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All Journal COPING (Community of Publishing in Nursing) Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Ners Indonesia Jurnal Konseling dan Pendidikan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Penelitian Kesehatan Suara Forikes Belitung Nursing Journal AcTion: Aceh Nutrition Journal Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) JURNAL KESEHATAN INDRA HUSADA Journals of Ners Community International Journal of Nursing and Health Services (IJNHS) Jurnal Ilmu Keperawatan Medikal Bedah Jurnal Ilmiah Keperawatan Indonesia (JIKI) Jurnal Keperawatan (JKEP) Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal JURNAL KESEHATAN BHAKTI HUSADA Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Menara Medika Nursing Sciences Journal Caring : Indonesian Journal of Nursing Science Journal of Holistics and Health Sciences (JHHS) Narra J Proceedings of the International Conference on Nursing and Health Sciences Jurnal Endurance: Kajian Ilmiah Problema Kesehatan DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Dahlia, Debie -

Department Of Medical Surgical Nursing, Nursing Faculty, Universitas Indonesia, Indonesia

Author-ID : 2696393

Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Articles

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Ozone Regional Non-Invasive (ORNi) Therapy in Combination with Nursing Management of Diabetic Foot Ulcer Care: A Case Study Arisanty, irma Puspita; Dahlia, Debie
Jurnal Keperawatan Soedirman Vol 16, No 2 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.2.1647

Background: DFU patients must be treated properly less than 30 days to prevent infection spread to the bone, causes smaller opportunity to recovery and higher risk for amputation. Ozone therpay has a clearer clinical effect, affects the wound healing process, it can be seen by decreasing the length of stay. Method: Case studies of 3 DFU patients who were given ORNi therapy. Wound evaluation using Bettes-Jenssen Assessment tool skoring system. Results: There were significant improvement in these cases after given a noninvasive regional ozone therapy (ORNi) as a combination in standard treatment for 5 â€“ 7 times. There are no sign of infection, granulation and epithelization processes were running optimal and exudate production was controlled. Conclusions and recommendation: Using ORNi therapy as an adjunct to standard care has shown a significant improvement. The rate of granulation and epithelization during 15 days of treatment has an average growth rate of granulation and epithelization up to 22%. Researchers recommend to do more research with suficcient sample size related to the use of ozone therapy as an adjunct in wound care.

Balutan Parcel Alternatif Penatalaksanaan Fistula Gastrointestinal pada Luka Dehiscence: Studi Kasus Debie Dahlia
Jurnal Keperawatan Indonesia Vol 11 No 2 (2007): September
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v11i2.190

AbstrakFistula merupakan saluran abnormal antara lumen organ berongga dengan organ berongga lainnya atau dengan kulit. Fistula gastrointestinal terjadi sebagai akibat dari komplikasi pascapembedahan abdomen dan manifestasi sekunder dari proses patologi intraabdomen. Fokus penatalaksanaannya pada upaya mempertahankan keseimbangan cairan dan elektrolit, mengistirahatkan intestin dan mendukung nutrisi, pengobatan medis, melindungi kulit sekitar luka, dan menampung cairan fistula. Strategi menampung cairan fistula merupakan komponen utama pada penatalaksanaan fistula non pembedahan. Studi kasus ini menggambarkan upaya\untuk menampung cairan fistula, memberikan kenyamanan, memfasilitasi penyembuhan luka, dan melindungi kulit sekitar luka seorang laki-laki berusia 66 tahun dengan luka dehiscence dan fistula di dalam luka.Â AbstractA fistula is an abnormal passage between the lumen of a hollow viscous organ and another hollow organ or the skin. Gastrointestinal fistula present as devastating complication following postoperative abdominal surgery and as secondary manifestation due to primary intra-abdominal pathologic processes. Management challenges focus on maintaining fluid and electrolyte balance, providing bowel rest and nutrition support, initiating medication treatment, ensuring skin protection, and containing the fistula effluent. Containing the fistula effluent is a key component of non-surgical fistula management. Following extensive abdominal surgery, the wound of a 66 years old man dehisced and a gastrointestinal fistula formed inside the wound. This case study describes efforts to contain fistula drainage, while providing comfort, facilitating wound healing, and protecting the periwound skin.

