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All Journal Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jambura Nursing Journal Jurnal Kesehatan Rajawali Journal of Innovative and Creativity Jurnal Riset Ilmiah Health Dynamics International Journal of Nursing Information Holistik Jurnal Kesehatan
Tohri, Tonika
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Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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ANALISIS ASUHAN KEPERAWATAN PADA PASIEN DENGAN RISIKO BUNUH DIRI AKIBAT DEPRESI DENGAN INTERVENSI GUIDED IMAGERY DAN FOCUS GROUP DISCUSSION DI RUANG JIWA INTENSIF CAMAR RS JIWA PROVINSI JAWA BARATTAHUN 2026 Mona, Ai; Tohri, Tonika; Rustandi, Budi
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 2 (2026): SINERGI : Jurnal Riset Ilmiah, February 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i2.2428

Abstract

Background: Depression is a mood disorder that significantly increases the risk of suicide, particularly among patients in acute psychiatric intensive care settings. Suicide risk management is a priority in nursing care as it directly relates to patient safety. Non-pharmacological interventions such as Guided Imagery and Focus Group Discussion (FGD) may help stabilize emotions and improve coping mechanisms. Objective: To analyze nursing care for patients at risk of suicide due to depression through the implementation of Guided Imagery and Focus Group Discussion interventions in a psychiatric intensive care unit. Methods: This study employed a descriptive analytic method with a case study approach. Data were collected through observation, interviews, active participation, documentation review, and literature study. The subject was a patient diagnosed with depression and high suicide risk admitted to a psychiatric intensive care unit. Interventions were implemented in stages, beginning with Guided Imagery for emotional stabilization, followed by FGD to enhance social support and coping skills. Evaluation was conducted by assessing behavioral changes, emotional responses, and suicide risk scores. Results: The findings showed a significant reduction in suicide risk scores from high risk (scores of 14 and 11) to low risk (score of 3) after the interventions. Patients reported feeling calmer, more comfortable, experiencing fewer negative thoughts, and showing increased motivation to live. FGD facilitated emotional expression and strengthened social support. Conclusion: The implementation of Guided Imagery and Focus Group Discussion was effective in reducing suicide risk among patients with depression in a psychiatric intensive care setting. These interventions can be integrated into comprehensive nursing care to support suicide prevention efforts
Protocol-Guided Suctioning for Safe Airway Management in Hemorrhagic Stroke Patients with External Ventricular Drainage: A Case Study Nurlela, Tuti; Octovia Manalu, Lisbet; Tohri, Tonika; Istianah, Istianah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.998

Abstract

Background: Ineffective airway clearance is a frequent nursing diagnosis in critically ill patients, particularly those with hemorrhagic stroke who experience decreased consciousness and impaired cough reflex. Accumulation of airway secretions increases the risk of hypoxia, aspiration, and respiratory complications, necessitating comprehensive airway management in the intensive care unit (ICU). Objective: This study aims to describe the implementation of suction-based nursing care in managing ineffective airway clearance in a patient with hemorrhagic stroke following external ventricular drainage (EVD). Methods: A single-patient case study was conducted in the ICU. Data were collected through comprehensive nursing assessment, direct observation, physical examination, and review of medical records. Nursing interventions were implemented based on clinical guidelines, including airway monitoring, positioning, oxygen therapy, and suction procedures. Data were analyzed descriptively to evaluate changes in clinical indicators over a five-day observation period. Results: Following structured airway management, progressive improvement in respiratory parameters was observed. Oxygen saturation (SpO₂) increased from 94% at baseline to 98% by Day 5, while respiratory rate decreased from 30 to 18 breaths per minute. Secretion volume reduced from approximately 25–30 ml/day to 8–10 ml/day, accompanied by changes in consistency from thick and viscous to thin and clear. Auscultation findings improved from bilateral rhonchi with gurgling to clear vesicular breath sounds. No adverse events or signs of neurological instability were observed during suction procedures. Conclusion: This case study demonstrates that structured, suction-based nursing care may effectively improve airway clearance and respiratory status in critically ill hemorrhagic stroke patients. Early and carefully monitored airway interventions can support oxygenation and reduce secretion burden without compromising patient safety in the ICU
PENGARUH EDUKASI KESEHATAN TERHADAP PENGETAHUAN REMAJA USIA 14-16 TAHUN TENTANG PENCEGAHAN APENDISITIS DI SMPN 2 PANGALENGAN TAHUN 2026 Fajrian, Deril; Tohri, Tonika; Warna, Mawar Puspa; Istianah, Istianah
Journal of Innovative and Creativity Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.9217

