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Perbandingan Oral Care Menggunakan Povidone Iodine 1% dengan Chlorhexidine 0.2% terhadap Jumlah Bakteri di Mulut pada Pasien Penurunan Kesadaran Ni Luh Widani; Yusron Nasution
Jurnal Keperawatan Padjadjaran Vol. 3 No. 3 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Oral care klien penurunan tingkat kesadaran tidak boleh diabaikan dan membutuhkan antiseptik oral yang mempunyai sifat antibakteri. Penelitian ini adalah penelitian kuantitatif dengan desain quasi eksperimen dengan kelompok kontrol, pre dan post test untuk mengidentifikasi perbandingkan povidone iodine 1% dengan chlorhexidine 0.2% terhadap jumlah koloni bakteri di mulut klien penurunan kesadaran. Hasil penelitian pada 30 responden yang diambil secara consecutive sampling dibagi tiga kelompok. Ada perbedaan yang signifikan penurunan jumlah koloni bakteri sebelum dan setelah oral care pada povidone iodine (p=0.007), chlorhexidine (p=0.001) dan air (p=0.001). Perbandingan selisih jumlah bakteri antara povidone iodine 1%, chlorhexidine 0.2% dan kontrol tidak signifikan (p=0,343). Disimpulkan chlorhexidine 0.2% , povidone iodine 1% dan air minum masing-masing mempunyai kemampuan yang signifikan menurunkan koloni bakteri dan dapat digunakan sebagai pembilas oral care. Disarankan secara ekonomis air minum digunakan dalam oral care apabila klien penurunan kesadaran tidak mengalami infeksi mulut, dan chlorhexidine 0.2% atau povidone iodine 1% digunakan bila ada infeksi mulut.Kata kunci: Chlorhexidine 0.2%, koloni bakteri mulut, oral care, penurunan kesadaran, povidone iodine 1%. The Comparison of Oral Care Using Povidone-iodine 1% and Chlorhexidine 0.2% to the Amount of Bacteria on the Patients with Altered State of ConsciousnessAbstractThe oral care of unconscious patients should not be ignored and requires oral antiseptics that have antibacterial properties. This research was a quasi-experimental design with control groups, using pre-post test design. The study was aimed to compare the amount of bacteria colonies after oral care using povidone iodine 1% and chlorhexidine 0.2% on the patients with altered state of consciousness. Using consecutive sampling technique, 30 eligible respondents were divided into three groups. The results of this study identified that there was a significant decreased of the amount of bacteria colonies after oral care using povidone iodine (p= 0.007), chlorhexidine (p=0.001) and water oral care (p=0.001). The difference of the number of colonies for oral care using povidone iodine 1%, chlorhexidine 0.2%, and the control group was not significant (p=0.343). It can be concluded that each of oral care using chlorhexidine0.2%, povidone iodine 1% and water has a significant ability to reduce colonies of bacteria and can be used as an oral care. For economic reason, it was advised to use water for oral care if clients do not experience oral infections, and to use chlorhexidine 0.2% or povidone iodine 1% when there is infection of the mouth.Key words: Chlorhexidine 0.2% , oral care, oral bacteria colonies, povidone iodine 1%, unconsciousness.

The Effect of Home Heart Walk on Fatigue among Heart Failure’s Patients Yanti Anggraini Aritonang; Ni Luh Widani; Irene Adyatmaka
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

AbstractHeart failure is a physiologic state in which the heart cannot pump enough blood to meet the metabolic needs of the body. Fatigue is a major problem that arises in heart failure patients. One intervention to reduce fatigue is Home Heart Walk (HHW). The aim of this research was to determine the effect of HHW on fatigue among heart failure’s patients. This research used Pretest-Postest Design Pre-experiment design, at RSUPN Dr Cipto Mangunkusumo & RS PGI Cikini during May-July 2015, involving 50 heart failure patients with functional class 2 & 3.The nurse teached HHW to heart failure patients with a six-minute walking procedure with five meter’s distance in the hospital and then the exercise is continued at home within two days for six weeks. The result obtained majority of the respondents is clasification heart failure’s functional class two (76%). Before & after HHW’s intervention, the majority of normal pulse rate from 90% become 100%.The test results showed there was significant difference in the degree of fatigue before and after HHW‘s intervention (p=0.000) and there is a relationship between respiratory rate on the degree of fatigue (p=0.043). The conclusion is HHW can reduce fatigue in heart failure patients during six weeks. Therefore it is recommended for nurses to teach HHW and motivate patient to have self-exercise.

