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Integrating the MERDEKKA Intervention into Palliative Care for Tuberculosis Patients: A Mixed-Methods Study Astuti, Ni Luh Seri; Rismayanti, I Dewa Ayu; Pratama, Aditha Angga
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64523

Abstract

Introduction: In Indonesia, pulmonary tuberculosis causes more than 95% of mortality. WHO has established a target for treating tuberculosis that is aligned with Asta Cita 4, which specifies that Indonesia would be TB-free by 2030. Palliative care does not only mean end-of-life care. Methods: mixed methods sequential explanatory design. Quantitative data was first collected using a one-group pre- and post-test design, and the qualitative analysis using in depth interview. Merdekka Intervention using RESPECT instrument and 80 sample in pre post test. also 15 participant to explore the experience after doing MERDEKKA intervention. Result: The majority of respondents (35.8%) were aged 62 to 72, largely male (96.1%), and had completed junior high school (43.5%). The majority of respondents were farmers (48.7%), had tuberculosis in their family (96.1%), and had been on treatment for at least 6 months. The MERDEKKA intervention had a substantial impact on TB patients' knowledge and attitudes, with a p-value of 0.001 for knowledge and 0.003 for attitudes. The effect size value was larger than 1.0, indicating a very powerful influence. Patients' experiences after the MERDEKKA intervention are described in three themes: Developing good trust between the patient and the nurse, providing proper and necessary care, and being enthusiastic about healing within six months Conclusion: The palliative care model, including the MERDEKKA intervention, is critical in the care of TB patients. Even though it is not in the terminal phase, its presence in the initial phase of therapy can improve the patient's health in all aspects of need.
PENERAPAN TERAPI AKUPUNTUR TERHADAP PENURUNAN SKALA NYERI PASIEN MYALGIA DI POLIKLINIK KESEHATAN TRADISIONAL RSUD BALI MANDARA Widiadnyana, Putu Diva Andika; Pratama, Agus Ari; Pratama, Aditha Angga
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.53110

Abstract

Myalgia atau yang biasa dikenal sebagai nyeri otot adalah perasaan tidak nyaman atau nyeri tajam yang disebabkan oleh ketegangan pada otot. Pada pasien dengan myagia biasanya sering ditemukan keluhan nyeri, pegal , dan kaku pada anggota tubuhnya. Untuk mengatasi masalah tersebut dapat diberikan terapi non farmakologis yaitu terapi akupuntur, terapi Terapi ini bekerja melalui mekanisme refleks kutaneosomatik yang membantu merelaksasi otot, meningkatkan perfusi jaringan, serta memicu pelepasan endorfin yang berperan dalam menurunkan sensasi nyeri dan proses inflamasi. Penelitian ini bertujuan untuk menjelaskan asuhan keperawatan komplementer dengan masalah keperawatan utama yaitu nyeri akut pada pasien dengan penerapan terapi akupuntur. Pada penelitian ini menggunakan metode rancangan penelitian deskriptif dalam bentuk studi kasus dengan jumlah sampel 3 pasien, yang mengidentifikasi suatu masalah asuhan keperawatan nyeri akut pada pasien myalgia. Hasil analisis praktek klinik keperawatkan didapatkan setelah dilakukan penerapan terapi akupuntur, bahwa dari 3 pasien tersebut ditemukan perbedaan yang signifikan antara sebelum diberikan terapi akupuntur dengan sesudah diberikan terapi akupuntur. Sebelum diberikan intervensi, Tn. J, Ny. R, dan Tn. W mengeluh nyeri dengan skala nyeri (4, 4, 3), dan sesudah diberikan intervensi berupa terapi akupuntur selama 15 menit dan dievaluasi setelah 1 jam, skala nyeri pada Tn. J, Ny. R, dan Tn. W berkurang menjadi (3,3,3) dengan kategori nyeri ringan. Maka dapat disimpulkan Penerapan Terapi Akupuntur efektif menurunkan skala nyeri pada pasien dengan Myalgia.
Efektifitas Pemberian Intervensi Terapi Bekam Terhadap Penurunan Tingkat Nyeri Pada Pasien Dengan Gout Arthritis Di Praktek Mandiri Perawat Dawan Usadha Widiani Sari, Kadek; Pratama, Aditha Angga; Martini, Made
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakakeperawatan.v4i2.1571

Abstract

Gout arthritis is a joint inflammation caused by the accumulation of monosodium urate crystals, which triggers severe pain, swelling, redness, and limited movement. This condition can reduce quality of life and interfere with daily activities. One of the commonly used non-pharmacological therapies to help reduce pain intensity is cupping therapy, which works by improving microcirculation, removing stagnant blood, and decreasing inflammatory mediators. This study aims to describe complementary nursing care with the main problem of acute pain in patients with gout arthritis through the implementation of cupping therapy interventions. This research employed a descriptive analytical design using a case study method involving three gout arthritis patients who received cupping therapy once a week for three weeks. The instruments used included nursing care formats, observation sheets, physical examination, and pain intensity measurement using the Numeric Rating Scale (NRS). The implementation of cupping therapy showed a reduction in pain levels in all patients, where Mrs. W experienced a decrease from a pain score of 5 to 3, Mrs. D from 5 to 2, and Mrs. A from 5 to 3 after three sessions. Patients also reported feeling more relaxed and comfortable following the therapy. These results indicate that cupping therapy is effective in helping to reduce pain intensity in patients with gout arthritis.
TERAPI AKTIVITAS SOSIAL MENURUNKAN KECEMASAN LANSIA DI PANTI SOSIAL TRESNA WERDHA JARA MARA PATI Aditha Angga Pratama; Putu Indah Sintya Dewi; Putu Agus Ariana
HealthCare Nursing Journal Vol. 4 No. 2 (2022): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v4i2.2312

