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Hubungan Tingkat Self Esteem Dengan Tingkat Kecemasan Pasien Pre Operasi Sectio Caesarea Di RSI Aisyiyah Malang Intan Azzahra, Helmalia; Bachtiar , Arief; Marsaid; Nataliswati, Tri
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.23634

Abstract

Objective: To identify levels of self-esteem and anxiety, as well as analyze the relationship between self-esteem and anxiety levels in pre-caesarean section patients at RSI Asyiyah Malang. Methods: This type of research is correlational with a cross-sectional design. The population in this study was preoperative caesarean section patients; the sample size was 44 respondents. The sampling technique used was accidental sampling. Data analysis was carried out using the Spearman Rank correlation test. Results: The results of the analysis showed that the majority of patients had low self-esteem and moderate levels of anxiety. There is a significant relationship with value = 0.000 (0.005) and r = -0.557, which means there is a fairly strong relationship in the negative direction, meaning the higher the level of self-esteem, the lower the patient's anxiety level. Conclusion: Patients with low levels of self-esteem are less able to control their emotions when under pressure and overcome their anxiety. Therefore, it is very important to know the level of self-esteem in patients who experience anxiety to determine more appropriate treatment.
Hubungan Faktor Jenis Kelamin, Pekerjaan dan Pengalaman Menjalani Operasi terhadap Kecemasan pada Pasien Pre Operasi Fraktur Ekstremitas Bawah di Instalasi Bedah Sentral RSUD Mardi Waluyo Blitar Adi Saputra, Okta; Taufan; Sepdianto , Tri Cahyo; Marsaid
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.27325

Abstract

Objective: The general objective of this study was to determine the factors that influence anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar. The specific objectives of this study were 1. to analyze gender factors on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar, 2. to analyze occupational factors on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar, 3. to analyze factors of surgical experience on anxiety in preoperative lower extremity fracture patients at the IBS RSUD Mardi Waluyo Blitar. Methods: : Cross-sectional research design, research population 30 lower extremity fracture patients, independent variables (gender, occupation, experience of undergoing surgery) and dependent variables (anxiety), Observation research instruments and APAIS questionnaires, research location premedication room central surgical installation RSUD Mardi Waluyo Blitar, research time 26 March - 19 April 2025, research data processing editing coding, data entry and cleaning, data analysis statistical test SPSS using chi square test and descriptive analysis. Results: 1. The significance value (Sig. 2-tailed) is 0.003, which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (gender factor) and variable Y (anxiety level). 2. The significance value (Sig. 2-tailed) is 0.006 which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (job factor) and variable Y (anxiety level). 3. The significance value (Sig. 2-tailed) is 0.008 which is smaller than α = 0.05 (p < 0.05). This shows that there is a significant relationship between variable X (operation experience factor) and variable Y (anxiety level). Conclusion: 1. The gender factor is related to anxiety with a p value of 0.004, < of (p < 0.05). 2. There is a relationship between work factors and anxiety with a p value of 0.006, < of (p < 0.05). 3. The experience of undergoing surgery has a relationship with anxiety with a p value of 0.008, < of (p < 0.05).
Pengaruh Early Mobilization Terhadap Kekuatan Otot Dan Tingkat Nyeri Pada Pasien Post Operasi Orif Di RSUD Karsa Husada Batu Tyo Herfindo Putra; Marsaid, Marsaid; Astuti, Erlina Suci; Yuliwar, Roni
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.27968