Abstract

Latar Belakang : Apendisitis merupakan penyakit gastrointestinal yang sering terjadi pada remaja. Data Puskesmas Sukamanah Pangalengan menunjukkan peningkatan kasus dari tahun ke tahun semakin meningkat terutama pada kalangan remaja. Studi pendahuluan di SMPN 2 Pangalengan terdapat 10 siswa menunjukkan kurangnya pengetahuan tentang pencegahan Apendisitis, Edukasi kesehatan diperlukan untuk meningkatkan pengetahuan remaja tentang pencegahan Apendisitis. Tujuan penelitian : Untuk mengetahui tingkat pengetahuan remaja usia 14-16 tahun tentang pencegahan apendisitis di SMPN 2 pangalengan sebelum dan sesudah diberikan intervensi edukasi kesehatan tentang pencegahan apendisitis Bahan dan metode : Penelitian ini menggunakan desain quasi experimental dengan one group pretest-posttest pada siswa kelas IX SMPN 2 Pangalengan usia 14-16 tahun dengan jumlah reisponden 38 siswa tentang pencegahan Apendisitis. Sampel dipilih menggunakan purposive sampling. Intervensi berupa edukasi kesehatan menggunakan metode PPT dan Poster. Data dikumpulkan melalui kuesioner tervalidasi dan dianalisis menggunakan uji Wilcoxon Hasil Penelitian : Hasil penelitian menunjukan bahwa sebeiluim diberikan intervensi eduikasi kesehatan mengenai pencegahan Apendisitis dari 38 responden , mayoritas responden nya yang peingetahuian kurang sejuimlah 30 responden (78,9%), respondein yang pengetahuan cukup sejuimlah 8 respondein (21,1%), dan respondein yang pengetahuan baik sejumlah 0 responden . Hasil penelitian menunjukan bahwa setelah diberikan intervensi edukasi kesehatan tentang Peincegahan Apendisitis dari 38 responden ,reisponden yang memiliki pengetahuan baik sejumlah 37 responden (97,4%), responden yang memiliki pengetahuan cukup sejumlah 1 responden (2,6%), dan reipondein pengetahuan kurang sejumlah 0 responden . Hasil penelitian sebelum dibeirikan intervensi dan sesudah dibeirikan intervensi mengalami peningkatanyang signifikan dengan nilai p value 0,001. yang berarti terdapat perbedaan yang sangat signifikan antara pengetahuan sebelum dan sesudah diberikan edukasi kesehatan Kesimpulan : Hasil analisis statistik menggunakan uji Wilcoxon menunjukan bahwa terdapat pengaruh yang sangat signifikan antara pemberian edukasi kesehatan dengan peningkatan pengetahuan remaja tentang pencegahan apendisitis. Uintuik pengetahuan pencegahan apendisitis, diperoleh nilai p-value < 0,001 (p < 0,05) yang berarti terdapat perbedaan yang sangat signifikan antara pengetahuan sebelum dan sesudah dibeirikan edukasi kesehatan. Hasil ini meimbuiktikan bahwa hipoteisis alternatif (Ha) diteirima dan hipoteisis nol (H0) ditolak, yang berarti edukasi kesehatan memiliki pengaruh yang signifikan terhadap peningkatan pengetahuan remaja usia 14-16 tahun tentang pencegahan Apendisitis di SMPN 2 Pangalengantahun 2026
Co-Authors Fajar, Karlina Fajrian, Deril Istianah Istianah Istianah Istianah Juwita, Ninda Aina Kartini, Yayu Kusmiran, Eny Lukman, Ardeliea Fitriyanti Lutfianti, Lutfianti Manumara, Theophylia Melisa Metilda Mona, Ai Nambiar, Nisha Nurlela, Tuti Octovia Manalu, Lisbet Purwanti, Tentry Fuji Ramadhan, Arieni Ramadhan, Muhammad Deri Ratna, Sri Roybafie, Y Rustandi, Budi Said, Faridah Binti Mohd Warna, Mawar Puspa