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All Journal Jurnal sistem informasi, Teknologi informasi dan komputer Jurnal NERS Jurnal Keperawatan Padjadjaran Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Nurse and Health: Jurnal Keperawatan The Indonesian Journal of Infectious Diseases Holistik Jurnal Kesehatan Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Ilmiah Keperawatan Imelda Jurnal Kesehatan Jurnal Ners Journal of Telenursing (JOTING) Science Midwifery Pediomaternal Nursing Journal Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal International Journal of Public Health Excellence (IJPHE) Jurnal Keperawatan Riset Informasi Kesehatan Indonesian Jurnal of Nursing Sciences and Practice Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research
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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Employment of Digital Media to Increase the Self-Efficiency of Young Smokers Lismayanti, Lilis; Fitriani, Ade; Sukmawati, Ima; Herlina, Lily; Yunitri, Ninik; Anwar, Syamsul
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3154

Abstract

Smoking is a habit or behavior that is very difficult to quit, especially for adolescents. To be able to stop smoking behavior, a strong belief (self-efficacay) is needed from the adolescent to stop smoking. The aim of this study is to determine the effect of empowerment through digital media on the self-efficacy of adolescent smokers at Senior High School. Method This study used a quasi-experimental design through a group pre-test and post-test design. The sampling technique was through convenience sampling, which amounted to 28 respondents. Collecting research data using the SEQ 12 (Smoking Self-Efficacy Questionaire) questionnaire instrument given at the pre-test and post-test stages. The collected data is then analyzed, which includes univariate analysis, namely analysis of demographic data and bivariate analysis to determine the effect of empowerment using digital media on the self-efficacy of adolescent smokers at SMA Negeri 2 Ciamis using the Wilcoxon test because the normality test results show abnormal data distribution. The results of the Wilcoxon test with a p-value of 0.002 <0.05, which means that there is a significant effect of empowerment using digital media on the self-efficacy of adolescent smokers at Senior High School. The conclusion based on the research that has been done is that empowerment with digital media has an effect on increasing the self-efficacy of adolescents to quit smoking.
The Effect of Implementing Self-Management Education for Patients with Diabetes Mellitus in Controlling Blood Glucose Levels Kurniawan, Rudi; Waluyo, Endrian Mulyadi Justitia; Srinayanti, Yanti; Yunitri, Ninik; Anwar, Syamsul; Herlinah, Lily
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3167

Abstract

With the increasing prevalence of diabetes mellitus, patient self-management education is an important concern. The aim of this study was to determine the effect of community-based self-management education on blood glucose levels in patients with diabetes mellitus. Method this study used a quasi-experimental design through a group pre-test and post-test design. The sampling technique was through convenience sampling, which amounted to 31 respondents. Data analysis includes univariate analysis, namely analysis of demographic data, and bivariate analysis to determine the effect of self-management education on lowering blood glucose levels using paired sample t-test. The results of the paired simple t-test with p-value <0.05 showed that there was a significant effect of self-management education on reducing blood glucose levels, knowledge level, behavior, visits to health facilities and medication adherence. However, there was no effect of self-management education on BMI. Conclusion Community-based self-management education has a significant effect on reducing blood glucose levels in patients with diabetes mellitus in the Ciamis Health Center working area.
Counselling and Education to Improve Adherence Tuberculosis Treatment Noviati, Elis; Rahayu, Yuyun; Yunitri, Ninik; Herlinah, Lily; Anwar, Syamsul; Baridwan, Syamikar
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3170

Abstract

With the development of nursing science and practice, it is important for nurses to make efforts to control TB, one of the nursing interventions that can be developed in a family-centred TB control programme is counselling and education. This study aims to determine the effectiveness of counselling and education in improving TB treatment adherence in the Puskesmas Ciamis working area. This study is a quantitative study with Quasy experimental design with non-randomised control group design. The population of this study were all TB patients in Puskesmas Ciamis Working Area, a total of 28 patients divided into intervention and control groups. This research was conducted from August 2023 to January 2024. The research instruments used were questionnaires which has been tested for validity and reliability and observation sheets. Data analysis was performed using univariate and bivariate techniques with paired t-test and independent t-test. The results showed that there was an increase in medication adherence before and after the provision of counselling and education in the intervention and control groups. The intervention group experienced a more significant increase in medication adherence p-value 0.027 < 0.05 compared to the control group p-value 0.030 < 0.05, while the comparison of the increase in the intervention and control groups showed a p-value of 0.021 < 0.05. Conclusions: There is a significant effect of the application of counselling and education to improve compliance with the COVID-19 pandemic.
Counseling and Supervision Impact on Elderly Tuberculosis Patients’ Medication Compliance Mamang, Aisah; Anwar, Syamsul; Yunitri, Ninik; Herlinah, Lily
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3292

