, noting that the interactive methods facilitated better understanding and confidence in applying PFMT.

Conclusion: The PFMT education and practice program effectively enhanced the knowledge and skills of Aisyiyah cadres within a single training session. This initiative demonstrates strong potential to serve as a sustainable community-based women’s health promotion strategy when followed by regular supervision and reinforcement.

A-PRESERVE: Airlangga Perineal Repair Workshop for Health Service in Surabaya

2025-11-23T06:58:37+08:00

Introduction: Perineal rupture is a common complication during childbirth that requires appropriate management to prevent further morbidity. The knowledge and skills of midwives and general practitioners in performing perineal tear suturing at primary health care centers are crucial to ensure optimal care and minimize the risk of complications while promoting faster recovery of patients.

Objective: This community service activity aims to improve the knowledge and skills of midwives and general practitioners in suturing perineal tears through workshops and training at primary health facilities.

Method: The workshop was attended by 40 participants, consisting of midwives and general practitioners, for 150 minutes. The activity included training on perineal anatomy, suturing techniques, post-repair management, and practical suturing simulation using a cow tongue model. Participants completed questionnaires covering demographic data, and pre- and post-tests consisting of 10 questions about perineal tear repair.

Result: Most participants were women in the productive age range, with a majority holding bachelor's degrees. Only a few had prior experience attending suturing workshops. Pre-test results showed lower knowledge compared to post-test results. The mean rank for pretest was 26.18 while posttest was 54.83, with a p-value of 0.000, indicating a statistically significant improvement in participants’ knowledge after the intervention.

Conclusion: The workshop were effective in enhancing the knowledge of midwives and general practitioners in managing perineal tears. The findings highlight the importance of routine technical training to elevate the quality of childbirth care in public health centers.

Peningkatan Pengetahuan Klien tentang HIV/AIDS melalui Edukasi Audiovisual

2025-11-23T14:47:24+08:00

Introduction: Education about HIV/AIDS is a crucial component in strengthening prevention and control efforts within Voluntary Counseling and Testing (VCT) services. Observations in the VCT Clinic of Elim Hospital Rantepao revealed that education was mainly delivered verbally without routine use of audiovisual media, resulting in less effective engagement and comprehension among clients.

Objective: This community service activity aimed to improve clients’ knowledge about HIV/AIDS through the implementation of educational video media at the VCT Clinic of Elim Hospital Rantepao.

Methods: The activity applied an educational and participatory approach including a 4-minute HIV/AIDS video covering definition, transmission, prevention, VCT testing, ARV therapy, and stigma reduction. Knowledge was measured using a pre-test and post-test questionnaire consisting of 10 items. Situation analysis was also performed using Fishbone analysis to identify root causes of educational gaps, SWOT analysis to map potential implementation strategies, and USG (Urgency, Seriousness, Growth) analysis to determine priority issues. A total of 20 clients participated (60% female; aged 17–45 years).

Results: The intervention led to a significant increase in clients’ knowledge, with the mean score rising from 6.0 in the pre-test to 8.7 in the post-test, reflecting a 23.75% improvement. Positive shifts were also observed in attitudes toward PLWHA, with a 20% increase in attitude-related indicators. Client satisfaction was high, with 95% reporting satisfied or very satisfied experiences. Fishbone and USG analysis identified the lack of audiovisual educational media as the top priority problem (score 14), while SWOT analysis strengthened the feasibility of sustainable implementation based on service support and community opportunities.

Conclusion: Educational videos are proven to be an effective and well-accepted health promotion tool to improve HIV/AIDS knowledge and reduce stigma among VCT clinic clients. This intervention is recommended for continuous use as an innovative strategy to enhance the quality of health education and support HIV/AIDS prevention efforts in the community.

GEMARKAN: Edukasi Gerakan Makan Ikan untuk Mencegah Stunting

2025-11-23T14:48:08+08:00

Introduction: Stunting, a chronic nutritional problem caused by lacking nutritional intake over a prolonged period, particulary during the First 1000 Days of Life (1000 HPK), remains a significant challenge in Indonesia. In Bogor Regency, the prevalence reaches 18.9%, largely due to the low consumption of animal protein.

Objective: This community service points to increase the knowledge and awareness of the community in Sukaharja Village, Bogor Regency, regarding the importance of nutritional fulfillment by promoting the Fish Eating Movement (GEMARIKAN) to prevent stunting.

Method: Involving 25 participants (mothers/women in reproductive age), the activity utilized a four-stage process (Planning, Preparation, Implementation, Evaluation). The method includes interactive nutrition education (presentations/videos) assessed by pre/post-tests, supplemented by a cooking demonstration (Pepes Ikan Lele Kemangi) and recipe book distribution.

Result: The results of the quantitative evaluation demonstrated a significant increase in the respondents' nutritional knowledge scores after the intervention. Although an improvement in attitude was observed, the changes were not significant. The program successfully met its participant target and fully documented all activities.

Conclusion: This program is a vital intervention that tackles high stunting rates by leveraging catfish, a local food source. This by delivering targeted education that successfully boosts knowledge, it is expected to positively influence consumption behaviors and mitigate stunting risk.

Pemberdayaan Masyarakat Dusun Desa Jelat dalam Pembuatan Keripik “Tapelur" sebagai Upaya Peningkatan Gizi

2025-11-11T14:07:09+08:00

Introduction: Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are key indicators of a country's level of public health. One of the leading causes of maternal death during pregnancy and childbirth is Chronic Energy Deficiency (CED), which increases the risk of maternal mortality up to 20 times compared to pregnant women with adequate nutrition. In Baregbeg Health Center, Ciamis District, the prevalence of CED remains high, with 75 pregnant women affected in 2024, and a stunting prevalence of 4.75%. This situation is exacerbated by limited public knowledge about CED and stunting, as well as the lack of innovative nutritious food products.

Objective: The purpose of this community service was to empower Posyandu cadres and local communities to improve maternal and child nutrition through education on CED and stunting prevention, and by developing an innovative local food product, keripik tapelur (crispy snacks made from tofu, tempeh, and eggs).

Method: This public service activity was conducted in Dusun Jelat, Baregbeg Subdistrict, Ciamis Regency, through five stages: problem identification, program planning, implementation, evaluation, and documentation. Activities included educational sessions using e-leaflets and lectures, training for cadres and community members on making keripik tapelur, and evaluation of knowledge improvement and program sustainability.

Result: Health education increased participants’ understanding of CED, stunting, and nutritious food processing. The community successfully produced keripik tapelur as a nutritious and practical complementary food. The product was well received and shows potential for further development as a community-based economic activity.

Conclusion: Community empowerment through health education and innovative food processing can be an effective strategy to address CED and stunting. The development of keripik tapelur not only improves nutritional intake but also opens up local economic opportunities. This program supports Sustainable Development Goals (SDGs), particularly good health and well-being as well as economic growth.