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Optimalisasi Asuhan Keperawatan Untuk Meningkatkan Konsep Diri Pada Pasien Skizofrenia Dengan Harga Diri Rendah Kronis Dewi Oktoviani; Erida Fadila; Evi Nurmala Fia; Kiki Ameliya; Rizal Nova Jalaludin
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.249

Abstract

High-quality nursing care is key to improving the overall quality of health services and the image of healthcare institutions in the eyes of the public. This study highlights the importance of continuous assessment and improvement of nursing practice on professional standards. The research methodology employed was descriptive qualitative, focusing on holistic nursing care for patients with Paranoid Schizophrenia at Room Lily 12 of RS Soerojo. Through comprehensive observation and interviews with patients, families, and the healthcare team, along with medical record analysis, this study explores the patients' experiences in various aspects of social interaction and responses to interventions, aiming to develop individualized and holistic care strategies. Therapeutic approaches utilized include Cognitive Behavioral Therapy (CBT), psychoeducation, and schizophrenia counseling. Nurses play an active role in the formulation of a comprehensive care plan that includes medication, cognitive behavioral therapy, and family support, which has been shown to strengthen self-concept. Collaboration with psychiatrists and other health professionals adds a medicinal and holistic dimension to the care plan.
Penatalaksanaan Manajemen Nyeri Pada Ibu Bersalin Rizal Nova Jalaludin; Erida Fadila; Dewi Oktoviani; Evi Nurmala Fia; Kiki Ameliya
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.253

Abstract

Pain and discomfort in pregnant women arise due to uterine contractions which are a physiological response to labor. The pain that arises after childbirth is the body's natural response to tissue damage during labor. Childbirth pain can be caused by uterine contractions, cervical dilatation, fetal expulsion or birth canal tears. As many as 99% of maternal deaths are caused by childbirth problems that occur in developing countries. Based on the problems and impacts caused, pain management is needed to reduce the pain. The purpose of this case study is to provide nursing care to G1P0A0 patients who experience labor pain. Using a qualitative approach with case studies as the main method, using observation sheets, interviews, and documentation studies. The case study selected 1 patient as the subject of study, namely a patient with G1P0A0 in the Maternal Emergency Room, RSUD Waled Cirebon. Nursing care management is based on the fulfillment of patient needs carried out in 1 day. The case study results indicate that after nursing care was provided, there was a reduction in pain levels. It is concluded that nursing care is effective for G1P0A0 patients experiencing labor pain, in meeting the patient's needs.
Hubungan Lama Menderita Diabetes Tipe 2 Dengan Kejadian Luka Pada Penderita Diabetes Melitus Di Bima Ceria Kalikoa Sutrisno; Erida Fadila
MEJORA Medical Journal Awatara Vol 3 No 2 (2025): APRIL 2025
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i2.297

Abstract

Type 2 diabetes mellitus (DMT2) is a chronic disease that is prone to cause complications, one of which is diabetic foot sores. The duration of suffering from DMT2 is thought to contribute to the increased risk of injury. This study aims to determine the relationship between the length of suffering from DMT2 and the incidence of injuries in patients at Posbindu Bima Ceria. This study uses a quantitative approach with an analytical descriptive design and a cross-sectional method. The number of respondents was 22 people who were selected by purposive sampling. Data was collected through questionnaires and direct observation and analyzed using the Fisher's Exact Test. The results showed that 17 respondents (77.3%) had suffered from DMT2 ≥5 years, and 15 of them (86.7%) had injuries. Meanwhile, of the 5 respondents who suffered from DMT2 <5 years, only 2 people (40%) were injured. The results of the statistical test showed a value of p = 0.002 (< α 0.05), which means that there is a significant relationship between the length of time of suffering from DMT2 and the incidence of injury. This study shows that the longer a person suffers from DMT2, the higher the risk of injury. Injury prevention through routine monitoring and foot care education is very important, especially for patients with a duration of more than five years
Penerapan Terapi Aktivitas Kelompok Stimulasi Persepsi untuk Mengontrol Halusinasi Auditori Lulu Luckysa Nirwana; Endah Sari Purbaningsih; Erida Fadila
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 1 (2026): JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i1.2420

