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Interventions to Increase Hope in Adult Patients with Cancer: Scoping Review Desty Wehelmina Alfons Alfons; Erna Rochmawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 2 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Background: Cancer can cause sufferers to lose hope. Interventions to increase hope in cancer patients require interaction and system support so that they can provide enthusiasm and acceptance of the disease. Purpose: This review aims to identify interventions that can raise expectations in adult cancer patients. Method: Review this uses the method scoping reviews according to Arskey and O'Malley, namely: (1) Identification of research questions, (2) identifying relevant research, (3) study selection, (4) mapping data, (5) compiling, summarizing and reporting results. The search was carried out at PubMed, CINAHL, Psyc Info. Inclusion Criteria: English language articles, published in the last 10 years, do not limit the place or location. Exclusion Criteria: Articles discussing pediatric patients with cancer, adolescent patients with cancer, qualitative research methods. Search strategy using keywords with Medical Subject Heading / MeSH: cancer, oncology, hope, psychotherapy or counseling, intervention or effectiveness. Result: There are five articles reviewed in this scoping review. The research was conducted: China (n = 1), Canada (n = 1), Iran (n = 3). Interventions that can increase hope in adult cancer patients: Workshop, interventions group logo therapy, interventions supportive- expressive discussion groups, we chat-based life review programs (WBLRP), interventions spiritual group therapy. Cancer is being able to think in a positive direction, being grateful, being motivated, having self-confidence and increasing Hope. An intervention that is easy to apply is the Workshop Intervention, because participants are only asked to draw and paste from easily available materials such as used paper, used cloth and after being arranged into a shape, participants are asked to tell about the results that have been made. Conclusion: Hope is an important aspect in the patient's disease trajectory, especially in relation to the healing process. This study will enable nurses to gain an in-depth understanding of interventions to increase expectations so as to maintain and increase patient expectations.

Hambatan dan Strategi komunikasi efektif dalam perawatan kanker Minanton Minanton; Erna Rochmawati
Coping: Community of Publishing in Nursing Vol 8 No 4 (2020): Desember 2020
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Komunikasi terapeutik diakui sebagai kunci untuk perawatan kanker yang berkualitas, tetapi komunikasi perawat-pasien dalam perawatan kanker adalah hal menantang dan kompleks, selain data yang mengeksplorasi komunikasi perawat-pasien masing sangat kurang. Tujuan penelitian ini adalah untuk melaporkan hasil temuan tentang perspektif perawat, pasien dan keluarga terkait hambatan dan strategi komunikasi dalam perawatan kanker. Penelitian ini merupakan penelitian fenomenologi yang dilakukan di RS. PKU Muhammadiyah Yogyakarta. Respoden penelitian ini adalah 16 orang (4 perawat, 7 pasien dan 5 anggota keluarga) yang dipilih melalui purposive sampling dan dilakukan wawancara semi terstruktur. Semua hasil wawancara di transkrip dan dianalisis menggunakan metode Collaizzi. Hasil penelitian ini mengidentifikasi dua tema yaitu hambatan berkomunikasi efektif dan manajemen berkomunikasi. Hambatan komunikasi dikontruksi oleh sikap mengabaikan, tingkat pendidikan dan kondisi psikologis. Manajemen berkomunikasi terdiri dari persiapan diri, validasi pengetahuan pasien, dan struktur penyampaian informasi. Kesimpulan dalam penelitian ini yaitu komunikasi terapeutik merupakan pondasi untuk mempromosikan kualitas perawatan kanker. Hambatan berkomunikasi perlu dimanaje dengan baik dengan mengimplementasikan tindakan untuk menjaga interaksi dan pertukaran informasi seperti mempersiapkan diri, mevalidasi pemahaman pasien, dan penyampaian informasi secara terstruktur

PERBEDAAN NILAI UJI FUNGSI PARU ANTARA KARYAWAN DI RUANG PRODUKSI DAN KARYAWAN DI RUANG ADMINISTRASI DI PABRIK TEXTILE X Wahyu Rizky; Erna Rochmawati
Jurnal Ners Indonesia Vol 2, No 1 (2011)
Publisher : Fakultas Keperawatan, Universitas Riau

