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All Journal Jurnal Keperawatan Muhammadiyah Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Jurnal Kreativitas PKM Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Perawat Indonesia Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Jurnal Keperawatan dan Kesehatan Jurnal Ilmiah Keperawatan Imelda Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences MAHESA : Malahayati Health Student Journal Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Indonesian Jurnal of Nursing Sciences and Practice
Irawati, Diana
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EFEKTIFITAS KOMBINASI FAMILY-CENTERED EDUCATION DENGAN COGNITIVE BEHAVIOR THERAPY TERHADAP INTERDIALYTIC WEIGHT GAIN (IDWG) PASIEN HEMODIALISA Mardiyani, Ridha; Suradika, Agus; Irawati, Diana
Jurnal Keperawatan dan Kesehatan Vol 10 No 1 (2019): Vol 10 1 2019
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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

Abstract

Abstract Adherence to fluid restriction program  is the greatest stressor for hemodialysis patients. Non adherence to the program may lead to physical problems and psychological changes. Therefore, a multi-intervention approach such as psycho-education involving families as a support system for patients is very strategic. This study aims to determine the effectiveness of a combination of family-focused education (FCE) with Cognitive Behavior Therapy (CBT) on Interdialytic Weight Gain (IDWG) of hemodialysis patients in Dr. Soedarso Pontianak. This study used quasi experimental design, with one group pre test and post test without control group approach. Data were collected from 12 respondents who IDWG more than 5%. The study was conducted in 2 phases, FCE and combination FCE intervention CBT. The time have given intervention to evaluation almost 8 week.  The results showed no significant difference of IDWG mean between before and after given FCE (p value 0,684) and there was no significant difference of mean of IDWG between before and after given combination of FCE with CBT (p value 0,097). It is concluded that both interventions are long-term behavioral investment. Suggestions for nurses to undertake assessment of the structure, roles and functions of the family, so that interventions are targeted to families directly involved in patient care, modification of educational media and CBT implementation techniques in hemodialysis units. Keywords : Family support, IDWG compliance, fluid restriction     Abstrak Kepatuhan pada program restriksi cairan merupakan stressor terbesar bagi pasien hemodialisa. Ketidakpatuhan terhadap program tersebut dapat mengakibatkan masalah fisik dan perubahan psikologis. Oleh karena itu, pendekatan multi intervensi seperti psiko-edukasi dengan melibatkan keluarga sebagai sistem pendukung pasien sangat strategis. Penelitian ini bertujuan untuk mengetahui efektivitas kombinasi pendidikan berfokus keluarga (Family Centered Education, FCE) dengan Cognitive Behavior Therapy (CBT) terhadap Interdialytic Weight Gain (IDWG) pasien hemodialisa di RSUD Dr. Soedarso Pontianak. Penelitian ini menggunakan desain quasi experimental, dengan pendekatan  one group pre test dan post test without control group. Data dikumpulkan dari responden dengan IDWG lebih dari 5 % sebanyak 12 orang. Penilain IDWG dilakukan dalam 2 tahap, yaitu FCE  dan kombinasi intervensi FCE dengan CBT. Total waktu intervensi hingga evaluasi adalah 8 minggu. Hasil penelitian menununjukkan tidak terdapat perbedaan signifikan mean IDWG antara sebelum dan sesudah  diberikan  FCE (p value 0,684) dan tidak terdapat perbedaan signifikan mean IDWG antara sebelum dan sesudah diberikan kombinasi FCE dengan CBT (p value 0,097). Disimpulkan bahwa kedua intervensi merupakan behavioral investment jangka panjang. Saran bagi perawat untuk melakukan pengakajian struktur, peran dan fungsi keluarga, sehingga intervensi diberikan tepat sasaran pada keluarga yang terlibat langsung dalam perawatan pasien, modifikasi media edukasi dan tehnis pelaksaan CBT di unit hemodialisa Kata Kunci : Dukungan keluarga, IDWG, kepatuhan, restriksi cairan
Effect of Diabetes Self Management Education on Fasting Blood Glucose on Type 2 Diabetes Istiqomah, Istiqomah; Endah, Tria Astika; Irawati, Diana
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 4, No 4 (2021): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i4.3033

