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All Journal JURNAL KESEHATAN INDRA HUSADA Jurnal Ilmu Kesehatan dan Gizi Vitamedica: Jurnal Rumpun Kesehatan Umum Jurnal Praba: Jurnal Rumpun Kesehatan Umum
Dewi Erna Marisa
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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MOTIVASI PELAKSANAAN LATIHAN ROM PADA PASIEN STROKE BERDASARKAN DUKUNGAN KELUARGA DI PUSKESMAS CILEDUG KABUPATEN CIREBON Dewi Erna Marisa
JURNAL KESEHATAN INDRA HUSADA Vol 8 No 1 (2020): Januari-Juni
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v8i1.203

Abstract

Stroke sufferers in the world experience disability with permanent disability 52%, mild disability as much as 23% and as many as 25% of stroke sufferers are able to avoid disability after rehabilitation. Efforts that can be made to prevent disability is to follow a rehabilitation program by doing a range of motion or called Range of motion (ROM). ROM implementation must be followed and carried out routinely so that it requires motivation from patients and that motivation can be formed with the support of the family. The purpose of this study was to analyze the motivation for implementing ROM exercises in stroke patients based on family support. Type research is a description of the correlation with cross-sectional approach. Sample uses 75 with total sampling. Data analysis using descriptive analysis and bivariate test using chi-square analysis test. Based on the results of the hypothesis test shows that the motivation to implement ROM exercises is influenced by family support. Suggestions are given to nurses to provide counseling and assistance to families so that families provide support in implementing ROM exercises
Penerapan Pemberian Terapi Foot Massage dengan Minyak Zaitun terhadap Penurunan Tingkat Keletihan pada Ny. J dengan CKD di Ruangan Hemodialisa RSUD Gunung Jati Cirebon Yusminarti Yusminarti; Dewi Erna Marisa; Muadi Muadi
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.858

Abstract

Fatigue is a common symptom experienced by many patients undergoing hemodialysis, whether due to situational, physiological, or long-term factors. Foot massage is the manipulation of connective tissue by rubbing, squeezing, or patting, which improves circulation, improves muscle tone, and provides a relaxing effect. The purpose of this study was to determine the application of foot massage therapy with olive oil to reduce fatigue levels in patients with chronic kidney disease (CKD) undergoing hemodialysis. This study used a pre-test-post-test case study design. The sampling consisted of two respondents who met the inclusion criteria. The instrument used was the 13-question Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-Fatigue Scale) questionnaire, administered before and after the intervention.The study found that patients experienced changes in fatigue levels after receiving foot massage therapy with olive oil for two days. The fatigue level changed from an initial score of 32-23 (severe-moderate) to 18-13 (moderate-mild) on the first day. On the second day, the score decreased from 19-18 (moderate) to 16-14 (mild).
Penerepan Evidence- Based Nursing Mencuci Tangan Menggunakan Handwash sebagai Upaya Pencegahan Diare di TK Asuhan Ibu Rahma Aulia; Dewi Erna Marisa; Ahmad Syarifudin
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.861

Abstract

 The implementation of clean and healthy living behavior, especially handwashing using handwash, is one of the important efforts in preventing diarrheal disease among preschool children. Diarrhea remains a common health problem in children due to low awareness of maintaining hand hygiene before eating and after activities. This study aimed to determine the implementation of evidence-based nursing on handwashing using handwash as an effort to prevent diarrhea at TK Asuhan Ibu. The research method used was a descriptive case study with a community nursing care approach. The subjects of this study were preschool children at TK Asuhan Ibu who had improper handwashing habits. Data were collected through interviews, observations, and documentation. The intervention was carried out through health education, demonstrations, and re-demonstrations of the six-step handwashing technique using handwash. The assessment results showed that most children did not wash their hands before eating and were unable to perform the six steps of handwashing correctly. After the intervention, there was an improvement in the children’s knowledge and ability to perform proper handwashing using handwash. The children appeared to better understand the importance of handwashing as an effort to prevent diarrhea and began to develop the habit of washing their hands before eating and after playing. Support from teachers and families also increased in encouraging clean and healthy living behaviors among children. The implementation of handwashing education using handwash was effective in improving clean and healthy living behavior and served as a preventive effort to reduce the risk of diarrhea among preschool children at TK Asuhan Ibu.
Analisis Beban Kerja Perawat Berdasarkan Tingkat Ketergantungan Pasien di Rumah Sakit Soerojo Magelang Urwatul Usqo; Muadi Muadi; Dewi Erna Marisa
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.v4i1.862

Abstract

Background: Nurses’ workload is one of the factors that influence the quality of nursing care and patient safety. The level of patient dependency is a key factor determining the magnitude of nurses’ workload because it relates to the time, energy, and attention required to provide nursing care. Objective: To analyze nurses’ workload based on the level of patient dependency in Ward Lily 1 at Soerojo Hospital in Magelang. Methods: A descriptive quantitative design with a cross-sectional approach. The study sample consisted of 21 nurses selected using total sampling. Data were collected using a nurse workload questionnaire and the Douglas method’s patient dependency level classification form, then analyzed using the chi-square test. The results showed that the majority of nurses experienced heavy workloads (14 nurses, 67%), while 5 nurses (24%) experienced moderate workloads. Result: Patient dependency levels were dominated by the partial care category (12 patients, 57%), followed by minimal care (4 patients, 19%) and total care (5 patients, 24%). The chi-square analysis yielded a significant p-value of 0.001 < α = 0.005. Implication: It was concluded that there is a relationship between patient care levels and workload.
Efektivitas Refreshing Pre dan Post Coference di Ruang Rawat Inap Sumaryani Ayu Lestari; Muadi Muadi; Dewi Erna Marisa
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.v4i1.864

