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Aplikasi Teori Model Colcaba Dalam Pemenuhan Kebutuhan Rasa Nyaman Pada Neonatus Dengan Atresia Duodenum Nurhayati; Rahmania, Sarah; Laily, Dayang; Yulianti, Dian Anggur; Purwati, Nyimas Heny
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.232

Abstract

This research aims to analyze the application of Kolcaba Model Theory in meeting the needs of comfort in neonates with duodenal atresia. This research is a qualitative research with a case study approach on two neonates treated in the neonatal intensive care unit (NICU). Data were collected through direct observation, in-depth interviews with nurses and parents, and analysis of medical documents of two neonates as samples. The results showed that neonates' physical comfort was partially achieved with stable body temperature, although there were still problems with vital signs and skin condition, which required improvement in pain management and skin care. Environmental comfort was successfully maintained by keeping the baby's body temperature stable, although there were challenges in the room temperature which tended to be cold. These findings emphasize that nursing interventions based on Kolcaba Model Theory need to focus on improving pain management and skin care for physical comfort. The implementation of Kolcaba Model Theory in the care of neonates with duodenal atresia can improve the quality of nursing care in the NICU.
PEMANTAUAN BERBASIS ELEKTRONIK (MEDICATION EVENT MONITORING SYSTEM (MEMS)) UNTUK MENINGKATKAN KEPATUHAN TERHADAP TERAPI ANTIRETROVIRAL PADA ANAK DENGAN INFEKSI HIV/AIDS: TINJAUAN SISTEMATIS Rani, Amelia Hartika; Budiyati , Dwi; Farizal , Rinezia Rinza; Purwati, Nyimas Heny; Nursanti, Irna
An Idea Health Journal Vol 5 No 01 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i01.229

Abstract

Tuberculosis is still the main cause of death due to infectious diseases throughout the world. Adherence to antiretroviral (ARV) treatment for HIV infection is a major challenge because it involves many factors. This systematic review follows the PRISMA guidelines checklist and includes articles from various databases, such as Pubmed, Cochrane and Proquest. Quality assessment of each article is carried out using the Critical Appraisal Skills Program (CASP). The search was carried out using the keywords "ARV Therapy, HIV/AIDS Children, Monitoring System, ARV Compliance". Following the inclusion and exclusion criteria 10 relevant articles were identified, excluding duplicates, limited to full papers, open access, and written in English. These findings indicate that electronic-based monitoring shows an increase in medication adherence. Other studies also note that electronic monitoring devices can create a temporary increase in compliance but then decline after some time. These results indicate that electronic-based monitoring can have a significant clinical impact in improving medication compliance. Electronic monitoring is important, especially in children and adolescents who face unique challenges regarding compliance.
Prevalence and Related Psychological Aspects of Frailty in Hemodialysis Patients Natashia, Dhea; Irawati, Diana; Purwati, Nyimas Heny; Rahmi, Upik; Narawangsa, Asri; Handayani, Roswati; Heriadi, Ronny
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.23151

Abstract

Objective: This study aimed to ascertain the prevalence of frailty and associated psychological factors among hemodialysis patients. Methods: A cross-sectional study was conducted employing a convenience sample of CKD patients undergoing hemodialysis at a Jakarta hospital. A total of 151 participants were included in this study. Instruments included demographic and clinical characteristics. The Tilburg Frailty Indicator (TFI) assessed frailty, while the Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) evaluated psychological status. Data analysis encompassed univariate descriptive statistics, t-test, and Pearson correlation to identify the relationship among variables. A multivariate regression analysis studied frailty index associations with demographic, clinical, and psychological factors. Results: Results: This study indicates that the prevalence of frailty, assessed by the Tilburg Frailty Index (TFI), is 53.6%, primarily evident in the physical aspect. Positive correlations are found between frailty and age, unemployment, higher CCI, and a history of diabetes. Anxiety is correlated with female gender and a history of diabetes, while depression correlates with age, female gender, higher CCI, and a history of diabetes. Conclusion: The study highlights the complexity of frailty among hemodialysis patients. Significant correlations emerged, associating frailty with factors such as age, unemployment, comorbidity, and a history of diabetes. Frailty was linked to psychological aspects, specifically anxiety and depression. Tailored interventions are recommended, focusing on early identification, psychological support, and a holistic care approach. Educational initiatives for healthcare providers are crucial to enhance awareness and improve the quality of care for this vulnerable population, leading to better health outcomes.
The Primaku application is effective in monitoring early childhood growth and development through parental assistance Dais, Exsos Grend; Wahyuni, Emmy Putri; Lusty, Junita; Ruriwinita, Ruriwinita; Fitriyati, Fitriyati; Mursiah, Mursiah; Fitriana, Anantusia; Karwati, Eti; Sofyan, Evi; Purwati, Nyimas Heny; Sutini, Titin; Apriliawati, Anita
Riset Informasi Kesehatan Vol 14 No 1 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i1.939

