Irawati, Diana
Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

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Intervensi Eye Mask terhadap Kualitas Tidur pada Pasien Coronary Artery Disease Habid Al Hasbi; Diana Irawati; Melati Fajarini; Sutanta Sutanta; Ady Tyawarman
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): 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.v5i2.4965

Abstract

This study aims to determine the effect of eye mask intervention on the sleep quality of coronary artery disease patients, which can be caused by many factors, including lighting, bedside monitor sound, the disease suffered, and nursing actions. This research method is quantitative with a quasi-experimental design with a control group pretest-posttest design. The research results showed that the p-value was 0.001 < 0.05, meaning there was a significant difference in the sleep quality of the intervention and control groups. In conclusion, eye masks are an easy intervention to implement and can significantly improve sleep quality in coronary artery disease patients treated in the Intensive Cardiac Care Unit. Keywords: Eye Mask, ICCU, Sleep Quality
Pelatihan Pengkajian Komprehensif Perubahan Fisik, Psikososial, dan Frailty Bagi Perawat dalam Meningkatkan Kualitas Pelayanan Pasien Hemodialisis Diana Irawati; Dhea Natashia; Slametiningsih Slametiningsih; Noor Latifah; Achmad Fauzi; Rosmawati Handayani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 3 (2024): Volume 7 No 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i3.13318

Abstract

ABSTRAK Penyakit Ginjal Kronis (PGK) adalah kondisi medis yang cukup kompleks. Kejadian PGK cukup tinggi di Indonesia, sehingga diperlukan intervensi jangka panjang. Pengobatan hemodialisis jangka panjang ini berdampak signifikan pada pasien secara fisik, psikologis, dan sosial. Selain itu, prevalensi frailty juga tinggi di antara pasien yang menjalani HD. Frailty pada pasien dengan penyakit ginjal kronis (PGK) dapat memperburuk perkembangan penyakit dari aspek fisik dan psikologis, meningkatkan kematian, dan menurunkan kualitas hidup. Saat ini, para perawat menghadapi tantangan dalam melakukan pengkajian komprehensif terhadap pasien akibat pengetahuan terbatas tentang prosedur dan format pengkajian. Program pelatihan perawat dikembangkan untuk meningkatkan kemampuan mereka dalam mengkaji perubahan fisik, psikososial, dan status frailty yang dapat berdampak terhadap kualitas hidup pasien. Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk memberikan pelatihan pengkajian komprehensif kepada 18 perawat di ruang hemodialysis rumah sakit islam Jakarta cempaka putih. Kegiatan PkM ini menggunakan pendekatan intervensi keperawatan berbasis edukasi (educative-based nursing intervention) yang terdiri dari beberapa sesi yaitu sesi edukasi, role-play dan bedside teaching praktik dan sesi diskusi. Analisa data dilakukan menggunakan metode analisis kuantitatif one group pre-post-test design dengan menggunakan paired t-test.  Hasil PkM ini menunjukan peningkatan pengetahuan dan keterampilan peserta terhadap pengkajian komprehensif pada pasien penyakit ginjal kronik yang menjalani Hemodialisa. Peningkatan signifikan dalam pengetahuan dan keterampilan peserta menunjukkan keberhasilan pendekatan intervensi keperawatan berbasis edukasi dalam pengabdian masyarakat untuk pengaplikasian dalam praktik klinis. Kata Kunci: Hemodialisis, Gejala Fisik, Perubahan Psikologis, Kelemahan, Pengkajian  ABSTRACT Chronic Kidney Disease (CKD) is an advanced medical condition. The incidence of CKD is significantly high in Indonesia, necessitating long-term interventions. This prolonged haemodialysis treatment significantly impacts patients physically, psychologically, socially, with various signs and symptoms emerging during the process. Besides, the incidence of frailty is also high among patients undergoing HD. Frailty in patients with chronic kidney disease (CKD) may worsen disease progression, increase mortality, and decrease quality of life. Nurses currently face challenges in conducting comprehensive patient assessments due to limited knowledge of assessment procedures and formats. To address this issue, nurse training programs are being developed to improve their skills in assessing physical, psychosocial, and quality-of-life changes. Enhanced assessment proficiency will aid in identifying patient issues and implementing targeted interventions, ultimately improving patient care and quality of life. Community Service Activity (CSA) activities aim to provide comprehensive assessment training to 18 nurses in the haemodialysis unit of Jakarta Islamic Hospital Cempaka Putih. This CSA activity employs an educative-based nursing intervention approach, consisting of several sessions, including education sessions, role-play, bedside teaching practices, and discussion sessions. Data analysis is conducted using the quantitative analysis method with a one-group pre-post-test design, utilising paired t-tests. The results of CSA show an improvement in participants' knowledge and skills in conducting comprehensive assessments on chronic kidney disease patients undergoing Haemodialysis. The results show the positive impact of Community Service Activity (CSA) activities in strengthening the competencies of HD nurses in comprehensive patient assessment, not just routine tasks. The significant improvement in participants' knowledge and skills after the community service activity is a positive outcome. This indicates that the nursing based educational approach applied in community service has successfully enhanced the participants' competencies for application in clinical practice routine. Keywords: Haemodialysis, Physical Symptoms, Psychological Changes, Frailty, Assessment
PENERAPAN EFEKTIVITAS RELAKSASI BENSON TERHADAP KUALITAS TIDUR PADA PASIEN CHRONIC KIDNEY DISEASE (CKD) YANG MENJALANI HEMODIALISIS DI RSUD TARAKAN JAKARTA PUSAT Ratna Dewi; Diana Irawati; Dewi Anggaraini; Wati Jumaiyah; Asih Dwi Suryanti
Jurnal Ilmiah Keperawatan IMELDA Vol. 10 No. 1 (2024): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v10i1.1605

