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Penyiapan Pengelolaan Pasca Rawat pada Pasien Stroke Hemoragik dengan Riwayat Peb: Case Report Mutiarasani, Anjani; Kurniawan, Titis; Pratiwi, Sri Hartati
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14077

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ABSTRACT Post-hospitalization stroke patients include assessing and preparing patients and families to meet post-treatment needs is important. Aims to explain the needs of post-stroke patients with a history of preeclampsia along with efforts to prepare patients and their families to meet these needs. Case report used Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) and Barthel indeks instruments to identify the post- treatment needs od stroke patients with a history of preeclampsia who were undergoing treatment in the inpantient room of a Regional Hospital in West Java. Educational topics include: ROM (range of motion), personal hygiene, pressure ulcer prevention, and fall risk prevention and danger signs. One month after being discharged from the hospital, the patient has implemented ROM (range of motion), personal hygiene is fulfilled, there is no risk of pressure sores/falls. The Barthel index score one month after discharge from the hospital improved to 6 (severe dependence). Preparations for the postpartum period with a history of PEB are fulfilled by taking regular medication and caring for the baby. Post-treatment education and follow-up are activities that have the potential to be effective in improving the patient's ability to meet post-treatment needs. It is important for hospitals to maintain continuity of care through regular follow-up and coordination with families to ensure that post-treatment needs are met and anticipate complications due to stroke.  Keywords: Case Report, Continue of Care, Post Treatment, , Preeclampsia, Stroke Hemoragic  ABSTRAK Pasca rawat pada pasien stroke meliputi pengkajian dan penyiapan pasien dan keluarga untuk memenuhi kebutuhan pasca rawat merupakan hal yang penting. Bertujuan untuk memaparkan kebutuhan pasien pasca stroke dengan riwayat preeklampsia beserta upaya penyiapan pasien beserta keluarganya untuk memenuhi kebutuhan tersebut. Case study ini dengan instrument Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) dan Barthel indeks digunakan untuk mengidentifikasi kebutuhan pasca rawat pasien stroke dengan riwayat preeklampsia yang menjalani perawatan di Ruang Rawat Inap salah satu RS Daerah di Jawa Barat. Topik edukasi mencakup : ROM (range of motion), personal hygiene, pencegahan dekubitus, dan pencegahan risiko jatuh serta tanda bahaya. Satu bulan setelah keluar dari rumah sakit, pasien telah menerapkan ROM (range of motion), personal hygiene terpenuhi, tidak terdapat risiko dekubitus/jatuh. Skor Barthel indeks satu bulan setelah keluar dari rumah sakit membaik menjadi 6 (ketergantungan berat). Penyiapan pada postpartum dengan Riwayat PEB terpenuhi dengan minum obat rutin dan perawatan bayi. Edukasi dan follow up pasca rawat merupakan kegiatan yang berpotensi efektif memperbaiki kemampuan pasien memenuhi kebutuhan pasca rawat. Menjadi penting bagi rumah sakit untuk menjaga continue of care melalui follow up secara reguler serta koordinasi dengan keluarga untuk menjamin keterpenuhan kebutuhan pasca rawat dan antisipasi komplikasi akibat stroke. Kata Kunci: Case Report, Continue Of Care, Pasca Rawat, Preeklampsia, Stroke Hemoragik
Intervensi Pursed-Lip Breathing dan Posisi High Fowler untuk Mengatasi Gejala Sesak Napas pada Pasien dengan Coronary Artery Disease: Sebuah Studi Kasus Aulia, Hannifa Dwi; Pratiwi, Sri Hartati; Sari, Eka Afrima
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.10894