EFEKTIFITAS LEMBAR PEMANTAUAN INSULIN TERINTEGRASI UNTUK MENGURANGI KEJADIAN HIPOGLIKEMIA PADA PASIEN DIABETES MELLITUS TIPE 2 Dikha Ayu Kurnia; Debie Dahlia
Jurnal Keperawatan Indonesia Vol 21 No 2 (2018): Juli
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i2.497

Hipoglikemia merupakan salah satu efek samping pemberian terapi insulin pada pasien Diabetes Melitus tipe 2. Penelitian ini bertujuan untuk mengembangkan dan menguji keefektifan lembar pemantauan insulin terintegrasi dalam memantau kejadian hipoglikemia pada pasien DM tipe 2 yang mendapatkan terapi insulin analog. Hasil menunjukkan rerata kejadian hipoglikemia lebih tinggi saat makan pagi (t (18)= 2,9732; p= 0,0059) dan sore (t (18)= 3.0956; p= 0,0043) setelah pemberian rapid-acting insulinmelalui pemantauan lembar insulin terintegrasi Namun, hasil penelitian ini juga menunjukkan bahwa tidak ada hubungan signifikan antara pemantauan asupan kalori, dosis insulin, dan perubahan pola tidur dengan kejadian hipoglikemia. Sehingga lembar pemantauan insulin terintegrasi tidak efektif dalam mencegah kejadian hipoglikemia. Penelitian ini merekomendasikan perawat untuk lebih memahami pengkajian hipoglikemia dalam lembar pemantauan insulin terintegrasi.Â Kata Kunci: Kejadian hipoglikemia, lembar pemantauan insulin terintegrasi, pasien DM Tipe 2, terapi insulinÂ AbstractÂ The Effectiveness of the Integrated Insulin Monitoring Sheets to Decrease Hypoglycemia Incidence on the Diabetes Mellitus Type 2 Patients. Hypoglycemia is one of the side effects of insulin therapy administration for Type 2 Diabetes Mellitus patients. The study aimed to develop the integrated insulin monitoring sheets and examine its effectiveness in identifying and recording the incidence of hypoglycemia who received analog insulin therapies. The results showed that the integrated insulin monitoring sheet recorded the significantly higher incidence of hypoglycemia during the morning (t (18)= 2.9732; p= 0.0059) and evening (t (18)= 3.0956; p= 0.0043) meals after the administration of rapid-acting insulin). The record integrated insulin monitoring sheet, revealed no significant relationships between the incidence of hypoglycemia and the monitoring of calorie needs, insulin therapy administration, blood glucose, and level insomnia incidences. This study recommended activities that enable nurses to better understand the assessment of hypoglycemia. Â Keywords: Diabetes Mellitus Type 2 Patients, hypoglycemia, insulin therapy, the integrated Insulin Monitoring Sheet

The Position Of Leaning Forward To Reduce Breathing Of COPD Patients: Literature Revieuw Aat Djanatunisah; Riri Maria; Debie Dahlia
Jurnal Ilmiah Keperawatan Indonesia [JIKI] Vol 5, No 1 (2021): Jurnal Ilmiah Keperawatan Indonesia [JIKI]
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31000/jiki.v5i1.3998

COPD patients often experience shortness of breath as a result of inflammation in the lungs that develops in the long term. COPD is generally characterized by difficulty breathing, coughing with phlegm, and wheezing or wheezing. In this condition, the patient often finds a comfortable position to reduce shortness of breath. The aim of this study was to look at appropriate and effective interventions in reducing spasms in COPD patients. This literature study was created by analyzing scientific articles, at least in retrospective research from 2012 to 2020 and in English. Data obtained from databases include Pubmed, CINAHL, Scopus, Proquest and Google Scholar with the keywords position for breathing in COPD, position forward lean trunk for short breathing in COPD, and best position for COPD. The results of this literature obtained 5 articles that match the inclusion and exclusion criteria. The results have been found that the forward leaning position is effective in reducing shortness of breath in COPD patients because of the involvement of the respiratory accessory muscles so that the pulmonary ventilation process is good.Key words: Position for breathing, forward leaning position, COPD

