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Application of Range of Motion (ROM) in Mr. H with Physical Mobility Impairment in Non-Hemorrhagic Stroke Patients Putri Maharani, Audita; Setyo Dwi Andhini, Citra
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.689

Abstract

Background & Objective: Ischemic stroke or non-hemorrhagic stroke is a condition that occurs due to a blockage in the blood vessels of the brain, thereby disrupting blood flow to the brain, either partially or completely. This study aims to evaluate nursing care with the application of Range of Motion (ROM) intervention in non-hemorrhagic stroke patients who experience physical mobility impairment. Method: The method used was a case study of one patient at RSD Gunung Jati Cirebon. Data collection techniques included interviews (anamnesis), physical assessment, direct observation, and documentation. Result: Nursing care was provided over three days, during which the patient initially complained of pain and limited movement in the left extremity. Mobilization interventions in the form of ROM exercises based on Evidence-Based Nursing (EBN) were administered for three consecutive days, with each session lasting 25 minutes and each movement repeated. Evaluation results showed an improvement in physical mobility from a score of 2 to 3. Conclusion: Thus, ROM exercises have been proven effective in improving mobility in patients with physical mobility impairments due to non-hemorrhagic stroke.
The Effectiveness of Breast Care on Increasing Breast Milk Production in Mrs. N Post Sectio Caesarea in the Mawar Room of Kardinah Regional General Hospital, Tegal City Rohanifah; Wahyuni Romadhon, Lily; Setyo Dwi Andhini, Citra
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.699

Abstract

Background & Objective: Breast milk is an important component that needs to be considered, especially in terms of production and flow, as it has various benefits for the growth and development of infants. Mothers who have undergone a cesarean section often experience problems with breastfeeding due to inadequate breast milk production. Breastfeeding challenges in postpartum cesarean section mothers are caused by a decrease in oxytocin and prolactin hormones, which play a role in the smooth production of breast milk. To facilitate breast milk production, non-pharmacological efforts are needed, such as Breast Care. Breast Care is an effort to maintain the condition of a breastfeeding mother's breasts, both during pregnancy and after childbirth (postpartum period). Method: A descriptive method was used with the application of case study results. Result: The application of Breast Care conducted on January 2–4, 2025, to a post-cesarean section patient with breastfeeding issues was ineffective in the Mawar Room of Kardinah General Hospital in Tegal City. On the third day of the study, breast milk flow improved from a scale of 5 to a scale of 2, showing a significant increase. Conclusion: It can be concluded that the Breast Care technique is effective in increasing breast milk production in post-cesarean section patients in the Mawar Ward of Kardinah General Hospital in Tegal City.
Application of Warm Compresses in Patients with Dengue Hemorrhagic Fever (DHF) with Hyperthermia in Room Cendana 3, Kardinah Regional General Hospital, Tegal City Azizah N, Sopiani; Setyo Dwi Andhini, Citra
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.701

Abstract

Background & Objective: Dengue Hemorrhagic Fever (DHF), medically known as Dengue Hemorrhagic Fever/DHF, is an infectious disease caused by the dengue virus and transmitted through the bite of the Aedes aegypti mosquito. It is characterized by sudden fever lasting 2 to 7 days without a clear cause, weakness/fatigue, restlessness, abdominal pain, accompanied by skin bleeding manifestations such as petechiae, ecchymoses, or rashes (petechiae). A warm compress is a procedure using a cloth, washcloth, or towel soaked in warm water, then applied to specific body parts to provide comfort and lower body temperature. The purpose of this study is to describe cases of Dengue Hemorrhagic Fever in detail and depth. Method: This study was conducted using a qualitative descriptive method with a case study approach. The study was conducted at Kardinah General Hospital in Tegal City on patients with Dengue Hemorrhagic Fever/DHF on December 10, 2024. Result: The application of warm compresses as a non-pharmacological therapy was effective in reducing the body temperature of patients. Warm compresses were proven to have a positive effect in managing fever caused by DHF, resulting in a decrease in patients' fever after treatment was administered. Conclusion: It is recommended that research in the field of nursing, particularly pediatric nursing for patients with DHF, be further enhanced to improve the quality of care and provide more specific and targeted nursing interventions.
Application of Physical Exercise in Non-Hemorrhagic Stroke Patients with Physical Mobility Impairment at Gunung Jati Hospital, Cirebon City Iyep Maulana, Ahmad; Wahyuni Romadhon, Lily; Setyo Dwi Andhini, Citra
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.703

