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The Sleep Quality of Breast Cancer Patients devita alifiyanti; Yanti Hermayanti; Dyah Setyorini
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

The quality of sleep is required by breast cancer patients to regenerate and repair the body cells. When patients’ sleep is disturbed, it may be affected to the physiological conditions, such as decreased appetite, weight loss, anxiety, irritability, and changes in natural and cellular immune functions. Breast cancer therapies can affect the quality of sleep. This study aimed to determine the sleep quality of breast cancer patients that had treatments in a public hospital in Bandung. This research used the quantitative descriptive approach. The sample was selected using the consecutive sampling technique (n = 31). Data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Sleep quality was categorized as good when the total score was ≤ 5, and sleep quality was poor when the total score was > 5. The results of this study indicated that all respondents (100%) had poor sleep quality. The components that contributed to the assessment were sleep latency, sleep duration, sleep efficiency, and daytime dysfunction. The worst sleep quality with the highest score (18) occurred in respondents who had radiotherapy and mastectomy (2 persons), and respondents in advanced stage (3 persons). This study concludes that the pharmacological therapies and the stages of cancer contributed to the sleep quality of breast cancer patients. It is expected that health professionals and hospitals notice the patient’s sleeping needs during treatment at the hospital.

Spiritual Distress In Breast Cancer Patients Puji Lestari; Aan Nuraeni; Dyah Setyorini
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Breast Cancer would affect all aspects of patients’ life including spiritually. This aspect is one of the patients’ main coping sources in dealing with impacts of the disease. However, the spiritual aspect is rarely noticed by nurses, and may lead to patients’ spiritual distress. This study aimed to determine spiritual distress in breast cancer patients who had treatments in a referral hospital in West Java. This study was a descriptive quantitative with cross-sectional approach. The population was in-patient breast cancer patients. Respondents were chosen using the accidental sampling technique. During a month period, 37 patients involved in this study. The data was collected using an instrument which was developed from Spiritual Distress Assessment Tool (SDAT) and analyzed using descriptive quantitative analysis. Almost two-thirds (62.2%) of respondents had low spiritual distress, 32.2% of respondents had moderate spiritual distress and a very small number of respondents (5.4%) had severe spiritual distress. In the term of spiritual distress dimension, “life balance” had the highest mean score (1.86) and the lowest was in “values and beliefs with sub-dimension of need maintain control” (0.89). The conclusion was the majority of patients had low spiritual distress, yet spiritual distress for moderate to severe still could be found in smaller proportion. Life balance was dimension with the highest level of spiritual distress. The patients’ spiritual need would be achieved when patients have a good acceptance and adaptation. Nurses have a role to encourage patients’ acceptance of their illnesses through improvement of the fulfillment of the patient's spiritual needs.

STATUS GIZI DAN ASUPAN ZAT GIZI MAKRONUTRIEN ANAK STUNTED DAN TIDAK STUNTED 1-3 TAHUN Lisna Nurhayati; Wiwi Mardiah; Dyah Setyorini
Jurnal Kesehatan Vol 11, No 2 (2020)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v11i2.206

