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Pengaruh Aromaterapi Lemon Diffuser Terhadap Post Operative Nausea and Vomiting (PONV) Pada Pasien Post Anestesi General Di RSUD Ngudi Waluyo Arif, Taufan; Vashti, Laily Evania; Marsaid, Marsaid; Sulastyawati, Sulastyawati
Jurnal Keperawatan Vol 22 No 1 (2024): Jurnal Keperawatan Maret 2024
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v22i1.1288

Abstract

Post Operative Nausea and Vomiting adalah salah satu kondisi yang sering dikeluhkan oleh pasien setelah operasi sebanyak 61-79%. Salah satu alternatif dalam menurunkan PONV dapat menggunakan cara nonfarmakologis yaitu aromaterapi. Aromaterapi sendiri merupakan salah satu pengobatan alternatif yang menggunakan bahan cairan tanaman yang mudah menguap. Penelitian ini bertujuan menganalisis pengaruh aromaterapi lemon diffuser pada pasien general anestesi. Metode penelitian ini menggunakan desain quasy eksperiment dengan purpose sampling. Banyak sampel sejumlah 36 orang. Penelitian ini menggunakan uji Wilcoxon dan Man-Whitney. Penelitian ini dilakukan pada bulan Mei - Juli 2023 di ruang Bima RSUD Ngudi Waluyo Wlingi. Hasil penelitian pada kelompok perlakuan yang diberi intervensi aromaterapi lemon diffuser menunjukkan perubahan dari yang awalnya pasien mengalami mual sedang sebanyak 16 pasien dan mual ringan sebanyak 2 pasien dengan p-value 0,000. Hasil penelitian pengaruh aromaterapi lemon diffuser terhadap PONV menunjukkan nilai p-value kurang dari 0,05. Ada pengaruh aromaterapi lemon diffuser terhadap Post Operative Nausea and Vomiting pada pasien post operasi dengan general anestesi. Pemberian aromaterapi lemon menyebabkan penghambat pengeluaran serotin sehingga serotin dalam darah tidak berkurang, jika serotin dalam darah tidak mengalami penurunan maka mual-muntah tidak akan meningkat.
Hubungan Riwayat Hipertensi pada Keluarga dan Usia dengan Peningkatan Tekanan Darah Post Hemodialisa pada Lansia Arif, Taufan; Wiyono, Joko; Pramesty, Anggy Dwi; Sulastyawati, Sulastyawati
Jurnal Keperawatan Vol 22 No 2 (2024): Jurnal Keperawatan September 2024
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v22i2.1377

Abstract

Selama menjalani terapi hemodialisa pasien mengalami masalah kesehatan antara lain gangguan hemodinamik dan kram otot yang menjadi masalah yang umum. Faktor-faktor yang menyebabkan perubahan tekanan darah post hemodialisa bisa disebabkan karena riwayat hipertensi pada keluarga, peningkatan berat badan, dan konsumsi yang berlebihan. Pasien lansia yang menjalani pengobatan hemodialisis mengalami peningkatan tekanan darah setelah hemodialisis sebesar 80%. Faktor kemungkinan penyebab peningkatan tekanan darah post hemodialisa yaitu riwayat hipertensi pada keluarga dan usia. Tujuan penelitian ini untuk mengetahui hubungan riwayat hipertensi pada keluarga dan usia dengan peningkatan tekanan darah post hemodialisa. Desain penelitian menggunakan pendekatan “cross-sectional”. Metode pengambilan sampel menggunakan “purposive sampling” dengan 74 lansia. Penentuan responden berdasarkan kriteria inklusi pasien yang mengalami peningkatan tekanan darah setelah hemodialisa, dan pasien yang rutin menjalani terapi hemodialisa. Variabel independen yaitu riwayat hipertensi, dan usia. Variabel dependen yaitu tekanan darah. Instrumen penelitian menggunakan kuesioner dan sfigmomanometer digital. Uji analisis data menggunakan analisis univariat untuk mengetahui karakteristik responden. Analisa bivariat menggunakan uji spearman rank untuk mengetahui hubungan riwayat hipertensi pada keluarga dan usia dengan peningkatan tekanan darah post hemodialisa. Uji bivariat riwayat hipertensi pada keluarga dengan p-value 0,007 dan usia dengan p-value 0,001. Faktor riwayat hipertensi pada keluarga dan usia berhubungan dengan peningkatan tekanan darah post hemodialisa.
Response Time and Therapeutic Communication Capability of Nurses on Patient Satisfaction: - Subekti, Imam; Ariyani, Imelda Aqhna; Sulastyawati, Sulastyawati
Health Access Journal Vol. 1 No. 3 (2024): Vol. 1 No. 3 (October, 2024)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v1i3.4930

