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Efektivitas Edukasi Berbasis Multimedia terhadap Peningkatan Kepatuhan dalam Pengobatan dan Perawatan Diri pada Pasien Pasca Percutaneous Coronary Intervention (PCI) Santi Apriyani; Elly Nurachmah; Riri Maria
Journal of Telenursing (JOTING) Vol 3 No 2 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i2.2952

Abstract

This study aims to determine the effectiveness of multimedia-based education in improving medication adherence and self-care in post-PCI patients. The method used in this study is a literature search based on several online databases such as PubMed, CINAHL, ScienceDirect, Wiley Online, Cambridge Core published from 2017-2021. The results showed that multimedia-based education, including smartphone-based education, text messages, and telephones, effectively increased adherence to medication and self-care in post-PCI patients. In conclusion, the application of multimedia/digital-based interventions and education is a solution that can be applied to inpatient care at home. Keywords: Multimedia-Based Education, Compliance, Post Percutaneous Coronary Intervention
FAKTOR KEJADIAN IN-STENT RE-STENOSIS PADA PASIEN PENYAKIT JANTUNG KORONER Devi Susanti; Elly Nurachmah; Tuti Herawati
Jurnal Mitra Kesehatan Vol. 1 No. 1 (2018): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v1i1.10

Abstract

Pendahuluan: Penyakit Jantung Koroner adalah penyakit yang diakibatkan penyempitan pembuluh darah koroner akibat aterosklerosis. Salah satu penatalaksanaan Penyakit Jantung Koroner adalah pemasangan stent untuk mengatasi sumbatan pada pembuluh darah jantung. Tindakan tersebut dapat berulang apabila terjadi sumbatan pada lokasi pembuluh darah yang terpasang stent atau disebut in-stent re-stenosis. Penelitian ini bertujuan untuk mengidentifikasi faktor – faktor yang berhubungan dengan tindakan PCI berulang. Metode: Desain penelitian menggunakan desain non eksperimental jenis cross sectional analitik. Responden sebanyak 70 orang, diperoleh melalui teknik consecutive sampling. Analisis data dilakukan secara univariat, bivariat (chi square dan uji t tidak berpasangan) serta multivariat (regresi logistik berganda). Hasil: Hasil penelitian menunjukkan bahwa riwayat merokok memiliki hubungan yang signifikan dan merupakan faktor dominan dengan tindakan PCI berulang. Kesimpulan: Implikasi hasil penelitian dalam keperawatan  peningkatan peran perawat sebagai pendidik dalam memberikan pendidikan kesehatan tentang in-stent re-stenosis khususnya pengendalian faktor risiko khususnya kebiasaan merokok pada pasien yang terpasang stent dalam mencegah re-stenosis.
Efektivitas Intervensi Relaksasi Imaginasi Terbimbing Terhadap Penurunan Kecemasan dan Nyeri pada Pasien Paliatif Fitri Wulandari; Elly Nurachmah
Journal of Pharmaceutical and Health Research Vol 3 No 3 (2022): October 2022
Publisher : Forum Kerjasama Pendidikan Tinggi (FKPT)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47065/jharma.v3i3.2851

Abstract

Anxiety and pain are problems that often occur in patients with chronic diseases. One of the goals of palliative care is to relieve physical symptoms that are felt and other things that make physical and psychological stress. Alternative and complementary medicine approaches can be an option for palliative patients and families where conventional treatment has not been able to reduce or relieve the symptoms they feel. : Complementary therapies can be provided to patients receiving palliative care, to integrate a multi-professional palliative approach. The development of effective intervention selection is very important for the success of its treatment. Guided imagination is one of the complementary therapies that can provide physical and psychological benefits. Therefore, the purpose of this literature study was to determine the effectiveness of guided imaginary relaxation in reducing anxiety and pain levels in palliative patients. Methods: This literature review was compiled using the databases of EBSCOHost, Clinical Key Nursing and Sage Journal. Four articles were obtained that were following the randomized control randomization research method. Results: After further analysis of the four articles, guided imagination techniques accompanied by music were more effective in reducing pain and anxiety and could increase feelings of well-being when combined with other complementary therapies such as progressive muscle relaxation and hand massage. Conclusion: Within the various complementary therapies available, each aims to develop a holistic balance for the individual by enhancing physical, psychological, and spiritual well-being. Guided imagery helps patients by diverting their attention from the disease, its associated side effects, negative thoughts, and emotions, and focusing instead on pleasant things.
Post-Stroke Quality of Life Perceived by Patients and Caregivers Gitalia Putri Medea; Elly Nurachmah; Muhamad Adam
Jurnal Keperawatan Indonesia Vol 24 No 3 (2021): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v24i3.962

