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All Journal UNEJ e-Proceeding NurseLine Journal Nurse and Health: Jurnal Keperawatan The Indonesian Journal of Health Science Jurnal Pengabdian Masyarakat dalam Kesehatan Nursing and Health Sciences Journal (NHSJ) Binawan Student Journal IJOHCM Health and Technology Journal (HTECHJ) Jurnal Penelitian Sains dan Teknologi Indonesia Coping : Community of Publishing in Nursing Borneo Nursing Journal
Anggia Astuti
Faculty Of Nursing, Universitas Jember, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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IMPLEMENTASI HEAD-UP ELEVASI 30° PADA PASIEN STROKE DENGAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF Khasanah, Yunnik Fatun; Fibriansari, Rizeki Dwi; Astuti, Anggia
Jurnal Penelitian Sains dan Teknologi Indonesia Vol 3 No 2 (2024): Jurnal Penelitian Sains dan Teknologi Indonesia (JPSTI)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpsti.v3i2.4041

Abstract

Stroke is a condition of lack of oxygen caused by blockage of blood vessels leading to the brain which causes cerebral disorders. A stroke occurs when blood flow to the brain is suddenly blocked for more than 24 hours because a blood vessel is blocked or ruptured. This can occur due to several factors, including uncontrolled blood pressure, headache, dizziness nausea, and vomiting. To overcome some of these problems, non-pharmacological therapy is needed, namely providing a head-up position with an elevation of 30° with the risk that cerebral perfusion can be effective. The aim is to explore medical surgical nursing care using the implementation of head-up elevation in stroke patients with nursing problems at risk of ineffective cerebral perfusion. This research used a case study design conducted on one respondent with the inclusion criteria being age over 50 years and risk factors for hypertension. This research was conducted for 3 days in the Kenanga Room at RSUD dr. Haryoto Lumajang in June 2024. Data collection used interview, observation, and documentation techniques with decisive intervention. The tools or instruments used are head-up SOPs and observation sheets. Implementation of 30° head-up elevation for 30 minutes for three days in stroke patients who were at risk of ineffective cerebral perfusion with initial blood pressure values of 161/101 mmHg to final blood pressure of 141/58 mm Hg and initial MAP results of 121 mmHg and final MAP of 85. 6 mmHg. It is recommended that nurses use it as a working guide for stroke patients with risk problems for ineffective cerebral perfusion through the implementation of 30° elevation head-up intervention. Thus, providing 30° elevation head-up therapy affects reducing intracranial pressure, the aim of which is to maximize venous return so that blood flow to the brain becomes smooth, increasing cerebral tissue metabolism and maximizing oxygenation of brain tissue so that the brain becomes more active.
ACCEPTANCE AND USE OF ARTIFICIAL INTELLIGENCE (AI) AMONG NURSING STUDENTS: A SCOPING REVIEW Annisa Pratiwi; Zainal Abidin; Rizeki Dwi Fibriansari; Anggia Astuti
Community of Publishing in Nursing Vol. 13 No. 5 (2025): Oktober 2025
Publisher : Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2025.v13.i05.p02

Abstract

Artificial intelligence (AI) had the potential to transform nursing education and practices. Nursing students need to be prepared to understand, accept, and use AI. However, nursing students experienced various challenges in using AI. This scoping review aimed to map the literature related to the acceptance and use of AI among nursing students. This scoping review followed the framework by Arksey and O’Malley. Inclusion criteria were AI-related studies involving nursing students, published in English (2015-2025), and available in full text. The search and selection of articles were shown in the PRISMA-SR flow diagram. Data extraction was done by creating a table. This research identified nine articles. Most studies reported positive attitudes and high readiness among nursing students to accept and use AI. Students used AI for learning, completing academic assignments, and supporting clinical practice. Influencing factors included AI literacy, personality, smart device addiction, and prior technology experience. Main challenges identified were lack of AI-focused training and curriculum, financial barriers, and concerns about data reliability. Nursing students generally demonstrated positive acceptance and use of AI, but significant gaps remained in training, curriculum integration, and access. These challenges are addressed through structured education, financial support, and ethical guidelines to optimize AI in nursing education and practices.
The Effectiveness of Self-Directed Learning Readiness on Competency Achievement of Basic Nursing Clinical Practice Students Anggia Astuti; Dodi Wijaya; Nur Yuliani; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 1 No. 5 (2023): October 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i5.109

Abstract

Basic Nursing Clinical Practice is the first clinical learning experience for vocational nursing students. The achievement of complete competence will provide a positive experience, ability, willingness to learn actively and independently, and direct continuous learning so that competent vocational nurse graduates are achieved. Self-Directed Learning Readiness (SDLR) is a condition where students have full control in the process of making decisions related to their learning and accept full responsibility for it, even though later they need help and advice from lecturers and Clinical Instructors. Therefore, this research was conducted to determine the effectiveness of SDLR on the competency achievement of basic nursing clinical practice students. This study used a quasi-experimental design with one group pretest and posttest design. The sampling technique used total sampling, with as many as 91 respondents. Respondents were 2nd semester D3 Nursing Study Program students. The analysis used an independent sample t-test, with a 95% degree of confidence. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05. Of course, a high level of Self Directed Learning Readiness, can have a positive impact on student competency outcomes in carrying out Nursing Clinical Practice, where competency achievement targets will be met. Achievement of plenary competence will provide a positive experience, ability, willingness to learn actively and independently, and direct continuous learning so that competent vocational nurse graduates are achieved.
Overview of Self-Directed Learning Readiness (SDLR) in First-Year Nursing Students Anggia Astuti Astuti; Dodi Wijaya; Zainal Abidin; Rizeki Dwi Fibriansari
Health and Technology Journal (HTechJ) Vol. 2 No. 3 (2024): June 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i3.186