Abstract

Pre-conference and post-conference are essential components of nursing management functions that play a significant role in enhancing communication, team coordination, continuity of nursing care, and patient safety. However, their implementation in inpatient wards continues to face several challenges, including high nursing workloads, limited time availability, and suboptimal adherence to Standard Operating Procedures (SOPs). This study aimed to analyze the effectiveness of a refresher program on the implementation of pre-conference and post-conference activities in an inpatient ward. A descriptive case study design was employed involving 21 nurses as research participants. Data were collected through direct observation, in-depth interviews, and document review of pre-conference and post-conference practices before and after the intervention. The refresher intervention consisted of SOP education, interactive discussions, and role-play sessions focusing on the proper implementation of pre-conference and post-conference activities. The findings demonstrated a notable improvement in the implementation of both activities following the intervention, as reflected by increased compliance with SOPs, enhanced nurses' understanding of conference procedures, and improved communication and coordination among nursing staff. The Wilcoxon Signed Ranks Test revealed a statistically significant difference between pre- and post-intervention conditions (p < 0.001), indicating that the refresher program was effective in improving the implementation of pre-conference and post-conference activities. These findings suggest that regular refresher programs may serve as a sustainable strategy for improving the quality of nursing services and promoting patient safety in inpatient settings.
Penerapan Evidence Based Nursing Senam Hipertensi Kepada Lansia RW 03 Kel. Karyamulya Kec. Kesambi Kota Cirebon Rita Rita; Dewi Erna Marisa; Ahmad Syaripudin; Amellia Surya Purnama; Ade Ana Fitriyana
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.10142

Abstract

Elderly are individuals aged 60 years and over and are considered to be in the final stage of the human life cycle. The classification of the elderly is divided into four categories: middle age or pre-elderly (44–60 years), elderly (60–75 years), senile (75–90 years), and long-livers for those aged over 90 years. One of the non-pharmacological therapies that can be applied to patients with hypertension is physical activity in the form of hypertension exercise. This study aimed to determine the implementation of Evidence-Based Nursing through hypertension exercise in elderly patients to control blood pressure. This study used a case study design in the form of gerontic nursing care involving two research subjects diagnosed with hypertension. Data were collected through interviews and blood pressure measurements. The results showed that after performing hypertension exercise for approximately 15 minutes, both respondents experienced a decrease in blood pressure. Mrs. M’s blood pressure decreased to 140/80 mmHg, while Mrs. J’s blood pressure decreased to 150/90 mmHg. In conclusion, non-pharmacological therapy in the form of hypertension exercise can be applied in daily life as an effort to improve a healthy lifestyle and help control blood pressure in the elderly.
Penerapan Evidence Based Nursing: Terapi Brandt-Daroff pada Pasien Vertigo dengan Nyeri Akut di ICU 3 RSUD Gunung Jati Kota Cirebon Rizky Prihastin Utami; Dewi Erna Marisa; Ahmad Syarifudin; Idit Pitriati
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.10145

Abstract

Vertigo is a disorder of the vestibular system characterized by spinning sensations, balance disturbances, nausea, vomiting, and activity limitations caused by changes in body position. In critically ill patients treated in the Intensive Care Unit (ICU), vertigo may lead to various nursing problems such as risk of falls, impaired physical mobility, anxiety, and acute pain caused by abnormal vestibular stimulation that triggers tension in the head and neck muscles. Vertigo management is generally carried out using pharmacological therapy; however, long-term medication use may cause side effects, therefore evidence-based non-pharmacological interventions are needed. One intervention that can be applied is Brandt-Daroff therapy as a vestibular rehabilitation exercise to help the body adapt to balance disturbances. The purpose of this scientific paper was to determine the application of Evidence-Based Nursing through Brandt Daroff therapy in vertigo patients with acute pain nursing problems in ICU 3 of Gunung Jati Regional Hospital, Cirebon City. The method used was a case study approach through emergency and critical nursing care processes. Assessment was conducted using primary and secondary survey approaches, followed by gradual Brandt-Daroff therapy according to the patient’s condition. Evaluation was carried out by assessing changes in pain intensity, comfort level, body balance, and patient mobilization ability. The results showed that Brandt-Daroff therapy was able to reduce acute pain intensity, decrease vertigo sensations, improve patient comfort, and gradually increase balance and activity tolerance. The conclusion of this scientific paper indicates that Brandt-Daroff therapy is effective as an evidence-based non-pharmacological nursing intervention in helping overcome acute pain in vertigo patients in the ICU.
Co-Authors Ade Ana Fitriyana Ahmad Syarifudin Ahmad Syaripudin Amellia Surya Purnama Asita Elengoe Idit Pitriati Muadi Muadi Musheer Rahma Aulia RITA RITA Rizky Prihastin Utami Santi Wahyuni Sumaryani Ayu Lestari Supriyadi Urwatul Usqo Yusminarti Yusminarti