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EFEKTIFITAS PROGRESSIVE MUSCLE RELAXATION (PMR) DAN RELAXATION BREATHING EXERCISE (RBE) TERHADAP TINGKAT FATIGUE DAN SELFCARE PASIEN GGK fari, aniska indah; Sofiani, Yani; Warongan, Wardy
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol 2 No 1 (2019): Jurnal Kesehatan Saelmakers Perdana
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (704.065 KB) | DOI: 10.32524/jksp.v2i1.487

Abstract

Chronic kidney failure is a progressive and irreversible kidney disorder to maintain fluid and electrolyte balance and metabolism, with treatment given by hemodialysis. Long-term hemodialysis patients can cause fatigue in the patient's inability to fulfill selfcare needs. The intervention is in the form of non-pharmacological therapy in the form of relaxation. The purpose of this study was to determine the effectiveness of progressive muscle relaxation and relaxation breathing exercise on the level of fatigue and self care of patients with chronic renal failure. With the design of Randomized Clinical Trial (RCT) pre and post group three test, a sample of 30 respondents. Data collection tools are the Piper Fatigue Scale (PFS) questionnaire (Cronbach alpha = 0.646) and Fatigue Selfcare Management (Cronbach alpha = 0.930). The results showed that PMR intervention had different levels of fatigue (pvalue = 0,000) while selfcare (pvalue = 0.017) had no difference, in the RBE intervention there were differences in fatigue levels (pvalue = 0,000) while selfcare (pvalue = 0.048) had no difference, at PMR + RBE interventions have different levels of fatigue (pvalue = 0,000) and selfcare (pvalue = 0,000). PMR and RBE interventions are more effective to reduce fatigue and improve selfcare, so that it can be recommended for patients undergoing hemodialysis Keywords : fatigue, selfcare, progressive muscle relaxation, relaxation breathing exercise.
PENGARUH TERAPI ELECTRICAL MUSCLE STIMULATION (VEINOPLUS ARTERIAL) TERHADAP PROSES PENYEMBUHAN LUKA PADA PASIEN UKD DI KLINIK KITAMURA PONTIANAK amrullah, syahid; Jais, Suriadi; Sofiani, Yani
Jurnal Keperawatan dan Kesehatan Vol 9 No 1 (2018): JK2
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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

