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Yunitri, Ninik
Faculty Of Nursing, Universitas Muhammadiyah Jakarta
Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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A survey of suicide risk among university students across three regions in Java, Indonesia Yunitri, Ninik; Rochmawati, Erna; Susanti, Henny Dwi; Nuraenah, Nuraenah; Rayasari, Fitrian; Chairunnisa, Dea; Salsabila, Sephia; Septiawantari, Rani; Slametiningsih, Slametiningsih
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.61319

Abstract

Introduction: Suicide remains a significant global health and social problem, with Indonesia showing a lower suicide rate compared to other Asian countries. However, the underreporting of cases in Indonesia suggests that the incidence rate of suicide is higher than documented. This study aimed to identify the risk of suicide among Indonesian college students. Methods: A cross-sectional study was conducted involving 557 students from three universities across Java Island, recruited using the purposive sampling method. The Beck Scale for Suicide Ideation (BSSI) was used to assess suicide risk.  The data was analyzed using descriptive statistics to determine the prevalence of suicide-related outcomes. Additionally, linear regression analysis was conducted to examine the associations between suicide risk, suicidal ideation, suicide planning, and self-control in relation to age, sex, and year of study. Results: The average suicide risk among college students was 4.04 (SD= 6.60; 95%CI = 3.49 – 4.59) out of 38, indicating a generally low risk. However, 34.6% of students experienced the desire to die at least once, and 12.7% had a strong desire to make active suicide attempts. Furthermore, 15.8% of students found suicide an acceptable solution to their problems. Gender was found to be significant predictor of overall suicide risk, ideation and self-control. Conclusions: These findings highlight the need for targeted interventions and support for college students to prevent suicide and promote mental well-being.
Penerapan Evidence Based Practice Mind-Body Therapy (Mindfullness Based Stress Reduction) dalam Menurunkan Ansietas pada Pasien Coronaryheart Disease (CHD) Nurrahman, Aris; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizki Nugraha
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14150

Abstract

ABSTRACT Coronary Heart Disease (CHD) is a health condition that is not caused by infectious factors and is a serious concern in society, with the number of cases continuing to increase both globally and in Indonesia. Someone who experiences stress in a CHD condition tends to experience various symptoms such as anxiety, disappointment, difficulty feeling calm after experiencing irritation, and is susceptible to feeling angry or offended by small things. People with CHD who experience stress also need a longer time to feel relaxed or calm again, the impact is very detrimental to heart health. From a behavioral perspective, high levels of stress hormones also make individuals with CHD experience difficulty sleeping. This study aims to apply Evidence-Based Nursing Practice (PKBB) to understand the impact of applying Mind-body Therapy on anxiety levels in CHD patients. Use descriptive tests for continuous variables such as age, while binomial tests are used for nominal and ordinal variables such as gender and education level. To calculate the number of respondents, researchers used G*Power Version 3.1 software. In G*Power, researchers use family tests: t-test, statistical tests: the average difference between two dependent means (matched pairs), type of power analysis: a priori, calculating the required sample size - keeping in mind alpha, power, and effect size, with two-tailed input parameters, total effect size of 0.78, alpha error probability of 0.05, and power of 0.80. The results showed 15 respondents. Mind-body therapy has been proven to be successful in reducing anxiety levels in CHD patients. Mind-Body Therapy is carried out for 8 weeks, 6 times a week, with a duration of 30 minutes in a quiet environment. Keywords: Evidence Based Practice Mind-Body Therapy, Mindfullness Based Stress Reduction, Ansietas, Coronary Heart Disease (CHD).  ABSTRAK Penyakit Jantung Koroner (PJK) merupakan suatu kondisi kesehatan yang bukan disebabkan oleh faktor penularan dan menjadi perhatian serius dalam masyarakat, dengan jumlah kasus yang terus meningkat baik secara global maupun di Indonesia. Seseorang yang mengalami stres dalam kondisi PJK cenderung mengalami berbagai gejala seperti kecemasan, kekecewaan, sulit merasa tenang setelah mengalami kekesalan, serta rentan terhadap perasaan marah atau tersinggung oleh hal-hal kecil. Orang dengan PJK yang mengalami stres juga memerlukan waktu yang lebih lama untuk dapat kembali merasa rileks atau tenang, dampaknya sangat merugikan bagi kesehatan jantung. Dari segi perilaku, tingginya hormon stres juga membuat individu dengan PJK mengalami kesulitan dalam tidur. Penelitian ini bertujuan menerapkan Praktik Keperawatan Berbasis Bukti (PKBB) guna memahami dampak penerapan Terapi Mind-body terhadap tingkat kecemasan pada pasien PJK.  Menggunakan uji deskriptif untuk variabel kontinu seperti usia, sementara uji binomial digunakan untuk variabel nominal dan ordinal seperti jenis kelamin dan tingkat pendidikan. Untuk menghitung jumlah responden, peneliti memanfaatkan perangkat lunak G*Power Versi 3.1. Pada G*Power, peneliti menggunakan uji keluarga: t-test, uji statistik: perbedaan rata-rata antara dua rata-rata tergantung (matched pairs), jenis analisis daya: a priori, menghitung ukuran sampel yang diperlukan - dengan mengingat alpha, daya, dan ukuran efek, dengan parameter input berupa dua ekor, ukuran efek total 0,78, alpha error probabilitas 0,05, dan daya 0,80. Hasilnya menunjukkan 15 responden. Terapi Mind-body terbukti berhasil mengurangi tingkat kecemasan pada pasien PJK. Pelaksanaan Terapi Mind-Body dilakukan selama 8 minggu, 6 kali seminggu, dengan durasi 30 menit di lingkungan yang hening. Kata Kunci: Praktek Berbasis Bukti Terapi Pikiran-Tubuh, Pengurangan Stres Berbasis Perhatian, Ansietas, Penyakit Jantung Koroner (PJK).
Penerapan Evidence Based Practice Terapi Cermin untuk Meningkatkan Fungsi Motorik Ekstremitas Atas pada Pasien Stroke Rohani, Rohani; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizki Nugraha; Agustina, Elis Nurhayati
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14174

