Rizky Asta Pramestirini
Dosen Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Lamongan2Dosen Prodi S1 Keperawatan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Lamongan

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LITERATUR REVIEW: TERAPI NON FARMAKOLOGIS UNTUK MENINGKATKAN KUALITAS TIDUR PASIEN DI ICU ATAU CCU: Literatur Review: Non-Pharmacological Therapy for Increasing Sleep Quality of Patients in ICU or CCU Rizky Asta Pramestirini; Heny Ekawati; Suhariyati Suhariyati
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 7 No. 2 (2021): JIKep | September 2021
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (296.797 KB) | DOI: 10.33023/jikep.v7i2.847

Abstract

Abstract Sleep is one of the basic human needs. Good quality sleep can increase the improvement of the disease. Sleep disturbances are common among hospitalized patients in CCU and ICU. The purpose of this literature review is to compare several research results on non-pharmacological therapies (eye masks, earplugs, music therapy, turning off lights, environmental modifications) in improving sleep quality to determine the best nursing action and safe for treating sleep disorders patients. Search articles using the PICO framework in the database; Google Scholar, Ebscho, Science direct, Elseiver, MedLine, CINAHL, PubMed, and ProQuest, limited to the last 10 years; 2011 to 2021, 10 International Journals were obtained. Improved sleep quality can be done in several ways; the use of eye masks, earplugs, music therapy, light and sound reduction, switching treatment schedules outside of bedtime, and combinations. The results of the review show schedules outside of bedtime, and combinations. The results of the review show that the most effective actions applied locally to improve sleep quality are reducing lighting and noise and diverting treatment schedules outside of bedtime because it is easy, safe, and does not cost money. If the intervention has not helped, eye masks, earplugs, and/or music can be offered according to the patient's choice, local culture, and facilities available at the hospital. Further research is needed on patients outside the ICU/CCU with a larger number of samples, different age and condition characteristics, longer treatment duration, and using objective sleep quality measurement tools such as polysomnography.
Palliative Care Based-on Family-Centered Nursing Affects the Level of Dependency of The Patients Undergoing Hemodialysis Virgianti Nur Faridah; Isni Lailatul maghfiroh; Aprelia Afidatul Hanafi; Rizky Asta Pramestirini; Trijati Puspita Lestari
The Indonesian Journal of Health Science Vol 13, No 2 (2021): The Indonesian Journal of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/ijhs.v13i2.6037

Abstract

Background: Hemodialysis is a burdensome and complex therapy, which can cause physical and psychological stress and has an impact on the patient's level of dependence in the patient's daily activities. The purpose of this study was to determine the relationship between palliative care based on family-centered nursing and the level of dependence of patients with chronic kidney disease on hemodialysis at Ibnu Sina Gresik General Hospital.Method: This research design uses a correlational analytic method with a cross-sectional approach. The population is patients and their families with chronic kidney disease on hemodialysis. The samples were taken using a consecutive sampling technique of 120 patients and their families. Data were taken using a questionnaire. Data analysis using Spearman rank correlation test.Result: The results showed that 43 (35.8%) families had adequate family-centered nursing-based palliative care skills and 107 patients (89.1%) had mild dependence. The results of the analysis using the Spearman test showed a correlation coefficient of -0,348 with a significant value of 0.007 with = 0.05 then H1 was accepted, which means that there is a relationship between family-centered nursing-based palliative care on the level of dependence of chronic kidney disease patients with hemodialysis in Ibnu Sina Gresik General Hospital.Conclusion and Recommendation: Patients with Chronic Kidney Disease who begin to experience dependence in fulfilling their daily activities need family-centered nursing-based palliative care skills by the family. 
PENGARUH KOMBINASI TERAPI FINGER HOLD DENGAN TERAPI VISUALISASI IMAGERY TERHADAP PENURUNAN INTENSITAS NYERI KEPALA PADA PASIEN HIPERTENSI DI DESA TURI LAMONGAN: The Effect of a Combination of Finger Hold Therapy with Imagery Visualization Therapy on Reducing Headache Intensity in Hypertension Patients in Turi Lamongan Village Rizky Asta Pramestirini; Virgianti Nur Faridah; Iis Anggriani
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 2 (2023): JIKep | Juni 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i2.1445

