Wulandari, Shenda Maulina
Program Studi Keperawatan, Fakultas Keperawatan Dan Kebidanan, Universitas Binawan

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Deep Breathing Relaxation for Decreasing Blood Pressure in People with Hypertension Rahmatul Fitriyah; Gratsia Victoria Fernandez; Wahyu Sukma Samudera; Hidayat Arifin; Shenda Maulina Wulandari
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.16945

Abstract

Various non-pharmacological therapies can be used to reduce blood pressure. One of them is deep breathing relaxation. This study aimed to know the influence of deep breath relaxation to decrease the blood pressure of people with hypertension. The design of this study was an Pre-Experimental One Group Pretest-Post-test design which covered 30 respondents as the sample. They fulfilled the inclusion criteria and were chosen through purposive sampling. The independent variable in this study was deep breath relaxation and the dependent variable was blood pressure. The data collection technique was using the observation sheet of blood pressure measurement. Data were analyzed using the paired t test. The findings of this study majority there were decrease blood pressure after deep breath. Before doing the breath relaxation exercise, most of the respondents were hypertension level 1. Nonetheless, after the deep breath relaxation had been executed, most found that their blood pressure decreased although several respondents were at hypertension level 2 with stable blood pressure. The results showed that there were differences in the blood pressure patients with hypertension before and after the deep breath relaxation. There were several points which influenced the decrease in blood pressure after implementing the deep breath relaxation such as stress, cigarettes etc.
A Review of Personality Type D on Cardiovascular Disease Patients Gratsia Viktoria Fernandez; Rahmatul Fitriyah; Wahyu Sukma Samudera; Hidayat Arifin; Shenda Maulina Wulandari
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.16976

Abstract

Introduction: The type of personality that a patient has as a psychosocial factor has been associated with the incidence and progression of cardiovascular disease. The aim of the study was to review the evidence and correlation between personality type and the development of cardiovascular disease.Methods: Articles were searched for using the PRISMA approach in the CINAHL, Science Direct and Scopus databases, limited to the last 5 years. The articles were from 2013 to 2018 and the language used was English. The studies focused on personality type D and cardiovascular disease, and the participants were above 18 years old.Results: Most of the findings of the studies showed that individuals with a type D personality have a relationship with more severe heart disease, which relates to several physiological factors, namely emotion increase, anxiety, stress, biological factors, cognitive decline and the decrease in quality of life.Conclusion: Individuals with type D personality have a higher level of stress, significant blood pressure, higher pulse and they experience an increase in cortisol compared to non-type D personalities. Individuals who suffer from cardiovascular disease with personality type D tend to experience a more severe progression of the condition of cardiovascular disease.
The Benefits of Fasting to Improve Health Conditions and to Prevent Cardiovascular Disease Wahyu Sukma Samudera; Gracia Victoria Fernandez; Rahmatul Fitriyah; Hidayat Arifin; Shenda Maulina Wulandari; Roby Aji Permana
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.17168

Abstract

Introduction: Fasting is defined as the voluntary abstinence from eating for variable time intervals and it has been associated with potential beneficial impacts on human health. The study was to review the benefits of fasting on cardiovascular health in humans with or without cardiovascular disease.Methods: The databases search was done using the keywords ‘fasting’ and ‘cardiovascular system’ using Scopus, Science Direct and ProQuest, limited to between 2013 and 2019 for publication year. A total of 3.619 articles were obtained and 15 articles involving experimental and non-experimental studies were used as the reference material.Results: The findings showed that in people who are healthy, fasting can reduce the inflammatory markers (IL-1 & IL-6, TNF-α), the oxidative stress marker (Malondialdehyde), body weight, abdominal circumference, fasting blood glucose, LDL, triglyceride and blood pressure. In people at risk or with cardiovascular disease, fasting can reduce body weight, body mass index, abdominal circumference, fat percentage, blood pressure, triglyceride, the biomarker of inflammation (serum amyloid A), the biomarker of oxidative stress (protein carbonyl), the biomarker of endothelial dysfunction (asymmetric dimethylarginine) and increase the vascular endothelial growth factor.Conclusion: Based on these findings, fasting can improve the health condition of people at risk or with cardiovascular disease by improving the risk factors such as blood pressure, overweight and endothelial dysfunction. In people who are healthy, fasting can be used for the prevention of cardiovascular disease by helping to maintain their weight, blood pressure, LDL and triglyceride within the normal limits.
Managing Cancer and Living Meaningfully for Advanced Cancer: A Systematic Review Shenda Maulina Wulandari; Esti Yunitasari; Tiyas Kusumaningrum
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.18894

