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Gambaran Status Kesehatan Gingiva dan Oral Hygiene Behavior pada Pasien dengan Diabetes Melitus Tipe 2 Adisite, Meina Nur Aeni; Pahria, Tuti; Nursiswati, Nursiswati
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.10788

Abstract

This study aims to determine gingival health status and oral hygiene behavior in patients with Type 2 DM. The method used is descriptive observational. The results showed the gingival health status in patients with Type 2 DM at RSAU dr. M. Salamun Bandung, namely, there were changes (47%), healthy (40%), and unhealthy (13%) and oral hygiene behavior in the moderate (56%) and sound (44%) categories. In conclusion, almost half of patients with type 2 DM showed changes in gingival health status with oral hygiene behavior, and most patients were in the moderate category. Keywords: Type 2 DM, Oral Hygiene Behavior, Gingival Health Status
Factors associated with dietary and fluid restriction adherence of chronic kidney disease patients undergoing hemodialysis Safitri, Dewin; Pahria, Tuti; Rahayu, Urip
Media Keperawatan Indonesia Vol 6, No 3 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.3.2023.198-208

Abstract

Non-adherence of hemodialysis patients to diet and restriction of fluid restriction has a negative impact on health status. Various factors are associated with non-adherence to dietary and fluid restriction in chronic kidney disease patients undergoing hemodialysis including patient characteristics such as age, gender, education, occupation, length of time undergoing hemodialysis, self-efficacy, motivation and social support. This study aims to analyze the most dominant factors associated with dietary compliance and fluid restriction in chronic kidney disease patients undergoing hemodialysis. This study used a descriptive correlational design with a cross-sectional approach. The sample in this study were patients with chronic kidney disease who underwent hemodialysis as many as 80 respondents. Collecting data using the respondent characteristic questionnaire, General Self-Efficacy Scale, Treatment of Motivation Questionnaire, Multidimensional Scale of Perceived Social Support dan Dialysis Diet and Fluid Nonadherence Questionnaire. Data were analyzed using multiple linear regression. The result of the correlation analysis showed that there was no relationship between gender, education and occupation with dietary compliance and fluid restriction (p > .005). Factors related to dietary compliance and fluid restriction were age, length of hemodialysis, self-efficacy, motivation and social support (p < .005). multivariate analysis using multiple linear regression tests showed that the most dominant factor associated with dietary compliance and fluid restriction was self-efficacy (R2 = .504, p = .000). Thus, it is important to periodically assess the patient's self-efficacy and plan actions to increase self-efficacy so that adherence to diet and fluid restriction can also be improved.
Symptom Clusters and Quality of Life among Women Living with Cancer Pahria, Tuti; Yuliana, Yuliana; Praptiwi, Atlastieka; Atout, Maha; Agustina, Hana Rizmadewi
Jurnal Keperawatan Soedirman Vol 18 No 3 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2023.18.3.8530

Abstract

The prevalence of cancer in Indonesia has increased and is one of the biggest causes of death. Symptom clusters, a collection of symptoms in cancer patients that appear together and are related to one another, can affect the quality of life of cancer patients. This study aims to identify the relationship between symptom clusters and the quality of life of advanced cancer patients. This research used cross-sectional quantitative survey data from a cancer patient care unit at a referral hospital in West Java Province with a total of 140 respondents. Consecutive sampling was conducted for three months in stage III or IV cancer patients who were undergoing therapy. This study used descriptive analysis, factor analysis with the Principal Components Analysis (PCA) approach, and multiple linear regression analysis. Five symptom clusters were identified: the psychological cluster, the gastrointestinal cluster, the numbness cluster, the pain cluster, and the respiratory distress cluster. The results showed that symptom clusters influence the quality-of-life dimension. The symptom clusters’ coefficient of determination (R2) for the physical dimension was 0.231 (weak), the role dimension was 0.191 (very weak), the emotional dimension was 0.484 (moderate), the cognitive dimension was 0.011 (very weak), the social dimension was 0.420 (moderate), and the general-health dimension was 0.202 (weak).
Hypertension Self-Management and Quality of Life Correlation Sari, Citra Windani Mambang; Pahria, Tuti; Wardani, Siti Dahlia
Jurnal Keperawatan Vol 16 No 2 (2024): Jurnal Keperawatan: Juni 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i2.102

