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Self-management intervention model for optimizing psychological well-being in patients with colorectal stoma Ratna Aryani; Toar JM Lalisang; Debie Dahlia; Evi Martha
Jurnal Konseling dan Pendidikan Vol 11, No 4 (2023): JKP
Publisher : Indonesian Institute for Counseling, Education and Therapy (IICET)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29210/1105700

Abstract

A stoma can increase life expectancy and support health recovery but brings several physical and psychosocial issues. Psychosocial resilience is critical in dealing with these changes. This study aims to provide new insights into the interaction between self-management and psychosocial resilience in colorectal cancer stoma patients. This research employs a qualitative design with a case study approach. The study involves colorectal cancer patients with completed primary cancer-related therapies, totaling eight individuals. The informants also include family members of the patients (eight individuals) and volunteer nurses within the community (three individuals). The research instrument is an interview guide structured around five themes. Data analysis follows qualitative stages, encompassing reduction, presentation, and conclusion. Triangulation techniques are utilized to ensure the validity of the findings. The findings suggest that collaboration between family, community, and nurses can provide comprehensive support. However, a structured and focused self-management intervention model is needed to improve psychosocial consistency and resilience. Three models were proposed, namely Family Therapy, Online Community Support, and Nurse Integration in Self-Management, hoping to provide more specific guidance and support for patients. This study provides a basis for developing more varied intervention models and a comprehensive understanding of self-management of colorectal cancer stoma patients.
Effects of enteral nutrition method using continuous feeding on patients in intensive care: A Systematic Review Gatra Satria; Debie Dahlia; Dikha Ayu Kurnia; Agung Waluyo
AcTion: Aceh Nutrition Journal Vol 9, No 2 (2024): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v9i2.1756

Abstract

Patients treated with intensive care are at risk of malnutrition. Enteral nutrition can help to maintain a patient's nutritional needs and digestive system function. However, some complications are associated with enteral feeding, including aspiration and refeeding syndromes. This study aimed to provide a comprehensive synthesis of the effects of enteral feeding methods in Intensive Care Unit (ICU) patients. Related literature was systematically retrieved from 2019 to 2023 using the ProQuest, PubMed, Clinical Key, Science Direct, and Cochrane Library databases. Specific keyword combinations were applied when searching only for randomized controlled trials (RCT) on enteral feeding in critically ill patients. The results of this study found six articles were selected after screening based on the inclusion criteria. The continuous feeding method was found to improve the achievement of the target nutritional requirements and reduce the risk of aspiration. However, it is not always appropriate to consider circadian rhythm. In conclusion, there are important clinical factors to be considered before selecting the type of enteral access, including the patient’s clinical condition, surgical history, length of anticipated feeding time, and potential risks. 
The Impact of Self-Management on the Quality of Life of Patient with Diabetes Mellitus: A Systematic Review Sukma Wicaturatmashudi; Pradana Soewondo; Debie Dahlia; Sali Rahadi Asih; Dewi Gayatri; Ratna Aryani
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. 1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.I1.2024.120-128

Abstract

Background: Diabetes mellitus is a hereditary and degenerative disease that requires management throughout the patient's life to maintain blood sugar stability and psychosocial factors. Aims: This systematic review aims to determine the effect of self-management on the quality of life of patients with Type 2 DM. Methods: The selection of the studies refers to Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines and JBI's checklist was used to assess the quality of the study. The study selection came from 7 databases Scopus, ScienceDirect, Sage Journals, ProQuest, Emerald Insight, Pubmed dan Taylor & Francis. The number of studies included in the review was 7 articles, 5 articles used an RCT design, and 2 articles were quasi-experimental. Results: The finding showed 2 articles that provide interventions in the form of DSME, 1 article emphasizes self-management interventions based on self-efficacy theory that is oriented towards active family involvement, 1 article specifies interprofessional-based DSM through telemonitoring media, 1 article focuses on community-based self-management interventions, and 1 article specializes in the use of weblogs in conducting self-management. Special 2 articles emphasize nurse leadership in managing interventions during the study. Five articles showed a significant effect of self-management on quality of life and 2 articles had no effect. Conclusion: The findings can be used to optimize self-management intervention in DM patients to improve their quality of life.
Pemberian Edukasi Berbasis Multimedia terhadap Kemampuan Perawatan Diri Pasien Kanker Kolorectal dengan Stoma Retnoningrum, Dwi; Dahlia, Debie
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): 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.v6i1.9431