Stunted merupakan gangguan pertumbuhan linier dengan tinggi badan <-2 S.D. sesuai usia, dan jenis kelamin. Kurangnya asupan zat gizi makronutrien pada anak merupakan salah satu masalah gizi utama yang dapat mempengaruhi pertumbuhan. Penelitian ini bertujuan untuk mengetahui status gizi dan asupan zat gizi makronutrien anak stunted dan tidak stunted 1-3 tahun. Desain penelitian menggunakan metode deskriptif kuantitatif. Populasi dalam penelitian berjumlah 634, jumlah sampel anak stunted 75 dan tidak stunted 77, diambil dengan menggunakan metode disproportionate stratified random sampling. Pengumpulan data dengan pengukuran TB dan BB, serta menggunakan formulir Food Recall 24 Jam. Analisis data secara statistik deskriptif menggunakan distribusi frekuensi. Hasil penelitian menunjukkan pada anak stunted indeks B.B/U sebagian besar (60%) normal, berdasarkan B.B/T.B sebagian besar (70,7%) baik. Pada anak tidak stunted indeks B.B/U sebagian besar (90.9%) normal, berdasarkan B.B/T.B sebagian besar (84.4%) baik. Asupan zat gizi makronutrien pada anak stunted, yaitu: karbohidrat dan lemak sebagian besar defisit sedang, sedangkan protein defisit ringan. Pada anak tidak stunted, sebagian besar asupan karbohidrat defisit sedang, sedangkan lemak dan protein normal. Berdasarkan hal tersebut perhatian orang tua terhadap kebutuhan zat gizi makronutrien anak khususnya anak stunted perlu ditingkatkan. Oleh karena itu, pemberian edukasi pada orang tua oleh tenaga kesehatan penting dilakukan.Kata Kunci: Anak usia 1-3 tahun, Status gizi, Stunted, Zat gizi makronutrien AbstractStunted is a linear growth disorder with height <-2S.D. according to age, and gender. Lack of intake macronutrient in children is one of the main nutritional problems that can affect growth. This study aims to describe nutritional status and macronutrient intake in stunted and non-stunted children aged 1-3 years. This research design use quantitative descriptive method. Population in this study was 634, sample size 75 stunted and 77 non-stunted, taken using disproportionate stratified random sampling method. Collecting data by measurements of height and weight, and using 24-hour Food Recall form. Descriptive statistical data analysis using frequency distribution. The results showed most of the stunted children base on weight/age (60%) normal, based on weight/height most of them (70.7%) normal. In not stunted children base on weight/age mostly (90.9%) normal, based on weight/height mostly (84.4%) normal. Macronutrient intake in stunted children, namely: carbohydrates and fats, mostly had a moderate deficit, while protein had a mild deficit. In non stunted children, most of the carbohydrate intake was moderate deficit, while fat and protein were normal. Based on this, parents attention to macronutrient needs for children especially stunted needs to be increased. Therefore, it is important to provide education to parents by health workers.Keywords: Children aged 1-3 years, Nutritional status, Stunted, Macronutrient

Pencegahan Stunting Melalui Sosialisasi dan Edukasi Perilaku Hidup Bersih dan Sehat (PHBS) di Desa Sukamanah Maria Komariah; Ati Surya Mediawati; Henny Yulianita; Dyah Setyorini
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 11 (2023): Volume 6 No 11 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i11.12176

ABSTRAK Stunting merupakan gangguan pertumbuhan dan perkembangan anak yang diakibatkan dari kondisi kekurangan gizi kronis dan infeksi berulang, yang ditandai dengan panjang atau tinggi badan menurut usia kurang dari -2 standar deviasi (SD) pada kurva pertumbuhan WHO. Stunting telah menjadi isu kesehatan secara internasional maupun nasional. Berbagai upaya pencegahan telah dilakukan pemerintah untuk mencegah peningkatan kasus stunting di Indonesia. Keberhasilan upaya pencegahan ini tentu memerlukan partisipasi aktif multidisipliner, salah satunya dengan diadakannya kegiatan pengabdian kepada masyarakat oleh tenaga pendidikan dan mahasiswa. Kegiatan pengabdian kepada masyakarat ini bertujuan untuk meningkatkan pengetahuan ibu yang memiliki balita atau anak usia 0-5 tahun mengenai Perilaku Hidup Bersih dan Sehat (PHBS) sebagai upaya pencegahan stunting. Metode yang digunakan dalam kegiatan ini, yaitu penyuluhan kesehatan yang dilakukan secara luring di Desa Sukamanah, Kecamatan Rancaekek. Sasaran kegiatan ini adalah 57 ibu yang memiliki balita dan berasal dari 17 rukun warga. Instrumen yang digunakan untuk mengukur dimensi pengetahuan sasaran adalah kuisioner yang diberikan sebelum dan sesudah penyuluhan kesehatan. Berdasarkan hasil analisis skor pre-test dan post-test didapatkan nilai p-value <.001 (<.05) yang menunjukkan program kegiatan ini memberikan pengaruh yang signifikan terhadap pengetahuan sebelum dan sesudah penyuluhan kesehatan. Program kegiatan ini terbukti bermanfaat dalam meningkatkan pengetahuan ibu yang memiliki balita mengenai penerapan PHBS sebagai upaya pencegahan stunting di tatanan rumah tangga. Saran untuk kegiatan selanjutnya adalah dapat ditambahkannya program pemantauan perilaku peserta setelah kegiatan dilaksanakan. Kata Kunci: Penyuluhan Kesehatan, Gaya Hidup Sehat, Stunting ABSTRACT Stunting is a growth and development disorder in children due to chronic malnutrition and recurrent infections, which is characterized by length or height for age less than -2 standard deviation (SD) on the WHO growth curve. Stunting has become a health problem internationally and nationally. The government has carried out various preventive efforts to prevent an increase in stunting cases in Indonesia. The success of this prevention effort certainly requires an active multidisciplinary role, one of which is by holding community service activities by education staff and students. This community service activity aims to increase the knowledge of mothers with toddlers or children aged 0-5 years about healthy lifestyle as an effort to prevent stunting. The method used in this activity is health education which is carried out offline in Sukamanah Village, Rancaekek District. The target of this activity was 57 mothers who have toddlers and came from 17 Community Associations. The instrument used to measure the target knowledge dimension is a questionnaire given before and after health education. Based on the results of the analysis of pre-test and post-test scores, a p-value <0.001 (<0.05) was obtained, which shows that this activity program has a significant effect on knowledge before and after health education. This activity program has proven to be useful in increasing the knowledge of mothers with toddlers regarding the implementation of healthy lifestyle as an effort to prevent stunting in the household. Suggestions for further activities include adding a participant behavior monitoring program after the activity is carried out. Keywords: Health Education, Healthy Hifestyle, Stunting