Abstract

Background: Early childhood growth and development disorders are still a concern for parents today, especially stunting. Monitoring early childhood growth and development is still a difficulty for parents today. Lack of access to digital-based information about children's health information makes it easy for parents to underestimate this so that it is too late to take care of it. So, it is necessary to have an application for monitoring the growth and development of early childhood based on digital. Objectives: This study aims to determine the effect of the PrimaKu application on the assessment of early childhood growth and development through parental assistance. Methods: This study is a quantitative study with the type of Pre-Experiment, using the One Group Pretest-Posttest research design by providing parental assistance intervention using the PrimaKu Application in one meeting. The effect of the intervention was measured by comparing pre-test and post-test scores. Bivariate analysis was performed using the Wilcoxon Test. Results: The results of the analysis obtained a p-value: 0.001 (p <0.05) with a median pre-test>post-test value, namely 80.00>50.00 with a difference of 30.00. The minimum pre-test>post-test value, namely 50>30 with a difference of 20. The maximum pre-test>post-test value, namely 100>90 with a difference of 10. Conclusion: There is an effect of the PrimaKu application on the assessment of early childhood growth and development through parental assistance. So, that the use of the PrimaKu application is highly recommended for parents to use in assessing early childhood growth and development.
Hubungan Pengetahuan, Sikap Dan Paparan Asap Rokok Dengan Kejadian Pneumonia Pada Anak Balita Purwati, Nyimas Heny; Natasha, Dhea; Permatasari, Irma; Indanah; Nurohmah, Endah; Maemunah , Ai
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.24357

Abstract

Objective: The purpose of this study is to determine the relationship between attitude, knowledge and exposure to cigarette smoke and the incidence of pneumonia in toddlers Methods: This research is an analytical descriptive research with a cross sectional approach. The population in this study is mothers who have children with pneumonia with a total of 33 toddlers. Sampling technique with the Total Sampling method, Data collection technique using a questionnaire that has been tested for validity and reality. Results: There was a significant relationship between parental knowledge (p value:0.019; OR: 0.127) and exposure to cigarette smoke (pvalue: 0.02; OR: 7) with the incidence of pneumonia in toddlers and there was no significant relationship between parental attitudes and the incidence of pneumonia (p value:0.09) Conclusion: There was a significant relationship between maternal knowledge and exposure to cigarette smoke and the incidence of pneumonia in toddlers with a p value of < 0.05, and toddlers exposed to cigarette smoke were 7 times more likely to suffer from pneumonia compared to toddlers who were not exposed to cigarette smoke.
Aplikasi Primaku: Pendampingan Orang Tua Terhadap Penilaian Tumbuh Kembang Anak Usia Dini Dais, Exsos Grend; Wahyuni, Emmy Putri; Lusty, Junita; Ruriwinita, Ruriwinita; Fitriyati, Fitriyati; Mursiah, Mursiah; Fitriana, Anantusia; Karwati, Eti; Sofyan, Evi; Purwati, Nyimas Heny; Sutini, Titin; Apriliawati, Anita
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 7 No. 1 (2025): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v7i1.960