Abstract

Hypertension is a non-communicable disease that is one of the main problems in Indonesia where every year it always increases and becomes a comorbidity. To prevent complications of hypertension, patients must apply self-management that can affect the quality of life of sufferers. This study aimed to identify the relationship of self-management in hypertensive patients. This study used a quantitative descriptive design with a sample of 166 respondents through a non-probability sampling technique of total sampling type. The data collection technique used the Hypertension Self-management Behavior Questionnaire (HSMBQ) questionnaire. The data were analyzed using Pearson correlation. The results showed that in general, self-management of hypertension in general classified as poor (89%) including diet management (51.8%), weight control (54.8%), physical activity management (60.8%), poor stress management (62%), blood pressure monitoring (76%), and irregular hypertension treatment (77.8%). There are significant correlations between self-management and quality of life. Based on these results, it is important for primary health care and health workers to educate, evaluate and monitor the management carried out by hypertensive patients to improve hypertension self-management.
Gambaran Tingkat Culture Shock pada Mahasiswa Program Profesi Ners Rahmania, Sina Sabila; Pahria, Tuti; Nurhakim, Furkon
Jurnal Keperawatan Vol 16 No 3 (2024): Jurnal Keperawatan: September 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i3.1945

Abstract

Mahasiswa Program Profesi Ners akan menjalin interaksi dengan individu yang beragam budaya selama praktik klinik. Lingkungan baru multikultural menyebabkan terjadinya culture shock pada mahasiswa Program Profesi Ners yang dapat mempengaruhi performa mahasiswa selama menjalani pendidikan klinik sebagai akibat dari ketidakmampuan adaptasi. Penelitian ini bertujuan untuk mengetahui tingkat culture shock pada mahasiswa Program Profesi Ners di STIKep PPNI Jawa Barat. Penelitian ini merupakan penelitian deskriptif kuantitatif yang dilakukan kepada mahasiswa Program Profesi Ners STIKep PPNI Jawa Barat. Pengambilan sampel dilakukan dengan menggunakan teknik total sampling sebanyak 91 orang mahasiswa. Pengambilan data dilakukan dengan menggunakan instrument culture shock yang telah melalui uji validitas dengan nilai 0,607 dan reliabilitas dengan nilai Cronbach Alpha 0,914. Data telah dianalisis dalam bentuk distribusi frekuensi dan persentase. Hasil penelitian menunjukkan bahwa mayoritas mahasiswa Program Profesi Ners memiliki culture shock sedang (56%). Dari temuan ini dapat diambil kesimpulan bahwa sebagian besar mahasiswa Program Profesi Ners mengalami culture shock selama menjalani praktik di klinis dan komunitas. Oleh karena itu, diperlukan adanya project-based learning berbasis klinis dan komunitas bagi mahasiswa untuk mencegah culture shock.
Mapping cognitive function screening instruments for patients with heart failure: A scoping review Arseda, Astuti; Pahria, Tuti; Kurniawan, Titis
Belitung Nursing Journal Vol. 10 No. 3 (2024): May - June
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3165

Abstract

Background: Patients with heart failure (HF) often experience cognitive impairment, which negatively affects their quality of life. An effective screening tool is essential for nurses and healthcare professionals to assess cognitive function as part of HF management. Although many instruments exist, none are specifically designed for patients with HF. Objective: This study aimed to map the instruments for screening cognitive function in patients with HF. Design: A scoping review. Data Sources: Articles published between 2019 and 2023 were searched in PubMed, ScienceDirect, and Google Scholar, with the last search conducted on 27 January 2024. Review Methods: The review followed the scoping review framework by Arksey and O’Malley and adhered to PRISMA guidelines for scoping reviews. Results: Of the 21 articles meeting inclusion criteria, six cognitive function screening instruments were used across various cognitive domains, effectively identifying cognitive impairment in both inpatient and outpatient HF settings. The Montreal Cognitive Assessment (MoCA) was the most frequently used tool, covering a broad range of cognitive domains. MoCA showed high efficacy with a kappa coefficient of 0.82, Cronbach’s alpha reliability of 0.75, sensitivity of 90%, and specificity of 87%. Conclusion: Instruments like MoCA, Mini-Cog, and TICS-m show promise for assessing cognitive function in patients with HF, each with specific strengths and limitations. MoCA is notable for its comprehensive coverage despite being time-consuming and having language barriers. Further research is needed to revalidate and improve the existing instruments. It is crucial for nurses and healthcare professionals to integrate these tools into regular patient management, highlighting the need for continued research in their application.
Faktor-Faktor yang Memengaruhi Peningkatan Interdialytic Weight Gain (IDWG) pada Pasien Hemodialisa Dewin Safitri; Tuti Pahria; Urip Rahayu
Jurnal Keperawatan Silampari Vol 5 No 2 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.165 KB) | DOI: 10.31539/jks.v5i2.3670

