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All Journal Jendela Olahraga Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) JIKP Jurnal Ilmiah Kesehatan PENCERAH Risenologi Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Jurnal Kesehatan Tambusai Jurnal Kesehatan Rajawali HEALTHY: Jurnal Inovasi Riset Ilmu Kesehatan Health Research Journal of Indonesia Prosiding SIMKESNAS Health Dynamics Jurnal Medika: Medika Galen: Jurnal Ilmu Farmasi dan Kesehatan Sinergi dan Transformasi dalam Pengabdian Kepada Masyarakat
Lisbet Octovia Manalu
Institut Kesehatan Rajawali
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Engineering Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Analisis Asuhan Keperawatan pada Pasien dengan Gangguan Sistem Pernapasan Akibat Pneumonia dengan Penerapan Intervensi Fisioterapi Dada terhadap Perubahan Saturasi Oksigen di Ruang ICU RSU Holistic Purwakarta Nazwa Gaida Yuliyanti; Lisbet Octovia Manalu
Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 1 (2026): Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : PT Pustaka Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71417/galen.v2i1.213

Abstract

Pneumonia merupakan infeksi saluran pernapasan bawah yang dapat menyebabkan gangguan pertukaran gas dan penurunan saturasi oksigen, terutama pada pasien yang dirawat di ruang Intensive Care Unit (ICU). Penumpukan sekret pada saluran pernapasan dapat memperburuk kondisi pasien sehingga diperlukan intervensi keperawatan yang tepat, salah satunya fisioterapi dada. Penelitian ini bertujuan untuk menganalisis asuhan keperawatan pada pasien dengan gangguan sistem pernapasan akibat pneumonia melalui penerapan intervensi fisioterapi dada terhadap perubahan saturasi oksigen di ruang ICU RSU Holistic Purwakarta tahun 2026. Metode yang digunakan adalah metode analitik deskriptif dengan pendekatan studi kasus pada seorang pasien pneumonia yang dirawat di ICU. Pengumpulan data dilakukan melalui observasi langsung, pemeriksaan fisik, wawancara dengan pasien dan tenaga kesehatan, serta studi dokumentasi rekam medis. Hasil penerapan intervensi fisioterapi dada menunjukkan adanya perubahan dan peningkatan saturasi oksigen pada pasien setelah dilakukan tindakan keperawatan secara terencana dan berkesinambungan. Fisioterapi dada membantu mobilisasi sekret, memperbaiki ventilasi paru, serta meningkatkan efektivitas pertukaran gas. Dengan demikian, intervensi fisioterapi dada dapat menjadi salah satu tindakan keperawatan yang efektif dalam meningkatkan saturasi oksigen pada pasien pneumonia di ruang ICU.
The Effect of Audiovisual Media on Anemia Prevention on Increasing Pregnant Women’s Knowledge in the Ciwaruga Public Health Center Area Lisbet Octovia Manalu; Ika Basri; Ahmad Arifin
Health Dynamics Vol 3, No 5 (2026): May 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30504

Abstract

Background: Anemia in pregnant women remains a health problem that can affect the health of both the mother and the fetus. One important factor in preventing anemia is the level of knowledge among pregnant women. Lack of knowledge can cause pregnant women to fail to recognize the signs and symptoms of anemia, which can result in delays in seeking health services and appropriate treatment. If anemia is not detected and treated early on, it can develop into severe anemia, which can increase the risk of pregnancy complications. This study aims to determine the effect of audiovisual media on anemia prevention in increasing the knowledge of pregnant women in the Ciwaruga community health center area. Methods: This study used a quantitative, pre-experimental design with a one-group pre-test and post-test. The study sample consisted of 37 pregnant women selected using accidental sampling. Results: There was an increase in pregnant women’s knowledge of anemia prevention. The Wilcoxon test showed a difference in knowledge levels, with a p-value < 0.001 (p < 0.05). Conclusion: Audiovisual media were effective in increasing pregnant women’s knowledge about anemia.
The Effect of Heimlich Maneuver Education Using Audiovisual Media on Improving Mothers’ Knowledge of Choking Management in Children at RA-Al Hikmah Parongpong in 2026 Lisbet Octovia Manalu; Dela Savira; Arieni Ramadhan
Health Dynamics Vol 3, No 4 (2026): April 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30406