Abstract

Diabetes Mellitus is a metabolic disease that can increase mortality and morbidity rates. Indonesia ranks 4th in the world with the most Type 2 DM, which is 21.3 million. Education of patients with Type 2 DM is a treatment that aims to make patients behave in a healthy manner so that good glycemic control is achieved. The purpose of the study was to a.nalyze the effect of Diabetes Self Management Education on the value of fasting blood glucose in Type 2 DM patients at Telaga Murni Health Center, West Cikarang. Quasy Experiment research method with pre-experimental one group Pretest-Posttest design. Sample 44, selected using purposive sampling. Respondents were given an intervention for 4 weeks by checking blood glucose before and after the intervention. The results of the analysis showed that there was a decrease in the average blood glucose before and after the intervention, which was 27.8 mg/dl. The Wilcoxon test analysis revealed that the p value was 0.000 (<0.05), which means that there was an effect of giving DSME on the fasting blood glucose value. It is hoped that there will be maximization of education for Type 2 DM patients to increase awareness, knowledge and skills in managing their disease.
PENGARUH PENGATURAN SUHU DIALISAT TERHADAP STABILITAS TEKANAN DARAH INTRADIALITIK PASIEN HEMODIALISIS DENGAN SINDROM KARDIORENAL Wahidi, Kemala Desy; Nursanti, Irna; Irawati, Diana; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Perawat Indonesia Vol. 6 No. 2 (2022): August 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.847 KB) | DOI: 10.32584/jpi.v6i2.1762

Abstract

Sindrom Kardiorenal adalah penyakit multi-organ, meliputi jantung, ginjal dan disfungsi sistem vaskular dimana gangguan ginjal sering disertai dengan gagal jantung dan disfungsi jantung menyebabkan Acute Kidney Injury (AKI) atau Cronic Kidney Disease, yang berujung kepada kebutuhan akan tindakan hemodialisis. Tindakan hemodialisis dapat menimbulkan berbagai komplikasi. Komplikasi yang paling sering adalah hipotensi intradialitik. Salah satu upaya untuk mencegah gangguan stabilitas tekanan darah adalah dengan mengatur suhu dialisat. Tujuan penelitian ini untuk melihat pengaruh suhu dialisat terhadap stabilitas tekanan darah. Penelitian ini menggunakan jenis penelitian kuantitatif quasi experiment, pre and post test dimana peneliti akan memberikan intervensi pada subyek penelitian, kemudian membandingkan efek sebelum dan sesudah intervensi.   Penelitian ini dilakukan pada 18 pasien dengan pre test dan post test dalam satu kelompok. Pasien dinilai selama dua sesi dialisis; satu sesi dengan suhu dialisat normal (37ºC) dan di sesi lain, suhu dialisat rendah (35,5ºC). Hasil penelitian ini menunjukkan adanya peningkatan tekanan darah sistolik, diastolik dan Mean Arterial Pressure (MAP) secara signifikan dengan nilai p = 0,001. Dialisat suhu rendah sangat bermanfaat untuk meningkatkan toleransi terhadap dialisis pada pasien sindrom kardiorenal yang cenderung hipotensi dan menjaga stabilitas hemodinamik selama dan setelah dialisis. Kata kunci: Dialisat dingin, hemodialisis, tekanan darah
EFEK PEMBERIAN BLANKET WARMER TERHADAP THERMOREGULASI PASIEN PERIOPERATIF TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) Firmansyah, Doddy; Nursanti, Irna; Irawati, Diana; Jumaiayah, Wati
Jurnal Perawat Indonesia Vol. 6 No. 2 (2022): August 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.043 KB) | DOI: 10.32584/jpi.v6i2.1763

