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Pengaruh Terapi Pijat dan Senam Kaki terhadap Risiko terjadinya Ulkus Kaki Diabetik Pasien Diabetes Mellitus Tipe II: Randomized Controlled Trial Rita Erlina; Dewi Gayatri; Rohman Azzam; Fitrian Rayasari; Dian Novita Kurniasih
Jurnal Keperawatan Vol 14 No 3 (2022): Jurnal Keperawatan: Supp September 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (355.797 KB)

Abstract

Pasien diabetes melitus beresiko 15-20% dalam 5 tahun mengalami ulkus kaki diabetik dengan tingkat kekambuhan 50-70%, dan 85% akan menjalani amputasi, namun risiko luka kaki diabetik ini dapat dicegah dengan deteksi sejak dini. Penelitian ini bertujuan mengetahui Pengaruh terapi pijat dan senam kaki terhadap risiko terjadinya ulkus kaki diabetikum pada pasien Diabetes Melitus Tipe II di RSUD Kota Cilegon. Rancangan penelitian menggunakan True Experiment dengan pre test–post test with Control group yang dilakukan randomisasi/ Randomized Controlled Trials. Sampel sebanyak 38 orang yang dibagi menjadi kelompok intervensi 19 orang dan kelompok kontrol 19 Orang. Instrumen penelitian menggunakan sistem kategori stratifikasi risiko IWGDF (International working Group on the Diabetik Foot) untuk menentukan tingkatan risiko ulkus kaki responden. Hasil penelitian pada kelompok intervensi terjadi penurunan bermakna skor risiko Ulkus Kaki diabetik (p 0.01< 0,05) setelah di lakukan terapi pijat dan senam kaki 3 kali seminggu selama 3 minggu. Terapi pijat dan senam kaki berpengaruh terhadap penurunan risiko terjadinya ulkus diabetik pada pasien diabetes melitus tipe II. Terapi Pijat dan senam kaki dapat dikembangkan sebagai tindakan mandiri perawat pada pasien diabetes melitus tipe II dalam mencegah risiko ulkus kaki diabetik.
Effectiveness of Palliative Care in Heart Failure Patients in Preventing Readmission: A Systematic Review Osty Histry Kapahang; Dewi Gayatri; Tuti Herawati
NurseLine Journal Vol 8 No 1 (2023): May 2023
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v8i1.30339

Abstract

Palliative care is an essential part of the management of heart failure patients. By integrating palliative care in treating heart failure patients, patients experience calm and feel a safe atmosphere both physically and psychosocially, and with other problems, and make patients have the same understanding from a medical perspective. To summarize the results of studies related to palliative care in heart failure patients and to identify specific and effective practices in preventing readmission. Systematic search of the PubMed, Science Direct, and ProQuest databases searching for articles that included heart failure and palliative care. Palliative care is a critical component of health care for heart failure patients. In this article, the authors summarize the effectiveness of patient-focused palliative care and the palliative team in preventing readmissions and improving patients' quality of life when palliative care is applied in health care. Implementing palliative care in patients with heart failure is highly recommended for enhancing the patient's quality of life (QoL) and preventing or reducing patient readmission rates if appropriately implemented. Focusing on improving the abilities and skills of the palliative team is also something that needs to be considered. Also, knowledge, understanding, and involvement of the patient's family in patient care at home are significant.
Inisiasi Optimalisasi Fungsi Perencanaan Manajer Pelayanan Keperawatan Unit Layanan Home Health Care Yiyin Qamariah Takaredas; Hanny Handiyani; Dewi Gayatri; Ati Surya Mediawat; Masfuri Masfuri
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.v5i1.5629

Abstract

This study aims to optimize the nurse manager's planning function based on identifying needs or solving problems in the service unit. The method used is a case report by conducting interviews, observing using observation sheets, and distributing questionnaires. The study results show optimizing the planning function of nurses as managers of nursing services. Preparation of draft Guidelines and SPO for home health care services is a solution. Implementation is carried out through Lewin's three phases process planned change approach. In conclusion, nurses need to show that nurses have a responsibility to ensure patient safety with adequate competence, including by maximizing the function of nurses as managers of nursing services by optimizing the planning function of nurse managers. Keywords: Home Health Care, Optimization, Nurse Manager
Peningkatkan Kesejahteraan Psikologi Pasien Kanker pada Akhir Kehidupan dengan Intervensi Dignity Therapy Erni Saraswati; Yati Afiyanti; Dewi Gayatri
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.v5i1.5860

