ABSTRAKRheumatoid arthritis (RA) merupakan permasalahan sistem muskuloskeletal yang paling banyak terjadi di seluruh dunia, dampak dari RA menyebabkan gangguan kenyamanan, nyeri, keterbatasan mobilitas sampai dengan resiko kecacatan dan kelumpuhan. Program aktifitas fisik yang efektif sangat direkomendasikan bagi penderita RA adalah senam rematik yang sudah terbukti mampu mengurangi skala nyeri bagi para penderita RA. Berdasarkan studi pendahuluan ternyata penderita RA belum mengetahui cara melakukan senam rematik untuk mengurangi nyeri sendi. Sehingga pengenalan dan pemeberian senam rematik bagi para penderita RA wilayah kerja Puskesmas Pulau Pinang perlu untuk dilakukan sebagai program aktifitas fisik yang diharapkan mampu menurungkan skala nyeri bagi para penderita RA. Metode yang dilakukkan adalah melakukan studi pendahuluan, bekerjasama dengan tenaga kesehatan, tokoh masyarakat dan kader yang ada di wilayah Puskesmas Pulau Pinang, pelaksanaan kegiatan dengan memberikan pelatihan dengan cara menonton video dan praktek secara langsung senam rematik, selanjutnya dlakukan pemantaun sebelum dan sesudah intervensi dengan menggunakan lembar observasi Numerical Rating scale (NRS). Hasilnya setelah diberikan senam rematik selama 1 bulan, dengan 1x kegiatan setiap minggu dengan durasi 8 menit, terjadi penurunan skala nyeri 15 orang peserta yang mengalami nyeri sedang menjadi nyeri ringan. Senam rematik mampu mempengaruhi kerja cerebral cortex meliputi aspek kognitif maupun emosi, sehingga dapat memberikan persepsi positif dan relaksasi, yang berdampak pada perasaan bahagia dan mengurangi nyeri. Kata Kunci : senam rematik; rheumatoid arthritis; nyeri; komunitas. ABSTRACT Rheumatoid arthritis (RA) is the most common musculoskeletal system problem worldwide, the impact of RA causing discomfort, pain, limited mobility, and the risk of disability and paralysis. An effective physical activity program highly recommended for RA sufferers is rheumatic gymnastics, which has been proven to reduce pain scales for RA sufferers. Based on preliminary studies, RA patients do not know how to do rheumatic gymnastics to reduce joint pain. The introduction and intervention of rheumatic gymnastics for patients with RA in the Pulau Pinang Health Center need to be carried out as a physical activity program to reducing the pain scale for the sufferer of RA. The method used is conducting a preliminary study, collaboration with health workers, community leaders, and cadres in the Pulau Pinang Health Center area, implementing activities by providing training by watching videos and practicing rheumatic gymnastic, and then monitoring before and after the intervention using Numerical Rating scale (NRS) observation. The result was that after being given rheumatic exercise for one month, with one activity per week in 8 minutes duration, there was a decrease in the pain scale of 15 participants who experienced moderate pain to mild pain. Rheumatic gymnastics can affect the work of the cerebral cortex, including cognitive and emotional aspects, providing positive perceptions and relaxation, which has an impact on feelings of happiness and reduces pain. Keywords: rheumatic gymnastics; rheumatoid arthritis; pain; community.

Objective: With the advancement of technology, disaster preparedness related to hurricane hazards can be taught through an app. This study aimed to examine the effect of using an android-based disaster preparedness app on community knowledge and intentional behavior in hurricane risk areas. Methods: A quasi-experimental study was conducted from October to November, 2020 and a total of 80 respondents were recruited using cluster sampling. The treatment group was given the intervention in the form of the disaster preparedness app for 2 weeks. Meanwhile, the control group received home visits and conventional education about hurricane disasters twice throughout the same period. We then used a Wilcoxon Signed Rank test to analyze the pre-test and post-test and a Mann-Whitney U test to compare between treatment and control groups. Results: After the implementation of the SiBen app, we found a statistically significant difference in knowledge between treatment and control groups (P < 0.003) and intentional behavior between treatment and control groups (P < 0.001). Conclusion: The findings indicate that the disaster preparedness app was an effective educational program able to improve the knowledge and intentional behavior among community members in a hurricane risk area.