Abstract

Introduction: Managing Cancer and Living Meaningfully (CALM) is a supportive-expressive psychotherapy designed to address such barriers and to facilitate communication of mortality-related concerns in patients facing advanced disease and their primary caregivers.  The study was meant to review the benefits of the CALM psychotherapy on patients with advanced or metastatic cancer and caregivers.Methods: This study was done through a systematic review with The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) approach. It broadly used Scopus, Science Direct, and ProQuest database. The search utilized the Boolean phrases  “cancer”, “living meaningfully”, and “psychotherapy” throughout the title, abstract, or keywords. The consideration criteria in the literature study were: an original article, the source from journals, article in English, and available in full text. We obtained 97 articles, and 11 were considered relevant for this systematic review.Results: The findings from the results of this study are that CALM has several psychological benefits for patients with advanced cancer, including: can reduce anxiety and depression, relieve distress, promote psychological growth and well-being, and improve quality of life. Based on these findings, it can be concluded that the CALM psychotherapy has many benefits for patients with advanced cancer and their caregivers and can be used as additional therapy to improve the quality of life to face the end-of-life.Conclusion: CALM may be a feasible intervention to benefit patients with advanced cancer. It may help them overcome obstacles in communication and alleviate death-related distress.
HUBUNGAN KEPATUHAN MENJALANI KEMOTERAPI DENGAN KUALITAS HIDUP PASIEN KANKER KOLON DI RSUD TARAKAN JAKARTA Shenda Maulina Wulandari; Eko Winarti; Aan Sutandi
Binawan Student Journal Vol. 4 No. 2 (2022)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Binawan (LPPM Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/bsj.v4i2.510

Abstract

Kepatuhan pasien terhadap rekomendasi dan perawatan dari pemberi pelayanan kesehatan adalah penting untuk kesuksesan suatu intervensi. Ketidakpatuhan menjadi masalah yang besar terutama pada pasien yang akan mejalani kemoterapi dan dapat berdampak pada berbagai aspek perawatan pasien. Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan menjalani kemoterapi dengan kualitas hidup pasien kanker kolon di RSUD Tarakan. Metode penelitian diskriptif ini dilakukan dengan pendekatan Cross Sectional. Sampel yang digunakan sebanyak 40 responden. Responden dengan tingkat kepatuhan kategori rendah dan mempunyai kualitas hidup kurang baik sebanyak 75% dan responden dengan kepatuhan tinggi dan mempunyai kualitas hidup baik sebanyak 100%. Hubungan kepatuhan menjalani kemoterapi terhadap kualitas hidup pasien ca colon di RSUD Tarakan Jakarta didapatkan nilai p-value sebesar = 0,003. Saran untuk petugas kesehatan khususnya perawat di RSUD Tarakan hendaknya dapat meningkatkan pelayanan pada pasien yang menjalani kemoterapi karena kepuasaan terhadap pelayanan juga menjadi salah satu faktor yang dapat mempengaruhi kepatuhan pasien.
Mask Wearing Behavior to Prevent Acute Respiratory Tract Infections During the COVID-19 Pandemic Among Students in Jakarta Apriana Rahmawati; Ulfa Nur Rohmah; Shenda Maulina Wulandari; Harizza Pertiwi
Babali Nursing Research Vol 4 No 1 (2023): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.41145

Abstract

Introduction: The incidence of acute respiratory infections (ARI) tends to be higher in urban areas, especially in Jakarta, the centre of activity in Indonesia. However, the COVID-19 pandemic forced people to wear masks in both urban and rural areas to prevent the virus from entering the respiratory tract. The purpose of this study was to identify the relationship between mask-wearing behaviour and outbreaks of acute respiratory infections during the COVID-19 pandemic among students in Jakarta. Methods: The design of this study was cross-sectional. The consecutive sampling technique was used to select 328 students as the respondents. The independent variable was mask-wearing behaviour (knowledge, attitude, practice). The dependent variable was ARI. The data were collected using a Google Forms questionnaire and then analysed by using the Chi-square test and multiple logistic regression test with a significance level of p < 0.05. Results: The result showed that respondents had good knowledge (57%), positive attitude (56.7%), good practice (50.6%), and did not have a history of ISPA (64.3%). The predictive factors affecting ARI showed significant results in the attitude domain (p <0.05; OR 1.907). Conclusion: This study found a connection between mask-wearing behaviour and knowledge, attitude, and practice to prevent ARI. We propose normalizing the use of masks even though the number of COVID-19 infections is gradually decreasing to prevent respiratory infections caused by the high rate of air pollution in urban areas.
MOTIVASI DAN KEPATUHAN PERAWAT DALAM PENERAPAN SASARAN KESELAMATAN PASIEN RESIKO JATUH Sondang Manurung; Shenda Maulina Wulandari; Siswani Mariana; Masri Aminah Suffi
Binawan Student Journal Vol. 5 No. 2 (2023)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Binawan (LPPM Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/bsj.v5i2.861

