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Peningkatan Kualitas Hidup Pasien Kanker Payudara Melalui Program BESTCARE (Breast Cancer Wound and Palliative Care) Endah Janitra, Fitria; Wijayanti, Kurnia; Wahyuningsih, Indah Sri; Apriyanti, Hani Werdi
Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS) Vol 3, No 1 (2020): Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS)
Publisher : University of Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.325 KB) | DOI: 10.33474/jipemas.v3i1.4847

Abstract

The incidence of breast cancer increase every year, if didn’t controlled by the WHO estimates that there will be an increase of 30% and 70% in 2030. The patients often experience are complex problems such as the lack of self-confidence, pain in wounds and aesthetic problems. Postoperative patients or chemotherapy need proper care in order to achieve a good quality of life. The BESTCARE program aims to improve the quality of life of breast cancer patients through activities that can be carried out by cadres and patients. The methods was lectures, demonstrations and practices. While the media used are lectures, demonstrations, practices and wound care. The material presented includes the incidence of breast cancer, understanding, risk factors, conscious examination steps, wound care with modern dressing. Results: The team succeeded in forming a cancer care health, knowledge and understanding of the cadre of mam health increased from 50% to 85%, health cadres were able to make conscious movements from before 55% to 90%, an increase in the number of visits, decreased pain scale and wound care progress with modern dressing. Conclusion: The program of activities carried out by the Bestcare team was able to be carried out properly and as expected improving  the quality of life in palliative patients both  in the clinic or home visit.
Program PPUPIK BESTCARE Universitas Islam Sultan Agung Semarang Janitra, Fitria Endah; Wahyuningsih, Indah Sri; Wijayanti, Kurnia; Apriyanti, Hani Werdi
Community Empowerment Vol 4 No 2 (2019)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.125 KB) | DOI: 10.31603/ce.v4i2.3064

Abstract

Kanker payudara merupakan salah satu penyakit yang mengancam bagi seorang wanita. Angka kejadian kankerkhususnyakankerpayudaradi Indonesia setiap tahunnya juga menunjukkan peningkatan yang signifikan. Dalam proses perjalananpenyakitkankerdapatterjadikomplikasisalahsatunyalukakanker. Karakteristik luka kanker sangat berbeda dengan luka lainnya yaitu jaringan luka yang rapuh sehingga mudah terjadi perdarahan, bau menyengat dan jumlah eksudat yang banyak, rasa nyeri yang dialami pasin, dan resiko infeksi. Masalah ini sangat mempengaruhi keadaan fisik dan psikologis pasien dan keluarga.Klinik BESTCARE Unissulaadalahsebuahbentukpengabdianmasyarakat yang didanaiKemenristekdiktidalam skim PPUPIK yang memberikan perawatan luka modern pada pasien kanker payudara dan memberikan layanan psikoedukasi bagi pasien dan keluarga. Hasil dari kegiatan PPUPIK BESTCARE adalah meningkatnya jumlah kunjungan pasien setiap bulannyasehinggamenjadi income gererating unit bagiFakultasIlmuKeperawatanUnissula.Setelahdilakukanperawatan, progres luka kankersemakin membaik yaitu pada kunjungan ke 3 pasien sudah mengalami penurunan nyeri, bau dan perdarahan yang minimal, infeksi terkontrol, dan jumlah eksudat yang berkurang.
Efektifitas Musik Nature sounds dan Dzikir Terhadap Penurunan Tingkat Depresi Pasien Kanker Payudara Wahyuningsih, Indah Sri; Endah Janitra, Fitria; Melastuti, Erna
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/nursing.v7i2.3084

Abstract

Depression is one of the psychological responses experienced by breast cancer patients. One of the actions to reduce the psychological impact of breast cancer patients is with music therapy. Music effects can calm the soul, provide comfort, calm, so that arises a sense of enthusiasm and positive thoughts. The music used in this study is nature sounds. This music is very close to the environment and each individual recognizes the sounds of nature so that it is more easily and efficiently applied. Natural sound music with a combination of dzikir can be used as an alternative therapy to improve the mental status of breast cancer patients who experience depression. This study aims to determine the effect of combination therapy of nature sound and dhikr on the level of depression in breast cancer patients. The method used in this study is a quasi-experimental approach with a pre-equivalent non-equivalent without control group approach, to see differences in the average level of depression before and after giving a combination of music therapy and dhikr. Giving music therapy is given with a rhythm of 60-80 bpm, stable, low frequency and relaxing melody has been done 2 times a week. The data was processed with SPSS statistical software version 20.0 with normality test and paired t test. The results showed that the majority of patients aged 36-45 years (46.7%) and undergoing 3rd cycle chemotherapy (33.3%). Natural sound music therapy and dzikir significant to reduce depression scores with p value = 0.001. In conclusion, this study proves that nature sounds music therapy effectively to reduce depression scores in breast cancer patients
Pembentukan Kader Siaga Covid-19 Jogo Tonggo Kelurahan Bandarharjo (Sijago Bandarharjo) Janitra, Fitria Endah; Rochmawati, Dwi Heppy; Wibawa, Yan Adi
Community Empowerment Vol 6 No 4 (2021)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.335 KB) | DOI: 10.31603/ce.4594