Penelitian ini bertujuan untuk mengetahui adanya perbedaan nilai uji fungsi paru antara karyawan diruang produksi dan administrasi di sebuah pabrik tekstil. Penelitian ini merupakan penelitian deskriptif-analitik. Sampel penelitian sebanyak 68, 32 di bagian produksi dan 36 di bagian administrasi. Data uji statis dan dinamis diambil dengan menggukan alat spirometer dan ashma-T. Data dianalisis dengan uji Mann-Whitney Test. Hasil penelitian memperlihatkan nilai uji fungsi paru statis (KV) karyawan dibagian produksi mengalami gangguan restruksi sedang (49%), sedangkan dibagian administrasi mengalami gangguan restruksi ringan (42%). Uji fungsi paru dinamis (% FEV1) karyawan dibagian produksi banyak mengalami gangguan obstruksi berat (34%), sedangkan dibagian administrasi banyak yang normal (70%). Untuk nilai signifikannya (p=0.000) atau (p<0.005) yang berarti ada perbedaan nilai uji fungsi paru yang signifikan antara karyawan produksi dan administrasi. Kesimpulan: Hasil penelitian menunjukkan terdapat perbedaan yang signifikan pada nilai uji fungsi paru antara karyawan bagian produksi dan administrasi. Saran: Peningkatan intensitas pemeriksaan kesehatan dan kedisplinan karyawan dalam penggunaan alat pelindung diri perlu dilakukan untuk mencegah terjadinya perubahaan faal paru.

Interventions to Improve Nurse Therapeutic Communications in the Context of Palliative Care: Literature Review Pangkey Jelly; Erna Rochmawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 3 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (719.256 KB)

Aims: The aim of this research is to obtain evidence of what research has been done and to know the effect of the training. Methods: Through a review using 3 databases, namely Ebsco, ScienceDirect, PubMed, and other sources with the keywords “nurse; communication skills; training; palliative care”. From 2001 to 2021, the type of research consisted of RCT, experiment, randomization of pre-test – post-test, randomized trial, implementation, and curriculum development. Results: Obtained a review of 7 articles in this study from 495 results found from several pieces of training carried out including psychological training, workshops, module preparation, role play or simulations, and audio-visual training. In general, the direct effect of communication training on nurses can increase communication competence, while in patients it affects the quality of life, patient satisfaction increases, and symptoms of psychological distress in patients can decrease. Conclusions: Communication training for nurses is very important. To improve nurses' communication skills, it is expected that self-development through various other types of research to increase competence so that it can be applied to nursing services.

ROLE OF CULTURE TOWARDS COMMUNITY PERCEPTION ABOUT MENTAL DISORDER Maria Julieta Esperanca Naibili; Erna Rochmawati
Journal of Nursing Science Update (JNSU) Vol. 7 No. 2 (2019)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Mental disorders cause significant morbidity because they are accompanied by other pandemics namely stigma and discrimination. Culture forms the expression, perception and treatment preferences so that each culture has its way of explaining mental disorders based on a set of beliefs and practices in determining the cause, health assistance seeking behavior and treatment/care options based on the prevailing local belief system and norms culture that influences an individualâ€™s decision to seek and follow up on treatment and care. The objective of this study is to review the literature on the role of culture on peopleâ€™s perceptions of mental disorders. Literature used in this study were obtained from relevant databases including EBSCO, PubMed, Science Direct, Google Scholar / Scholar are searched using a combination of search terms â€œcultureâ€ and â€œperceptionâ€ and â€œmental illnessâ€ or â€œmental disorderâ€. Criteria for articles used are those published in 2004-2018. The results of this review include the causes of mental disorders including Divine anger, the presence of evil spirits, stress, biogenetic, psychobiological, social, air pollution. Symptoms of mental disorders in the form of changes in behavior, eccentric behavior, wandering. Treatment and care options through clinical, social intervention, and spiritual and religious healing. Community perceptions about mental disorders vary and the behavior of seeking health assistance in the community is influenced by the value system adopted. Culture influences perceptions about the causes of mental disorders, health assistance seeking behavior and treatment/care choices.