Abstract

Kecemasan pada lansia sering terjadi dan menjadi permasalahan umum, namun jika lansia terus mengalami kecemasan maka akan berkembang menjadi depresi yang akan mempengaruhi kualitas hidup lansia. Sehingga agar lansia tidak mengalami kecemasan yang berujung pada depresi perlu adanya terapi komplementer yang dilakukan untuk menurunkan kecemasan dan kualitas hidup lansia meningkat. Tujuan dari penelitian ini adalah untuk menganalisis perbedaan kecemasan sebelum dan sesudah diberikan terapi aktivitas social. Metode penelitian menggunakan jenis kuantitatif dengan desain pre-post test only, sampel yang digunakan adalah lansia di Panti Werdha Jara Mara Pati sebanyak 36 responden. Instrumennya menggunakan kuesioner dimana responden diberikan kuesioner sebelum pemberian terapi dan sesudah pemberian terapi. Selanjutnya melakukan analisis paired t-test. Hasilnya bahwa terdapat perbedaan kecemasan sebelum dan sesudah diberikan terapi aktivitas kelompok dengan nilai p 0,001. Kesimpulannya bahwa terdapat perbedaan kecemasan lansia sebelum dan sesudah diberikan terapi aktivitas social
Berat Badan Lahir Rendah Berhubungan Dengan Kejadian Asfiksia Pada Bayi Di RSU Kerta Usadha Aditha Angga Pratama; Putu Wahyu Sri Juniantari Sandy
HealthCare Nursing Journal Vol. 5 No. 1 (2023): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i1.2874

Abstract

Kematian bayi menjadi salah satu target SGDs yang harus diturunkan. Tingginya angka kematian bayi baru lahir disebabkan salah satunya karena Asfiksia dan Berat badan lahir rendah (BBLR). Tujuan penelitian ini adalah untuk menganalisis hubungan berat badan lahir rendah dengan kejadian asfiksia pada bayi baru lahir. Metode penelitian menggunakan kuantitatif dengan pendekatan cross sectional. Populasinya adalah Ibu bersalin di Kerta Usadha dalam rentang waktu Januari-Pebruari 2022 dengan jumlah sampel sebanyak 33 responden. Selanjutnya teknik sampling menggunakan purposive sampling. Instrumen yang digunakan adalah kuesioner mengenai karakteristik dan lembar observasi berat badan lahir serta kejadian asfiksia pada bayi. Hasil yang ditemukan dengan analisis fisher exact dua arah adalah signifikan secara statistik dengan nilai p (0,002 95% CI 1,17-3,01). Nilai OR : 1,87. Kesimpulannya bahwa terdapat hubungan berat badan lahir rendah dengan kejadian asfiksia di RSU Kerta Usadha.
Differences of Pain among Children During Infusion in Buleleng Regency Putu Wahyu Sri Juniantari Sandy; Aditha Angga Pratama
HealthCare Nursing Journal Vol. 5 No. 2 (2023): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i2.3418

Abstract

Pain in children with treatment or management in the hospital is very common. Especially when seen when rehydrating children with infusions, almost all children are anxious, scared and crying. The purpose of this study was to see the difference in pain during infusion between those who were given the distraction of watching cartoons and those who were given conventional methods. Quantitative research method with quasi-experimental design. The sample used in the treatment and control groups was 34 respondents. The instrument uses a FLACC (Face, Legs, Activity, Cry and Consolability) pain scale sheet. Analysis using the Independent T-Test. The result is that there is a significant difference in pain from the treatment group to the control with a p value <0.005.
COMPLEMENTARY NURSING COMMUNITY SERVICE OF STIKES BULELENG, POLTEKKES DENPASAR, AND UNIVERSITY OF FORT DE KOCK BUKITTINGGI IN KLUNGKUNG, BALI I Wayan Antarikswan; I Made Sundayana; I Dewa Ayu Rismayanti; Gede Budi Widiarta; Made Yos Kresnayana; Gede Ivan Kresnayana; Ni Made Dwi Yunica Astriani; Ni Putu Indah Sintya Dewi; Mochamad Heri; G. Nur Widya Putra; I Kadek Yudi Aryawan; Aditha Angga Pratama; Made Martini; Agus Ari Pratama; Ni Ketut Putri Marthasari; Putu Wahyu Sri Juniantari Sandy; Ni Luh Linda Ayuni Tania; Luh Seri Astuti; I Wayan Suardana; Yelmi Reni Puteri; Ni Putu Diah Ayu Rusmeni
Jurnal Pengabdian Masyarakat Sundaram Vol. 3 No. 1 (2025): JPMS
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/jpms.v3i1.63

Abstract

High blood pressure, better known as hypertension, is now a global health problem of increasing concern. This disease is included in the list of the ten leading causes of death worldwide, and each year claims many lives. Therefore, effective prevention and treatment measures are urgently needed to address hypertension worldwide. A preliminary study conducted in Dawan Village revealed 60 cases of hypertension in the past six months. Based on these initial findings, researchers were motivated to conduct further research on how wet cupping therapy can help lower cholesterol levels and blood pressure in hypertensive patients in Dawan Village. This initiative was welcomed by the residents of Dawan Kaler Village, located in Klungkung Regency, Bali Province. The goal is to provide the Dawan Kaler community with sufficient knowledge on how to manage hypertension and control their cholesterol levels. This community service program is expected to increase awareness and understanding of hypertension among Dawan Kaler residents, as well as the benefits of cupping therapy in lowering blood pressure and cholesterol.