Abstract

This study aims to improve the psychological well-being of cancer patients at the end of life with dignity therapy interventions. The research method used is a systematic review. The search used six databases: Science Direct, Proquest, Clinicalkey Nursing, Springerlink, Scopus, and Pubmed. From the specified keywords End of life, dignity therapy, improving psychological well-being, impact of dignity therapy, and effect of dignity therapy, data was obtained for 1,313 articles. The research results showed that in seven reviewed journals, dignity therapy was proven to be effective in reducing anxiety distress and improving psychological well-being in advanced cancer patients. In conclusion, dignity therapy can be used as an option in providing patient care at the end of life to enhance the psychological well-being of patients and families. Keywords: Dignity Therapy, Cancer, Psychological Welfare
Peningkatan Fungsi Manajer Keperawatan dalam Optimalisasi Komunikasi Efektif saat Handover Ermi Rabiuliya; Hanny Handiyani; Dewi Gayatri; Astuti Giantini; Bejo Utomo; Muhammad Hadi
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.v5i1.5449

Abstract

This research aims to describe the planned change process using Kurt Lewin's theory to optimize effective communication during ward handovers by improving the nursing manager's function. The method used is a case study including assessment activities, problem analysis, preparation of planning of action (POA), implementation, and evaluation. The research results show that in the unfreezing phase, problems were found that the performance of effective communication during the handover was not optimal, so the priority strategy for solving the problem was optimizing the planning function for handover activities. In the movement phase, a POA was prepared with indicators that were successfully achieved, namely the preparation of a revised handover SPO draft and socialization of the revised SPO draft with the nursing sector, Head Nurse, and Clinical Care Manager. In contrast, this could not be done in the refreezing phase due to time constraints, so a follow-up plan was prepared and agreed with the PIC of the activity. In conclusion, the planned change process towards optimizing effective communication during handover requires an increase in the function of nursing managers, especially in the planning function. Managers must provide policies, one of which is SOP handover, and must review and revise policies to remain new and can be applied. Keywords: Nursing Manager Function, Handover, Effective Communication, SBAR Method
Inisiasi Optimalisasi Fungsi Perencanaan Head Nurse dalam Pengelolaan Linen Rahma Jumila; Hanny Handiyani; Dewi Gayatri; Masfuri Masfuri; Ati Surya Mediawati
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.v5i1.5535

Abstract

This study report aims to identify planned changes in the initiation of optimization of the planning function in Linen Management. This method uses a case study approach using interviews, document review and observation, and Ishikawa's analysis. the results of the study shared that the application of the planning function in linen handling had not been optimal, as a result it had an impact on nursing services in the room. The management of linen in the room does not yet have standard guidelines and regulations for managing linen in each room. In conclusion, optimizing the planning function of the Head Nurse in linen management through drafting guidelines for linen management, the leadership's efforts to strengthen and sustain changes can be made by ratifying linen management regulations.Keywords: planning function, service quality, linen management, planned change.
Intervensi yang Mendukung Kualitas Hidup Penyintas Tumor Otak Renie Kumalasari; Dewi Gayatri; Yati Afiyanti
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.v5i1.5902

Abstract

Based on previous studies ' results, this study aims to examine interventions that impact brain tumor survivors' quality of life. The method used is a literature study. Article search through Science Direct, Pubmed, and Google Scholar databases. The search keywords are brain tumor, QOL, RCT, and Intervention. The Boolean logic used is "AND" and "OR". The search also activates special filters such as article type: research article, access type: open access & open archive, and text availability, free full text. The results showed that the five themes that passed the selection were reviewed. Based on the articles reviewed, this study found that various interventions positively impacted the quality of life of brain tumor survivors. The interventions include yoga, health promotion based on Traditional Chinese Medicine (TCM) and peer support (the Ohana project), high-quality nursing, pilates-based group therapy, and ski training. The conclusions in this study illustrate the positive benefits of various interventions given to the quality of life of brain tumor survivors. These interventions include yoga, health promotion based on Traditional Chinese Medicine (TCM), peer support (the Ohana project), high-quality nursing, group therapy-based pilates, and ski training. Keywords: Intervention; Quality of Life; Brain tumor
The Effect of Music Therapy and Murottal Therapy on Anxiety Patient In The Intensive Care Unit: A Case Report: Pengaruh Terapi Musik dan Terapi Murotal pada Pasien Ansietas di Ruang Perawatan Intensif: Case Report Dina Lestari; Hanny Handiyani; Tuti Nuraini; Dewi Gayatri
Journal of Health and Cardiovascular Nursing Vol. 3 No. 1 (2023): Journal Of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jhcn.v3i1.1015