Abstract

Background: Choking is a common condition in children and can be fatal if not treated quickly and appropriately. Mothers’ lack of knowledge about choking management increases the risk of complications and death, so education, especially about the Heimlich maneuver, is needed to increase knowledge and prevent child mortality. Objective: To determine the effect of audiovisual education on the Heimlich maneuver on mothers’ knowledge of choking management in children at RA Al-Hikmah. Methods: This was a quantitative study with a pre-experimental one-group pre-test–post-test design. The sample consisted of 45 respondents, using a total sampling approach. A knowledge questionnaire was administered before and after the health education, and the changes were analyzed using the Wilcoxon test. Results: Mothers’ knowledge increased significantly after health education. Before the intervention, most mothers had low knowledge levels, but after education, knowledge levels increased significantly. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating that health education significantly increased mothers’ knowledge. Conclusion: Audiovisual-based health education on the Heimlich maneuver is effective in improving mothers’ knowledge of choking management in children. This approach can be recommended as an alternative strategy in community-based health education programs to enhance early first aid preparedness.
Sosialisasi Pencegahan Anemia dan Pentingnya Nutrisi Pada Remaja Putri SMK 45 Lembang Mokh.Sandi Haryanto; Tentry Fuji Purwanti; Lisbet Octovia Manalu; Abdurrasyid Zakhir Syiham Yogaswara; Nahla Fauziah Sukmana; Nadia Fatma; Indri Dwi Fitriani; Gina Revana; Elsa Lestari; Kartini Kartini; Titin Hanipah; Ayu Niasy; Sefya Fica Wulandari
Jurnal Medika: Medika Vol. 5 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/zk2neh06

Abstract

Anemia merupakan kondisi tubuh yang ditandai dengan kadar hemoglobin (Hb) dalam darah berada di bawah nilai normal. Hemoglobin berperan penting dalam mengangkut oksigen dari paru-paru ke seluruh jaringan tubuh. Apabila kadar hemoglobin menurun, suplai oksigen ke jaringan tubuh menjadi tidak optimal sehingga dapat menyebabkan gangguan fungsi tubuh, seperti berkurangnya produktivitas, mudah lelah, serta menurunnya daya tahan tubuh. Remaja merupakan kelompok usia yang rentan mengalami anemia akibat masa pertumbuhan yang cepat, perubahan pola makan, serta kurangnya asupan zat besi. Kurangnya pengetahuan mengenai anemia menyebabkan remaja sering tidak menyadari tanda dan gejala anemia serta cara pencegahannya, sehingga edukasi kesehatan menjadi sangat penting. Kegiatan pendidikan kesehatan ini bertujuan untuk meningkatkan pengetahuan dan kesadaran siswi mengenai anemia serta upaya pencegahannya melalui edukasi yang bersifat interaktif. Metode yang digunakan meliputi penyampaian materi menggunakan media PowerPoint, pembagian leaflet edukatif, pelaksanaan pre-test, games interaktif, diskusi, serta post-test untuk menilai tingkat pemahaman siswi. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan siswi, yang terlihat dari kemampuan mereka dalam menjawab pertanyaan pada sesi post-test dan quiz. Antusiasme siswi dalam sesi tanya jawab serta partisipasi aktif dalam games menunjukkan bahwa metode edukatif efektif dalam meningkatkan pemahaman remaja mengenai pentingnya pencegahan anemia. Dari hasil kegiatan pendidikan kesehatan ini dapat disimpulkan bahwa edukasi kesehatan mampu meningkatkan kesadaran dan pemahaman siswi mengenai anemia, faktor risiko yang memengaruhinya, serta pentingnya menjaga pola makan bergizi seimbang untuk mencegah terjadinya anemia pada remaja.
Pendidikan Kesehatan Dalam Meningkatkan Pengetahuan Siswa SMAN 1 Parongpong Tentang Penguatan Harga Diri Lisbet Octovia Manalu; Tentry Fuji Purwanti; Dita Apriliyanti; Nabila Agustin; Cici Lestari; Bakhi Fadlah; Rifan Abiyansyah; Reiva Nur Ramadani; Aiska Haniyya Muhtar; Nazma Septia Wanty; Reggy Ramadhani; Repa Wulandari
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/v05h4j54

