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Nursing Care of Premature Rupture of Membranes in Pregnancy: Roy Adaptation Model Restuning Widiasih; Mira Trisyani; Ida Maryati; Yanti Hermayanti
Journal of Maternity Care and Reproductive Health Vol 1, No 1 (2018): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Premature rupture of membranes (PROM) is a condition associated with spontaneous rupture of the amniotic membranes before any signs of the active labour. It increases the risk of complications on maternal and foetal health. In preventing various complications that would arise due to PROM, nurses should apply an appropriate nursing theories or models in developing the nursing care plan. Nursing theories and conceptual models are the nursing knowledge that organize nursing activities, and guide nurses in research, practice, education, and management. However, in Indonesia, nursing models have rarely been used by nurse practitioners and researchers including in the perinatal periods. The aim of this article was to determine the application of Roy’s adaptation theory in the premature rupture of membranes cases. This study was a case study design. There were 5 pregnant women participate in this study. The results showed that the assessment based on the two adaptation model approaches applied in this study, six nursing diagnosis were identified, and all nursing care plan had implemented. The concept of adaptation was appropriate in helping patient with premature rupture of membranes. However, the social aspect related to the client's cultural practices were not describe clearly. Combining two or more theories in a nursing care plan would benefit to mothers and their babies’ health and welfare. Keywords: Nursing theories, Premature rupture of membranes, pregnancy, complications

UNINTENDED PREGNANCY: KNOWLEDGE AND ATTITUDE OF YOUNG ADOLESCENT Nurina Sari Supriatna; Restuning Widiasih; Mira Trisyani
Journal of Maternity Care and Reproductive Health Vol 2, No 2 (2019): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Unintended Pregnancy (KTD) is one of the adolescent health problems as the number has increased annually and impacted to adolescent, physically and psychologically. Many studies assessed adolescents' knowledge of KTD in middle and late adolescent groups. However, the study that assesses early adolescents (12-15 years) about KTD are limited. The aim of this study was to examine early adolescent knowledge and attitudes about KTD. This research was quantitative descriptive research. This study involved 373 female students in Jatinangor, West Java. Data were collected by a questionnaire that assessed adolescents' knowledge and attitude of KTD and were analyzed using statistical analysis. Results showed that teenagers' knowledge of KTD was good, and their attitudes towards KTD showed a conative attitude, adolescents have carried out behavior that might cause of KTD. Early adolescents have good knowledge about KTD, however, they knew risky behavior may happen to them. It is necessary to increase early adolescents’ awareness of KTD. Keywords: adolescence, attitude, knowledge, unintended pregnancy.

Latihan Kegeldan Nyeri Saat Berhubungan Seksual pada Perempuan Pasca Terapi Kanker Dewi Puspasari; Mira Trisyani; Restuning Widiasih
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Efek samping radioterapi adalah pemendekan dan pengeringan vagina yang menyebabkan nyeri saat melakukan hubungan seksual (dispareunia). Hal ini mengakibatkan gangguan fungsi seksual yaitu keinginan, gairah, orgasme, dan kepuasan. Penelitian ini bertujuan untuk melihat efektivitas latihan kegeldalam mengatasi keluhan nyeri saat berhubungan seksual pada perempuan pasca terapi kanker serviks. Penelitian ini menggunakan desain penelitian kuasi eksperimen dengan jumlah responsden 26 orang kelompok intervensi dan 26 orang kelompok kontrol pada perempuan setelah radioterapi. Tingkat nyeri dalam penelitian ini diukur dengan Female Sexual Function Index (FSFI). Pengaruh latihankegelterhadap nyeri diuji dengan t-tes. Hasil penelitian menunjukkan adanya perbedaan yang bermakna pada kedua kelompok dengan nilai p=0.002. Latihan kegel terbukti menurunkan nyeri saat berhubungan seksual (dispareunia) sebanyak 3,897 kali (OR=3,897). Berdasarkan hasil penelitian ini, perawat diharapkan dapat memberikan intervensi latihan kegeluntuk menurunkan nyeri pasca terapi kanker serviks.Kata kunci:Dispareunia, latihan kegel, pasca terapi kanker serviks AbstractRadiotherapy for cervical cancer has side effects which cause the vagina become smaller and drier so that it could reduce the flexibility and lubrication of the vagina. These side effects could change the sexual functions, which is pain during sexual intercourse. This study proves the effectiveness of Kegel exercises to overcome pain during sexual intercourse (dyspareunia) for the women after a cervical cancer therapy. Method The Quasi-experimental was conducted to 26 intervention group and 26 control group. The sampling technique used consecutive sampling method. FSFI (Female Sexual Function Index) were obtained in order to measure dyspareunia. A t-test was used to examine differences between two groups. Result findings The Kegel exercises gave a significant changing of dyspareunia level with p value=0,002. There was significance difference of dyspareunia level between intervention and control groups. Kegel exercises provided opportunies to decrease dyspareunia as much as 3,897 times (OR=3,897). Conclusion The Kegel exercises are proved to reduce effectively to solve dyspareunia for women after a cervical cancer therapy. Nursing role are to promote, prevent and rehabilitate (health education, Kegel exercises sosialization, and health care training) the complaint of women after cervical cancer therapy as an effort to improve health status of women with cervical cancer.Key words:After cervical cancer therapy, dyspareunia, kegel exercises