Abstract

Pendahuluan: Nyeri kepala merupakan suatu kondisi terjadinya gangguan pada tubuh yang dapat menyebabkan rasa tidak nyaman dan bersifat sangat subjektif. Nyeri kepala masih menjadi masalah utama yang sering dialami oleh pasien dengan hipertensi. Dan masyarakat yang hanya mengkonsumsi obat anti nyeri untuk mengatasi nyeri kepala. Dalam hal ini untuk mengatasi nyeri kepala dapat dilakukan dengan tindakan farmakologi dan non farmakologi. Tindakan nonfarmakologi untuk meredahkan nyeri kepala dengan kombinasi terapi finger hold dengan visualisasi imagery yang daat mengurangi ketegangan fisik dan otot juga emosional sehingga tubuh menjadi nyaman dan rileks. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh kombinai terapi finger hold dengan visualisasi imagery terhadap penurunan intensitas nyeri kepala pada pasien hipertensi. Metode: Penelitian ini menggunakan desain pre- eksperimental dengan rancangan peneitian one group pre-post test, dan besar populasi sebanyak 36 pasien nyeri kepala dengan hipertensi. Teknik dalam pengambilan sampel menggunakan simple random sampling. Instrumen dalam penelitian ini menggunakan SOP terapi finger hold dan visualisasi imagery dan lembar obsevasi skala nyeri bourbanis. Data analisis dengan menggunakan uji Paired Sample Test dengan nilai signifikan ?=0,5. Hasil: Hasil uji didapatkan nilai P=0.000 dimana P sign < ? maka H0 ditolak dan H1 diterima, artinya terdapat pengaruh pemberian kombinasi terapi finger hold dengan visualisasi imagery terhadap penurunan intensitas nyeri kepala pada pasien hipertensi.      
KOMBINASI CONTRAST BATH DAN RANGE OF MOTION MAMPU PENURUNAN SKALA NYERI PADA PENDERITA OSTEOARTHIRITIS Hany Syafira Daniara Putri; Virgianti Nur Faridah; Rizky Asta Pramestirini
Jurnal Perawat Indonesia Vol. 7 No. 3 (2023): November 2023
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jpi.v7i3.2269

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Osteoarthritis merupakan suatu gangguan kesehatan degenerative dimana terjadikekakuan dan peradangan pada persendian yang ditandai dengan kerusakan rawansendisehingga dapat menyebabkan nyeri pada sendi leher, tangan, punggung, dan yang palingsering adalah pada lutut. Tujuan penelitian untuk mengetahui pengaruh kombinasicontrast bath dan range of motion terhadap penurunan skala nyeri pada penderitaosteoarthritis di Desa Kaligerman Kecamatan Karanggeneng Kabupaten Lamongan.Desain penelitian menggunakan pre-ekspiremental (one group pre-post-test),menggunakan teknik consecutive sampling dengan 31 responden. Variabel independenpenelitian adalah contrast bath dan range of motion dengan variabel dependen skalanyeri. Instrumen yang digunakan yaitu lembar observasi, SOP contrast bath dan rangeof motion. Hasil penelitian menunjukkan perbedaan rata- rata skala nyeri sebelum diberiintervensi 4,03 dan sesudah diberi intervensi 2,65. Uji statistik wilcoxon pre-post skalanyeri dengan nilai signifikan p=0.001 (p<0.005)terdapat pengaruh kombinasi contrastbath dan range of motion terhadap penurunan skala nyeri pada penderita osteoarthritisdi Desa Kaligerman KecamatanKaranggeneng Kabupaten Lamongan. Pemberian terapidiharapkan dapat meningkatkan derajat kesehatan masyarakat dan menjadi terapialternatif non medis dalam menurunkan skala nyeri.Kata Kunci : Osteoarthritis, Skala Nyeri, Range Of Motion, Contrast Bath.ABSTRACTOsteoarthritis is a degenerative health disorder in which there is stiffness andinflammation in the joints which is characterized by damage to the joint cartilage whichcan cause pain in the joints of the neck, hands, back, and most often the knees.The aim of the study was to determine the effect of a combination of contrastbathsand range of motion on reducing pain scale in osteoarthritis patients inKaligermanVillage, Karanggeneng District, Lamongan Regency.The research design used a pre-experimental (one group pre-post-test), using aconsecutive sampling technique with 31 respondents. The independent variablesofthe study are bath contrast and range of motion with the dependent variablepain scale. The instruments used were observation sheets, SOP contrast bath andrange of motion. The results showed that the average difference in pain scalebefore beinggiven an intervention was 4.03 and after being given an intervention,it was 2.65. The Wilcoxon pre-post pain scale statistical test with a significantvalue of p=0.001 (p<0.005) had the effect of a combination of contrast bath andrange of motion on reducing the pain scale in patients with osteoarthritis inKaligerman Village, Karanggeneng District, Lamongan Regency. The provision oftherapy is expected to increase the degree of public health and become analternative non-medical therapyin reducing the pain scale.Keywords : Osteoarthriti, Pain Scale, Range Of Motion, Contrast Bath
Peningkatan Kepuasan Belajar Mahasiswa Melalui Program Pembelajaran Luar Kampus Suratmi Suratmi; Heny Ekawati; Aprelia Afidatul Hanafi; Inta Susanti; Rizky Asta Pramestirini
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 (214.492 KB) | DOI: 10.31539/jks.v5i2.3492