Abstract

ABSTRACT The incidence of stroke throughout the world is currently becoming increasingly worrying, not only as the main cause of death, but also ranked second as a cause of global disability with more than 13 million new cases each year. A number of intervention measures have been carried out to overcome the physical limitations of the upper extremities in post-stroke patients, such as training the paralyzed arm, carrying out arm exercises that focus on the disorder experienced, applying functional stimulation using electricity, carrying out rehabilitation assisted by robots, and undergoing bilateral arm training. However, all of these interventions require a high level of intensity as well as “1 to 1” interaction with a therapist over several weeks, which makes it difficult for patients to maintain an intensive level of therapy. To carry out mirror therapy with the aim of increasing muscle strength in parts of the body that experience weakness due to stroke, especially upper extremity hemiparesis. This research is a cross-sectional study. The study population consisted of stroke patients with upper extremity hemiparesis who were undergoing inpatient treatment on the seventh floor of the National Brain Center Hospital. The sample size was calculated taking into account the effect size of 0.67, significance level of 0.05, power of 80%, and risk of dropping out of 20%. Thus, the number of participants in this study was 24 patients. Mirror therapy has been proven to be successful in increasing muscle strength in stroke patients with upper limb hemiparesis at PON Hospital. This therapy is carried out for 30 minutes, five days a week, for three weeks (8-31 May 2023). Mirror therapy can be carried out easily by nurses and involves the patient's family. Mirrors are available in each treatment room to make carrying out therapy easier. The study findings showed an increase in muscle strength in the upper extremities, confirming the effectiveness of mirror therapy in stroke patients with hemiparesis. Keywords Evidance Based Practice Mirror Therapy, Extremity Motor Function, Stroke Patients.  ABSTRAK Kejadian stroke di seluruh dunia saat ini menjadi semakin mengkhawatirkan, tidak hanya sebagai penyebab utama kematian, tetapi juga menduduki peringkat kedua sebagai penyebab kecacatan global dengan lebih dari 13 juta kasus baru setiap tahunnya. Sejumlah tindakan intervensi telah dilakukan untuk mengatasi keterbatasan fisik ekstremitas atas pada pasien paska stroke, seperti melatih lengan yang mengalami paralisis, melakukan latihan lengan yang difokuskan pada gangguan yang dialami, menerapkan stimulasi fungsi menggunakan listrik, melakukan rehabilitasi dibantu oleh robot, dan menjalani pelatihan lengan bilateral. Namun, semua intervensi tersebut memerlukan tingkat intensitas yang tinggi serta interaksi "1 to 1" dengan terapis selama beberapa minggu, yang membuat tingkat intensif dari terapi yang dapat dijalankan oleh pasien menjadi sulit. Untuk melaksanakan terapi cermin dengan tujuan meningkatkan kekuatan otot pada bagian tubuh yang mengalami kelemahan akibat stroke, khususnya pada hemiparesis ekstremitas atas. Penelitian ini merupakan studi potong lintang. Populasi penelitian terdiri dari pasien stroke dengan hemiparesis ekstremitas atas yang sedang menjalani perawatan rawat inap di lantai tujuh Rumah Sakit Pusat Otak Nasional. Jumlah sampel dihitung dengan memperhatikan effect size 0,67, tingkat signifikansi 0,05, power 80%, dan risiko drop out sebesar 20%. Sehingga, jumlah partisipan dalam penelitian ini adalah sebanyak 24 pasien. Terapi cermin terbukti berhasil meningkatkan kekuatan otot pada pasien stroke dengan hemiparesis ekstremitas atas di RS PON. Terapi ini dilakukan selama 30 menit, lima hari seminggu, selama tiga minggu (8-31 Mei 2023). Pelaksanaan terapi cermin dapat dilakukan dengan mudah oleh perawat dan melibatkan keluarga pasien. Cermin tersedia di setiap ruang perawatan untuk mempermudah pelaksanaan terapi. Temuan penelitian menunjukkan adanya peningkatan kekuatan otot pada ekstremitas atas, menegaskan efektivitas terapi cermin pada pasien stroke dengan hemiparesis. Kata Kunci: Terapi Cermin Praktek Berbasis Bukti, Fungsi Motorik Ekstremitas, Pasien Stroke 