Abstract

Covid-19 merupakan masalah kesehatan yang menimbulkan dampak yang besar di seluruh aspek kehidupan baik sosial, fisik, ekonomi dan kesehatan jiwa masyarakat. Penerapan protokol kesehatan Covid-19 merupakan kunci dalam mencegah penyebaran Covid-19 yang dalam hal ini dipengaruhi oleh karakteristik masyarakat di suatu daerah. Daerah yang memiliki tingkat pendidikan yang kurang serta ekonomi yang relatif lemah menyebabkan kurangnya kesadaran akan penerapan protokol kesehatan. Kelompok pengabdian masyarakat Unissula memandang Kelurahan Bandarharjo Semarang perlu mendapatkan pendampingan dengan membentuk Kader Siaga Covid-19 Jogo Tonggo (Sijago Bandarharjo). Kegiatan yang dilakukan berupa edukasi, pembuatan hand sanitizer, serta pembagian face shield dan masker kepada kelompok rentan. Setelah dilakukan kegiatan pengabdian, pengetahuan kader meningkat dari 62% menjadi 90% dan penerapan protokol Covid-19 meningkat dari 57% menjadi 74%.
Pembentukan peer group ‘GiRLs Can’ (Gerakan Remaja Lawan Cancer) sebagai upaya pengenalan dan pencegahan kanker payudara sejak dini Wijayanti, Kurnia; Janitra, Fitria Endah; Wahyuningsih, Indah Sri
Community Empowerment Forthcoming issue
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.4962

Abstract

Kanker payudara menjadi jenis kanker yang paling banyak diderita wanita dewasa dan remaja di Indonesia. Hal ini menjadi perhatian karena bisa meningkatkan resiko pada keturunan berikutnya. Oleh karena itu, perlu inisiasi untuk memberikan pemahaman, pengetahuan dan upaya pencegahan sejak dini untuk menekan angka kejadian kanker payudara dan mendeteksi kanker pada stadium awal sehingga kesembuhan maksimal bisa tercapai. Pembentukan kelompok atau peer group ‘GiRLs Can’ bertujuan untuk meningkatkan pengetahuan, ketrampilan, kemampuan, sehingga teman-teman dengan kesadaran secara aktif dalam upaya mencegah kanker payudara. Kegiatan ini dilaksanakan dengan pelatihan, demontrasi, praktik, dan mengajarkan ulang kepada teman. Setelah kegiatan, 90% anggota GiRLs Can mengalami peningkatan pengetahuan tentang konsep dasar kanker payudara, 90% mampu mendemontrasikan langkah-langkah pemeriksaan payudara sendiri (Sadari) dengan baik dan benar, dan 89% mampu mengajak teman lainnya untuk melakukan pemeriksaan payudara sendiri. Tim pengabdi merekomendasikan pembentukan kelompok sejenis di lokasi lain untuk meningkatkan kepedulian akan kanker payudara.
Inovasi virtual homecare: Solusi di tengah pandemi Janitra, Fitria Endah; Wahyuningsih, Indah Sri; Wijayanti, Kurnia; Wibawa, Yan Adi
Community Empowerment Forthcoming issue
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.5197

Abstract

Pandemi Covid-19 telah menimbulkan dampak yang luar biasa di dalam pelayanan kesehatan. Penggunaan teknologi dalam pelayanan kesehatan diharapkan dapat menjembatani terbatasnya akses dan mengurangi kontak fisik selama pelayanan. Merespon kondisi tersebut, “Bestcare Unissula” menerapkan virtual homecare yang bersinergi dengan pelayanan perawatan luka dengan tujuan meningkatkan kualitas pelayanan dan mempercepat penyembuhan luka. Kegiatan ini melibatkan 10 orang partisipan dengan luka kanker dan luka diabetes yang dikelola sejak bulan Maret – Mei 2021 di Kota Semarang. Setelah dilakukan virtual homecare, kejadian perdarahan pada luka kanker menurun 60%, kepatuhan diet dan kepatuhan minum obat partisipan meningkat 90%, dan 80% luka sembuh lebih cepat.
Correlation Between Blood Glucose Control And Decrease Of Peripheral Vascularization In Diabetes Mellitus Patient Fitria Endah Janitra; Dinda Sandika
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 4, No 1 (2018): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.4.1.18-22

Abstract

Introduction: Diabetes mellitus (DM) is a metabolic disorder characterized by elevated blood glucose levels. Chronic complications of DM affect coronary circulation, peripheral vascularization, and blood vessels of the brain. Decrease in peripheral vascularization increases the risk of tissue ischemia and weakens functional status, therefore it is necessary to control blood glucose levels. Islam teaches to its believers to control their diet, where diet is one of the four pillars of diabetes management. Methodology: this is analytic descriptive research with cross sectional methods in 67 respondents taken by consecutive sampling technique. Results: There was a significant correlation within blood glucose control and decreased peripheral vascularization in DM patients (p-value 0.010). Discussion: need further research regarding nursing intervention to control blood glucose.
The Nurses’ Experience during the Caring of Coronavirus (COVID-19) Patients: A Descriptive Qualitative Study Indah Sri Wahyuningsih; Fitria Endah Janitra; Rebriarina Hapsari; Sarinti Sarinti; Muhammad Mahfud; Failasuf Wibisono
Jurnal Keperawatan Padjadjaran Vol. 8 No. 3 (2020): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v8i3.1559

