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Terapi Akupresur untuk Menangani Mual dan Muntah pada Pasien Kanker : Literature Review Mulyaningrat, Wahyudi; Wulandari, Ana Triana
Journal of Bionursing Vol 1, No 2 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Introduction. Cancer is the most common cause of death in the world. One treatment that is often used is chemotherapy. Chemotherapy has side effects such as nausea and vomiting. To reduce the side effects of nausea and vomiting in post-chemotherapy patients, complementary acupressure treatment P6 and St36 can be given which can improve the energy flow in the stomach so that it can overcome the symptoms of nausea and vomiting.Objective. The purpose of this literature review for doing a review of several literatures about acupressure therapy for cancer patients with chemotherapy who experience nausea and vomiting, so we will know the benefits of acupressure therapy.Methods. Article searches conducted electronically in some databases: Google Scholar , Portal Garuda and Proquest by 2014 until 2019. Keywords used were ?acupressure?, ?nausea vomit?, and ?chemotherapy?, and finally got five articles matched. All five articles were selected using the PICO ( Patient, Intervention, Comparison, Outcome) method.Results. Acupressure intervention at point P6 and ST36 can reduce nausea and vomiting in post chemotherapy patients.Discussion. The use of acupressure method at point P6 and ST36 is effective in reducing nausea and vomiting in post chemotherapy patients. Acupressure therapy at point P6 and ST36 can be implemented and promoted in the treatment of nausea and vomiting in patients post chemotherapy.Conclusion. Stimulus at point P6 and ST36 can reduce nausea and vomiting in patients after chemotherapy.

PENGARUH STRATEGI KOPING TERHADAP TINGKAT KECEMASAN MAHASISWA NERS DI ERA PANDEMI COVID-19 Sumeru, Annas; Mulyaningrat, Wahyudi
Jurnal Perawat Indonesia Vol. 6 No. 2 (2022): August 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Mahasiswa profesi ners jurusan keperawatan Unsoed dihadapkan pada situasi yang dilematis yaitu apabila pembelajaran sepenuhnya secara daring maka tidak mendapatkan keterampilan klinik, namun dengan praktik di rumah sakit memiliki risiko terpapar Covid-19. Ketidakpastian di masa pandemi menyebabkan kecemasan termasuk bagi mahasiwa profesi ners. Studi tentang strategi koping dan kecemasan diperlukan untuk mengetahui bagaimana gambaran dan hubungan kedua variabel tersebut pada mahasiswa profesi ners. Melalui penelitian ini dengan desain penelitian explanatory mixed method maka diketahui data kuantitatif, selanjutnya dari data kuantitatif yang diperoleh dilakukan dilanjutkan dengan pengumpulan data kualitatif didapatkan pemahaman yang mendalam. Hasil pada penelitian ini menunjukkan tidak ada hubungan dari kedua variabel dengan nilai α > 0,05. Berdasarkan uji kualitatif diperoleh lima buah tema yaitu: 1) Profesi ners sebagai kesempatan belajar dan mendapatkan pengalaman klinik, 2) Ketidakpastian merupakan hal yang meningkatkan kecemasan, 3) Motivasi diri dan support system (teman dan keluarga) yang baik menurunkan kecemasan, 4) APD dan protokol kesehatan selalu melindungi diri dari Covid-19, dan 5) Penularan Covid-19 pada perawat terjadi di luar rumah sakit. Keputusan dalam menurunkan mahasiswa profesi ners ke lahan praktik perlu persiapan yang matang dan kejelasan karena hal tersebut paling dirasakan oleh mahasiswa berimplikasi terhadap meningkatnya kecemasan. Dukungan support sysyem yang baik juga perlu baik dari dalam diri mahasiswa maupun lingkungan termasuk pembimbing klinik dan akademik. Key words : coping strategy, anxiety, nursing student, Covid-19

Factors Affecting Adherence to Antihypertensive Medication: Systematic Review Hidayat, Arif Imam; Alivian, Galih Noor; Awaludin, Sidik; Purnawan, Iwan; Kusumawardani, Lita Heni; Mulyaningrat, Wahyudi
International Journal of Biomedical Nursing Review Vol 2 No 2 (2023): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2023.2.1.9127

