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Maria, Riri
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Pengkajian Keperawatan dengan Pendekatan Model Adaptasi Roy pada Pasien Stroke Iskemik dengan Komorbiditas SLE : Laporan Kasus Marwanti, Eni; Kariasa, I Made; Maria, Riri; Puspitasari, Anita
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42925

Abstract

Latar belakang : Stroke pada pasien dengan SLE menjadi tantangan dalam praktik keperawatan karena melibatkan kerumitan kondisi yang disebabkan oleh kombinasi dua penyakit utama: SLE sebagai penyakit autoimun sistemik dan stroke sebagai gangguan pada sistem neurologis. Pengkajian dengan pendekatan Model Adaptasi Roy memberikan kerangka kerja yang komprehensif untuk memahami bagaimana pasien merespons perubahan fisik, psikologis, dan sosial akibat kombinasi kondisi tersebut. Tujuan : Studi ini untuk menggambarkan penerapan model adaptasi roy dalam pengkajian keperawatan pada pasien stroke iskemik dengan komorbiditas SLE. Presentasi Kasus: Seorang pasien perempuan berusia 28 tahun dirawat di unit stroke dengan keluhan spastik hemiparesis kanan dan infark maligna pada wilayah middle cerebral crtery (MCA) kiri, serta telah menjalani kraniektomi pada hari ke-0. Hasil: Masalah keperawatan yang muncul dari hasil pengkajian dengan pendekatan model adaptasi roy yaitu  risiko penurunan curah jantung, ketidakefektifan perfusi jaringans perifer, risiko nutrisi kurang dari kebutuhan, gangguan mobilitas fisik, nyeri akut, risiko infeksi, ketidakefektifan perfusi jaringan serebral,  dan  gangguan komunikasi verbal. Kesimpulan: Pengkajian keperawatan dengan pendekatan model adaptasi roy  memberikan kerangka untuk pengkajian keperawatan yang holistik dan terfokus, yang memungkinkan perawat menilai proses adaptasi pasien dalam menghadapi kondisi yang kompeks.
Efek mobilisasi dini pada peningkatan fungsi fisik pasien post coronary artery bypass graft (CABG): A systematic literature review Pristya, Ifana Yunike; Nurachmah, Elly; Maria, Riri
Holistik Jurnal Kesehatan Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.791

