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All Journal JIKI JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Peduli Masyarakat Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan PROFESI (Profesional Islam): Media Publikasi Penelitian Jurnal Kesehatan Tambusai Intan Husada : Jurnal Ilmiah Keperawatan Empiricism Journal Proceedings of the International Conference on Nursing and Health Sciences Proceeding of International Conference Health, Science And Technology (ICOHETECH) Prosiding Seminar Informasi Kesehatan Nasional Riset Informasi Kesehatan Jurnal Konseling Pendidikan Islam TRIAGE Jurnal Pustaka Keperawatan Jurnal Pengabdian Kepada Masyarakat Citra Delima JOURNAL OF PHILANTHROPY: The Journal of Community Service
Rahmasari, Ikrima
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Systematic Review Therapeutic Positions Are Able To Improve The Hemodynamic Status Of Acute Decompensated Heart Failure (Adhf) Patients Rahmasari, Ikrima; Irawan AM, Ady; Najib Hassan, Ahmad; Andita Febriana, Andita
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/icohetech.v5i1.4232

Abstract

Background: Acute Decompensated Heart Failure (ADHF) is acute heart failure which is defined as a rapid onset of symptoms due to abnormal heart function. These dysfunctions include systolic and diastolic dysfunction, heart rhythm abnormalities, or preload and afterload imbalances. ADHF is a new attack without previous heart defects, or is decompensation of chronic heart failure (Chronic Heart Failure) that has been experienced previously. ADHF occurs when cardiac output cannot meet the body's metabolic needs. Objective: in this study, namely to determine the results of a literature review of the effect of therapeutic positions on hemodynamic status in ADHF patients. The method in this research is a literature review method using a literature search strategy through online media which includes searching on Google Scholar, PubMed, Research Gate, Elsevier, NCBI. Results: Based on the results of the literature review, all studies (4 studies) reviewed showed results of improvement in hemodynamic status, namely respiratory frequency, oxygen saturation (SaO2), blood pressure, heat rate, and CRT in ADHF patients who were given therapeutic position intervention: semi fowlershows increased oxygen saturation, decreased shortness of breath, stable blood pressure, hate rate, and respiratory rate. Conclusion: The therapeutic position, namely the semi fowler position, has an effect on improving the hemodynamic status of ADHF patients
Peran Perawat dalam Proses Tindakan Rehabilitatif Pasien Pasca Stroke di RSUD dr. Moewardi Surakarta Anggraini, Aulia; Rahmasari, Ikrima; Firdaus, Insanul
Empiricism Journal Vol. 6 No. 3: September 2025
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/41a37262

Abstract

Stroke merupakan masalah kesehatan global dengan tingkat morbiditas dan mortalitas yang tinggi, sering kali mengakibatkan disabilitas jangka panjang. Perawat memiliki peran krusial dalam proses rehabilitasi pasca-stroke, yang mencakup tahap akut hingga pemulihan fungsional di rumah. Penelitian kualitatif ini bertujuan untuk mengeksplorasi dan mendeskripsikan peran perawat dalam rehabilitasi pasien pasca-stroke di RSUD dr. Moewardi Surakarta serta faktor-faktor yang memengaruhi pelaksanaan peran tersebut. Metode yang digunakan adalah wawancara terpusat (focused interviews) dengan empat perawat rehabilitatif yang berpengalaman. Hasil penelitian menunjukkan bahwa perawat memiliki peran aktif dalam edukasi rehabilitasi, pelatihan keluarga, koordinasi perawatan, implementasi terapi fisik (terutama latihan Range of Motion/ROM), serta pemantauan dan evaluasi hasil rehabilitasi. Tantangan utama yang dihadapi termasuk persepsi yang tidak realistis dari pasien dan keluarga, penanganan kasus kontraktur otot, serta keterbatasan sumber daya. Meskipun demikian, penggunaan teknologi digital dan kolaborasi tim medis terbukti menjadi kunci keberhasilan rehabilitasi. Penelitian ini menegaskan pentingnya peran multidimensional perawat dalam meningkatkan kualitas hidup pasien pasca-stroke. The Role of Nurses in the Rehabilitation Process for Post-Stroke Patients at RSUD dr. Moewardi surakarta Abstract Stroke is a global health issue with high morbidity and mortality rates, often resulting in long-term disability. Nurses play a crucial role in the post-stroke rehabilitation process, ranging from the acute phase to functional recovery at home. This qualitative study aims to explore and describe the role of nurses in the rehabilitation of post-stroke patients at RSUD dr. Moewardi Surakarta, as well as the factors influencing the execution of this role. The research method employed focused interviews with four experienced rehabilitation nurses. The findings indicate that nurses play an active role in rehabilitation education, family training, care coordination, implementation of physical therapy (particularly Range of Motion/ROM exercises), and monitoring and evaluating rehabilitation outcomes. Major challenges include unrealistic perceptions from patients and families, handling specific cases such as muscle contractures, and resource management. However, the use of digital technology and medical team collaboration have proven to be key factors for success. This study emphasizes the multidimensional role of nurses in improving the quality of life for post-stroke patients.
Efektivitas Posisi Semi Fowler 45° pada Kualitas Tidur Pasien Congestive Heart Failure Nourma Nurlita Sari, Nourma; Rahmasari, Ikrima; Widiastuti, Agung; Utomo, Endrat Kartiko; Yudhianto, Kresna Agung
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 2 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i2.1943

