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Perioperative Health Education Improves Coping Mechanisms in Preoperative Cataract Patients Enggal Hadi Kurniyawan; Popi Dyah Putri Kartika; Siswoyo; Wantiyah; Murtaqib; Fitrio Deviantony; Yeni Fitria
Health and Technology Journal (HTechJ) Vol. 1 No. 1 (2023): February 2023
Publisher : KHD Production

Patients with cataracts can experience psychological and physiological impacts; the physiological impact caused is discomfort in sight, while the psychological impact on patients is anxiety because they will have surgery on the eye. This study aims to analyze the effect of providing perioperative health education on the coping mechanisms of preoperative cataract patients. This study used a quasi-experimental research design with a pre-test and post-test research approach with a control group design. The research sampling technique used is consecutive. The sample in this study were cataract patients who were going to perform cataract surgery as many as 30 respondents. Analysis of the data used using the dependent t-test and independent t-test. This study's results indicate differences in coping mechanisms in the measurement of the treatment and control groups, with a p-value = 0.001. This study concluded that there were significant differences in coping mechanisms after being given perioperative health education in the treatment group and the control group. Nurses are expected to be able to apply health education to preoperative cataract patients so that the patient's coping becomes adaptive and ready for surgery

Penerapan Buteyko Breathing Technique dengan Masalah Bersihan Jalan Napas Tidak Efektif pada Pasien Carsinoma Lidah Siswoyo Siswoyo; Nur Widayati; Achamd Sigit; Yusi Ayu Permatasari
Bima Nursing Journal Vol 5, No 2 (2024): Mei
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/bnj.v5i2.1507

Angka pasien dengan kanker setiap tahun terus mengalami peningkatan. Ca lidah merupakan keganasan jenis karsinoma yang mengenai lidah dan hampir 95% berupa karsinoma sel skuamosa. Ca lidah yang tidak ditangani secara komprehensif dapat bermetastasis pada jaringan sekitar. Tumor primer atau metastasis di wilayah kepala leher, paru atau mediastinum dapat menyebabkan obstruksi jalan napas pada tingkat laring, trakea atau bronkus sehingga dapat menyebabkan gangguan pada saluran pernapasan. Penatalaksanaan pada pasien dengan bersihan jalan napas tidak efektif atau obstruksi saluran napas dapat dilakukan secara non-farmakologi seperti latihan pernapasan, salah satunya yaitu buteyko breathing technique agar pasien dapat mengontrol pernapasannya sehingga proses pernapasan dapat berjalan dengan cukup baik. Penelitian ini bertujuan untuk menganalisis penerapan buteyko breathing technique dengan masalah keperawatan bersihan jalan napas tidak efektif pada pasien ca lidah di Ruang Seruni RSD dr. Soebandi Jember. Metode yang digunakan dalam penelitian ini adalah studi kasus deskriptif, dimana penelitian ini dilakukan selama 3 hari dengan durasi pemberian intervensi selama 20 menit. Instrumen yang digunakan berupa lembar SOP buteyko breathing technique dan lembar observasi bersihan jalan napas pasien. Hasil penelitian didapatkan bahwa dengan menggunakan buteyko breathing technique, pasien dapat mulai mengontrol pernapasannya, terlihat dari indikator frekuensi napas (RR) membaik, batuk dan sputum menurun, ronkhi tidak ada serta penggunaan otot bantu pernapasan seperti retraksi dada minimal dan pernapasan cuping hidung tidak ada. Penerapan buteyko breathing technique cukup efektif dalam mengatasi masalah keperawatan bersihan jalan napas tidak efektif pada pasien ca lidah. Karya ilmiah ini dapat dijadikan sumber referensi bagi perawat untuk memberikan terapi dalam mengatasi pasien dengan masalah bersihan jalan napas tidak efektif.

