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PENGARUH PENGATURAN SUHU DIALISAT TERHADAP STABILITAS TEKANAN DARAH INTRADIALITIK PASIEN HEMODIALISIS DENGAN SINDROM KARDIORENAL Wahidi, Kemala Desy; Nursanti, Irna; Irawati, Diana; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Perawat Indonesia Vol. 6 No. 2 (2022): August 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.847 KB) | DOI: 10.32584/jpi.v6i2.1762

Abstract

Sindrom Kardiorenal adalah penyakit multi-organ, meliputi jantung, ginjal dan disfungsi sistem vaskular dimana gangguan ginjal sering disertai dengan gagal jantung dan disfungsi jantung menyebabkan Acute Kidney Injury (AKI) atau Cronic Kidney Disease, yang berujung kepada kebutuhan akan tindakan hemodialisis. Tindakan hemodialisis dapat menimbulkan berbagai komplikasi. Komplikasi yang paling sering adalah hipotensi intradialitik. Salah satu upaya untuk mencegah gangguan stabilitas tekanan darah adalah dengan mengatur suhu dialisat. Tujuan penelitian ini untuk melihat pengaruh suhu dialisat terhadap stabilitas tekanan darah. Penelitian ini menggunakan jenis penelitian kuantitatif quasi experiment, pre and post test dimana peneliti akan memberikan intervensi pada subyek penelitian, kemudian membandingkan efek sebelum dan sesudah intervensi.   Penelitian ini dilakukan pada 18 pasien dengan pre test dan post test dalam satu kelompok. Pasien dinilai selama dua sesi dialisis; satu sesi dengan suhu dialisat normal (37ºC) dan di sesi lain, suhu dialisat rendah (35,5ºC). Hasil penelitian ini menunjukkan adanya peningkatan tekanan darah sistolik, diastolik dan Mean Arterial Pressure (MAP) secara signifikan dengan nilai p = 0,001. Dialisat suhu rendah sangat bermanfaat untuk meningkatkan toleransi terhadap dialisis pada pasien sindrom kardiorenal yang cenderung hipotensi dan menjaga stabilitas hemodinamik selama dan setelah dialisis. Kata kunci: Dialisat dingin, hemodialisis, tekanan darah
EFEK PEMBERIAN BLANKET WARMER TERHADAP THERMOREGULASI PASIEN PERIOPERATIF TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) Firmansyah, Doddy; Nursanti, Irna; Irawati, Diana; Jumaiayah, Wati
Jurnal Perawat Indonesia Vol. 6 No. 2 (2022): August 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.043 KB) | DOI: 10.32584/jpi.v6i2.1763

Abstract

Perioperatively in BPH patients who underwent TURP action caused thermoregulation disturbances which resulted in a decrease in temperature (hypothermia). This can occur due to exposure to environmental temperatures that are too extreme and the effects of anesthetic drugs during intraoperatively which can cause vasodilation of blood vessels and blocked sympathetic nerves so that they dominate the performance of the parasympathetic nerves. The purpose of the study was to determine the effectiveness of the Blanket Warmer in perioperative TURP patients at the Central Surgical Installation of Tarakan Hospital, Jakarta. The design of this study used a quasi-experimental pretest-posttest with control group design. The research sample was 48 respondents of TURP perioperative patients. The sampling technique was accidental sampling, the statistical test used was Paired t test. The results of the univariate analysis showed that the highest age was 50 years, about 89%, a history of drug consumption 54.2%, and a history of alcohol consumption as much as 29.2%. Bivariate test analysis between the intervention group and the control group obtained a p value of 0.001 <0.05, which means that there is a significant difference in the two groups. The multivariate test obtained p value > 0.05, meaning that the variables of age, history of drug consumption and history of alcohol consumption did not have a significant effect on thermoregulation stability. That there is an effect of giving a Blanket Warmer on the stability of thermoregulation in perioperative TURP patients. Suggestions for further research that a blanet warmer can stabilize thermoregulation in perioperative TURP patients at the Central Surgical Installation of Tarakan Hospital Jakarta. Keywords: TURP, Blanket Warmer, Thermoregulation Stability
Upper Arm Exercises on Pain Intensity Among Patient with Breast Cancer Dharmais Cancer Hospital, Indonesia Damayanti, Sri Utami; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Herawati, Eva
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (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.v10i2.623