Abstract

Self-directed learning (SDL) solves learning challenges using various learning tools. Nursing requires lifelong learning, and SDL is an important skill for practitioners to stay current and effective. It is required of nursing students to embrace SDL and hone these abilities. Nevertheless, there is no indication of this novel procedure in Lumajang. This study aims to assess nursing students' preparation for SDL and its impact on learning outcomes. This quasi-experimental study purposefully included 91 students who carry out basic nursing clinical practice as participants. The instrument used in this study was the Self-Directed Learning Readiness Scale (SDLRS) questionnaire developed by Fisher. The results of this study showed that there was an increase in the SDLR level from 9 students (9.9%) having a high SDLR level to 78 students (85.8%) and 82 students (90.1%) having a moderate SDLR level to 13 students (14.2%). The nursing students' average SDL preparedness level has a substantial impact on learning outcomes. Nursing training institutes should give the resources required to adopt SDL as a primary teaching technique to ensure competent lifelong professionals.
The Implementation of Deep Breathing Relaxation and Al-Quran Recitation in Reducing Acute Pain in Post-Op Sectio Caesarea Patients: A Study Case Musviro Musviro; Ainun Syarifatul Fitriyah; Nurul Hayati; Laili Nur Azizah; Anggia Astuti
Health and Technology Journal (HTechJ) Vol. 2 No. 6 (2024): December 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i6.297

Abstract

Acute pain frequently affects post-cesarean section patients and, if left unmanaged, can slow recovery and potentially lead to chronic pain. Non-pharmacological methods like Deep Breathing Relaxation combined with Murottal Al-Quran therapy offer a promising solution to alleviate this pain. This case study examines the effectiveness of these techniques in reducing acute pain post-cesarean section in the Teratai Ward of Dr. Haryoto Regional General Hospital, Lumajang. Therapy involves daily 20-minute sessions of QS Ar-Rahman (78 verses) recited by Qori' Ahmad Saud via MP3. The participant was a patient meeting specific criterion: hospitalized for at least 3 days, with moderate pain levels (NRS score), exhibiting signs such as pain complaints, grimacing, protective behaviors, sleep difficulties, of Islamic faith, and with no hearing impairments. Pain levels were measured using the Numeric Rating Scale (NRS) before and after the intervention. Results showed a notable reduction in pain over the 3-day intervention, with the NRS score decreasing from 7 (moderate) to 4 (mild), accompanied by reduced grimacing, less protective behavior, and improved sleep quality. This study suggests that combining deep breathing relaxation and Murottal Al-Quran offers significant pain relief for post-cesarean patients. It is practical and cost-effective, allowing it to be easily implemented by nursing staff starting from the first-day post-surgery. These findings highlight a feasible approach for pain management in post-cesarean care, providing an effective and accessible option that aligns with the needs of Islamic patients, ultimately enhancing their comfort and recovery process.
Pursed Lips Breathing with Balloon Enhancing Airway Clearance in Children with Pneumonia Musviro; Arini Fitria; Nurul Hayati; Laili Nur Azizah; Anggia Astuti
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.357

Abstract

Pneumonia can pose a serious threat to children's health. In pneumonia, increased lung secretions obstruct the airways, affecting breathing, especially in children who cannot expel sputum alone. If not treated immediately, this condition can be fatal. This study aimed to provide nursing care for children with nursing problems of ineffective airway clearance with Pursed Lips. Breathing using balloons can help improve gas exchange, which is observed by increasing oxygen saturation in the body and can help expel secretions. Participants in this study were pneumonia patients aged 3-5 years who were treated in the Bougenville Room of Dr. Haryoto Hospital, Lumajang, with nursing problems of Ineffective Airway Clearance and were not allergic to balloons. Data collection used interviews, observations, and documentation studies. The results of the assessment showed that An. A male, 5 years old, has a weak general condition, ineffective cough, sputum, additional breathing sounds of rhonchi, and an increased respiratory rate. The nursing problem that occurred was ineffective airway clearance. The interventions carried out refer to the Indonesian Nursing Intervention Standards (SIKI) intervention, namely airway management, respiratory monitoring, and Pursed Lips Breathing (PLB) actions. To attract children's interest, PLB uses balloons conceptualized as balloon play therapy, whose mechanism is similar to PLB with an atraumatic care approach. After nursing care for 4 days, the goals were achieved. Namely, changes in effective coughing increased, sputum decreased, additional breath sounds were absent, breathing patterns changed, and breathing frequency improved. Pursed Lips Breathing (PLB) can increase alveolar expansion in each lung lobe so that alveolar pressure increases and secretions can be pushed into the airway during expiration. PLB can be carried out to increase knowledge as an innovative intervention in treating children with pneumonia diagnosed with ineffective airway clearance.
Warm Foot Bath Therapy and Jasmine Aromatherapy to Treat Insomnia in the Elderly Anggia Astuti Astuti; Zainal Abidin; Rizeki Dwi Fibriansari; Devy Amanda
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.489