Abstract

 Anxiety is an emotion that is often experienced by patients who admitted to the ICU. Anxiety occurs due to the ofenvironmental stressors, multiple invasive actions, feelings of loneliness and fear of death. There are severalcomplementary therapies that are feasible to be administered to reduce anxiety levels, such as music therapy and murotaltherapy. The purpose of this study was to identify the application of music therapy and murotal therapy to reduce anxietyin patients treated in the intensive care. The study design used a case study on 1 respondent with the criteria of patientsbeing treated in the ICU > 48 hours on a ventilator, with compos mentis awareness. This study was conducted for 5 days.The results showed that there was a decrease in the level of anxiety of patients who were treated before and after givenmusic therapy and murotal therapy . Before the intervention was applied, Mrs. I anxiety score is 86 (moderate) and afterbeing administered for 5 days, the anxiety of the respondent decreased with score of 62 (mild). The pain level in Mrs. Ibased on Behavior Pain Scale (BPS) has decreased from scale of 6 (moderate) to scale od 3 (mild). Based on these twomeasuring instruments, the vital signs which previously rose within the upper normal limit decreased to within the normalrange. Based on the data this intervention is considered effective in relieving anxiety, pain, and making vital signs stablewithin the normal range experienced by critical care patient.
Dukungan Sosial terhadap Kualitas Hidup Pasien Kanker Arif Rahman; Dewi Gayatri; Agung Waluyo
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.v5i1.5770

Abstract

This study aims to determine the effectiveness of social support on the quality of life of cancer patients. The method used is a systematic review with literature searches using databases such as PROQUEST, Scopus, EBSCOhost, ClinicalKey Nursing, and other search sources. The article selection process uses the PRISMA method. The number of articles found in the initial search was 5,955. Seventeen papers were selected based on the title and abstract. Reports were read in total, and only 12 articles were used in this review, according to the selected criteria. The research results show that social support positively influences the patient's quality of life. Keywords: Social Support, Cancer, Quality of Life
Manajemen Nyeri Berbasis Digital pada Pasien dengan Penyakit Kronis Anak Agung Ayu Emi Primayanthi; Dewi Gayatri; La Ode Abd Rahman
Journal of Telenursing (JOTING) Vol 5 No 2 (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.v5i2.6967

