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Strategi Koping Terhadap Kecemasan pada Ibu Preeklampsia Sari, Irma Permata; Stella, Nendra Elaya Azra; Idriani, Idriani; Anggraini, Dewi; Nursanti, Irna
Indonesian Journal of Nursing Sciences and Practice Vol 5, No 1 (2022)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v5i1.13-16

Latar Belakang. Ibu hamil cenderung memiliki kecemasan terkait masalah kehamilan terutama ibu hamil yang beresiko, seperti preeklampsia. Preeklamsia adalah kelainan multisistemik yang terjadi pada kehamilan yang ditandai dengan adanya hipertensi disertai proteinuria dan edema. Kecemasan saat kehamilan akan berpengaruh pada janin, karena janin berada dalam masa pembentukan yang akan mengakibatkan terhambatnya pertumbuhan bayi, berat bayi lahir rendah dan meningkatkan risiko kelahiran prematur (Hasim, 2018). Objektif . mengetahui hubungan strategi koping dengan kecemasan pada ibu preeklamsia di Wilayah Puskesmas Pacet Kabupaten Cianjur. Metode. penelitian ini merupakan penelitian kuantitatif menggunakan desain deskriptif korelasi dengan pendekatan cross sectional. Populasi dari subjek penelitian ini adalah seluruh ibu hamil preeklamsia di Wilayah Puskesmas Pacet Kabupaten Cianjur. Teknik sampel yang digunakan total sampling. Alat pengumpulan data menggunakan kuesioner demografi (usia, paritas, pendidikan), startegi koping (The Brief Cope Inventory Scale ) dan kecemasan (Pregnancy Associated Anxiety Questionnaire-Revised). Analisis data menggunakan Chi-Square.Hasil . Didapatkan adanya hubungan strategi koping dengan kecemasan pada ibu preeklamsia di Wilayah Puskesmas Pacet Kabupaten Cianjur (p=0.002). Strategi penanggulangan sangat berperan pada ibu hamil preeklampsia dalam mengatasi kecemasan yang dihadapi.Implikasi Klinik. Mengintegrasikan pendekatan yang mempromosikan penggunaan strategi koping adaptif dalam perawatan rutin ibu hamil preeeklampsia untuk meningkatkan kesejahteraan psikologis ibu hamil. Kata kunci : kecemasan, strategi koping, preeklampsia, kehamilan

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

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.

The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.

The Effect of the TEMAN SETIA Program Intervention on Immunosuppressant Medication Adherence in Post-Kidney Transplant Patients at RSCM Jakarta Suhartini, Euis; Nursanti, Irna; Natashia, Dhea; Irawati, Diana; Jumaiyah, Wati; Uly, Nilawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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

Aims: Chronic Kidney Disease (CKD) poses a significant global health challenge, with an increasing number of kidney transplantations in Indonesia. The success of kidney transplants hinges on adherence to immunosuppressant medications to prevent organ rejection. Non-adherence among post-transplant patients can lead to infections, graft loss, or a return to dialysis. This study evaluated the impact of the TEMAN SETIA program on adherence to immunosuppressant medications among post-kidney transplant patients at Dr. Cipto Mangunkusumo National Referral Hospital (RSCM) in Jakarta. Methods: A pre-post-test design with a control group was utilized. The sample included 28 post-transplant patients meeting inclusion criteria. The TEMAN SETIA program provided patient mentoring to improve adherence. Adherence was assessed before the intervention, one month after, and two weeks post-intervention using a validated questionnaire. Data were analysed using t-tests and repeated measures ANOVA. Results: The control and intervention groups were comparable in demographic and clinical characteristics, though the intervention group had more non-working participants. The program significantly improved adherence (Cohen’s d = 1.97) and knowledge (Cohen’s d = 1.99). While family support increased in both groups, differences were not significant (Cohen’s d = 1.02). A significant group-by-time interaction (F (1.246, 26) = 7.394, p = 0.007, η² = 0.221) demonstrated greater adherence improvements over time in the intervention group. Discussion: The findings demonstrate that the TEMAN SETIA program is an effective intervention for enhancing medication adherence and knowledge among post-transplant patients. The structured mentoring approach provided patients with the necessary support and education to improve their adherence behaviors. Although family support increased in both groups, the changes were not statistically significant, highlighting the need for further exploration of the role of familial involvement in adherence programs Conclusion: The TEMAN SETIA program effectively enhanced medication adherence and knowledge in post-transplant patients. This structured intervention offers a promising strategy to improve outcomes and reduce risks of organ rejection.