ABSTRAKDemam merupakan kondisi yang sering dijumpai pada anak-anak dengan prevalensi sebesar 30% dari total kunjungan ke dokter. Permasalahannya tidak semua orang tua mengetahui cara penanganan dan pengambilan keputusan perawatan anak yang dibutuhkan saat kondisi demam, membuat orang tua menjadi cemas, dan memungkinkan membuat keputusan yang salah untuk mengatasi demam pada anak. Kegiatan pelatihanan penanganan anak demam fase Pre Hospital dilaksanakan pada 30 warga Kelurahan Marga Rahayu, Kota Lubuklinggau, pada bulan November tahun 2021, dengan metode demonstrasi dan praktik yang bertujuan agar para partisipan memiliki pengetahuan dan keterampilan melakukan penanganan kasus anak demam di rumah. Hasilnya terdapat peningkatan rata-rata pengetahuan dan skil orang tua sebelum pelatihan sebesar 48.27 dan sesudah mengikuti pelatihan meningkat menjadi 78.67, kesimpulannya pelatihan penanganan anak demam fase pre hospital efektif dalam meningkatkan pengatahuan orang tua dalam penanganan anak demam fase pre hospital. Kata Kunci: anak demam; pertolongan pertama; pre-hospital ABSTRACTFever is a condition often found in children, with a prevalence of 30% of total visits to the doctor. The problem is that not all parents know how to handle and make decisions about child care when they have a fever. These Program Training activities were carried out for 30 residents of Marga Rahayu District, Lubuklinggau City, in November 2021, with demonstration and practice methods aimed at making the participants have the knowledge and skills to handle cases of children with fever at home. The result is an increase in parents' knowledge and skills before (48.27) and after attending the training become 78.67. This Program Training activities effectively increase parental knowledge and skills in handling children with prehospital fever. Keywords: child fever; first aid; pre-hospital..

ABSTRAKKasus henti jantung bisa terjadi dimana saja dan kapan saja. Berdasarkan data statistik, sebagian besar serangan jantung terjadi di luar rumah sakit. Akan tetapi pengetahuan masyarakat sangat rendah terkait pertolongan pertama henti jantung atau Basic Life Support (BLS). Henti jantung di luar rumah sakit membutuhkan perawatan cepat, dan tepat sebelum pasien dibawa ke rumah sakit untuk perawatan definitif. Akurasi dan kecepatan adalah kunci untuk memberikan pertolongan yang tepat pada kasus henti jantung, sehingga peningkatan pengetahuan kepada masyarakat awam terkait penatalaksanaan henti jantung di luar rumah sakit menjadi program penting dalam menciptakan orang awam yang mampu melakukan BLS. Melalui pelatihan BLS, yang memuaat tentang tatalaksana pertolongan henti jantung di luar rumah sakit, diharapkan dapat menciptakan orang awam terlatih di untuk melakukan BLS pada kejadian henti jantung di luar rumah sakit. Kegiatan ini dilakukan dengan menggunakan memberikan pelatihan, dengan metode ceramah, simulasi, dan praktik. Hasilnya terjadi peningkatan rata-rata pengetahuan peserta sebelum dan sesudah mengikuti simulasi dan praktek dalam membantu korban henti jantung di luar rumah sakit. Selanjutnya diharapkan adanya kesadaran dari pemerintah untuk menghadirkan sistem sederhana berbasis masyarakat sebagai alur awal pertolongan bagi pasien henti jantung, yang dapat memperlancar alur pelaporan kejadian henti jantung dan penanganannya yang tepat dan cepat. Kata Kunci : henti jantung, ; pertolongan pertama, ; henti jantung di luar rumah sakit ABSTRACTCases of cardiac arrest can occur anywhere and anytime. Based on statistical data, most cardiac arrests occur Out-of-hospital. However, community knowledge about first aid for cardiac arrest or Basic Life Support (BLS) is deficient. An out-of-hospital cardiac arrest requires prompt treatment, and just before the patient is taken to the hospital for definitive treatment. Accuracy and speed are the keys to saving people with cardiac arrest. Increasing knowledge regarding cardiac arrest management out-of-hospital becomes essential in creating bystanders in the community who can perform BLS properly. This BLS training activity is carried out by providing bystanders with simulation and practice methods. The result in this activity is shown by increasing the average value of participants' knowledge before and after participating in simulations and practices BLS for helping victims of cardiac arrest outside the hospital. Furthermore, it will be aware from the government to present a simple community-based system as an initial flow of help for cardiac arrest patients, which can facilitate the flow of reporting cardiac arrest events and their appropriate and fast handling. Keywords: cardiac arrest, ; first aid, ; out-of-hospital cardiac arrest

Introduction: Cardiac arrest is a situation that can lead to death if CPR is not immediately assisted. The chances of survival increase if the victims are directly helped by people nearby or CPR bystanders rather than waiting for the medical team to arrive. Training CPR bystanders requires large resources, including expensive CPR mannequins as a simulation medium. Creativity is needed to create cheap CPR simulation media with good feasibility. Objective: The study aimed to construct and test the effect of the CPR Pillow to improve the CPR skill in Lubuklinggau, South Sumatra, Indonesia. Method: Research and Development (R&D) with experimental tests, pre-test, and post-tests were applied in this study. Forty people were given two meetings within two weeks. Skill was measured by how the subject performed hand's-only CPR using the CPR Operational Procedure checklist. Result: The result of this study is the creation of a low-cost CPR pillow design that meets the eligibility as a low-fidelity simulation medium for CPR skills. The data analysis using the paired t-test showed a significant effect of CPR training using CPR Pillows on the trainees' hand's-only CPR skills (t=-37,749) with a value of p=0.000. Recommendation: This CPR pillow can be used as a hand's-only CPR simulation medium. CPR simulation using this CPR pillow is a low-fidelity simulation. There is a positive influence related to CPR training using this CPR pillow on the hands-only CPR skills of the trainees