Abstract

This study aims to identify factors that influence the increase in Interdialytic Weight Gain (IDWG) in hemodialysis patients. This research method uses a narrative literature review method by entering keywords into five databases: PubMed, CINAHL, Science Direct, Wiley, and ProQuest. The results showed that the search results obtained 521 articles and ten relevant and qualified articles, then extracted using the DSVIA method. The intrinsic and extrinsic factors that contribute to the increase in Interdialytic Weight Gain (IDWG) in hemodialysis patients. Intrinsic factors include age, gender, knowledge, body mass index, psychological condition, thirst, xerostomia, and self-efficacy. In contrast, external factors (extrinsic) that influence the increase in IDWG are the duration and frequency of hemodialysis, and serum dialysate, including serum sodium and serum creatinine. In conclusion, the rise in Interdialytic Weight Gain (IDWG) can severely impact the patient's condition, so it is necessary to identify the factors that contribute to the increase in interdialytic weight gain plan appropriate nursing actions. Keywords: Hemodialysis, Interdialytic Weight Gain
PERAWATAN LUKA DAN MANAJEMEN NYERI PADA PASIEN DENGAN SELULITIS : STUDI KASUS Amalia, Asna; Pahria, Tuti; Harun, Hasniatisari
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 4 (2024): SENTRI : Jurnal Riset Ilmiah, April 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i4.2567

Abstract

Selulitis merupakan infeksi bakteri yang mengenai dermis dan jaringan subkutan yang biasanya muncul dibagian yang mengalami kerusakan kulit. Selulitis akan cepat menyebar dan menyebabkan berbagai komplikasi jika tidak ditangani dengan segera. Maka dari itu, pasien dengan selulitis harus mendapat penanganan yang tepat untuk mencegah penyebaran infeksi. Perawatan luka pada selulitis menjadi intervensi yang dapat dilakukan untuk mengendalikan infeksi bakteri serta mengembalikan fungsi kulit. Respon inflamasi akibat infeksi menyebabkan nyeri yang jika dibiarkan berkepanjangan akan menunda penyembuhan dan mengurangi kualitas hidup pasien sehingga manajemen nyeri sangat diperlukan untuk menunjang kesembuhan pasien. Tujuan: Untuk mendeskripsikan penerapan pengetahuan dan praktik keperawatan pada pasien selulitis dengan masalah keperawatan gangguan integritas kulit dan nyeri akut. Metode: Laporan kasus ini menggunakan single case design melalui pemberian asuhan keperawatan. Manajemen nyeri dievaluasi dengan NRS dan perawatan luka selulitis dievaluasi menggunakan instrumen Bates-Jensen Wound Assessment Tool (BWAT). Hasil: Setelah diberikan intervensi ditemukan jika pasien mengalami penurunan nyeri NRS 4 (0-10)  menjadi NRS 2 (0-10) dan penurunan skor BWAT dari 50 ke 49. Kesimpulan: Hasil studi kasus ini menunjukan bahwa relaksasi nafas dalam efektif dalam menurunkan nyeri dan pemberian perawatan luka infeksi dengan NaCl 0,9% + gentamicin dapat membantu penyembuhan luka.
SMARTPHONE ADDICTION LEVELS IN SCHOOL-AGE CHILDREN AFTER THE COVID-19 PANDEMIC IN RURAL AREA Muslim, Revita Nur Istiqomah; Yudianto, Kurniawan; Sumarna, Umar; Lukman, Mamat; Hendrawati, Hendrawati; Pahria, Tuti
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 5 (2024): SENTRI : Jurnal Riset Ilmiah, Mei 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i5.2678

Abstract

The level of dependence of children on smartphones increased during the Covid-19 pandemic to 47.5%. The average smartphone use time for school-age children is 6.85 hours a day. Meanwhile, the ideal screen time for school-age children is no more than 2 hours/day. Smartphone addiction is a growing problem in children with adverse physical, psychological, and social health conse-quences. The purpose of the study was to see the levels of smartphone addiction in school-age children after the Covid-19 pandemic in rural area of Indonesia. This study used a cross-sectional descriptive design. The research subjects were school-aged children at "X" Elementary School (N=114), total sampling. Data collection was carried out using the Indonesian version of the Smartphone Addiction Scale (SAS) instrument which is valid and reliable. Data were analyzed using descriptive statistics. The smartphone addiction levels were 13.2% for low addiction, 77.2% for moderate addiction, and 9.6% for severe addiction. Item 4 SAS, which contains a statement of feeling happy when using a smartphone gets the highest score. The positive anticipation dimension is the most dominant with the highest score. The level of smartphone addiction after the Covid-19 pandemic among school-age children in this study was dominated by moderate smartphone addiction. The role of parents, teachers, health workers, and the government is an important key to reducing smartphone addiction incidents in school-age children in the future.
Application of Foot Massage Therapy with Lavender Oil and Pursed Lip Breathing in Lung Cancer Patients : A Case Report Safitri, Dania Iva; Pahria, Tuti; Harun, Hasniatisari
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.64049