Abstract

The quality of life (QOL) of post-stroke patients can be assessed from the reports of patients themselves obtained through a structured interview or a questionnaire. However, some individuals are unable to comprehensively describe their QOL because of language disorders, cognitive effects caused by stroke, or pre-existing conditions. This study aims to identify differences in post-stroke QOL perception between patients and caregivers. A cross-sectional design involving 115 stroke patients and 115 caregivers was adopted, and Mann–Whitney test was used for statistical analysis. Results showed no significant difference in QOL perception (p = 0.166; α < 0.05), particularly in the physical (p = 0.278; α < 0.05), psychological (p = 0.068; α < 0.05), social relationship (p = 0.976; α < 0.05), and environmental (p = 0.157; α < 0.05) domains between patients and caregivers. Therefore, information from caregivers can be used to assess QOL when patients are incapable of reporting their condition.Abstrak Kualitas Hidup Pasca Stroke yang Dipersepsikan oleh Pasien dan Caregiver. Kualitas hidup pasien pasca stroke dapat diketahui berdasarkan laporan dari pasien stroke dengan wawancara terstruktur atau dengan pengisian kuesioner. Namun, beberapa dari pasien stroke tidak dapat menggambarkan kualitas hidup mereka karena adanya gangguan bahasa dan efek kognitif lainnya akibat stroke atau kondisi yang sudah ada sebelumnya. Penelitian ini bertujuan mengidentifikasi perbedaan persepsi kualitas hidup antara perspektif pasien pasca stroke dan caregiver. Penelitian ini menggunakan desain cross sectional yang melibatkan 115 pasien dan 115 caregiver dengan menggunakan analisis statistik Mann Whitney. Hasil analisis menunjukkan tidak terdapat perbedaan secara signifikan antara persepsi kualitas hidup dari pasien dan caregiver (p = 0,166 ; α < 0,05), khususnya pada domain fisik (p = 0,278; α < 0,05), psikologis (p = 0,068; α < 0,05), hubungan sosial (p = 0,976; α < 0,05), dan lingkungan (p = 0.157; α < 0,05) dari kualitas hidup yang dipersepsikan oleh pasien dan yang dipersepsikan oleh caregiver. Informasi dari caregiver dapat digunakan saat pasien tidak dapat memberikan informasi terkait kualitas hidupnya. Kata Kunci: caregiver, kualitas hidup, persepsi, stroke
Vibration Adjuvant Wound Therapy Enchances The Healing Of Diabetic Foot Ulcers: An Interim Analysis Of 31 Patients Sitti Syabariyah; Elly Nurachmah
Jurnal Keperawatan dan Kesehatan Vol 6 No 3 (2015): Jurnal Keperawatan dan Kesehatan (JK2)
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (449.94 KB) | DOI: 10.54630/jk2.v6i3.35

Abstract

Introduction: Diabetic foot ulcer (DFU) is a common complication of diabetes mellitus and remains a major global public health problem and a great challenge in the realm of clinical nursing care. Previous studies suggested that vibration can improve skin blood flow. However, there was no evidence to suggest that vibration had an effect on diabetic wound healing. Objectives:This study is to establish whether vibration therapy, as an adjunct to standard wound care, can significantly improve the healing of diabetic foot ulcers. Methods:In this prospective experimental study thirty one patients with grade I-III Wagner Grading of DFU in Sudarso General Hospital, Pontianak and Ade Muhammad Djoen General Hospital, Sintang, West Borneo, Indonesia, were randomly assigned to experimental group (EG, received standard wound care and vibration therapy, n = 16) and control group (CG, received standard wound care alone, n = 15). Results:There were significant differences in total duration of wound care between EG (21.12±10.86 days) and CG (41.47±18.61 days) (P = .04). There were also differences in percentage of wound healing as a function of time. By the end of week 2, percentage of wound healing in EG was 25% while in CG it was nil (P = .038). By the end of week 3, percentage of wound healing in EG was 50% while in CG it was 13.3%, (P = .029). By the end of week 4, percentage of wound healing in EG was 100% while in CG it was 66.7%, (P = .012). Conclusions:The findings of the present study shows that vibration therapy, as an adjunct to standard
Peer Education: Health Education for Adolescent Girls to Prevent Adolescent Sexual Risk Behaviors Sri Yona; Elly Nurachmah; Anggri Noorana Zahra; Cut Sarida Pompey
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 9, No 1 (2023): March
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.63736

