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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

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