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Gambaran Tingkat Atensi Pasien Stroke Pasca Mengalami Serangan Berulang Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita; Lisnawati, Ketut; Mirayanti, Ni Ketut Ayu
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 17 No 2 (2022): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v17i2.174

Abstract

Stroke causes several physical and psychological symptoms. Early strokescontribute to a very significant risk of recurrent attacks. If there iscognitive impairment, it can affect one of the cognitive functions such asattention. This study aims to determine the description of the level of attentionof stroke patients after experiencing repeated attacks. The method and design ofthis study were a descriptive study using frequency distribution, with a cross-sectional research approach. The samples were 67 post-stroke patients whoexperienced repeated attacks, using non-probability sampling techniques withpurposive sampling techniques based on inclusion and exclusion criteria anddata collection using the TMT (trail making test A and B) questionnaire. Theresults of this study describe that most of the respondents have less attention inthe category of 56 people (83, 6%). Factors that can affect attention are age, theolder a person gets, the worse his or her attention after a stroke is coupled withthe degenerative process experienced by stroke sufferers. Prolonged stressand psychological conditions and the inability to adapt to new conditions greatlyinterfere with the recovery process because on average stroke patients not onlyexperience sequelae after an attack but also unstable psychological conditionsthat can worsen their physical condition. Conclusions: Identification respondents'attention has a poor attention category mostly, it is necessary to carry outpreventive, curative, or rehabilitative promotive prevention in stroke patients bymodifying a healthy lifestyle to prevent recurrent attacks
Hubungan Efikasi Diri dan Tingkat Atensi Dengan Activity Daily Living (ADL) Pasien Pasca Stroke Dewi, Ni Luh Putu Thrisna; Mirayanti, Ni Ketut Ayu; Lisnawati, Ketut; Merlin, Ni Made
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 18 No 2 (2023): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v18i2.267

Abstract

Sudden changes in a person's life after a stroke can cause various negative things in the sufferer, ranging from psychological and behavioral symptoms, including anxiety, feelings of helplessness, mood disorders, low self-efficacy, and impaired attention levels. Psychological problems cause a serious reduction in mobility, because they hinder performance and daily activities or fulfillment of ADLs. This can cause stroke patients to experience job loss and the inability to carry out their social activities. The purpose of this study is the relationship between the self-efficacy of stroke patients and the level of attention to the activity of daily living of post-stroke patients.  This study used a correlational analytic method with a Cross-Sectional approach. This research was conducted in one of the private hospitals in Bali, which was held from October 01 - December 30, 2022. With a sample size of 80 respondents of post-stroke patients who control at X Hospital Poly using the Non-probability sampling technique, purposive sampling. The results of this study were that most stroke respondents who experienced low efficacy had a total level of dependence on activity and daily living, as well as stroke who had less attention had a total level of dependence. The results of the correlation test between the two obtained a p-value <0.005 which means there is a significant relationship between efficacy and the level of ADL dependence. This can be an illustration that the psychological condition of post-stroke patients will greatly affect their physical condition. The basis of stroke treatment is of course not only optimizing physical recovery but must also be accompanied by paying attention to the psychological aspects in order to get maximum rehabilitation results.
Combinination Essential Ginger Oil and Acupressure Relaxation Techniques to Nausea and Vomiting Lisnawati, Ketut; Wati, Ni Made Nopita; Ni Luh Putu Thrisna Dewi; A.A Sri Sanjiwani
Basic and Applied Nursing Research Journal Vol 5 No 1 (2024): Basic and Applied Nursing Research Journal (BANRJ)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/banrj.05.01.04

Abstract

Introduction: Nausea and vomiting are effects of chemotherapy that can decrease in the health condition of cancer patients. Objective: The aim of this study was to determine the effect of the combination of essential ginger oil therapy and acupuncture relaxation techniques on nausea and vomiting in cancer patients undergoing chemotherapy. Methods: This research used a quasi-experimental design. The population of this study was 124 adults undergoing chemotherapy. Sampling used purpose-based sampling with a sample size of 34 respondents (17 people in the treatment group and 17 people in the control group). Nausea and vomiting were measured using the Rhodes Index Nausea, Vomitting and Retching instrument. Results: The study results showed that before receiving the intervention, the intervention group's nausea and vomiting score averaged around a score of 6, in the control group the mean score was around 6. After the intervention, the nausea and vomiting score of the intervention group was 2, in the control group 10. The Wilcoxon test showed a significant value (p < 0.001). Conclusion: The combination of essential ginger oil and Acupressure relaxation techniques helped to reduce nausea and vomiting due to chemotherapy in cancer patients. This means that an intervention given regularly can educe nausea and vomiting. Oncology nurses could give recommendation to the hospital to provide this intervention to the chemotherapy patients.
EDUKASI METODE MINDFUL JOURNALING DALAM PENINGKATAN STRATEGI MANAJEMEN STRES PADA REMAJA Sanjiwani, Anak Agung Sri; Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna; Lisnawati, Ketut; Sudarma, Nyoman
Servirisma Vol. 5 No. 1 (2025): Servirisma : Jurnal Pengabdian kepada Masyarakat
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/servirisma.2025.51.93