Abstract

This study aims to examine the learning satisfaction of 2000 study program students at the University of Muhammadiyah Lamongan through the Merdeka Learning Program at the Merdeka Campus (MBKM). This type of research is quantitative, using an explanatory survey design. The results showed that 49% of students had high satisfaction with off-campus learning programs, 31% of students had moderate pleasure, and 20% of students had low satisfaction. In conclusion, student satisfaction with the MBKM program is high with the fulfillment of each dimension of happiness. Completing each component of joy has a significant role in implementing the MBKM program in meeting the goal of producing competent graduates. Keywords: Learning Objectives, MBKM, Off-campus Learning
PELATIHAN UJI TOURNIQUET TERHADAP KETERAMPILAN KADER KESEHATAN UNTUK DETEKSI DINI DEMAM BERDARAH Rizky Asta Pramestirini; Heny Ekawati; Wahyu Retno Gumelar
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 1 (2024): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i1.19851

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Abstrak: Penyakit demam berdarah Dengue (DBD) masih merupakan masalah penyakit infeksi yang perlu adanya tindakan untuk penyelesaian. Meskipun penyuluhan dan informasi tentang pencegahan dan pemberantasan penyakit menular demam berdarah Dengue telah sering dilakukan, namun penyakit ini masih merupakan penyakit yang ditakuti masyarakat karena dapat berakibat fatal yaitu kematian. Kematian akibat penyakit demam berdarah Dengue seringkali terjadi karena keterlambatan masyarakat dalam mengetahui diagnosis penyakit, sehingga penderita terlambat dibawa ke tempat pelayanan kesehatan (Rumah Sakit). Penelitian ini bertujuan untuk mengetahui pengetahuan kader kesehatan tentang demam berdarah Dengue serta memberikan pelatihan uji tourniquet kepada kader kesehatan. Metode kegiatan berupa ceramah, penyuluhan serta simulasi dan pelatihan. Peserta yang hadir sebanyak 20 orang, yang terdiri dari kader kesehatan yang di dukung oleh Kepala Desa Plosowahyu, dan Bidan Desa. Hasil evaluasi awal (pre-test) menunjukkan bahwa terdapat 80% peserta pengetahuannya buruk dan 60 % pengetahuan baik setelah postes dalam memahami tanda dan gejala awal penyakit demam berdarah Dengue. Hasil ini menunjukkan penyuluhan dan simulasi yang diberikan meningkatkan pengetahuan kader sebesar 55%.Abstract: Dengue hemorrhagic fever (DHF) is still an infectious disease problem that requires action to be resolved. Even though counseling and information about the prevention and eradication of the infectious disease Dengue hemorrhagic fever has been frequently carried out, this disease is still a disease that is feared by the public because it can have fatal consequences, namely death. Deaths due to Dengue hemorrhagic fever often occur due to public delays in finding out the diagnosis of the disease, so that sufferers are taken to health services (hospitals) too late. This research aims to determine health cadres' knowledge about Dengue hemorrhagic fever and provide tourniquet test training to health cadres. Activity methods include lectures, counseling as well as simulations and training. There were 20 participants who attended, consisting of health cadres supported by the Head of Plosowahyu Village, and the Village Midwife. The results of the initial evaluation (pre-test) showed that 80% of participants had poor knowledge and 60% had good knowledge after the post-test in understanding the early signs and symptoms of Dengue hemorrhagic fever. Apart from that, most participants did not know how to carry out a tourniquet test. After being given counseling and tourniquet test simulations, there was a significant change where the cadres came to know and understand about Dengue hemorrhagic fever and simple early detection methods that can be done before referring sufferers to health services.
Efektifitas Video Animasi Untuk Menilai Keterbatasan Aktivitas Pasien Osteoarthritis: Systematic Review Rizky Asta Pramestirini; Heny Ekawati; Suhariyati Suhariyarti
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i0.1616