Abstract

Background: Heart surgery or Coronary Artery Bypass Graft (CABG) is one of the interventions of choice for the management of patients with cardiovascular disease that aims to minimize symptoms and optimize heart function. CABG is not without complications, complications caused by surgical procedures include physiological changes. Conditions during hospitalization due to immobilization cause loss of strength and muscle mass, decreased functional capacity, and decreased physical condition, so early mobilization of patients in the postoperative period of heart surgery who are treated in the intensive care unit (ICU). Purpose: To determine the implementation of early mobilization in improving the physical function of patients after coronary artery bypass graft (CABG). Method: A systematic literature review study using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reference and literature searches originating from databases including; Published, ScienceDirect, and SAGE Journal. Then 6 literatures were found which were processed and presented in tabulated form. Results: Based on a review of the 6 included literatures, it showed a significant positive effect of early mobilization and no adverse events occurred during early mobilization after heart surgery. The benefits of early mobilization can prevent and reduce the risk of post-CABG surgery complications, accelerate the recovery of functional walking capacity and have a positive impact on the length of stay, thereby reducing patient care costs. Conclusion: Early mobilization can prevent and reduce post-CABG complications, accelerate the recovery of functional walking capacity, have a positive impact on the length of stay, and thus reduce the cost of care. Suggestion: Nurses should also assess potential barriers to early mobilization, such as patient resistance, lack of motivation, anxiety, and postoperative pain because these factors can negatively impact patient cooperation. In addition, early movement after CABG can be combined with breathing exercises and psychoeducation to improve recovery outcomes.   Keywords: Coronary Artery Bypass Graft (CABG); Early Mobilization; Physical Function.   Pendahuluan: Bedah jantung atau Coronary Artery Bypass Graft (CABG) adalah salah satu intervensi pilihan untuk tatalaksana pasien dengan penyakit kardiovaskular yang bertujuan meminimalkan gejala dan mengoptimalkan fungsi jantung. Tindakan CABG dilakukan tidak tanpa komplikasi, komplikasi yang diakibatkan oleh prosedur bedah salah satunya yaitu perubahan fisiologis. Kondisi selama rawat inap karena imobilisasi, menyebabkan kehilangan kekuatan dan massa otot, penurunan kapasitas fungsional, dan penurunan kondisi fisik, sehingga sangat diperlukan mobilisasi dini pasien dalam periode pasca operasi bedah jantung yang dirawat di unit perawatan intensif (ICU).                         Tujuan: Untuk mengetahui implementasi dari mobilisasi dini pada peningkatan fungsi fisik pasien post coronary artery bypass graft (CABG). Metode: Penelitian systematic literature review menggunakan acuan Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) dan pencarian literatur berasal dari database antara lain;  Pubmed, ScienceDirect, dan SAGE Journal. Kemudian ditemukan 6 literatur yang diolah dan disajikan dalam bentuk tabulasi. Hasil: Berdasarkan review dari 6 literature yang disertakan menunjukkan efek positif yang signifikan dari mobilisasi dini dan tidak ada kejadian buruk yang terjadi selama mobilisasi dini pasca bedah jantung. Manfaat dari mobilisasi dini dapat mencegah dan mengurangi risiko komplikasi pasca operasi CABG, mempercepat pemulihan kapasitas berjalan fungsional, dan berdampak positif dalam lama perawatan, sehingga mengurangi biaya perawatan pasien. Simpulan: Mobilisasi dini dapat mencegah dan mengurangi risiko komplikasi pasca operasi CABG, mempercepat pemulihan kapasitas berjalan fungsional, berdampak positif dalam lama perawatan, sehingga mengurangi biaya perawatan. Saran: Perawat juga harus menilai potensi hambatan terhadap mobilisasi dini, seperti penolakan pasien, kurangnya motivasi, kecemasan, dan nyeri pasca operasi karena faktor-faktor ini dapat berdampak negatif pada kerja sama pasien. Selain itu, mobilisasi dini setelah CABG dapat dikombinasikan dengan latihan pernapasan dan psikoedukasi untuk meningkatkan hasil pemulihan.   Kata Kunci: Coronary Artery Bypass Graft (CABG); Early Mobilization; Fungsi Fisik.
Penggunaan Metode Penilaian Trauma Dalam Memprediksi Luaran Pasien : Literatur Review Hernaningrum, Ristina Fauzia; Masfuri, Masfuri; Arista, Liya; Maria, Riri
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44653

Abstract

Latar Belakang : Trauma menjadi salah satu penyebab morbiditas dan mortalitas di dunia. Kematian akibat trauma di Indonesia sebagian besar korban terjadi pada usia produktif sehingga dapat mempengaruhi kestabilan keluarga. Penilaian awal di Unit Gawat Darurat menjadi proses penting yang dapat berpengaruh pada hasil perawatan jangka panjang pasien. Membutuhkan kecepatan dan ketepatan mengidentifikasi keparahan trauma untuk dapat segera menentukan prioritas penanganan dan kesesuaian sumber daya. Tujuan : Mengetahui metode penilaian keparahan trauma yang dapat digunakan untuk memprediksi luaran pada pasien trauma. Metode : Telaah sistematis dilakukan dengan pencarian artikel pada basis data dengan kata kunci yang telah ditentukan, yang kemudian dilanjutkan dengan pengecekan, penghilangan duplikasi, dan penyaringan isi sehingga didapatkan 6 artikel untuk ditelaah. Hasil : Dari berbagai penilaian trauma yang digunakan, diketahui TRISS menjadi model terbaik yang dapat memprediksi luaran berupa mortalitas pada pasien trauma. Kesimpulan : TRISS menjadi metode penilaian trauma yang paling sensitif dalam memprediksi potensi mortalitas pada pasien trauma.
Penggunaan Metode Penilaian Trauma Dalam Memprediksi Luaran Pasien : Literatur Review Hernaningrum, Ristina Fauzia; Masfuri, Masfuri; Arista, Liya; Maria, Riri
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45052