Abstract

  Abstract: Diabetic Foot ulcer (UKD) is a chronic complication of Diabetes Mellitus with incidence rate of 15%, to increase the wound healing process one of the methods that can be done is to use Electrical Muscle Stimulation (EMS) therapy which is a procedure by producing short electric waves aimed to imitate the movement normal body and stimulates wound healing. The aim of this study was to identify the effect of EMS on calf muscle on wound healing in UKD patients. This research uses pure experimental design (true-experiment) with randomized controlled trials (RCT). The total sample involved 60 respondents divided into two groups respectively 30 respondents. Analysis of data by using Wilxocon Test analysis on mean comparison of Ankle Bracial Index (ABI) and Dependent T-test analysis on mean comparison of MUNGS score. Multivariate data analysis used was MANOVA with GLM-RM method on repeated measurement of dependent variable. EMS therapy on calf muscle using Veinoplus Arterial tool obtained P value 0.00 <0.05, which means there is significant difference between before and after treatment (control and intervention) to ABI value and MUNGS score. Multivariate test results were obtained by p value 0.00 <0.05, which means that there are significant differences between multiple measurements of ABI and MUNGS scores, but the plot graph shows no optimal time in EMS therapy. The researchers advise that EMS therapy can be applied as one of the management of UKD patients. Further research needs to tighten the inclusion criteria of respondents with ABI <0.9, and add time> 7 days to be able to assess the optimum time of EMS therapy. Keywords: Diabetic foot ulcers, electrical muscle stimulation, ankle brachial index, wound healing   Abstrak: insiden 15%, untuk mempercepat proses penyembuhan luka salah satu metode yang dapat dilakukan adalah menggunkan terapi Electrical Muscle Stimulation (EMS) yang merupakan prosedur dengan menghasilkan gelombang elektrik yang pendek bertujuan meniru pergerakan tubuh yang normal dan menstimulasi penyembuhan luka. Tujuan penelitian ini untuk mengidentifikasi efek dari EMS pada otot betis terhadap penyembuhan luka pada pasien UKD. Penelitian ini menggunakan desain Eksperimen murni (true-experiment) dengan randomised controlled trials (RCT). Total sampel yang terlibat 60 responden dibagi dalam dua kelompok masing-masing 30 responden. Analsis data dengan menggunakan analisis Wilxocon Test pada perbandingan rerata nilai Ankle Bracial Index (ABI) dan analisi T-tes Dependent pada perbandingan rerata Skor MUNGS. Analisis data multivariat yang digunakan adalah MANOVA dengan metode GLM-RM pada pengukuran berulang variabel dependen. Terapi EMS pada otot betis dengan menggunakan alat Veinoplus Arterial diperoleh hasil P value 0.00 < 0.05, yang artinya terdapat perbedaan yang signifikan antara sebelum dan sesudah perlakuan (kontrol dan intervensi) terhadap nilai ABI dan Skor MUNGS. Hasil uji multivariat di dapatkan p value 0.00 < 0.05, yang artinya terdapat perbedaan yang signifikan antara beberapa kali pengukuran terhadap nilai ABI dan Skor MUNGS, namun pada grafik plot menunjukkan belum ditemukan waktu yang optimal dalam pemberian terapi EMS. Peneliti memberikan saran agar terapi EMS dapat diterapkan sebagai salah satu penatalaksanaan pasien UKD. Penelitian lebih lanjut perlu memperketat kriteria inklusi responden dengan ABI < 0.9, serta menambahkan waktu > 7 hari untuk dapat menilai waktu optimum terapi EMS. Kata kunci: Ulkus kaki diabetik, electrical muscle stimulation, ankle brachial index, penyembuhan luka.
Pengaruh Autogenic Training Terhadap Nyeri Pada Pasien Post Percutaneous Coronary Interventions (PCI) di Rumah Sakit Umum Daerah Kota Bogor Atlantic, Mia; Jumaiyah, Wati; Purnamawati, Dewi; Sofiani, Yani; Susanto, Budi; Yunus, Muhammad Iqbal
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 11 No 3 (2023): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v11i3.550

Abstract

Percutaneous Coronary Interventions (PCI) is a medical procedure used to address coronary artery disease. Despite effectively improving heart blood flow, patients often experience pain and discomfort after PCI. This study evaluates the impact of autogenic training on reducing patient pain after PCI. In a quasi-experimental design with a control group, 72 patients who had recently undergone PCI were involved. The intervention group received structured autogenic training, while the control group received no intervention. Pain was measured using a numeric rating scale. Multiple linear regression analysis results showed p-values for the group at 0.009, spiritual variable at 0.284, and self-efficacy variable at 0.494. However, excluding the self-efficacy variable led to an Odds Ratio change of over 10% for other variables. Thus, the self-efficacy variable was re-introduced in the second stage, yielding p-values of 0.003 for the group and 0.458 for self-efficacy, after excluding the spiritual variable due to OR value change below 10%. In the final model, group p-value was 0.008, spiritual was 0.284, and self-efficacy was 0.494. Autogenic Training strengthens post-PCI pain management, providing a safe additional option for patients. The approach aids PCI recovery, reinforcing pain management strategies. By offering relaxation therapy like Autogenic Training, patients receive a safe and beneficial supplementary avenue for managing post-PCI pain
Efektivitas Skor Wells dengan Pemeriksaan D-Dimer, Prothrombin Time, Activated Partial Thromboplastin Time dan Fibrinogen Terhadap Deteksi Dini Deep Vein Trhombosis di Ruang ICU RSPAD Gatot Soebroto Rukmana, Aip; Sofiani, Yani; Agung, Rizki Nugraha
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 11 No 3 (2023): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v11i3.551