Abstract

Lack of sleep can harm the physical, mental, and emotional health, quality of life, cognitive function, and memory function of the elderly. Poor sleep quality can also directly affect health, with the risk of various problems such as hypertension, diabetes mellitus, stroke, obesity, heart disease, and several other conditions. Therefore, the need for effective non-pharmacological pain and symptom management strategies during sleep disorders is increasing. One recommended approach is relaxation therapy involving soaking the feet in warm water and jasmine aromatherapy before bedtime. This study aims to evaluate the effects of warm foot baths combined with jasmine aromatherapy on sleep quality and vital signs in older adults with insomnia. Using a case study design, the intervention was given to one participant, an 81-year-old woman diagnosed with moderate insomnia. The participant reported difficulty falling asleep, frequent waking during the night, dissatisfaction with her sleep quality, significant changes in sleep patterns, and insufficient rest. The therapy consisted of warm foot baths with jasmine aromatherapy, performed every night for five consecutive days before bedtime. To assess the effectiveness of the intervention, measurements were taken of changes in the Insomnia Severity Index (ISI) score, detailed observations of sleep patterns, and general monitoring of vital signs. The study showed a significant decrease in the ISI score from 19 (moderate insomnia) to 8 (mild insomnia). In addition, participants experienced improved sleep quality, characterized by sleeping through the night without waking up, increased sleep satisfaction, and adequate rest. Vital signs showed stabilization during the intervention period, indicating better physiological relaxation. These findings support using warm foot baths and jasmine aromatherapy as an effective nursing intervention to treat insomnia and improve sleep quality in the elderly.
PARTITION AND ROAD EXPLORATION IN AGRONURSING-BASED DEVELOPMENT: Eksplorasi Sekat Dan Jalan Dalam  Pengembangan Eduwisata Berbasis Agronursing Arista Maisyaroh; Anggia Astuti; Eko Prasetya Widianto; Rizeki Dwi Fibriansari; Muhammad Rizal
Borneo Nursing Journal (BNJ) Vol. 2 No. 1 (2020)
Publisher : Akademi Keperawatan Yarsi Samarinda

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

Abstract

Saat ini terjadi pergeseran destinasi wisata, masyarakat tidak lagi berwisata untuk mendapatkan kesenangan saja tetapi lebih banyak berwisata untuk mendapatkan kesehatan, edukasi, dan bermanfaat secara fisik, psikologis, serta spiritual. Akan tetapi perpaduan wisata, budaya pedesaan, agrikultur dan kesehatan masih jarang terkaji, oleh karena itu tujuan penelitian ini adalah mendeskripsikan sekat dan jalan dalam perkembangan eduwisata berbasis agronursing. Desain penelitian yang digunakan adalah kualitatif dengan pendekatan fenomenologi interpretatif. Pengambilan data dilakukan dengan cara wawancara mendalam menggunakan pertanyaan semistruktur yang melibatkan 10 orang petani di desa Burno. Data dikumpulkan dan dianalisis dengan menggunakan analisa tematik berdasarkan pendekatan Braun dan Clarke. Penelitian menghasilkan 5 tema yaitu melangkah sendiri, terkuncinya pasar, lemahnya akses program, pengorganisasian usaha desa, pemanfaatan potensi desa. Kesimpulan: Banyak dampak positif dari pengembangan eduwisata berbasis agronursing, baik dalam bidang ekonomi, kesehatan dan keberdayaan masyarakat. Namun hal ini perlu direncanakan secara hati-hati berkenaan dengan pelestarian lingkungan dan budaya lokal. Kerjasama yang baik antara pemerintah, masyarakat, dunia usaha sangat diperlukan untuk mengembangkan eduwisata berbasis agronursing yang berkelanjutan.
Co-Authors Ainun Syarifatul Fitriyah Annisa Pratiwi Arini Fitria Arista Maisyaroh Candra Alif Novyanto Devy Amanda Dodi Wijaya Dwi Ochta Pebriyanti Eko Prasetya Eko Prasetya Widianto Ike Adelia Indra Muliani Khasanah, Yunnik Fatun Laili Nur Azizah Maduratna Arinda Alif Maharani Cahyo Putri Muhammad Rizal Mulyantoro, Adi Mustikawati, Aleikh Musviro Nur Yuliani Nur Yuliani Nuring Dwi Hareni Nurul Hayati P.M Rahmawati Prasetya, Eko Primasari Mahardhika Rahmawati R Endro Sulistyono Rizeki Dwi Fibriansari Rizeki Dwi Fibriansari Suhari Syaifuddin Kurnianto Zainal Abidin Zainal Abidin Zainal Abidin