Abstract

COVID-19 transmission in the hospital environment can be catalized by a direct contact and droplets. Nurses are at the forefront of having the longest contact with the infected patient during the treatment. This research aims to dig on the deep meaning on the nurses’ practice during treating the COVID-19’s patients. This is a qualitative research design with a descriptive explorative approach. The sampling technique used in this research was a purposive side. The Data collection were carried out on five nurses who were in charge of caring the COVID-19 patients at two Semarang city’s hospitals. The research data were in the form of conversation transcripts which were analyzed using content analysis. This qualitative research analysis brought the results in three themes: first, the challenge of being a COVID-19 nurse in the emergency room, ICU and Covid care room, second, the resilience and resilience of nurses, third, the professionalism of nurses. This study indicate that the experience of nurses caring for COVID-19 patients has many challenges, namely fatigue, discomfort, anxiety, fear of contracting and stress. Anxiety creates psychological problems for nurses, which reduces the quality of service during the pandemic. Resilience and toughness are the main foundations for nurses during the pandemic.There is a need for further research with qualitative methods to look at the factors that impact on successful nursing care in COVID-19 patients during the pandemic.
Perceived Stigma, Psychological Response, and Nurse Coping In The Covid-19 Pandemic In Indonesia Fitria Endah Janitra; Erna Melastuti; Ah Yusuf; Harif Fadhilah; Yan Adi Wibawa
Jurnal Keperawatan Padjadjaran Vol. 9 No. 1 (2021): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v9i1.1561

Abstract

Nurses are at the forefront of being directly involved in the care of Covid-19 patients. This can put nurses in a difficult position, especially if they had lack support from the surrounding environment. The society’s negative stigma towards nurses can trigger psychological problems for them. Good coping is needed to maintain the work performance of nurses. This study aims to identify the perceived stigma, psychological response, and coping of nurses involved in caring for Covid-19 patients in Indonesia. This research was a cross-sectional study based on an electronic survey. The number of respondents was 509 nurses who came from all regions in Indonesia on 11–20 April 2020. Respondents were nurses who handled Covid-19 patients directly. The data were collected using a modified questionnaire the Berger stigma scale, DASS and Brief of Cope with a total of 27 questions. The questionnaires used have been proven valid and reliable after being tested on 30 nurses treating Covid-19 patients with a Cronbach Alpha value as follows: modified Berger Stigma Scale 0.952; modified DASS 0.928; and modified Brief of Cope 0.753. Most respondents were 26-35 years old (52.1%), female (61.5%), and worked in government-owned hospitals (48.3%). 231 respondents were stigmatized (45.4%), 274 respondents were depressed (46.2%) and 209 respondents experienced stress (41.1%). The majority of respondents chose problem focused coping (65.8%). This study shows that some respondents feel they were stigmatized by society, but they have good coping (problem focused coping) to reduce their mental burden. Negative stigma against nurses is often difficult to avoid. Support from family and colleagues was something that can ease the mental burden of nurses. Support from the government was needed to educate the public so that it does not give negative stigma to nurses and other health workers.
Pendampingan Pasien COVID-19 melalui Unissula Virtual Homecare Fitria Endah Janitra; Bedjo Santoso; Abdurrohim Abdurrohim; Herlin Ajeng Nurrahma; Rizkie Woro Hastuti; Heny Yuniarti
Jurnal Peduli Masyarakat Vol 3 No 4 (2021): Jurnal Peduli Masyarakat, Desember 2021
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v3i4.731

Abstract

Latar Belakang: Tingginya angka kesakitan dan kematian pada gelombang kedua kasus Covid-19 pada pertengahan tahun 2021 membuat hampir semua rumah sakit kolaps. Pasien Covid-19 dengan gejala ringan hingga sedang harus menjalani isolasi mandiri di rumah. Tujuan: Pengabdian kepada masyarakat ini bertujuan untuk membantu pasien Covid-19 dengan melibatkan dosen dan mahasiswa Unissula. Metode: Program ini disampaikan dengan memberikan layanan telemedicine dan konsultasi virtual menggunakan aplikasi WhatsApp dan website yang dirancang khusus oleh tim UVHC Unissula. Hasil: terdapat 80 pasien Covid-19 yang dilayani dan dipantau selama dua bulan pelaksanaan kegiatan. Dua pasien dirujuk ke rumah sakit untuk perawatan lebih lanjut. Diskusi: Semua pasien yang dikelola merasa terbantu dengan layanan Unissula Virtual Homecare. Unissula akan terus mengembangkan telemedicine untuk meningkatkan derajat kesehatan masyarakat.