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When, How, and Barriers of Palliative Care in Intensive Care Unit: A Scoping Review Sanny Frisca; Dheni Koerniawan; Ketut Suryani; Vincensius Surani
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.4258

Abstract

Palliative and near-death conditions in critical ill patients may occur, either predictable prognosis or acute conditions. Nurses are often unprepared for these care needs, resulting in suboptimal patient care. This study aims to review empirical evidence over the past 10 years regarding when to start, how to apply, and constraints during applying palliative care and end of life (EoL) care in intensive care. This review was conducted using journal database CINAHL, PubMed, Scopus, and WOS and selected article by PRISMA. The findings show EoL care begins when the medical team has assessed and approved by the patient and family including using the referral checklist format from intensive care to EoL care including the resources needed. In addition, during the upbringing process counselling and consultation with the family for any decision-making medical measures, nursing rounds, emotional and spiritual support and touches and hugs for the patient and family, including support for the entire medical team. However, there are also obstacles in the right communication time to families, discussions about death, and improving the competence of nurses through EoL education and training.
High Self-Efficacy Strongly Predicted Self-Management Among Hypertensive Patients in Palembang Sanny Frisca; Dheni Koerniawan
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.5694

Abstract

Hypertension as a chronic disease with a major sign of increased blood pressure is becoming a problem globally. Increased blood pressure can be the cause of various other chronic diseases such as coronary artery disease and stroke. As an effort to prevent these complications, hypertensive patients need good and sustainable self-care. Self-efficacy is one of the factors that contribute to good self-care. This study aims to determine the effectiveness of self-efficacy on self-management in hypertensive patients. This study was conducted in Palembang with 35 respondents with hypertension aged >17 years. Data was taken through self-efficacy and self-management questionnaires that have been declared valid and reliable. Most 35 respondents have elementary and high-school education backgrounds, high self-efficacy, and moderate self-management. Self-efficacy strongly predicts self-management, although age and educational background do not significantly influence it.
Kenyamanan Kontemplasi dan Mendiskusikan Proses Menjelang Akhir Hayat Dheni Koerniawan; Sanny Frisca
Jurnal Penelitian Perawat Profesional Vol. 8 No. 2 (2026): April 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i2.1089

Abstract

Proses menjelang akhir hayat atau End-of-Life (EoL) merupakan hal yang sangat jarang didiskusikan antara pasien, keluarga, dan perawat karena hal ini bersifat sensitif dan sebagian besar menganggapnya tabu. Namun, perawat perlu memahami perasaan dan tingkat kenyamanan individu untuk menentukan cara dan waktu yang tepat untuk mulai mendiskusikan kondisi EoL dan pilihan perawatan yang dapat diambil. Penelitian ini bertujuan untuk mengetahui perbedaan tingkat kenyamanan dalam kontemplasi dan mendiskusikan EoL dan pilihan perawatan EoL (EoL care/EoLC). Sampel penelitian berjumlah 175 subjek didapat melalui purposive sampling yang diukur menggunakan kuesioner dan kemudian datanya dianalisis secara deskriptif dan inferensial menggunakan uji komparasi Wilcoxon. Hasil penelitian menunjukkan adanya perbedaan yang signifikan antara kontemplasi dan mendiskusikan EoL serta antara kontemplasi dan mendiskusikan pilihan EoL.
EDUKASI DAN BRAIN GYM EXERCIES DALAM MENINGKATKAN KONSENTRASI BELAJAR REMAJA Aprida Manurung; Lilik Pranata; Novita E Daeli; Sanny Frisca
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.30093