PENERAPAN MENDENGARKAN AL-QUR’AN SURAT AL WAQI’AH DAN TERJEMAHANNYA UNTUK MENURUNKAN TINGKAT KECEMASAN PADA PASIEN ELEKTIF BEDAH DIGESTIF Sandra Sandra; Debie Dahlia; Liya Arista; Yunisar Gultom
Jurnal Ners Indonesia Vol 11, No 2 (2021): MARET 2021
Publisher : Fakultas Keperawatan, Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/jni.11.2.181-191

Kecemasan dapat menjadi komplikasi sebelum pembedahan dan dapat memengaruhi pemulihan pasca operasi sehingga menambah lamanya hari rawatan pasien di rumah sakit. Kecemasan sebelum operasi, mengubah status metabolisme pasien dan memengaruhi respon stres perioperatif. Tujuan evidence based nursing (EBN) untuk mengidentifikasi efektifitas mendengarkan Al-Qur’an surat Al Waqi’ah dan terjemahannya dalam mengurangi kecemasan pada pasien bedah digestif. EBN ini menggunakan quasi eksperimen yang melibatkan 8 partisipan di ruang perawatan bedah digestif dengan penilaian pre dan post intervensi, serta 30 menit sebelum pasien ke kamar operasi. Hasil analisis uji independent t-test, bahwa ada perbedaan signifikan rerata tingkat kecemasan berdasarkan STAI dengan p=0,03 (CI 95%). Kesimpulan: Mendengarkan Al-Qur’an surat Al Waqi’ah dan terjemahannya dapat dijadikan intervensi keperawatan manajemen menurunkan tingkat kecemasan pada pasien sebelum menjalani bedah digestif

DRY EYE MANAGEMENT IN PATIENTS AFTER CATARACT SURGERY: A LITERATURE REVIEW Eti - Sumartiyah; Debie Dahlia
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 4 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Cataract surgery is the most common surgical procedure performed to restore visual function due to opacification of the lens. One of the side effects of cataract surgery is the appearance of dry eye symptoms that can occur one to three weeks after surgery. Dry eye symptoms were reduced visual acuity can affect daily work, so that it can interfere with work productivity and quality of life. This paper is a literature review to identify dry eye management in patients after cataract surgery. The search was carried out on Web of Science, EBSCO, PubMed, and Google Scholar. The results showed that the management of dry eyes can be done with drugs, healthy living behaviors especially maintaining eye health and hygiene and also avoiding various risk factors for dry eyes. Assessment of early signs and symptoms of the dry eye needs to be done before surgery so that it can reduce the risk of dry eye events. Management of dry eye in post-cataract surgery patients needs to be done comprehensively so that it can improve the patient's visual ability and a better quality of life. Keywords: cataracts, dry eyes, dry eye management

Management Leg Positioning After Total Knee Arthroplasty: An Evidence Based Nursing Practice Adelina Vidya Ardiyati Adel; Debie Dahlia; Dikha Ayu Kurnia
International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 6 (2021): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v4i6.530

Abstract. Total Knee Arthroplasty (TKA) is an effective surgical treatment in patients with moderate to severe knee arthritis. This surgical intervention has the potential to cause blood loss of up to 1000cc, which can lead to a decrease in haemoglobin levels and postoperative functional abilities. There are many methods to reduce the amount of blood loss after TKA surgery, one of the most effective and efficient methods is to position the knee flexion 45° for 24 hours post-operative TKA. This study was the application of Evidence Based Nursing (EBN) with a sample of 10 that meet theInclusion criteria were patients with knee osteoarthritis stage III and IV and underwent TKA Total Knee Arthroplasty (TKA) is an effective surgical treatment in patients with moderate to severe knee arthritis. This surgical intervention has the potential to cause blood loss of up to 1000cc, which can lead to a decrease in haemoglobin levels and postoperative functional abilities. There are many methods to reduce the amount of blood loss after TKA surgery, one of the most effective and efficient methods is to position the knee flexion 45° for 24 hours post-operative TKA. This case series aims to present the result of applying evidence-based leg positioning after TKA to reduce blood loss with a sample of 10 that meet the Inclusion criteria were patients with knee osteoarthritis stage III and IV and underwent TKA (Total Knee Arthroplasty) surgical procedures. The results show that all respondents are female, most of them are <60 years old (60%), and BMI in the overweight category is 70%, the amount of Hidden Blood Loss is in the range of 420cc-700cc, 30% of respondents have post-op Hb levels <10gr/dl, and 60% of respondents have a ROM value of 90° on day 5 Post Operation. The Implementation of EBN Knee flexion position for 24 hours post TKA effective to reduce the amount of blood loss and improve the patient's functional ability by facilitating the patient to start rehabilitation exercises early