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Aim: to determine the effectiveness of upper arm exercises on pain intensity among patients with breast cancer at the Dharmais Cancer Hospital, Indonesia. Methods: This study used a queasy experiment with pre-post-test and two-group design. Twenty respondents from breast cancer patients in each intervention and control group were recruited. The upper arm training intervention was carried out 3 times/week for 3 weeks. The Visual Analogue Scale (VAS) was used to assess pain, and linear regression and the dependent t-test with a significance level of 0.05 (CI 95%) were used for analysis. Result: The significant difference in pain levels between the intervention group and the control group shows that the mean difference in the pain level scale of respondents in the upper arm exercise intervention group was 2.50 (SD=0.60), while in the control group, the mean was 1.70 (SD=0.65). control group with (t=4.00, p=0.001), and age (p-value =0.023; OR=8.645) were predictors in this study. Conclusions: Upper arm exercises can be recommended to reduce pain in breast cancer sufferers, especially breast cancer patients who have undergone stage 1 and 2 mastectomy operations. It is recommended that further research involve respondents who had the same level of pain before upper arm exercises were carried out
The Effect of Social Media Application-Based Interventions on HIV Adherence to ARV Medication among Patients with HIV Herawati, Eva; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Damayanti, Sri Utami
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.v10i3.637

Abstract

Aims: The purpose of this study was to determine the effect of health interventions based on social media applications on HIV patients' adherence to taking ARV medication.  Method: In this study, 76 were selected using a quasi-experimental methodology and a purposive sampling technique. then divided into two distinct groups: intervention and control. During the study, respondents in the intervention group received treatment in the form of reminders via WhatsApp and the SiARV web application. The control group was only given standard health services without any technology-based health interventions. Results: Significant changes in treatment adherence were observed in both the intervention group (p=0.001) and the control group (p=0.001). The difference in treatment adherence between the intervention group and the control group was statistically significant (p=0.040). In the context of multivariate analysis, education was found to be predictive of changes in respondent Adherence (p = 0.019; OR = 3.692). Discussion: Awareness of ARV adherence can be increased and maintained through SiARV social media as a strategy for reminding and controlling patient adherence Conclusion: HIV patients' adherence to taking ARV medications is affected by health interventions utilizing social media applications. It is anticipated that providing HIV patients with application-based interventions and a high level of patient knowledge through education will enhance their quality of life.
Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital Wahdaniyah, Wahdaniyah; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Resnayati, Yeti
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.v10i3.644

Abstract

Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes. Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital. Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test.  Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001. Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital
Efek Pemberian Blanket Warmer Terhadap Thermoregulasi Pasien Perioperatif Transurethral Resection of The Prostate (TURP) di RSUD Tarakan Jakarta Tahun 2022 Firmansyah, Doddy; Nursanti, Irna; Irawati, Diana; Jumaiyah, Wati
Jurnal Ilmiah Kebidanan Indonesia Vol 12 No 01 (2022): Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Uni
Publisher : Q PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiki.v12i01.2805

