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Non-Pharmacological Pain Management In Patient With Gouty Arthritis: A Narrative Review Novia Yulianti; Siti Ulfah Rifa'atul Fitri; Nursiswati Nursiswati
Jurnal Berita Ilmu Keperawatan Vol. 16 No. 2 (2023): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v16i2.1918

Abstract

Gouty arthritis is a condition characterized by joint inflammation due to the accumulation of monosodium urate crystals in the joint, resulting in severe pain, reduced musculoskeletal ability, and poor QoL. Therefore, this study aims to identify non-pharmacological pain management in gouty arthritis sufferers. This study is a narrative review including three databases such as ScienceDirect, Proquest, Pubmed, and the search engine Google Scholar. It was conducted using keywords such as gouty arthritis, non-pharmacology, and pain management. The article was sorted by cyclical criteria, and assessment was performed using JBI Critical Appraisal tools. The results showed that non-pharmacological interventions such as warm compresses using moringa leaves, lemongrass decoction water, ginger, cinnamon, soursop leaves, and CQBG (compound Qingbi granules) are effective in reducing gouty arthritis pain and have no side effects. Therefore, this study is expected to provide useful information and insights regarding pain management to health workers, nurses, sufferers, and the general public.  
Intervensi untuk Mengatasi Distress Spiritual pada Pasien dengan Penyakit Kronis dan Paliatif Kurniawan Kurniawan; Kaysa Refapriliana; Devi Anggraeni; Firmansyah Danukusumah; Ryzka Fridelia Suhendar; Khoirunnisa Khoirunnisa; Siti Ulfah Rifa'atul Fitri
Jurnal Penelitian Kesehatan SUARA FORIKES 2024
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf15nk136

Abstract

Palliative care is necessary for patients with terminal chronic illnesses to improve their quality of life. The majority of patients in palliative care units experience stress, not only physically but also spiritually. This study was conducted with the aim of finding out interventions to overcome spiritual distress in patients with chronic illnesses and palliative care. This study was a scoping review, involving data sources, namely PubMed, CINAHL, SAGE Journals and Google Scholar. Reviews. Articles were limited to those published in English or Indonesian in the last five years (2017-2022) with a randomized control trial, clinical trial, quasi-experiment, or case study design. The keywords used in the search were (terminal illness OR chronically ill OR palliative patient) AND (intervention OR therapy OR care) AND (spiritual distress OR existential distress OR spiritual well being) in English and “(penyakit terminal ATAU penyakit kronis ATAU pasien paliatif) DAN (intervensi ATAU terapi) DAN (distres spiritual ATAU kesejahteraan spiritual) DAN (dampak ATAU efek ATAU berdampak ATAU pengaruh)” in Indonesian. The results of the study showed that from the 8 relevant articles reviewed, the results obtained were that interventions that can be used to overcome spiritual distress are meditation (mindfulness and meditation on the Name of God), religion-based interventions, counseling, life review, and individual meaning centered psychotherapy. Furthermore, it was concluded that there are various interventions that can minimize the occurrence of spiritual distress which are adapted to the conditions, religion and beliefs held.Keywords: spiritual distress; intervention; chronic disease; palliative patients ABSTRAK Perawatan paliatif diperlukan untuk pasien dengan penyakit kronis terminal untuk meningkatkan kualitas hidup mereka. Mayoritas pasien di unit perawatan paliatif mengalami stres, tidak hanya secara fisik tetapi juga secara spiritual. Studi ini dilakukan dengan tujuan untuk mengetahui intervensi dalam mengatasi distress spiritual pada pasien dengan penyakit kronis dan perawatan paliatif. Studi ini merupakan scoping review, dengan melibatkan sumber-sumber data yaitu PubMed, CINAHL, SAGE Journals dan Google Scholar. Review. Artikel dibatasi yang diterbitkan dalam bahasa Inggris atau Indonesia dalam lima tahun terakhir (2017-2022) dengan rancangan randomized control trial, clinical trial, quasi-experiment, atau case study. Kata kunci yang dugunakan dalam pencarian adalah (terminal ill OR chronically ill OR palliative patient) AND (intervention OR therapy OR care) AND (spiritual distress OR existential distress OR spiritual well being) dalam Bahasa Inggris dan (penyakit terminal ATAU penyakit kronis ATAU pasien paliatif) DAN (intervensi ATAU terapi) DAN (distres spiritual ATAU kesejahteraan spiritual) DAN (dampak ATAU efek ATAU berdampak ATAU pengaruh) dalam Bahasa Indonesia. Hasil studi menunjukkan bahwa dari 8 artikel relevan yang ditinjau, didapatkan hasil intervensi yang dapat digunakan untuk mengatasi distress spiritual adalah meditasi (mindfulness dan meditasi Nama Tuhan), intervensi berbasis agama, konseling, life review, dan individual meaning centered psychotherapy. Selanjutnya disimpulkan bahwa terdapat berbagai intervensi yang mampu meminimalisir terjadinya distress spiritual yang disesuaikan dengan kondisi, agama serta keyakinan yang dianut.Kata kunci: distres spiritual; intervensi; penyakit kronis; pasien paliatif
EVIDENCE-BASED NURSING FOR PREVENTION AND MANAGEMENT OF DELIRIUM IN PATIENTS UNDERGOING CARDIAC SURGERY: CASE STUDIES Fitri, Siti Ulfah Rifa'atul; Maneewat, Khomapak; Herliani, Yusshy Kurnia; Harun, Hasniatisari
Medical-Surgical Journal of Nursing Research Vol. 2 No. 1 (2023): Medical-Surgical Journal of Nursing Research
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v1i2.20

