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ASUHAN KEPERAWATAN PADA PASIEN POST OPERASI LAPARATOMI ATAS INDIKASI KISTA OVARIUM DENGAN MASALAH KEPERAWATAN UTAMA NYERI AKUT A CASE REPORT Oktapiani, Risna Ayu; Mamuroh, Lilis; Ermiati, Ermiati
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 4 (2024): SENTRI : Jurnal Riset Ilmiah, April 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i4.2571

Abstract

Tindakan operasi laparatomy merupakan salah satu tindakan untuk penatalaksanaan kista ovarium yang cukup besar, salah satu efek samping yang akan muncul dari tindakan laparatomy adalah nyeri. Penatalaksanaan nyeri yang optimal perlu dilakukan melalui pemberian terapi farmakologi maupun non-farmakologi. Tujuan: Untuk mendeskripsikan penatalaksanaan asuhan keperawatan pada pasien post operasi laparatomi atas indikasi kista ovarium dengan masalah keperawatan utama nyeri akut. Metode: Penelitian ini merupakan studi kasus berdasarkan pelaksanaan asuhan keperawatan. Proses asuhan keperawatan yang dilakukan mulai dari pengkajian pasien, analisis data dan penetapan diagnosa keperawatan, perencanaan intervensi keperawatan, rencana pelaksanaannya, dan  melakukan  evaluasi berdasarkan tujuan keperawatan yang dianalisis. Hasil: Setelah diberikan intervensi selama 3 hari berdasarkan SIKI serta kolaborasi pemberian farmakologi antibiotic analgetic, anti-fibrinolitic dan vitamin K serta terapi non-farmakologi relaksasi benson masalah keperawatan nyeri akut dan keletihan dapat teratasi dengan menurunnya skala nyeri dari skala 7 menjadi 2 dan pasien mampu melakukan mobilisasi dengan mandiri. Kesimpulan : Hasil studi kasus menunjukan pemberian intervensi berdasarkan standar intervensi keperawatan, kolaborasi farmakologi dan relaksasi benson dapat mengatasi masalah keperawatan nyeri akut dan keletihan. Pengaplikasian intervensi ini disarankan untuk dilakukan secara rutin dan selanjutnya dapat diteliti dengan membandingkan dengan intervensi lainnya.
PENERAPAN PIJAT OKSITOSIN DAN ENDORFIN PADA IBU POSTPARTUM MULTIPARA TERHADAP INVOLUSI UTERUS : STUDI KASUS Wahyuni, Indah Mutia; Mamuroh, Lilis; Hermayanti, Yanti
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 6 (2024): SENTRI : Jurnal Riset Ilmiah, Juni 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i6.2972

Abstract

Dalam prosesnya involusi uterus atau kembali normalnya ukuran uterus terkadang mengalami kegagalan (subinvolusi uteri) yang mengakibatkan komplikasi seperti perdarahan. Subinvolusi uteri dapat dicegah dengan hormon oksitosin yang merangsang kontraksi uterus. Hormon oksitosin dapat diperoleh dengan adanya pemijatan yaitu pijat oksitosin dan pijat endorfin. Pijat oksitosin membantu meningkatkan kontraksi otot polos uterus sehingga mempercepat proses involusi. Pijat endorfin melalui mekanismenya mampu meningkatkan kenyamanan, mengurangi nyeri dan kecemasan serta pemulihan ibu sehingga proses involusi berjalan baik. Tujuan penelitian untuk mendeskripsikan penerapan pijat oksitosin dan pijat endorfin terhadap proses involusi uterus pada ibu postpartum multipara. Studi kasus dengan pendekatan asuhan Keperawatan pada ibu postpartum multipara selama periode 26 Oktober - 28 Oktober 2023 di Ruang Marjan Bawah RSUD Slamet Garut. Studi didapatkan adanya pengaruh intervensi pijat oksitosin dan pijat endorfin untuk membantu mempercepat proses involusi uterus dilihat dari indikator penurunan tinggi fundus uteri setiap harinya serta kontraksi yang kuat. Penerapan kombinasi pijat oksitosin dan pijat endorfin menstimulasi kontraksi otot myometrium dan meningkatkan kenyamanan ibu sehingga mempercepat proses involusi uterus. Perlunya mempertimbangkan intervensi dengan waktu yang lebih optimal serta partisipasi petugas Kesehatan dan keluarga dalam intervensi agar komplikasi pada masa postpartum seperti perdarahan dan subinvolusi uteri dapat dicegah
Health Education Using Puzzel Media About Hand Washing Behavior with Soap Sukmawati, Sukmawati; Mamuroh, Lilis; Nurhakim, Furkon
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 8 No. 1 (2025): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v8i1.5616