Abstract

Masa remaja merupakan periode transisi yang penuh tantangan, di mana harga diri berperan penting dalam membentuk perilaku sehat, pencapaian akademik, dan hubungan sosial yang positif. Rendahnya harga diri dapat meningkatkan risiko perilaku berisiko, stres, serta kesulitan dalam pengambilan keputusan. Untuk memperkuat harga diri siswa, pendidikan kesehatan di SMAN 1 Parongpong dilaksanakan dengan pendekatan interaktif, reflektif, dan partisipatif. Metode yang digunakan meliputi ceramah interaktif mengenai konsep harga diri, diskusi kelompok tentang pengalaman pribadi dan strategi menghadapi tekanan sosial, serta latihan komunikasi asertif. Media edukasi berupa presentasi visual, leaflet motivasi, dan lembar kerja reflektif mendukung internalisasi nilai positif. Evaluasi dilakukan melalui pre-test dan post-test persepsi harga diri, observasi keterlibatan siswa, serta penilaian kemampuan mengekspresikan pendapat secara sehat. Hasil kegiatan menunjukkan peningkatan pemahaman konsep harga diri, perubahan sikap menuju penerimaan diri yang lebih positif, serta kesiapan siswa menerapkan perilaku asertif. Program ini menegaskan efektivitas pendidikan kesehatan berbasis sekolah dalam memperkuat harga diri remaja dan pentingnya pengembangan berkelanjutan.
Strengthening Families: How Family Support Shapes the Quality of Life for Children with Intellectual Disabilities Anggi Kusuma; Rini Papuli; Lisbet Octovia Manalu
Health Research Journal of Indonesia Vol 4 No 5 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i5.1053

Abstract

Children with special needs are children who are at risk of experiencing chronic diseases, developmental disorders, emotional disorders, abnormalities or physical disabilities and require more health services than children in general. Family support is needed as a supporter and to help the quality of life of these children to continue to be able to carry out their activities with their abilities supported by the family. This type of quantitative research uses a cross-sectional approach. The population in this study were all parents who have children with special needs at the Mesuji Regency State Special School with a sample of 84 respondents using a total sampling technique. This study was conducted in December 2022 at the Mesuji Regency State Special School. The results of the study showed no significant relationship between the dimensions of family support and the quality of life of children with special needs. Family support in the form of providing information and social support should be a priority support given to families with children with special needs.
Protocol-Guided Suctioning for Safe Airway Management in Hemorrhagic Stroke Patients with External Ventricular Drainage: A Case Study Tuti Nurlela; Lisbet Octovia Manalu; Tonika Tohri; Istianah Istianah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.998

Abstract

Background: Ineffective airway clearance is a frequent nursing diagnosis in critically ill patients, particularly those with hemorrhagic stroke who experience decreased consciousness and impaired cough reflex. Accumulation of airway secretions increases the risk of hypoxia, aspiration, and respiratory complications, necessitating comprehensive airway management in the intensive care unit (ICU). Objective: This study aims to describe the implementation of suction-based nursing care in managing ineffective airway clearance in a patient with hemorrhagic stroke following external ventricular drainage (EVD). Methods: A single-patient case study was conducted in the ICU. Data were collected through comprehensive nursing assessment, direct observation, physical examination, and review of medical records. Nursing interventions were implemented based on clinical guidelines, including airway monitoring, positioning, oxygen therapy, and suction procedures. Data were analyzed descriptively to evaluate changes in clinical indicators over a five-day observation period. Results: Following structured airway management, progressive improvement in respiratory parameters was observed. Oxygen saturation (SpO₂) increased from 94% at baseline to 98% by Day 5, while respiratory rate decreased from 30 to 18 breaths per minute. Secretion volume reduced from approximately 25–30 ml/day to 8–10 ml/day, accompanied by changes in consistency from thick and viscous to thin and clear. Auscultation findings improved from bilateral rhonchi with gurgling to clear vesicular breath sounds. No adverse events or signs of neurological instability were observed during suction procedures. Conclusion: This case study demonstrates that structured, suction-based nursing care may effectively improve airway clearance and respiratory status in critically ill hemorrhagic stroke patients. Early and carefully monitored airway interventions can support oxygenation and reduce secretion burden without compromising patient safety in the ICU
The Endotracheal Suctioning and Oxygen Saturation in an Intensive Care Patient with Ischemic Stroke and Decreased Consciousness: A Descriptive Case Study Lisnawati Lisnawati; Lisbet Octovia Manalu; Istianah Istianah; Budi Rustandi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.999