Introduction: Hypertension is one of the most common cardiovascular diseases around the world. Hypertension influence so many aspect in patient’s live, not only physically but psychologically as well. Identifying and understanding factors related with treatment adherence in patient with hypertension can be very important to develop specific strategies to increase patient’s quality of life, prevent complications, and reduce re-hospitalization rate in patient with hypertension. Objective: This paper reviewed and synthesized the previous studies of factors related with treatment adherence in patient with hypertension. Method: Literature study in 15 journals through Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Ovid, Taylor and Francis, and Science Direct, and manual searching from the reference list of previous obtained using keywords definition of treatment adherence, dimension of treatment adherence in patient with hypertension, and factors related with treatment adherence in patient with hypertension. Data were analyzed in tables contain title, author, year, methodology, result, and recommendation. Result: Patient adherence to treatment can be describe as an extent of patient’s behavior to follow the medication, diet, and lifestyle changes as recommended by the healthcare provider. Treatment adherence represents patient’s behavior after discussion between patient and healthcare provider. Patient have right to agree or refuse the treatment after get enough information from healthcare provider. Conclusion: The individualized approach can be very useful to assess and understand the cause of patient non-adherence with treatment hypertension. In the future this information can be useful to decide nursing theory that fit to underpinning the intervention and also can be used to plan intervention to increase treatment adherence of patient with hypertension.

NURSING CARE FOR PATIENTS AT RISK OF VIOLENT BEHAVIOR BY PROVIDING MODALITY THERAPY OF SPIRITUAL SNAKE AND LADDER GAME IN THE NAKULA PSYCHIATRIC INSTALLATION OF BANYUMAS REGIONAL HOSPITAL: CASE REPORT Mulyaningrat, Wahyudi; Arida, Adinda Virni
International Journal of Biomedical Nursing Review Vol 3 No 2 (2024): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2024.3.3.12561

Introduction: Violent behavior is a response to anger that is expressed by making threats, injuring oneself or others and can damage the surrounding environment. One way of treating patients at risk of violent behavior can be done using pharmacology or non-pharmacology. One of the non-pharmacological therapies used is the snakes and ladders game approach. This type of therapy considers the goals and benefits, including being able to stimulate the players' cognitive, language, emotional and socio-spiritual functions. The aim of this research is to find out whether spiritual snakes and ladders modality therapy can reduce signs and symptoms of risk of violent behavior (RPK). Methods: The type of method that has been used in the case study uses modality therapy through the medium of the snakes and ladders game which has been technically modified or the game method is carried out using a spiritual therapy approach. Discussion: Based on the research results, it shows that the signs and symptoms of the risk of violent behavior that previously appeared in patients no longer appear after the spiritual snakes and ladders modality therapy was given. Conclusion: Implementation of nursing care provided to patients Mr. S with modality therapy using spiritual snakes and ladders media is an effective way to reduce several signs and symptoms of the risk of violent behavior.

Gambaran Perilaku Phubbing pada Mahasiswa Keperawatan UNSOED di Masa Endemi COVID-19 Wiguna, Ilham; Awaludin, Sidik; Mulyaningrat, Wahyudi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 3 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.100295

Background: Phubbing is a behaviour when a person keeps staring at the cell phone during social interactions, thus ignoring the interlocutor or speaking opponent. This behavior obviously disturb interpersonal relationship and may hurt other people feeling. While phubbing behavior is quite common among college students, it becomes interesting to explore. Objective: To describe phubbing behavior among UNSOED Nursing students during the COVID-19 endemic.Method: The research was descriptive with cross-sectional approach. This involved UNSOED Nursing students as respondents, with a sample of 203 which were chosen using the proportionate stratified random sampling technique. The instruments was Phubbing Scale, which consisted of two factors: communication disorders and obsession with cell phones. Data were analyzed using univariate methods.Results: Most of the respondents (91%) were women with a median age of 20 years old. Most of the respondents showed moderate behavior phubbing (87%), but 13% showed high phubbing behavior. For the dimensions of communication disorders and the greatest obsession with cell phones, the majority of respondents were at moderate level, with 91% and 65% consecutively.Conclusion: Phubbing behavior among UNSOED nursing students are at moderate level. Attention is needed toward cellphone usage to maintain caring practice among nursing students.INTISARILatar belakang: Phubbing adalah praktik melihat layar ponsel saat berinteraksi sosial sehingga mengabaikan lawan bicara. Perilaku ini dapat mengganggu hubungan antar manusia dan menyakiti perasaan orang lain. Kecenderungan perilaku phubbing banyak ditemukan pada mahasiswa sehingga menjadi fenomena yang menarik untuk diteliti. Tujuan: Penelitian ini bertujuan untuk melihat bagaimana gambaran perilaku phubbing mahasiswa Keperawatan UNSOED selama endemi COVID-19.Metode: Penelitian deskriptif cross-sectional ini melibatkan mahasiswa Keperawatan UNSOED, dengan sampel 203 responden menggunakan teknik proportionate stratified random-sampling. Instrumen yang digunakan adalah The Phubbing Scale yang terdiri dari dua faktor, gangguan komunikasi dan obsesi terhadap ponsel. Data dianalisis dengan metode univariat.Hasil: Sebagian besar responden (91%) perempuan dengan nilai tengah usia 20 tahun. Sebagian besar responden menunjukkan perilaku phubbing sedang (87%), tetapi sebanyak 13% menunjukkan perilaku phubbing tinggi. Pada dimensi gangguan komunikasi dan obsesi terbesar terhadap ponsel mayoritas responden berada pada tingkat sedang (91% dan 65%).Simpulan: Perilaku phubbing mahasiswa keperawatan UNSOED berada pada tingkat sedang. Diperlukan pengawasan terhadap penggunaan ponsel agar penerapan konsep caring dapat dilaksanakan secara konsisten.