Abstract

Stress is one of the mental health problems that can be experienced by adolescents. The dynamics of the transition to adulthood can create various challenges for adolescents. This is also accompanied by high peer competition, environmental demands, the urge to show themselves and other factors making adolescents a vulnerable group related to mental health issues. Stress, even in the mild category, if unrecognized and untreated can lead to greater potential for mental health problems. Based on this, the community service activities carried out aim to provide education to adolescent students regarding strategies in managing daily stress and introduce one of the strategies that can be done for stress management by doing mindful journaling. The methods provided were lectures, discussions and writing simulations for 24 students at the vocational high school level. The results of the community service activities showed that there was an increase in knowledge after being given the material as well as the ability to identify stressors, thoughts-feelings and evaluate actions in dealing with the stressors faced through mindful journaling exercises.
Gratitude intervention for the management of psychological distress in breast cancer survivors Sanjiwani, Anak Agung Sri; Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita; Lisnawati, Ketut
Psikologia: Jurnal Pemikiran dan Penelitian Psikologi Vol. 20 No. 1 (2025): Psikologia: Jurnal Pemikiran dan Penelitian Psikologi
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/psikologia.v20i1.17824

Abstract

Psychological distress in breast cancer survivors is related to the sequelae of the treatment and care process. Distress experienced includes emotional experiences related to multifactor and causes interference in overcoming the challenges of cancer, including physical symptoms and treatment. This study aims to determine the effect of providing gratitude intervention in the form of a gratitude diary/writing on psychological distress in breast cancer survivors. Twenty-two respondents were involved in this study, divided into a control group (n=11) and an experimental group (n=11). The method used in this study was a quantitative experimental one-group pre-post-test design. The results showed that gratitude diary/writing was significant in reducing psychological distress in breast cancer survivors (anxiety p=0.003; stress p=0.003; depression p=0.003). Gratitude diary conditions breast cancer survivors to actively remember the positive side and then reinterpret the life experiences experienced by increasing appreciation for the positive things that have happened.   Keyword: breast cancer survivor, gratitude diary, psychological distress,
Hubungan Health Locus of Control dengan Manajemen Diri pada Pasien Stroke Sumiari, Ni Wayan; Dewi, Ni Luh Putu Thrisna; Mahardika, I Made; Mirayanti, Ni Ketut Ayu; Lisnawati, Ketut; Sanjiwani, Anak Agung Sri
Jurnal Akademika Baiturrahim Jambi Vol. 14 No. 2 (2025): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v14i2.854

Abstract

Stroke is one of the leading causes of long-term disability and requires continuous management, including rehabilitation and routine follow-up, to prevent recurrence. Optimal recovery depends not only on medical interventions but also on the patient's ability to consistently engage in self-management. One of the psychological factors influencing self-management behavior is the health locus of control, which refers to an individual's belief in their ability to control their health status. This study aims to analyze the relationship between health locus of control and self-management among stroke patients. A descriptive correlational design with a cross-sectional approach was employed, involving 50 respondents selected through total sampling. Data were collected using a standardized questionnaire and analyzed using the Spearman Rank test. The results showed that the majority of respondents (48%) had a moderate level of self-management, and 44% had an internal health locus of control. A significant relationship was found between health locus of control and self-management among stroke patients (p = 0.000), with a correlation coefficient of 0.946 indicating a very strong positive relationship. These findings suggest that the higher an individual’s belief in their ability to control their health, the better their self-management. Therefore, nursing interventions that focus on enhancing health locus of control can serve as an important strategy in the rehabilitation of stroke patients. It is recommended that healthcare professionals, particularly nurses, develop educational programs and psychosocial interventions aimed at strengthening the health locus of control of stroke patients to support long-term success in self-management.
Pengaruh cryotherapy oral terhadap kejadian mukositis akibat kemoterapi pada pasien kanker di ruang kemoterapi Lisnawati, Ketut; Sanjiwani, Anak Agung Sri; Dewi, Ni Luh Putu Thrisna; Wati, Ni Made Nopita
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 4 (2025): September Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i4.1455

