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PEMERIKSAAN TEKANAN VENA JUGULARIS (JVP) PADA PASIEN GAGAL JANTUNG: KONSEP ANALISIS Ulin Ni’am; Mochamad Ali Sobirin; Chandra Bagus Ropyanto
The Shine Cahaya Dunia Ners Vol 5, No 1 (2020): The Shine Cahaya Dunia Ners
Publisher : LPPM An Nuur Purwodadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v5i1.213

Latar belakang: Kondisi hipervolemia pada pasien gagal jantung merupakan situasi dimana seorang pasien harus mendapat penanganan darurat. Tekanan vena jugularis (Jugular Venous Pressure “JVP” adalah pengukuran tidak langsung dari tekanan vena kava. Vena kava menentukan gambaran dari kondisi atrium kanan pada jantung. Meningkatnya JVP diakibatkan adanya kegagalan jantung dalam memompa darah ke dalam sirkulasi. Sehingga, pemantauan JVP sebagai prediktor kondisi jantung pada pasien merupakan komponen penting dalam pengelolaan dan perawatan pada pasien gagal jantung.Metode: Metodologi yang digunakan dalam penulisan ini adalah konsep analisis. Konsep ini bertujuan untuk melakukan analisa terhadap konsep pemeriksaan JVP berdasarkan strategi analisis konsep Walker dan Avant, meliputi indentifikasi antesenden, mendefinisikan atribut, konsekuensi, referensi empiris, dan kasus yang terkait dengan konsep tersebut.Hasil: Model konseptual pemeriksaan JVP memberikan petunjuk dalam penerapan asuhan keperawatan sehingga memberikan mutu asuhan keperawatan yang berkualitas. Dampaknya, kualitas hidup pasien dengan masalah pada sistem kardiovaskuler semakin meningkat dan terhindar dari perburukan kondisi.Kesimpulan: Penguasaan terhadap konsep pemeriksaan JVP sangat diperlukan oleh seluruh tenaga kesehatan. Konsep menjadi dasar dalam menerapkan suatu teori. Penerapan pemeriksaan JVP berdasarkan konsepnya, akan memberikan hasil pemeriksaan yang akurat, sehingga dapat dijadikan sebagai pedoman dalam penegakan diagnosa dan penatalaksanaan pada pasien. Keyword : Gagal Jantung, Konsep Analisis, Pemeriksaan Fisik, Tekanan Vena Jugularis

PERAN YOGA DALAM MENURUNKAN KECEMASAN PADA PASIEN JANTUNG Arif Mujiono; M. Ali Sobirin; Chandra Bagus Ropyanto
The Shine Cahaya Dunia Ners Vol 5, No 1 (2020): The Shine Cahaya Dunia Ners
Publisher : LPPM An Nuur Purwodadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v5i1.209

Latar belakang; Kecemasan pada penyakit jantung dapat mempengaruhi program pengobatan karena kecemasan dapat mengurangi kemampuan adaptif terhadap dampak penyakit. Yoga sebagai bagian dari terapi pendamping medis farmakologis dapat menurunkan kecemasan, namun mekanismenya masih belum dipahami sehingga yoga jarang direkomendasikan. Tujuan penelitian untuk mengetahui peran yoga terhadap penurunan kecemasan pada pasien dengan penyakit jantung.Metode: Review artikel dilakukan terhadap jurnal yang berkaitan dengan pengaruh yoga terhadap kecemasan pada pasien penyakit jantung. Jurnal penelitian diambil dari publikasi internasional ; Medline, Sciencedirect dan Google Scholar yang berbahasa Inggris dan dipublikasikan pada tahun 2013 sampai tahun 2019. Kata kunci yang digunakan : Yoga, anxiety/stress in Heart Disease.Hasil: Didapatkan 8 artikel dengan desain systematic review, RCT, cohort study dan studi kualitatif yang relevan terhadap pengaruh yoga dalam menurunkan kecemasan pada pasien penyakit jantung.Kesimpulan: Yoga aman dan berpengaruh terhadap penurunan kecemasan pasien penyakit jantung, namun dibutuhkan penelitian lebih lanjut untuk membuktikan mekanisme yoga dapat menurunkan kecemasan pada pasien dengan penyakit jantung. Kata kunci; Yoga, Kecemasan, Penyakit Jantung