Abstract

Sasaran keselamatan pasien mengacu kepada Nine Life-Saving Patient Safety Solutions dari WHO yang dimaksudkan untuk mendorong perbaikan spesifik dalam keselamatan pasien untuk penerapan resiko jatuh melalui proses identifikasi dan penilaian dengan memberikan tanda khusus. Tujuan penelitian ini adalah untuk mengetahui hubungan motivasi dengan kepatuhan perawat dalam penerapan sasaran keselamatan pasien resiko jatuh. Desain penelitian yang digunakan cross sectional. Sampel dalam penelitian ini adalah perawat yang bekerja di Gedung Hardja Samsurja Rumah Sakit Bhayangkara TK I Raden Said Sukanto, Jakarta yang berjumlah 54 responden. Hasil penelitian menunjukkan dari 54 responden sebagian besarnya memiliki motivasi kuat (96,3%) dan tidak ada hubungan yang signifikan antara motivasi dengan kepatuhan perawat dalam penerapan sasaran keselamatan pasien resiko jatuh. Didapatkan nilai OR (95% CI) = 0,962 (0,911-1,015) artinya responden yang memiliki motivasi kuat mempunyai peluang 0,962 kali untuk memiliki kepatuhan yang patuh dibandingkan dengan motivasi lemah.
Side effect of using N95 mask on oxygen saturation, respiration rate and pulse rate of health workers in Jakarta Wulandari, Shenda Maulina; Rahmawati, Apriana; Rohmah, Ulfa Nur; Pertiwi, Harizza
Media Keperawatan Indonesia Vol 6, No 4 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.4.2023.309-316

Abstract

The new normal era brings people new habits, one of which is wearing masks. The particulate respirator N95 mask (N95 mask) is the mask with the highest filtration, but there are some complaints regarding its use, one of which is difficulty breathing. Therefore, this study aims to determine whether there is an effect of using an N95 mask on oxygen saturation (SpO2), respiratory rate (RR) and pulse rate (PR). This study uses a convenience sampling technique with a sample size of 60 respondents. The research design used was a quasi-experimental design with a one-group pre and post-test design. Data analysis used the Wilcoxon test with p <0.0001, which means that there are differences in the results of SpO2, RR, and PR before and after using the N95 mask. Suggestions for health workers and policymakers in Indonesia to be able to apply the maximum hours of using N95 masks so that health workers avoid illness, disability, or discomfort which can maintain optimal performance.
FACTORS RELATED TO PEAK EXPIRATORY FLOW RATE IN PULMONARY TUBERCULOSIS PATIENTS Wulandari, Shenda Maulina; Hijriyati, Yoanita; Sabina, Shalsa
Journal of Nursing and Midwifery Sciences Vol. 3 No. 2 (2024): October 2024
Publisher : Faculty of Nursing and Midwifery, Binawan University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/944kr928

Abstract

Patients with pulmonary tuberculosis can be at risk of bronchial obstruction due to secretions or secretions that collect and shallow breathing due to pain, which can cause atelectasis and decreased Peak Expiratory Flow Rate (PEFR) in pulmonary TB patients. The purpose of this study was to determine the relationship between PEFR in pulmonary TB patients at the Kramat Jati Health Center. This type of research uses correlation analytic observation using cross-sectional design and data analysis using Chi Square and Sperman rank methods. The sample in this study were 50 respondents at the TB Poly Kramat Jati Health Center and were collected using total sampling. Conclusion: The results of this study showed that gender was associated with PEFR in pulmonary TB patients with a p value=0.016 p <0.05 and work was associated with PEFR in pulmonary TB patients with a p value=0.007 p <0.05, age was unrelated to PEFR in pulmonary TB patients with a p value=0.412 and so was BMI with a p value=0.509. Suggestion: for more in-depth matters related to PEFR in pulmonary TB patients can be seen in terms of environmental factors or the physical condition of the patient.
KNOWLEDGE, PERCEPTION, AND STIGMA IN THE JAKARTA COMMUNITY TOWARD TUBERCULOSIS PREVENTION Rahmawati, Apriana; Wulandari, Shenda Maulina; Milanti, Ariesta; Efendi, Ferry; Maryuni, Maryuni; Mutia, Jeihan; Aprilia, Nur Ravica
The Indonesian Journal of Public Health Vol. 19 No. 3 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i3.2024.453-465

Abstract

Introduction: The Corona Virus Infectious Disease (COVID)-19 pandemic has impacted tuberculosis (TB) diagnosis and treatment in Indonesia, making Indonesia rank second in the world’s tuberculosis cases. Tuberculosis epidemiology worsened during the pandemic; an estimated 10.6 million people fell ill with tuberculosis worldwide in 2021, an increase of 4.5% from the previous year (Falzon et al., 2023). Aims: The purpose of this study was to determine the relationship between knowledge, perception, and stigma toward tuberculosis prevention in the community in Jakarta. Methods: Respondents in this study were selected using simple random sampling with the criteria at least 17 years of age and currently not diagnosed as a TB patient. Those who were diagnosed with active TB and were on treatment were excluded from the study. Using a cross-sectional design, this study was analyzed with logistic regression. Results: Two factors were found to be associated with the level of tuberculosis prevention behavior. Respondents with better knowledge about tuberculosis were 5.13 times more likely to make good prevention in tuberculosis (OR=5.129; 95% CI=2.341-11.238; p-value <0.001). In addition, having a positive perception of tuberculosis prevention was also associated with better tuberculosis prevention practices (OR=3.301; 95% CI=1.402-7.772; p-value=0.006). Conclusion: Knowledge and perceptions can also eventually lead to stigma, which results in delayed diagnosis, increases the source of transmission, and hinders efforts to reduce its prevalence. A possible recommendation is to educate the community about TB transmission, treatment, and prevention to dispel myths and negative perceptions.