Abstract

Lack of response time and therapeutic communication by nurses cause patient and family dissatisfaction with services at the hospital. This study aimed to determine the relationship between response time and nurses' therapeutic communication skills on patient satisfaction in the emergency room at Lavalette Hospital, Malang, in May 2024. This research method uses a cross-sectional design. The research sample was patients treated in the emergency room, with a total of 92 respondents. The sampling method used accidental sampling. The data collection method observes the time it takes for nurses to carry out initial actions and questionnaires on nurse therapeutic communication and patient satisfaction. Bivariate analysis used Spearman-Rho, and multivariate analysis used multiple linear regression with a p-value <0.05. The results of the bivariate analysis showed that the p-value for response time was 0.000 and therapeutic communication was 0.001, so it could be concluded that there was a relationship between response time, therapeutic communication, and patient satisfaction in the emergency room at Lavalette Hospital, Malang. Nurses' response time and therapeutic communication skills should be maintained and improved in providing services in hospitals, especially in the emergency room, to prevent problems from arising that could impact patient satisfaction.
The Relationship between Family Support and Anxiety Level in Preoperative Major Elective General Anesthesia Patients at dr. Soedomo Hospital Trenggalek Ridho, Syeikhu Alfa; Widodo, Dyah; Sulastyawati, Sulastyawati; Ciptaningtyas, Maria Diah
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 3 (2024): EDITION NOVEMBER 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i3.6047

Abstract

surgical process. Family support plays a crucial role in helping patients manage preoperative anxiety. The study aimed to analyze the relationship between family support and anxiety levels in patients undergoing major elective surgery with general anesthesia. The research design was cross-sectional. The study population consisted of 92 patients, with a sample size of 75 recruited through non-probability purposive sampling. The study utilized family support and Amsterdam preoperative anxiety and information Scale (APAIS) questionnaires as instruments. Data were analyzed using descriptive and inferential statistical tests, including Spearman’s rank correlation (Rho) with a p-value less than 0.05 was considered statistically significant. The results showed that almost all participant received high levels of family support (81.3%) and moderate level of preoperative anxiety (81.3%). The Spearman rank test indicated a significant relationship between family support and anxiety levels (p-value = 0.000 0.05) with a very strong, negative correlation (r = -.870). In conclusion, higher the family support is associated with lower anxiety level in preoperative patients. It is recommended that families provide consistent support during preoperative phase to help reduce patient level of anxiety.
THE EFFECT OF A COMBINATION OF FOOT BATH GINGER BOILING WATER AND SLOW DEEP BREATHING EXERCISES ON BLOOD PRESSURE REDUCTION IN HYPERTENSIVE PATIENTS Rinawaty, Desy; Sulastyawati, Sulastyawati; Retnowati, Lucia
Journal of Applied Health Management and Technology Vol. 3 No. 3 (2021): July 2021
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v1i3.6809

Abstract

High blood pressure is a disease where there is a drastic increase in blood pressure, where the increase in blood pressure is more than normal. The purpose of this study was to determine the effect of a combination of foot bath ginger boiling water and slow deep breathing on blood pressure reduction in hypertensive patients. The research design used in this study was Quasy experimental Design with a pre-test and post-test control group design research design, with non-probability sampling techniques, the sample size in this study was 44 respondents divided into 2 namely 22 treatment groups and 22 groups control. The treatment is carried out 6 times for 3 weeks in intensity 2 times a week. Each intervention will be conducted then the respondent will be measured pre-test, then post-test measurements will be carried out after the respondent gets foot bath ginger soak and slow deep breathing treatment. The results showed that after the foot bath treatment of ginger boiled water and slow deep breathing systolic and diastolic blood pressure changed by an average of 40.42%, and for systolic blood pressure was 125.00 mmHg, and diastolic blood pressure 79.55mmHg. The results of the study stated that there was an influence from the administration of the foot bath intervention of ginger cooking water and slow deep breathing on the decrease in blood pressure in hypertensive patients. This can be seen from the Wilcoxon test results with a P value = 0,000 or (p <α = 0.05). It can be concluded that the foot baths of ginger cooking water and slow deep breathing have an effect on reducing blood pressure in hypertensive patients. Foot Bath ginger boiling water with a combination of slow deep breathing is very good and suitable for hypertensive patients who choose to use treatment with therapeutic methods, where the therapy can widen blood vessels so that blood circulation becomes smooth so that blood pressure can drop.
The Role of Passive legs Raising Position in Hypovolemic Shock: A Case Report and Review of the Literature Rahmawati, Ira; Dilaruri, Ade; Sulastyawati; Supono
Journal Of Nursing Practice Vol. 4 No. 2 (2021): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i2.130