Hubungan Sedentary Behavior dengan Tekanan Darah Pada Pegawai Bank di Bandung Sharon Nafthalia; Ni Luh Widani; Sada Rasmada
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 1 No 2 (2020): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v1i2.98

Background: In this era of modernization, sedentary behavior (SB) has developed in society. Banker work for ± 8 hours every day. Objective: This research was conducted to determine the relationship of sedentary behavior with blood pressure of bankers in Bandung. Methods: This research is a quantitative study with a cross-sectional method, which was conducted in Febuary – April 2020. The sampling technique in this study was purposive sampling of 70 employees. The Global Physical Activity Questionnaire (GPAQ) is used as a SB measurement tool that has been tested for validity and reliability (r = 0,45 – 0.63). Result: The results of univariate analysis showed that 75.5% of employees behaved in SB. The results of the Wilcoxon test analysis of systolic and diastolic blood pressure showed a significant difference (sig = 0.000). Bivariate analysis with chi – square test (α <0.05) found statistically significant correlation between SB with morning systolic blood pressure (TDS) (p value = 0.005) and diastolic blood pressure (TDD) (p value = 0.003), daytime TDS (p value = 0.002) and afternoon TDD (p value = 0.003), afternoon TDS (p value = 0.005) and afternoon TDS (p value = 0.004). Conclusion: The conclusion of this study is that there is a relationship between sedentary behavior with the three blood pressure measurements. It is expected that employees can compensate by doing moderate or vigorous activity during free time.

An Effectiveness of Self-Management Education Through Self-Care and Quality of Life Resulting in Decreasing Readmission in Patients with Heart Failure: Based on Nursing Intervension: Systematic Review Tery Luky Puspitawati; Ni Luh Widani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 10: OCTOBER 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i10.6010

Introduction: The introduction of a research paper sets the stage by presenting the topic and context of the study. It aims to engage readers, provide background information, and outline the research problem or question. In this section, the researcher introduces the significance of the topic, discusses relevant literature, identifies gaps in existing knowledge, and states the research objectives. Objective: This research study aims to examine the impact of nurse-led self-care management educational programs on improving disease knowledge, self-care behavior and quality of life in heart failure patients. Method: This research is a systematic review that absolutely have many characteristics such as (author, year of publication, country, and number, age, and male percentage of patients in each group) and intervention parameters (type of intervention, ejection fraction at inclusion, form of proactive contact intervention, home visit status, time assessment, and status of educational strengthening). For instance, primary outcomes (rate of all-cause or HF-related readmission and all-cause mortality), quality of life evaluated by the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Result: The results were showed that nurse-led interventions to be a cost effectiveness of treatment for heart failure patients, and nurses play an important role in educating and managing their condition. Overall, nurse-led self-care management education programs have demonstrated effectiveness in improving self-care and quality of life in heart failure patients. In concludes, Heart failure self-management education has been shown to improve patient self-care and quality of life. Implication: This research has maximum stakeholders that utilize evidence-based medicine to understand the role of nurses in the prognosis of HF patients to support and respect nurse-led educational efforts. The results of this study can provide strong evidence to expand the role of nurses and facilitate the planning and completion of nurse-led patient education programs. Conclusion: In concludes, it is also leads to significant improvements in quality of life. Due to nurse-led education programs that have been shown to reduce heart failure-related hospital readmissions and all-cause readmissions, as well as mortality rates in patients with heart failure.

