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Identifikasi Hambatan Pelaksanaan Evidence-Based Nursing oleh Perawat Indra, Rani Lisa; Saputra, Bayu; Sandra, Sandra; Rasyid, T. Abdur
Jurnal Kesehatan Komunitas Vol 10 No 3 (2024): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol10.Iss3.1557

Abstract

Implementing evidence-based nursing is an effort to improve the quality of nursing care by applying the best research results in carrying out patient care. However, its implementation still needs to be improved. This study aims to identify barriers to nurses' implementation of EBN. Descriptive research was conducted on 49 nurses in the surgical inpatient room of one of the government hospitals in Pekanbaru City. Data were collected using a questionnaire with a Likert scale. Data were analyzed univariately using frequency distribution. The results of the study found that the main things that hinder the implementation of evidence-based nursing are the number of patients to be treated (69.4%), lack of fluency in English (61.2%), lack of time to study research (53.1%) and lack of knowledge of nurses about scientific evidence-based care (51%).  Workload and personal aspects become obstacles in the implementation of evidence-based nursing by nurses; it may be necessary to recalculate the workload so that the distribution of nurses becomes better and consideration to carry out training related to evidence-based nursing to improve knowledge and practice of evidence-based nursing by nurses.
Description of the Factors Behind The Choice Of Alternative Medicine In Breast Cancer Patient Putri, Ismira Yanti; Indra, Rani Lisa; Lita, Lita
Jurnal Kesehatan Samodra Ilmu (JKSI) Vol 13 No 1 (2022): JURNAL KESEHATAN SAMODRA ILMU (JKSI)
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55426/jksi.v13i1.192

Abstract

Introduction: Breast cancer is the number one cancer in Indonesia and number two in the world. One of the factors that influence the cancer mortality rate is the low number of visits by cancer patients to medical experts. Patients prefer alternative treatments that have not been proven that can have an impact on patient survival. Purpose:This study aimed to determine the factors behind the choice of alternative medicine in breast cancer patients. Methods: Descriptive research was conducted on 30 breast cancer patients in one of the government hospitals in the city of Pekanbaru taken by accidental sampling technique. data collection using a questionnaire and analyzed univariately using a frequency distribution table. Results: The results of the study for predisposing factors, found 63.3% of respondents aged > 46 years, good knowledge (100%), have a positive attitude (63.3%), high school education level (63.3%), and work status is working ( 56.7%). for enabling factors, 70% of respondents have easy access to health services and low economic status (86.7%). For driving factors, information related to cancer treatment was obtained from family/friends/neighbors (96.7%). Conclusion & Suggestion: It is hoped that health workers will be more aggressive in providing education about breast cancer treatment, and the public is expected to immediately check with health workers if they feel that there is something unusual in their breasts
Pengaruh Five Fingers Technique Terhadap Tingkat Kecemasan Pasien Kanker Pre Operasi Amelia, Tiara; Indra, Rani Lisa; Rasyid, T. Abdur
Jurnal Keperawatan Profesional Vol 12, No 2 (2024): Preventive Measures
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v12i2.9382

Abstract

Terdapat beberapa respon psikologis pasien pre operasi salah satunya adalah kecemasan. Kecemasan dapat diatasi secara non farmakologi salah satunya adalah dengan melakukan five fingers technique dikarenakan dapat merelaksasikan tubuh.  Penelitian ini bertujuan untuk mengidentifikasi pengaruh five fingers technique pada pasien kanker pre operasi.  Jenis penelitian ini adalah kuantitatif desain Quasy Eksperimental dengan without contol group. Populasi penelitian ini seluruh pasien kanker pre operasi yang dirawat diruang Irna Surgikal ruang Dahlia RSUD Arifin Achmad Provinsi Riau, dengan sampel 15 orang sesuai dengan kriteria inklusi yaitu pasien usia dewasa yang mengidap kanker dan H-1 menjalani pembedahan. Instrumen penelitian yang digunakan kuesioner penilaian kecemasan State Anxiety Inventroy (SAI). Analisis yang digunakan adalah analisis univariat dengan  menggunakan uji distribusi frekuensi, tendency central dan bivariat dengan paired t test.  Hasil analisis univariat dan bivariat yaitu responden dalam penelitian ini keseluruhan berjenis kelamin perempuan 15 orang, mayoritas tingkat pendidikan terkahir yaitu SD, mayoritas sudah menikah,  mayoritas tidak pernah melakukan operasi sebelumnya. dan akan  menjalani pembedahan mastektomi serta mayoritas responden kanker dengan stadium III.  Hasil analisis bivariat menunjukkan adanya pengaruh five fingers technique terhadap tingkat kecemasan pasien kanker pre operasi dengan nilai P-value 0,000 ≤ α = 0,05.  Diharapkan penelitian ini dapat menjadi ilmu bermanfaat untuk menurunkan kecemasan.
Mari Pakai Masker Putus Penyebaran COVID-19 Rani Lisa Indra; Bayu Saputra; Erna Marni
Jurnal Abdimas Kesehatan (JAK) Vol 3, No 1 (2021): Januari
Publisher : Sekolah Tinggi Ilmu Kesehatan Baiturrahim Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v3i1.145