Abstract

This study aims to determine the effectiveness of providing multimedia-based education on self-care of colorectal cancer patients with stomas. The research method used was a systematic review on four databases, namely Pubmed, Science Direct, ProQuest and Scopus with the keywords "colorectal cancer" OR "patient with stoma", AND "stoma education" OR "stoma management education", AND "self care", OR "self management" with the inclusion criteria of colorectal cancer patients, age> 18 years, from 2013 to 2023. The number of initial search articles was 4377 articles with 8 articles used. The results of the study obtained 8 articles which were then analyzed. In conclusion, the use of multimedia with OMRE, MELP, video (DVD), audiovisual, telehealth and mobile health applications to provide stoma care education can have an effective effect in increasing knowledge and self-care. In addition, it also has an effect on improving psychosocial adaptation and quality of life in colorectal cancer patients with stomas. Keywords: Education, Stoma Care, Multimedia, Self Care
Pengukuran Tekanan Intra Abdominal Sebagai Penanda Toleransi Nutrisi Enteral pada Pasien ICU Sany, Puti Rahmitha; Dahlia, Debie
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): 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.v6i1.9525

Abstract

This aim of this study is to determine the effectiveness of intra-abdominal pressure measurement as a marker of enteral nutrient tolerance in ICU patients. The method of this study used systematic review searched several eligible research articles from October 2013 to October 2023 using Scopus, ProQuest, Science Direct, and PubMed databases with the keywords critical ill patient, intra abdominal pressure measurement, gastric residual volume, and enteral nutrition.The result of this study show that based on six eligible research articles from 5 different countries that had been identified, show that intra-abdominal pressure measurements can predict enteral nutrient tolerance, although there was one study that had low sensitivity and significance. This systematic review concluded that intra-abdominal pressure measurements is one of the effective strategies that can be used to predict enteral nutrient tolerance in adult ICU patients. Keywords: Critical Ill Patient, Intra Abdominal Pressure Measurement, Gastric Residual Volume, Enteral Nutrition
Efek Aromaterapi Minyak Esensial terhadap Nyeri pada Pasien Pasca Pembedahan Gastrointestinal Sianturi, Natallina; Dahlia, Debie
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): 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.v6i1.9619

Abstract

This study aims to show the effectiveness of essential oil aromatherapy for pain compared with standard intervention measures in patients after gastrointestinal surgery. The research method used is a systematic review through databases and electronic websites, namely Pubmed, Science Direct, ProQuest, Embase and Sage Journals. The results of the study showed that from 5 research articles, data was obtained that giving Aromatherapy essential oils was proven to reduce pain after gastrointestinal surgical procedures, including lavender oil, geranium oil, mixing lavender, ylang-ylang, marjoram and neroli oils as well as sweet orange and rose types. Silk cloth. Conclusion: The addition of aromatherapy to standard therapy significantly reduces the severity of postoperative pain compared to standard therapy with or without placebo. Keywords: aromatherapy essential oils, pains, gastrointestinal surgery
Potensi Pelaksanaan Self Monitoring Blood Glucose Pada Pasien Diabetes Dalam Meningkatkan Kualitas Hidup dan Kontrol Glikemik Enggarwati, Pandan; Dahlia, Debie; Yona, Sri
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 10 No 02 (2020): Jurnal Ilmiah Ilmu Keperawatan Indonesia Edisi Juni 2020
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.001 KB) | DOI: 10.33221/jiiki.v10i02.560

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Abstract Introduction: Diseases that are considered particularly dominant in Indonesia are now starting to shift toward chronic diseases and one of which is diabetes mellitus (DM). Ever since a patient is diagnosed with DM, DM management must be carried out continuously and it will bring changes to the patients’ lifestyle. Health-Related Quality of Life (HRQoL) is a health indicator which covers interrelated subjective and multidimensional concepts, including assessment of physical, functional, psychological, and religious aspects. Self Monitoring Blood Glucose (SMBG) is a part of DM disease management which allows control of the glycemic index and quality of life. However, potential benefits of SMBG implementation needs to be discovered further. Objective: The purpose of this article is to determine the potential of SMBG in DM management and its relation to the glycemic index and quality of life. Methods: Literature review of this article based on EBSCOhost, PubMed, ProQuest, Willey Library Online dan ScienceDirect from 2013 - 2019. Results: The result shows that SMBG had a significant impact on HRQoL and glycemic index control. Conclusion: The role of nurses in the provision of comprehensive education is essential to increase the knowledge of the use of SMBG and drive patient’s motivation to ensure they are able to properly report the results of SMBG that they conducted.
ANIMAL NAMING TEST UNTUK MENGIDENTIFIKASI GANGGUAN KOGNITIF AKIBAT ENSEFALOPATI HEPATIKUM PADA PASIEN SIROSIS HEPATIS: EVIDENCE BASED NURSING Sihombing, Yulia; Dahlia, Debie; Gultom, Yunisar; Arista, Liya
Coping: Community of Publishing in Nursing Vol 12 No 1 (2024): Februari 2024
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2024.v12.i01.p04