Process Evaluation: Standard, Effectiveness, Efficiency and Sustainability of Maternity Nursing Care Laili Rahayuwati; Ermiati E; Mira Trisyani
Jurnal Keperawatan Padjadjaran Vol. 4 No. 2 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Although globally there is a change in the trend of epidemiology from infectious diseases to chronic diseases, the prevalence and incidence of infectious diseases as well as MMR (Maternal Mortality Rate) and IMR (infant mortality rate) in Indonesia is still high. In year 2000, Faculty of Nursing of the Universitas Padjadjaran in collaboration with Hasan Sadikin Hospital built a model of treatment room, which was affiliated with obstetric gynecology room for improving integrated quality of health care services and education. The model built in this room aimed to : 1) Improve the quality of health care service; 2) to develop the student’s experiences with patients; 3) Provide quality nurse education to support students; 4) encourage students to improve the results of clinical prctice. The objective of process evaluation in this study was to give an insight to an appropriate model for maternity nursing service. This results showed on the one hand , there are some records not yet achieved an ideal standard , lack of effectiveness and efficiency of care delivery, namely: 1 ) the ratio of midwives and patients are not ideal ; 2 ) No one consultant obstetrician gynecologist and one doctor for every room . As well as challenges to sustainability care that meets the standards of maternity care. Conclusion: this study recommends to take a comprehensive strategic planning for improving nursing and midwifery services that involve all relevant stakeholders in the government, civil society, service delivery, education, and professional organizations.Keywords:Effectiveness, efficiency, evaluation, maternity nursing care, standard.Proses Evaluasi: Standar, Efektifitas, Efisiensi, dan Keberlangsungan Pelayanan Keperawatan MaternitasAbstrakMeskipun secara global ada perubahan dalam tren epidemiologi dari penyakit menular ke penyakit kronis, prevalensi dan insiden penyakit menular serta MMR (Angka Kematian Ibu) dan AKB (angka kematian bayi) di Indonesia masih tinggi. Tahun 2000, Fakultas Keperawatan Unpad bekerja sama dengan Rumah Sakit Hasan Sadikin, Bandung membangun sebuah model dari ruang perawatan, yang berafiliasi dengan ruang obstetrik ginekologi. Model yang dibangun tersebut bertujuan untuk; 1) meningkatkan kualitas pelayanan kesehatan; 2) pengembangan pengalaman mahasiswa dengan pasien; 3) penyediaan pendidik perawat yang berkualitas untuk mendukung mahasiswa; 4) mendorong mahasiswa untuk meningkatkan hasil praktek klinis. Tujuan dari penelitian ini adalah memberikan informasi dan evaluasi tentang standar, efektifitas, efisiensi, dan keberlangsungan (sustainaibility) pelayanan keperawatan maternitas. Hasil penelitian menunjukkan: di satu sisi, ada beberapa catatan tidak belum tercapainya standar ideal, kurang efektivitas dan efisiensi perawatan persalinan, yaitu: 1) rasio bidan dan pasien tidak ideal; 2) ada satu konsultan ginekolog obstetri dan satu dokter untuk setiap kamar. Serta tantangan terhadap keberlangsungan asuhan perawatan maternitas yang memenuhi standar. Kesimpulan: Penelitian ini merekomendasikan untuk mengambil perencanaan strategis yang komprehensif untuk meningkatkan pelayanan keperawatan dan kebidanan yang melibatkan semua pihak terkait di pemerintah, masyarakat sipil, pelayanan, pendidikan, dan organisasi profesiKata kunci:Asuhan keperawatan maternitas, efektifitas, efisiensi, evaluasi, standar