Abstract

Perioperatively in BPH patients who underwent TURP action caused thermoregulation disturbances which resulted in a decrease in temperature (hypothermia). This can occur due to exposure to environmental temperatures that are too extreme and the effects of anesthetic drugs during intraoperatively which can cause vasodilation of blood vessels and blocked sympathetic nerves so that they dominate the performance of the parasympathetic nerves. The purpose of the study was to determine the effectiveness of the Blanket Warmer in perioperative TURP patients at the Central Surgical Installation of Tarakan Hospital, Jakarta. The design of this study used a quasi-experimental pretest-posttest with control group design. The research sample was 48 respondents of TURP perioperative patients. The sampling technique was accidental sampling, the statistical test used was Paired t test. The results of the univariate analysis showed that the highest age was 50 years, about 89%, a history of drug consumption 54.2%, and a history of alcohol consumption as much as 29.2%. Bivariate test analysis between the intervention group and the control group obtained a p value of 0.001 <0.05, which means that there is a significant difference in the two groups. The multivariate test obtained p value > 0.05, meaning that the variables of age, history of drug consumption and history of alcohol consumption did not have a significant effect on thermoregulation stability. That there is an effect of giving a Blanket Warmer on the stability of thermoregulation in perioperative TURP patients. Suggestions for further research that a blanet warmer can stabilize thermoregulation in perioperative TURP patients at the Central Surgical Installation of Tarakan Hospital Jakarta. Keywords: TURP, Blanket Warmer, Thermoregulation Stability
Upper Arm Exercises on Pain Intensity Among Patient with Breast Cancer Dharmais Cancer Hospital, Indonesia Damayanti, Sri Utami; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Herawati, Eva
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): 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.v10i2.623

Abstract

Aim: to determine the effectiveness of upper arm exercises on pain intensity among patients with breast cancer at the Dharmais Cancer Hospital, Indonesia. Methods: This study used a queasy experiment with pre-post-test and two-group design. Twenty respondents from breast cancer patients in each intervention and control group were recruited. The upper arm training intervention was carried out 3 times/week for 3 weeks. The Visual Analogue Scale (VAS) was used to assess pain, and linear regression and the dependent t-test with a significance level of 0.05 (CI 95%) were used for analysis. Result: The significant difference in pain levels between the intervention group and the control group shows that the mean difference in the pain level scale of respondents in the upper arm exercise intervention group was 2.50 (SD=0.60), while in the control group, the mean was 1.70 (SD=0.65). control group with (t=4.00, p=0.001), and age (p-value =0.023; OR=8.645) were predictors in this study. Conclusions: Upper arm exercises can be recommended to reduce pain in breast cancer sufferers, especially breast cancer patients who have undergone stage 1 and 2 mastectomy operations. It is recommended that further research involve respondents who had the same level of pain before upper arm exercises were carried out
The Effect of Social Media Application-Based Interventions on HIV Adherence to ARV Medication among Patients with HIV Herawati, Eva; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Damayanti, Sri Utami
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): 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.v10i3.637

Abstract

Aims: The purpose of this study was to determine the effect of health interventions based on social media applications on HIV patients' adherence to taking ARV medication.  Method: In this study, 76 were selected using a quasi-experimental methodology and a purposive sampling technique. then divided into two distinct groups: intervention and control. During the study, respondents in the intervention group received treatment in the form of reminders via WhatsApp and the SiARV web application. The control group was only given standard health services without any technology-based health interventions. Results: Significant changes in treatment adherence were observed in both the intervention group (p=0.001) and the control group (p=0.001). The difference in treatment adherence between the intervention group and the control group was statistically significant (p=0.040). In the context of multivariate analysis, education was found to be predictive of changes in respondent Adherence (p = 0.019; OR = 3.692). Discussion: Awareness of ARV adherence can be increased and maintained through SiARV social media as a strategy for reminding and controlling patient adherence Conclusion: HIV patients' adherence to taking ARV medications is affected by health interventions utilizing social media applications. It is anticipated that providing HIV patients with application-based interventions and a high level of patient knowledge through education will enhance their quality of life.
Effectiveness of Digital Self-Management Toward Fluid Restriction on Interdialytic Weight Gain Among Patients Undergoing Hemodialysis in Jakarta Islamic Hospital Wahdaniyah, Wahdaniyah; Nursanti, Irna; Irawati, Diana; Natashia, Dhea; Resnayati, Yeti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): 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.v10i3.644