Abstract

Background & Objective: Stroke is damage to the brain that occurs due to a sudden decrease or interruption in the flow of oxygen in the blood. The objective of this study is to provide appropriate nursing care for patients with non-hemorrhagic stroke in a detailed and comprehensive manner, with a focus on the application of physical exercise for patients with non-hemorrhagic stroke and physical mobility impairments at RSD Gunung Jati Hospital in Cirebon City. Method: This study adopts a descriptive design using a case study approach. The steps include data collection, diagnosis, planning, intervention, and evaluation. The study was conducted at RSD Gunung Jati Hospital in Cirebon City in February 2025, with data collected through interviews, observations, physical examinations, and medical records. Result: After undergoing Range of Motion (ROM) training, patients showed improvements in flexibility, muscle strength, and movement coordination. Conclusion: These findings indicate that an approach using joint strengthening exercise techniques contributes to reducing physical mobility issues and enhancing patients' independence in performing daily activities.
The Application of Oxytocin Massage to Increase Breast Milk Production in Postpartum Mothers in the Mawar Room of Kardinah Regional General Hospital, Tegal City Gina Inayati, Putri; Wahyuni Romadhon, Lily; Setyo Dwi Andhini, Citra
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.706

Abstract

Background & Objective: Breastfeeding is very important for a mother for the development and growth of her child. Breastfeeding problems often occur in mothers due to low milk production in the first few days postpartum, which becomes an obstacle in providing exclusive breastfeeding to their babies. This case study aims to determine the application of oxytocin massage in increasing milk production in postpartum mothers. Method: The research design used in this study is descriptive with a case study method. The subject of the case study is Mrs. N, a postpartum mother on her first day in the Mawar Ward of Kardinah General Hospital in Tegal City. Result: The results of the case study conducted over three days showed an increase in breast milk production in Mrs. N, as evidenced by: the client stating that her breast milk flowed smoothly after the oxytocin massage. Conclusion: The application of oxytocin massage as a nursing intervention for Mrs. N, who was experiencing breastfeeding issues, was proven to be effective in increasing breast milk production. This intervention was conducted over three days and showed positive results on the third day, indicating that oxytocin massage could serve as an effective alternative intervention to address insufficient breast milk supply.
Application of Aromatherapy Inhalation Therapy in Children with Ineffective Airway Clearance Due to Bronchopneumonia in Room Cendana 3, Kardinah Regional General Hospital, Tegal City Rahayu, Windy; Andhini , Citra Setyo Dwi; Purbasari, Dwiyanti
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.718

Abstract

Background & Objective: Bronchopneumonia is one of the most common forms of lower respiratory tract infections in children and often causes ineffective airway clearance due to secretions buildup. This study aims to evaluate the effectiveness of nursing interventions using aromatherapy inhalation therapy in improving airway clearance in children with bronchopneumonia. Method: Descriptive, applying the results of previous case studies, using a pediatric nursing care approach and the innovative intervention of aromatherapy inhalation therapy. Result: Significant effectiveness was demonstrated, marked by a decrease in respiratory rate from 44 breaths per minute to 32 breaths per minute, more effective coughing, and reduced rales on lung auscultation. Conclusion: Aromatherapy inhalation therapy intervention was proven to help thin secretions and facilitate mucus clearance. Therefore, this intervention can be considered an alternative supportive measure in pediatric nursing care for children with bronchopneumonia experiencing airway clearance disorders.
Memperkuat Kemampuan Digital Melalui Pelatihan dan FGD: Inovasi dan Strategi dalam Pemasaran dan Produksi Konten Ananda Yusuff, Andinna; Kamasturyani, Yani; Nurcahyani, Sri; Fardhoni; Setyo Dwi Andhini, Citra; Rizki, Muhammad; Dwi Rianto, Dimas; Suryaputra, Dimas; Ardiansyah Yudhono, Muhamad Septian
ADIMA Jurnal Awatara Pengabdian Kepada Masyarakat Vol 2 No 1 (2024): Januari
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/adima.v2i1.148