Abstract

Adolescent girls aged 15-24 are at risk of contracting sexually transmitted diseases such as HIV/AIDS. The existence of adolescent promiscuity, inadequate knowledge of adolescents about HIV/AIDS, and lack of communication with parents on adolescent reproductive health are some related factors to the increased number of adolescents infected with sexually transmitted diseases and HIV/AIDS. Based on these situations, providing health education to adolescents is an alternative solution. The activities were carried out by implementing health education for teenage girls, conducted in four sessions. All sessions were held online, with interactive discussion methods, role play and demonstrations. A total of 18 adolescent girls participated in this activity. The final results showed that there is an increasing mean score of post-test on HIV knowledge (0.5), adolescent reproductive health (0.44), and self-esteem (0.39). There are no significant different between pre and post-test for the level of knowledge on HIV, adolescent reproductive health, adolescent risk behavior and self-esteem. Only risky behavior does not demonstrate an increase in the mean score. Providing health education to teenage girls has improved their knowledge and understanding of HIV/AIDS and adolescent reproductive health and increased adolescent self-esteem. However, these activities did not affect the score of teens’ behavior change. It was due to the duration of health education was not sufficient to change their behavior.
Penerapan Evidence-Based Nursing Pengaruh Earplug dan Eye Mask terhadap Kualitas Tidur pada Pasien di ICU Mutarobin Mutarobin; Elly Nurachmah; Muhammad Adam; Rita Sekarsari; Erwin Erwin
Jurnal Keperawatan Indonesia Vol 22 No 2 (2019): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i2.735

Abstract

Gangguan tidur di ICU disebabkan oleh banyak faktor, diantaranya lingkungan, kebisingan, pencahayaan, kegiatan perawat, penyakit yang diderita, tindakan keperawatan, terapi obat, dan ventilasi mekanik. Efek yang ditimbulkan akan memengaruhi fungsi kekebalan tubuh, sistem metabolisme, regulasi sistem saraf pusat, dan kondisi psikologis. Tujuan penelitian ini menerapkan dan membuktikan efektifitas penggunaan Earplug dan Eye Mask dalam meningkatkan kualitas tidur pada pasien di ICU. Desain yang digunakan randomized controlled trial (RCT) crossover design. Peneliti membagi Group A dan Group B dengan simple random sampling. Jumlah sampel 24 responden. Instrumen kualitas tidur menggunakan Richard Campbell Sleep Questionnaire (RCSQ). Data dianalisis dengan uji Independent Sample T-Test. Hasil penelitian didapatkan p-value < 0,05, berarti pada alpha 5% terdapat perbedaan yang signifikan kualitas tidur antara malam pertama dan kedua pada masing-masing group sehingga disarankan dijadikan evidence based di rumah sakit sebagai salah satu terapi komplementer yang dapat dijadikan intervensi mandiri keperawatan untuk membantu mengatasi gangguan tidur. Abstract Evidence-Based Nursing Application Effect of Earplugs and Eye Mask on Quality Sleep in Patients in ICU. Sleep disorders in ICU are caused by many factors, including environment, noise, lighting, nursing activities, illness, nursing, medication therapy, and mechanical ventilation. The effects will affect the immune function, metabolic system, central nervous system regulation, and psychological conditions. The purpose of this study to apply and prove the effectiveness of the use of Earplug and Eye Mask in improving sleep quality in patients in ICU. The design used randomized controlled trial (RCT) crossover design. The researchers divide Group A and Group B by simple random sampling. The Total sample of 24 respondents. Sleep quality instrument using Richard Campbell Sleep Questionnaire (RCSQ). Data were analyzed by the Independent Sample T-Test. The result of this research is p-value <0,05, mean at alpha 5% there is a significant difference of sleep quality between first and second night in each group so it is suggested to be an evidence-based in a hospital as one of complementary therapy which can be made independent intervention nursing to help overcome sleep disorders. Keywords: earplug, eye mask, ICU, sleep quality
Penggunaan Conventional Ultrafiltration selama Cardiopulmonary Bypass untuk Mencegah Terjadinya Acute Kidney Injury Paska Operasi Jantung Yuniyas Ihsanidar; Elly Nurachmah
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5622