Penerapan Evidance Based Practice Therapy Music White Noise terhadap Gangguan Tidur pada Pasien Stroke Haryanti, Noviana; Agung, Rizki Nugraha; Yunitri, Ninik; Rayasari, Fitrian; Sulistyorini, Cahyo Ismawati
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14131

Abstract

ABSTRACT Stroke is a multi-complex neurological deficit disease that impacts not only the physical condition but also the psychological and social condition of stroke patients which can affect all aspects of their life. Sleep disorders are a group of conditions characterized by disturbances in the quality and quantity of a person's sleep. Sleep quality is related to sleep interruption due to frequent and repeated brief periods of nighttime wakefulness while sleep quantity is related to difficulty in initiating and maintaining sleep. This Evidance Based Nursing application aims to get an idea of the effect of white noise on sleep disorders in hospitalized stroke patients. This research is cross-sectional. The number of samples determined by the researcher, using the G*Power 3.1 application, obtained results of 5 people with 1 additional person as a respondent in preparation for the drop out of 1 person with a final total of 7 people. White noise music therapy was effective in reducing sleep disturbances in stroke patients before the intervention, the average sleep disturbance was 8.57, decreased to 4.14 after the intervention, with a significant effect of -3.91 and a p-value <0.001, even though the EBNP journal recommended therapy using Fitbit, in the field, the use of Fitbit is not recommended because it can interfere with the patient's sleep comfort with the device worn on the wrist throughout sleep. Keywords: Evidance Based Practice, White Noise Music Therapy, Sleep Disorders, Stroke Patients.  ABSTRAK Stroke merupakan penyakit defisit neurologis multi kompleks yang berdampak bukan hanya pada kondisi fisik namun juga psikologis dan sosial pasien stroke yang dapat mempengaruhi semua sendi kehidupannya. Gangguan tidur merupakan suatu kumpulan kondisi yang dicirikan dengan adanya gangguan dalam kualitas dan kuantitas tidur seseorang. Kualitas tidur terkait dengan terputusnya tidur akibat periode singkat terjaga di malam hari yang sering dan berulang sedangkan kuantitas tidur terkait dengan kesulitan untuk memulai dan mempertahankan tidur. Aplikasi Evidance Based Nursing ini bertujuan untuk mendapatkan gambaran pengaruh white noise  terhadap gangguan tidur  pasien stroke yang menjalani rawat inap.  Penelitian ini bersifat potong lintang (cross-sectional). Jumlah sampel yang ditentukan oleh peneliti, menggunakan aplikasi G*Power 3.1 dengan mendapatkan hasil 5 orang dengan 1 orang tambahan sebagai responden sebagai persiapan droop out 1 orang dengan total akhir 7 orang. Terapi musik white noise efektif dalam mengurangi gangguan tidur pasien stroke sebelum intervensi, rata-rata gangguan tidur adalah 8.57, turun menjadi 4.14 setelah intervensi, dengan efek signifikan sebesar -3.91 dan nilai p-value <0.001, meskipun jurnal EBNP merekomendasikan terapi menggunakan Fitbit, di lapangan, penggunaan Fitbit tidak disarankan karena dapat mengganggu kenyamanan tidur pasien dengan perangkat terpasang di pergelangan tangan sepanjang tidur. Kata Kunci: Evidance Based Practice Therapy Music White Noise, Gangguan Tidur, Pasien Stroke.
Penerapan Evidence Based Practice Efektivitas Health Education dalam Self Care pada Pasien dengan Heart Failure di RSPAD Gatot Soebroto Jakarta Mulyadi, Egi; Jumaiyah, Wati; Yunitri, Ninik
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14204