Abstract

Background: Patients with ischemic stroke and decreased consciousness are at high risk of ineffective airway clearance due to impaired cough reflex and accumulation of airway secretions. This condition may lead to hypoxemia and further neurological deterioration, requiring appropriate airway management in intensive care settings. Objective: To describe the implementation of endotracheal suctioning as part of nursing care in an intensive care patient with ischemic stroke and decreased consciousness, with particular attention to oxygen saturation and clinical airway status. Methods: A descriptive single-patient case study was conducted in the general intensive care unit. Data were collected through direct observation, physical examination, bedside monitoring, and medical record review. The nursing care process included assessment, diagnosis, planning, implementation, and evaluation. Endotracheal suctioning was performed according to clinical indications and unit protocol, and oxygen saturation was observed before and after suctioning over a five-day period. Results: At baseline, the patient presented with decreased consciousness, retained airway secretions, bilateral rhonchi, weak cough reflex, tachypnea, and oxygen saturation of 92%. Across the five-day observation period, suctioning was followed by short-term improvement in oxygen saturation, with post-procedure values reaching 97–98%, accompanied by reduced secretion burden and clearer breath sounds. By the end of observation, respiratory status was more stable and suctioning was required less frequently. Conclusion: In this case, endotracheal suctioning performed on the basis of clinical indications was associated with improvement in short-term oxygen saturation and airway clearance indicators. These observations should be interpreted within the broader context of comprehensive intensive care and should not be taken as evidence of independent treatment effect. Further studies with stronger designs are needed to evaluate the contribution of suctioning in neurocritical patients
Passive Range of Motion Intervention to Improve Physical Mobility in a Hemorrhagic Stroke Patient After External Ventricular Drainage: A Case Study Siti Komariah; Tentry Fuji Purwanti; Budi Rustandi; Lisbet Octovia Manalu
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.1005

Abstract

Background: Hemorrhagic stroke is a life-threatening neurological disorder that often leads to significant motor impairment due to intracranial bleeding, elevated intracranial pressure, and disrupted neuromuscular function. Patients in intensive care settings are highly susceptible to complications related to prolonged immobility, including joint stiffness, muscle weakness, atrophy, contractures, impaired circulation, and pressure injuries. Passive Range of Motion (ROM) exercises are commonly applied as a nursing intervention for patients who are unable to perform voluntary movement, aiming to preserve joint mobility and prevent musculoskeletal deterioration. Objective: This case study aimed to describe the implementation of nursing care in a hemorrhagic stroke patient with impaired physical mobility following External Ventricular Drainage (EVD), with a focus on the application and evaluation of passive ROM exercises in the General Intensive Care Unit (GICU). Methods: A descriptive case study design was employed involving a female patient with hemorrhagic stroke who underwent EVD placement. Data were collected through comprehensive nursing assessment, direct observation, interviews, and medical record review. Passive ROM exercises were administered twice daily for 10–15 minutes using controlled movements of the upper and lower extremities. Neurological status, hemodynamic stability, and EVD function were continuously monitored. Results: Over a five-day period, gradual improvement was observed. Muscle strength increased by one grade, joint mobility improved by approximately 10 degrees, and the Glasgow Coma Scale reached 12. No complications related to the intervention or EVD were identified. Conclusion: Passive ROM may be safely incorporated into nursing care for hemorrhagic stroke patients with EVD and may help maintain joint function and reduce immobility-related complications, although outcomes are influenced by multiple clinical factors.
HUBUNGAN TRANSPERSONAL CARING PERAWAT DENGAN TINGKAT HARAPAN DAN RESILIENCE PASIEN PASCA STROKE DI RSAU DR. M SALAMUN BANDUNG TAHUN 2026 Salma Nurr Sajidah Oktaliani; Eny Kusmiran; Mokh. Sandi Haryanto; Lisbet Octovia Manalu
Jurnal Kesehatan Tambusai Vol. 7 No. 2 (2026): JUNI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i2.56836