Abstract

 Lung cancer is one of the leading causes of cancer-related deaths worldwide. In advanced stages, patients often experience pain and shortness of breath, which significantly reduce their quality of life. Non-pharmacological interventions such as foot massage with lavender essential oil and pursed lip breathing (PLB) exercises offer potential supportive therapy, but evidence on their effectiveness remains limited. This case study aimed to describe the application of foot massage and PLB techniques in reducing pain and dyspnea in a 64-year-old male diagnosed with stage IVA squamous cell lung carcinoma. The intervention was conducted over six consecutive days. Foot massage was performed using five standard techniques—effleurage, petrissage, friction, tapotement, and vibration—while PLB was practiced for 10 minutes prior to each session. Pain intensity and oxygen saturation were measured using the Numeric Rating Scale (NRS) and pulse oximetry, respectively. The results showed a decrease in pain score from 7 to 3 and an improvement in oxygen saturation from 92% to 96%. The patient also reported improved comfort and the ability to perform light activities with assistance. These findings suggest that the combination of foot massage and PLB may be effective in managing pain and respiratory symptoms in advanced lung cancer. Further research with larger sample sizes and controlled study designs is recommended to confirm these outcomes and support broader clinical use.Keywords: Foot Massage Therapy, Lavender Oil , Lung Cancer, Pain, Pursed Lip Breathing, Shortness of Breath
Co-Authors Aan Nuraeni Aan Nuraeni Aaron Tigor Sihombing Aat Sriati Abd. Rasyid Syamsuri Acob, Joel Rey Adisite, Meina Nur Aeni Agung Maulana Yusuf Ahyar Ginanjar AI MARDHIYAH, AI Amalia, Asna Andi Miftahul Khair Annisa Nur Fadhilla Annisa Yuniar Handayani Arseda, Astuti Asna Amalia Atlastieka Praptiwi Atout, Maha Audi Siti Sarah Auliyah, Dina Ayu, Rahadiani Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Dewin Safitri Dewin Safitri Dian Adiningsih Dina Auliyah Early Octavia Limbong Eka Afirmasari Eka Afrima Sari Eka Afrima Sari, Eka Afrima Elizabeth Sarah Apriani Etika Emaliyawati Fadhilah, Adinda Faturrahman, Reza Rizkika Fauzia, Salwa Ghaida Fitri, Siti Ulfah Rifa’atul Fitriana, Epi Giovanni Maria Hana Rizmadewi Agustina Handayani, Annisa Yuniar Harun, Hasniatisari Harun, Hasniatisari Hendrawati Hendrawati Hendrawati Hendrawati Henny Suzana Mediani Hermin Setiorini Hesti Platini Hijriani, Nadifa Ikawati, Dewi Iqbal Abdul Rizal Irman Somantri Iwan Shalahuddin Juniarti, Neti Kalay, Mayriska Keiko Pasaribu Kirana, Ade Kurnia, Dedi Kurniawan Yudianto Kusman Ibrahim Laili Rahayuwati Lestari, Andini Tri Lilis Mamuroh Linda Yulia Mamat Lukman Mamat Lukman Mamat Lukman, Mamat Maria Komariah Mia Listia Mira Trisyani Muslim, Revita Nur Istiqomah Mutiudin, Ade Iwan Nurhakim, Furkon Nurrofikoh, Malihatunnisa Nursiswati Nursiswati Nursiswati Pitriana, Epi Rahayu, Kusila Devi Rahmania, Sina Sabila Rahmawati, Syifa Eka Rani Asyuni Sipayung Revita Nur Istiqomah Muslim Ridal Sagala Rizkiani, Agni Safitri, Dania Iva Safitri, Dewin Sagala, Ridal Sandra Pebrianti Sandra Pebrianti Sari, Citra Windani Mambang Setiorini, Hermin Sidik Maulana Simanjuntak, Dikes Siti Noor Sya'fa Siti Ulfah Rifa’atul Siti Ulfah Rifa’atul Fitri Siti Yuyun Rahayu Fitri Slamet Riyanto Sri Hartati Pratiwi Sri Hendrawati Sumarna, Umar Titin Sutini Titin Sutini, Titin Titis Kurniawan Tobi Pitora Tobi Pitora Umar Sumarna Urip Rahayu Urip Rahayu Urip Rahayu, Urip Wardani, Siti Dahlia Windy Rakhmawati Witdiawati Yadi, Deni Alia Yeni Binteriawati Yudianto, Kurniawan Yuliana Yuliana Yuniko Febby Husnul Fauzia Yusshy Kurnia Yusshy Kurnia Herliani, Yusshy Kurnia Zahirah, Esa Zikran Zikran