Integrated Nursing Intervention Theory in Providing Comfortableness to Increase Patient Well Being: Simple Theory Construction Priyanto Priyanto; Achmad Fauzi Kamal; Debie Dahlia; Saptawati Bardosono
Indonesian Journal of Global Health Research Vol 3 No 4 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

This article shows that an integrated and compatible independent nursing intervention model approach is important to be able to hope of providing a strong theoretical basis for nurses on improving the wellbeing of acute coronary syndrome patients through a conceptual model of integrated nursing interventions during treatment in the hospital. The purpose of this article is to present a simple theoretical construction using a 7-step approach which includes: origin, meaning, logical adequacy, usefulness, generaliability and parsimony as well as testability, about integrative nursing intervention theory in providing comfort to improve patient well being. This type of research is a development research model with a simple theory construction model approach. The problems faced by patients with acute coronary syndrome most often are chest pain, anxiety and hemodynamics which can interfere the patient's well-being. Chest pain that is occurred due to coronary blockage has an impact on the fear of death and can affect hemodynamic stability. Anxiety is the most prominent stress and greatly disturbs the patient's psychological condition. The integrative nursing intervention model becomes a model approach that can be applied by nurses in nursing care services for patients with acute coronary syndrome. Therefore, the role of nurses as service providers should be able to make the best contribution through the application of an integrative nursing intervention model. This intervention model approach is expected to be able to improve patient well being during hospitalization.

Penerapan Akupresur Titik Perikardium 6 (P6) melalui Pendekatan Model Adaptasi Roy pada Pasien Karsinoma Tiroid dengan Keluhan Mual Muntah: A Case Study I Putu Adi Suryawan; Debie Dahlia; Dikha Ayu Kurnia
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 2 (2022): April 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i2.1984

Patients with thyroid cancer that obstruct the airways require a tracheostomy as an emergency measure, which results in immediate improvement of ventilation and circulation. Mrs. WS, a 56 year old woman, with the main complaints of nausea and vomiting that got worse after the tracheostomy surgery, after having a gasogastric tube (NGT) installed and the accumulation of phlegm in the trachea. The study was carried out using Roy's Adaptation Model theory so that the main problem was obtained, namely nausea with an RINVR score index of 21. The intervention focused on the implementation of nausea and vomiting management using acupressure therapy at point P6 and emphasized the patient's ability to adapt to the nausea he felt. The implementation of acupressure was carried out for 7 days with a frequency of twice a day, in the morning and evening. Nursing evaluations were carried out in a formative manner every day, where on the second day there was no decrease in the RINVR score. The RINVR score decreased after the third day to the seventh day, from a score of 21 (heavy category) to a score of 8 (mild category). Management of nausea and vomiting with non-pharmacological therapy, namely acupressure, is recommended as a complementary therapy of choice, because apart from being caused by physical problems, nausea and vomiting can also be triggered by stress.Keywords: thyroid carcinoma; acupressure at point P6; Roy's adaptation modelABSTRAK Pasien dengan kanker tiroid yang menyumbat saluran pernafasan memerlukan trakeostomi sebagai tindakan emergensi, yang segera menghasilkan perbaikan ventilasi dan sirkulasi. Nyonya WS, wanita berumur 56 tahun, dengan keluhan utama yaitu mual dan muntah yang semakin memberat pada post operasi trakeostomi, setelah terpasang NGT (gaso gastric Tube) serta adanya penimbunan dahak pada trakea. Pengkajian dilakukan menggunakan teori Model Adaptasi Roy sehingga diperoleh masalah utama yaitu nausea dengan indeks skor RINVR 21. Intervensi terfokus pada pelaksanaan manajemen mual dan muntah dengan menggunakan terapi akupresur pada titik P6 dan ditekankan pada kemampuan pasien untuk beradaptasi terhadap mual yang dirasakan. Implementasi akupresur dilaksanakan selama 7 hari dengan frekuensi dua kali sehari yaitu pada pagi dan sore hari. Evaluasi keperawatan dilakukan secara formatif setiap hari, dimana pada hari kedua tidak terjadi penurunan skor RINVR. Skor RINVR menurun setelah hari ke tiga sampai dengan hari ke tujuh yaitu dari skor 21 (kategori berat) menurun menjadi skor 8 (kategori ringan). Manajemen mual dan muntah dengan terapi nonfarmakologis yakni akupresur, direkomendasikan sebagai terapi komplementer pilihan, karena selain disebabkan oleh masalah fisik, mual dan muntah juga dapat dipicu oleh stres.Kata kunci: karsinoma tiroid; akupresur pada titik P6; model adaptasi Roy