Abstract

Latar belakang: Pasien hemodialisis dapat mengalami masalah psikologis seperti: stres, kecemasan, depresi, dan insomnia atau gangguan kualitas tidur. Gangguan kualitas tidur yang berkepanjangan dapat berdampak pada gangguan kualitas hidup pasien, sehingga membutukan intervensi yang aman dan mudah diterapkan, salah satunya adalah relaksasi Benson. Tujuan penerapan ini untuk menguji relaksasi Benson terhadap kualitas tidur pada pasien chronic kidney disease (CKD) yang menjalani hemodialisis. Penerapan evidence based nursing practice (EBNP) ini melalui penelusuran literatur melalui PubMed data base dengan hasil akhir yaitu artikel berjudul “The Effect of Benson’s Relaxation Technique on the Quality of Sleep of Irian Hemodialysis Patients: A Randomized Trial” dalam bentuk randomized controlled trial dengan pre-post-test design. Teknik pengambilan sampel menggunakan G*Power berdasarkan effect size = 0,73, power of 0,8, dan α = 0,05 dengan 44 pasien hemodialisis (22 kelompok intervensi dan 22 kelompok kontrol) di RSUD Tarakan Jakarta Pusat. Penerapan relaksasi Benson dilakukan durasi 20 menit, 2 kali sehari dengan 3 hari perminggu selama 4 minggu dari tanggal 16 Juni s/d 15 Juli 2023. Pengumpulan data kualitas tidur menggunakan kuesioner PSQI sebelum dan sesudah intervensi dengan uji paired t-test dan uji independent sample t-test. Hasil penerapan menunjukkan nilai kualitas tidur sesudah dilakukan intervensi mengalami perbaikan (p value 0,002) pada kelompok intervensi sedangkan kelompok kontrol nilai kualitas tidur tidak mengalami perbaikan (p value 0,061). Nilai t hitung antara kelompok intervensi dan kelompok kontrol adalah 2,894 (p value 0,006), jadi terdapat perbedaan yang signifikan kualitas tidur antar kedua kelompok. Kesimpulan: ada peningkatan nilai kualitas tidur pasien hemodialisis pada kelompok intervensi dan ada perbedaan nilai rata-rata kualitas setelah dilakukan relaksasi Benson antara kelompok intervensi dan kelomok kontrol. Saran: relaksasi Benson dapat dijadikan salah satu intervensi keperawatan pada pasien hemodialisis sebagai tindakan pencegahan gangguan kualitas tidur.
Efektivitas Waktu Injeksi Insulin terhadap Kadar Glukosa Darah 2 Jam Setelah Makan pada Pasien Diabetes Mellitus Tipe 2 Willady Rasyid; Busjra M Nur; Diana Irawati; Fitrian Rayasari
Jurnal Keperawatan Silampari Vol 2 No 2 (2019): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (593.535 KB) | DOI: 10.31539/jks.v2i2.502