APLIKASI TEORI FLORENCE NEGHTINGALE PADA PASIEN AN. A DENGAN PENYAKIT TUBERCULOSIS PARU DI WILAYAH KERJA PUSKESMAS TAHUN 2023 Hartika Rani, Amelia; Nursanti, Irna
Nursing Arts Vol. 17 No. 2 (2023): NURSING ARTS
Publisher : Politeknik Kesehatan Kemenkes Sorong

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Tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis yang mampu menyerang paru-paru dan organ selain paru yang disebut TB ekstra paru. TB dapat menyebar melalui udara saat penderita TB batuk, bersin, atau meludah, menyebabkan bakteri dilepaskan ke udara dan dapat menginfeksi individu lain yang menghirupnya. Petugas kesehatan yang beroperasi di pusat kesehatan memiliki risiko yang tinggi untuk terinfeksi oleh pasien dengan tuberculosis (TB). TB paru dapat menimbulkan dampak langsung pada penderita, termasuk kelemahan fisik, batuk persisten, kesulitan bernapas, nyeri dada, penurunan nafsu makan, penurunan berat badan, keringat berlebihan di malam hari, dan demam tinggi. Sementara itu, keluarga penderita TB paru juga akan merasakan da mpaknya, karena jika penderita tidak mendapatkan pengobatan, kemungkinan besar ia akan menularkan bakteri TB kepada anggota keluarganya. Keadaan ini dapat menjadi sangat sulit jika penderita TB tinggal bersama banyak orang dalam satu rumah. Tujuan umum studi kasus ini adalah untuk menerapkan teori keperawatan Florence Neghtingale pada pasien An. A dengan penyakit TB Paru. Tujuan intervensi keperawatan pada studi kasus ini adalah untuk memelihara, mencegah infeksi dan cidera, memulihkan dari sakit, melakukan pendidikan kesehatan serta mengendalikan lingkungan. Alasan dilakukan tindakan keperawatan menurut Florence Nightingale yakni menempatkan manusia pada kondisi optimal secara alami guna memfasilitasi penyembuhan atau peningkatan kesehatan, sekaligus mencegah penyakit dan cedera. Metode penelitian pada studi kasus ini melibatkan penerapan metode pendekatan proses keperawatan berdasarkan teori keperawatan yang dipilih. Teknik pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan penerapan asuhan keperawatan.. Sumber data yang digunakan melibatkan data primer yang diperoleh secara langsung dari pasien, dan data sekunder yang berasal dari keluarga, tenaga kesehatan, serta dokumentasi hasil pemeriksaan lainnya guna melaksanakan asuhan keperawatan.. Hasil asuhan keperawatan dengan menerapkan teori keperawatan Florance Nightangale pada Pasien TB paru adalah Pasien merasakan kenyamanan sebagai respons terhadap stres dan menyadari pentingnya lingkungan bersih ketika dia dinyatakan positif menderita TB.

PENERAPAN TEORI RAMONA T. MERCER “MATERNAL ROLE ATTAINMENT- BECOMING A MOTHER” PADA IBU POST PARTUM Arniti, Arniti; Nursanti, Irna
Nursing Arts Vol. 17 No. 2 (2023): NURSING ARTS
Publisher : Politeknik Kesehatan Kemenkes Sorong