Abstract

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, which spreads mainly through the air, especially attacking the lungs but can infect any organ, including the brain, kidneys, bones, and lymph nodes. One factor contributing to non-compliance in TB patients is irregular treatment. If treatment is not consistent, it can lead to drug-resistant germs, prolonging treatment and reducing success. Objective: The aim of this study was to improve medication compliance through evidence-based nurturing practices. Method: This study employed two phases including a systematic review to determine the EBNP and the second phase was the implementation of the EBNP. We gathered the participant using total participant but stricly applied the inclusion and exlcusion criteria. Fifteen elderly aged 63±3.314 years in Karanganya, Sawah Besar, Jakarta Pusat were participated in this study. The data analysis using Jamovi aimed to assess the impact of counseling and medication supervision on medication compliance in elderly TB patients. Results: Surprisingly, there was no significant increase in compliance after the intervention (p-value of 0.134). However, the X2 continuity correction analysis revealed that counseling and supervision doubled medication adherence in the elderly. Conclusions: health counseling, consisting of 30-minute sessions from diagnosis to recovery, utilizing media such as posters, is highly recommended by health workers. This intervention aims to improve medication compliance and adherence to the recommended schedule effectively.
Predictors of Ventilator Weaning Failure in Sepsis Patients in Intensive Care Unit Dwisusanti, Oktina; Rohman, Rohman; Yunitri, Ninik; Rayasari, Fitriyan; Anitha, Anitha; Maemun, Siti
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS4.3956

Abstract

Sepsis is one of the most common infection complications in intensive care units (ICU). Sepsis causes organ dysfunction, including respiratory failure, that requires ventilator breath support. However, patients often experience ventilator weaning failure. We analyse the relation of predictor ventilator weaning failure in sepsis patients in ICU. This study was a cross-sectional study with study population consisting of sepsis patients who used ventilators in the ICU of Sulianti Saroso Hospital, and there were as many as 58 patients. We studied age, gender, body mass index (BMI), PCO2 value, prolonged ventilator use, pneumonia, malnutrition, vasopressor use and ventilator weaning with secondary data. The data collection instruments used were case report formulas. Descriptive statistical analysis in the form of frequency distribution (n) and proportion (%) and further analysis with binomial logistic regression (α<0.05). Three factors significantly influenced weaning failure were vasopressor use, malnutrition, and BMI (p<0.05). There is a significant influence of vasopressor use, malnutrition, and BMI with ventilator weaning failure.
Application of eHealth Self-Management (eHSM) for clients hypertension Kusumawaty, Jajuk; Anwar, Syamsul; Herlina, Lily; Yunitri, Ninik; Supriadi, Dedi; Rosmiati, Rosmiati
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1469

Abstract

Hypertension is a cardiovascular disease and is one of the main causes of premature death throughout the world. The aim of this research is to determine the effect of eHealth Self-Management (eHSM) intervention on reducing blood pressure in adult clients with hypertension. Method on The implementation of Evidence Base Nursing (EBNP) Practice was carried out in the Linggasari sub-district, Ciamis Regency. The number of respondents was 30 people, four times a month they were given education in the Linggasari area, carried out with a pretest at the beginning and a posttest at the end of the intervention, monthly telephone counseling was carried out for 4 weeks, education took place in 4 meetings every week with a duration of approximately 60 minutes in each session. to remind you to take your medication every night. Each counseling session lasts approximately 20 minutes via telephone via WhatsApp. Based on the Wilcoxon test results in the table using spss.16, the blood pressure results before and after implementing e-health gave significant results because the p value is 0.000, which is smaller than the Alpha value (<0.05), so Ho is rejected, which means there is a difference in blood pressure. before and after implementing e-health. Conclusion There is a significant effect of the eHealth Self Management (eHSM) intervention with the What App Group application on hypertensive clients in the Linggasari sub-district of the Ciamis Health Center Work Area.
The Effect of Bridging Exercise on Muscle Strength and Body Balance in Stroke Patients at National Brain Center Hospital Prof. DR. Mahar Mardjono East Jakarta Desvita, Eva; Sofiani, Yani; Yunitri, Ninik
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.654