Abstract

Penelitian ini mengeksplorasi inisiatif Kota Cirebon, Jawa Barat, Indonesia, dalam mengatasi masalah stunting, yakni gangguan pertumbahan pada anak akibat kekurangan gizi, melalui pemberdayaan Usaha Mikro, Kecil, dan Menengah (UMKM). Dengan fokus pada integrasi antara kesehatan publik dan pembangunan ekonomi lokal, penelitian ini menggunakan metode demonstrasi dan observasi untuk melatih UMKM dalam penggunaan media digital. Kegiatan ini meliputi pelatihan dalam penulisan konten, desain grafis, produksi video, strategi digital marketing, dan penggunaan teknologi SEO dan media sosial. Tujuan utamanya adalah meningkatkan kesadaran dan pengetahuan tentang stunting serta memperkuat keahlian digital UMKM untuk promosi kesehatan dan nutrisi.
Sikurma: Development Of A Google Apps Script–Based Document Repository Information System For Optimizing Digital Archive Management In Higher Education Indra Surya Permana; Ade Sutriyono; Citra Setyo Dwi Andhini; Sabili Muhammad Azka
Jurnal Media Computer Science Vol 5 No 1 (2026): Januari
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jmcs.v5i1.9560

Abstract

Strategic document management for accreditation and Key Performance Indicator (KPI) reporting poses significant challenges for higher education institutions due to unstructured digital archives and high implementation costs of commercial Electronic Document Management Systems (EDMS). This research aims to design, develop, and evaluate SIKURMA (Document Repository and Archive Management Information System), a low-cost and easily replicable document repository solution based on Google Workspace. The development method employs a prototyping approach with user-centered design orientation, including stages of needs analysis, system design, development using Google Apps Script, and evaluation through the DeLone & McLean Information System Success Model framework. The research results demonstrate a functional SIKURMA prototype capable of dynamically displaying file lists from Google Drive, equipped with hierarchical navigation features, global and per-folder search capabilities, and a simple spreadsheet-based authentication system. Quantitative evaluation involving 35 lecturer respondents from various study programs shows that all system success hypotheses were accepted with high significance levels. The system successfully achieves zero-cost infrastructure by utilizing available Google Workspace, making it easily replicable by various higher education work units. SIKURMA proves to offer practical and efficient solutions for optimizing digital document governance in higher education institutions with limited resources
Pernapasan dalam Lambat (Slow Deep Breathing) sebagai Strategi Manajemen Gejala untuk Mengatasi Kelelahan (Fatigue) pada Pasien yang Menjalani Hemodialisis Gina Maydinah; Lily Wahyuni Romadhon; Citra Setyo Dwi Andhini
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Maret : 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.v4i1.865

Abstract

Chronic Kidney Disease (CKD) is a chronic kidney condition characterized by progressive and irreversible decline in kidney function. CKD patients undergoing hemodialysis often experience fatigue due to anemia, accumulation of uremic toxins, and the prolonged duration of the hemodialysis process. Unresolved fatigue can reduce quality of life and the ability to perform daily activities. One nonpharmacological intervention that can be used to address fatigue is slow deep breathing therapy. The purpose of this study was to determine the application of slow deep breathing in CKD patients undergoing hemodialysis. This study used a qualitative approach, specifically a case study with a nursing care approach. The study subjects were two CKD patients. The therapy was administered using slow deep breathing techniques for 5 minutes, with 1–3 cycles, over three sessions. Data collection methods included interviews and observations. Data collection instruments comprised nursing assessment forms, head-to-toe physical examinations, and supporting data.  After providing nursing care interventions over three sessions to the two patients, the results showed a reduction in complaints of weakness and fatigue; the patients appeared more relaxed and comfortable, and were better able to perform light activities.Slow deep breathing therapy as a nonpharmacological intervention to help reduce fatigue in CKD patients undergoing hemodialysis
Reducing Fatigue in Chronic Kidney Disease Patients Through Benson Relaxation Therapy: Evidence from a Pretest-Posttest Study Noah Safna Sayla; Lily Wahyuni Romadhon; Citra Setyo Dwi Andhini
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Maret : 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.v4i1.867

Abstract

Chronic Kidney Disease (CKD) is a progressive and irreversible disorder requiring hemodialysis as renal replacement therapy. Fatigue is a frequent symptom among hemodialysis patients and negatively affects quality of life and daily activities. This case study aimed to determine the effect of the Benson relaxation technique on fatigue in a CKD patient undergoing hemodialysis at RSUD Gunung Jati, Cirebon. The method used was a single-subject descriptive case study with nursing intervention applied in three sessions during pre, intra, and post hemodialysis periods. Data were obtained through assessment, observation, and fatigue evaluation. The intervention consisted of deep breathing combined with repetition of calming spiritual or meaningful words according to patient belief. Results showed a decrease in fatigue, indicated by reduced weakness, increased relaxation, improved comfort, and better emotional stability. The patient also reported increased energy after the intervention period. This study suggests that the Benson relaxation technique can be an effective non-pharmacological nursing intervention to reduce fatigue in hemodialysis patients and may be applied as a complementary approach in nursing care.