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ABSTRACT Coronary artery disease (CAD) is a pathological process characterized by the accumulation of atherosclerotic plaques in the arteries, both obstructive and non-obstructive. CAD often causes chest pain and shortness of breath. However, patients with symptoms of tightness have 4 times higher mortality compared to patients without chest pain. Pursed-lip breathing intervention and a high fowler position can be done to reduce the shortness of breath experienced by CAD patients. The purpose of this study was to determine the effect of pursed-lip breathing nursing intervention and high fowler position on shortness of breath felt by patients with coronary artery disease. This research method was carried out with a case study approach that used a case about coronary artery disease with complaints of shortness of breath in one of the patient in a hospital in Indonesia.  The results of the study obtained were patients complaining of shortness of breath on a scale of 7 out of 10, respiration rate (RR) is 25 breath per minute, SpO2 value of 100% with oxygen 5L/minute, and heard ronkhi lung sounds. Thus, patients are given nursing intervention in the form of pursed-lip breathing and high fowler positions. The results obtained during the three days of treatment were shortness of breath on a scale of 2 out of 10, respiration rate is 18 breath per minute, SpO2 value of 95% without the oxygen therapy, and ronkhi sound is absent. The conclusion is that pursed-lip breathing intervention and high fowler position are effective in patients who experience shortness of breath. Therefore, pursed-lip breathing interventions and high fowler positions can be applied to patients with coronary artery disease who experience symptoms of shortness of breath. Keywords: Pursed-Lip Breathing, High Fowler, Coronary Artery Disease  ABSTRAK Penyakit arteri koroner atau coronary artery disease (CAD) atau penyakit jantung koroner (PJK) adalah proses patologis yang ditandai dengan akumulasi plak aterosklerotik di arteri, baik obstruktif maupun non-obstruktif. PJK sering kali menimbulkan  nyeri pada dada dan sesak napas. Namun, pasien dengan gejala sesak memiliki mortalitas empat kali lebih tinggi dibandingkan dengan pasien tanpa gejala sesak. Intervensi pursed-lip breathing dan posisi high fowler dapat dilakukan untuk mengurangi rasa sesak yang dialami pasien PJK. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh intervensi keperawatan pursed-lip breathing dan posisi high fowler terhadap gejala sesak yang dirasakan oleh pasien dengan penyakit jantung koroner. Penelitian ini dilakukan dengan pendekatan studi kasus yang menggunakan sebuah kasus tentang coronary artery disease dengan keluhan sesak napas pada salah satu pasien di rumah sakit yang ada di Indonesia.  Hasil pengkajian yang didapatkan yaitu pasien mengeluh sesak napas skala 7 dari 10, respiration rate (RR) 25x/menit, saturasi oksigen 100% dengan oksigen 5L/menit, dan terdengar suara ronkhi. Sehingga, pasien diberikan intervensi keperawatan berupa pursed-lip breathing dan posisi high fowler. Hasil yang didapatkan selama tiga hari perawatan, yaitu keluhan sesak napas skala 2 dari 10, respiration rate menjadi 18x/menit, saturasi oksigen 95% tanpa bantuan terapi oksigen. Intervensi pursed-lip breathing dan posisi high fowler efektif diterapkan pada pasien yang mengalami sesak napas. Maka dari itu, intervensi pursed-lip breathing dan posisi high fowler dapat diterapkan pada pasien dengan coronary artery disease yang mengalami gejala sesak napas. Kata Kunci: Pursed-Lip Breathing, High Fowler, Penyakit Jantung Koroner
Intervensi Pencegahan Merokok dan Konsumsi Alkohol pada Remaja melalui Pendidikan Kesehatan sebagai Upaya Pencegahan Stunting Nursiswati, Nursiswati; Nurrofiqoh, Malihatunnisa; Pratiwi, Sri Hartati; Kurniawan, Titis; Purba, Chandra Isabella Hostanida
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13084

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ABSTRAK Tahap perkembangan remaja sangat rentan akan perilaku berisiko. Kontrol emosi dan stres yang labil mengakibatkan remaja memilih mekanisme koping yang salah. Dampaknya, remaja dapat berisiko mengalami stunting. Perlu adanya penyuluhan terkait bahaya dan cara pencegahan konsumsi rokok dan alkohol guna mencegah terjadinya stunting. Dengan demikian, tujuan dari penelitian ini untuk melihat gambaran pengetahuan (kognitif) dari siswa kelas 7 salah satu SMP swasta di Kabupaten Bandung mengenai pencegahan penggunaan rokok dan alkohol. Pendidikan kesehatan dilaksanakan secara interaktif bertemakan menghindari rokok dan alkohol agar terhindar dari masalah kesehatan fisik dan mental guna mencegah terjadinya stunting. Pendidikan kesehatan diikuti oleh 72 siswa kelas 7 Sekolah Menengah Pertama. Evaluasi dari hasil pendidikan kesehatan