ROM Therapy on Muscle Strength in Post Stroke Patients: Scoping Review Muliyani Yamlean; Chandra Bagus Ropyanto; Fitria Handayani
Indonesian Journal of Global Health Research Vol 3 No 1 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Hemiparesis and hemiplegia are motor deficits found mostly in stroke patients. If the deterioration in muscle strength that occurs is not handled properly, it will cause permanent disability. ROM therapy is a therapy to increase muscle strength which has undergone various developments according to the research that has been done. The aim of this article was to identify interventions using ROM therapy to improve muscle strength in post-stroke patients. The databases used were JCS, PMC, Science Direct, and PubMed. The search was limited to articles published in 2014 to 2019. The study criteria was for adult, quantitative comparisons between before and after intervention ROM therapy and full text article, published in peer-reviewed journal and written in English and Indonesian. This article used the methodological framework by Arksey and O'Malley for the scoping review. The research has conducted a study of 4 articles, in which all of the items discussed the application of ROM therapy to increase muscle strength in post-stroke patients. The results from each articles showed that ROM therapy has helped improve muscle strength in post-stroke patients.

Pengaruh Kompres Dingin dalam Penurunan Nyeri Pasien Post Percutaneous Coronary Intervention (PCI): Literature review Andy Kristiyan; Hery Djagat Purnomo; Chandra Bagus Ropyanto
Holistic Nursing and Health Science Vol. 2, No. 1 (2019): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Introduction: Complications in catheterization vascular access range from 1%-61%. One of interventions that can be taken to prevent hematoma and reduce pain in post PCI patients at off sheath is with cold compresses or ice bag. The fact shows that pain and hematoma in patient PCI in hospital just done by using sand bag therapy. There was a limited review about the use of ice bag to reduce pain in patients with PCI.Methods: Searched articles through Science Direct, PubMed, EBSCO and Google Scholar conducted using advanced searching with keywords including “ice bag”, “pain”, and “percutaneous coronary intervention”. Searching through Google Scholar using keywords involving “effectiveness of ice bag on pain in patient’s percutaneous coronary intervention (PCI)”.Results: There were three articles control trials and the results showed that implementation of cold compresses with ice bag for 20 minutes before and after catheter release in PCI measures was significant in reducing pain (P <0.05).Conclusion: Giving cold compresses can reduce pain because it can inhibit the fibber of small-diameter nerves in delivering pain stimuli.

Literature Review: Teknik Relaksasi untuk Penerimaan Diri Pasien Kanker Payudara Ni Made Merlin; Anggorowati Anggorowati; Chandra Bagus Ropyanto; Antonius Rino Vanchapo
Jurnal Kesehatan Vol 10, No 2 (2019): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Breast cancer patients experience low self-acceptance and some of the experiencing psychological problems but not a lot of research to increasing self-acceptance. Additional intervention is needed to improve the effectiveness to increase self-acceptance. Technique relaxation is especially related because easy and quick to learn, it involves no risk, does not need use or purchased equipment and can be used on its own and immediately to tiredness and ill patients. This paper offers a literature review assessing the implications of previous studies order to create evidence-based decisions about the possibility to use of relaxation techniques with adult breast cancer patient for low self-acceptance. The Science Direct, EBSCOhost, Pubmed, DOAJ, Google Scholar database were searched in 2017 in orders to replied two questions: are relaxation technique effective to increase self-acceptance in breast cancer patients, and implications the previous investigation to future research concerning increase self-acceptance in breast cancer patients? Four articles included in the literature review. The relaxation technique for breast cancer patients with low self-acceptance is statically significant, and good evidence-based to practice. Some use of relaxation techniques in this study needs clarification as to whether it can be used directly or need to learn. Procedures in the collection of data in the articles also need to be assessed. In this literature review explain 4 relaxation technique to use for increasing self-acceptance in breast cancer, there are self-forgiveness, meditation, tai-chi, reflection, prayer, mindfulness. This literature review can be used as the basis for the decision to use relaxation techniques for increasing self-acceptance in the breast cancer patient.