Abstract

Background: Mucositis is one of the most common complications experienced by cancer patients undergoing chemotherapy. Effective management strategies are needed to reduce the severity of mucositis and improve patient quality of life. Purpose: To determine the effect of Oral Cryotherapy in reducing chemotherapy-induced mucositis in cancer patients. Method: A quasi-experimental design with a pre-post-test approach with a control group was used. The sampling technique used was purposive sampling, involving 34 participants: 17 in the intervention group and 17 in the control group. Mucositis severity was measured using the Oral Assessment Guide (OAG). Data analysis was performed using the non-parametric Mann-Whitney test. Results: Oral Cryotherapy was significantly effective in reducing the severity of chemotherapy-induced mucositis in cancer patients (p = 0.00; α = 0.05). Conclusion: Oral cryotherapy is an effective non-pharmacological intervention for reducing chemotherapy-induced mucositis in cancer patients and can therefore be considered as part of supportive care in oncology nursing practice.   Keywords: Chemotherapy; Mucositis; Oral cryotherapy.   Pendahuluan: Mukositis merupakan salah satu komplikasi yang paling sering dialami pasien kanker yang menjalani kemoterapi. Strategi penatalaksanaan yang efektif diperlukan untuk menurunkan tingkat keparahan mukositis serta meningkatkan kualitas hidup pasien. Tujuan: Untuk mengetahui pengaruh Cryoterapi Oral dalam menurunkan mukositis akibat kemoterapi pada pasien kanker. Metode: Desain quasi-eksperimen dengan pendekatan pre–post-test with control group. Teknik pengambilan sampel dilakukan dengan purposive sampling dengan melibatkan 34 partisipan yang terdiri dari 17 orang pada kelompok intervensi dan 17 orang pada kelompok kontrol. Tingkat keparahan mukositis diukur menggunakan instrumen Oral Assessment Guide (OAG). Analisis data dilakukan dengan uji non-parametrik Mann–Whitney. Hasil: Cryoterapi Oral efektif secara signifikan dalam menurunkan tingkat keparahan mukositis akibat kemoterapi pada pasien kanker (p = 0,00; α = 0,05). Simpulan: Cryoterapi Oral merupakan intervensi non-farmakologis yang efektif untuk menurunkan mukositis akibat kemoterapi pada pasien kanker, sehingga dapat dipertimbangkan sebagai bagian dari perawatan suportif dalam praktik keperawatan onkologi.   Kata Kunci : Cryoterapi Oral; Kemoterapi; Mukositis.
Edukasi Melalui Flipbook Berbasis Digital Sebagai Upaya Pencegahan Resiko Penyalahgunaan Narkoba Pada Remaja: Digital Flipbook-Based Education as an Effort to Prevent the Risk of Drug Abuse Among Adolescents Wati, Ni Made Nopita; Thrisna Dewi, Ni Luh Putu; Lisnawati, Ketut; Sanjiwani, A.A Sri Sanjiwani; Sudarma, Nyoman
Jurnal Abdi Keperawatan dan Kedokteran Vol 4 No 2 (2025): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v4i2.86

Abstract

Drug abuse among adolescents continues to rise and poses a serious threat to the future of the younger generation. Existing educational efforts still rely heavily on conventional methods that are less appealing to today’s digital-native youth. Thus, an innovative and interactive educational medium is urgently needed. This community service project applied a participatory-educational approach and was conducted at a vocational health school in Bali. Participants included school counselors and students. Activities included situation analysis, development and validation of a digital flipbook, delivery of drug education using the flipbook, and evaluation of knowledge through pre- and post-tests. The use of digital flipbook significantly improved participants' knowledge. The proportion of students with good knowledge increased from 7.4% to 81.5%, while those with poor knowledge drastically decreased. Participants found the flipbook engaging and easy to use. The digital flipbook is an effective educational tool to enhance adolescent knowledge on drug abuse prevention. It is recommended for integration into school-based youth development and anti-drug programs.