Abstract

Delirium management is critical to lowering the risk for patients as well as health care providers, such as a nurse who takes complete care of the patient and plays an important role in delirium prevention from the start of post-operative care until the patient is transferred to the ward and then discharged. The purpose of this study was to examine the usefulness of instruments for screening delirium in patients undergoing cardiac surgery as well as the effectiveness of evidence-based nursing interventions for delirium prevention and management in cardiac surgery patients. This study used a case study design with five hospitalized patients who had cardiac surgery, including patients admitted 1-2 days before or within 7 days of the procedure. Based on NICE guidelines, the authors provided data collection methods for screening for delirium and intervention for delirium prevention and management in patients following cardiac surgery. According to data acquired from five responders, two patients in the high-risk age group are already in the delirium phase, while the other three patients have not shown delirium postoperatively. The most typical intervention in all cases is re-orientation and immobility (use cardiac rehabilitation), as well as basic communication. This study attempted to integrate three screening measures for delirium, then evaluated and compared the findings to see if the patient received the same or a different score on each instrument.
Telehealth Potential to Optimize Self-Management, Education, and Support for Diabetes Mellitus Patients during COVID-19 Pandemic Melati, Azalia; Mulyani, Santi; Agustin, Amellia; Rifa'atul Fitri, Siti Ulfah
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 2 (2022): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i2.557

Abstract

Background: The limited physical interaction policy during the COVID-19 pandemic and concerns of DM patients visiting healthcare facilities cause routine visits delays, treatment discrepancies, and ineffective health education. Telehealth can provide DM patients convenience of self-management during pandemics. Objective: This review aims to discover the potential use of telehealth to optimize Self-Management, Education, and Support for DM patients during the COVID-19 pandemic. Method: Rapid review has been done by conducting a systematic search on five databases: PubMed, EBSCO-host Academic Science Completed, ScienceDirect, Sage Journals, and Taylor and Francis. The articles have been identified through the following criteria: the year of publication is at most two years old (2019-2021), the research design used is strictly Randomized Control Trial and Quasi Experiment, and the published language must be English. Results: It was found that some telehealth-based interventions, such as remote monitoring of independent blood glucose levels, education through text messaging, telephone, and Technological Surrogate Nursing (TSN), can effectively facilitate self-management of patients with diabetes. The main features mentioned are reminders, automatic data processing systems, education in the form of modules and videos, and call center services for regular follow-ups. Telehealth is an online-based health service that has the potential to optimize the self-management of DM patients.
Health Education in Prevention of Non-Communicable Diseases among Elderly Fitri, Siti Yuyun Rahayu; Rifa’atul Fitri, Siti Ulfah; Nurhamsyah, Donny
Media Karya Kesehatan Vol 8, No 1 (2025): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v8i1.59663