dilakukan dengan memberikan soal Pre-test dan Post-test masing-masing sebanyak 5 soal. Sebanyak 55,55% remaja yang mengikuti pendidikan kesehatan dapat menjawab dengan benar ≥3 soal dari 5 soal yang tersedia dan sebanyak 33,33% mengalami peningkatan skor dari pre-test ke post-test. Pemahaman tentang bahaya merokok dan alkohol dapat diberikan sejak masa SMP dan dilakukan pemantauan berkelanjutan oleh guru di sekolah. Sekolah dapat memberikan kebijakan dan pelayanan UKS yang memadai bagi siswa. Pendidikan kesehatan berpengaruh positif dan secara signifikan meningkatkan pengetahuan remaja mengenai bahaya serta cara menghindari rokok dan alkohol. Kegiatan lanjutan berupa focus group discussion dan permainan dibutuhkan sebagai kegiatan lanjutan penguatan kognitif, afektif, dan psikomotor pencegahan merokok dan konsumsi alkohol pada siswa SMP. Kata Kunci: Alkohol, Merokok, Pendidikan Kesehatan, Remaja, Stunting  ABSTRACT The developmental stage of adolescents is very vulnerable to risky behavior and bad coping mechanisms. As a result, teenagers may be at risk of experiencing stunting. There is a need for education regarding the dangers and ways to prevent cigarette and alcohol consumption to prevent stunting. This research aims to describe the knowledge (cognitive) of grade 7 students at one of the private junior high schools in Bandung Regency regarding preventing the use of cigarettes and alcohol. Health education was carried out interactively with the theme of avoiding smoking and alcohol to avoid physical and mental health problems to prevent stunting. Health education was attended by 72 grade 7 junior high school students. Evaluation of the results of health education was carried out by providing pre-tests and post-tests. As many as 55.55% of teenagers who took part in health education were able to answer ≥3 questions correctly out of the 5 questions available and as many as 33.33% experienced an increase in scores from pre-test to post-test. Understanding of the dangers of smoking and alcohol can be given since junior high school and ongoing monitoring by teachers at school. Schools can provide adequate UKS policies and services for students. Health education has a positive effect and significantly increases teenagers' knowledge about the disadvantages and how to avoid smoking and alcohol. Further activities in the form of focus group discussions and games are needed as further activities to strengthen cognitive, affective, and psychomotor skills to prevent smoking and alcohol consumption in junior high school students. Keywords: Adolescents, Alcohol, Health Education, Smoking
Kebutuhan Psikososial Pasien Paska Stroke Pada Fase Rehabilitasi Pratiwi, SRI Hartati
Jurnal Keperawatan 'Aisyiyah Vol. 4 No. 2 (2017): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.218 KB) | DOI: 10.33867/jka.v4i2.43

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Pasien paska stroke sering mengalami masalah psikososial seperti gangguan emosi, perubahan perilaku dan kognitif. Perubahan tersebut dapat memperberat kondisi kesehatannya dan menghambat pencapaian outcome pada fase rehabilitasi. Pemenuhan kebutuhan psikososial sangat diperlukan untuk mengatasi masalah yang dialami pasien stroke. Penelitian ini dilakukan dengan tujuan untuk mengidentifikasi kebutuhan psikososial pasien paska stroke yang sedang menjalani perawatan fase rehabilitasi. Penelitian ini merupakan penelitian deskriptif kuantitatif yang dilakukan untuk mengidentifikasi kebutuhan pasien paska stroke di Poliklinik saraf dan stroke centre salah satu Rumah Sakit di Bandung. Teknik sample yang digunakan adalah consecutive sampling dengan jumlah sampel sebanyak 83 orang. Kriteria inklusi pasien paska stroke dalam penelitian ini adalah memiliki kesadaran penuh dan tidak mengalami aphasia. Instrumen yang digunakan dalam penelitian ini dikembangkan dari konsep kebutuhan pasien paska stroke Kevitt (2009) dan Moreland (2009) dengan skala likert dan koefisien validitas 0,73 dan r 0,75 sehingga dinyatakan valid dan reliable. Data yang terkumpul akan dianalsa dengan menggunakan distribusi frekuensi. Hasil penelitian ini menunjukkan bahwa kebutuhan psikososial yang paling dibutuhkan pasien paska stroke adalah dukungan teman, keluarga, dan kelompok (= 1,76), mendapatkan konseling ( = 1,39), mendapatkan dukungan emosi ( = 1,20), bantuan untuk menjalankan aktivitas sebagaimana sebelum sakit ( = 1,16), berinteraksi dengan pasien paska stroke lainnya (= 1,11), mengatasi perasaan terpuruk (= 1,07), mengatasi kecemasan (=1,05) dan mengatasi perasaan menjadi beban keluarga (= 1,02). Berdasarkan hasil tersebut, pasien membutuhkan bantuan dalam mengatasi masalah psikologis yang dialaminya. Petugas kesehatan diharapkan dapat memfasilitasi kebutuhan pasien tersebut dengan melakukan konseling dan mendorong keluarga untuk memberikan dukungan kepada pasien paska stroke.