Abstract

ABSTRACT Heart failure has a variety of terms including right, left, combined and congestive heart failure. Left heart failure is characterized by fluid buildup in the lungs, low blood pressure, and constriction of peripheral blood vessels which results in reduced blood flow to the tissues. Right heart failure is characterized by edema in the opposite side of the body, fluid in the abdominal cavity, and increased pressure in the main blood vessels leading to the heart. Congestive heart failure is a combination of symptoms of both types of heart failure. Even though outpatient treatment is optimal, heart failure often requires intensive hospital treatment. To find the level of success of health education in caring for patients with heart failure. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. Data analysis in this paper uses univariate data analysis to evaluate the demographic characteristics and self-care description of each respondent. Furthermore, if the data has a normal distribution, the self-care statistical test uses the paired t-test, whereas if the data does not have a normal distribution, the self-care statistical test uses the Mann Whitney U test to evaluate self-care behavior after health education. Respondents had an average age of over 56.3 years, with the majority being male (75%) and the majority having secondary school level education (81.3%). They had suffered from heart failure on average for 4.31 years, and the majority were classified as classification II (62.5%). Before the intervention, the frequency of Self Care Behavior was 22.3 (standard deviation 4.58), which increased to 27.1 after the intervention (standard deviation 7.34). The normality test shows normal data distribution (p-value 0.968), and the dependent t-test analysis shows significant differences before and after the intervention (p-value 0.011 < 0.05), indicating the positive impact of health education on self-care in patients with heart failure. Keywords: Evidence Based Practice, Health Education, Self Care, Heart FailureABSTRAK Gagal jantung memiliki variasi istilah yang meliputi gagal jantung kanan, kiri, kombinasi, dan kongestif. Gagal jantung kiri dicirikan oleh adanya penumpukan cairan di paru-paru, tekanan darah rendah, dan konstriksi pembuluh darah perifer yang mengakibatkan berkurangnya aliran darah ke jaringan. Gagal jantung kanan ditandai dengan edema di bagian tubuh yang berlawanan, cairan di rongga perut, dan peningkatan tekanan di pembuluh darah utama yang mengarah ke jantung. Gagal jantung kongestif merupakan kombinasi dari gejala kedua jenis gagal jantung tersebut. Meskipun pengobatan rawat jalan telah diberikan dengan optimal, penyakit gagal jantung sering kali membutuhkan perawatan di rumah sakit yang intensif. Menemukan tingkat keberhasilan pendidikan kesehatan dalam merawat diri pada pasien dengan gagal jantung.  Analisis data dalam penulisan ini menggunakan analisis data univariat untuk mengevaluasi karakteristik demografi dan gambaran self care pada setiap responden. Selanjutnya, jika data memiliki distribusi normal, uji statistik self care menggunakan uji paired t-Test, sedangkan jika data tidak memiliki distribusi normal, uji statistik self care menggunakan uji Mann Whitney U untuk mengevaluasi self care behavior setelah dilakukan pendidikan kesehatan. Responden memiliki usia rata-rata di atas 56,3 tahun, dengan mayoritas berjenis kelamin laki-laki (75%) dan mayoritas memiliki pendidikan tingkat sekolah menengah (81,3%). Mereka rata-rata telah menderita penyakit gagal jantung selama 4,31 tahun, dan mayoritas termasuk dalam klasifikasi II (62,5%). Sebelum intervensi, frekuensi Self Care Behaviour adalah 22,3 (deviasi standar 4,58), yang meningkat menjadi 27,1 setelah intervensi (deviasi standar 7,34). Uji normalitas menunjukkan distribusi data yang normal (p-value 0,968), dan analisis dependent t-Test menunjukkan perbedaan yang signifikan sebelum dan sesudah intervensi (p-value 0,011 < 0,05), menunjukkan dampak positif health education terhadap self care pada pasien dengan gagal jantung. Kata Kunci: Praktek Berbasis Bukti, Pendidikan Kesehatan, Perawatan Diri, Gagal Jantung
Penerapan Familiar Auditory Sensory Training (FAST) terhadap Tingkat Kesadaran Pada Pasien Stroke di Rumah Sakit Jakarta Firdaus, Nuzula; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizky Nugraha
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14152