Abstract

Indonesians' habit of washing their hands with soap is still relatively low. However, not washing hands with soap can cause several diseases, including diarrhea and upper respiratory tract infections, which result in impaired growth and development in children. One of the factors that influences hand washing behavior with soap is lack of knowledge. Efforts to increase knowledge that has an impact on the habit of washing hands with soap in children are by providing health education with interesting media and demonstrations. This community service aims to increase elementary school students' knowledge about washing hands with soap. The method used in this community service is health education using puzzle media and demonstrations. This health education activity was attended by 20 elementary school students as participants. The activity begins with a pre-test, and then the material is delivered using puzzle media, demonstrations, and questions and answers. To determine the effectiveness of health education activities on participants' knowledge about washing hands with soap, a post-test was carried out. The activity begins with a pre-test, and then the material is delivered using puzzle media, demonstrations, and questions and answers. To determine the effectiveness of health education activities on participants' knowledge about washing hands with soap, a post-test was carried out. It is hoped that the results of this health education will not only increase participants' knowledge but will also become a habit for elementary school children to wash their hands with soap before and after carrying out activities.
Ready To Be A Blood Hero: Edukasi Kemanusiaan dan Gerakan Solidaritas Sukmawati, Sukmawati; Nurhakim, Furkon; Mamuroh, Lilis; Kosim, Kosim
GUYUB: Journal of Community Engagement Vol 6, No 2 (2025): Juni
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/guyub.v6i2.11089

Abstract

Humanitarian action is a tangible manifestation of social awareness aimed at fostering solidarity among community members. The "Ready To Be A Blood Hero" program was initiated to raise public awareness about the importance of humanitarian contributions through real actions. This program was carried out using educational and social action methods, involving the academic community of Universitas Padjadjaran and the surrounding society. A total of 270 participants registered for the event, with 216 attending. After receiving education and undergoing health screening, 159 participants were declared eligible to actively participate in this solidarity initiative. Evaluation results showed a significant increase in participants' knowledge, particularly among first-time donors, where the percentage of participants with good knowledge increased from 25% to 62.5% after the educational session. Additionally, the program successfully collected 159 units of blood, which were donated to the Blood Transfusion Unit to help meet community needs. These achievements demonstrate that proper education can effectively encourage public participation in humanitarian actions. This program is expected to serve as a sustainable model for future solidarity movements
PAIN MANAJEMENT INTERVENTIONS IN POST CAESAREAN SECTION PATIENTS : RAPID EVIDENCE REVIEW Mamuroh, Lilis; Darmawan, Cahya Widyarahayu; Setiyani, Nofita; Zalva, Kinaya Vathia; Sukmawati, Sukmawati; Nurhakim, Furkon
Journal of Maternity Care and Reproductive Health Vol 8, No 2 (2025): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v8i2.12323