Abstract

COVID-19 is a disease that attacks the respiratory system from no symptoms to death. Because more and more individuals are infected with COVID-19 who are asymptomatic, wearing a mask is one of the ways to prevent it. The purpose of this community service activity is to break the chain of the spread of COVID-19 and increase public awareness to always use masks when leaving the house. The target of this activity is the traders who sell at the Pekanbaru Dupa Market. The method of implementing this activity is in the form of social service by distributing cloth masks for free and providing information about the use of cloth masks with the target of changing the behavior of traders by always wearing masks when selling. The output of this service activity is publication in a community service journal. The result of this activity was the distribution of 100 cloth masks for free to traders. However, when the evaluation was carried out a week later, it turned out that there were still many traders who did not wear masks when selling. It is hoped that traders will increase awareness of wearing masks as a way to prevent transmission of COVID-19.
KEPATUHAN PEMBATASAN CAIRAN PADA PASIEN GAGAL GINJAL KRONIS YANG SEDANG MENJALANI HEMODIALISIS: COMPLIANCE WITH FLUID RESTRICTIONS IN CHRONIC RENAL FAILURE PATIENTS UNDERGOING HEMODIALYSIS Ningsih, Zakiyah Resha; Saputra, Bayu; Indra, Rani Lisa
BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Vol. 12 No. 2 (2024): Edisi Juli - Desember 2024
Publisher : Ikatan Lembaga Mahasiswa Ilmu Keperawatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53345/bimiki.v12i2.479

Abstract

Introduction: Hemodialysis is the most widely used kidney replacement method. One of the interventions used is limiting fluid intake, because excessive fluid intake can cause complications, thereby increasing high morbidity and mortality rates. This study aimed to determine the description of compliance with fluid restrictions and compliance with fluid restrictions based on characteristics in patients with chronic renal failure who are undergoing hemodialysis. Methods: The type of research used was quantitative with a descriptive design using a survey approach with a sample of 54 people using univariate analysis. Result: The characteristics of the respondents were that the majority were early elderly (46-55) years old, female gender, high school education, duration of hemodialysis > 12 months, and IDWG weight in the heavy category. The results of patient compliance levels were found to be 28 (51.9%) respondents in the less compliant category. Conclusion: Not all respondents want to follow the recommendation to comply with fluid restrictions.     Keywords: Chronic renal failure; Hemodialysis; Compliance with fluid restrictions
Faktor-Faktor yang Berhubungan dengan Kejadian Kanker Payudara pada Wanita Berusia di Bawah 40 Tahun Carmenita Sinaga; Rani Lisa Indra; Bayu Saputra
Jurnal Siti Rufaidah Vol. 3 No. 4 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i4.270