Abstract

  Osteoarthritis (OA) is the most common chronic joint disease worldwide, which is one of the leading causes of disability and impaired daily activities. A new computer-based animation questionnaire was developed designed to assess how a person performs simple daily activities, thus focusing on the quality of execution. This study aims to determine the effectiveness of the animated questionnaire to assess activity limitations in osteoarthritis patients. This study is a systematic review of research articles on the effectiveness of animated questionnaires in assessing activity limitations in osteoarthritis patients, with the criteria of a pilot study, randomized controlled trial (RCT), observational study, cross-sectional and longitudinal and intervention, taken from Pubmed, Science Direct, and Scopus with the PICO framework method. The results of the review showed that the animated questionnaire had a positive effect in assessing activity limitations in osteoarthritis patients. This study describes the effectiveness of the use of animated questionnaires on the assessment of activity limitations in osteoarthritis patients. However, a systematic review is needed that focuses more on RCT research articles and their validity to determine the effectiveness of using animated questionnaires.Keywords: osteoarthritis; animated activity questionnaire; videos ABSTRAK Osteoarthritis (OA) merupakan penyakit sendi kronis yang paling umum di seluruh dunia, yang merupakan salah satu penyebab utama kecacatan dan gangguan aktivitas sehari-hari. Kuesioner animasi berbasis komputer baru dikembangkan yang dirancang untuk menilai bagaimana seseorang melakukan aktivitas sehari-hari yang sederhana, sehingga berfokus pada kualitas eksekusi. Studi ini bertujuan untuk mengetahui efektifitas kuesioner animasi untuk menilai keterbatasan aktivitas pada pasien osteoarthritis. Studi ini merupakan systematic review pada artikel-artikel penelitian mengenai efektifitas kuesioner animasi dalam menilai keterbatasan aktivitas pada pasien osteoarthritis, dengan kriteria pilot study, randomized controlled trial (RCT), observational study, cross-sectional dan longitudinal dan intervensi, yang diambil dari Pubmed, Science Direct, dan Scopus dengan metode PICO framework. Hasil review menunjukkan bahwa kuesioner animasi memberikan efek yang positif dalam penilain keterbatasan aktivitas pada pasien osteroatritis. Penelitian ini menggambarkan efektifitas penggunaan kuesioner animasi terhadap penilaian keterbatasan aktivitas pasien osteoatritis. Namun, dibutuhkan systematic review yang lebih berfokus pada artikel-artikel penelitian RCT dan validitas untuk mengetahui efektifitas penggunaan kuesioner animasi.Kata kunci: osteoarthritis; animated activity questionnaire; video
Perawatan Paliatif Berbasis Family Centered Nursing untuk Mempertahankan Status Gizi Penderita Penyakit Ginjal Kronik dengan Hemodialisis Faridah, Virgianti Nur; Pramestirini, Rizky Asta; Zuliastri, Nofi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 15, No 1 (2024): Januari-Maret 2024
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf15131

Abstract

Chronic kidney disease patients on hemodialysis for a long time often experience nutritional status problems due to lack of nutritional intake and protein loss during hemodialysis, so special care is needed. This study aimed to analyze the effect of family centered nursing-based palliative care on the nutritional status of chronic kidney disease patients on hemodialysis. The design of this research was post-test only with control group. This study involved 30 patients for each group, selected by purposive sampling technique. Data on nutritional status were collected using the SGA questionnaire and analyzed using the Chi-square test. Based on the results of the analysis, the p-value = 0.030 was obtained, so it was interpreted that there was a difference in nutritional status between the two groups, with a higher score obtained in the group given palliative care based on family centered nursing. Based on these results, it was concluded that palliative care based on family centered nursing was effective in maintaining the nutritional status of patients with chronic kidney disease undergoing hemodialysis.Keywords: chronic kidney disease; hemodialysis; palliative care; family centered nursing; nutritional status ABSTRAK Pasien penyakit ginjal kronik dengan hemodialisis dalam waktu lama sering mengalami masalah status gizi akubat kurangnya asupan nutrisi dan kehilangan protein saat hemodialisis, sehingga diperlukan perawatan khusus. Penelitian ini bertujuan untuk menganalisis pengaruh perawatan paliatif berbasis family centered nursing terhadap status gizi pasien penyakit ginjal kronik dengan hemodialisis. Desain penelitian ini adalah post-test only with control group. Studi ini melibatkan 30 pasien untuk masing-masing kelompok, yang dipilih dengan teknik purposive sampling. Data tentang status gizi dikumpulkan menggunakan kuesioner SGA dan dianalisis menggunakan uji Chi-square. Berdasarkan hasil analisis didapatkan nilai p = 0,030, sehingga diinterpretasikan bahwa ada perbedaan status gizi di antara kedua kelompok, dengan skor yang lebih tinggi didapatkan pada kelompok yang diberikan perawatan paliatif berbasis family centered nursing. Berdasarkan hasil tersebut disimpulkan bahwa perawatan paliatif berbasis family centered nursing efektif untuk menjaga status gizi pasien dengan penyakit ginjal kronik yang menjalani hemodialisis.Kata kunci: penyakit ginjal kronik; hemodialisis; perawatan paliatif; family centered nursing; status gizi