Abstract

Background: Hypovolemic shock can be catastrophic rapidly unless recognized and treated promptly. Although gastrointestinal loses might be the cause of hypovolemic shock in the elderly, it rarely causes a change in the blood gas analysis results.Purpose: This study aimed to report a case of a 75-year-old male with signs of hypovolemic shock caused by gastrointestinal loses and discuss the effect of passive leg raising procedure as an early nursing intervention in patients presenting with shock.Methods: The method used in this paper is a case study. The subject in this study is a 75-year-old male presenting to our Emergency Room with signs of shock which was caused by gastrointestinal problems. Passive leg raising or also known as modified Trendelenburg Position was performed as the patient presenting with low blood pressure. The results of physical dan laboratory investigation, as well as the nursing and medical therapies were presented, analyzed and discussed based on the recent literature.Results: There was an increase in the Mean Arterial Pressure (MAP) after the intervention was given for five minutes followed by fluid resuscitation with 1000 ml of warm Normal Saline. The patient responded well to the intervention given in the ED and was sent to the Intermediate Ward for further treatments.Conclusion: Passive leg raising might be beneficial to be performed in patients with hypovolemic shock as it increases the venous blood return the heart.
Hubungan Tingkat Nyeri Dan Kualitas Tidur Dengan Pemulihan Luka Pasien Pasca Operasi Open Reduction Internal Fixation RSUD Kanjuruhan Kabupaten Malang DENNIS, DENNIS; MARSAID, MARSAID; SUPONO, SUPONO; SULASTYAWATI, SULASTYAWATI
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.27969

Abstract

Objective: To determine the relationship between pain level and sleep quality with wound healing in postoperative ORIF patients. Methods: This study used a descriptive correlational design with a sample of 39 postoperative ORIF patients selected purposively. Participants were conscious, cooperative, had no history of diabetes, and were aged between 13–50 years. Instruments used to collect data included questionnaires on pain level, sleep quality, and wound healing. Results: Spearman Rank correlation test results showed a p-value of 0.000 (p < 0.05) with an R value of -0.772, indicating a strong relationship between pain level and wound healing after ORIF surgery. Additionally, a p-value of 0.000 (p < 0.05) with an R value of -0.789 indicated a fairly strong relationship between sleep quality and wound healing after ORIF surgery. Conclusion: There is a relationship between pain level and sleep quality with wound healing after ORIF surgery.
Analisis Faktor Determinan Yang Berhubungan Dengan Kesembuhan Pada Pasien TB Paru di Puskesmas Rejotangan Kabupaten Tulungagung Sholha, Hanny Atus; Tri Nataliswati; Marsaid, Marsaid; Sulastyawati, Sulastyawati
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.28524

Abstract

Objective:  Pulmonary Tuberculosis is still a public health problem in many countries including Indonesia. The key to successful prevention of Pulmonary TB is the discovery of patients and treatment of patients until recovery. This study aims to identify determinant factors associated with the recovery of pulmonary TB patients at the Rejotangan Community Health Center, Tulungagung Regency.   Methods:  The research design used was quantitative with a cross sectional approach and analytic in nature. The study population was 47 patients, with a sample of 36 respondents selected by purposive sampling. The instrument used was a questionnaire. Data analysis using the spearman test with a significance level of <0.05.   Results: showed that, there was no relationship between age and recovery of pulmonary TB, no relationship between gender and recovery of pulmonary TB, no relationship between nutritional status and recovery of pulmonary TB patients, there was a relationship between knowledge and recovery of pulmonary TB patients, there was a relationship between treatment compliance and recovery of pulmonary TB patients, there was a relationship between the presence or absence of PMO with the recovery of pulmonary TB patients. The results of the spearman test showed a significance value on knowledge (p value = 0.001), treatment compliance (p value = 0.006), PMO (p value = 0.002) which means there is a relationship with the recovery of pulmonary TB and the most dominant factor is the knowledge factor with strength (-0.517)   Conclusion: Spearman's test results showed an association between knowledge, medication adherence, and the presence or absence of PMO with TB cure. It is expected that patients can maintain knowledge about compliance in treatment according to the rules in order to avoid failure. Factor, Recovery, Pulmonary TB  
Hubungan Lama Menjalani Hemodialisis Dengan Kualitas Hidup Pasien Gagal Ginjal Kronis Dinda Anita Putri; Taufan Arif; Eko Sari Wahyuni; Sulastyawati Sulastyawati
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23107