Abstract

Breast cancer is one of the types of cancer that has the highest incidence in women, with an increasing incidence at a young age. The aim of the study was to identify factors associated with the incidence of breast cancer in women under 40 years of age at RSUD Arifin Achmad Riau Province. This study used a case control design with a retrospective approach with a sample of 76. The sampling technique used was consecutive sampling. Data analysis was done with chi-square test. The results showed that the majority of respondents had high school education (55.3%) in the case group and (57.9%) in the control group, the average age of the case group was 36.05 and the control group was 33.58, the age of menarche (68.4%) in the case group and (28.9%) in the control group, breastfeeding history (47.4%) in the case group and (15.8) in the control group, hormonal contraception (13.2%) in the case group and (10.5%) in the control group, family history (44.7%) in the case group and (2.6%) in the control group. Bivariate analysis showed there was an association between menarche age factor (P = 0.001, OR = 5.318), breastfeeding history factor (P = 0.007, OR = 4.800), family history factor (P = 0.000, OR = 29.952) with the incidence of breast cancer. There was no association between hormonal contraceptive factors and the incidence of breast cancer (P=1.000, OR=0.776). The study concluded that the factors associated with breast cancer in women under 40 years old are age of menarche, breastfeeding history and family history. It is expected for women under 40 years old to routinely perform SADARI (breast self-examination) to prevent and detect early occurrence of breast cancer.
Gambaran Kelelahan Pada Anak Penderita Kanker Yang Menjalani Kemoterapi syalaisha Faatihah; Agnita Utami; Rani Lisa Indra
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 21 No 1 (2026): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v21i1.454

Abstract

Introduction: Cancer is a major cause of morbidity and mortality in children worldwide. Chemotherapy is commonly employed as a primary treatment modality in pediatric oncology; however, fatigue is frequently reported as one of its most prominent adverse effects. Objectives: This study aimed to describe the dimensions of fatigue among pediatric cancer patients undergoing chemotherapy. Methods: This descriptive quantitative study used consecutive sampling. A total of 40 pediatric cancer patients undergoing chemotherapy at the Seruni Integrated Cancer Unit of Arifin Achmad General Hospital, Riau Province, were recruited as respondents. Fatigue levels were measured using the Pediatric Quality of Life Inventory (PedsQL) Multidimensional Fatigue Scale and analyzed descriptively. Results: The majority of respondents were aged 5–7 years (35%), male (52.5%), and diagnosed with leukemia (82.5%). The mean total fatigue score was 64.85 (0–100), consisting of General Fatigue (63.58), Sleep/Rest Fatigue (54.65), and Cognitive Fatigue (76.35). Lower scores indicated greater fatigue severity, with the Sleep/Rest dimension representing the most affected domain Conclusions: Pediatric cancer patients undergoing chemotherapy experience varying levels of fatigue across multiple dimensions. These findings highlight the importance of addressing physiological and psychological fatigue-related symptoms to support children’s adaptation during chemotherapy
Faktor-Faktor Yang Berhubungan Dengan Kejadian Karsinoma Nasofaring Azra Puspita; Rani Lisa Indra; Defi Eka Kartika; Tengku Abdur Rasyid; Sekani Niriyah
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.890

Abstract

Karsinoma nasofaring merupakan salah satu keganasan pada saluran napas atas yang memiliki angka kejadian cukup tinggi di Indonesia dan dipengaruhi oleh berbagai faktor risiko. Faktor-faktor tersebut meliputi karakteristik demografi, kebiasaan hidup, paparan lingkungan, serta pola konsumsi makanan. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan kejadian karsinoma nasofaring di RSUD Arifin Achmad Provinsi Riau. Penelitian ini menggunakan desain case control dengan pendekatan retrospektif. Jumlah sampel dalam penelitian ini sebanyak 70 responden terdiri dari 35 responden kelompok kasus dan 35 responden kelompok kontrol dengan teknik pengambilan sampel consecutive sampling. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square dan Fisher’s Exact Test. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara jenis kelamin (p-value = 0,0005), pekerjaan (p-value = 0,001), status merokok (p-value = 0,0005), konsumsi makanan yang diawetkan (p-value = 0,018), serta konsumsi makanan yang dibakar atau diasap (p-value = 0,029) dengan kejadian karsinoma nasofaring. Sementara itu, usia (p-value =0,539) dan riwayat keluarga (p-value = 0,356) tidak menunjukkan hubungan yang bermakna secara statistik dengan kejadian karsinoma nasofaring. Kesimpulan penelitian ini menunjukkan bahwa faktor kebiasaan hidup dan paparan lingkungan berperan penting terhadap kejadian karsinoma nasofaring. Oleh karena itu, disarankan kepada tenaga kesehatan untuk meningkatkan upaya promotif dan preventif melalui edukasi kesehatan kepada pasien terkait penerapan pola hidup sehat, pengendalian kebiasaan merokok, serta pembatasan konsumsi makanan yang berpotensi bersifat karsinogenik.
Bakti Sosial Khitan Dan Edukasi Kesehatan: "Mitos Pasca Khitan" Sandra Sandra; Rani Lisa Indra; Tengku Abdur Rasyid
Karya Kesehatan Siwalima Vol. 1 No. 2 (2022): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v1i2.800