Abstract

Gangguan pertumbuhan dan perkembangan anak usia dini, terutama stunting, masih menjadi kekhawatiran utama bagi orang tua. Stunting dapat menghambat potensi sumber daya manusia, meningkatkan risiko kesehatan, dan bahkan berkontribusi pada kematian anak. Prevalensi stunting di Kabupaten Tangerang naik sebesar 5,3% pada tahun 2023 berdasarkan Survei Kesehatan Indonesia (SKI). Namun, kurangnya akses informasi berbasis digital mengenai kesehatan anak membuat orang tua sering menyepelekan pemantauan pertumbuhan dan perkembangan anak usia dini, sehingga terlambat melakukan intervensi. Sebagai solusi, pengabdian kepada masyarakat ini bertujuan memberikan pendampingan orang tua dalam penerapan aplikasi PrimaKu terhadap penilaian pertumbuhan dan perkembangan anak usia dini. Kegiatan ini dilaksanakan melalui pendampingan interaktif selama satu hari di Posyandu Rajawali Wilayah Kerja Puskesmas Bojong Nangka Tangerang yang diikuti oleh 44 orang tua. Metode mencakup pre-test, sesi ceramah, diskusi, demonstrasi aplikasi, dan post-test untuk mengevaluasi peningkatan pemahaman. Hasil pre-test dan post-test menunjukkan peningkatan signifikan pada pengetahuan orang tua terhadap penilaian pertumbuhan dan perkembangan anak usia dini. Diharapkan, orang tua dapat mengimplementasikan penggunaan aplikasi PrimaKu secara mandiri, sehingga membantu menurunkan angka kejadian stunting. Sebagai tindak lanjut, perlu dilakukan penelitian untuk mengevaluasi efektivitas pendampingan orang tua dalam penerapan aplikasi PrimaKu terhadap penilaian pertumbuhan dan perkembangan anak usia dini.
Aplikasi Teori Model Colcaba Dalam Pemenuhan Kebutuhan Rasa Nyaman Pada Neonatus Dengan Atresia Duodenum Nurhayati; Rahmania, Sarah; Laily, Dayang; Yulianti, Dian Anggur; Purwati, Nyimas Heny
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.232

Abstract

This research aims to analyze the application of Kolcaba Model Theory in meeting the needs of comfort in neonates with duodenal atresia. This research is a qualitative research with a case study approach on two neonates treated in the neonatal intensive care unit (NICU). Data were collected through direct observation, in-depth interviews with nurses and parents, and analysis of medical documents of two neonates as samples. The results showed that neonates' physical comfort was partially achieved with stable body temperature, although there were still problems with vital signs and skin condition, which required improvement in pain management and skin care. Environmental comfort was successfully maintained by keeping the baby's body temperature stable, although there were challenges in the room temperature which tended to be cold. These findings emphasize that nursing interventions based on Kolcaba Model Theory need to focus on improving pain management and skin care for physical comfort. The implementation of Kolcaba Model Theory in the care of neonates with duodenal atresia can improve the quality of nursing care in the NICU.
Self-help skills improve independence of activities daily living in pre-school children with child abuse Lusty, Junita; Sutini, Titin; Purwati, Nyimas Heny; Srisantyorini, Triana
Riset Informasi Kesehatan Vol 14 No 2 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i2.1034

Abstract

Background: Children who are abused are prone to delayed growth and development, including the development of independent Activities Daily Living (ADL). Self-help skills are motor skills that can help children to fulfill basic needs independently through Activities Daily Living (ADL). Therefore, adults around them, including caregivers in orphanages, need to teach self-help skills to improve children's ADL independence. Objectives: This study aims to determine the effect of self-help skills on Activities Daily Living (bathing, brushing teeth, personal hygiene, toileting, dressing, and eating) independence in pre-school children with child abuse which is measured by ADLIC (Activities of Daily Living Iranian Children). Methods: Respondents in this study were pre-school children with child abuse who were given self-help skills with a total of 36 respondents divided into intervention and control groups. The research design used a quasi-experimental design with a non-equivalent control group pre-post test. The bivariate analysis used in bathing, brushing teeth, personal hygiene, and toileting variables was paired t-test, while the variables of dressing and eating was used Wilcoxon Signed Rank Test. Results: The p-value result in the intervention group is 0.000 (<0.05) which indicates that there is a difference in ADL ability from before and after the intervention. In the control group, the p-value> 0.05 was obtained, indicating that there was no difference between ADL abilities before and after. There is a significant average increase in the intervention group compared to the control group. Conclusion: The results of this study indicate that there are average increase in the independence of Activities Daily Living (ADL) in pre-school children with child abuse in the intervention group after being given treatment in the form of self-help skills. Therefore, it is hoped that all parties involved in the care of children with a history of child abuse are able to minimize the impact that occurs due to child abuse and understand the concept of self-help skills that support the development of the independence of ADL.
Pengaruh teknik relaksasi benson terhadap fatigue pada remaja dengan thalasemia yang menjalani transfusi darah Farizal, Rinezia Rinza; Anwar, Syamsul; Sutini, Titin; Purwati, Nyimas Heny
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1530