Abstract

This study aims to find and discuss evidence based on digital-based pain management in patients with chronic diseases. The method used in this research is a systematic review that starts by identifying nursing problems, determining priority problems and research questions, searching for and identifying relevant research, and carrying out data extraction. The research results show four significant scopes of literature searches discussing chronic pain management: telehealth, applications, internet-based therapy, and virtual reality. The conclusion is that digital therapy can help reduce the pain felt by patients. This therapy can be beneficial in the long term because digital therapy is a therapy that is cheap, easy, and can be done anywhere without having to go to a health service. Keywords: Digital Therapy, Pain Management, Pain, Chronic Disease
Co-Authors Agung Waluyo Agustina Rifa Ahmad Asyrofi, Ahmad Ahmad Fadhlur Rahman Ahmad Syaripudin Alfhy Septiana Ningsih Allenidekania Allenidekania Allenidekania Allenidekania Allenidekania, Allenidekania Alvian Harisandy Amalia Nur Aqmarini Anak Agung Ayu Emi Primayanthi Anak Agung Ayu Emi Primayanthi Andrian Waluya Adi Ani Haryani Anisah Ardiana Antaroza, Wiwik Aria Wahyuni Arif Rahman Asep Kuswandi Ashar Prima Asriadi Asriadi Astuti Giantini Astuti Yuni Nursasi Ati Surya Mediawat Ati Surya Mediawati Ayu Ramadhana Bejo Utomo Besral . Betty Luinta Saragih Budi Anna Keliat Cahyaningrum, Devy Novita Christantie Effendy Cicilia Ika Wulandari Cynthia Tri Wardhani Dadan Erwandi Dahlia, Debie - Danny Des Kartyko Lakoro Darmajayanti, Febry Dede Kurniati dewi adnan Dhea Natasha Dhea Natashia Dhea Natashia Dhea Natashia Diah Arruum Dian Novita Kurniasih Dian Novita Kurniasih Diana Irawati Diana Irawati Diana Irawati Dila Nurul Arsyi Dina Lestari Dita Sulistyowati Dita Sulistyowati Djuria, Syafrina Arbaani Dwi Suryani Edian Fitriana Ella Nurlaella Hadi Elly Nurachmah Elly Nurrachmah Eni Hidayati Enie Novieastari Ermi Rabiuliya Erni Saraswati Febrianti Asbaningsih, Febrianti Febrianty, Indida Leli Indah Febryandy, Valentino Feriadianto, Feriadianto Fitriyan Rayasari Hadi, Muhammad Hanny Handiyani Hargiana, Giur Harmilah Harmilah Hasan Fuadi Hening Pujasari Heri Kristianto Hilman Syarif I Ketut Suada Ida Yanti Iin Inayah Ikeu Nurhidayah Ikeu Nurhidayah Imam Ghozali Imami Nur Rachmawati Indah Susilowati Indah Susilowati Irawan, Aprianto Guntur Irman Irman Isran Janno Sinaga Jathu Dwi Wahyuni Jumaiyah, Wati Jumaiyah, Wati Junaiti Sahar Krisna Yetti Krisna Yetti Krisna Yetti Malawat Kristiani Sitorus Kuntarti Kustiyuwati Kustiyuwati La Ode Abd Rahman La Ode Abd Rahman Laras Adythia Pratiwi Lasiyani, Ni Luh Lasut, Margareth Legu, Ermelinda Toyo Lina Herida Pinem Liya Arista Malau, Mahda Chresginova Maria Yulianti Martiningsih Martiningsih, Martiningsih Masfuri - Meidiawati, Ati Surya Meilati Suryani Muhammad Adam Mustafidz, Mustafidz Nana Rochana, Nana Nani Nurhaeni Natashia, Dhea Ni Luh Kompyang Sulisnadewi Ni Nyoman Budi Indrayanti Ni Nyoman Budi Indrayanti Norma Sistina Nugraha, Rudi Nuiva, Uun Nuniek Nizmah Fajriyah Nur Miladiyah Nuraini, Tuti Nurbaeti, Reidha Fitri Nurlelasari Harahap Nurmalasari Nurmalasari Osty Histry Kapahang Poppy Fitriyani Pradana Soewondo Prakartini, Entin Pratiwi, Laras Adythia Purba, Venbora Putri Nurfitriani Raden Siti Maryam Rahma Jumila Rahman, Ahmad Fadhlur Ratna Aryani Ratna Sitorus Ratna Sitorus Rayasari, Fitrian Renie Kumalasari Resty, Dian Eka Ria Andjarwati Ria Mariatul Isnaani Ria Utami Riadinni Alita Rikumahu, Marisco Riski Oktafia Rita Erlina Rizany, Ichsan Rohman Azzam Ros Endah Happy Patriyani Rr Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati S., Chiyar Edison Saharuddin Sali Rahadi Asih Sapriyanti Sapriyanti Sari, Fani Hestiana Septi Kurniasari Setiyadi, Agus Setyowati Setyowati Setyowati, Setyowati Shanti Farida Rachmi Sigit Mulyono Sismanto, Bayu Aji Sri Hendrawati Sri Murtiasih Sri Purwaningsih Sri Yona Sukarmin Sukarmin Sukarmin Sukarmin Sukarmin Sukma Wicaturatmashudi Susanti, Epi Susi Hartati Tantri Widyarti Utami Teresa Teresa Titiek Muhaeriwati Titin Sutini Tommy Indra Tri Cahyo Sepdianto Tulangow, Indri Winny Tuti Afriani Tuti Herawati Tuti Herawati Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Tuti Nuraini Vivi Yosafianti Pohan Waluyo, Agung Waluyo, Agung Wati Jumaiyah Widyatuti Yari, Yarwin Yati Afianti Yati Afiyanti Yati Afiyanti Yeni Rustina Yesi Ariani Yiyin Qamariah Takaredas Yodang Yodang Yulia Andriyani Yulis Andri Nuryani Yuniarsih, Winda Yusep Abdul Latif Yushlihah Rofiati Yusuf Zulfa Zulfa