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Penerapan kompres dingin terhadap nyeri insersi AV shunt pada pasien hemodialisis Novika Lutfiana; Dwi Retnaningsih
Link Journal of Nursing Vol 2 No 2 (2026): May : Journal of Nursing
Publisher : CV LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/journalofnursing.v2i2.71

Abstract

Latar Belakang: Penyakit Ginjal Kronis (PGK) dapat menyebabkan uremia dan memerlukan terapi seperti hemodialisis. Pemasangan AV Shunt selama hemodialisis sering kali menimbulkan rasa sakit akibat kerusakan kulit dan pembuluh darah, Rasa sakit ini dapat menyebabkan kecemasan, ketakutan, dan penurunan kualitas hidup, yang berpotensi menyebabkan ketidakpatuhan terhadap terapi. Kompres dingin dapat membantu mengurangi rasa sakit dengan menyebabkan vasokonstriksi, mengurangi aliran darah, dan memberikan pengalih perhatian. Tujuan: Studi kasus ini bertujuan mendeskripsikan pengaruh kompres dingin terhadap nyeri insersi AV Shunt. Metode: Studi kasus menggunakan instrument NRS (Numeric Rating Scale) untuk mengukur tingkat nyeri saat sebelum dan sesudah diberikan penerapan, penerapan diberikan 1x pertemuan dengan durasi 10 menit, studi kasus ini menggunakan analisa univariat.  Hasil: Setelah diberikan penerapan kompres dingin selama 1x pertemuan didapatkan hasil bahwa terdapat pengaruh tingkat nyeri sebelum dilakukan penerapan tingkat nyeri sedang dengan skala nyeri 6 dan sesudah dilakukan penerapan tingkat nyeri ringan dengan skala 2. Kesimpulan: Kompres dingin dapat menurunkan skala nyeri saat insersi AV Shunt, nyeri yang dirasakan oleh pasien berdampak terhadap kecemasan dan ketakutan. Kompres dingin menjadi alternatif nonfarmakologis untuk mengurangi nyeri dengan melemahkan sinyal sensasi nyeri pada pasien hemodialisis.
Pengaruh Teknik Relaksasi Benson terhadap Intensitas Nyeri Insersi AV Fistula pada Pasien Hemodialisa di RSUD Batang Madnur Soleh; Dwi Retnaningsih
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 4 (2025): Desember : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i4.2477

Abstract

Malaria is a global health problem, especially in tropical countries like Indonesia. Papua, with 14,586 cases, and Jayapura City in 2023 had 29,938 cases. This is due to nocturnal activities, knowledge, and preventive measures, which contribute to the high incidence of malaria. The purpose of this study was to identify factors associated with malaria incidence at Bhayangkara Hospital Class II, Jayapura. This research was an analytical study with a cross-sectional design. Data collection was conducted using a questionnaire. A total of 82 respondents were recruited using a simple accidental sampling technique. The data obtained were statistically analyzed using the chi-square test. Based on the analysis results, it was found that of the 82 respondents, the characteristics of the respondents were mostly aged > 20 years (74 people (90.2%), male (48 people (58.5%) and unemployed (53 people (64.6%). There was a significant relationship between nighttime activities and malaria incidence at Bhayangkara Hospital Level II Jayapura. (p-value 0.015 <α (0.05). There was a significant relationship between knowledge and malaria incidence at Bhayangkara Hospital Level II Jayapura (p-value 0.000 <α (0.05). There was a significant relationship between malaria prevention measures and malaria incidence at Bhayangkara Hospital Level II Jayapura (p-value 0.008 <α (0.05). Nighttime activities, knowledge and malaria prevention measures were significantly associated with malaria incidence.
Pengaruh Terapi Relaksasi Benson terhadap Tekanan Darah Pasien Hipertensi Intradialitik di RSUD Batang Nur Khakimah; Dwi Retnaningsih
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 4 (2025): Desember : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i4.2479

Abstract

Chronic kidney disease (CKD) patients undergoing hemodialysis are at risk of experiencing intradialytic complications, one of which is hypertension. Management of hypertension in hemodialysis units is generally pharmacological, although non-pharmacological interventions may serve as an effective, simple, and safe complementary option. One such technique is Benson relaxation, which combines controlled deep breathing with spiritual elements to reduce sympathetic activity and promote relaxation. This case study to determine the effect of Benson relaxation therapy on blood pressure of intradialytic hypertension patients at RSUD Batang. The case study design was a case study involving 5 CKD patients undergoing hemodialysis. The intervention was performed by guiding patients to practice Benson relaxation for about 10–15 minutes, with blood pressure measured before and after the intervention using a digital sphygmomanometer. The results showed a decrease in blood pressure in most respondents. The average systolic blood pressure decreased from 153.4 mmHg to 145.6 mmHg, while diastolic pressure decreased from 92.4 mmHg to 87.6 mmHg. In addition to physiological improvement, patients also reported subjective relief such as reduced dizziness, palpitations, and tension. In conclusion, Benson relaxation therapy proved effective in reducing blood pressure among intradialytic hypertension patients. This intervention can be recommended as a complementary non-pharmacological therapy in nursing care to improve comfort in hemodialysis patients.
Penerapan Nesting terhadap Perubahan Suhu Tubuh pada Bayi dengan Berat Badan Lahir Rendah di Ruang Perinatologi RSUD Batang R. Teguh Ady P; Dwi Retnaningsih
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 4 (2025): Desember : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i4.2494