Effect of Mind-Body Therapy on Intraocular Pressure in Open-Angel Glaucoma Patients: A Systematic Review Rondhianto Rondhianto; Siswoyo Siswoyo; Ajeng Dian Sandika
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Open-angle glaucoma is one type of glaucoma that can damage the eye's optic nerve, causing blindness. Intraocular Pressure (IOP) is the leading risk factor for open-angle glaucoma. So, controlling IOP is the goal of glaucoma management. One of the complementary therapies that glaucoma patients can choose is a mind-body therapy. The study aims to determine the effectiveness of mind-body therapy on IOP in glaucoma patients. A systematic literature review followed the PRISMA Flowchart guidelines in five databases (PubMed, ProQuest, ScienceDirect, Scopus, and Google Scholar). Inclusion criteria were articles published in the last ten years, English, and experimental studies about mind-body therapy's effect on glaucoma patients' intraocular pressure. The quality of articles was assessed using the JBI appraisal tools and analyzed using Meta-synthesis. We found two types of mind-body interventions that affect IOP: mindfulness meditation and yoga. Twelve articles showed that mind-body intervention had decreased IOP by 2 - 6 mmHg (5.7 - 16%). Only one article showed an increase in IOP (6 mmHg), namely yoga with a head down position (the head position lower than the heart position Mind-body therapy, particularly meditation and yoga, can significantly lower IOP. Special attention in yoga therapy is not to do the head down position because it can increase IOP. Mind-body therapy intervention as a complementary therapy can be applied to glaucoma patients to decrease IOP and prevent blindness. Abstrak: Glaukoma sudut terbuka merupakan salah satu jenis glaukoma yang dapat merusak saraf optik mata sehingga menyebabkan kebutaan. Tekanan intraokular (IOP) adalah faktor risiko utama untuk glaukoma sudut terbuka. Jadi, mengendalikan TIO adalah tujuan dari manajemen glaukoma. Salah satu terapi komplementer yang dapat dipilih oleh pasien glaukoma adalah mind-body therapy. Penelitian ini bertujuan untuk mengetahui efektivitas mind-body therapy terhadap TIO pada pasien glaukoma. Tinjauan literatur sistematis dilakukan mengikuti panduan PRISMA Flowchart di lima database (PubMed, ProQuest, ScienceDirect, Scopus, dan Google Scholar). Kriteria inklusi adalah artikel yang diterbitkan dalam sepuluh tahun terakhir, bahasa Inggris, dan studi eksperimental tentang efek terapi pikiran-tubuh pada tekanan intraokular pasien glaukoma. Kualitas artikel dinilai menggunakan alat penilaian JBI dan dianalisis menggunakan Meta-sintesis. Kami menemukan dua jenis intervensi pikiran-tubuh yang memengaruhi TIO: meditasi mindfulness dan yoga. Dua belas artikel menunjukkan bahwa intervensi pikiran-tubuh telah menurunkan TIO sebesar 2 - 6 mmHg (5,7 - 16%). Hanya satu artikel yang menunjukkan peningkatan TIO (6 mmHg), yaitu yoga dengan posisi head down (posisi kepala lebih rendah dari posisi jantung. Mind-body therapy, khususnya meditasi dan yoga, dapat menurunkan TIO secara signifikan. Perhatian khusus pada yoga Terapi tidak dilakukan dengan posisi kepala menunduk karena dapat meningkatkan TIO. Intervensi mind-body therapy sebagai terapi komplementer dapat diterapkan pada pasien glaukoma untuk menurunkan TIO dan mencegah kebutaan.

An Overview of Ocular Transmission as Alternative Route Transmission Coronavirus Disease 2019 (COVID-19): Literature Review Ahmad Rizki Nur Hakiki; Siswoyo; Jon Hafan Sutawardana; Murtaqib; Rismawan Adi Yunanto
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 1 (2023): March 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v3i1.182

Coronavirus Disease 2019 (COVID-19) becomes a health crisis in the world. The main route of spreading COVID-19 is through the respiratory tract, but this virus also spread through extra respiratory route. This literature review aimed to describe the ocular transmission as an alternative route of COVID-19 transmission. This literature review study used sources of article obtained through ProQuest, Springer, ScienceDirect, PubMed, and Google Scholar with range 2019-2020 publication years and were traced using a combination of search term for ocular transmission, virus receptor, eye manifestation and COVID-19. Previous research used Experimental design, Case study, and Cross-sectional study, and published from 2019 to 2020. Then analyzed by PRISMA diagram method with four stages starting from identification, screening, eligibility, and included. 4 articles used Experimental study design, 4 articles used Cross-sectional study design, and 2 articles used case study design. This study showed that COVID-19 RNA was found on ocular (conjunctiva and cornea) in a low percentage (2.23%-24%). Patients with confirmed COVID-19 could have ocular manifestations. COVID-19 enter the human body through the eye by spike protein binds to eye receptors that are: ACE2, CD147/Basigin/EMMPRIN, TMPRSS2, ANPEP and AGTR2. Then this virus transferred to the respiratory tract through the nasolacrimal duct. The study showed that ocular transmission can be an alternative route of COVID-19 transmission even with a low percentage level, so it is important for health worker to wear eye protector.