Faktor-Faktor Yang Berhubungan Dengan Tingkat Kepatuhan Minum Obat Antihipertensi Pasien Di Puskesmas Kecamatan Wilayah Jakarta Utara Wiwid Cahyati, Elisabeth Carisa; Ni Luh Widani; Sada Rasmada
Journal of Pubnursing Sciences Vol 2 No 02 (2024): Journal of Pubnursing Sciences (JPS)
Publisher : PT. Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/jps.v2i02.126

Hypertension is a non-communicable disease that can be controlled through lifestyle modifications or antihypertensive therapy. Antihypertensive therapy is a long-term therapy which might even last a lifetime, so it needs a high compliance to taking antihypertensive therapy to achieve blood presure target. This study aims to identify the factors associated with the level of adherence in taking antihypertensive medication by using references from 2012-2023. Quantitative research method with cross sectional research design and correlational descriptive approach was conducted to 120 hypertension respondents at District Health Center North Jakarta in June-July 2023. The instruments used in this research were attitude, knowledge and MMAS-8 questionnaires. Data analysis used Kendal's tau-b, Kendal's tau-c and chi square statistical tests. The univariat results of the study showed that there were 2 respondents with high compliance, 19 respondents with moderate compliance, and 99 respondents with low compliance. The majority of respondents are (35%) adults, (55%) male, (69,25%) are employee, (50%) are secondary school students, (49,2%) are good knowledge, (45,8%) are good attitude, and (56,7%) with drugs combination. Bivariate results showed there was a relationship between the level of adherence to taking antihypertensive medication and age (p-value = 0.002), education (p-value = 0.000), drug combination (p-value = 0.003), knowledge and attitude (p-value = 0.002. In summary, the compliance of respondents is low, and there was a relationship between age, education, combination of drugs, knowledge, attitudes and the level of adherence to taking antihypertensive medication. While gender, occupation and duration of therapy were not related to the level of adherence to taking antihypertensive medication.

Nursing Intervention to Reduce Anxiety of Acute Coronary Syndrome Patients Undergoing Cardiac Catheterization: Literature Review Andri Febriansyah; Ni Luh Widani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 6: JUNE 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i6.5233

Background : Cardiac catheterization is the procedure of inserting a catheter into the heart through an artery or vein. Before undergoing a cardiac catheterization procedure, patients may experience anxiety, which can impact the heart's physiological response and heart health, as well as increase the risk of cardiovascular disease. Objective: Determine how effective Benson's relaxation techniques and educational videos are in reducing anxiety in patients undergoing cardiac catheterization. Method: The PICO structure was used as a guide to search the literature on anxiety reduction. The population under considered is individuals who experience anxiety. The interventions studied were Benson's use of video education and relaxation techniques. The searches were conducted between 2019 and 2023, through databases such as ProQuest, PubMed, Scholar, and Sciencedirect. Results: Of the 5,045 articles found, only 12 met the criteria and were assessed. The results of the study showed that the use of educational videos was successful in reducing anxiety levels in patients before undergoing cardiac catheterization procedures. In addition, Benson's relaxation technique has also been shown to help reduce anxiety in patients undergoing the same procedure. Conclusion: The Benson relaxation method was successful in increasing patient comfort and reducing anxiety, but educational videos can be a useful alternative.

Effectiveness of Stroke Bundle Care in Emergency Unit on Acute Stroke Patient’s Outcome: Literature Review Agus Setyo Nugroho; Ni Luh Widani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 7: JULY 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i7.5414

Background: Stroke leads to death and disability with continuously increasing incidence rates. Immediate management of acute stroke plays a crucial role in minimizing its impact. Comprehensive management through effective stroke bundle care in emergency units has been recognized as an efficient approach and is a crucial step in determining accurate actions, with the potential to enhance patient independence and reduce morbidity and mortality. Objective: The aim of this theoretical study is to explore the impact of implementing a stroke care bundle in the emergency unit on the outcome of acute stroke patients. Method: This study employs a literature review method with 20 journals from three databases: PubMed, Semantic Scholar, and Google Scholar. Results: Stroke bundle care significantly improves patient outcomes, evident in increased Barthel Index and decreased mortality rates. Clinical factors, particularly NIHSS scores, significantly determine patient outcomes, and attention to nursing, time coordination, and clinical factor management can enhance stroke care effectiveness. Conclusion: This study reaffirms that the implementation of stroke bundle care significantly enhances outcomes for patients with acute stroke by reducing mortality rates, improving independence, and fostering effective coordination among the care team. Recommendation: Further integration of stroke bundle care into clinical practice is needed, with in-depth research on clinical factors and interdisciplinary collaboration to enhance acute stroke management.

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