Abstract

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition results from the immaturity of organ systems, including thermoregulation, making infants vulnerable to hypothermia. One non-pharmacological intervention to maintain body temperature stability is the nesting technique, which positions the baby in a flexed posture similar to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on body temperature changes in LBW infants in the perinatology room of RSUD Batang. The study used a descriptive case study with a nursing process approach involving five LBW infants (<2500 g, spontaneous breathing). The intervention involved applying nesting for 30 minutes daily over three consecutive days. Body temperature was measured before and after the intervention using a digital thermometer. The results showed an increase in body temperature in all subjects. The average temperature before intervention was 35.9°C and increased to 36.6°C after three days of nesting therapy. This indicates that nesting effectively helps maintain body temperature stability in LBW infants by providing comfort, reducing stress, and conserving body energy. In conclusion, nesting is an effective evidence-based nursing intervention for improving body temperature in LBW infants and is recommended for perinatology care settings.
Penerapan Nesting terhadap Perubahan Saturasi Oksigenasi dan Frekuensi Nadi pada Bayi dengan Berat Badan Lahir Rendah di Ruang Perinatologi RSUD Batang Sri Rahayu; Dwi Retnaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i1.2481

Abstract

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition is associated with the immaturity of organ systems, including thermoregulation and respiratory function, making infants prone to stress, hypothermia, and oxygenation problems. One nursing intervention that helps improve physiological stability is the nesting technique, which positions the baby similarly to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on oxygen saturation and pulse frequency changes in LBW infants in the perinatology room of RSUD Batang. The design used a descriptive case study with a nursing process approach involving 5 LBW infants who met inclusion criteria. The intervention was carried out by applying nesting for 30 minutes, then measuring oxygen saturation and pulse rate before and after the intervention using a pulse oximeter. The results showed an increase in oxygen saturation and changes in pulse rate after nesting. The mean oxygen saturation before intervention was 94%, increasing to 98% after three days of treatment. The average pulse rate increased from 130 beats/minute to 136 beats/minute, remaining within normal physiological limits (120–160 bpm). This indicates improved comfort and physiological stability due to the flexed position during nesting, which reduces stress and enhances oxygen efficiency. In conclusion, the nesting technique effectively improves oxygen saturation and stabilizes pulse rate in LBW infants. It is recommended as an evidence-based nursing practice for promoting comfort and physiological stability in premature or LBW infants in perinatology units.    
Pengaruh Pemberian Teknik Relaksasi Genggam Jari terhadap Perubahan Kecemasan Pasien dengan Pasien Pre Operasi di RSUD Batang Johan Mukhibul Ahkam; Dwi Retnaningsih
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i1.2482

Abstract

Patients undergoing surgery often experience preoperative anxiety due to concerns about the outcome, pain, and the risk of complications. Uncontrolled anxiety can affect the patient's physiological and psychological condition and slow the recovery process. One non-pharmacological effort that can be used to reduce anxiety is the finger-holding relaxation technique, a simple method that can help balance emotions and provide a sense of calm. To determine the effect of the finger-holding relaxation technique on changes in preoperative anxiety levels in patients at Batang Regional General Hospital. Method: This study used a descriptive case study approach. The respondents were four patients who were about to undergo surgery and were experiencing anxiety. The intervention was conducted for approximately 15 minutes using the finger-holding relaxation technique. Anxiety levels were measured before and after the intervention using the Hamilton Anxiety Rating Scale (HARS). All respondents experienced a decrease in anxiety levels after the intervention. The average reduction in anxiety scores was 7.25 points. Before the intervention, two patients experienced severe anxiety and two patients experienced moderate anxiety. After the intervention, two patients experienced mild anxiety and two others experienced a decrease to moderate levels. This indicates that finger-holding therapy has a positive effect on reducing preoperative anxiety in patients. The finger-holding relaxation technique has been proven effective in reducing preoperative anxiety in patients. This intervention can be used as a simple, safe, and easy-to-implement non-pharmacological therapy alternative for nurses to improve patient psychological comfort.