Abstract

Background: Fatigue is one of the most common chronic symptoms experienced by adolescents with thalassemia major as a consequence of the disease and routine blood transfusions. This condition negatively affects quality of life, daily activities, and psychological well-being. Benson relaxation technique, as a non-pharmacological intervention, has the potential to reduce fatigue by lowering stress and anxiety while promoting relaxation.Purpose: To examine the effectiveness of Benson relaxation technique in reducing fatigue among adolescents with thalassemia undergoing blood transfusion.Methods: A quasi-experimental design with a pre-post test control group approach was employed. The sample consisted of 30 adolescents (15 in the intervention group and 15 in the control group) selected through purposive sampling. The intervention group practiced Benson relaxation twice a week for four weeks (15–20 minutes), while the control group received standard care. Fatigue levels were measured using the Visual Analogue Scale for Fatigue (VAS-F). Data were analyzed using paired t-test and General Linear Model Repeated Measure (GLM-RM).Results: A significant difference was found in fatigue scores before and after the intervention in the treatment group (p<0.05), as well as between the intervention and control groups. GLM-RM analysis demonstrated that Benson relaxation technique effectively reduced fatigue consistently up to the fourth week.Conclusion: Benson relaxation technique is proven to be effective in reducing fatigue among adolescents with thalassemia undergoing blood transfusion. Keywords: Adolescents; Benson Relaxation Technique; Blood Transfusion; Fatigue; Thalassemia.   Pendahuluan: Fatigue merupakan salah satu gejala kronis yang paling sering dialami remaja dengan thalasemia mayor akibat kondisi penyakit dan prosedur transfusi darah rutin. Kondisi ini dapat menurunkan kualitas hidup, membatasi aktivitas sehari-hari, serta berdampak pada kesehatan psikologis. Teknik relaksasi Benson sebagai intervensi non-farmakologis diyakini mampu menurunkan fatigue melalui mekanisme pengurangan stres, kecemasan, dan peningkatan rasa relaksasi.Tujuan: Untuk mengetahui efektivitas teknik relaksasi benson dalam menurunkan tingkat fatigue pada remaja dengan thalasemia yang menjalani transfusi darah.Metode: Penelitian desain quasi-experimental dengan rancangan pre-post test with control group. Sampel terdiri dari 30 remaja (15 kelompok intervensi dan 15 kelompok kontrol) yang dipilih dengan purposive sampling. Kelompok intervensi menjalani teknik relaksasi Benson dua kali seminggu selama empat minggu (15–20 menit), sedangkan kelompok kontrol hanya memperoleh perawatan standar. Tingkat fatigue diukur menggunakan Visual Analogue Scale for Fatigue (VAS-F). Analisis data dilakukan dengan paired t-test dan General Linear Model Repeated Measure (GLM-RM).Hasil: Terdapat perbedaan signifikan skor fatigue sebelum dan sesudah intervensi pada kelompok perlakuan (p<0.05), serta perbedaan bermakna antara kelompok intervensi dan kontrol. Analisis GLM-RM menunjukkan bahwa teknik relaksasi Benson efektif menurunkan fatigue secara konsisten hingga minggu keempat.Simpulan: Teknik relaksasi Benson terbukti efektif menurunkan tingkat fatigue pada remaja dengan thalasemia yang menjalani transfusi darah. Kata Kunci: Fatigue; Remaja; Teknik Relaksasi Benson; Thalasemia; Transfusi darah.
The Effect of Moringa Leaf Processing on Hemoglobin Levels in Stunted Toddlers Sahureka, Marthina; Fauziah, Munaya; Sutini, Titin; Purwati, Nyimas Heny; Nuraidah, Nuraidah
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3482