Abstract

Deep vein thrombosis (DVT) is a clinical disorder that occurs in the vein. The purpose of this study is to identify the effectiveness of the Wells score with D-Dimer, PT, APTT, and fibrinogen examinations for DVT early detection. cross-sectional research design to assess the validity of Wels scores and D-Dimer, PT, APTT, and Fibrinogen's examinations on DVT early detection. 70 respondents were chosen by the purposive sampling technique. In the results of sensitivity analysis using the True Positives/(True Positives + True Negatives) formula, the percentage of D-Dimer's sensitivity was obtained on the Wells score of 85.4%, PT on the Wells score percentage of 81.3%, Aptt against the Wells percentage score of 83.3%, and fibrinogen against the Wells scores with a percentage of 64.6%. It can be concluded that all variables have sufficient sensitivity values in determining DVT events by using Wells scores, but the most sensitive D-Dimer variable is D-Dimer in detecting the risk of DVT events. Researchers recommend that the results of this research be utilized as a reference in the development of instruments for the application of DVT early detection.
Pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) terhadap Kecemasan Pasien Gagal Jantung di Rumah Sakit Hermina Bekasi Ardiani, Kristi; Jumaiyah, Wati; Purnamawati, Dewi; Sofiani, Yani; Erwin, Erwin; Kurniawan, Moh Heri; Yuliarti, Yuliarti
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 11 No 3 (2023): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jdk.v11i3.558

Abstract

kecemasan yang dapat memperburuk kondisi pasien jika tidak dikelola dengan baik. Penelitian ini untuk mengetahui pengaruh terapi Spiritual Emotional Freedom Technique (SEFT) terhadap kecemasan pasien gagal jantung. Jenis penelitian kuantitatif dengan desain quasi eksperimen pre dan post test with control group. Kecemasan diukur menggunakan kuesioner State Trait Anxiety Inventory (STAI). Uji statistik dengan regresi logistik ganda. Hasil penelitian ini mayoritas kecemasan pasien adalah ringan sedang yaitu 68.6%, usia <60 tahun sebanyak 58.1%, jenis kelamin laki-laki 51.2%, pendidikan dasar dan menengah 67.4%, klasifikasi gagal jantung NYHA 3 sebanyak 64%, dan lama rawat >3 hari 71%. Hasil pemodelan akhir didapatkan terapi SEFT dan klasifikasi gagal jantung secara simultan berpengaruh terhadap kecemasan pasien gagal jantung. Oleh karena itu, rumah sakit perlu memberikan pelatihan terapi SEFT untuk perawat, sehingga dapat melaksanakan edukasi kepada pasien terutama pasien gagal jantung.
The Influence of Dhikr on Anxiety in Acute Coronary Syndrome (ACS) Patients at Dr. Chasbullah Abdulmadjid Hospital, Bekasi City Sulistiyowati, Heppy; Jumaiyah, Wati; Purnamawati, Dewi; Sofiani, Yani; Susanto, Budi; Prima, Ashar; Hamdah, Hamdah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.616

Abstract

Aims: This study was to determine the effect of dhikr on anxiety in ACS patients at Dr. Chasbullah Abdulmadjid General Hospital, Bekasi City. Methods: The research method used pre- and post-quasy experiments in the control group and the intervention group. This study used the HARS questionnaire and family support for 76 respondents. Result: Data analysis using multiple logistic regression tests The results showed that the proportion in the control group with mild-moderate anxiety was 31.6% and severe anxiety was 18.4%; the proportion in the intervention group with mild-moderate anxiety was 46.1% and severe anxiety was 3.9%. Dhikr (p = 0.006) and history of heart disease (p = 0.023) significantly influence anxiety after being controlled by age (p = 0.244) (p = 0.001 omnimbus). The dominant factor that influences anxiety is dhikr (OR 10.674).  Conclusions : Dhikr is an act of remembering Allah that can be used to reduce anxiety in SKA patients. This can be done independently by reading istigfar, tasbih, hauqalah, and takbir for 15 minutes in the morning and evening. Therefore, nursing services using dhikr as an effort to reduce anxiety in ACS patients.
The Effect of Bridging Exercise on Muscle Strength and Body Balance in Stroke Patients at National Brain Center Hospital Prof. DR. Mahar Mardjono East Jakarta Desvita, Eva; Sofiani, Yani; Yunitri, Ninik
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.654