Abstract

Transpersonal caring dalam teori Human Caring Jean Watson menekankan hubungan empatik, kehadiran tulus, dan dukungan spiritual dalam praktik keperawatan. Pendekatan ini diyakini dapat meningkatkan kesejahteraan psikologis pasien. Pada pasien pasca-stroke, harapan dan resiliensi berperan penting dalam proses pemulihan dan penyesuaian diri. Penelitian ini bertujuan untuk mengetahui hubungan kualitas transpersonal caring (Caritas Processes) perawat dengan tingkat harapan dan resiliensi pasien pasca-stroke di RSAU dr. M. Salamun Bandung. Jenis penelitian ini menggunakan desain kuantitatif korelasional dengan pendekatan cross-sectional. Sampel terdiri dari 57 responden dengan teknik Accidental sampling. Menggunakan kuesioner Transpersonal Caring (CPC), tingkat harapan (HHI), resilience (CD-RISC), dianalisis menggunakan uji Chi-square. Hasil penelitian ini menunjukkan transpersonal caring perawat berada pada sedang (33,3 %), dan rendah (43,9 %). Tingkat harapan pasien berada pada kategori tinggi (45,6 %), dan rendah (54,4%). Resilience berada pada kategori tinggi (49,1%), dan rendah (54,4%). Terdapat hubungan signifikan antara transpersonal caring  perawat dengan tingkat harapan (p = 0,000) dan resilience (p = 0,000). Peningkatan kualitas transpersonal caring berkontribusi terhadap meningkatnya harapan dan resiliensi pasien dalam menghadapi kondisi penyakitnya.
Co-Authors Abdurrasyid Zakhir Syiham Yogaswara Ahmad Arifin Aiska Haniyya Muhtar Amila Ermawanti Anggi Kusuma Arieni Ramadhan Ayu Niasy Bakhi Fadlah Budi Rustandi Budi Somantri Cici Lestari Dela Savira Dinta Dita Apriliyanti Diva Febriany Syakira Elsa Lestari Eny Kusmiran Fadlunnisa Nurfajriyah Gina Revana Ika Basri Indri Dwi Fitriani Istianah Istianah Jihan Ayu Fitria Kartini Kartini Kevin Rendyka Saputra Lisnawati Lisnawati M. Iqbal Sutisna Mega Elena Putri Mira Iklima Fatiha Mokh. Sandi Haryanto Mokh.Sandi Haryanto Mokhamad Sandi Haryanto Nabila Agustin Nadia Fatma Nahla Fauziah Sukmana Nazma Septia Wanty Nazwa Gaida Yuliyanti Nia Nur Latifah Nurazizah Yulianasari Putri Sela Junika Ramadhan, Muhammad Deri Reggy Ramadhani Reiva Nur Ramadani Repa Wulandari Rifan Abiyansyah Rini Papuli Rizky Gumilang Pahlawan Salma Nurr Sajidah Oktaliani Sefya Fica Wulandari Sinta Destianti Sinta Siti Patimah Siti Komariah Siti Nur Asmayasari Siti Vivih Lutfiah Tentry Fuji Purwanti Tiara Dwi Hermawati Titin Hanipah Tonika Tohri Tuti Nurlela Unike Natasya Luis