Abstract

ABSTRACT Objective: The number of patients undergoing fracture surgery with Open Reduction and Internal Fixation (ORIF) continues to increase each year, accompanied by postoperative complications such as pain, decreased muscle strength, and limited mobility. Early mobilization is considered an effective intervention to prevent these complications. This study aimed to determine the effect of early mobilization on muscle strength and pain reduction in postoperative ORIF patients. Methods: This research employed a quasi-experimental design with a pre- and post-test approach. The sample consisted of 16 patients in each group, selected using the Federer formula. The intervention group received early mobilization and analgesics, while the control group received analgesics only. Muscle strength was measured using the Manual Muscle Testing (MMT) scale, and pain levels were assessed using the Numerical Rating Scale (NRS). Data were analyzed using the Wilcoxon test with a significance level of <0.05. Results: The early mobilization group showed an improvement in muscle strength to level 3 in 68.8% of patients and a significant reduction in pain, with 87.5% of patients reporting mild pain. In contrast, the control group reached only level 2 muscle strength in 87.5% of patients, and only 31.3% experienced mild pain. The p-values were 0.002 for muscle strength and 0.001 for pain level Conclusion: Early mobilization is more effective than standard care in improving muscle strength and reducing pain in postoperative ORIF patients. Failure to implement early mobilization may lead to complications such as joint stiffness, contractures, muscle weakness, and circulatory issues that increase the risk of thrombosis. It is recommended that ward nurses provide education and implement early mobilization interventions in accordance with standard operating procedures.
Hubungan Tingkat Nyeri Dan Kualitas Tidur Dengan Pemulihan Luka Pasien Pasca Operasi Open Reduction Internal Fixation RSUD Kanjuruhan Kabupaten Malang DENNIS, DENNIS; MARSAID, MARSAID; SUPONO, SUPONO; SULASTYAWATI, SULASTYAWATI
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.27969

Abstract

Objective: To determine the relationship between pain level and sleep quality with wound healing in postoperative ORIF patients. Methods: This study used a descriptive correlational design with a sample of 39 postoperative ORIF patients selected purposively. Participants were conscious, cooperative, had no history of diabetes, and were aged between 13–50 years. Instruments used to collect data included questionnaires on pain level, sleep quality, and wound healing. Results: Spearman Rank correlation test results showed a p-value of 0.000 (p < 0.05) with an R value of -0.772, indicating a strong relationship between pain level and wound healing after ORIF surgery. Additionally, a p-value of 0.000 (p < 0.05) with an R value of -0.789 indicated a fairly strong relationship between sleep quality and wound healing after ORIF surgery. Conclusion: There is a relationship between pain level and sleep quality with wound healing after ORIF surgery.
Analisis Faktor Determinan Yang Berhubungan Dengan Kesembuhan Pada Pasien TB Paru di Puskesmas Rejotangan Kabupaten Tulungagung Sholha, Hanny Atus; Tri Nataliswati; Marsaid, Marsaid; Sulastyawati, Sulastyawati
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.28524

Abstract

Objective:  Pulmonary Tuberculosis is still a public health problem in many countries including Indonesia. The key to successful prevention of Pulmonary TB is the discovery of patients and treatment of patients until recovery. This study aims to identify determinant factors associated with the recovery of pulmonary TB patients at the Rejotangan Community Health Center, Tulungagung Regency.   Methods:  The research design used was quantitative with a cross sectional approach and analytic in nature. The study population was 47 patients, with a sample of 36 respondents selected by purposive sampling. The instrument used was a questionnaire. Data analysis using the spearman test with a significance level of <0.05.   Results: showed that, there was no relationship between age and recovery of pulmonary TB, no relationship between gender and recovery of pulmonary TB, no relationship between nutritional status and recovery of pulmonary TB patients, there was a relationship between knowledge and recovery of pulmonary TB patients, there was a relationship between treatment compliance and recovery of pulmonary TB patients, there was a relationship between the presence or absence of PMO with the recovery of pulmonary TB patients. The results of the spearman test showed a significance value on knowledge (p value = 0.001), treatment compliance (p value = 0.006), PMO (p value = 0.002) which means there is a relationship with the recovery of pulmonary TB and the most dominant factor is the knowledge factor with strength (-0.517)   Conclusion: Spearman's test results showed an association between knowledge, medication adherence, and the presence or absence of PMO with TB cure. It is expected that patients can maintain knowledge about compliance in treatment according to the rules in order to avoid failure. Factor, Recovery, Pulmonary TB  
EFEKTIFITAS ANTARA TEKNIK RELAKSASI GENGGAM JARI DAN RELAKSASI NAFAS DALAM TERHADAP PENURUNAN INTENSITAS NYERI POST OPERASI APPENDIKTOMI DI RUANG EDELWEIS A RSUD KARSA HUSADA BATU Pramudiva Kencana Wungu, Pinggan Ratu; Yuliwar, Roni; Hamarno, Rudi; Marsaid
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.28535