Abstract

This study aims to identify the relationship between the use of conventional ultrafiltration and the incidence of postoperative acute kidney injury associated with the help of a cardiopulmonary bypass machine. The method used is a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart to obtain five selected literature. The results showed a relationship between conventional ultrafiltration fluid volume shifts and the incidence of post-cardiac surgery acute kidney injury. In conclusion, ultrafiltration fluid volume displacement > 32 mL/kg will increase the risk of acute kidney injury after cardiac surgery. Keywords: Acute Kidney Injury, Cardiopulmonary Bypass, Conventional Ultrafiltration, Heart Surgery
Increasing Nurses’ Job Satisfaction with Nursing Rounds Ernalinda Rosya; Elly Nurachmah; Deswita .
Elevate Vol 1 No 1 (2018): Elevate, The International Journal of Nursing Education, Practice and Research
Publisher : Faculty of Nursing, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/elevate.1.1.128-134.2018

Abstract

Background: The nursing staff as one of a member of the healthcare providers team that determine the quality and the image of the hospital should improve their healthcare services quality. Low job satisfaction can affect the condition of anorganization that manifested in the form of labour strikes, absence and job turnover. Nursing round was activity that expected to increase the job satisfaction of nurses. Job satisfaction of nurses will have an effect on patient satisfaction and the quality of hospital healthcare services. Purpose: To identify the effect of nursing rounds on nurses’ job satisfaction. Method: Pre-experimental research using the existing design without a comparison group, the sample size was 20 people. This study used a one group pre-test and post-test design without control. The Instrument in this study was questionnaire and observation sheet. Result: The results before the nursing round on nurses’ job satisfaction level of the nurses on all sub variables was low. After the implementation of nursing round, the level of job satisfaction of the low nurses was increasing in number of sub autonomy and interaction variables. The decrease in the number of implementing nurses whose level of job satisfaction is low occurs in the sub variables of professional status and task requirements. Conclusion: So showed a significant effect on the level of nursing rounds on job satisfaction of hospitalization nurses. The optimize job satisfaction nurses and nursing rounds with assembles relevant policies.
Efektivitas Intervensi Limb Raising Terhadap Nyeri Dan Swelling Pasca Intervensi Koroner Perkutan Dengan Akses Arteri Radialis I Nengah Adiana; Elly Nurachmah; Tuti Herawati; Rita Sekarsari; Agus Susanto
Jurnal Riset Kesehatan Nasional Vol. 7 No. 2 (2023)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v7i2.507