Hubungan Sikap dan Pengalaman Pelaksanaan Manajemen Nyeri pada Perawat terhadap Pelaksanaan Manajemen Nyeri Pasien Paska Operasi Bella Arinda Mashita Dewi; Chandra Bagus Ropyanto
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 1 No. 1 (2018): Mei 2018
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

The Ameican Society of Anastheiologists (ASA) mendefiniskan nyeri pasca operasi sebagai nyeri yang timbul pada pasien karena prosedur bedah yang dilakukan. Nyeri pasca operasi yaang tidak ditangani dapat berefk secara fisiologis dan psikologis pada pasien. Manajemen nyeri penting untuk mengurangi nyeri dan memberikan kenyamanan pada pasien sehingga peningkatan manajemen nyeri merupakan kebutuhan mendesak. Faktor yang mempengaruhi perawat pada pelaksanaan manajemen nyeri yaitu sikap dan pengalaman perawat. Penelitian bertujuan mengidentifikasi hubungan sikap dan pengalaman terhadap pelaksanaa manajemen nyeri. Desain penelitian adalah kuantitatif korelasi dengan pendekatan cross sectional dengan sampel non probability sampling berupa tehnik total sampling dan jumlah responden 45 perawat di ruang perawatan bedah. Hasil penelitian didapatkan perawat dengan sikap positif sebnyak 62,2 % dengan pengalaman kurang sebanyak 55,6 %, dan manajemen nyeri kurang baik 51,1 %. Hasil uji statistik didapakan nilai p=0,003 sehingga didapatkan hubungan antara sikap terhadap pelaksanaan manajemen nyeri. Terdapat hubungan antara pengalaman terhadap manajemen nyeri dengan nilai p=0,025. Hasil penelitian dapat digunakan sebagai bahan kajian untuk pelaksanaan manajemen nyeri dengan menambah wawasan perawat, sementara sikap positif perawat harus dipertahankan dan menambajh pengalaman perawat dengan memberikan pelatihan serta seminar tentang manajemen nyeri.

THE INFLUENCE OF SUNDANESE ZITHER (KACAPI) MUSIC THERAPY ON ANXIETY LEVELS IN PRE-CARDIAC CATHETERIZATION PATIENTS Kristiana Prasetya Handayani; Andrew Johan; Chandra Bagus Ropyanto
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: Patients who will have cardiac catheterization mostly experience anxiety. Unresolved anxiety may have a harmful effect such as increasing frequency of heart, breathing and blood pressure as well as risks of complication. Music is considered effective in reducing anxiety. Objective: This study aims to examine the effect of Sundanese zither (kacapi) music therapy on anxiety level in pre-cardiac catheterization patients. Methods: This was a quasi-experimental study. Fifty-six respondents were selected using consecutive sampling technique, which 28 respondents assigned in the experiment group and control group. Anxiety was measured using Hamilton Anxiety rating Scale (HARS). Data were analyzed using Wilcoxon and Mann-Whitney test. Results: The results showed an average decrease in anxiety value in the experiment group of 10.28, and in the control group of 3.25. Mann-Whitney test results obtained p value <0.001, which indicated that there was a significant difference of mean decrease between the experiment group and the control group. Conclusion: This study proves that the intervention of Sundanese kacapi music significantly decreasing anxiety levels (p <0.001) in pre-cardiac catheterization patients. It is suggested that Sundanese kacapi music can be used as an alternative therapy in the independent nursing interventions.

EFFECT OF MINDFULNESS INTERVENTION ON THE INTENSITY OF PAIN IN NASOPHARYNGEAL CANCER PATIENTS UNDERGOING RADIATION TREATMENT Anna Jumatul Laely; Awal Prasetyo; Chandra Bagus Ropyanto
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: Physical responses that occur in patients with nasopharyngeal cancer are the emergence of pain due to the effects of treatment. The problem of pain in these patients at the stage of treatment remains critical to solve because it can cause comorbidity, psychological trauma and mortality. Mindfulness intervention is considered useful in transforming consciousness into the stage of acceptance. Objective: This study aims to determine the effect of mindfulness intervention on the intensity of pain in nasopharyngeal cancer patients undergoing radiation treatment. Methods: This was a quasi-experimental study with pretest posttest control group design. Thirty patients were selected using consecutive sampling, which divided into experiment and control group. Visual Analogue Scale (VAS) was used to measure pain. Each respondent received mindfulness intervention for six sessions, divided into three meetings. Paired t-test was used for data analysis. Results: The results showed a significant reduction of pain from 4.12 (moderate pain) to 3.06 (mild pain) in the experiment group. There was a significant difference in pain level before and after mindfulness intervention (p= 0.001). Conclusion: Mindfulness is effective in reducing pain intensity level in nasopharyngeal cancer patients undergoing radiation therapy.