Effectiveness of Chest Physiotherapy toward Tuberculosis (TBC) Patient to Overcome Ineffective Airway Clearance in Dieng Inpatient Room of dr. Abdoer Rahem Hospital Situbondo: A Case Report RA. Arsyifa Nanda Fedora; Rondhianto; Siswoyo; Mohammad Shodikin
Health and Technology Journal (HTechJ) Vol. 2 No. 5 (2024): October 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i5.229

Tuberculosis is an infectious and potentially fatal disease in worldwide, caused by lungs inflammation due to Mycobacterium bacteria infection. Tuberculosis patient experiences coughing with phlegm, shortness of breath or dyspnea, accumulation of exudate or sputum. Excessive of sputum accumulated can lead to obstruction of breath way and increase lungs infection that related to ineffective airway clearance. Chest physiotherapy can be intervention of nursing to overcome ineffective airway clearance that helps in clearing accumulated sputum and improving oxygen saturation. This scientific work uses a case report method that describes the case of Tuberculosis patient with main problem of nursing that was called ineffective airway clearance. The sampling was consecutive sampling but only one patient included in the case. The sample of study was Mrs. M, 32 years old who had Tuberculosis patient with ineffective airway clearance. The research was conducted twice daily for 3 days began from December 21st, 2023, to December 23rd, 2023, in the Dieng Inpatient Room of dr. Abdoer Rahem Hospital Situbondo. Intervention was done in two sessions, that were morning and afternoon. Based on observations, there was no significant difference on blood pressure level, but there were decreasing pulse rate, decreasing respiratory rate, increasing oxygen saturation value, and improving ability of sputum production post intervention Chest Physiotherapy on the third day. The application of Chest Physiotherapy quietly helped in expelling phlegm and improving respiratory status.

' Rifki Sudai; Siswoyo; Murtaqib; Muhammad Shodikin
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.347

Anxiety in patients undergoing Transurethral Resection of the Prostate (TURP) surgery can have a significant impact on the physiological and psychological aspects of the patient. Anxiety in preoperative patients can result in surgery being postponed or canceled. One effort that can be made to reduce anxiety levels in preoperative TURP patients is to provide SEFT therapy. During tapping, there is an increase in the process of neurotransmitter signal travel, which reduces the regulation of the hypothalamic-pituitary-adrenal Axis (HPA axis), thereby reducing the production of stress hormones. This research method uses a case study, and pre-and post-implementation measurements are carried out. The sample used was one person. The research sample was given treatment, namely SEFT therapy, to reduce anxiety levels. The results of SEFT therapy were observed using the State-Trait Anxiety Inventory (STAI) measuring instrument. There was a decrease in anxiety levels before and after treatment; namely, the STAI score decreased to 31 (moderate anxiety). SEFT therapy can reduce anxiety because the tapping mechanism in SEFT therapy has the function of releasing endorphin hormones. Endorphin hormones help reduce psychological symptoms such as anxiety.

The Application of 30° Foot Elevation and Ankle Pump Techniques to Reduce Lower Limb Edema in Patients with Chronic Kidney Disease Aeni Fitriyah; Siswoyo; Ika Adelia Susanti; Jumanto
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.443

Lower extremity edema is a common complication in patients with stage 5 chronic kidney disease (CKD) due to fluid imbalance. Non-pharmacological therapies such as ankle pump exercises and 30°-foot elevation can be effective alternative interventions to reduce edema. This study aims to determine the effectiveness of combining ankle pump exercises and 30°-foot elevation in reducing the degree of edema in CKD patients. This research employed a quantitative descriptive case study method involving one patient with stage 5 CKD. The intervention consisted of ankle pump exercises and 30°-foot elevation conducted over three consecutive days. Each ankle pump session lasted 1 minute per position, and foot elevation was maintained for 5–10 minutes per session. Edema assessment was conducted pre- and post-intervention using the Grading Pitting Edema scale. The study showed no reduction in the edema grade from day one to day three. However, a decrease in edema depth was observed on the third day of the intervention, indicating that no significant reduction in the overall edema grade occurred. The application of ankle pump exercises and 30°-foot elevation over three days did not show a clinically significant reduction in edema. However, a positive effect began to emerge on the third day, with a 1 mm decrease in edema depth. The combination therapy has the potential to reduce lower extremity edema in CKD patients, but it requires consistent application and optimal intensity to achieve significant outcomes. This intervention may serve as a safe, non-invasive, and practical non-pharmacological option in evidence-based nursing care.

Peningkatan Kesiapsiagaan Bencana pada Masyarakat Melalui Video Edukasi Rawan Bencana Tanah Longsor dan Pemetaan Daerah Rawan Bencana Tanah Longsor di Desa Kemuning Lor Ruris Haristiani; Siswoyo Siswoyo; Murtaqib Murtaqib; Prasita Kusumaningtyas; Indah Sofiatul Maskuro
Jurnal Pengabdian Masyarakat Saga Komunitas Vol. 3 No. 1 (2024): Jurnal Pengabdian Masyarakat Saga Komunitas Volume 03 Nomor 1 Januari 2024
Publisher : Sagamedia Indo Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jpmsk.v3i1.173