Abstract

ABSTRACT Decreased consciousness in stroke patients can be caused by brain hypoxia due to blockage of blood vessels in ischemic strokes, while in hemorrhagic strokes, bleeding occurs in the brain accompanied by cerebral edema, increasing intracranial pressure (ICP) and causing narrowing of blood vessels and herniation of brain tissue. FAST sensory stimulation carried out by the family is more effective in influencing the patient's level of consciousness compared to stimulation carried out by nurses. FAST intervention, compared to other sensory stimulation, is a non-invasive method, with low risk, affordable cost, and simple in application, making it an attractive intervention and can be easily applied in patients with decreased consciousness. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. Data analysis in this paper applies univariate data analysis to observe demographic characteristics and changes in the level of awareness of each respondent. Next, statistical tests were used with the paired t-test to evaluate the effect of awareness level before and after implementing Familiar Auditory Sensory Training, with a significance level of 0.05. The author counted the number of respondents using G*Power Version 3.1 software (Kang, 2021) with a total of 11 respondents. The characteristics of participants in the implementation of EBNP show that the majority are men (76.9%) with a high school education level (46.2%), Javanese ethnicity dominates (46.2%), and self-employed work dominates (53.8%). Participants' ages varied, with a mean of 53.1 years and a range of 42–67 years. The FAST intervention had a significant impact on patients' level of consciousness, with a mean increase from 10.1 to 11.6. These results show high statistical significance, and the implementation of FAST forms a standard operating procedure that can be adopted at PON hospitals. Keywords: Familiar Auditory Sensory Training (Fast), Level of Consciousness, Stroke Patients.    ABSTRAK Penurunan kesadaran pada pasien stroke dapat disebabkan oleh kondisi hipoksia otak akibat sumbatan pembuluh darah pada stroke iskemik, sedangkan pada stroke hemoragik, terjadi perdarahan di dalam otak yang disertai edema serebri, meningkatkan tekanan intrakranial (TIK) dan menyebabkan penyempitan pembuluh darah serta herniasi jaringan otak. Stimulasi sensori FAST yang dilakukan oleh keluarga lebih efektif dalam mempengaruhi tingkat kesadaran pasien dibandingkan dengan stimulasi yang dilakukan oleh perawat. Intervensi FAST, dibandingkan dengan stimulasi sensorik lainnya, merupakan metode non-invasif, dengan risiko rendah, biaya terjangkau, serta sederhana dalam aplikasinya, menjadikannya sebagai intervensi yang menarik dan dapat diterapkan dengan mudah pada pasien dengan penurunan kesadaran. Penerapan Praktik Keperawatan Berbasis Bukti (EBNP) digunakan untuk memahami dampak penerapan FAST terhadap tingkat kesadaran pasien stroke. Analisis data dalam penulisan ini menerapkan analisis data univariat untuk mengamati karakteristik demografi dan perubahan tingkat kesadaran pada setiap responden. Selanjutnya, uji statistik digunakan dengan uji paired t-test untuk mengevaluasi pengaruh tingkat kesadaran sebelum dan setelah penerapan Familiar Auditory Sensory Training, dengan tingkat signifikansi 0,05. Penulis menghitung jumlah responden menggunakan perangkat lunak G*Power Versi 3.1 (Kang, 2021) dengan total 11 responden. Karakteristik peserta dalam implementasi EBNP menunjukkan mayoritas adalah laki-laki (76,9%) dengan tingkat pendidikan SMA (46,2%), suku Jawa mendominasi (46,2%), dan pekerjaan wiraswasta mendominasi (53,8%). Usia peserta bervariasi, dengan rata-rata 53,1 tahun dan rentang 42-67 tahun. Intervensi FAST memberikan dampak signifikan pada tingkat kesadaran pasien, dengan peningkatan rata-rata dari 10,1 menjadi 11,6. Hasil ini menunjukkan signifikansi statistik yang tinggi, dan penerapan FAST membentuk standar operasional prosedur yang dapat diadopsi di RUMAH SAKIT JAKARTA . Kata Kunci: Familiar Auditory Sensory Training (Fast), Tingkat Kesadaran, Pasien Stroke
Application abdominal massage in reducing constipation in patients with traction Rahmasari, Ikrima; Sofiani, Yani; Yunitri, Ninik; Budiati, Dhiani
Riset Informasi Kesehatan Vol 13 No 1 (2024): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v13i1.831