Abstract

Khitan merupakan proses pembersihan alat kelamin dengan cara memotong sebagian penutup penis sehingga sumbatan yang mungkin ada karena kotoran pada saluran penis menjadi hilang dan terhindar dari terjangkitnya penyakit. Saat ini, bakti sosial khitan adalah hal yang dibutuhkan orang tua untuk menjalankan sunnah tanpa mengeluarkan biaya sedikitpun. Selain itu pemahaman tentang perawatan pasca khitan masih disikapi keliru oleh orang tua seperti melarang anak makan telur, melangkahi kotoran ayam, melarang mandi dan sebagainya yang dipengaruhi oleh beberapa kepercayaan terhadap mitos dan nilai sosial di masyarakat. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pemahaman keluarga tentang hal-hal yang harus dilakukan dan diperhatikan serta dihindari dalam perawatan luka dan mitos pasca khitan pada anak.Metode pengabdian masyarakat dilakukan melalui kegiatan bakti sosial khitan terhadap 30 anak, juga edukasi mitos pasca khitan ke 30 orang tua anak yang di khitan melalui ceramah menggunakan leaflet secara personal. Evaluasi kegiatan dilakukan dengan cara mengetahui tingkat keberhasilan edukasi menggunakan cara pretest dan post-tes pada orang tua. Hasil evaluasi yang diperoleh adalah rerata skor pre-test menunjukkan nilai 43 poin dan meningkat pada post-test sebesar 100 poin. Ini menunjukkan bahwa edukasi mitos pasca khitan dapat meningkatkan pengetahuan orang tua pada ranah kognitif. Sehingga edukasi mitos pasca khitan sangat penting dilakukan untuk mengurangi risiko pelambatan kesembuhan luka pasca khitan pada anak.
Hubungan Pengetahuan terhadap Perilaku Pencegahan Penularan Tuberkulosis oleh Pasien Paru di RSUD Arifin Achmad Provinsi Riau Paridah Paridah; Defi Eka Kartika; Lita Lita; Tengku Abdur Rasyid; Rani Lisa Indra
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.1168

Abstract

Pasien TB paru berisiko menularkan penyakit kepada orang lain apabila tidak menerapkan perilaku pencegahan penularan secara tepat. Perilaku pencegahan tersebut sangat dipengaruhi oleh tingkat pengetahuan pasien mengenai TB, cara penularan, serta upaya pencegahan yang harus dilakukan. Pengetahuan yang baik diharapkan dapat mendorong pasien untuk lebih patuh dalam menerapkan tindakan pencegahan, seperti etika batuk, penggunaan masker, dan menjaga kebersihan lingkungan. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan terhadap perilaku pencegahan penularan Tuberkulosis pada pasien TB paru di RSUD Arifin Achmad Provinsi Riau. Penelitian ini merupakan penelitian kuantitatif dengan desain analitik korelasi menggunakan pendekatan cross-sectional. Populasi penelitian ini adalah pasien penderita TB paru dengan berjumlah sample 85 responden yang dipilih menggunakan teknik consecutive sampling sesuai kriteria inklusi. Alat pengumpulan data berupa kuesioner pengetahuan dan perilaku pencegahan penularan TB, kemudian dianalisis secara univariat dan bivariat. Pengambilan data dilakukan pada tanggal 13 Januari sampai 27 Januari 2026 di Poli Paru. Hasil penelitian menunjukkan mayoritas responden berjenis kelamin perempuan sebanyak 44 orang (51,8%), orang (95,3%), pekerjaan terbanyak adalah IRT 31 orang (36,5%), pendidikan terakhir terbanyak SD 59 orang (69,4%). Sebagian besar responden tidak memiliki riwayat TB dalam keluarga sebanyak 84 orang (98,8%) dan tidak pernah mendapatkan edukasi TB sebanyak 83 orang (97,6%). Diharapkan pihak rumah sakit dapat meningkatkan edukasi kesehatan secara rutin untuk meningkatkan pengetahuan pasien sehingga perilaku pencegahan penularan TB dapat lebih optimal.