Correlation between self-efficacy in treatment and rehabilitation programs with functional status among post-stroke patients Pratiwi, Sri Hartati; Fitriani, Nur; Platini, Hesti
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2247

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Background: Stroke patients must comply with medication and undergo rehabilitation to prevent recurrent attacks. Self-efficacy plays a significant role in patient adherence to and compliance with these programs. Post-stroke patients have varying functional statuses, which may result in differences in their levels of self-efficacy in carrying out these programs. Purpose: To identify the relationship between patients' self-efficacy in undergoing rehabilitation and treatment. Method: A correlational descriptive study using accidental sampling conducted on 69 post-stroke patients. Data were collected using the Stroke Self-Efficacy Questionnaire (SSEQ), the Self-Efficacy for Appropriate Medication use Scale (SEAMS), and the Barthel Index. Data analysis was performed using Spearman's analysis. Results: Most respondents (40.6%) had high self-efficacy in rehabilitation, 62.3% had high self-efficacy in medication, and 56.5% had mild dependence. There was a significant relationship between self-efficacy in carrying out rehabilitation and the functional status of patients (p = 0.000), and there was a significant relationship between self-efficacy in carrying out medication and the functional status of patients (p = 0.000). Conclusion: There is a significant relationship between self-efficacy in undergoing rehabilitation and treatment and the functional status of patients. Health workers, especially nurses, must motivate patients to undergo treatment and rehabilitation, particularly those with low functional status. Keywords: Functional Status; Rehabilitation; Self-Efficacy; Treatment.
Effects of e-health on family caregiving burden of cancer patients: A scoping review Platini, Hesti; Pratiwi, Sri Hartati; Maulana, Indra
JOURNAL OF Mental Health Concerns Vol. 4 No. 5 (2026): January Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i5.2260

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Background: The increasing incidence of cancer means that more people are living with cancer, which increases the responsibility of informal caregivers. Most caregivers are not prepared to fulfil their duties when taking on responsibility for the treatment and care of patients, which can become a burden on caregivers and affect the care of cancer patients. Purpose: To conduct a literature review that assesses the effects of e-health interventions on the burden of informal caregivers. Method: The research method was a literature review using a scoping review approach. The scoping review used inclusion criteria for articles published between 2020 and 2025, using a randomized control trial and experimental study design, and published in English. Article selection used the PRISMA Flow Diagram. The databases used were PubMed and EBSCO. Proquest and engine search Google Scholar. Results: The results of this literature search found 16,690 articles on e-health. However, only 18 articles met the inclusion criteria. Ten articles were complete but did not focus on the benefits of e-health on caregiver burden. Thus, only five articles met the inclusion criteria. Four e-health interventions were found to have an effect on reducing caregiver burden, such as stress, in family caregivers. Conclusion: These findings indicate that e-health interventions have beneficial effects for informal caregivers of cancer patients in long-term care. Keyword: Burden; Cancer; E-Health; Family Caregiver; Informal Caregiver.