Manajemen Asuhan Keperawatan Pada Ny.M dengan Masalah Nyeri Akut Post Sectio Caesarea Cholilatur Rohmania; Ati Surya Mediawati; Dyah Setyorini
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.v5i2.6733

This study aims to describe the nursing management of acute pain problems in optimal one-day care in the Central Surgical Installation Room (IBS) RSUD using a 3M problem-based analysis (man, method, materials). The results of the research show that by carrying out optimal pain management, starting from assessment to evaluation of pain to optimizing non-pharmacological interventions (music therapy and deep breathing relaxation), patient pain complaints show improvement from moderate to mild scale (NRS) as well as the role of nurses in independent intervention also better. Problems studied in the room include the lack of optimal management of acute postoperative pain (from assessment to evaluation of pain, sometimes it is not done in the room), there is no SOP for pain intervention, there is no guideline for handling pain in the room, and the implementation of independent nurse intervention related to pain has not been implemented. In conclusion, with optimal assessment and evaluation of pain, including non-pharmacological technical interventions that are relatively easy to learn and apply independently by nurses, the results obtained are that the client's pain level is reduced from moderate pain on a scale of 5 to low pain on a scale of 3 on the NRS scale. Keywords: Central Surgical Installation, Nursing Care Management, Acute Pain

Gambaran Karakteristik dan Angka Kejadian Postpartum Blues pada Ibu Postpartum di Wilayah Puskesmas Jatinangor Lidya Nazhifa Kusumah; Yanti Hermayanti; Dyah Setyorini
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14721

