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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.
Hubungan Self-Efficacy Terhadap Koping Stres Pada Pasien Kanker Rs Colombia Asia Semarang Budi Lestari; Dwi Retnaningsih; Menik Kustriyani
Journal of Medical Practice and Research Vol 2 No 1 (2026): June: Essentia: Journal of Medical Practice and Research
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/p30tqf16

Abstract

This study examines the relationship between self-efficacy and stress coping strategies among cancer patients at Columbia Asia Hospital Semarang using a quantitative correlational design with a cross-sectional approach. The study involved 30 cancer patients selected through non-probability sampling based on predefined inclusion criteria. Data were collected using validated instruments, namely the General Self-Efficacy Scale (GSE) and Brief COPE Inventory, and analyzed using univariate and Spearman rank correlation tests. The findings indicate that most patients demonstrated moderate levels of self-efficacy and coping strategies, reflecting an ongoing psychological adaptation process to disease-related stressors. A statistically significant and very strong positive correlation (ρ = 0.926; p < 0.05) was identified between self-efficacy and coping strategies, suggesting that higher self-efficacy is associated with more adaptive coping mechanisms. These results highlight the critical role of self-efficacy as a psychological determinant in managing stress among cancer patients. The study underscores the need for integrating psychosocial interventions into oncology care to enhance patients’ adaptive capacity, improve treatment adherence, and promote overall well-being.
Hubungan Tingkat Kecemasan dengan Kualitas Tidur pada Pasien Kanker yang Menjalani Kemoterapi di RSUD Dr. Adhyatma Semarang Ajeng Maharani; Dwi Retnaningsih; Emilia Puspitasari
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 2 (2026): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i2.6511

Abstract

Cancer is a chronic disease that remains a major health problem and can cause physical and psychological effects, one of which is anxiety, especially in patients undergoing chemotherapy. Uncontrolled anxiety can affect the patient's sleep quality. To determine the relationship between anxiety levels and sleep quality in cancer patients undergoing chemotherapy at Dr. Adhyatma Tugu Regional General Hospital in Semarang. This quantitative study used a descriptive correlational design and a cross-sectional approach. The sample consisted of 73 respondents using purposive sampling. The instruments used were the Hamilton Rating Scale for Anxiety (HARS) and the Pittsburgh Sleep Quality Index (PSQI). The results showed that most respondents experienced moderate anxiety (57.5%) and very poor sleep quality (60.3%). Spearman's rho test showed a strong and significant relationship between anxiety levels and sleep quality (r = 0.724; p < 0.05). There is a strong and significant relationship between anxiety levels and sleep quality in cancer patients undergoing chemotherapy at Dr. Adhyatma, MPH Tugu Semarang Regional General Hospital (r = 0.724; p < 0.05).