Abstract

Background: Appendicitis is the most common cause of acute abdominal pain, typically managed through appendectomy. Postoperative pain is a major issue that affects patient recovery. Non-pharmacological interventions, such as finger hold relaxation and deep breathing techniques, are considered effective in reducing pain intensity. Objective: This study aimed to compare the effectiveness of these two techniques. Methods: A quasi-experimental design with a two-group pre-test and post-test approach was used, involving 30 patients at Karsa Husada Batu Regional Hospital. The analysis used is the bivariate Wilcoxon Sign Rank Test and Mann Whitney U Test. Results: The results of the study showed that the level of anxiety before CA mammary surgery patients were given progressive muscle relaxation was 9(60%) seriously anxious and before the patients were given slow deep breathing 8(53.3%) were seriously anxious. After the intervention, 2 (13.3%) patients had the criteria for Severe Anxiety and in the slow deep breathing relaxation technique group 6 (40%) had the criteria for Severe Anxiety. Conclusion: Both techniques were found to be equally effective in reducing postoperative pain following appendectomy.
Efektivitas Pemberian Terapi Relaksasi Napas Dalam Dan Aromaterapi Peppermint Terhadap Penurunan Tingkat Mual Muntah Pada Pasien Post Operasi Sectio Casarea Dengan Spinal Anestesi Devinda Rahmadiyanti Sutrisno; Marsaid Marsaid; Supono Supono
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.114

Abstract

Mual muntah pasca operasi sectio caesarea (SC) dengan anestesi spinal merupakan salah satu komplikasi yang sering dialami pasien dan dapat mengganggu proses pemulihan. Intervensi non-farmakologis seperti relaksasi napas dalam dan aromaterapi peppermint dinilai efektif, aman, dan mudah diterapkan untuk mengatasi mual muntah pasca operasi. Penelitian ini bertujuan untuk menganalisis efektivitas teknik relaksasi napas dalam dan aromaterapi Peppermint dalam menurunkan tingkat mual muntah pada pasien post sectio caesarea dengan anestesi spinal, serta membandingkan tingkat efektivitas antara kedua intervensi tersebut. Penelitian menggunakan desain kuasi-eksperimen dengan pendekatan pretest-posttest dua kelompok tanpa kontrol. Sampel berjumlah 32 responden, dibagi menjadi dua kelompok intervensi secara purposive sampling. Pengukuran tingkat mual dilakukan menggunakan instrumen RINVR. Data dianalisis dengan uji Wilcoxon Signed Ranks untuk masing-masing kelompok dan uji Mann-Whitney U untuk membandingkan kedua kelompok. Hasil analisis menunjukkan bahwa kedua intervensi memberikan pengaruh yang signifikan terhadap penurunan tingkat mual muntah (p = 0,000). Hasil uji Mann-Whitney menunjukkan terdapat perbedaan yang signifikan antara kedua kelompok (p = 0,017), dengan rata-rata penurunan skor mual lebih besar pada kelompok aromaterapi Peppermint. Teknik relaksasi napas dalam dan aromaterapi Peppermint sama-sama efektif dalam menurunkan mual muntah postoperatif, namun aromaterapi Peppermint terbukti lebih unggul dalam hal efektivitas berdasarkan analisis statistik.
Efektivitas ROM Pasif Ekstremitas Bawah Dan Kompres Hangat Femoralis Terhadap Percepatan Pencapaian Bromage Score 2 Pasien Post Sectio Caesarea Naailah Fadiyah; Marsaid
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.345