Abstract

Background: Trauma is one of the causes of morbidity and mortality in the world. Deaths due to trauma in Indonesia are primarily victims of productive age, so it can affect family stability. Initial assessment in the Emergency Unit is an important process that can affect the patient's long-term care outcomes. It requires speed and accuracy in identifying the severity of trauma to be able to immediately determine the priority of treatment and the appropriateness of resources. Objective: To determine the method of assessing the severity of trauma that can be used to predict outcomes in trauma patients. Method: A systematic review was conducted by searching for articles in the database with predetermined keywords, which was then continued with checking, removing duplications, and filtering the content so that six articles were obtained for review. Results: From the various trauma assessments used, it is known that TRISS is the best model that can predict outcomes in the form of mortality in trauma patients. Conclusion: TRISS is the most sensitive trauma assessment method in predicting potential mortality in trauma patients.
Terapi Akupresur untuk Menurunkan Nyeri Pascaoperasi Jantung selama perawatan di RS: Sebuah Tinjauan Literatur Muliyawati, Anisa; Herawati, Tuti; Maria, Riri
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45055

Abstract

Acute postoperative pain following cardiac surgery, typically localized in the thoracic region, can adversely affect cardiopulmonary function, inhibit effective coughing, and increase the risk of complications such as atelectasis and pneumonia, ultimately contributing to prolonged hospitalization. Multimodal pain management strategies incorporating acupressure—an intervention that modulates both the nervous and inflammatory systems—offer a non-pharmacological means of reducing pain perception and minimizing opioid requirements. This literature review aims to evaluate the effectiveness of acupressure therapy in managing postoperative pain among cardiac surgical patients. This study employed a literature review method by analyzing articles retrieved from databases including ScienceDirect, PubMed, and Scopus, published between 2015 and 2024. The review revealed that six out of seven studies reported that acupressure therapy significantly reduced pain levels in postoperative cardiac patients. Therefore, acupressure can be considered a complementary intervention in managing postoperative pain in cardiac patients.
Pengaruh Terapi Berbasis Aplikasi Seluler Dalam Menurunkan Nyeri Pada Pasien Osteoartritis Lutut : Systematic Review Muthia, Ellen; Masfuri, Masfuri; Arista, Liya; Maria, Riri
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45433

Abstract

Knee osteoarthritis is a degenerative condition that often causes significant pain and thus affects the patient's quality of life. Mobile application-based therapy is a non pharmacological physical rehabilitation method that has emerged as an innovative approach in reducing pain and providing self-management benefits to increase adherence with therapy programs. This systematic review aims to determine the effect of mobile application-based therapy in reducing pain in knee osteoarthritis patients. A literature search was conducted using the EBSCO, Pubmed, ScienceDirect, and Scopus databases from 2020 to 2024 to identify randomized controlled trials (RCT) articles on mobile application-based therapy in knee osteoarthritis patients in the context of knee osteoarthritis pain therapy. Data regarding pain reduction, patient adherence, and functional outcomes were extracted and analyzed. Results obtained from 7 RCT articles showed that mobile application-based therapy significantly reduced pain in knee osteoarthritis patients compared with the control group. Apps that provide exercise programs, education, and self-monitoring have shown that increased patient adherence to therapy has been found to be positively associated with better pain outcomes. The conclusion is that mobile application-based therapy provides benefits in pain management in knee osteoarthritis patients. Further research is needed to explore factors that influence the success of therapy.
Efektifitas Penggunaan Aplikasi Kesehatan Digital (telenursing) dalam meningkatkan Rehabilitasi Pasien Fraktur: Literature Review Firdausy, Muhammad Irvan; Maria, Riri
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47057