Abstract

Schizophrenia is a chronic mental disorder in which approximately 90% of sufferers experience hallucinations, dominated by auditory hallucinations at 70%. Pharmacological approaches alone are considered insufficient because they often leave residual symptoms. Therefore, non-pharmacological interventions such as Group Activity Therapy (TAK) Perception Stimulation are needed to improve patients’ self-control abilities. This case study aims to evaluate the application of TAK Perception Stimulation in controlling auditory hallucinations in schizophrenia patients in Lily 13 Room, Prof. Dr. Soerojo Hospital, Magelang. This study employed a descriptive case study using the nursing process approac. The study subjects consisted of 5 schizophrenia patients with active auditory hallucination problems. Data were collected through interviews, observations, mental status examinations, and medical record documentation studies. The TAK Perception Stimulation Intervention was conducted for 4 consecutive days on January 6–10, 2026. After the 4-day intervention, all patients experienced an increase in adaptive ability in controlling auditory hallucinations with based on the AHRS observational checklist maximum score of 5. All subjects succeeded in independently recognizing the content and time of hallucinations, practicing reprimand techniques, participating in regularly scheduled activities, actively conversing with others, and complying with medication, accompanied by a decrease in the frequency of hallucinations. Patients also appeared to be calmer and more cooperative.
Penerapan Latihan Berkenalan untuk Meningkatkan Kemampuan Sosialisasi pada Pasien Skizofrenia dengan Isolasi Sosial: Systematic Literature Review Lia Rahmawati; Endah Sari Purbaningsih; Erida Fadila
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 1 (2026): JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i1.2423

Abstract

Social isolation is one of the most common nursing problems found in schizophrenia patients. This condition is characterized by withdrawal from social interactions, decreased communication ability, and barriers in building meaningful interpersonal relationships. Without proper and structured nursing interventions, social isolation has the potential to worsen the prognosis of mental illness and significantly reduce the patient's quality of life. Introduction training as one of the implementation strategies in psychiatric nursing is believed to be capable of improving patients' socialization ability gradually and measurably. This literature review aims to systematically analyze the effectiveness of introduction training in improving socialization ability in patients with social isolation, including its impact on verbal and nonverbal communication, social function, and its comparison with other psychosocial interventions. This study uses the Systematic Literature Review (SLR) method based on the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Literature searches were conducted on five electronic databases, namely PubMed, ScienceDirect, Google Scholar, ProQuest, and Sage Journals, with a publication time range of 2020 to 2026. From a total of 312 identified articles, 20 articles ultimately met the inclusion criteria and were analyzed in depth. The results of the analysis show that introduction training is consistently proven effective in improving the socialization ability of patients with social isolation. This intervention is able to improve verbal and nonverbal communication skills, improve eye contact, encourage the initiation of social interaction, and increase participation in group activities. Introduction training is recommended to be systematically integrated into the standard of psychiatric nursing care in hospitals and communities.
Penerapan Posisi Semi Fowler terhadap Peningkatan Status Pernapasan pada Pasien Pneumonia dengan Respiratory Failure Diruang ICU RSD Gunung Jati Kota Cirebon Sri Sundari; Erida Fadila; Dwiyanti Purbasari
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 1 (2026): JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i1.2424

Abstract

Pneumonia with respiratory failure is a critical condition caused by inflammation of the lung parenchyma that disrupts gas exchange, requiring intensive care in the ICU. In addition to medical therapy, an effective non-pharmacological intervention to optimize lung expansion and oxygenation status is the semi-Fowler position (30°–45°). Objective: To analyze the effectiveness of the semi-Fowler position in improving respiratory status in pneumonia patients with respiratory failure in the ICU of Gunung Jati Regional Hospital, Cirebon City. Methods: This study used a descriptive case study method based on evidence-based practice. Subjects consisted of five adult patients with respiratory failure in the ICU. The semi-Fowler position intervention was given for 3 consecutive days of care. The instruments used included a critical care nursing care format, an oximeter, and an observation sheet. Results: Before the intervention, all five patients experienced severe shortness of breath with an average respiratory rate (RR) of 26–30 x/minute. The primary patient (Mrs. I, 74 years old) experienced decreased consciousness, was on a ventilator, had accumulated secretions, and rhonchi. After 3 days of semi-Fowler position intervention accompanied by adequate suctioning, all five patients showed significant improvement with a decrease in RR of 5–6 x/minute (to 20–25 x/minute). In Mrs. I, the accumulation of secretions and rhonchi decreased, peripheral circulation improved, and there were no pressure ulcer complications. Conclusion: The application of the semi-Fowler position (30°–45°) effectively improved respiratory status and addressed the nursing problem of ineffective breathing patterns in pneumonia patients with respiratory failure in the ICU.
Studi Kasus : Penerapan Evidence Based Nursing Foot Massage terhadap Penurunan Nyeri Akut pada Pasien Post Sectio Caesarea Ika Nur Azizah; Endah Sari Purbaningsih; Erida Fadila
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 4 No. 1 (2026): February: Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v4i1.1099