The effectiveness of Audiovisual Education and Spiritual Support Intervention on Anxiety Reduction and Hemodynamic Parameter Stabilization in Pre-Esophago Gastro Duodenoscopy (EGD) Patients: A Pre-Intervention Study Hidayat, Arif Imam; Mulyaningrat, Wahyudi; Purnawan, Iwan; Awaludin, Sidik; Alivian, Galih Noor; Alfianto, Candra; Siwi, Adiratna Sekar; Walohtae, Fa-is
Journal of Bionursing Vol 6 No 3 (2024): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2024.6.3.14555

Background: Pre-procedural anxiety in esophagogastroduodenoscopy (EGD) patients can negatively impact cooperation and physiological stability, increasing procedural risks. This study evaluated the AVOGADO intervention, integrating audiovisual education and spiritual support, to reduce anxiety and stabilize hemodynamic parameters. Methods: A Pre-Intervention Study was conducted on a 45-year-old male with chronic dyspepsia and moderate-to-severe anxiety (HAM-A > 25). The intervention was administered two days prior to the procedure. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HAM-A), and hemodynamic parameters, including blood pressure, heart rate, and oxygen saturation, were measured at four time points: three days, two days, one day before, and on the day of the procedure. Result: Anxiety decreased significantly, with HAM-A scores dropping from 26 (moderate-to-severe) to 10 (mild). Hemodynamic parameters improved, with blood pressure reduced from 150/90 mmHg to 130/82 mmHg and heart rate from 98 bpm to 80 bpm. Oxygen saturation remained stable. Conclusion: The AVOGADO intervention effectively reduced anxiety and improved physiological stability in a pre-EGD patient. This simple, holistic approach offers promise for broader application in reducing anxiety in medical procedures. Further research with larger samples is recommended.

THE EFFECT OF TOMATO JUICE ON BLOOD PRESSURE OF HYPERTENSIVE PATIENTS IN SUMBANG VILLAGE: CASE REPORT Karunianingrum, Ignatia Maria Putri; Mulyaningrat, Wahyudi; Choiruna, Hasby Pri
International Journal of Biomedical Nursing Review Vol 3 No 3 (2024): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2024.3.3.14021

Introduction: Hypertension is when systolic blood pressure exceeds 140 mmHg and diastolic blood pressure exceeds 90 mmHg. Uncontrolled hypertension can cause various complications that can be fatal, especially in the cardiovascular system. Hypertension can be treated with pharmacological and non-pharmacological therapies. Non-pharmacological therapy can be done by consuming fruits and vegetables such as tomatoes. Tomatoes are believed to act as antioxidants, natural vasodilators, and diuretics that affect blood pressure. Purpose: This case study aims to determine the effect of tomato juice intervention on blood pressure in patients with hypertension.. Methods: This research is a case study with a nursing approach that applies evidence-based interventions in patients with hypertension. There were 3 respondents in this study who met the inclusion criteria. Discussion: The intervention of tomato juice on the three respondents proved effective in reducing systolic and diastolic blood pressure. Tomato juice has various beneficial ingredients such as potassium, lycopene, vitamin C, folic acid, and magnesium, which are natural vasodilators, antioxidants, and diuretics that affect blood pressure and mood. Conclusion: The intervention of tomato juice as a nonpharmacological therapy in patients with hypertension can reduce blood pressure.