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The aim of the study was to analyze the effectiveness of insulin injection time on blood glucose levels 2 hours after meals. The research design was experimental randomized pretest-posttest two group design. The results of the study, blood glucose levels of intervention I before meals (234.88 mg / dl ± 79.68) and 2 hours after meals (246.94 mg / dl ± 76.76) with a p value of 0,000. Intervention II (234.12 mg / dl ± 80.86), 2 hours after eating (252.35 mg / dl ± 78.79) with a p value of 0,000. Difference in blood glucose levels of intervention I and intervention II (12.06 ± 3.96), (18.24 ± 4.97) with a p value of 0.000. The influence of BMI counfounding variables on blood glucose levels was obtained (p values 0.008 and 0.037). Conclusion, giving insulin injection 0-10 minutes is more effective compared to giving insulin injection 11-20 minutes before meals in patients with type 2 DM. Keywords: Type 2 diabetes, blood glucose 2 hours after meals, insulin injection time
Pengalaman Pasien Diabetes Melitus Tipe 2 dalam Melakukan Tindakan Pencegahan Terjadinya Luka pada Kaki Nur Afni Wulandari; Agung Waluyo; Diana Irawati
Jurnal Keperawatan Silampari Vol 2 No 2 (2019): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (485.487 KB) | DOI: 10.31539/jks.v2i2.531

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This study aims to gain an in-depth understanding of the meaning and significance of the experience of type 2 diabetes mellitus patients in taking preventive measures for injury at PERSADIA Islamic Hospital Jakarta Pondok Kopi. This study uses a qualitative design and data collection is done by in-depth interview techniques. The results obtained were four) themes produced, namely the picture of maintaining diet, diverse blood sugar control activities, the challenges of therapeutic adherence and the ability to properly care for the feet. Conclusion, the experience of type 2 diabetes mellitus patients in preventing injuries, should adhere to the treatment and maintain the food according to diet so that blood sugar levels remain stable. Another thing to note is, the active role of health workers in providing education about proper foot care. Keywords: Type 2 Diabetes Mellitus, Prevention of Wound Occurrence
Latihan ROM Pasif Unilateral dan Bilateral terhadap Peningkatan Kekuatan Otot Akibat Stroke Iskemik Ratna Fithriyah Sholihany; Agung Waluyo; Diana Irawati
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (342.123 KB) | DOI: 10.31539/jks.v4i2.1920

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This study aims to compare the effectiveness of unilateral ROM and bilateral ROM exercises to increase muscle strength in post-hospitalized clients with hemiparesis due to ischemic stroke. The research method used is a quasi experimental two group pre and post test design. The results showed that there was an effect of both groups on increasing muscle strength with a p-value of 0.000, in conclusion, bilateral ROM exercises had a higher impact on increasing muscle strength compared to unilateral ROM exercises. Keywords: Muscle Strength, Bilateral ROM, Unilateral ROM, Ischemic Stroke
Phenomenology Study: Community Perception Of Lush Disease In The Working Area Of Puskesmas Talango, 2020 Mukhlish Hidayat; Diana Irawati; Agung Waluyo
STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 2 (2020): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v9i2.487

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Leprosy (Morbus Hansen) is a chronic infectious disease of the skin caused by Mycobacterium leprae, leprosy is also known as "the great imitator disease" because of the similar manifestations to other skin diseases such as fungal infections so that a person rarely realizes that he has had leprosy. This qualitative study was conducted to explore community perceptions about leprosy with 6 male and 4 female participants. The method used is a phenomenological approach with consecutive sampling as a sampling technique. There are 5 themes obtained in this study, namely factors that influence perception, the form of public perception of leprosy patients, community behavior in preventing leprosy transmission, hope for leprosy patients, and hope for health workers. Health education about leprosy is needed by the community to deepen their knowledge about leprosy and the attitude of the community towards people with leprosy.