Abstract

Pangandaran is an expansion area of Ciamis Regency, officially established based on Law Number 21 of 2012. Various efforts have been and are being made to achieve progress in line with the mission, vision, and objectives of Pangandaran Regency. Community service, which can serve as a foundation for sustainable regional development, can be directed towards efforts to improve the quality of life of the community from an early stage. The quality of life in elderly is an indicator of the lifestyle a person has led throughout their life. Existing health conditions show that the elderly are vulnerable to non-communicable diseases, with limited access to healthcare services. This community service aims to provide education to the elderly about the prevention of non-communicable diseases and conduct health screenings, including blood pressure, blood sugar, uric acid, and cholesterol tests. The method used was a situational analysis and interactive lectures for the elderly. The activity evaluation uses pretest and posttest analysis. The results show that in the situational study phase, the community was unaware of the prevention and management of non-communicable diseases. After the education, there was an improvement in understanding, reflected by an increase in scores of 0.98, with an average pretest score of 7.34 ± 0.99 and a posttest score of 8.32 ± 0.97. This founding stated there is differences between knowledge before and after education.Keywords: Elderly, healt education, non-communicable diseases.
Pemanfaatan Digitalisasi "HealthTech" dalam Pengolahan Pangan : Solusi Inovatif Menu Sehat Mencegah Stunting di Desa Kertayasa Kab.Pangandaran Sitio, Nurul Mardhiah; Yuniarti, Endah; Fauzan, Farisadri; Rifa`atul Fitri, Siti Ulfah
Farmers: Journal of Community Services Vol 6, No 2 (2025): Farmers: Journal of Community Services
Publisher : Unpad Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/fjcs.v6i2.65735

Abstract

Digitalisasi HealthTech menawarkan solusi inovatif untuk mengatasi stunting, masalah kesehatan masyarakat signifikan yang masih tinggi di Indonesia, termasuk Desa Kertayasa, Pangandaran, akibat kurangnya pengetahuan gizi dan pemanfaatan pangan lokal. Program pengabdian ini bertujuan memanfaatkan digitalisasi HealthTech, khususnya platform Wehale, dalam pengolahan pangan untuk menciptakan menu sehat guna mencegah stunting di Desa Kertayasa. Metode partisipatif diterapkan melalui tahap persiapan, pra-pelaksanaan (pembekalan tim, pengembangan modul), dan pelaksanaan (sosialisasi stunting, gizi seimbang, dan pengenalan platform Wehale). Hasilnya menunjukkan peningkatan signifikan pengetahuan masyarakat tentang gizi (rata-rata skor post-test meningkat 35%) dan keterampilan mengolah pangan lokal menjadi menu sehat. Pemanfaatan platform Wehale dan grup WhatsApp edukasi berhasil meningkatkan literasi digital dan memfasilitasi pendampingan berkelanjutan. Simpulan menunjukkan integrasi HealthTech efektif dalam edukasi gizi dan pengolahan pangan di komunitas pedesaan, memberdayakan masyarakat, dan mengatasi keterbatasan edukasi konvensional. Tindak lanjut program ini adalah mendorong keberlanjutan pemanfaatan teknologi untuk pencegahan stunting dan mengembangkannya ke daerah lain.
ANALISIS KESIAPAN KESELAMATAN WISATAWAN DAN PENGELOLA PANTAI PANGANDARAN BERBASIS SISTEM INFORMASI GEOGRAFIS PARIWISATA Nurhamsyah, Donny; Fitri, Siti Yuyun Rahayu; Putra, Pringgo Kusuma Dwi Noor Yadi; Maryam, Nenden Nur Asriyani; Fitri, Siti Ulfah Rifaatul
DHARMAKARYA: Jurnal Aplikasi Ipteks untuk Masyarakat Vol 14, No 1 (2025): Dharmakarya Maret 2025
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/dharmakarya.v14i1.52501

Abstract

Pantai Pangandaran merupakan destinasi wisata unggulan yang ramai dikunjungi wisatawan untuk menikmati keindahan alam serta kuliner laut khasnya. Namun, tingginya intensitas kunjungan menghadirkan tantangan serius dalam hal keselamatan. Program ini bertujuan untuk merancang dan mengimplementasikan Sistem Informasi Geografis (SIG) berbasis keperawatan pariwisata sebagai platform yang mendukung informasi keselamatan wisata secara komprehensif di Pantai Pangandaran. Metode yang digunakan dalam penelitian ini meliputi survei awal guna mengidentifikasi kondisi keselamatan di pantai, pengembangan rencana dan desain SIG, serta peningkatan kapasitas melalui pelatihan keselamatan bagi pengelola dan wisatawan. Pada tahun pertama, fokus kegiatan diarahkan pada pengumpulan data di lapangan dan pembuatan prototipe SIG dalam bentuk website yang mudah diakses oleh wisatawan dan pengelola. Website ini diharapkan dapat berfungsi sebagai pusat informasi terkait potensi risiko, langkah keselamatan, dan peta lokasi aman di kawasan pantai. Pengembangan ini direncanakan untuk dilanjutkan dengan transformasi SIG menjadi aplikasi berbasis web dan mobile yang interaktif dan dapat diakses dengan mudah. Hasil awal menunjukkan bahwa SIG berpotensi tinggi sebagai platform informasi keselamatan yang efektif, membantu wisatawan dan pengelola lebih waspada dan siap dalam menghadapi risiko. Prototipe website yang dihasilkan diharapkan mampu menjadi sumber informasi utama terkait keselamatan di kawasan wisata Pantai Pangandaran. Selain itu, dalam jangka panjang, SIG ini diharapkan dapat diadopsi oleh destinasi wisata pantai lainnya di Indonesia, sehingga turut berkontribusi pada peningkatan standar keselamatan nasional di sektor pariwisata pantai. Dengan adanya SIG berbasis keperawatan pariwisata ini, Kabupaten Pangandaran memiliki peluang untuk menjadi contoh dalam penerapan teknologi keselamatan wisata yang inovatif, memperkuat upaya perlindungan wisatawan di tingkat nasional, dan meningkatkan daya tarik wisata pantai dengan pendekatan berbasis keselamatan.
Spiritual Intelligence Among Santri Kartika, Insan Sukma; Susanti, Raini Diah; Fitri, Siti Ulfah Rifa'atul
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3677