Abstract

Backgrounds: Fractures represent a potential or actual threat to a person's integrity. Fracture management includes conservative measures and surgery. One of the conservative measures is the installation of protective traction. The purpose of traction training is to reduce spasm, reposition and immobilization. Immobilization is a limitation of independence, physical movement of the body or one or more extremities which is often caused by movement restrictions in the form of bed rest, physical restrictions due to external equipment (for example casts or skeletal traction), restrictions on voluntary movements, or physical disorders. There are various physical problems that can occur in a state of immobility, one of which is the problem of changes in fecal elimination, namely constipation. Abdominal massage is a complementary therapy that can be used as an effective intervention to treat constipation without causing side effects. Method: application of Evidence Based Practice (EBNP) with evidence sourcesobtained from the Pubmed journal. The article was published in 2020. Searches were carried out in several databases, namely the Cochrane Library, Biomed Central, MEDLINE (EBSCOhost), MEDLINE (PubMed), and Scopus. The author carried out screening using the PICO formulation. Results: Data analysis results were processed using Jamovi with the one sample T-Test statistical test. The average reduction in constipation was found before and after abdominal massage with a P-Value of 0.001. Conclusion: There is a significant difference in reducing constipation before and after giving abdominal massage with P-Value <0.005.).
Efektivitas intervensi edukasi mobile phone terhadap penurunan tekanan darah pada pasien stroke Prasetya, Ganjar Kundi; Yunitri, Ninik; Agung, Rizki Nugraha; Rayasari, Fitrian
Holistik Jurnal Kesehatan Vol. 19 No. 5 (2025): Volume 19 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i5.1128