Abstract

Pasien post sectio caesarea umumnya mengalami keterbatasan mobilisasi akibat efek anestesi spinal. Salah satu indikator penting untuk menilai pemulihan fungsi motorik adalah Bromage Score. Penelitian ini bertujuan untuk mengetahui intervensi mana yang lebih efektif antara ROM pasif ekstremitas bawah dan kompres hangat femoralis dalam percepatan pencapaian Bromage Score 2. Penelitian ini menggunakan desain quasi experimental dengan pendekatan three group pretest-posttest design. Sampel terdiri dari 30 responden yang dipilih melalui teknik non-probability purposive sampling, lalu dibagi menjadi tiga kelompok berdasarkan kriteria inklusi dan eksklusi pasien post sectio caesarea. Variabel bebas dalam penelitian ini adalah ROM pasif ekstremitas bawah dan kompres hangat femoralis, sementara variabel terikatnya adalah waktu pencapaian Bromage Score 2. Data dikumpulkan melalui lembar observasi dan dianalisis menggunakan uji normalitas Shapiro-Wilk didapatkan (p > 0,05), dilanjutkan dengan uji Independent T-Test. Hasil analisis menunjukkan tidak terdapat perbedaan yang signifikan antara kelompok ROM pasif ekstremitas bawah dan kompres hangat femoralis (p = 0,773). Namun, berdasarkan nilai rata-rata, kelompok kompres hangat femoralis mencapai Bromage Score 2 lebih cepat (84 menit) dibanding kelompok ROM pasif (87 menit) dan kelompok kontrol (126 menit). Efektivitas kompres hangat femoralis disebabkan oleh efek vasodilatasi yang meningkatkan aliran darah dan mempercepat eliminasi anestesi, sedangkan ROM pasif ekstremitas bawah bekerja melalui aktivasi neuromuskular. Dengan demikian, tidak ada perbedaan efektivitas antara ROM pasif ekstremitas bawah dan kompres hangat femoralis, namun kedua intervensi memiliki pengaruh yang sama dalam mempercepat pencapaian Bromage Score 2.
Perbedaan Pemberian Aromaterapi Lemon Dan Lavender Untuk Mengurangi Mual Muntah Akibat Kemoterapi Di RS Lavalette Kota Malang Leni Kurniasari; Maria Diah Ciptaningtyas; Marsaid
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.375

Abstract

Mual dan muntah akibat kemoterapi merupakan efek samping yang sering dialami pasien kanker dan dapat ditangani secara farmakologis dengan antiemetik maupun nonfarmakologis sebagai terapi pelengkap, salah satunya melalui aromaterapi. Penelitian ini bertujuan mengetahui perbedaan pengaruh aromaterapi lemon dan lavender terhadap penurunan mual muntah pada pasien kemoterapi. Desain penelitian menggunakan quasi-eksperimental dengan pendekatan three group pretest-posttest pada 57 responden yang dipilih melalui purposive sampling dan dibagi menjadi tiga kelompok sesuai kriteria inklusi dan eksklusi. Variabel bebas adalah aromaterapi lemon dan aromaterapi lavender, sedangkan variabel terikat adalah mual muntah akibat kemoterapi yang diukur menggunakan kuesioner INVR. Analisis data dilakukan dengan uji Shapiro-Wilk untuk normalitas, dilanjutkan dengan uji Wilcoxon signed-rank dan uji Mann-Whitney. Hasil menunjukkan adanya perbedaan signifikan pada kelompok aromaterapi lemon (p=0,001) dan kelompok aromaterapi lavender (p=0,001), yang menandakan keduanya efektif menurunkan mual muntah, dengan aromaterapi lemon lebih efektif dibandingkan lavender. Temuan ini merekomendasikan penggunaan aromaterapi sebagai intervensi nonfarmakologis yang dapat melengkapi terapi farmakologis dalam mengurangi efek samping kemoterapi.
Pengaruh Mobilisasi Terhadap Tingkat Nyeri Pada Pasien Post Operasi Orif di RSUD Karsa Husada Batu Nabila Silva Sabrina; Arief Bachtiar; Marsaid Marsaid
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.22922