Abstract

An islamic boarding school is a place for shaping the character of adolescents. Students who study in an islamic boarding school are called santri. However, in reality, students still experience various socio-spiritual problems. This study aims to identify the level of spiritual intelligence in adolescent students at the Baiturrahman Islamic Boarding School in Bandung Regency. The quantitative method was used with a total sampling of 118 respondents, who were adolescent students at the Baiturrahman Islamic Boarding School in Bandung Regency at the Senior High School (SMA) level. The Spiritual Intelligence Self-Report Inventory (SISRI-24) scale was used. The validity of The Spiritual Intelligence Self-Report Inventory (SISRI-24) scale was found to have a product moment correlation coefficient greater than 0.388. Additionally, the reliability of the scale was tested using cronbach's alpha, and the resulting value was 0.789. Data analysis using univariate analysis. The results showed that the level of spiritual intelligence was in the high category (58.5%). The dimensions of Personal Meaning Production (PMP), Conscious State Expansion (CSE), and Transcendental Awareness (TA) are classified in the high spiritual intelligence category with percentages of 73.7%, 56.8%, and 55.9% respectively. The Critical Existential Thinking (CET) dimension, on the other hand, is at a moderate level with a percentage of 51.7%. Various efforts that can be made to improve CET can be through resilience training, a sense of honesty, and altruism, which often contributes to the ability to think and find purpose in life, thereby forming spiritual well-being.
Comparative Study of HIV/AIDS Prevention Behaviors between Students in Schools that Do Not and Have PIK-R Nurfadila, Eva; Pratiwi, Sri Hartati; Fitri, Siti Ulfah Rifa'atul
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3761

Abstract

The Youth Information and Counseling Center (PIK-R) was formed with the aim of forming healthy behavior in teenagers to prevent an increase in the number of HIV/AIDS cases. Currently, there has been no comparative research on HIV/AIDS prevention behavior in schools that do not and do not have PIK-R. This research aims to see differences in HIV/AIDS prevention behavior between students in schools that do not and have PIK-R. This research method is descriptive comparative with a cross sectional time approach. Respondents were students of SMA Negeri 1 Pangandaran and SMK Negeri 1 Pangandaran with a sample of 95 people using the stratified sampling method. The instrument used is the Indonesian version of the Sexual Behavioral Abstine HIV/AIDS Questionnaire (SBAHAQ) which has been declared valid and reliable with a mean CVI value of 0.96 and Cronbach's Alpha values of 0.87, 0.77 and 0.85. Data analysis uses univariate and bivariate analysis. The results of the comparative test with the Mann Whitney Test obtained an asymp sig (2-tailed) value of 0.331 (>0.05). Based on the research results, it can be concluded that there is no significant difference between HIV/AIDS prevention behavior among students in schools with and without PIK-R.
INTERVENSI ELEVASI KEPALA PADA PASIEN DENGAN SPACE-OCCUPYING LESIONS (SOL) DUE TO MENINGIOMA POST OPERASI KRANIOTOMI DENGAN NYERI KEPALA: CASE REPORT Handayani, Annisa Yuniar; Fitri, Siti Ulfah Rifa’atul; Pahria, Tuti
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 3 (2024): SENTRI : Jurnal Riset Ilmiah, Maret 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i3.2429