Abstract

Aims: Controlling interdialytic weight gain (IDWG) in hemodialysis (HD) patients requires a key component of fluid restriction. If IDWG rises, complications related to chronic renal failure may arise. Digital self-management improves fluid restriction in IDWG by empowering patients, increasing data monitoring, and simplifying communication with healthcare providers, perhaps leading to better hemodialysis patient outcomes. Objective: This study aims to determine the effectiveness of digital self-management toward fluid restriction on interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital. Method: The study was quasi-experimental, using a pretest-posttest and control group. Convenience sampling was employed to select 25 intervention and 25 control group members. IDWG digital self-management can track fluid intake, weight, and symptoms, and patients can communicate openly with the health team. The data analysis used in this research is the T-test.  Results: In this study, respondents were categorized by gender, mean age, and duration of HD (months) in the intervention group (men 60%, 49.1 and 27.2) and control group (women 52%, 48.1 and 42.1). IDWG decreased in the intervention group, from 4.06 to 2.45, while it increased in the control group before 3.84 and after 4.34. The paired and independent t-tests demonstrated that digital-based fluid restriction management self-care interventions reduced IDWG with a p-value of 0.001. Conclusion: The digital self-management toward fluid restriction showed a promising impact on improving interdialytic weight gain among patients undergoing hemodialysis in Jakarta Islamic Hospital
Efek Pemberian Blanket Warmer Terhadap Thermoregulasi Pasien Perioperatif Transurethral Resection of The Prostate (TURP) di RSUD Tarakan Jakarta Tahun 2022 Firmansyah, Doddy; Nursanti, Irna; Irawati, Diana; Jumaiyah, Wati
Jurnal Ilmiah Kebidanan Indonesia Vol 12 No 01 (2022): Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Uni
Publisher : Q PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiki.v12i01.2805

Abstract

Perioperatif pada pasien BPH yang dilakukan tindakan TURP menyebabkan terjadinya gangguan thermoregulasi hingga mengakibatkan penurunan suhu (hipotermi). Hal ini dapat terjadi karena paparan suhu lingkungan yang terlalu ekstrim dan efek obat anestesi saat intra operasi yang dapat menyebabkan vasodilatasi pembuluh darah dan saraf simpatis yang terblok sehingga mendominasi kinerja dari saraf parasimpatis. Design penelitian ini menggunakan quasi-eksperimen pretest-posttest with control group design. Sampel penelitian berjumlah 48 responden pasien perioperatif TURP. Teknik pengambilan sampel berupa accidental sampling, uji statistik yang digunakan adalah Paired t test. Hasil analisis univariat diperoleh usia terbanyak ≥50 tahun sekitar 89%, riwayat konsumsi obat-obatan 54.2%, dan mempunyai riwayat konsumsi alkohol sebanyak 29.2%. Analisis uji bivariat antara kelompok intervensi dan kelompok kontrol diperoleh nilai p value 0.001 < 0,05 yang artinya ada perbedaan yang signifikan pada kedua kelompok. Uji multivariat didapatkan p value > 0,05 artinya variable usia, riwayat konsumsi obat-obatan dan riwayat konsumsi alkohol tidak memiliki pengaruh yang signifikan terhadap stabilitas thermoregulasi. Bahwa ada pengaruh pemberian Blanket Warmer terhadap stabilitas thermoregulasi pada pasien perioperatif TURP. Saran untuk penelitian selanjutnya bahwa blanet warmer dapat menstabilisasi thermoregulasi pada pasien perioperatif TURP di Instalasi Bedah Sentral RSUD Tarakan Jakarta.
Implemetasi Evidence Based Nursing: Efek Mobilsasi Dini pada Peningkatan Fungsi Fisik pada Pasien Paska Bedah Jantung (CABG) Sugiyono, Sugiyono; Irawati, Diana; Natashia, Dhea
Journal of Telenursing (JOTING) Vol 4 No 2 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i2.3303