Abstract

Background: Stroke is one of the causes of death, most of which is caused by high blood pressure. There are still many patients who are less concerned about hypertension cases resulting in strokes when being treated, it is felt that continuous education is needed regarding knowledge and compliance. Purpose: To determine the effect of mobile phone educational intervention on reducing blood pressure in stroke patients. Method: A literature study of meta-analyze articles using the AMSTAR checklist Based on the scimago journal ranking, it entered Q1 with an impact factor of 3.593. With the G Power application, 6 samples were obtained and Jamovi 2.3.28 software was used for data processing. There were 12 educational themes based on SHEMA delivered via WhatsApp Messenger for 5 days. Results: This education was able to reduce systolic from 182 to 171, diastolic 98 to 91 and mean arterial pressure (MAP) 127 to 121. This education at least increased confidence and had productivity in controlling high blood pressure. Conclusion: The changes in systolic, diastolic and MAP reduction rates were not significant, but could control the occurrence of no increase or readmission.   Keywords: Hypertension; Mobile Phone; Stroke.   Pendahuluan: Stroke salah satu penyebab kematian yang sebagian besar disebabkan oleh tekanan darah tinggi. Masih banyaknya pasien kurang peduli kasus hipertensi berakibat stroke saat dirawat dirasa perlu edukasi terus menerus terkait pengetahuan maupun kepatuhan. Tujuan: Untuk mengetahui pengaruh intervensi edukasi mobile phone terhadap penurunan tekanan darah pada pasien stroke. Metode: Studi literatur dari artikel meta analysis menggunakan AMSTAR checklist, berdasarkan scimago journal ranking masuk Q1 dengan impact factor 3,593.  Melalui aplikasi G Power mendapat 6 sampel dan software jamovi 2.3.28 untuk olah data. Ada 12 tema edukasi berdasar SHEMA yang disampaikan melalui whatsapp messenger selama 5 hari. Hasil: Edukasi mobile phone mampu menurunkan sistolik dari 182 menjadi 171, diastolik 98 menjadi 91, dan mean arterial pressure (MAP) 127 menjadi 121. Edukasi ini setidaknya menambah keyakinan dan memiliki produktivitas dalam pengendalian tekanan darah tinggi. Simpulan: Perubahan angka penurunan sistolik, diastolik, dan MAP tidak signifikan, tetapi dapat mengendalikan untuk tidak terjadinya peningkatan atau readmisi.   Kata Kunci: Hipertensi; Mobile Phone; Stroke.
Translation and validation of the premenstrual change coping inventory in Indonesian version Susanti, Henny Dwi; Rikawati, Rintan; Yunitri, Ninik; Kustanti, Christina Yeni
Pediomaternal Nursing Journal Vol. 11 No. 2 (2025): VOLUME 11 NO 2 SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i2.71695

Abstract

Introduction: Premenstrual syndrome (PMS) affects millions of women worldwide, characterized by physical and psychological symptoms that occur cyclically before menstruation. In Indonesia, understanding and managing PMS remains challenging due to social stigma and lack of awareness. The Premenstrual Change Coping Inventory (PMS-Cope) is a validated tool designed to measure mental strategies used to adapt to menstrual cycle changes. However, no validated Indonesian version exists, creating a significant gap in research and clinical practice for Indonesian womens. The research evaluated the translation and validation of the premenstrual change coping inventory (PMS-Cope) in Indonesia. Methods: 321 Indonesian women were included in this study. PMS-Cope used Cronbach's alpha and convenience sampling. Exploratory factor analysis (EFA) was used in this study to determine factor structure and evaluate the structural model fit. Confirmatory factor analysis was also used in this study. Results: The Cronbach's alpha value for the study was .90 overall. The CFA results for this study showed goodness of fit. The comparative fit index was .91, the related fit index (RFI) was .80, and the normed fit index was .83. The value of the Kaiser–Meier–Olkin test was .873, and Bartlett’s test value of sphericity was statistically significant and indicated adequate EFA. Conclusion: The result of this study showed that the PMS-Cope has satisfactory reliability and validity for evaluating PMS-cope in Indonesia. Keywords: premenstrual syndrome; translation; validation; women
The Effectiveness of Sleep Hygiene on Sleep Quality in Patients with Congestive Heart Failure: A Randomized Controlled Trial Study Lofa, Priyo Hadi Prasetiyo; Yunitri, Ninik; Rayasari, Fitrian; Azzam, Rohman; Kurniasih, Dian Noviati
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1119