Abstract

Children facing prolonged malnutrition are susceptible to stunting, a condition marked by insufficient hemoglobin levels crucial for oxygen and nutrient transportation in the bloodstream. Addressing this issue involves dietary interventions rich in protein and iron, such as processed Moringa leaves. This study aims to identify the effect of giving processed Moringa leaves on increasing hemoglobin levels in stunted toddlers in the Tawiri Community Health Center working area, Ambon City. This research method is a quasi-experimental two-group pretest-posttest design with control group with a sample of 22 toddlers in each group. The data in this study were collected using the Morisky Medication Adherence Scale-8 (MMAS), a measurement tool for medication adherence in patients with chronic diseases, consisting of 8 questionnaire items. The classification of the results is as follows: a score of <6 indicates low adherence, 6-7 indicates medium adherence, and 8 indicates high adherence. The research results showed that the average hemoglobin level in the intervention group before and after administering processed Moringa leaves was 10.20-11.34 (difference: 1.14 g/dl), while in the control group it was 10.42 g/dl-10.45 g/dl (difference: 0.03 g/ dl). Based on the results of the analysis, it was found that the p-value was 0.001, which meant that there was a difference in the increase in hemoglobin levels of stunted toddlers in the intervention group and the control group. In the multivariate analysis of the confounding variables (age, gender, nutritional adequacy, and physical activity) that influenced hemoglobin levels were comorbidities with a p-value of 0.012. The results of this research can be used as a basis for parents to give processed Moringa leaves to stunting toddlers as an effort to increase hemoglobin levels.
Co-Authors Agustia, Wahyuni Amalia, Hayuni Anggareani, Aniek Anita Anita Aprilawati, Anita Apriliawati, Anita Arofiati, Fitri Awaliah, Awaliah Budiyati , Dwi Budiyati, Dwi Dais, Exsos Grend Endah Wahyuni Eni Widiastuti, Eni Fadhilah, Harif Fadhillah, Harif Farizal , Rinezia Rinza Farizal, Rinezia Rinza Fitri Haryanti Fitriana, Anantusia Fitriarini, Fitriarini Fitriyati, Fitriyati Hadi, Muhamad Hamidah . Handayani, Roswati Heriadi, Ronny Ibnu Hajar Imroatun, Tri Indanah Irawati, Diana Istinganah Istinganah Istiyani, Sri Kadewi, Ami Karwati, Eti Komariah, Elis Kurnianingsih, Neniek Laily, Dayang Lestari, Popy Lindesi Yanti Lismayanti, Desty Lumbatoruan, Astuti Lusty, junita Maemun, Siti Maemunah , Ai Maharani, Rahayu Maimunah, Ai Maya Sari Mayasari Mayasari, Mayasari Misparsih, Misparsih Muhammad Hadi Munaya Fauziah Mursiah, Mursiah Narawangsa, Asri Natasha, Dhea Natashia, Dhea Nuraidah Nuraidah, Nuraidah Nurhayati Nurohmah, Endah Nursalam Nursalam Nursanti, Irna Permatasari, Irma Prabawati, Dewi Purwani, Emy Putri, Amelia Eka Rahmania, Sarah Rani, Amelia Hartika Renhoran, Farida Ruriwinita, Ruriwinita Sahariah, Sahariah Sahureka, Marthina Sahureka, Marthine Sari, Denny Novita Mayang Sarini Sarini Satinah, Satinah Setiawati, Dewi Nur setiyaningrum, titik Sofyan, Evi Srisantyorini, Triana Sulistiawati, Helda Sulistiawati, Reni Syamsul Anwar, Syamsul Tintin Sukartini Sukartini, Tintin Sukartini TITIN SUPRIATIN, TITIN Titin Sutini, Titin Tuti Nuraini Upik Rahmi, Upik Wahyu Hidayati Wahyuni, Emmy Putri Yanny Trisyani Yulianti, Dian Anggur Zein, Jus Yuly Evi Zein