Pengaruh Kombinasi Terapi Foot Massage dan Murottal Alquran terhadap Tingkat Kelelahan Pasien yang Menjalani Hemodialisa Fatkhal Khairu Najib; Erna Rochmawati; Akhmad Zuhri
Jurnal Medika Nusantara Vol. 2 No. 2 (2024): Mei : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i2.1099

Chronic kidney failure occurs due to a decrease in kidney function, causing an imbalance in the body's metabolism, fluids and electrolytes which can result in uremia. Patients with chronic renal failure must undergo routine hemodialysis therapy. Hemodialysis therapy can cause nursing problems, namely fatigue. Fatigue can be caused by a lack of hemoglobin levels in patients or the length of the hemodialysis process. The research method used in this research is a case report by evaluating the implementation of a combination intervention of foot massage and murottal therapy Surat Ar Rahman. The instrument for measuring fatigue levels uses the FACIT-fatigue scale questionnaire. The results of this study showed that the patient experienced high fatigue with a score of 10.5 and after being given a combination of relaxation intervention of foot massage and murottal Al-Quran therapy, the patient's fatigue level score became 18.2 or moderate fatigue. From these results, it can be concluded that there is an effect of providing a combination of relaxing foot massage and murottal therapy on reducing the level of fatigue in chronic kidney failure patients undergoing hemodialysis.

Pengaruh Terapi Kombinasi Dzikir Dan Aromatherapy Terhadap Kecemasan Pada Pasien Yang Menjalani Hemodialisa: Case Study Desy Purnama Sari; Erna Rochmawati; Akhmad Zuhri
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 2 (2024): Juni : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i2.87

Impaired kidney function accompanied or without a decrease in GFR that has lasted more than three months is also called chronic kidney failure. Chronic kidney failure causes physiological and psychological impacts such as anxiety. The most common management of CRF is hemodialysis. Hemodialysis therapy can cause discomfort that affects psychological such as the emergence of feelings of anxiety, where the feeling arises because you have to visit the hemodialysis unit regularly and feelings of worry related to unpredictable health conditions. This study used a case study methoddoe whose purpose was to determine the effect of dhikr and aromatherapy combination therapy on the anxiety of patients undergoing hemodialysis. The instrument of this study used the ZSAS (Zung-Self Anxiety Rating Scale) questionnaire. The results of the case study showed that patients experienced mild anxiety with a score of 45 and after being given intervention for 2 meetings, a score of 37 was obtained which means not anxious. Combined therapy of dhikr and aromatherapy is a therapy that can provide calm. In conclusion, there is an influence in the provision of dhikr and aromatherapy combination therapy in those undergoing hemodialysis.

The Effectiveness of M-Health on Self-Efficacy, Self-Management, and Self-Care of Patients Undergoing Maintenance Hemodialysis: A Systematic Review and Meta-Analysis Hardhanti, Rizqi; Erna Rochmawati
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.759

Background: M-Health is the use of mobile digital technology to support health and well-being by extending education, communication, health interventions, and research beyond the reach of traditional clinical care. Research has developed and tested M-Health, demonstrating its effectiveness in enhancing the self-efficacy of cancer patients. However, there has been no synthesis on the effectiveness of M-Health in enhancing self-efficacy in patients with chronic kidney disease. Purpose: The purpose of this systematic review and meta-analysis is to determine the effectiveness of M-Health on self-efficacy, self-management, and self-care in chronic kidney disease patients undergoing maintenance hemodialysis. Methods: The study method is a systematic review and meta-analysis reported according to PRISMA guidelines. We conducted this systematic review across six databases. We included randomized controlled trials, quasi-experimental studies, and cohort studies evaluating self-efficacy, self-management, and self-care in patients with chronic kidney disease. We performed the critical appraisal using the Joanna Briggs Institute Critical Appraisal Checklist. Review Manager version 4.5 synthesized the data. Results: In this study, a database search was conducted to obtain 1,115 articles. Then, 46 duplicates were identified, and 1,109 articles were excluded for not meeting the inclusion criteria, leaving 6 articles for review. After reviewing the six articles, M-Health was found to be effective for self-efficacy and self-management, but not for self-care, due to the study's short duration. Conclusion: The conclusion of this study is that M-Health intervention can improve self-efficacy and self-management in patients with chronic kidney disease. However, the effectiveness of self-care results is reduced due to the relatively short observation time. Therefore, it is essential to take into account the duration of the intervention to achieve more optimal outcomes.