Abstract

Childbirth with ectio caesarianwill exxerience pain also has the risk of infection, bleeding anf complication of anesthesia surgery threttens the integrity of the body, such as bio psychosocial spiritual, and can cause discomfort such as pain response. Pharmacological and non pharmacological treatment is needed to reduce the intensity or scale of [ain. Pain is unpleasant feeling caused by tissue damage. Therefore pain management is needed to reduce the pain suffered by patients.. The purpose of this literature is to conduct a literature review related to non-pharmacological pain management in post-cesarean female patients. The article search used a computerized database, namely EBSCO, PubMed, and Scopus, and using the PICO approach. The initial article results obtained 3,638 articles, then filtered based on inclusion and exclusion criteria to produce 10 eligible articles. The results of the study showed that non-pharmacological pain management interventions were found, namely reflexology, use of abdominal binders, aromatherapy, massage, acupressure, kinesio taping, and Benson relaxation which can be done to reduce pain. Non-pharmacological therapy in addition to reducing pain also has a positive effect on the quality of breastfeeding, sleep quality, mood, reducing anxiety, relaxation, and quality of life. For further research, it hoped that other techniques can be conducted to reduce pain in pasca sectio caesaria
INTERVENSI PEMULIHAN TRAUMA UNTUK MENGURANGI ISOLASI SOSIAL PADA ANAK DENGAN PELECEHAN SEKSUAL : LITERATURE REVIEW Sukmawati, Sukmawati; Mamuroh, Lilis; Nurhakim, Furkon
Journal of Maternity Care and Reproductive Health Vol 6, No 1 (2023): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v6i1.9716

Abstract

Pelecehan seksual anak banyak terjadi di Indonesia ditandai per-tahun 2021 terdapat 3.122 anak menjadi korban. Peningkatan kasus pelecehan seksual menyebabkan meningkatnya kasus trauma sehingga anak cenderung menutup diri terhadap lingkungan sekitarnya. Trauma pada anak merupakan masalah yang perlu segera ditangani agar tidak menimbulkan permasalahan tumbuh kembang. Studi ini bertujuan menganalisis pengaruh intervensi pemulihan trauma untuk menurunkan tingkat isolasi sosial pada anak dengan pelecehan seksual. Desain penelitian menggunakan literature review dengan pendekatan  narrative review.  Strategi pencarian artikel jurnal menggunakan  metode PRISMA dan didapatkan lima jurnal eligible. Hasil penelitian menunjukkan efektivitas pengaruh trauma focused cognitive behavior therapy, terapi bermain, terapi kelompok, dan terapi teater menurunkan gejala klinis isolasi sosial anak dengan trauma pelecehan seksual. Kelima intervensi tersebut dapat membantu anak untuk berdamai dengan peristiwa yang dialaminya. Diharapkan para praktisi dapat menerapkan tindakan intervensi tersebut untuk membantu menurunkan tingkat trauma pada anak dengan pelecehan seksual. 
NON-PHARMACOLOGICAL INTERVENTION TO EASY LABOR: LITERATURE REVIEW Sukmawati, Sukmawati; Mamuroh, Lilis; Nurhakim, Furkon
Journal of Maternity Care and Reproductive Health Vol 8, No 2 (2025): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v8i2.12326

Abstract

The labor process involves physical and psychological mechanisms. The labor process does not always run smoothly and often encounters various obstacles that can cause various problems and even result in the death of the mother or fetus. The right method to facilitate labor is needed with the consideration that the method chosen is safe for the mother and baby. The purpose of this study was to determine non-pharmacological interventions that can be used to facilitate labor.. The research method used Scoping Review, ScienceDirect, Scopus, Proquest, Ebsco, and Pubmed article search databases. Inclusion criteria were experimental or cohort studies, published in 2014–2024, full-text articles, pregnant women stage I population, and independent variables of non-pharmacological interventions to facilitate labor. The keywords used in English were “Pregnant women” OR “Pregnant mother”, “Nursing intervention” OR “Non-Pharmacology”, “Labor”. Study quality was assessed using the Joanna Briggs Institute (JBI). From the results of the research selection of 671 articles, 11 articles met the inclusion criteria and eligibility for analysis. All research results showed that non-pharmacological interventions can be used by pregnant women to facilitate labor, namely consuming 7 packs of dates, Swiss ball exercises, lumbosacral massage, warm water baths, PFME, Kaiser physical activity, pilates exercises, pelvic rocking exercises, TENS therapy, consuming 7 dates, date juice, yoga. Non-pharmacological therapy can facilitate labor by reducing anxiety levels and reducing pain intensity.This literature review highlights the benefits of non-pharmacological therapy during pregnancy to facilitate labor. Non-pharmacological therapy is needed to facilitate labor.
Upaya Meningkatkan Pengetahuan Remaja Putri tentang “Cerdas (Cegah Risiko Dampak Pernikahan Dini dalam Aspek Kesehatan)” Sukmawati, Sukmawati; Mamuroh, Lilis; Nurhakim, Furkon
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 8 (2025): Volume 8 No 8 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i8.21017