Intervensi untuk mengatasi rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisis: A scoping review Sridiawati, Esy; Ibrahim, Kusman; Pratiwi, Sri Hartati
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.1920

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Background: Patients with chronic kidney disease (CKD) often experience thirst when restricting their fluid intake. To improve patient survival, interventions to manage thirst in hemodialysis patients are needed, with the hope of reducing fluid intake in HD patients. Thirst remains an unresolved issue in hemodialysis (HD) patients. Purpose: To map and synthesize the current evidence on interventions to manage thirst in chronic kidney disease (CKD) patients undergoing hemodialysis. Method: A scoping review was conducted using the PRISMA-ScR framework. Articles were identified through PubMed, Scopus, EBSCOhost, and Google Scholar using keywords related to "Interventions to manage thirst in chronic kidney disease (CKD) patients undergoing hemodialysis." Eligible studies were interventional, observational, published in English, and focused on interventions to manage thirst in chronic kidney disease (CKD) patients undergoing hemodialysis. Twenty-one studies met the inclusion criteria and were analyzed thematically using a descriptive and exploratory approach. Results: Based on the literature reviewed, various interventions, such as sucking on unsweetened ice cubes, mint-flavored popsicles, lemon-flavored popsicles, chewing gum, squirting cold boiled water into the mouth, visual fluid restriction education, and brochures, have been consistently and continuously shown to reduce thirst in CKD patients. Conclusion: Interventions such as sucking on ice cubes, mint-flavored popsicles, lemon-flavored popsicles, chewing gum, squirting cold boiled water into the mouth, visual fluid restriction education, and brochures have been consistently and continuously shown to reduce thirst in CKD patients.   Keywords: Chronic Kidney Disease Patients; Hemodialysis; Thirst.   Pendahuluan: Pasien dengan Penyakit Ginjal Kronis (PGK) sering mengalami rasa haus sementara itu mereka harus membatasi asupan cairan. Untuk meningkatkan keberlangsungan hidup pasien diperlukan intervensi penatalaksanaan rasa haus pada pasien hemodialisis dengan harapan asupan cairan pada pasien HD dapat dikurangi.  Rasa haus masih menjadi masalah yang belum terpecahkan pada pasien hemodalisis (HD). Tujuan: Untuk memetakan dan mensintesis bukti terkini tentang intervensi mengatasi rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisis. Metode: Scooping review dilakukan dengan menggunakan kerangka kerja PRISMA-ScR. Artikel diidentifikasi melalui PubMed, Scopus, EBSCOhost, dan Google scholar menggunakan kata kunci terkait Intervensi mengatasi rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisis. Studi yang memenuhi syarat bersifat intervensi, observasional, dipublikasikan dalam bahasa Inggris, dan berfokus pada intervensi mengatasi rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisis sebanyak 21 studi memenuhi kriteria inklusi dan dianalisis secara tematis menggunakan pendekatan deskriptif eksploratif. Hasil: Berdasarkan litereratur yang telah di review, setelah dilakukan berbagai macam intervensi, seperti megulum es batu tawar, es loli rasa mint, es loli rasa lemon, mengunyah permen karet, semprotan air sprai ke mulut dengan air dingin matang, edukasi pembatasan cairan dengan media visual, dan aflet yang dilakukan secara berkala dan berkelanjutan terbukti dapat mengurangi rasa haus pada pasien PGK. Simpulan: Intervensi mengulum es batu, es loli rasa mint, es loli rasa lemon, mengunyah permen karet, semprotan air spray ke mulut dengan air dingin matang, edukasi pembatasan cairan dengan media visual dan leaflet yang dilakukan secara berkala dan berkelanjutan terbukti dapat mengurangi rasa haus pada pasien PGK.   Kata Kunci: Hemodialisis; Pasien Penyakit Ginjal Kronis; Rasa Haus.