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Proses penerimaan peran baru sebagai ibu merupakan proses adaptasi psikologis selama masa post partum, bila ibu tidak mampu menerima peran barunya maka akan berdampak pada bayinya. Tujuan penelitian adalah untuk menerapkan teori keperawatan Ramona T. Mercer yaitu Maternal Role Attainment-Becoming a Mother pada ibu post partum. Metode penelitian adalah studi kasus dengan pendekatan proses keperawatan pada satu orang ibu Post Partum di RS Islam Sukapura. Teknik pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan penerapan asuhan keperawatan. Instrumen penelitian berupa lembar observasi dan format asuhan keperawatan. Hasil penelitian setelah pemberian asuhan keperawatan dengan menerapkan teori keperawatan Ramona T. Mercer pada Ny. S menunjukkan bahwa Ny. S mampu menerima peran barunya sebagai seorang Ibu dengan adanya dukungan keluarga dan hubungan ayah-ibu yang baik. Ny. S menerima peran barunya sebagai seorang ibu dan percaya diri akan merawat bayinya dengan baik.

PENERAPAN KONSEP TEORI OREM (SELF CARE) PADA ASUHAN KEPERAWATAN PASIEN DENGAN STROKE NON HEMORAGIK Surani, Sri; Nursanti, Irna
Nursing Arts Vol. 17 No. 2 (2023): NURSING ARTS
Publisher : Politeknik Kesehatan Kemenkes Sorong

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Stroke non hemoragik merupakan jenis stroke yang terjadi disebabkan oleh tersumbatnya pembuluh darah serta akumulasi dari faktor risiko yang dapat dan tidak dapat dirubah. Dampak stroke non hemoragik menyebabkan gangguan fisik dan fungsional tubuh yang bersifat jangka panjang yang mempengaruhi perubahan kualitas hidup penderita dan keluarga. Tujuan penelitian adalah untuk menerapkan teori keperawatan Orem (Self Care) pada asuhan keperawatan pasien dengan stroke non hemoragik. Metode penelitian adalah studi kasus dengan pendekatan proses keperawatan pada satu pasien stroke non hemoragik. Teknik pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan penerapan asuhan keperawatan. Instrumen penelitian berupa lembar observasi dan format asuhan keperawatan. Hasil penelitian setelah pemberian asuhan keperawatan dengan menerapkan Orem (Self Care) menunjukkan bahwa penerapan teori Orem dapat membantu meningkatkan Self Care pada pasien dibantu dengan adanya dukungan dari keluarga pasien mampu secara perlahan meningkatkan perawatan dirinya

Effect of Visual Learning Media and Guidebooks on Fluid Restriction Compliance Among Hemodialysis Patients Suhaemi, Suryati; Nursanti, Irna; Irawati, Diana
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): 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.v11i2.815

Background: Hemodialysis is vital for patients with end-stage renal disease, and adherence to fluid restrictions is crucial for preventing complications and improving quality of life. However, many patients struggle with fluid intake control due to limited understanding. Objective: This study aimed to assess the impact of visual learning media and guidebooks on fluid intake control, measured by Interdialytic Weight Gain (IDWG), in hemodialysis patients. Methods: A quasi-experimental design involved 26 participants in the intervention group, who received visual media and guidebooks, and 26 controls. IDWG was used to measure fluid restriction compliance. Data were analyzed using t-tests and multiple linear regression. Results: The intervention group showed a significant reduction in IDWG (p < 0.001), indicating improved compliance. Regression analysis found that education level (R² = 0.353, p = 0.008) was a significant predictor of fluid restriction compliance. Conclusion: Visual learning media and guidebooks significantly improve fluid restriction adherence in hemodialysis patients, leading to a reduction in IDWG. These tools are effective for enhancing patient education and improving clinical outcomes.

Rehabilitative Exercise Strategies for Urinary Incontinence After TURP: A Quasi-Experimental Evaluation of Kegel and Bridging Techniques Haeruman, Haeruman; Nursanti, Irna; Irawati, Diana
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): 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.v11i2.816