Abstract

ABSTRAK Pernikahan dini memberikan banyak dampak negatif baik bagi kesehatan fisik, psikologis maupun sosial, pengetahuan berhubungan dengan risiko dan sikap terhadap pernikahan usia dini, upaya peningkatan pengetahuan merupakan salah satu solusi untuk mencegah pernikahan dini. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan remaja putri tentang risiko dan dampak pernikahan dini. Metode yang digunakan dalam pengabdian pada masyarakat ini berupa pendidikan kesehatan yang dimulai dengan pre-test dilanjutkan pemberian materi dengan metode ceramah dan tanya jawab, disesi akhir dilakukan post-test. Peserta dalam pengabdian masyarakat ini adalah siswa SMA Negeri di Kabupaten Sumedang berjumlah 33 orang. Setelah dilakukan pendidikan kesehatan didapatkan hasil terjadi peningkatan rata-rata pengetahuan remaja tentang risiko dan dampak pernikahan dini. Hasil uji beda Wilcoxon pada skor pre-test dan post-test menunjukan terdapat pengaruh yang signifikan pendidkan kesehatan terhadap pengetahuan risiko dan dampak pernikahan dini(p value < 0.05). Diharapkan pihak sekolah melalui bidang kesiswaan dan wali kelas untuk memberikan edukasi secara intensif  kepada siswanya tentang risiko dan dampak dari pernikahan dini Kata Kunci: Dampak, Pengetahuan, Pernikahan Dini, Risiko  ABSTRACT Early marriage has many negative impacts on physical, psychological, and social health, knowledge is related to the risks and attitudes towards early marriage, and efforts to increase knowledge are one solution to prevent early marriage. The purpose of this community service is to increase young women's knowledge about the risks and impacts of early marriage. The method used in this community service is health education, which begins with a pre-test and provides material using lecture and question-and-answer methods. In the final session, a post-test is conducted. Participants in this community service were 33 students of State Senior High School in Sumedang Regency. After health education was conducted, the results showed an increase in the average knowledge of adolescents about the risks and impacts of early marriage. The results of the Wilcoxon difference test on the pre-test and post-test scores showed that there was a significant influence of health education on knowledge of the risks and impacts of early marriage (p-value <0.05). It is hoped that the school through the student affairs department and homeroom teachers will provide intensive education to their students about the risks and impacts of early marriage Keywords: Impact, Knowledge, Early Marriage, Risk
EFFECTIVENESS OF FINGER GRIP RELAXATION TECHNIQUE ON PAIN IN POST SECTIO CAESAREA : A LITERATURE REVIEW Sukmawati, Sukmawati; Nurhakim, Furkon; Mamuroh, Lilis
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 4: Desember 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i4.2319

Abstract

Sectio Caesarea is an act of opening the abdominal wall and uterine wall to give birth to the fetus. This process causes pain from the surgical incision. Finger grip relaxation therapy is an alternative to reduce post-Sectio Caesarea pain.  The purpose of this literature study is to determine the effectiveness of finger-held relaxation therapy for pain in post-sectio caesarea patients.The literature study method uses a narrative review with a quantitative descriptive approach. Article searches used the Garuda, PubMed and ScienceDirect databases, with inclusion criteria: research published in 2018-2022, using Indonesian and English, original research, and full text available. Screening results based on keywords and inclusion criteria obtained nine articles for further analysis. Of the 9 articles analyzed, all stated that finger grip relaxation can reduce pain intensity in post-cesarean section patients. Fingers grip relaxation is expected to be use as an alternative to reduce pain intensity in post section caesaria patients.
Description Of The Level Of Knowledge Of Young Women Abot Balanced Nutrition Mamuroh, Lilis; Widiasih, Restuning; Sutendi, Ludyta Yuniar; Sukmawati, Sukmawati; Nurhakim, Furkon
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.2982