Abstract

Perioperatif pada pasien BPH yang dilakukan tindakan TURP menyebabkan terjadinya gangguan thermoregulasi hingga mengakibatkan penurunan suhu (hipotermi). Hal ini dapat terjadi karena paparan suhu lingkungan yang terlalu ekstrim dan efek obat anestesi saat intra operasi yang dapat menyebabkan vasodilatasi pembuluh darah dan saraf simpatis yang terblok sehingga mendominasi kinerja dari saraf parasimpatis. Design penelitian ini menggunakan quasi-eksperimen pretest-posttest with control group design. Sampel penelitian berjumlah 48 responden pasien perioperatif TURP. Teknik pengambilan sampel berupa accidental sampling, uji statistik yang digunakan adalah Paired t test. Hasil analisis univariat diperoleh usia terbanyak ≥50 tahun sekitar 89%, riwayat konsumsi obat-obatan 54.2%, dan mempunyai riwayat konsumsi alkohol sebanyak 29.2%. Analisis uji bivariat antara kelompok intervensi dan kelompok kontrol diperoleh nilai p value 0.001 < 0,05 yang artinya ada perbedaan yang signifikan pada kedua kelompok. Uji multivariat didapatkan p value > 0,05 artinya variable usia, riwayat konsumsi obat-obatan dan riwayat konsumsi alkohol tidak memiliki pengaruh yang signifikan terhadap stabilitas thermoregulasi. Bahwa ada pengaruh pemberian Blanket Warmer terhadap stabilitas thermoregulasi pada pasien perioperatif TURP. Saran untuk penelitian selanjutnya bahwa blanet warmer dapat menstabilisasi thermoregulasi pada pasien perioperatif TURP di Instalasi Bedah Sentral RSUD Tarakan Jakarta.
Pemberian Aromaterapi Lavender terhadap Kualitas Tidur Pasien Hemodialisis Hartati, Yeni; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Hasanah, Uswatun
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): 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.v5i2.7516

Abstract

This study aims to determine the effectiveness of lavender aromatherapy on hemodialysis patients' sleep quality. The method used is experimental intervention twice a week for four weeks. Before and after the intervention, sleep quality will be measured using the PSQI (Pittsburgh Sleep Quality Index) instrument. The results showed that (t = 22.789, p = 0.0001). 7.3% of the variable variation in the model was able to explain changes in the percentage of sleep quality (R2=0.073). Education variables (β=0.240, p=1.888), duration of HD (β=0.227, p=1.583), and the variable that is a predictor of sleep quality is gender (β=-0.006, p=0.421). In conclusion, there is a relationship between giving lavender aromatherapy and the sleep quality of hemodialysis patients compared to patients who did not receive lavender aromatherapy. Keywords: Lavender Aromatherapy, Hemodialysis, Sleep Quality
Analisa Bagan Teori Promotion Health Model Nola J. Pender Supra Saba, Iba; Nursanti, Irna
AACENDIKIA: Journal of Nursing Vol. 3 No. 1 (2024): AACENDIKIA: Journal of Nursing
Publisher : Althar Cendikia Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59183/aacendikiajon.v3i1.28