Latar Belakang: Bencana merupakan peristiwa yang tidak dapat diprediksi dan dapat membahayakan nyawa manusia. Bencana dapat berupa banjir, tanah longsor, dan kekeringan. Kabupaten Jember merupakan daerah yang rawan terjadi tanah longsor dan banjir. Indeks risiko bencana tanah longsor di Jember yaitu 123.65 dan termasuk dalam kategori sedang. Pemberian edukasi mengenai bencana tanah longsor melalui video dan pemetaan daerah rawan bencana merupakan salah satu tindakan yang dapat dilakukan dalam rangka penanggulangan bencana dengan mitigasi dan peningkatan kemampuan masyarakat dalam menghadapi ancaman bencana. Tujuan: Untuk meningkatkan kesiapsiagaan bencana pada masyarakat di daerah rawan bencana tanah longsor di desa Kemuning Lor. Metode: Metode yang digunakan dalam pelaksanaan kegiatan ini yaitu pembuatan dan penyebaran video edukasi, pembuatan peta rawan bencana tanah longsor, dan penyebaran kuesioner kesiapsiagaan bencana. Sasaran dalam kegiatan ini yaitu masyarakat desa Kemuning Lor terutama peragkat desa, bidan dan perawat desa, karang taruna, kelompok tani dan juga di sekolah-sekolah desa Kemuning Lor, Kecamatan Arjasa, Kabupaten Jember. Hasil: Hasil uji Wilcoxon dari pre-test dan post-test kuesioner kesiapsiagaan bencana memiliki hasil 0,000 < 0,05 yang berarti terdapat perbedaan pengetahuan masyarakat mengenai kesiapsiagaan bencana sebelum dan sesudah dilakukan penyebaran video edukasi dan pemetaan daerah rawan bencana tanah longsor. Kesimpulan: Terdapat perbedaan pengetahuan masyarakat sebelum dan sesudah dilakukan penyuluhan video dan pemetaan daerah rawan bencana tanah longsor. Kegiatan tersebut perlu diadakan secara rutin untuk meningkatkan pengetahuan serta dapat mengevaluasi pemahaman mengenai kesiapsiagaan masyarakat terhadap bencana tanah longsor.

Overview and Correlation Between Work Stress and Dry Eyes Syndrome among Nurses in Indonesia Rondhianto; Siswoyo; Annisa Putri Zalsabila
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 1 (2024): March 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i1.300

Exhausted nurses in providing nursing care can impact work stress. Many factors cause work stress. Work stress is the type of psychological stress that reduces the lacrimal gland's activity, affecting dry eye syndrome. The study aims to analyze the correlation between work stress and nurses' dry eye syndrome in Nganjuk General Hospital. The study was a descriptive correlative observational with a cross-sectional design. The sample was 84 nurses, taken by simple random sampling. Data were collected using Health and Safety Executive (HSE) and Ocular Surface Disease (OSDI) questionnaires. The study showed nurses experienced mild stress (96.43%) and moderate dry eye syndrome (36.90%). There was a positive correlation between work stress and dry eye syndrome in nurses in the weak category (r=0.356; p= 0.001< 0.05). There were no significant differences in work stress by age, gender, working period, and marital status (p=0.388; p=0.687 p=0.730; p = 0.839 > α 0.05). There was a significant difference in work stress based on education (p=0.033 < α 0,05). There were no significant differences in dry eye syndrome with age, gender, working period, and marital status (p=0.644; p=0.436; p= 0.865; p=0.072; p=0.719 > α 0,05). The study conclusion is that work stress is related to dry eyes syndrome. Apart from that, work stress is also influenced by the level of education. Therefore, interventions to reduce work stress in nurses should pay attention to education level to reduce the risk of dry eyes syndrome.

Perioperative Health Education Improves Coping Mechanisms in Preoperative Cataract Patients Enggal Hadi Kurniyawan; Popi Dyah Putri Kartika; Siswoyo; Wantiyah; Murtaqib; Fitrio Deviantony; Yeni Fitria
Health and Technology Journal (HTechJ) Vol. 1 No. 1 (2023): February 2023
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v1i1.2

Patients with cataracts can experience psychological and physiological impacts; the physiological impact caused is discomfort in sight, while the psychological impact on patients is anxiety because they will have surgery on the eye. This study aims to analyze the effect of providing perioperative health education on the coping mechanisms of preoperative cataract patients. This study used a quasi-experimental research design with a pre-test and post-test research approach with a control group design. The research sampling technique used is consecutive. The sample in this study were cataract patients who were going to perform cataract surgery as many as 30 respondents. Analysis of the data used using the dependent t-test and independent t-test. This study's results indicate differences in coping mechanisms in the measurement of the treatment and control groups, with a p-value = 0.001. This study concluded that there were significant differences in coping mechanisms after being given perioperative health education in the treatment group and the control group. Nurses are expected to be able to apply health education to preoperative cataract patients so that the patient's coping becomes adaptive and ready for surgery

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