The Relationship Between Mental Health Literacy and Attitudes Towards Seeking Professional Mental Health Help Among Students Amalia, Reza Fajar; Ekowati, Wahyu; Mulyaningrat, Wahyudi; Swasti, Keksi Girindra
Eduvest - Journal of Universal Studies Vol. 5 No. 5 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i5.51163

The likelihood of addiction increases as more school-aged youngsters use smartphones. When faced with an uncomfortable circumstance or pressure, kids with poor self-efficacy frequently turn to their smartphones as a coping strategy to instill a sense of security. This study aimed to understand the relationship between mental health literacy and students' attitudes towards seeking professional psychological help. The sampling technique used was stratified random sampling of 386 college students to fill out a questionnaire that assessed their mental health literacy and attitude towards seeking professional psychological help. The mean of mental health literacy score was 118 (SD=14.01) while the overall mean attitude towards seeking professional psychological help was 21 (SD=7.30). A correlation coefficient of r is found in statistical tests examining the relationship between the two variables. A significant correlation between the two variables is revealed by statistical testing (r=0.784, p=0.010). This study shows a significant correlation between mental health literacy and attitude towards seeking professional psychological help. Formulating strategies for education and promoting mental health services in higher education units is important.

COMBINATION OF PSYCHOEDUCATION AND VIDEOTHERAPY TO IMPROVE KNOWLEDGE AND ANTI-BULLYING BEHAVIOR IN CLASS V-B STUDENTS MI MA'ARIF NU BANTERAN: CASE REPORT Putri, Yurice Kusuma; Iskandar, Asep; Mulyaningrat, Wahyudi
International Journal of Biomedical Nursing Review Vol 4 No 2 (2025): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2025.4.2.10833

Introduction: Bullying is a form of negative behavior that is repeated and has a negative purpose. Bullying behavior generally leads directly from one child to another due to an imbalance of power. Environmental factors are divided into school and peer factors called conformity. Conformity is a social peer influence that is known as the first phase to group up and have many friends. Purpose: This case study aims to determine changes in knowledge and bullying behavior after providing psychoeducation and videotheraphy to fifth grade elementary school children. Methods: Case study method with the application of Evidence Based Practice (EBP) in a community of school children totaling 23 students. Implementation of EBP with psychoeducation and videotheraphy on 23 students of class V B MI Ma'arif NU Banteran. Implementation was carried out for 5 sessions (3 psychoeducation sessions, 2 videotherapy sessions). Nursing evaluation begins by distributing pre-test questionnaires to students and then students are asked to fill out post-test questionnaires. Discussion: There was a significant increase in knowledge in the good category from 39.1% to 73.9 and changes in bullying behavior which originally had 7 students in the very high category reduced to 5 students. The increase in knowledge after the intervention occurred in all elements contained in the questionnaire including the definition of bullying, characteristics of bullying, characteristics of bullying perpetrators and victims, types and forms of bullying, factors that influence bullying, and the impact of bullying. Conclusion: There is an increase in knowledge and a decrease in attitudes towards bullying behavior.

COMBINATION WARM WATER FOOT SOAK THERAPY WITH RED GINGER AND BENSON THERAPY IN HYPERTENSIVE ELDERLY WITH ANXIETY NURSING PROBLEM: CASE REPORT Pangesti, Putri Juniar; Mulyaningrat, Wahyudi; Sumeru, Annas
International Journal of Biomedical Nursing Review Vol 4 No 2 (2025): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2025.4.2.10875

Introduction: Hypertension is a disease that most often occurs in the elderly. The problem of hypertension in the elderly causes psychological problems, one of which is anxiety. The anxiety experienced by the elderly can worsen their health condition and can also reduce their quality of life. For this reason, intervention is needed to reduce anxiety, namely by providing a combination of warm water foot soak therapy with red ginger and benson therapy. Objective: This case study aims to determine the effect of giving a combination of warm water foot soak therapy with red ginger and benson therapy on anxiety in hypertensive elderly . Method: This research is a case study by implementing interventions according to EBN. The intervention carried out was a combination of warm water foot soak therapy with red ginger and benson therapy which was carried out for 10 minutes for 7 days. The research subject was 1 person. The subject is hypertensive elderly with anxiety nursing problems. Results: After intervention for 7 days, the post-test results for anxiety levels using the HARS (Hamilton Rating Scale for Anxiety) instrument showed a score of 8 (no anxiety). This score decreased when compared with the results of the pre-test anxiety level which received a score of 19 (mild anxiety), which means the client's anxiety decreased from mild anxiety to no anxiety. Conclusion: Providing a combination intervention of warm water foot soak therapy with red ginger and benson therapy for 7 days can reduce anxiety levels in hypertensive elderly.

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