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Terbentuknya teori keperawatan Nola J. Pender dikarenakan adanya pergeseran paradigma yang terjadi dalam pemberian pelayanan kesehatan. Perubahan paradigma inilah yang menjadikan perawat sebagai posisi kunci dalam berbagai peran dan fungsinya dalam melakukan pelayanan kesehatan. Dengan demikian, adanya promosi dan preventif kesehatan yang cenderung dilakukan dan diupayakan oleh perawat melahirkan sebuah teori dan model konseptual dari Nola J. Pender yaitu Health Promotion Model. Model ini mengintegrasikan teori nilai harapan (Expectancy-Value) dan teori kognitif sosial (Social Cognitive Theory) dalam perspektif keperawatan manusia dilihat sebagai fungsi yang holistik. Pender menerbitkan A Conceptual Model for Preventive Health Behavior sebagai dasar untuk mempelajari bagaimana individu-individu membuat keputusan untuk pelayanan kesehatan bagi diri mereka masing-masing dalam sebuah konteks keperawatan. Health Promotion Model yang disampaikan oleh Nola J. Pender merupakan teori keperawatan yang masih bersifat abstak dengan cakupan yang masih luas. Dimana latar belakang Pender dalam bidang keperawatan, psikologi, dan pendidikan membimbingnya dalam menggunakan sudut pandang keperawatan yang holistik, psikologi sosial, dan teori pembelajaran sebagai pondasi untuk Health Promotion Model/HPM. Dalam Health Promotion Model ini manusia mampu menilai perkembangan sebagai suatu nilai positif dan mencoba mencapai keseimbangan antara perubahan dan stabilitas. Manusia akan secara aktif mengatur perilakunya dan melakukan perubahan perilaku dengan harapan mendatangkan keuntungan bagi dirinya Sedangkan dalam model revisi Health Promotion Model, Pender berasumsi bahwa individu terdiri dari biopsikososial yang berinteraksi secara terus menerus dengan lingkungan. Profesional kesehatan menjadi bagian dari lingkungan interpersonal yang berpengaruh terhadap manusia sepanjang hayatnya. Perubahan perilaku dipengaruhi oleh pembentukan konsep diri manusia dan lingkungannya .
Remote Learning for Nursing Education in Indonesia during The Covid-19 Pandemic: Efforts and Recommendations Haryanti, Fitri; Nuraini, Tuti; Sukartini, Tintin; Hidayati, Wahyu; Nursalam, Nursalam; Arofiati, Fitri; Purwati, Nyimas Heny; Nursanti, Irna; Prabawati, Dewi; Trisyani, Yanny; Hadi, Muhammad
Jurnal Keperawatan Soedirman Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.486 KB) | DOI: 10.20884/1.jks.2022.17.1.5297

Abstract

The COVID-19 pandemic had an impact on nursing students’ academic and clinical performance. Nursing institutions have provided remote learning to continue the learning process. However, students have met several obstacles that caused a decrease in the quality of learning. Remote learning for education requires the support of information and communication technology. However, studies related to how the COVID-19 pandemic affected nursing education in Indonesia are still rarely done. Accordingly, this study was conducted to evaluate the implementation of remote learning for nursing education during the COVID-19 pandemic. A cross-sectional study was conducted with 331 members of the Association of Indonesian Nurse Education Center (AINEC). The instrument used was the Guidelines of Filling Out Remote Learning. The results showed that 51% of the study programs implemented remote learning, while 69% of the regulations for remote learning were created by rectors. The most common teaching materials were visual, text, and audio-visual content. These materials were distributed through WhatsApp Group, Learning Management System (LMS), and video conference. To support the process of remote learning, nursing institutions need to improve information technology staff and cooperate agreement with other institutions. Overall, the remote learning process needs to be further improved to increase the students’ learning quality.
Analisis Penerapan Teori Human Becoming Rossemarie Rizzo Parse pada Anak (Dewasa-Adult) Astigmatisme Pakpahan, Risdo; Nursanti, Irna
Jurnal Sains, Teknologi dan Kesehatan Vol. 3 No. 1 (2024): Jurnal Sains, Teknologi dan Kesehatan, Januari 2024
Publisher : LPPM Institut Teknologi Dan Kesehatan Aspirasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/saintekes.v3i1.295

Abstract

Asmatigmatism is a disease that causes visual impairment at all ages, currently the author chooses it in adult children, resulting in unclear or even not sharp vision in the cornea of the eye which occurs chronically. The approaches used in treating chronic diseases are Human Becoming (Rossemarie Rizzo Parse). The methods used are case studies and literature studies. Results: Mr. Assessment with approach human becoming parse there is a problem of inadequacy structuring meaning, configuring rhythmical pattern, contrasting. The objectives set refer to the NOC based approach Human Becoming Parse. Nursing intervention, implementation and evaluation refers tonursing systemon approach Human Becoming Parse. Conclusion approach human becoming parsecan be applied to cases of ASTIGMATISM with complex complications. Nurses are expected to be able to apply assessments using a theoretical approach human becoming parsein cases of ASTIGMATISM with approach universal human becoming parse structural meaning, configuring rhythmicity pattern, trend.