Abstract

ABSTRACT The quality of life of patients with chronic kidney failure affects their physical and psychological condition. End-stage chronic kidney failure patients require hemodialysis as their primary replacement therapy, which causes clinical problems and complications. Kidneys that cannot function optimally require lifelong hemodialysis. This study aims to determine the relationship between the duration of hemodialysis and the quality of life of patients with chronic kidney failure. The study design is cross-sectional. The sampling method used purpose sampling with 45 respondents. The independent variable was the duration of hemodialysis, while the dependent variable was quality of life. The research instrument was WHOQOL-BREF. The results of the Spearman's rank correlation analysis yielded a p-value of 0.000 and r=0.857 with a positive correlation. Most patients who underwent hemodialysis for more than 3 years had a better quality of life. Meanwhile, based on the results of the study, patients who had just undergone hemodialysis had poor or fair results because they had not yet adjusted, so their quality of life tended to be lower. There is a strong and significant relationship between the duration of hemodialysis and the quality of life of patients with chronic kidney failure. The longer patients undergo hemodialysis therapy, the better their quality of life. This shows that patients who have undergone hemodialysis for a long period of time are able to adapt better to their condition and the therapy process compared to patients who have just started hemodialysis. Keywords: Long-term Hemodialysis, Quality of Life, Chronic Kidney Failure.  ABSTRAK Kualitas hidup pasien dengan gagal ginjal kronis mempengaruhi kondisi fisik dan psikologis. Dimana pasien gagal ginjal kronis stadium akhir memerlukan terapi pengganti utama hemodialisis yang menimbulkan masalah klinis dan komplikasi. Ginjal yang tidak bisa bekerja secara optimal dibutuhkan waktu seumur hidup untuk hemodialisis.Penelitian ini bertujuan untuk mengetahui hubungan lama menjalani hemodialisis dengan kualitas hidup pasien gagal ginjal kronis. Desain penelitian menggunakan cross sectional. Metode pengambilan sampel menggunakan purpose sampling dengan 45 responden. Variabel independent yaitu lama menjalani hemodialisis, sedangkan variabel dependen yaitu kualitas hidup. Instrument penelitian WHOQOL-BREF. Hasil uji analisa data spearmen rank didapatkan nilai p-value 0.000 dan r=0,857 dengan arah korelasi positif. Sebagian besar pasien yang menjalani hemodialisis lebih dari 3 tahun memiliki kualitas hidup yang lebih baik. Sedangkan berdasarkan hasil penelitian pasien yang baru menjalani hemodialisis mendapatkan hasil buruk atau cukup yang disebabkan masih belum menyesuaikan diri sehingga kualitas hidupnya cenderung lebih rendah. Terdapat hubungan yang kuat dan signifikan antara lama menjalani hemodialisis dengan kualitas hidup pasien gagal ginjal kronis. Semakin lama pasien menjalani terapi hemodialisis, semakin baik pula kualitas hidup yang dimilikinya. Hal ini menunjukkan bahwa pasien yang telah menjalani hemodialisis dalam jangka waktu lama mampu beradaptasi lebih baik terhadap kondisi penyakit dan proses terapi dibandingkan pasien yang baru memulai hemodialisis. Kata Kunci: Lama Menjalani Hemodialisis, Kualitas Hidup, Gagal Ginjal Kronis.
Pengaruh Kombinasi Akupresur dan Aromaterapi Peppermint Terhadap Nausea Pada Pasien Post SC: Effect of Combination of Acupressure and Peppermint Aromatherapy on Nausea in Post SC Patients Restu Luhwi Yuniarti; Fitriana Kurniasari Solikhah; Sulastyawati Sulastyawati; Naya Ernawati
Jurnal Keperawatan Terapan Vol 10 No 1 (2024): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v10i1.4255

Abstract

Nausea is a side effect after surgery that usually occurs and is often complained of. The incidence of post-cesarean section nausea currently ranges from 30-80%. One non-pharmacological method that can reduce nausea is a combination of acupressure and peppermint aromatherapy. Acupressure is a massage method from China which is carried out by pressing the Pericardium-6 area, while peppermint aromatherapy is an essential oil derived from peppermint leaves containing menthol which is then inhaled. This study aims to determine the effect of a combination of acupressure and peppermint aromatherapy on nausea in post-SC patients. This research method uses a quasi-experimental design with purpose sampling technique. The sample size was 32 respondents who were divided into 2 control and treatment groups, each group containing 16 respondents. This research uses the Wilcoxon and Man-Whitney tests. The results of the research in the treatment group after being given intervention for 10 minutes showed that there was a significant change with a p-value of 0.000 (<0.05). The conclusion of this study is that the combination of acupressure and peppermint aromatherapy has a significant effect on reducing nausea in post-SC patients. It is hoped that health workers can apply a combination of acupressure and peppermint aromatherapy to reduce nausea in post SC patients.Keywords: Post SC, Nausea, Peppermint Aromatherapy, Acupressure.