Abstract

Fibrosis hati dan konversi dari arsitektur normal hati menjadi nodul-nodul abnormal pada pasien sirosis hepatis menyebabkan kegagalan hati menjalankan fungsinya (dekompensata) dan menimbulkan komplikasi yakni ensefalopati hepatikum, baik itu ensefalopati hepatikum bersifat laten/asimtomatik (covert hepatic encephalopathy) ataupun yang bersifat nyata (overt hepatic encephalopathy). Animal Naming Test (ANT) yang merupakan suatu tes dengan pertanyaan verbal sederhana untuk mengidentifikasi fungsi mental seseorang dapat digunakan untuk mengetahui gangguan fungsi mental yang berhubungan dengan ensefalopati hepatikum. Untuk mengidentifikasi penerapan Evidence Based Nursing (EBN) yakni penggunaan ANT sebagai tes fungsi kognitif sederhana yang dapat digunakan sebagai skrining awal gangguan kognitif terutama yang bersifat laten/covert pada pasien dengan sirosis hepatis yang tidak teridentifikasi dengan asesmen klinis rutin yang tersedia yakni pertanyaan verbal untuk menilai orientasi waktu, tempat dan orang; dan asesmen klinis menggunakan West Haven Criteria (WHC). Penelitian ini merupakan studi penerapan EBN dengan total sampling sebanyak 16 orang, yang merupakan seluruh pasien dengan sirosis hepatis yang menjalani rawat inap di satu ruang perawatan penyakit dalam di satu rumah sakit pusat rujukan nasional di Jakarta. Penerapan EBN dilakukan dengan menggunakan ANT untuk mengidentikasi ada/tidaknya gangguan fungsi kognitif pada pasien sirosis dan membandingkannya dengan asesmen rutin yang dilakukan. ANT yang diterapkan pada 16 pasien sirosis dapat mengidentifikasi 12 orang pasien yang mengalami gangguan kognitif, yakni 8 orang lebih banyak bila dibandingkan dengan menggunakan asesmen WHC yakni 4 orang, dan tidak terdeteksi atau 0 orang bila menggunakan asesmen pertanyaan verbal orientasi waktu, tempat, dan orang. ANT dapat digunakan sebagai salah satu asesmen dan skrining awal untuk mendeteksi gangguan fungsi kognitif pasien dengan sirosis hepatis.
Family Caregivers' Lived Experiences for Post-Stroke Patients: A Qualitative Study Rosina Tarigan; Setyowaty; Rr. Tutik Sri Hariyati; Salim Harris; Debie Dahlia; Muchtaruddin Mansyur
Caring: Indonesian Journal of Nursing Science Vol. 6 No. 1 (2024): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v6i1.16238

Abstract

Stroke survivors in Indonesia depend on their families to meet their daily needs. Therefore, the function of family caregivers in stroke patients is essential in helping to meet their needs. This study aims to determine family caregivers' lived experiences for post-stroke patients. The study design was a qualitative descriptive phenomenology with a sample of 6 participants recruited by purposive sampling. Instruments include semi-structured questions, field notes, and a voice recorder. Data was analysed using the thematic content analysis method. This study was conducted from October 2021 to February 2022 at the Gisting Health Center, Tanggamus Regency, Lampung Province, Indonesia. The study found three main themes and seven sub-themes. The themes were knowledge of stroke (sub-themes: stroke disease and stroke management), seeking treatment (sub-themes: following community habits, drug therapy according to what is felt useful, alternative therapies produced by factories), and Difficulty in taking care (sub-themes: difficulties caring for patients at home and efforts to solve the difficulties). In conclusion, caregivers have Difficulty taking care of post-stroke patients at home and in the community. Nurses can participate as nurses in community health centres and family health nurses in providing comprehensive care and educating caregivers on how to take care of post-stroke patients properly.                                                                                                                                                                   
Perbaikan Klinis Kaki Diabetik Menggunakan Terapi Akupunktur Tommy Indra; Dewi Gayatri; Debie Dahlia; Liya Arista
Jurnal Keperawatan Silampari Vol 5 No 2 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.878 KB) | DOI: 10.31539/jks.v5i2.3481

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This study aims to identify and analyze the effect of acupuncture therapy on diabetic foot disorders. The design of this study was a systematic review by searching five scientific databases to obtain relevant sources related to specific problems related to acupuncture therapy in reducing disorders of the diabetic foot, namely Pubmed, Scientidirect, Springer Journals, Scopus, and Sage Journals. The research results were 3103 articles, and five articles were relevant and met the criteria. The use of acupuncture therapy affects disorders of the diabetic foot, namely a significant reduction in symptoms such as a prickling sensation or burning feet, numbness, to pain, and as an alternative therapy option in diabetic neuropathy sufferers. In conclusion, acupuncture effectively treats diabetic foot disorders and can be applied to nursing care as a non-pharmacological therapy. Keywords: Acupuncture, Diabetic Foot, Neuropathy
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 J.M. Lalisang Tommy Indra Tri Antika Rizki Kusuma Putri Wicaturatmashudi, Sukma Yeni Rustina Yunisar Gultom Yunizar Gultom