Abstract

ABSTRACT Postoperative pain is a common complication experienced by patients, including those undergoing Open Reduction and Internal Fixation (ORIF) surgery. If not properly managed, pain can delay the healing process and increase the risk of complications. Early mobilization is a nonpharmacological intervention that can help reduce pain intensity by improving blood circulation, decreasing inflammatory mediators, and shifting the patient's focus away from pain. To determine the effectiveness of early mobilization in reducing pain levels in patients after Open Reduction and Internal Fixation (ORIF) surgery. This study used a quasiexperimental design with a pre-test and post-test approach in two groups. The sample consisted of 42 respondents. Data were collected using the Numeric Rating Scale (NRS) and analyzed using the Wilcoxon Signed Rank Test and Mann-Whitney test. The results showed a significant decrease in pain levels in the treatment group after early mobilization was administered. The average pain level in the treatment group decreased more significantly than in the control group, which did not receive early mobilization (p 0.05). Early mobilization is proven to be effective in reducing pain levels in post-ORIF surgery patients. This intervention can be an essential part of postoperative nursing care to accelerate recovery and improve patient comfort. Keywords: Early Mobilization, Pain, Postoperative, ORIF, Nursing.  ABSTRAK Nyeri pasca operasi merupakan salah satu komplikasi yang sering dialami oleh pasien, termasuk pada kasus operasi Open Reduction and Internal Fixation (ORIF). Nyeri yang tidak tertangani dengan baik dapat memperlambat proses pemulihan dan meningkatkan risiko komplikasi. Mobilisasi dini merupakan salah satu intervensi non-farmakologis yang dapat membantu menurunkan intensitas nyeri dengan meningkatkan aliran darah, mengurangi mediator peradangan, dan mengalihkan fokus pasien dari nyeri. Untuk mengetahui efektivitas mobilisasi dini dalam menurunkan tingkat nyeri pada pasien pasca operasi Open Reduction and Internal Fixation (ORIF). Penelitian ini menggunakan desain kuasi eksperimental dengan pendekatan pre-test dan post-test pada dua kelompok. Sampel berjumlah 42 responden dan analisis data menggunakan uji Wilcoxon Signed Rank dan Mann- Whitney. Hasil menunjukkan adanya penurunan tingkat nyeri yang signifikan pada kelompok perlakuan setelah dilakukan mobilisasi dini. Rata-rata tingkat nyeri kelompok perlakuan menurun secara bermakna dibanding kelompok kontrol yang tidak mendapat intervensi mobilisasi dini (p 0,05).. Mobilisasi dini terbukti efektif dalam menurunkan tingkat nyeri pada pasien post operasi ORIF. Intervensi ini dapat menjadi bagian penting dari praktik keperawatan postoperatif untuk mempercepat pemulihan dan meningkatkan kenyamanan pasien. Kata Kunci: Mobilisasi Dini, Nyeri, Post Operasi, ORIF, Keperawatan
Co-Authors Abdul Hanan Achmad Bachtiar Adi Saputra, Okta Agus Setyo Utomo Ahsan Ahsan Ainul Haqi Fatkhul K.A, Moh Alya Bhatari, Nabila Ardiyanti, Zerlinda Diva Arief Bachtiar Arif, Taufan Aulia, Anisa Bachtiar , Arief Bachtiar, Arif Budiono Budiono, Budiono Cahyo Sepdianto, Tri Cecep Kusmana Ciptaningtyas , Maria Diah Ciptaningtyas, Maria Diah Deliya , Deliev Dennis Dennis, Dennis Devinda Rahmadiyanti Sutrisno Diah Ciptaningtyas, Maria Dyah Widodo Erlina Suci Astuti, Erlina Suci Fauzia Isma Wazida Hafifa, Risma Hurun ain Imam Subekti Intan Azzahra, Helmalia Ira Rahmawati Kissa Bahari Kurniasari, Leni Leni Kurniasari Lingling Marinda Palupi Lucia Retnowati Lurru Erawanjie, Adelia M Hidayat Malikal Bulqis, Putri Maria Diah Ciptaning Tyas, Maria Diah Maria Diah Ciptaningtyas Maria Diah Ciptaningtyas Munawaroh Naailah Fadiyah Nabila Silva Sabrina Naya Ernawati Niza, Rani Kholifatul Nuril Kumalasari NURUL HIDAYAH Pertami, Sumirah Budi Pramudiva Kencana Wungu, Pinggan Ratu Putri Zhakia, Laila Rifqi Khomisul Abkari, Muhammad Rochmawati, Dewi Roni Yuliwar Rudi Hamarno Sepdianto , Tri Cahyo Sholha, Hanny Atus Sisca Nofiyanti Setya Rahayu Siswanto - Siswanto - Sulastyawati Sulastyawati Sulastyawati, Sulastyawati Supono Supono - Supono Supono Supono Supono Suprajitno Taufan Tri Johan Agus Yuswanto Tri Wanda Agustina Tyas Prasdina Wardaningrum, Cindy Tyo Herfindo Putra Ugsang Acob, Joel Rey Ummah, Nabila Khoirotul Vashti, Laily Evania Wardani, Retno Wisnu Wiyono, Joko Zahratu Ikfiyana Habsillah, Hanny