Abstract

Sleep disturbance is a common problem in patients with Congestive Heart Failure (CHF), often caused by disease symptoms such as dyspnea, which negatively impacts their quality of life. The 45° Semi-Fowler's position is a simple non-pharmacological nursing intervention that can improve lung expansion, reduce cardiac workload, and enhance patient comfort, thereby potentially improving sleep quality.This study aimed to determine the effect of the 45° Semi-Fowler's position on the sleep quality of CHF patients at RSUD dr. Moewardi Surakarta. This research employed a quasi-experimental design with a one-group pretest-posttest approach. A total of 32 CHF patients were selected using a purposive sampling technique.The intervention, applying the 45° Semi-Fowler's position, was administered for 30 minutes daily over three consecutive days. Prior to the intervention, patients were generally positioned supine or with minimal elevation. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and data were analyzed with the Wilcoxon Signed-Rank Test.The results showed a statistically significant difference in PSQI scores before and after the intervention (p < 0.05), with the median score decreasing from 7.00 (Poor Quality) to 4.00 (Good Quality)10. This clinically significant reduction suggests a positive impact of the positioning.This study concludes that the 45° Semi-Fowler's position is effective in improving the sleep quality of CHF patients and can be recommended as a standard nursing intervention, though future studies should utilize a Randomized Controlled Trial design to control for confounding factors, such as the placebo effect
Intervensi Cold Pack Terhadap Intensitas Nyeri Pasien Pasca Prosedur Kateterisasi Jantung Dhivenka Perwita Putri, Riska; Irawan AM, Ady; Rahmasari, Ikrima
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pain is a common side effect experienced by patients after undergoing cardiac catheterization procedures, primarily caused by trauma to the vascular tissue at the catheter insertion site. To address this issue, a non-pharmacological intervention that is easy to apply, safe, and effective is the use of cold pack therapy, which works by inducing vasoconstriction and inhibiting the transmission of pain impulses through nerve fibers, thereby reducing pain perception. This study aimed to determine the effect of cold pack application on pain intensity in post-cardiac catheterization patients at Dr. Moewardi General Hospital, Surakarta. This study used a quasi-experimental design with a pretest-posttest control group approach, involving 46 respondents selected using accidental sampling technique. The respondents were evenly divided into two groups of 23: the intervention group received cold pack therapy, while the control group received standard care. The measurement instruments used were the Numeric Rating Scale (NRS) and an observation sheet. Data were analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney U Test. The Wilcoxon test showed a significant change in pain intensity in the intervention group before and after the application of cold pack (p = 0.000). In addition, the Mann-Whitney test showed a significant posttest difference between the intervention and control groups (p = 0.000). The results indicate that cold pack therapy is proven effective in reducing pain in post-cardiac catheterization patients and can be implemented as part of non-pharmacological nursing interventions in the management of pain after invasive procedures.
Co-Authors Agus Setyawan AM, Ady Irawan Andita Febriana, Andita Aulia Anggraini, Aulia Auliasari, Khoirisma Budiarti, Dhiani Budiati, Dhiani Buyu prakoso, Adi dewi, nita sukma Dhivenka Perwita Putri, Riska Dyan, Dyan Endah Sri Wahyuni Ermawati, Muzaroah Fakhrudin Nasrul Sani Gymnastiar, Firzy Alvian Syafitto Hendra Dwi Kurniawan, Hendra Dwi Ifalahma, Darah Irawan AM, Ady Irawan, Ady Kartikasari, Annisa Yuli Kartiko, Endrat Kresna Agung Yudhianto Kurniawati, Nita Kusumaningrum, Rahma Puspita Listyani, Tiara Ajeng Luthfiyanti, Niken Marni Marni, Marni Musta'in, Musta'in Mustain Mustain Musta’in, Musta’in Muzaroah Ermawati Ulkhasanah Najib Hassan, Ahmad Nourma Nurlita Sari, Nourma Nurmawati, Niya Pratiwi, Nuri Okta Purwati Purwati Puspitasari, Rara Ayu Putri, Rosalia Dian Arsyta Ridzuan, Ilyas Syafiq Darul Sitti Rahma Soleman Sukini, Sukini Sulistyaningsih Sulistyaningsih Sunarya, Nana Alfina Totok Wahyudi Tri Yuniarti, Tri Utomo, Endrat Kartiko Wahyuningsih, Novi Wargani, Rizki Nugraha Widiastuti, Agung Wulandari, Ziara Arum Yani Sofiani Yuli Kartikasari, Annisa Yuliana, Ana Yunitri, Ninik