Abstract

Abstrak: Remaja merupakan masa dimana seseorang lebih intens dengan peer group. Remaja memiliki tantangan untuk fokus berkonsentrasi dalam belajar karena penggaruh peer groupnya. Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas bekerja sama dengan SMK di Kota Palembang melakukan edukasi dan Brain Gym Exercies dengan tujuan agar remaja mendapatkan pengetahuan umum tentang konsentrasi belajar dan mampu melakukan brain gym exercies sebagai upaya untuk meningkatkan konsentrasi belajar. Kegiatan ini dilakukan dengan memberikan sosialisai dan mempraktikan Brain Gym Exercies. Adapun mitra dalam pengabdian ini adalah siswa kelas XI di SMK Kota Palembang sebanyak 60 siswa. Kegiatan evaluasi pengetahuan dilakukan menggunakan kuesioner tentang konsentrasi belajar sebelum dan setelah dilakukan edukasi. Terdapat peningkatan pengetahuan sebesar 85%. Evaluasi brain gym exercies dilakukan dengan Army Alpha Test sebelum dan setelah mempraktikan brain gym exercies, dengan hasil 40% remaja menunjukan peningkatan konsentrasi. Kegiatan Brain Gym Exercies ini diharapkan dapat dilakukan sebelum memulai proese belajar untuk meningkatkan konsentrasi belajar siswa.Abstract: Adolescence is a time when someone is more intense with their peer group. This adolescence has challenges to focus on concentrating on learning because of the influence of their peer group. The Faculty of Health Sciences, Musi Charitas Catholic University in collaboration with SMK in Palembang City conducted education and Brain Gym Exercises with the aim that adolescents gain knowledge about how to improve concentration and are able to do brain gym exercises as an effort to improve learning concentration. This activity was carried out by providing socialization and practicing Brain Gym Exercises. The partners in this service were 60 grade XI students at SMK Palembang City. Knowledge evaluation activities were carried out using questionnaires about learning concentration before and after education. There was an increase in knowledge of 85%. Evaluation of brain gym exercises was carried out with Grid Concentration Exercises before and after practicing brain gym exercises, with the results that 28% of adolescents showed increased concentration. This Brain Gym Exercise activity is expected to be carried out before starting the learning process to improve students' learning concentration.
Penerapan Senam Kaki terhadap Diabetic Sensorymotor Polyneuropathy dan Gula Darah Sewaktu pada Penderita Diabetes Melitus Mona Destriana; Sanny Frisca; Veroneka Yosefpa Windahandayani
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 4 No. 3 (2026): Juli: Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v4i3.1092

Abstract

Diabetic Sensorimotor Polyneuropathy (DSPN) is a common chronic complication of diabetes mellitus caused by persistent hyperglycemia, resulting in sensory, motor, and autonomic nerve damage, particularly in the lower extremities. DSPN increases the risk of diabetic foot ulcers, infections, and amputations. Previous studies by Astuti and Ritonga showed that diabetic foot exercises can improve peripheral neuropathy and reduce blood glucose levels. To evaluate the effect of diabetic foot exercises on DSPN and random blood glucose (RBG) levels in patients with diabetes mellitus. This evidence-based practice (EBP) implementation involved three patients with diabetes mellitus. Random blood glucose was measured using a glucometer, while DSPN was assessed using the Neuropathy Symptom Score (NSS) and Neuropathy Disability Score (NDS). Foot exercises were performed twice daily for four consecutive days following the standard operating procedure. All respondents showed decreased RBG levels. Nursing assessment identified unstable blood glucose levels, ineffective peripheral tissue perfusion, and deficient knowledge regarding a healthy lifestyle. The average RBG reduction was 12.8%, with improved NSS and NDS scores. After four days, all respondents demonstrated lower RBG levels and improved DSPN status. Diabetic foot exercise may serve as an effective complementary nursing intervention to improve glycemic control and peripheral nerve function.
PENERAPAN SENAM AEROBIK LOW IMPACT TERHADAP HEMODINAMIK, METABOLIK DAN ANTROPOMETRI PADA PASIEN OBESITAS Berliana Ramadhona; Sanny Frisca; Novita Anggraini
Jurnal Penelitian Kesehatan Pelamonia Indonesia Vol. 9 No. 1 (2026): Jurnal Penelitian Kesehatan Pelamonia Indonesia
Publisher : Institut Kesehatan Pelamonia