Descriptive study of anxiety among chronic kidney disease patients underwent hemodialysis: Pilot study R Rokhmat; Achmad Zulfa Juniarto; Chandra Bagus Ropyanto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 1: June 2020
Publisher : Universitas Aisyah Pringsewu

Chronic kidney disease is a kidney organ disease that cannot be cured, has been suffering for the whole life of the patient and must depend on a kidney function replacement device to maintain the sufferer life. Patients who have experienced chronic kidney disease undergoing hemodialysis are difficult to cure and become a major problem for the world, especially the problem of the treatment costs are relatively expensive. Health conditions that are experienced is a crisis situation that can cause psychological disorders. Psychological problems which often arise in patients with chronic kidney disease is anxiety. This study aims to determine the anxiety of chronic kidney patients undergoing hemodialysis at Batang Regional Public Hospital (RSUD). This research type is qualitative research with a descriptive method of phenomenology. The subjects in this study were patients with chronic kidney disease who underwent hemodialysis at Batang Regional Public Hospital (RSUD). The technique used in taking participants using purposive sampling with the number of 5 participants. Data collection techniques in this study used structured interviews about anxiety in 3 aspects, namely physiological, psychological and affective aspects. Data analysis was performed by data reduction, triangulation and drawing conclusions. The results obtained in this study there are 3 aspects of anxiety experienced by participant namely physiological, psychological, and affective aspects. In the physiological aspects of patients complaining that it was difficult to sleep, in the psycho-psychological aspect, the patient still felt afraid of the affective aspects of the patient complaining of decreased patience and tension before hemodialysis.Studi deskriptif kecemasan pasien penyakit ginjal kronik yang menjalani hemodialisa: Pilot studyAbstrak: Penyakit ginjal kronis merupakan penyakit pada organ ginjal yang tidak dapat disembuhkan, diderita seumur hidup pasien dan harus bergantung dengan alat pengganti fungsi ginjal guna mempertahankan kehidupan penderitanya. Pasien yang sudah mengalami penyakit ginjal kronis yang menjalani hemodialisa sulit untuk disembuhkan dan menjadi masalah besar bagi dunia, terutama masalah biaya perawatan dan pengobatannya yang relatif mahal. Kondisi kesehatan yang di alami merupakan sebuah krisis situasi yang dapat menyebabkan gangguan psikis dan psikologis. Permasalahan psikologis yang sering muncul pada pasien penyakit ginjal kronis adalah kecemasan. Penelitian ini bertujuan untuk mengetahui kecemasan pasien ginjal kronik yang menjalani hemodialisa di RSUD Batang. Jenis penelitian yang digunakan adalah penelitian kualitatif dengan metode deskriptif femomenologi. Subjek dalam penelitian ini adalah pasien penyakit ginjal kronik yang menjalani hemodialisa di RSUD Batang. Teknik yang digunakan dalam pengambilan partisipan menggunakan purposive sampling dengan jumlah partisipan adalah 5 partisipan. Teknik pengambilan data dalam penelitian ini menggunakan wawancara terstruktur tentang kecemasan dalam 3 aspek yaitu aspek fisiologis, psikologis dan afektif. Analisa data dilakukan dengan melakukan reduksi data, triangulasi dan menarik kesimpulan. Hasil yang diperoleh dalam penelitian ini ada 3 aspek kecemasan yang dialami partispan yaitu aspek fisiologis, piskologis, dan aspek afektif. Pada aspek fisiologis pasien mengeluhkan sulit untuk tidur, pada aspek psikoogispasien masih merasa takut pada aspek afektif pasien mengeluhkan penurunan kesabaran dan tegang sebelum tindakan hemodialisa.

ROM Therapy on Muscle Strength in Post Stroke Patients: Scoping Review Muliyani Yamlean; Chandra Bagus Ropyanto; Fitria Handayani
Indonesian Journal of Global Health Research Vol 3 No 1 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Hemiparesis and hemiplegia are motor deficits found mostly in stroke patients. If the deterioration in muscle strength that occurs is not handled properly, it will cause permanent disability. ROM therapy is a therapy to increase muscle strength which has undergone various developments according to the research that has been done. The aim of this article was to identify interventions using ROM therapy to improve muscle strength in post-stroke patients. The databases used were JCS, PMC, Science Direct, and PubMed. The search was limited to articles published in 2014 to 2019. The study criteria was for adult, quantitative comparisons between before and after intervention ROM therapy and full text article, published in peer-reviewed journal and written in English and Indonesian. This article used the methodological framework by Arksey and O'Malley for the scoping review. The research has conducted a study of 4 articles, in which all of the items discussed the application of ROM therapy to increase muscle strength in post-stroke patients. The results from each articles showed that ROM therapy has helped improve muscle strength in post-stroke patients.

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