Abstract

Aims:  The study aimed to determine the effect of bridging exercise on muscle strength and body balance in stroke patients at national brain center hospital Prof. DR. Mahar Mardjono East Jakarta. Methods: This study used experimental design aimed to test the application of bridging exercise to body balance and muscle strength in stroke patients. This study was conducted in one group with pre and post-test design. This study was conducted at National Brain Center hospital Prof. DR. Mahar Mardjono East Jakarta. The bridging exercise was conducted at 2-weeks, with light tp moderate intensity, three times a week, with 30 to 45 minutes every session. Results: The result of the statistical test with the Paired Samples t-Test P value resulted in 0.001. These result mean that bridging exercise has a significant effect on muscle strength in stroke patients with a mean difference of -0.63 (CI: -0.91-0.34) and a significantly improved the balance of patients with a mean difference of 17 (CI 12.1-21.9) and a high magnitude of effect (1.69). Conclusion: These result mean that bridging exercise has a significant effect on muscle strength in stroke patients.
Intonation Melody Therapy to Improve Language Production in Patients with Non Fluent Aphasia Disorder Post Stroke Khamid, Abdul; Nugraha, Rizki Agung; Yunitri, Ninik; Agustina, Elis Nurhayati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.660

Abstract

Aims:  This Evidance Based Nursing Practice (EBNP) is to increase language production in patients with non-fluent aphasia post stroke. Methods: This EBNP method uses pre and post to see an increase in language production by assessing token test scores. By calculating the number of samples G-Power version 3.1.9.7 as many as 7 respondents. Data processing using Jamovi. Results: The analysis obtained using the t-test showed that the token test score experienced a significant change before and after the administration of intonation melody therapy (pValue <0.001), while the outcome of an increase in language production showed a significant change after administration of intonation melody therapy (pValue 0.896) with an average mean change mean 11.4 (95% CI: 6.28 -16.6) and moderate effect size (Cohen's d: 0.205). Conclusion: provision of melodic intonation therapy is proven effective in increasing language production in patients with post stroke non fluent aphasia.
Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Abstract

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.
Penerapan Evidence Based Practice Chin Tuck Againts Resistance (CTAR) dalam Penanganan Disfagia pada Pasien Stroke Rinawati, Rinawati; Jumaiyah, Wati; Yunitri, Ninik; Agung, Rizki Nugraha; Nurhayati, Elis
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.v4i3.14130

