Nyeri dan kecemasan merupakan dua gejala yang paling sering dirasakan oleh penderita kanker. Pengobatan terhadap keluhan penderita kanker ini dapat ilakukan melalui terapi komplementer sebagai pelengkap. Salah satu teknik relaksasi yaitu PMR yang dilakukan dengan cara menegangkan otot secara sementara, kemudian kembali diregangkan dimulai dari kepala sampai kaki secara bertahap. Tujuan kegiatan pengabdian kepada masayarakat ini adalah untuk meningkatkan kemampuan adaptasi pasien kanker terhadap nyeri dan kecemasan yang dirasakannya. Kegiatan dilakukan selama satu hari dengan latihan bertempat di ruangan serbaguna di wisma RSMH Palembang. Sebelumnya pada awal kegiatan dilakukan pengukuran terkait nyeri dan kecemasan. Selanjutnya akhir sesi latihan dilakukan pengukuran lagi untuk nyeri dan kecemasan. Kegiatan pengabdian masyarakat dilaksanakan di wisma RSMH Palembang, 12 orang pasien kanker yang menghadiri kegiatan tersebut. Selama penyuluhan peserta penyuluhan antusias dalam mendengarkan, melaksanakan senam, mengulangi gerakan senam dan berdiskusi dengan narasumber. Terdapat penurunan nyeri dan kecemasan sebelum dan sesuedah dilakukan PMR. PMR bekerja meningkatkan kerja saraf parasimpatis dan menurunkan stimulasi sistem saraf simpatis serta hipotalamus sehingga pengaruh stres fisik terhadap keduanya menjadi minimal. Berdasarkan pemahaman inilah latihan PMR mampu mengurangi distress akibat gejala fisik.
Tujuan: Setiap lansia akan mengalami proses penuaan yang berbeda pada setiap individu, hal ini di pengaruhi oleh beberapa faktor antara lain faktor herediter, lingkungan, kondisi fisik dan psikologi. Penuaan merupakan proses perubahan biologik, psikologik, dan sosial yang terjadi seiring dengan berjalannya waktu dan bertambahnya usia seseorang atau disebut juga dengan lanjut usia. Tujuan penelitian ini untuk menilai sejauhmana pengkajian screening pengabaian kepada lansia menggunakan manual kertas dengan pengkajian screening pengabaian pada lansia dengan menggunakan aplikasi yang ada di smartphone android. Metode: Penelitian ini menggunakan Pre Experimental Design tanpa kelompok kontrol dengan metode pendekatan One Group Pretest-Posttest Design, yaitu penelitian yang melakukan observasi dengan menggunakan kuesioner sebelum eksperimen (pre-test) dan sesudah eksperimen (post-test). Pengukuran pengkajian pengabaian dilakukan 2 kali yaitu evaluasi pengkajian secara manual dan evaluasi pengkajian menggunakan aplikasi. Responden berjumlah 27 mahasiswa, penelitian ini dilaksanakan dengan menggunakan google foam. Hasil: Hasil uji statistik didapatkan nilai p value 0.001, maka dapat disimpulkan ada perbedaan yang signifikan antara Pengkajian manual dengan lembaran kertas dengan pengkajian dengan aplikasi Hp android. Saran: Saran dari penelitian ini, pengkajian screening pengabaian menggunakan aplikasi, sebagai bentuk kemajuan tekhnologi dapat dilakukan oleh petugas kesehatan. Pengkajian skrining pengabaian pada lansia juga dapat di lakukan oleh masyarakat umum.
The perineal wound is a difficult area to keep clean and dry. Postpartum mothers with perineal wounds complain of pain in their sutures and difficulty in doing activities. Perineal wound care is important to accelerate wound healing, avoid infection, and repair tissue. This study aimed to determine the effectiveness of decoction water of young areca nut and Kandis acid on pain intensity and perineal wound healing in postpartum mothers. This study used a quasi-experiment with a pre-post test with a control group design approach with a sample of 22 postpartum mothers consisting of 11 people intervention group and 11 people control group which are selected by accidental sampling. The measuring instruments were using the NRS pain scale and the Southampton scale and the Bates-Jensen Wound Continuity Scoring. The statistical analysis of the study using the Kruskal-Wallis test on the pain variable obtained p-value=0.000 (p-value<0.05), and the Wilcoxon test on the wound healing variable obtained p-value=0.003 (p-value<0.05). The results of the Mann-Whitney statistical test showed a significant difference between the intervention group and control group with p-value=0.000. The results of this study showed that therapy using decoction water of young areca nut and Kandis acid for 4 days was effective in pain relief and accelerating perineal wound healing in postpartum mothers. The information on perineal care using decoction water of young areca nut and Kandis acid can be used to help accelerate wound healing and pain relief, and prevent infection in postpartum mothers with a perineal wound.
The low coverage of breastfeeding is a threat to the growth and development of children. Some of the things that hinder exclusive breastfeeding include the low level of knowledge of mothers and families about the benefits of breastfeeding, and how to breastfeed properly. In addition, the lack of lactation counseling services and support from health workers, socio-cultural factors, the incessant marketing of formula milk, and factors of working mothers. Some things that can facilitate breastfeeding for working mothers are support from the office environment, support from superiors, coworkers, flexible work schedules, rest periods, positive work colleagues 'attitudes towards breastfeeding, working mothers' attitudes. While some things that can hinder breastfeeding are psychological stress caused by tight work time and discomfort at the time of breastfeeding. Lack of time and location of breastfeeding rooms is also recognized as one of the obstacles in breastfeeding during working hours. The counseling and assistance activities of exclusive breastfeeding are a real form of triad prevention that must be carried out by health workers, especially nurses at the community Health centers. Expressing milk is one of the solutions to keep breastfeeding at work. 5 facilities that can be provided by the workplace to keep breastfeeding, namely: a breast milk pump, a room for milking or a room for breastfeeding, rest periods for milking or for breastfeeding, there is a refrigerator for storing milk and there is support from the workplace. Mothers are committed to giving exclusive breastfeeding to their children, and for workplace institutions to provide opportunities for mothers who have children aged 0-6 months, continue to give their milk by relaxing time for the management of dairy milk.
The phenomenon of nurses in hospitals being preoccupied with recording documentation activities manually compared to providing independent nursing care to patients. One of the reasons for improving the behavior of nurses in documenting nursing care is increasing the ability of nurses to do documentation using application assistance to facilitate the work of nurses. This community service activity aims to improve the ability of nurses to document effectively and efficiently. The activity was carried out for two days through a zoom meeting. Previously, at the beginning of the activity, a nurse's ability pre-test was conducted and at the end of the session, another measurement was made for the nurse's ability. Community service activities were carried out with 45 nurses in South Sumatra. During the activity, the participants were very enthusiastic in listening, discussing with resource persons, and doing simulations well. There is an increase in documentation ability before and after the documentation training using SIMPACA is carried out. SIMPACA is proven to be effective in improving nurses' documentation skills and reducing nurses' time in documenting their nursing care to patients. There is a need for further development of SIMPACA because it must adapt to the needs of the hospital.
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