DIABETES SELF MANAGEMENT DAN FAKTOR YANG MEMPENGARUHINYA PADA USIA DEWASA PERTENGAHAN Sucipto Dwitanta; Debie Dahlia
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 3 No. 2 (2020): November 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v3i2.603

Diabetes mellitus is six main causes of death in the world. Diabetes mellitus that is not managed properly can run the risk of causing various long-term complications. Type 2 diabetes has a prevalence of 2 to 2.5 times more risk of heart disease accompanied by microvascular and macrovascular complications. Prevent various kinds of life-threatening complications in middle adulthood is to use the diabetes self management (DSM) approach. DSM desperately needs commitment to a very complex diabetes management regimen to achieve good glycemic control. This literature review aims to analyze factors affecting diabetes self management in type 2 diabetes in middle-age adult patients. The literature review used in this study uses journal related by searching in scientific-based databases, with keywords used middle-age adult - diabetes self-management - type 2 diabetes. Based on the literature results, several factors that can affect DSM in middle-aged adult patients include depression, self-efficacy, social support, and knowledge. Therefore, the importance of further research is to be able to see which factors are the most influential among the four factors, so that nurses can make plans to overcome these problems.

Co-Authors Aat Djanatunisah Aat Djanatunisah Achir Yani S. Hamid Achmad Fauzi Kamal Agung Waluyo Anastania, Yeane Anis Ika Nur Rohmah Apriyanti, Efa Ardiyati, Adelina Vidya Arisanty, irma Puspita Aryani, Denissa Faradita Besral . Dandi Oka Subantara Dayan Hisni Denissa Faradita Aryani Dewi Gayatri Dewi Irawaty Dewi Irawaty Dhika Ayu Kurnia Dian Ayubi Dikha Ayu Kurnia Dikha Ayu Kurnia Elly Nurachmah Enggarwati, Pandan Eti - Sumartiyah Etty Rekawati Evi Martha Fauzi Kamal, Achmad Fina Mahardini Gatra Satria Gultom, Yunisar Gupta, Prateek Helen, Helen I Made Kariasa I Putu Adi Suryawan I Putu Adi Suryawan I Putu Adi Suryawan Idia Indar Anggraeni Irmariani Irbar Kurnia, Dhika Ayu Lestari Sukmarini Lestari Sukmarini Liya Arista Maria, Riri Maria, Riri Melawati, Wati Muchtaruddin Mansyur Muhammad Mulyadi Pranata Nafi'ah, Rizka Hayyu Nekka Juliani Nila Indrayati Noor Diani Noor, M. Fakhruddin Nori Widiowati Widiowati Pertiwi, Ni Wayan Astiti Pradana Soewondo Priyanto Priyanto Priyanto Priyanto Priyanto Ratna Aryani Ratna Aryani Ratna Aryani Retnoningrum, Dwi Ria Desnita Ridho Kunto Prabowo Rif'atul Fani Rima Novia Putri Rinda Apriani Riri Maria Rosina Tarigan Rr. Tutik Sri Hariyati S., Chiyar Edison Sali Rahadi Asih Salim Harris Sandra Sandra Sany, Puti Rahmitha Saptawati Bardosono Sari, Lia Novita Setyowaty Sianturi, Natallina Sihombing, Yulia Siska Rahmadiya Sri Hartati Pratiwi Sri Yona Sucipto Dwitanta Sukma Wicaturatmashudi Syafa'atun Mirzanah Toar JM Lalisang Toar JM Lalisang Tommy Indra Tri Antika Rizki Kusuma Putri Wicaturatmashudi, Sukma Yeni Rustina Yunisar Gultom Yunizar Gultom

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