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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.
HUBUNGAN USIA DENGAN PENINGKATAN TEKANAN DARAH POST HEMODIALISA PADA LANSIA DI RUMAH SAKIT IHC LAVALETTE KOTA MALANG Taufan Arif; Anggy Dwi Pramesty; Joko Wiyono; Sulastyawati Sulastyawati
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.v10i1.4541

Abstract

Abstract: While undergoing hemodialysis therapy, patients experience health problems, including hemodynamic disorders, which are a common problem. Factors that cause changes in post-hemodialysis blood pressure can be caused by age. Elderly patients undergoing hemodialysis treatment experience an increase in blood pressure after hemodialysis by 80%. A possible factor causing an increase in post-hemodialysis blood pressure is age. The aim of this study was to determine the relationship between age and increased post-hemodialysis blood pressure. The research design uses a "cross-sectional" approach. The sampling method used "purposive sampling" with 74 elderly people. Determination of respondents was based on the inclusion criteria of patients who experienced an increase in blood pressure after hemodialysis, and patients who routinely underwent hemodialysis therapy. Test data analysis using univariate analysis to determine the characteristics of respondents. Bivariate analysis used the Spearman rank test for the age variable which was associated with an increase in post-hemodialysis blood pressure. Age bivariate test with p-value 0.001. Age is associated with an increase in post-hemodialysis blood pressure. Keywords: Blood pressure, hemodialysis, elderly, ESRD
Pengaruh Musik Instrumental Modern Kitaro Terhadap Tingkat Kecemasan dan Frekuensi Nadi Pasien Preoperatif di Ruang Premedikasi: Quasy-Experiment Study Fitriana Kurniasari Solikhah; Taufan Arief; Jenar Nadya Maharani; Sulastyawati Sulastyawati
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5527

Abstract

Abstrak: Latar Belakang: Kecemasan preoperatif merupakan respons psikofisiologis yang umum dialami pasien menjelang operasi. Tanpa pengelolaan yang tepat, kecemasan ini dapat meningkatkan risiko komplikasi serta memperpanjang masa pemulihan. Intervensi nonfarmakologis seperti musik instrumental menunjukkan potensi dalam mengurangi stres tanpa efek samping signifikan. Metode: Desain penelitian menggunakan pendekatan quasi-eksperimental dengan rancangan pretest-posttest two group design . Sebanyak 58 responden dibagi menjadi kelompok perlakuan (n=29) dan kontrol (n=29). Pengukuran tingkat kecemasan menggunakan skala STAI dan frekuensi nadi menggunakan pulse oximeter sebelum dan setelah intervensi. Analisis data dilakukan menggunakan uji paired t-test, independent t-test, dan regresi logistik biner. Hasil: Hasil menunjukkan penurunan bermakna pada tingkat kecemasan kelompok perlakuan (mean difference = -5,79; p = 0,000) dan frekuensi nadi (mean difference = -5,48; p = 0,000). Uji independent t-test menunjukkan perbedaan signifikan antar kelompok pada post-test (p < 0,05). Analisis odds ratio (OR) membuktikan bahwa kelompok perlakuan memiliki peluang lebih rendah mengalami kecemasan tinggi (OR = 0,18; 95% CI 0,06–0,55) dan peningkatan frekuensi nadi (OR = 0,41; 95% CI 0,20–0,83). Kesimpulan: Musik instrumental modern Kitaro efektif dalam menurunkan tingkat kecemasan dan frekuensi nadi pasien preoperatif. Intervensi ini layak diterapkan sebagai bagian dari asuhan keperawatan preoperatif sebagai metode nonfarmakologis yang aman dan mudah diimplementasikan.
Hubungan Lama Menjalani Hemodialisis dengan Efikasi Diri pada Pasien yang Menjalani Hemodialisis: Hubungan Lama Menjalani Hemodialisis dengan Efikasi Diri pada Pasien yang Menjalani Hemodialisis Aulia Fahmi Alfarizi; Taufan Arif; Sulastyawati; Naya Ernawati
Jurnal Keperawatan Terapan Vol 12 No 1 (2026): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v12i1.6232

Abstract

Abstract: Introduction: Self-efficacy plays a crucial role in the success of therapy because it is related to patients’ confidence in adhering to treatment. Consequently, low self-efficacy may result in suboptimal treatment adherence. During the initial phase of hemodialysis, patients commonly experience difficulties in adapting, but this adaptive ability tends to improve as they gain more experience and understanding of the therapy. Objective: This study aims to examine the relationship between the duration of hemodialysis treatment and self-efficacy among hemodialysis patients. Methods: A quantitative correlational design with a cross-sectional approach was employed. The study sample consisted of 100 hemodialysis patients selected through purposive sampling. The independent variable was the duration of hemodialysis, while the dependent variable was self-efficacy. Self-efficacy was measured using the General Perceived Self-Efficacy questionnaire, and patient medical records were used to determine the duration of hemodialysis. Data analysis was performed using the Spearman Rank correlation test. Result: The results indicated a significant relationship with moderate strenght between the duration of hemodialysis and self-efficacy, with a p-value of 0.000 and a correlation coefficient of 0.448. Conclusion: These findings suggest that the longer patients undergo hemodialysis, the higher their self-efficacy levels. A longer duration of hemodialysis allows for the accumulation of experience and information from healthcare professionals and fellow patients, which contributes to enhanced cognitive functioning. This cognitive improvement supports patients’ understanding, adaptation, and coping abilities, thereby increasing their confidence in managing therapy as reflected in improved self-efficacy.