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

Abstract

Obesity is defined as an accumulation of excess body fat, indicated by a Body Mass Index (BMI) of ≥30. It is caused by caloric intake exceeding energy expenditure, resulting in fat storage. Obesity serves as a precursor to various diseases. Management of obesity can be achieved through moderate-intensity physical activity specifically low-impact aerobic exercise as it increases energy expenditure and optimizes fat reserve burning without placing undue stress on the joints. To analyze nursing care involving low-impact aerobic exercise in terms of its effect on hemodynamic, metabolic, and anthropometric parameters in individuals with obesity. This scientific report employs an Evidence-Based Practice (EBP) design utilizing low-impact aerobic exercise. The intervention involved three respondents over six sessions (conducted in the morning and afternoon), with measurements of body weight, waist circumference, blood pressure, and random blood glucose taken before and after each exercise session. The results showed a decrease across all parameters. Systolic blood pressure decreased by 26 mmHg and diastolic pressure by 11 mmHg, while blood glucose levels dropped by 11–43 mg/dL per session. Additionally, body weight decreased by 0.06–0.30 kg, and waist circumference was reduced by 0.5–1 cm across all respondents. There were differences in hemodynamic, metabolic, and anthropometric values ​​before and after the daily low-impact aerobic exercise sessions.
Parenting Education and Support for Parents Pranata, Lilik; Daeli, Novita Elisabeth; Fruitasari, MK. Fitriani; Frisca, Sanny; Anggraini , Novita; Sri Sumiyati, Teresia
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/aa3kqs17

Abstract

Parenting plays an important role in supporting children’s growth and development; however, many parents still have limited knowledge regarding appropriate parenting practices and effective family communication. This community service program aimed to improve participants’ knowledge about family parenting through health education. The program used an educational intervention method consisting of lectures, discussions, and interactive question-and-answer sessions. Evaluation was conducted using a pretest-posttest design involving 27 participants to assess knowledge changes before and after the intervention. The pretest results showed that participants’ knowledge scores ranged from 25 to 70, indicating low to moderate baseline understanding. After the educational intervention, posttest scores increased significantly, ranging from 75 to 100, with most participants scoring above 85. All participants showed improved scores, demonstrating the effectiveness of the educational program in increasing knowledge. Participant satisfaction evaluation also revealed positive responses, with most participants agreeing or strongly agreeing that the topic was interesting, the materials were clearly delivered, and the activity was beneficial. Furthermore, participants expressed interest in attending future programs with different topics. These findings suggest that family parenting education is an effective strategy to improve parental knowledge and can be implemented as a promotive and preventive effort to support healthier family environments and better child development outcomes.
Penerapan Isometric Handgrip Exercise terhadap Tekanan Darah pada Penderita Hipertensi Geby Natasya Br Butar Butar; Sri Indaryati; Sanny Frisca
Inovasi Kesehatan Global Vol. 3 No. 3 (2026): Agustus: Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v3i3.3343

Abstract

Hypertension is one of the major noncommunicable diseases and a significant global health problem due to its increasing prevalence and its risk of causing cardiovascular disease, stroke, kidney failure, and premature death. Blood pressure control can be achieved through pharmacological and nonpharmacological therapies, one of which is Isometric Handgrip Exercise (IHE), a static contraction exercise using a handgrip device that may improve vascular function and reduce blood pressure. This study aimed to implement IHE to reduce blood pressure in patients with hypertension. A case study design using an Evidence-Based Nursing Practice (EBNP) approach was conducted involving three patients with hypertension. IHE was administered once daily for three consecutive days, with each session lasting 14 minutes. Blood pressure was measured before and after the intervention using a sphygmomanometer. The results showed a mean reduction in systolic blood pressure of 10.67 mmHg and diastolic blood pressure of 6.67 mmHg. Patients also reported feeling more relaxed and experiencing reduced hand stiffness. The implementation of IHE may help lower blood pressure and can be used as a simple, safe, and easily applicable nonpharmacological nursing intervention.