Penerapan Terapi Pijat Pada Pasien yang Menjalani Hemodialisa: A Scoping Review Hasniatisari Harun; Yusshy Kurnia Herliani; Sri Hartati Pratiwi; Anita Setyawati
Malahayati Nursing Journal Vol 7, No 8 (2025): Volume 7 Nomor 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i8.19070

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ABSTRACT The prevalence of chronic kidney failure in the world is increasing every year. Most patients require hemodialysis as a kidney replacement therapy. Complementary and alternative medicine (CAM) researchers revealed that massage therapy is widely used by hemodialysis patients to overcome the side effects caused by hemodialysis. To identify the effectiveness of massage therapy in hemodialysis patients. This scoping review was developed based on the Arskey and O'Malley framework. Study searches were conducted through Scopus and CINAHL. Inclusion criteria in selecting articles included: primary research results discussing the application of massage therapy in patients undergoing hemodialysis in the form of full-text articles, in English, and published in 2019-2023. The 13 articles analyzed in this study revealed that massage therapy has a positive effect on general health, physical symptoms, nausea, fatigue, pain due to muscle cramps, and restless legs syndrome (RLS), pruritus severity, sleep quality, insomnia severity, quality of life, anxiety, and intradialytic hypertension in hemodialysis patients. Foot massage therapy can be used as a complementary therapy to reduce the side effects of hemodialysis. Nurses and health workers need to have certified massage therapy skills in order to provide and teach massage to hemodialysis patients and their families. Keywords: Hemodialysis, Massage Therapy, Nurses.  ABSTRAK Prevalensi penyakit gagal ginjal kronis di dunia meningkat setiap tahun. Sebagian besar pasien memerlukan tindakan hemodialisa sebagai terapi pengganti ginjal. Para peneliti complementary and alternative medicine (CAM) mengungkapkan bahwa terapi pijat banyak digunakan oleh pasien hemodialisa untuk mengatasi efek samping yang ditimbulkan oleh hemodialisa. Untuk mengidentifikasi efektivitas terapi pijat pada pasien hemodialisa. Scoping reviewini dikembangkan berdasarkan kerangka kerja Arskey dan O’Malley. Pencarian studi dilakukan melalui Scopus dan CINAHL. Kriteria inklusi dalam pemilihan artikel meliputi: hasil penelitian primer yang membahas tentang penerapan terapi pijat pada pasien yang menjalani hemodialisa dalam bentuk artikel teks lengkap, berbahasa Inggris, dan dipublikasikan ahun 2019-2023. 13 artikel yang dianalisis pada studi ini mengungkapkan bahwa terapi pijat memiliki pengaruh positif terhadap kesehatan umum, gejala fisik, mual, kelelahan, nyeri akibat kram otot, dan restless legs syndrome (RLS), keparahan pruritus, kualitas tidur, keparahan insomnia, kualitas hidup, kecemasan, dan hipertensi intradialitik pada pasien hemodialisa. Terapi pijat kaki dapat dijadikan sebagai terapi komplementer untuk mengurangi efek samping hemodialisa. Perawat dan petugas kesehatan perlu memiliki keterampilan terapi pijat bersertifikasi agar dapat memberikan dan mengajarkan pijat pada pasien hemodialisa dan keluarganya. Kata Kunci: Hemodialisa, Perawat, Terapi Pijat
PENERAPAN TERAPI SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) TERHADAP NYERI AKUT PADA PASIEN POST AMPUTATION ABOVE KNEE DENGAN DIAGNOSA OSTEOMYELITIS TIBIA FIBULA DEXTRA Septiani, Gantri; Pahria, Tuti; Pratiwi, Sri Hartati
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 4 (2026): SINERGI : Jurnal Riset Ilmiah, April 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i4.2501

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Osteomyelitis is a bone infection that can cause extensive tissue damage, potentially leading to amputation. Post-amputation patients commonly experience acute pain influenced by inflammatory processes, surgical trauma, and peripheral nerve stimulation. Pharmacological approaches are often used, but non-pharmacological therapies such as Spiritual Emotional Freedom Technique (SEFT) are considered to have the potential to help reduce pain perception thru relaxation and emotional regulation mechanisms. This study was conducted to examine the effectiveness of SEFT on post-amputation patients due to osteomyelitis. This study uses a case report design on a 63-year-old male patient diagnosed with right tibia-fibula osteomyelitis post-amputation. The SEFT intervention was administered over four sessions, each lasting 15 minutes. Pain evaluation was performed using the Numeric Rating Scale (NRS) before and after the intervention. After four SEFT sessions, the pain intensity decreased from a scale of 7 to 4. In addition to pain reduction, patients reported increased relaxation, emotional calmness, and improved sleep quality. Vital signs, particularly heart rate, indicate improvement toward the normal range. This finding suggests that SEFT is effective as a complementary intervention for reducing acute pain in post-amputation patients. The combination of meridian point stimulation and spiritual affirmations is believed to contribute to physiological relaxation and increased self-acceptance. This intervention has the potential to be applied in nursing practice as a safe, simple, and side-effect-free holistic approach.