Abstract

Pendahuluan: Penggunaan aplikasi kesehatan digital (telenursing) di negara maju, sangat berkembang pesat. Amerika Serikat adalah negara yang paling banyak menggunakan model ini dan melakukan riset keperawatan dengan 14 (37.8%), disusul oleh Kanada dan Inggris (Souza, Mendes, Mazzo, Godoy, 2016). Aplikasi telenursing dapat membantu pasien dan keluarga dalam melakukan perawatan terhadap anggota keluarga yang sakit. Salah satu area di mana telenursing dapat memiliki dampak signifikan adalah dalam perawatan dan pencegahan cedera muskuloskeletal. Fraktur merupakan salah satu cedera muskuloskeletal. Fraktur pada tulang panjang seringkali mengakibatkan tingkat keparahan yang tinggi, baik dari segi kegawatan, proses penyembuhan, dan dampak pengaruhnya terhadap kemampuan mobilisasi (Padila, 2012 dan Desiartama, 2017 dalam Andri et al., 2020). Tujuan: Studi ini bertujuan untuk mengetahui efektivitas penggunaan aplikasi kesehatan digital (telenursing) terhadap masalah muskuloskeletal. Metode: Penelitian menggunakan desain literature review dengan metode PRISMA. PICO diformulasikan dengan Population : pasien pre dan pasca fraktur usia > 18tahun, Intervention: penggunaan aplikasi kesehatan digital (telenursing), Comparison: perawatan konvensional atau tidak menggunakan aplikasi, Outcome: perbaikan hasil rehabilitasi (misalnya fungsi fisik, kualitas hidup). Pencarian literatur dilakukan pada database elektronik (Bing, EBSCO, ScienceDirect, ProQuest, dan Google Scholar) untuk artikel terbit Oktober 2014 – Oktober 2024. Kata kunci pencarian mencakup kombinasi Boolean : “fracture” OR “extremity fracture” AND “digital health application” OR “telehealth” OR “telemedicine” OR “telenursing” AND “rehabilitation” OR “improve rehabilitation”. Kriteria inklusi: artikel penelitian RCT, teks lengkap, akses terbuka, berbahasa inggris, subjek pasien fraktur (pre/pasca operasi). Kriteria eksklusi : artikel berupa tinjauan Pustaka, editorial, laporan khusus, abstrak konferensi, serta penelitian dengan subjek usia < 18 tahun atau wanita hamil. Kualitas metodologi studi dinilai dengan instrument JBI untuk RCT. Hasil: dari 83.307 artikel teridentifikasi, tersaring 4 artikel RCT dari 4 negara berbeda yang memenuhi kriteria inklusi. Keempat studi tersebut terdiri dari 2 RCT terkait rehabilitasi pasca fraktur dan dua RCT program tele-rehabilitasi untuk pencegahan fraktur pada populasi risiko tinggi. Secara keseluruhan, intervensi telenursing menunjukkan potensi mempercepat pemulihan, meningkatkan kepatuhan rehabilitasi, dan kualitas hidup pasien. Kata kunci: fraktur, fraktur ekstremitas, aplikasi kesehatan digital, telenursing, telehealth, telemedicine, rehabilitation, meningkatkan rehabilitasi
Reducing Anxiety Through Education: A Systematic Review of Health Education for Hospitalized Tuberculosis Patients Rizal, Imam Kurniawan; Waluyi=o, Agung; Maria, Riri; Yona, Sri
Journal of Nursing Science Update (JNSU) Vol. 13 No. 1 (2025): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.01.04

Abstract

Anxiety is a common psychological issue experienced by patients undergoing hospitalization, particularly those diagnosed with tuberculosis (TB), due to prolonged treatment periods and fear of stigma. As much as health education has been proposed as a potential intervention, research conducted so far is limited and varies in study methodology, and thus it's difficult to make conclusions. Further, there is no synthesized evidence regarding the impact of formal health education on anxiety among hospitalized TB patients, particularly where there is cultural diversity. This study aims to review the effect of health education interventions on anxiety levels in  TB patients. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature was identified through PubMed, Scopus, and ProQuest databases.  Inclusion criteria: RCTs or quasi-experimental studies involving pulmonary TB patients, evaluating the effect of health education on anxiety compared to other psychological interventions. Fifteen articles met the eligibility criteria and were included for analysis. The reviews summarized between 2019 and 2024 consistently showed that health education significantly reduces anxiety in hospital-admitted TB patients. This review update encapsulates the up-to-date evidence, expanding on the earlier work by adding recent evidence, mentioning varied forms such as single sessions, multimedia gadgets, and culturally sensitive materials. The findings highlight the importance of integrating health education as part of comprehensive TB care to address psychological distress and improve treatment outcomes.
Co-Authors Elly Nurachmah Firdausy, Muhammad Irvan Hernaningrum, Ristina Fauzia I Made Kariasa Liya Arista Marwanti, Eni Masfuri - Muliyawati, Anisa Muthia, Ellen Nurhasty, Srie Wulan Pristya, Ifana Yunike Puspitasari, Anita Rizal, Imam Kurniawan Sri Yona Sugeng, Santoso Tuti Herawati Waluyi=o, Agung