Abstract

Good sleep quality in congestive heart failure (CHF) patients helps repair heart muscle cells. Sleep hygiene is one of the non-pharmacological interventions to overcome sleep disorders. This study aims to determine the effectiveness of sleep hygiene on sleep quality in CHF patients. A Randomized Controlled Trial (RCT) with two groups was taken using probability sampling with block random sampling method. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) and sleep habits using the Sleep Hygiene Index (SHI). Outputs were measured based on the change in the mean between the measurement time using the paired t-test and the difference in the mean between groups using the independent t-test. A total of 30 respondents were involved in this study. The intervention group showed a significant improvement in sleep quality after sleep hygiene therapy with a mean difference (MD) of 4.20 (SE=0.70; p-value=<0.01). Sleep quality between the two groups showed a significantly greater difference in the intervention group than in the control group (MD=-2.13, SE=1.00, p-value=0.04, effect size (Cohens'd)=-0.77). Sleep hygiene is a non-pharmacological intervention that effectively improves sleep quality in patients with CHF.
Co-Authors Abdu Rahim Kamil Abdul Khamid, Abdul Ade Fitriani, Ade Adria Rusli, Adria Agung Widiastuti Agung, Rizki Nugraha Agung, Rizky Nugraha Agustina, Elis Nurhayati Ahmad Zubairi Anitha, Anitha Arsianti, Lyana Azzam, Rohman Baridwan, Syamikar Budiati, Dhiani Chairunnisa, Dea Christina Yeni Kustanti Dadang Saadulloh Dedi Supriadi Desvita, Eva Desy Anggraini Dewi Anggraini Dian Noviati Kuriasih Diana Tati Haryati Dluha Maf’ula Dwisusanti, Oktina Eka Kristina Asi Erna Rochmawati, Erna Fatma, Hindri Royiah Fauzi Ashra Firdaus, Nuzula Haryanti, Noviana Hazrina, Fira Awanis Hendra Hendra Henny Dwi Susanti Herlina, Lily Hernani, Eny Hidayat Arifin Hidayat Arifin Ikaningtyas, Nurlia Ima Sukmawati, Ima Janitra, Fitria Endah Jumaiyah, Wati Kamil, Abdu Rahim Kurnati, Nana kurniasari, septi Kurniasih, Dian Noviati Kustanti, Christina Yeni Kusumawaty, Jajuk Latipah, Siti Lestari, Sabrina Ayu Lilis Lismayanti Lily Herlina Herlina Lily Herlinah Lofa, Priyo Hadi Prasetiyo Maemun, S.KM, M.Epid, Siti Maemun, Siti Mamang, Aisah Mei Rianita Elfrida Sinaga Melati Fajarini Melati, Nimsi Mulyadi, Egi Mulyatsih, MG Enny Novianti, Dian Noviati, Elis Nugraha, Rizki Agung NUR AINI Nur Aini Nuraenah Nuraenah Nuraenah Nuraenah Nuraenah, Nuraenah Nurhayani, Yani Nurhayati, Elis Nurrahman, Aris Nursana, Vina Septia Prasetya, Ganjar Kundi Putri, Alifiani Rahmi Rahayu, Esti Kusuma Rahayu, Yuyun Rahmasari, Ikrima Rani Septiawantari Rayasari, Fitrian Rayasari, Fitriyan Rikawati, Rintan Rina Yuliaty, Rina Rinawati Rinawati Rita Sari Rohani Rohani Rohman Rohman Azzam Rohman Rohman Rosmiati Rosmiati Rudi Kurniawan Saadulloh, Dadang Saharuddin Sakinah, Sri Salsabila, Sephia Saputra, M. Khalid Fredy Septiawantari, Rani Septiawardani, Rani Shahroh, Yuni Silistyorini, Cahyo Ismawati Siti Nurjanah Slametiningsih Slametiningsih, S Slametiningsih, Slametiningsih SRI ATUN sri murtini . Sri Yulianti Srinayanti, Yanti Sukmawati, Lina Sulistyorini, Cahyo Ismawati Suryati Suryati Syamsul Anwar, Syamsul Tallulembang, Abdi Tampubolon, Briefman Tiara Octary Ulina, Barita Wahyudin, M. Didin Waluyo, Endrian Mulyadi Justitia Widia Astuti Widia Astuti A W widya astuti Wildan Yani Sofiani Yohanes Andy Rias Zainab Zainab