Abstract

This study aims to apply the effect of early mobilization on improving physical function in patients after CABG cardiac surgery based on the latest research results (Evidence-Based Nursing Practice). The method used was an experiment through the application of intervention for five days and continued with measurements on day 6 in the intervention group before the patient was sent home with the target being able to run (6'WMT). The research results show that the application of EBPN obtains a p-value of 0.005. In conclusion, there is a relationship between giving early mobilization interventions and functional ability with the 6 MWT test. Keywords: Evidence-Based Nursing, Physical Ability (6'WMT), Early Mobilization, Post Cardiac Surgery (CABG)
Efektivitas Cognitive Behavioural Therapy (CBT) terhadap Fatigue Pasien Hemodialisis Wakanno, Grace Jeny; alahatu, Olivia T; Irawati, Diana
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.5408

Abstract

This study aims to evaluate the application of Cognitive Behavioral Therapy (CBT) in hemodialysis patients who experience fatigue based on the results of the latest research (Evidence Based Nursing Practice) at RSUD Dr. M. Haulussy Ambon. The method used is quasi-experimental with a pretest and posttest design approach with control group. The research results based on the homogeneity test of respondent characteristics found that there were no significant differences (p>0.05) in the intervention group and the control group. There was a significant improvement in fatigue in the intervention group (p=0.000). In conclusion, there is an influence of Cognitive Behavioral Therapy (CBT) on fatigue in patients undergoing hemodialysis. Key words: Behavioral, Cognitive, Fatigue, Hemodialysis, Therapy
Co-Authors Abriyanti, Rika Mustika Achmad Fauzi Agus Suradika Ahmedy, Fatimah alahatu, Olivia T Anggaraini, Dewi Anggareni, Dewi Awaliah, Awaliah Berniati, Berniati Cahyani, Ratri Damai Yanti Damayanti, Sri Utami Dewi ANGGRAENI Dewi Gayatri Dila Nurul Arsyi Endah, Tria Astika Ernawati, Dedeh Fadhillah, Harif Fauziah, Hani Firmansyah, Doddy Fitria, Dian Grace Jeny Wakanno Haeruman Haeruman Hamidah . Handayani, Rosmawati Handayani, Roswati Hartati, Yeni Haryanti, Noviana Hentu, Ardin Saleh Herawati, Eva Heriadi, Ronny istiqomah istiqomah Jumaiayah, Wati Jumaiyah, Wati Karmi, Rudi Karmiyati, Novia Lakoro, Danny Des Kartyko Mardiyani, Ridha Maria Yulianti, Maria Narawangsa, Asri Natashia, Dhea Noor Latifah Nursanti, Irna Purwati, Nyimas Heny Rahma, Pricelia Alifa Rani, Amelia Hartika Ratna Dewi Rayasari, Fitrian Resnayati, Yeti S, Baharudin Lutfi Silalahi, Lenny Erida Siswandi, Iyar Slametiningsih, Slametiningsih Sugiyono Sugiyono Suhaemi, Suryati Suhartini, Euis Suryanti, Asih Dwi Syamikar Baridwan Syamsir Tuti Nuraini Uly, Nilawati Upik Rahmi, Upik Uswatun Hasanah Wahdaniyah Wahdaniyah, Wahdaniyah Wahidi, Kemala Desy Wanandi, Eka Wisnu Yani Sofiani Yuniarsih, Winda Zuliani, Peri