Abstract

Background: Pain is a common problem among post-cesarean section patients due to surgical tissue trauma, which can hinder mobilization and recovery. Foot massage is one of the nonpharmacological interventions that can help reduce pain. Objective: To determine the application of Evidence-Based Nursing through foot massage therapy for acute pain in post-cesarean section patients. Methods: A case study involving five post-cesarean section patients, with pain measured using the Numeric Rating Scale (NRS) before and after a foot massage intervention lasting approximately 15 minutes. Results: All patients experienced a reduction in pain from a range of 5–7 to 2–4 following the intervention. Patients also appeared more relaxed and comfortable. Implications: Foot massage is effective in reducing acute pain in post-cesarean section patients and can be used as a nonpharmacological intervention in nursing care. This intervention also has the potential to enhance patient comfort, support the recovery process, accelerate early mobilization, and serve as a safe complementary therapy that is easy for nurses to implement.
Intervensi Non-Farmakologis untuk Menurunkan Fatigue ada Pasien Gagal Ginjal Kronik Sri Alifia Anjani Yahya; Erida Fadila; Dwiyanti Purbasari
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 1 (2026): Januari: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i1.2382

Abstract

Chronic kidney failure patients undergoing hemodialysis often experience fatigue that impacts physical, psychological, and quality of life. The treatment of fatigue does not only depend on pharmacological therapy, but can also be done through non-pharmacological interventions that are safer and have fewer side effects. This study aims to analyze the effectiveness of non-pharmacological interventions in reducing fatigue in hemodialysis patients. The research method uses Systematic Literature Review (SLR) with the PRISMA approach. Articles were obtained from Google Scholar, PubMed, ScienceDirect, and Garuda databases. A total of 11 articles that met the inclusion criteria were analyzed in depth. The results of the study showed that various non-pharmacological interventions such as relaxation therapy, exercise, acupressure, music therapy, and recreational therapy were proven to be effective in reducing fatigue and improving the comfort, sleep quality, physical capacity, and quality of life of hemodialysis patients. These findings confirm that non-pharmacological interventions can be used as complementary, safe, and effective companion therapies in clinical practice. The implications of this study provide a basis for health workers to integrate non-pharmacological interventions in the treatment program for patients with chronic kidney failure, so that it is expected to improve the overall quality of life.
Penerapan Positioning Therapy terhadap Peningkatan Perfusi Serebral pada Pasien Stroke Iskemik Sindi Lailatul Muasanah; Erida Fadila; Dwiyanti Purbasari
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 1 (2026): Januari: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i1.2383

Abstract

Ischemic stroke is one of the neurological conditions that can cause cerebral perfusion disorders due to reduced blood flow to the brain. One of the evidence-based nursing interventions used to optimize cerebral perfusion is positioning therapy, specifically the 30° head up position. This study aims to determine the effectiveness of positioning therapy on increasing cerebral perfusion in ischemic stroke patients. The research method is in the form of literature review of 12 articles published in the 2020–2025 period, with data sources from Google Scholar, PubMed, ScienceDirect, and Garuda. The results of the study show that most studies support the effectiveness of the 30° head up position in improving cerebral perfusion. This is characterized by an increase in Cerebral Perfusion Pressure (CPP), an increase in the Glasgow Coma Scale (GCS), an increase in oxygen saturation (SpO₂), and a decrease in Intracranial Pressure (ICP). These findings confirm that positioning therapy is a simple, safe, and evidence-based nursing intervention to improve cerebral perfusion in ischemic stroke patients. The implication of this study is the need to apply positioning therapy as part of the standard nursing practice in the management of ischemic stroke patients to support the improvement of clinical conditions and quality of life.
Penerapan Evidance Based Nursing ROM Pasif untuk Meningkatkan Kekuatan Otot pada Pasien Post Operasi Fraktur Femur Saidah Saniyah; Erida Fadila; Dwiyanti Purbasari
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 2 (2026): Maret: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i2.2384

Abstract

Background: Patients undergoing Open Reduction and Internal Fixation (ORIF) for femoral fractures often experience impaired physical mobility due to pain, immobilization, and decreased muscle strength. Passive Range of Motion (ROM) exercises are one of the nursing interventions that can help improve muscle strength and accelerate the recovery of extremity function. Objective: To describe the implementation of passive ROM exercises in improving muscle strength among post-ORIF femoral fracture patients. Methods: This study used a descriptive case study design involving three post-ORIF femoral fracture patients with impaired physical mobility. Passive ROM exercises were administered for 3×24 hours and evaluated using Manual Muscle Testing (MMT). Results: All patients showed an improvement in muscle strength from an average score of 2/5 to 3/5. In addition, joint range of motion increased, pain decreased, and mobility gradually improved. Implications: Passive ROM exercises can be used as a nursing intervention to improve muscle strength and physical mobility while supporting the rehabilitation process in post-operative femoral fracture patients.