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Ovisen Imresah
Universitas Dehasen Bengkulu
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Nursing Interventions to Reduce Pre-Operative Anxiety in Children: A Literature Review Putri Sari; Yasma Yasma; Wahyu Utama; Supriatin Supriatin; Ovisen Imresah
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 4 (2026): Oktober
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i4.11832

Abstract

Preoperative anxiety in children is a highly prevalent psychological condition encountered in perioperative nursing practice, with reported prevalence rates ranging from 60 to 90 percent among pediatric surgical patients. This condition not only produces short-term psychological distress but also contributes to increased anesthetic requirements, impaired postoperative recovery, and prolonged hospitalization. This study aimed to identify, analyze, and synthesize nursing interventions proven effective in reducing preoperative anxiety among pediatric patients based on current scientific literature. A library research method was employed using a thematic analysis approach applied to ten peer-reviewed articles published between 2021 and 2026, retrieved from PubMed, Scopus, CINAHL, Google Scholar, and Portal Garuda databases. Findings revealed that non-pharmacological interventions including distraction techniques, music therapy, hand massage, guided imagery, family-centered education, therapeutic play, and parental presence during anesthesia induction significantly reduced preoperative anxiety levels in children. Distraction techniques demonstrated effectiveness comparable to or superior over pharmacological premedication such as midazolam. Nurses were identified as the primary professionals administering these interventions, holding a strategic role in perioperative anxiety management. This review concludes that the systematic integration of evidence-based nursing interventions into perioperative care standards for pediatric patients is a crucial step toward improving the quality and safety of pediatric surgical services.
The Use of Modern Dressing Foam to Accelerate the Epithelialization Process in Patients with Diabetic Ulcers and Impaired Skin Integrity Renny Astuti; Hendra Asev Marizon; Nurul Asmi Akailah; Vivi Dianita Albadri; Ovisen Imresah
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 4 (2026): Oktober
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i4.11874

Abstract

Diabetic ulcers are chronic complications of diabetes mellitus that commonly cause impaired skin integrity, prolonged wound healing, and increased risk of infection and amputation when not managed properly. Wound healing in patients with diabetes is often delayed due to hyperglycemia, neuropathy, peripheral vascular disorders, repeated pressure on the feet, and inadequate wound care. One wound care approach that is widely used today is modern foam dressing based on the principle of moist wound healing. This dressing helps maintain wound moisture, absorb excess exudate, reduce the risk of maceration, protect the wound bed from mechanical trauma, and support epithelialization. This study aimed to describe the application of modern foam dressing in accelerating the epithelialization process in patients with diabetic ulcers. A descriptive case study design was used involving one patient with diabetic ulcer at Alfacare Center Clinic, Bengkulu City. Nursing care was carried out through assessment, nursing diagnosis, planning, implementation, and evaluation. Wound development was assessed using the Bates-Jensen Wound Assessment Tool (BJWAT). The results showed wound improvement after three wound care sessions using modern foam dressing. The BJWAT score decreased from 32 to 26, epithelialization increased from less than 25% to 50-75%, exudate decreased, and granulation tissue improved. These findings indicate that modern foam dressing can be an effective dressing alternative to support epithelialization and accelerate wound healing in patients with diabetic ulcers.
The Relationship Between Environmental Sanitation and the Incidence of Dengue Hemorrhagic Fever (DHF) at Pengaringan Community Health Center, Pagar Alam City, in 2025 Batria Sulastri; Tri Komalasari; Nesa Wahyuni; Darika Reforma; Ovisen Imresah
Jurnal Multidisiplin Dehasen (MUDE) Vol 5 No 4 (2026): Oktober
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/mude.v5i4.13271

Abstract

The incidence of dengue fever has increased dramatically worldwide. The incidence of dengue fever is caused by environmental sanitation factors. In 2025 there will be an increase in dengue cases to 38 cases as of February 2025 based on data from the Pagaralam City Health Office, this significant increase makes researchers want to analyze the causes of dengue in terms of environmental sanitation. The purpose of this study is to determine the relationship between environmental sanitation and the incidence of dengue hemorrhagic fever (DHF) at the Pagaralam City Drainage Health Center in 2025. The research method used Cross Sectional with a sample of 162 respondents taken by accidental sampling. The results showed that the variables related to the incidence of dengue from environmental sanitation were the environmental condition of the house p value 0.004, water reservoir p value 0.013, and livestock cage sanitation p value 0.000. There was no relationship between SPAL and the waste disposal system with the incidence of dengue. It can be concluded that environmental sanitation is related to the incidence of dengue with the most dominant factor being the sanitation of livestock cages. It is recommended for the Pagaralam City Health Office to be able to create a program related to "Every Child is Jumantik", this program can be carried out by the Health Office in collaboration with schools and the surrounding community. Schools can assign each child to be a jumantik in their respective homes.
Co-Authors Batria Sulastri Darika Reforma Hendra Asev Marizon Nesa Wahyuni Nurul Asmi Akailah Putri Sari Renny Astuti Supriatin Supriatin Tri Komalasari Vivi Dianita Albadri Wahyu Utama Yasma Yasma