Abstract

Space-occupying lesions (SOL) pada otak salah satunya dapat disebabkan oleh tumor otak. Pengobatan pada tumor otak yaitu operasi pengangkatan tumor dengan prosedur kraniotomi. Pasien post operasi kraniotomi dapat mengalami nyeri kepala sedang hingga berat. Memposisikan pasien elevasi kepala dapat menjadi salah satu cara dalam menurunkan nyeri kepala post kraniotomi. Tujuan: Studi kasus ini bertujuan untuk melakukan pemberian elevasi kepala pada pasien SOL supratentorial dengan convexity meningioma post operasi kraniotomi yang mengalami nyeri kepala. Metode: Metode yang digunakan yaitu case study (studi kasus) dengan pendekatan asuhan keperawatan (pengkajian, masalah keperawatan, rencana asuhan keperawatan, implementasi, dan evaluasi keperawatan). Sampel pada studi kasus ini yaitu satu pasien yang memiliki SOL supratentorial dengan convexity meningioma post kraniotomi. Hasil: Evaluasi yang didapatkan setelah pemberian intervensi elevasi kepala selama 4 hari yaitu adanya penurunan skala nyeri dari skala 6 menjadi 0 NRS (0-10) atau tidak nyeri. Kesimpulan: Tingkat nyeri kepala berkurang secara signifikan setelah diberikan intervensi elevasi kepala dengan kolaborasi pemberian ketorolac. Diharapkan studi kasus ini dapat menjadi acuan dalam penerapan elevasi kepala pada pasien dengan nyeri kepala akut post operasi kraniotomi untuk mengurangi tingkat nyeri kepala.
Co-Authors Aat Sriati Agustin, Amellia Alexander M. A. Khan Aliyah, Ira Nur Andang Cahyadi Anita Setyawati Annisa Yuniar Handayani Asri Wulansari, Asri Baiq Emi Nurmalisa Bambang Aditya Nugraha Cecep Eli Kosasih Cepi Restiadi Chandra Isabella Hostanida Purba Chyntia, Meideline Chyntia Deasy Silvya Sari Devi Anggraeni Diana Maljuliani Donny Nurhamsyah Donny Nurhamsyah ENDAH NESTITI URIP RAHAYU Endah Yuniarti, Endah Esoh, Nahyeni Bassah Farisadri Fauzan Fauziah, Oktaviani Fauziah Firmansyah Danukusumah Hadi Suprapto Arifin Hana Rizmadewi Agustina Handayani, Annisa Yuniar Hartiah Haroen Harun, Hasniatisari Harun, Hasniatisari Hasniatisari Harun Hasniatisari Harun Hesti Platini Inggriane Puspita Dewi, Inggriane Puspita Irman Somantri Iwan Shalahuddin Janah, Syahratul Karina, Grashiva Putri Karisa, Putri Karisa Kartika, Insan Sukma Kaysa Refapriliana Khoerunnissa Khoerunnissa Khoirunnisa Khoirunnisa Khoirunnisa Khoirunnisa Khoirunnisa Khoirunnisa Khomapak Maneewat Kurniawan Kurniawan Kurniawan Kurniawan Kusman Ibrahim Laili Rahayuwati Lauren, Sherie Meiza Dania Marya, Nenden Nur Asriyani Maziyya, Nur Melati, Azalia Mufaj, Elda Nurfadila Muhamad Zulfatul A’la Mulyani, Santi Nenden Nur Asriyani Maryam Novia Yulianti Nurani Khoerunnisa Nurfadila, Eva Nurmansyah, Donny Nursiswati Pamela Utami Pradnya Paramarta Raditya Rendra Pringgo Kusuma Dwi Noor Yadi Putra Puput Nugraha Putri Rizki Ma’rifati Rukmini Raini Diah Susanti Redita Aida Suryadi Ristina Mirwanti, Ristina Rochmawati, Erna Rochmawati Ryzka Fridelia Suhendar Sandra Pebrianti Santi Rukminita Anggraeni, Santi Rukminita Setiawan Setiawan Siti Yuyun Rahayu Fitri Sitio, Nurul Mardhiah Sri Hartati Pratiwi Sri Hendrawati Taty Hernawaty Titis Kurniawan Tuti Pahria Widayat, Ahmad Yanti Rubiyanti Yuni Nur'aeni Yusshy Kurnia H Yusshy Kurnia Heliani Yusshy Kurnia Herliani Yusshy Kurnia Herliani Yusshy Kurnia Herliani Yusshy Kurnia Herliani, Yusshy Kurnia Zahra Siti Hanifah