ABSTRACT Postpartum blues occurs in 1 up to 2 out of 1.000 mothers in Indonesia. The mothers with postpartum blues can give a bad impact for both mothers and babies. Nurses play an important role in intend to prevent the worst impact can possibly happen caused by postpartum blues by identifying the risk factors and do assessment as an early detection of the symptoms in the mothers after childbirth. Early detection was conducted to figure out the development of mothers’s psychological adaptation and also to detect any psychological disorders that occurred to the postpartum mothers. The purpose of this study was to identify the characteristics and the incidence of postpartum blues in Jatinangor Health Care Service Area. A descriptive study design using a quantitative approach was used for this study by reviewing the characteristics of the postpartum mother and identify the incidence of postpartum blues. The population of this study was a postpartum mother who gave birth in Jatinangor Health Care Service and midwife practice in Jatinangor Health Care Service work area in February 2024 with the nonprobability sampling technique that applied purposive samplings methods and obtained 38 respondents. This study used primary data, collected with the standardized instrument, Edinburgh Postnatal Depression Scale (EPDS) questionnaire. Data analysed by used univariate analysis of frequency distribution. The findings of the research showed that the incidence of postpartum blues occurred in 21 respondents (55%). With the characteristics of the vast majority of respondents are aged 20-30 years (81.6%), are multipara mothers (78.9%), are household mothers (86.8%), have a high middle school education (50%), have a very high income (>3.5k) (31.6%), have a spontaneous birth (86.8%), are a planned pregnancy (86.8) and have good social support (89.5%). As from the result of this study, it can be concluded that in Jatinangor Health Care Service Area there is a high incidence of postpartum blues in postpartum mothers before discharge, with an incidence rate of 21 respondents (55%). Accordingly, it is hoped that the incidence rate of postpartum blues in Jatinangor Health Care Service Area is expected to decrease by improving a program of maternal psychological health education from pre-pregnancy, pregnancy and postpartum in order to increase maternal knowledge about the risk factors and symptoms of postpartum blues. Keywords: EPDS, Postpartum, Postpartum Blues ABSTRAK Postpartum blues terjadi pada 1 hingga 2 dari 1000 ibu di Indonesia. Kondisi ibu dengan postpartum blues dapat menimbulkan dampak yang buruk bagi ibu dan bayi. Perawat memiliki peranan penting dalam upaya pencegahan terjadinya dampak terburuk akibat postpartum blues dengan upaya mengidentifikasi faktor risiko dan deteksi dini gejala postpartum blues pada ibu setelah melahirkan. Deteksi dini dilakukan untuk mengetahui perkembangan adaptasi psikologis ibu postpartum serta mendeteksi gejala postpartum blues. Tujuan dari penelitian ini adalah untuk mendapatkan gambaran karakteristik dan angka kejadian postpartum blues di wilayah Puskesmas Jatinangor. Penelitian ini menggunakan metode deskriptif kuantitatif dengan melihat gambaran karakteristik ibu postpartum dan angka kejadian postpartum blues. Populasi penelitian merupakan ibu postpartum yang melahirkan di Puskemas Jatinangor dan praktik bidan di wilayah kerja Puskesmas Jatinangor pada bulan Februari 2024 menggunakan teknik sampling nonprobability sampling dengan metode purposive sampling. Jumlah sampel sebanyak 38 responden. Penelitian ini menggunakan data primer dengan pengumpulan data menggunakan kuesioner baku Edinburgh Postnatal Depression Scale (EPDS). Data dianalisis secara univariat disajikan dalam distribusi frekuensi. Hasil penelitian menunjukan bahwa kejadian postpartum blues terjadi pada 21 responden (55%). Dengan karakteristik mayoritas responden berusia 20-30 tahun (81.6%), merupakan ibu multipara (78.9%), menjadi ibu rumah tangga (86.8%), berpendidikan SMA (50%), memiliki pendapatan sangat tinggi (>3.5jt) (31.6%), mengalami persalinan spontan (86.8%), merupakan kehamilan yang direncanakan (86.8%) dan memiliki dukungan sosial yang baik (89.5%). Dari hasil penelitian ini, dapat disimpulkan bahwa di wilayah Puskesmas Jatinangor terjadi angka kejadian postpartum blues yang tinggi pada ibu postpartum sebelum dipulangkan, dengan angka kejadian mencapai 21 responden (55%). Maka dari itu diharapkan angka kejadian postpartum blues di wilayah Puskesmas Jatinangor dapat menurun dengan upaya mengembangkan program penyuluhan kesehatan psikologis ibu dari semenjak sebelum kehamilan, masa kehamilan dan setelah persalinan yang bertujuan untuk memberikan pengetahuan pada ibu tentang faktor risiko dan gejala postpartum blues. Kata Kunci: EPDS, Postpartum, Postpartum Blues

ASUHAN KEPERAWATAN PADA PASIEN DENGAN GANGGUAN INTEGRITAS KULIT MELALUI PEMBERIAN VIRGIN COCONUT OIL (VCO): STUDI KASUS Ikhsan Hafidz; Dyah Setyorini; Nita Fitria
Jurnal Penelitian Keperawatan Vol 10 No 1 (2024): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v10i1.731

Pruritus merupakan gejala umum dari penyakit gagal ginjal kronik pada stadium lanjut atau stadium akhir. Upaya yang dapat dilakukan dalam penangan pruritus salah satunya dengan Virgin Coconut Oil (VCO). VCO ini dapat mengurangi rasa gatal dan meningkatkan rasa aman bagi pasien. Studi kasus ini bertujuan untuk mendeskripsikan intervensi perawatan integritas kulit menggunakan Virgin Coconut Oil (VCO) pada perkembangan skor gatal pada klien gagal ginjal kronis dengan pruritus. Metode kasus yang digunakan dalam penulisan ini menggunakan metode penelitian kualitatif studi kasus. Setelah dilakukan tindakan keperawatan berupa perawatan integritas kulit yang dilakukan dengan intervensi terapi Virgin Coconut Oil (VCO) didapatkan hasil bahwa masalah keperawatan utama gangguan intergritas kulit teratasi sebagian dengan didukung oleh data berupa klien mengatakan menjadi lebih nyaman dan keluhan gatal sudah semakin berkurang. Setelah dilakukan intervensi selama 2 minggu, didapatkan bahwa masalah keperawatan gangguan integritas kulit teratasi sebagian dengan didukung data subjektif klien mengatakan gatal semakin berkurang dan data objektif berupa tanda-tanda vital klien dalam batas normal dan terdapat penurunan skor gatal.

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