Implementasi Berbasis Evidence Terapi Handheld Fan untuk Pola Napas Tidak Efektif pada Pasien CHF Laidy Novie Rahmawati; Erna Rochmawati; Nita Sritunjung
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 2 (2026): April: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i2.8844

Congestive heart failure (CHF) is a cardiovascular disease that frequently causes shortness of breath (dyspnea) and negatively impacts patients’ quality of life. The management of dyspnea involves not only pharmacological approaches but also nonpharmacological interventions, one of which is handheld fan therapy, which works by stimulating sensory receptors in the facial area. This study aims to describe the effect of handheld fan therapy on reducing shortness of breath in patients with CHF. This study employed a descriptive design using a case report method on a single 63-year-old female patient diagnosed with CHF. The intervention was conducted over four days, involving the use of a handheld fan for 10 minutes, held at a distance of 15–30 cm from the face and directed toward the nose and mouth. Measurements were taken before and after the intervention using respiratory rate and oxygen saturation as parameters. The results showed a gradual decrease in respiratory rate from 24 breaths/minute to 18 breaths/minute, as well as an increase in oxygen saturation from 91% to 96% during the intervention period. These findings indicate an improvement in breathing patterns and increased respiratory efficiency in the patient. Handheld fan therapy is effective as a nonpharmacological intervention for reducing shortness of breath and improving oxygenation in patients with CHF. This intervention is safe, easy to use, and can be implemented as a complementary therapy in nursing practice.

DEVELOPMENT OF A SCORING SYSTEM FOR PREDICTING ACUTE CORONARY SYNDROME EVENTS: A SCOPING REVIEW Ihsan Angga Anjarwadi; Azizah Khoiriyati; Erna Rochmawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.28693

Clinical scoring systems are widely used to support early risk stratification and clinical decision-making in patients with acute coronary syndrome (ACS). However, the characteristics, development processes, and clinical applications of these scoring systems remain dispersed across the literature. This scoping review aims to map and synthesize the available evidence on scoring systems used to assess or predict ACS events in hospital settings. A scoping review methodology was conducted using electronic databases, including PubMed, Scopus, and Emerald. The search terms included “acute coronary syndrome,” “scoring system,” OR “score predictor,” and “in hospital.” Of 1,961 identified records, 18 studies met the inclusion criteria after screening. Data were extracted using a charting approach to summarize study characteristics, scoring system variables, and reported outcomes. The review identified eleven ACS scoring systems, including widely used models such as GRACE, TIMI, and HEART. These scoring tools primarily incorporate clinical indicators such as age, systolic blood pressure, electrocardiogram findings, cardiac biomarkers, and cardiovascular risk factors. The results indicate that ACS scoring systems can be broadly categorized according to their clinical objectives, including diagnostic risk assessment, prognostic prediction, and early risk stratification in emergency settings. This review highlights the variability of predictive models across different clinical contexts and emphasizes the importance of selecting practical scoring systems that rely on readily available clinical indicators. The findings provide a comprehensive overview of existing ACS scoring systems and offer a conceptual framework that may help clinicians select appropriate risk assessment tools and guide future research on the development of simplified prediction models. Keywords: Acute Coronary Syndrome, Risk Score, Clinical Prediction Model, Risk Stratification

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