GAMBARAN PENGETAHUAN, SIKAP, DAN KELUHAN TENTANG MENSTRUASI DIANTARA REMAJA PUTERI Tetti Solehati; Mira Trisyani; Cecep Eli Kosasih
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 4 No. 2 (2018): JURNAL KEPERAWATAN KOMPREHENSIF (COMPEREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Latar Belakang: Menstruasi merupakan hal yang biasa terjadi pada perempuan yang sudah memasuki masa remaja remaja. Sebagian remaja memiliki keluhan-keluhan saat menstruasi terjadi. Tujuan penelitian untuk mengetahui gambaran pengetahuan, sikap dan keluhan remaja puteri mengenai menstruasi. Metode: Desain penelitian deskriptif kuantitatif.. Jumlah sampel sebanyak 100 santriwati. Penelitian dilakukan di pondok pesantren Al-Musaddadiyah Garut pada tahun 2017. Instrumen yang digunakan terdiri dari data keluhan saat menstruasi, pengetahuan, dan sikap yang dibuat berdasarkan referensi terkait dan telah dilakukan uji konten dan uji reabilitas serta uji validitas. Data dianalisis dengan analisis univariat. Hasil penelitian menunjukan bahwa lebih dari setengah responden sebanyak 69 orang (69%) mengalami keluhan pegal dan sebagian responden sebanyak 56 orang (56 %) mengalami dismenorhoe saat menstruasi.Pada variabel pengetahuan dan sikap tentang perawatan saat menstruasi ditemukan bahwa semua responden sebanyak 100 orang (100%) berpengetahuan buruk dan sebagian besar responden sebanyak 78 orang (78%) memiliki sikap tidak mendukung terhadap perawatan saat menstruasi . Kesimpulan: para remaja cenderung mengalami keluhan saat menstruasi, serta memiliki pengetahuan buruk dan sikap tidak mendukung tentang perawatan saat menstruasi.

TINGKAT USABILITAS DAN KEPUASAN EVERNOTE SEBAGAI PLATFORM E-LEARNING UNTUK MATA KULIAH ILMU DASAR KEPERAWATAN DI FAKULTAS KEPERAWATAN UNIVERSITAS PADJADJARAN Ryan Hara Permana; Irfan Ardiansah; Dian Adiningsih; Mira Trisyani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 4 No. 2 (2018): JURNAL KEPERAWATAN KOMPREHENSIF (COMPEREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Evernote adalah aplikasi yang dapat digunakan sebagai platform e-learning alternatif untuk pendidikan tinggi. Namun, belum diketahui tingkat usabilitas dan kepuasannya pada pendidikan keperawatan di Indonesia. Penelitian ini menginvestigasi tingkat usabilitas dan kepuasan Evernote sebagai platform e-learning. Metode yang digunakan adalah survei menggunakan kuesioner dengan teknik purposive sampling. Responden adalah 139 mahasiswa Fakultas Keperawatan, Universitas Padjadjaran yang mengikuti online course Ilmu Dasar Keperawatan versi trial. Data tendensi sentral (mean) dianalisis untuk setiap item dan setiap kategori. â€˜Rerata usabilitasâ€™ dan kepuasan terhadap â€˜desainâ€™ dinilai cukup baik (69,2% dan 77%), namun kategori â€˜reliabitas sistemâ€™, dan â€˜hasil dan penggunaan di masa depanâ€™ masih dinilai rendah (56,5% dan 56,4%). Ini menunjukkan bahwa aplikasi Evernote diminati oleh mahasiswa namun mereka belum dapat melihat kemanfaatannya dalam belajar karena penelitian dilakukan pada mata kuliah online versi trial. Penelitian lebih lanjut diperlukan dengan implementasi Evernote pada mata kuliah yang terintegrasi dengan kurikulum, dan didukung dengan tahap persiapan yang komprehensif.