Abstract

ABSTRACT The Chin Tuck Against Resistance (CTAR) intervention is rarely utilized by nurses in treating dysphagia among stroke patients. Symptoms arising from a stroke can differ based on the affected brain area, encompassing speech disorders, chewing and swallowing difficulties (dysphagia), limb paralysis or weakness, personality alterations, emotional disturbances, diminished cognitive abilities, impaired urinary function, and others. The use of Evidence-Based Nursing Practice (EBNP) is conducted to comprehend the impact of implementing chin tuck against resistance (CTAR) on improving swallowing muscle strength in stroke patients with dysphagia. In this study, the data were analyzed using univariate data analysis to evaluate the demographic characteristics and swallowing ability profiles of each respondent. Furthermore, the statistical test of influence was conducted using a paired t-test to assess changes in swallowing ability after undergoing CTAR rehabilitation exercises. Sampling in this study utilized the total sample method, involving 8 respondents. The CTAR intervention has been shown to significantly improve swallowing ability in stroke patients. The results indicate a meaningful increase from an average of 84.3 to 91.7 post-intervention, with an effect size of 4.59 and a p-value of 0.022, demonstrating the statistical effectiveness of this therapy. Furthermore, CTAR exercises are convenient to implement, time-efficient, and can be performed by patients without disrupting their daily routines. To enhance its effectiveness, it is recommended to involve patients and their families in the education process, enabling them to continue the exercises independently. The simplicity of these exercises facilitates nurses in providing interventions during nursing care for stroke patients experiencing dysphagia. Keywords: Evidence Based Practice Chin Tuck Against Resistance (CTAR), Dysphagia, Stroke Patients  ABSTRAK Intervensi Chin Tuck Exercise (CTAR) jarang digunakan oleh perawat untuk mengatasi disfagia pada pasien stroke. Gejala yang muncul akibat stroke dapat bervariasi tergantung pada area otak yang terkena, termasuk gangguan berbicara, kesulitan mengunyah dan menelan (disfagia), kelumpuhan atau kelemahan anggota gerak, perubahan kepribadian, gangguan emosi, penurunan fungsi kognitif, gangguan fungsi berkemih, dan lainnya. Penggunaan Praktik Keperawatan Berbasis Bukti (EBNP) dilakukan untuk memahami dampak dari penerapan chin tuck against resistance (CTAR) terhadap peningkatan kekuatan otot menelan pada pasien stroke dengan disfagia. Pada penelitian ini, data dianalisis menggunakan analisis data univariat untuk mengevaluasi karakteristik demografi dan gambaran kemampuan menelan pada setiap responden. Selanjutnya, uji statistik pengaruh dilakukan dengan uji paired t-test untuk menilai perubahan kemampuan menelan setelah menjalani latihan rehabilitasi CTAR. Pengambilan sampel dalam penelitian ini menggunakan metode total sampel dengan melibatkan 8 responden. Intervensi CTAR terbukti secara signifikan meningkatkan kemampuan menelan pada pasien stroke. Hasil menunjukkan peningkatan yang berarti dari rata-rata 84.3 menjadi 91.7 setelah intervensi, dengan besaran efek sebesar 4.59 dan nilai p-value sebesar 0.022, menunjukkan keefektifan terapi ini secara statistik. Lebih lanjut, latihan CTAR memberikan kemudahan dalam pelaksanaan, tidak memakan waktu lama, dan dapat dilakukan oleh pasien tanpa mengganggu rutinitas harian. Untuk meningkatkan efektivitasnya, disarankan untuk melibatkan pasien dan keluarganya dalam proses edukasi, sehingga mereka dapat melanjutkan latihan secara mandiri. Kesederhanaan latihan ini memudahkan perawat dalam memberikan intervensi selama asuhan keperawatan pada pasien stroke yang mengalami disfagia. Kata Kunci: Praktek Berbasis Bukti Chin Tuck Melawan Resistensi (CTAR), Disfagia, Pasien Stroke 
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 Anita Setyawati Anitha, Anitha Anwar, Syamsul Arifin, Hidayat Arsianti, Lyana Azzam, Rohman Baridwan, Syamikar Bayu Satria Wiratama Briefman Tampubolon Budiati, Dhiani Chairunnisa, Dea Christina Yeni Kustanti Dadang Saadulloh Dedi Supriadi Desvita, Eva Desy Anggraini Dewi Anggraini Dian Novianti Dian Noviati Kuriasih Diana Tati Haryati Dimas Dewa Darma Dluha Maf’ula Dwisusanti, Oktina Eka Kristina Asi Erna Rochmawati, Erna Fatih Hibatullah Fauzi Ashra Fira Awanis Hazrina Firdaus, Nuzula Hana Zumaedza Ulfa Harwina Widya Astuti Haryanti, Noviana Hazrina, Fira Awanis Hendra Hendra Henny Dwi Susanti Herlina, Lily Hernani, Eny Hidayat Arifin Hindri Royiah Fatma Ikaningtyas, Nurlia Ima Sukmawati, Ima Janitra, Fitria Endah Jumaiyah, Wati 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 Lina Sukmawati 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 Noviati, Elis Nugraha, Rizki Agung NUR AINI Nur Aini Nuraenah Nuraenah Nuraenah Nuraenah Nuraenah, Nuraenah Nurhayani, Yani Nurhayati Nurhayati Nurhayati, Elis Nurrahman, Aris Nursana, Vina Septia Prasetya, Ganjar Kundi Putri, Alifiani Rahmi Rahayu, Esti Kusuma Rahayu, Yuyun Rahmasari, Ikrima Rayasari, Fitrian Rayasari, Fitriyan Rikawati, Rintan Rina Yuliaty, Rina Rinawati Rinawati Rita Sari Rizki Nugraha Agung Rohani Rohani Rohman Rohman Azzam Rohman Azzam Rohman Rohman Rosmiati Rosmiati Rudi Kurniawan Saadulloh, Dadang Salsabila, Sephia Septiawantari, Rani Septiawardani, Rani Shahroh, Yuni Silistyorini, Cahyo Ismawati Siti Maemun Siti Nurjanah Slametiningsih Slametiningsih, S Slametiningsih, Slametiningsih SRI ATUN sri murtini . Sri Yulianti Srinayanti, Yanti Sulistyorini, Cahyo Ismawati Suryati Suryati Syamsul Anwar, Syamsul Tallulembang, Abdi Tiara Octary Ulina, Barita Uswatun Hasanah Wahyudin, M. Didin Waluyo, Endrian Mulyadi Justitia Widia Astuti Widia Astuti A W widya astuti Wildan Yani Sofiani Yayah Nurhani Yohanes Andy Rias Yuni Shahro Yuni shahroh Yuni Shahroh