Background: Urinary incontinence (UI) is a common issue following Transurethral Resection of the Prostate (TURP). Pelvic Floor Muscle Training (PFMT), including Kegel and Bridging exercises, is a promising non-pharmacological intervention for managing UI. Objective: This study aimed to evaluate the effectiveness of Pelvic Floor Muscle Training, combining Kegel and Bridging exercises, in reducing urinary incontinence among post-TURP patients, and to identify factors associated with UI severity. Methods: A quasi-experimental pre-posttest design was employed involving 44 male patients who had undergone TURP. Participants were allocated into an intervention group (n = 22), which received six sessions of PFMT over three weeks, and a control group (n = 22), which received standard care. UI severity was measured using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) before and after the intervention. Data were analyzed using paired t-tests and regression analysis. Results: The intervention group demonstrated a significant reduction in UI scores from 15.50 (SD = 2.50) to 7.41 (SD = 4.12) (p = 0.0001), whereas the control group exhibited only minor improvement. Regression analysis identified age and body mass index (BMI) as significant predictors of UI severity (p = 0.037 and p = 0.041, respectively). Conclusion: Pelvic Floor Muscle Training effectively decreases urinary incontinence severity following TURP surgery. Integrating PFMT into routine postoperative nursing care may enhance patient outcomes and facilitate recovery. Future research should explore long-term adherence and outcomes associated with PFMT in diverse patient populations.

Optimalisasi Literasi Kesehatan Reproduksi Remaja melalui Program Lentera (Literasi Reproduksi Remaja Aman dan Sehat): Pengabdian Kepada Masyarakat Berbasis Komunitas Nursanti, Irna; Fadhillah, Harif; Natashia, Dhea; Irawati, Diana; Karmi, Rudi; Yanti, Damai
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21548

ABSTRAK Remaja merupakan kelompok usia yang rentan terhadap berbagai risiko kesehatan reproduksi, termasuk keterlibatan dalam perilaku seksual berisiko akibat rendahnya tingkat literasi. Peningkatan literasi reproduksi melalui pendekatan berbasis komunitas menjadi salah satu strategi penting dalam membekali remaja dengan pengetahuan, sikap, dan perilaku sehat yang sesuai kebutuhan usia. Kegiatan ini bertujuan untuk meningkatkan literasi kesehatan reproduksi remaja melalui program LENTERA (Literasi Reproduksi Remaja Aman dan Sehat) yang dilaksanakan dalam lingkungan komunitas. Program dilaksanakan dengan mengintegrasikan metode edukasi interaktif seperti pemaparan materi, diskusi kelompok, pemutaran video edukatif, refleksi nilai, dan sesi tanya jawab. Sebanyak 27 remaja putra dan putri dari komunitas di Kota Bandung terlibat dalam kegiatan ini. Evaluasi dilakukan dengan instrumen pre–post test menggunakan KPS2R dan adaptasi dari YRBSS. Analisis data menggunakan uji-t sampel berpasangan. Hasil menunjukkan peningkatan signifikan pada pengetahuan, sikap, dan kesiapan perilaku remaja dalam melakukan deteksi dini kesehatan reproduksi (p < 0,05), serta penurunan proporsi perilaku seksual berisiko. Temuan ini menegaskan pentingnya pendekatan edukasi berbasis komunitas untuk meningkatkan literasi kesehatan reproduksi dan mendorong perilaku sehat pada remaja. Kata Kunci: Remaja, Literasi Reproduksi, Perilaku Sehat, Kesehatan Sekolah, Edukasi ABSTRACT Adolescents represent an age group that is particularly vulnerable to various reproductive health risks, including engagement in risky sexual behaviors due to low levels of reproductive health literacy. This initiative aimed to enhance adolescents' reproductive health literacy through the LENTERA program (Safe and Healthy Adolescent Reproductive Literacy) implemented within a community setting. The program integrated interactive educational methods, including material presentations, group discussions, educational video screenings, value reflection sessions, and Q&A discussions. A total of 27 male and female adolescents from a community in Bandung participated. Evaluation was conducted using pre–post tests with the KPS2R instrument and an adapted version of the Youth Risk Behavior Surveillance System (YRBSS). Data were analyzed using paired sample t-tests. The results demonstrated a significant improvement in adolescents' knowledge, attitudes, and behavioral readiness for early reproductive health screening (p < 0.05), along with a decrease in the proportion of risky sexual behaviors. These findings highlight the importance of community-based educational interventions in promoting reproductive health literacy and encouraging healthy behaviors among adolescents. Keywords: Adolescents, Reproductive Literacy, Healthy Behavior, School Health, Education

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