Abstract

Adolescent knowledge about nutrition is very important considering that adolescents are an age group that is at risk of various diseases and heath problems, one of which is nutrition. One of the factors that influences adolescent nutrition is the level of knowledge possessed by young women. Nutritional problems in adolescents can have short-term and long-term impacts, in the short term it is caused by nutritional problems, namely on the health problems of young women themselves such as anemia, KEK, and PEM, in the long term on reproductive health and future generations because young women will become pregnant and have children and will have an impact on the quality of the children they contain. The purpose of this study was to determine the knowledge possessed by young women which includes demographic data, understanding of nutrition, the impact of undernutrition, nutritional needs for adolescents, and knowing the types of nutritious food and how to process nutritious foods.The design in this study used quantitative descriptive. The. The sample size used in this study was 84 adolescents. The sampling technique used in this research is positive sampling. The instrument was developed by researchers who examined the meaning of nutrition, the impact of malnutrition, nutritional needs and types of nutritious foods and how to process nutritious foods. The analysis in this study is univariate analysis, which aims to describe each variable to be studied, the results of the research from respondents who were the sample in this study, namely that almost all of the respondents had good knowledge of 80%, a small proportion of respondents had sufficient knowledge of 13.8% will remain and a small proportion of respondents as much as 6.3% have less knowledge about knowledge of balanced nutrition. The results of this study found that there were still students with insufficient and moderate knowledge, so activities such as nutrition health education were needed for them.
Co-Authors Ahmad Yamin Aini, Astri Mufti Ama, Yolanda Aneu Agustiani Apriliani, Annisa Auliyah, Dina Azizah, Puput Nur Bahlail, Rezka Chatarina Umbul Wahyuni Darmawan, Cahya Widyarahayu Dian Trias Oktavianti Dina Auliyah Ema Arum Rukmasari Ermiati Ermiati Ermiati Ermiati Fauziyyah, Raden Nabilah Putri Febriana, Rizal Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Gina Nurul Azmi Gita Mujahidah Gusgus Ghraha Ramdhanie Henny Suzana Mediani Hesti Platini I Nova Alfiandhi Ida Maryati Imas Maesaroh Indah Mutia Wahyuni Intan Lutfi Meilani Irza, Damad Iwan Shalahuddin Jain, Oktavia Nur Azizah Juliana Chandra Purnama Kamsatun, Kamsatun Komara, Ghina Aulia Kosim Kosim Kusman Ibrahim Laili Rahayuwati Linda Friscitia Marcelline, Ericha Maria komariah Mira Trisyani Koeryaman Muhammad Faidzal Muttaqin Mulya, Adelse Prima Mumtazah, Dina Zahrotunnisa Nafisah, Nadila Zahra Nentika, Rindayu Bidara Caela Nia Kurniasih Nina Sumarni Nursita Dewi Oktapiani, Risna Ayu Oktavia Nur Azizah Jain Printin Sari Raden Nabilah Putri Fauziyyah Raden Nabilah Putri Fauziyyah Rahma Elfa Aulia Razzy Purnama Restu Widiasih Restuning Widiasih Risna Ayu Oktapiani Ristina Mirwanti Ristina Mirwanti, Ristina Rizal Febriana Rizky Ayu Gardelia Rotua, Hana Pritika Setiyani, Nofita Shahibah, Shalwa Siti Nur Asiah Sri Hendrawati Srimurni, Nita Ayu Sukmawati . Sukmawati S Sukmawati S Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sutendi, Ludyta Yuniar Tafarel, Alifiya Fajrin Tetti Solehati Theresia Eriyani Tsuraya Salsabila, Salma Tuti Pahria Valentina B.M. Lumbantobing Wahyuni, Indah Mutia Witdiawati W Witdiawati, Witdiawati Yanti Hermayanti Yuliani, Lala Zalva, Kinaya Vathia