Gambaran Kualitas Hidup Berdasarkan Karakteristik Klinis dan Sosiodemografi Pasien Penyakit Ginjal Kronis Stadium Akhir di RSUD Welas Asih Erwin Ferdiansyah Mursidi; Maria Komariah; Sri Hartati Pratiwi
Malahayati Nursing Journal Vol 8, No 6 (2026): Volume 8 Nomor 6 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i6.25221

Abstract

ABSTRACT Patients with end-stage chronic kidney disease (CKD) often experience physical and psychological effects, as well as limitations in activities of daily living and social interactions. This condition requires patients to undergo lifelong renal replacement therapy such as hemodialysis. Dependence on this long-term therapy affects physical and psychological conditions and functional status, which significantly impacts patients' quality of life. This study aims to identify the quality of life based on the clinical and sociodemographic characteristics of end-stage chronic kidney disease patients at RSUD Welas Asih. This study is a quantitative descriptive survey using secondary data from the study ‘Harmony in Health: The Intersection of Natural Resources and Well-Being’. The study population consisted of patients diagnosed with end-stage CKD undergoing routine therapy at the hemodialysis unit of RSUD Welas Asih. The sample consisted of 111 respondents selected using convenience sampling according to the inclusion criteria. The quality-of-life measurement instrument used the WHOQOL-BREF questionnaire, which has been tested for validity and reliability. Data analysis used univariate analysis. The results showed that, in general, the quality of life of patients was in the good category (60.4%). Based on the domains, the quality of life in the psychological, social, and environmental domains tended to be good, but most respondents had a poor quality of life in the physical domain (65,8%). Good quality of life was predominantly found in younger age groups, those with higher education levels, those without comorbidities, and those who had undergone hemodialysis for ≥1 year. The conclusion of this study is that although the quality of life of patients was generally good, the physical domainon was still the most affected aspect, requiring nursing interventions focused on the management of physical complaints. Keywords: Chronic Kidney Disease, Hemodialysis, Quality of Life, WHOQOL-BREF. ABSTRAK Pasien penyakit ginjal kronis stadium akhir sering kali merasakan dampak fisik, psikologis, serta keterbatasan dalam aktivitas sehari-hari (Activities of Daily Living) dan interaksi sosial. Kondisi ini mengharuskan pasien menjalani terapi pengganti ginjal seumur hidup seperti hemodialisis. Ketergantungan pada terapi jangka panjang ini memengaruhi kondisi fisik, psikologis, dan status fungsional yang berdampak signifikan terhadap kualitas hidup pasien. Penelitian ini bertujuan untuk mengidentifikasi gambaran kualitas hidup berdasarkan karakteristik klinis dan sosiodemografi pasien penyakit ginjal kronis stadium akhir di RSUD Welas Asih. Penelitian ini merupakan penelitian survei deskriptif kuantitatif menggunakan data sekunder dari penelitian “Harmony in Health: The Intersection of Natural Resources and Well-Being”. Populasi penelitian adalah pasien dengan diagnosa penyakit ginjal kronis stadium akhir yang menjalani terapi rutin di instalasi hemodialisis RSUD Welas Asih. Sampel berjumlah 111 responden yang diambil menggunakan teknik convenience sampling sesuai kriteria inklusi. Instrumen pengukuran kualitas hidup menggunakan kuesioner WHOQOL-BREF yang telah teruji validitas dan reliabilitasnya. Analisis data menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa secara umum kualitas hidup pasien berada pada kategori baik (60,4%). Berdasarkan domain, kualitas hidup pada domain psikologis, sosial, dan lingkungan cenderung baik, namun sebagian besar responden memiliki kualitas hidup buruk pada domain kesehatan fisik (65,8%). Kualitas hidup yang baik dominan ditemukan pada kelompok usia muda, tingkat pendidikan tinggi, tidak memiliki penyakit penyerta, dan telah menjalani hemodialisis ≥1 tahun. Simpulan penelitian ini adalah meskipun secara umum kualitas hidup pasien baik, domain fisik masih menjadi aspek yang paling terdampak sehingga memerlukan intervensi keperawatan yang berfokus pada manajemen keluhan fisik. Kata Kunci: Penyakit Ginjal Kronis, Hemodialisis, Kualitas Hidup, WHOQOL-BREF.