Abstract

Abstrak Pendahuluan: Penyakit jantung koroner (PJK) sebagai penyebab kematian terbesar di dunia. Penatalaksanaan PJK dilakukan dengan mengurangi atau mengendalikan faktor risiko serta mengembalikan suplai darah miokardium dengan intervensi koroner perkutan (IKP). Perawatan pasien paska tindakan intervensi koroner perkutan melalui akses arteri radialis untuk menurunkan nyeri dan swelling dengan penerapan limb raising. Tujuan: Mengidentifikasi efektivitas intervensi limb raising terhadap penurunan nyeri dan swelling paska intervensi koroner perkutan melalui akses arteri radialis. Metode: Menggunakan desain quasi eksperimen dengan 32 responden (masing-masing 16 responden untuk kelompok intervensi dan kelompok kontrol) menggunakan teknik purposive sampling. Pengambilan data dilaksanakan bulan November 2019 - Januari 2020 di RSJPD Harapan Kita, Jakarta. Data di analisis menggunakan uji independen t-test dengan program SPSS. Hasil: Terdapat perbedaan yang signifikan rerata skor nyeri dengan mean different -1.063, p = 0.035 dan swelling dengan mean different -2.188 dengan p = 0.045 pada masing-masing kelompok paska intervensi limb raising. Kesimpulan: Terdapat pengaruh yang signifikan penerapan intervensi limb raising terhadap penurunan nyeri dan swelling paska tindakan intervensi koroner perkutan. Intervensi limb raising dapat dijadikan intervensi keperawatan dalam manajemen nyeri dan swelling paska tindakan intervensi koroner perkutan dengan akses arteri radialis Kata Kunci: limb raising, nyeri, swelling
Co-Authors Achmad Rif&#039;at Adam, Muhamad Adang Bachtiar Agung Waluyo Agus Susanto Ahmad Asyrofi, Ahmad Alfhy Septiana Ningsih Allenidekania Allenidekania Amanah, Dinny Atin Andreiani, Fransisca Yuli Anggri Noorana Zahra Ani Widiastuti, Ani Anjarwati, Nurul APRILIA, NITA Apriyanti, Efa Aris Setiawan Ariyanti Saleh Arman Harahap Aryani, Denissa Faradita Astuti Yuni Nursasi Azhari Baedlawi Azidin, Yustan Bahua, Jamal Bawa, Ngakan Nyoman Rai Bengu Ndona, Maria Fulgensia Bertiana, Bertiana Besral . Bietris Warisyu Budi, Indra Budiharto . Budiharto ., Budiharto Budiharto Budiharto Budiharto Budiharto Budiman Budiman Budiyarti, Yuliani Cahyaningrum, Devy Novita Cahyati, Ai Cholis, Eko Prastyo Cut Sarida Pompey Dahlia, Debi Dahlia, Debie - Dandi Oka Subantara Desmalayati, Desmalayati Deswita Devi Susanti Devi Susanti Devie Dian Wahyuni Devie Dian Wahyuni Dewi Gayatri Dewi, Sasmita Dikha Ayu Kurnia Dudut Tanjung Dwi Novitasari Dwi Novitasari Dwitanta, Sucipto Eddy Rosfiati Edy Soesanto Elfrida Ratnawati Elsye Maria Rosa Elsye Maria Rosa Era Dorihi Kale Ermeisi Er Unja Ernalinda Rosya Erwin Erwin Eryando, Tries Evi Martha Fahmi, Ismail Fakrul Ardiansyah Fakrul Ardiansyah Fakrul Ardiansyah Fitri Wulandari Gde Yasa Antarika Gipta Galih Widodo Gitalia Putri Medea Gupta, Prateek Hanny Handiyani Harmilah Harmilah Hening Pujasari Herawati Azies Heri Kristianto Hilman Syarif Hiryadi Hiryadi Hiryadi, Hiryadi I Made Kariasa I Nengah Adiana Ihsanidar, Yuniyas Imami Nur Rachmawati Ismail Fahmi Ismail Fahmi Janno Sinaga Jaya, Irvantri Aji JOKO NUGROHO Josua Edison Mangole, Josua Edison Junaiti Sahar Kadek Ayu Erika Kemal N. Siregar Latifah Latifah Liya Arista Luciana Kabang Mansyur4, Muchtarudin Maria, Riri Maria, Riri Marlina, Marlina, Masfuri - Mediawati, Ati Surya Meisa Ndari, Arni Budi Muchtaruddin Mansyur Muhamad Adam Muhamad Adam Muhamad Adam Muhamad Adam Muhamad Adam Muhammad Adam Muhammad Adam Muhammad Judha Muhammad Mulyadi Muhammad Syafwani Muhsinin , Muhsinin Muhsinin Muhsinin, Muhsinin Murni, Elita Murtiwi Murtiwi Mustikasari Mustikasari Mutarobin Mutarobin Nafi'ah, Rizka Hayyu Nafi’ah, Rizka Hayyu Nana Rochana, Nana Nandang A. Waluya Neli Mariani Nisaa, Mariani Noor Diani Noor, M. Fakhruddin Nova, Prima Agustia Nuniek Nizmah Fajriyah Nurhasty, Srie Wulan Oktovin Oktovin Prasestiyo, Hamudi Prima Agustia Nova Prima Agustia Nova Pristya, Ifana Yunike Rabikun, Rahmansyah Rai Bawa, Ngakan Nyoman Ramoo, Vimala Ratna Aryani Ratna Aryani Revani Hardika Ridho Kunto Prabowo Ristonilassius Ristonilassius Rita Sekarsari Rita Sekarsari Roma Tao Toba MR Rosakawati Rosakawati Rr Tutik Sri Hariyati Ryandini, Felicia S Notoatmojo S., Chiyar Edison Sabarinah Prasetyo Saharuddin Santi Apriyani Sari Mulyati Sekarsari, Rita Septi Kurniasari Setyowati Setyowati Sidik Awaludin Sidik Awaludin Sidik Awaludin Sigit Mulyono Sitti Syabariyah Sitti Syabariyah Solly Aryza Sri Yona Sri Yona St Khadijah Hamid SUKARMIN Sukarmin Sukarmin Sukarmin Sukarmin Sukarmin Sungkono Surayani As'ad Susilawati Susilawati Sutanto Priyo Hastono Syafwani Syafwani Tori Rihiantoro Tri Cahyo Sepdianto Tris Eryando Tuti Herawati Tuti Herawati Tuti Nuraini Tuti Nuraini Veny Hadju Wahadi Wahadi, Wahadi Wardin, Rany Novia Wayunah Wayunah Widaningsih, Widaningsih Wiratmo, Puji Astuti Yanti Cahyati Yeni Agustin Yeni Rustina Yulia Yulia Yuningsih Yuningsih Yuniyas Ihsanidar Yustina, Ina Yuyun Tafwidhah Zulfa Zulfa