Latihan Kegeldan Nyeri Saat Berhubungan Seksual pada Perempuan Pasca Terapi Kanker Dewi Puspasari; Mira Trisyani; Restuning Widiasih
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v1i1.50

Efek samping radioterapi adalah pemendekan dan pengeringan vagina yang menyebabkan nyeri saat melakukan hubungan seksual (dispareunia). Hal ini mengakibatkan gangguan fungsi seksual yaitu keinginan, gairah, orgasme, dan kepuasan. Penelitian ini bertujuan untuk melihat efektivitas latihan kegeldalam mengatasi keluhan nyeri saat berhubungan seksual pada perempuan pasca terapi kanker serviks. Penelitian ini menggunakan desain penelitian kuasi eksperimen dengan jumlah responsden 26 orang kelompok intervensi dan 26 orang kelompok kontrol pada perempuan setelah radioterapi. Tingkat nyeri dalam penelitian ini diukur dengan Female Sexual Function Index (FSFI). Pengaruh latihankegelterhadap nyeri diuji dengan t-tes. Hasil penelitian menunjukkan adanya perbedaan yang bermakna pada kedua kelompok dengan nilai p=0.002. Latihan kegel terbukti menurunkan nyeri saat berhubungan seksual (dispareunia) sebanyak 3,897 kali (OR=3,897). Berdasarkan hasil penelitian ini, perawat diharapkan dapat memberikan intervensi latihan kegeluntuk menurunkan nyeri pasca terapi kanker serviks.Kata kunci:Dispareunia, latihan kegel, pasca terapi kanker serviksÃ‚Â AbstractRadiotherapy for cervical cancer has side effects which cause the vagina become smaller and drier so that it could reduce the flexibility and lubrication of the vagina. These side effects could change the sexual functions, which is pain during sexual intercourse. This study proves the effectiveness of Kegel exercises to overcome pain during sexual intercourse (dyspareunia) for the women after a cervical cancer therapy. Method The Quasi-experimental was conducted to 26 intervention group and 26 control group. The sampling technique used consecutive sampling method. FSFI (Female Sexual Function Index) were obtained in order to measure dyspareunia. A t-test was used to examine differences between two groups. Result findings The Kegel exercises gave a significant changing of dyspareunia level with p value=0,002. There was significance difference of dyspareunia level between intervention and control groups. Kegel exercises provided opportunies to decrease dyspareunia as much as 3,897 times (OR=3,897). Conclusion The Kegel exercises are proved to reduce effectively to solve dyspareunia for women after a cervical cancer therapy. Nursing role are to promote, prevent and rehabilitate (health education, Kegel exercises sosialization, and health care training) the complaint of women after cervical cancer therapy as an effort to improve health status of women with cervical cancer.Key words:After cervical cancer therapy, dyspareunia, kegel exercises

A Scoping Review of Factors Associated with Self-Management Among Patients with Breast Cancer Ruth Jamlaay; Restuning Widiasih; Mira Trisyani
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.679

Self-management in patients with breast cancer plays an essential role in improving the quality of life of breast cancer patients. Self-management behaviour changes along with the treatment period and varies in patients with different demographic and psychosocial characteristics. However, systematic identification of self-management factors in this population is still lacking. This review aimed to identify factors that influence self-management in patients with breast cancer. This study used a scoping review. Literature was searched from three databases: EbscoHost: Medline Ultimate, Pubmed, and Scopus, and additional literature was identified using Google Scholar, using the keywords "Self-management OR self-care AND breast cancer OR breast neoplasm OR breast tumours AND factors or causes or influences or reasons or determinants or predictors or contributors." The analysis was carried out thematically with a descriptive exploratory approach. A total of 11 articles were analyzed in this review. Several factors influence self-management in patients with breast cancer, including chemotherapy status, duration of illness, patient's personal experience, age, education level, social support, anxiety, self-efficacy, self-compassion, understanding of the condition, adaptation and acceptance of life with lymphedema. This findings underscore the importance of developing comprehensive interventions that address these diverse factors to enhance self-management. These interventions should include patient education, psychological support, and social assistance to improve patients' ability to manage their condition. A holistic approach, incorporating medical care, emotional well-being, and social support, is essential to improving the overall quality of life for breast cancer patients.

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