Abstract

Aims:  The study aimed to determine the effect of bridging exercise on muscle strength and body balance in stroke patients at national brain center hospital Prof. DR. Mahar Mardjono East Jakarta. Methods: This study used experimental design aimed to test the application of bridging exercise to body balance and muscle strength in stroke patients. This study was conducted in one group with pre and post-test design. This study was conducted at National Brain Center hospital Prof. DR. Mahar Mardjono East Jakarta. The bridging exercise was conducted at 2-weeks, with light tp moderate intensity, three times a week, with 30 to 45 minutes every session. Results: The result of the statistical test with the Paired Samples t-Test P value resulted in 0.001. These result mean that bridging exercise has a significant effect on muscle strength in stroke patients with a mean difference of -0.63 (CI: -0.91-0.34) and a significantly improved the balance of patients with a mean difference of 17 (CI 12.1-21.9) and a high magnitude of effect (1.69). Conclusion: These result mean that bridging exercise has a significant effect on muscle strength in stroke patients.
Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Abstract

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.
Pengaruh Crossword Puzzle terhadap Gangguan Fungsi Kognitif pada Pasien Stroke Iskemik Satriani, Satriani; Sofiani, Yani; Rayasari, Fitrian; Yuntiri, Ninik; Mulyatsih, Mg Enny
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.8839

Abstract

This study aims to apply crossword puzzles to cognitive impairment in patients with ischemic stroke. The method used was a Randomized Controlled Trial with a Quasy Experiment research design carried out at PON Hospital Jakarta. The research results showed that there was a greater and more significant increase in cognitive function scores with a larger effect size than the current results. Meanwhile, for the MMSE method, the results obtained from the Paired T-Test test obtained an effect size value of 6.91 (moderate) and it can be assumed that the application of MMSE improves the results of cognitive function positively. In conclusion, crossword puzzle intervention can improve cognitive outcomes Keywords: Crossword Puzzle, Cognitive, Ischemic Stroke
Pengaruh Cognitive Behaviour Therapy dalam Menurunkan Kinesiophobia pada Pasien Post Operasi Total Knee Replacement Agung Widiastuti; Sofiani, Yani; Yunitri, Ninik; Budiati, Dhiani
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Supp Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1817

Abstract

Peningkatan jumlah penduduk akan memberikan dampak terhadap masalah kesehatan, salah satunya adalah lansia yang mengalami proses penuaan yang sedang dialami. Lansia yang mengalami proses penuaan akan lebih beresiko menderita penyakit degeneratif salah satunya adalah Osteoarthritis (OA). OA kronis akan dilakukan tindakan total knee replacement dan membutuhkan rehabilitasi yang tepat. Faktor yang mempengaruhi pasien post TKR untuk mobilisasi adalah ketakutan bergerak. Dengan kondisi ini menyebabkan seseorang post operasi TKR beresiko terhadap kekakuan otot dan mempengaruhi proses penyembuhan dan aktivitas setiap hari sehingga peneliti ingin mengetahui pengaruh cognitive behaviour therapy dalam menurunkan kinesiophobia pada pasien post operasi total knee replacement. Penelitian ini menggunakan metode quasy experiment dengan pendekatan pre test dan post test with control group. Dengan total sampel 15 responden untuk kelompok intervensi dan 15 responden untuk kelompok kontrol,  Pengumpulan data menggunakan lembar observasi dan kuesioner tampa scale for kinesiophobia dengan nilai validitas 0,79 dan nilai reliabilitas 0,9 kemudian analisis data dilakukan dengan menggunakan paired t-test. Hasil penelitian menunjukkan bahwa kelompok intervensi memiliki nilai p-value 0,001 yang diartikan terdapat hubungan yang signifikan pada kelompok intervensi.