Co-Authors Ade Rosi Amalia, Fany Andini, Nathania Putri Andri Agustin Anita Setyawati Aprilia, Rahmita Nurul Asri Nurkarimah Aulia, Hannifa Dwi Azizah, Levina Bambang Aditya Nugraha Bambang Aditya Nugraha Chandra Isabella Hostanida Purba Chandra Kirana Khairunnisa Citra Windani Mambang Sari Citra Windani Mambang Sari Dadang Purnama Dahlia, Debie - Dewin Safitri Dwi, Tia Dyah Setyorini Early Octavia Limbong Eka Afrima Sari Eka Afrima Sari Eka Fitri Ningsih ENDAH NESTITI URIP RAHAYU Endah Yuniarti Erwin Ferdiansyah Mursidi Estiqomah, Yuli Etika Emaliyawati Fauzia, Salwa Ghaida Fitri Nurul Khotimah Fitris, Siti Yuyun Rahayu Giovanni Maria Gusgus Ghraha Ramdhanie Hamidah . Hana Rizmadewi Agustina Handayani, Nathasa Harun, Hasniatisari Helwiyah Ropi Herman, Regina Heryani, Hesti Hesti Platini Ida Maryati Indah Wahyuni Indra Maulana` Indra Maulana Karina, Grashiva Khairunnisa, Chandra Kirana Khairunnisa, Nisrina Kusman Ibrahim Liya Arista lukman, dede Ma'ripah, Isnan Maria Komariah Mira Trisyani Muhammad Ramdhani, Muhammad Musawi, Husein Mutiarasani, Anjani Ni Putu Santhi Dewi Saraswati NUR FITRIANI Nur Fitriani Nurfadila, Eva Nurjanah, Ismirani Nurkarimah, Asri Nurrofiqoh, Malihatunnisa Nursalma, Aisyah Nursiswati Nurul Azmi Fauziyah Oktorullah Oktorullah Puspita, Tita Rahmah, Tira Nur Rahmayani, Melly Ria Sitorus Ristina Mirwanti Rohaeti, Sri Elis Rohayanti, Yanti Ryan Hara Permana Salsabila, Nada Salwa, Sayyidah Sandra Pebrianti Santi Mulyani Sari, Yuyun Kartika Seizi Prista Sari Septiani, Gantri Sicilia, Asha Grace Siti Ulfah Rifa’atul Siti Ulfah Rifa’atul Fitri Siti Yuyun Rahayu Fitri Slamet Riyanto Sri Elis Rohaeti Sridiawati, Esy Sutandi, Andi Sya'fa, Siti Noor Tanjung, Rifani Taty Hernawaty Titis Kurniawan Titis Kurniawan Tuti Pahria Urip Rahayu Urip Rahayu Wati, Putri Windiramadhan, Alvian Pristy Yosilistia, Yosilistia Yusshy Kurnia Yusshy Kurnia Herliani