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Hubungan Tingkat Nyeri dengan Kualitas Tidur pada Pasien Post Operasi di Rumah Sakit Baladhika Husada Jember Kazharo, Antik; Hakam, Mulia; Murtaqib, Murtaqib
Pustaka Kesehatan Vol 12 No 2 (2024): Volume 10 No.2, 2024
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v12i2.19901

Abstract

One of the complaints experienced by patients after surgery is postoperative pain. The impact of postoperative pain that is increasingly severe and uncontrolled can disrupt a person's sleep so that it can affect the quality of sleep. The purpose of this study was to determine the relationship between pain level and sleep quality in postoperative patients at the Baladhika Husada Hospital, Jember. The independent variable of this study is the level of pain and the dependent variable is the quality of sleep. This research is a correlational study with a cross sectional approach. Sampling using consecutive sampling technique with 63 respondents. Data collection used NRS and PSQI questionnaire. Data analysis used spearman test with p value <0.05. The results of this study showed that the most pain levels were moderate and the quality of sleep was poor. There is a relationship between pain level and sleep quality in postoperative patients at Baladhika Husada Hospital, Jember (p value = 0.004, r = 0.358). The results showed that the higher the pain level, the higher the quality of sleep. Therefore the role of nurses is very important by providing pharmacological and non-pharmacological therapeutic interventions to overcome and control patient pain so that the sleep disturbance felt by postoperative patients is reduced
Implementasi terapi relaksasi murottal terhadap tekanan darah pasien dengan chronic kidney disease Za'im, Putra Pramadita Fachruz; Ridla, Akhmad Zainur; Hakam, Mulia; Sugiharto, Achmad Sigit
Ners Muda Vol 5, No 1 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v5i1.14215

Abstract

Tekanan darah tinggi dan penyakit ginjal adalah dua masalah yang saling terkait karena tekanan darah tinggi yang tidak terkendali dapat menyebabkan kegagalan ginjal atau sebaliknya, kegagalan ginjal menyebabkan tekanan darah tinggi. Selain terapi farmakologis, terapi non-farmakologis juga dapat dilakukan untuk dapat membantu mengatasi masalah tekanan darah tinggi pada pasien, salah satunya adalah dengan menggunakan terapi relaksasi murottal. Penelitian ini menggunakan metode studi kasus. Dari hasil penerapan terapi murottal Al-Quran Surah Ar Rahman pada Ibu S. selama 3 hari, terlihat penurunan tekanan darah pada setiap intervensi. Pada hari pertama intervensi nilai tekanan darah turun dari 160/100 mmHg menjadi 140/90 mmHg dengan MAP 120 mmHg turun menjadi 107 mmHg. Pada hari keuda intervensi nilai tekanan darah turun dari 150/100 mmHg menjadi 135/90 mmHg dengan MAP 117 mmHg turun menjadi 105 mmHg. Pada hari ketiga intervensi nilai tekanan darah turun dari 145/95 mmHg menjadi 130/85 mmHg dengan MAP 112 mmHg turun menjadi 100 mmHg. Penurunan tekanan darah terjadi karena mekanisme murottal Al-Quran dalam tubuh, yaitu akan mengaktifkan dampak psikologis positif sebagai terapi relaksasi, yang akan merangsang sensasi relaksasi yang dihasilkan oleh murottal Al-Quran. Ketika otak diberi stimulus berupa suara, dan suara tersebut sebanding dengan frekuensi alami, sel akan beresonansi dan kemudian menjadi aktif serta memberikan sinyal ke kelenjar pituitari. Selanjutnya, tubuh akan melepaskan hormon endorfin. Kondisi ini akan membuat tubuh rileks sehingga akan terjadi penurunan epinefrin dan tekanan darah. Berdasarkan hasil penelitian, terapi murottal terbukti memberikan pengaruh terhadap penurunan tekanan darah pasien. Hasil penelitian ini diharapkan dapat menjadi landasan pengembangan manajemen perawatan pasien Chronic Kidney Disease (CKD) dengan tekanan darah tinggi dan memberikan kontribusi terhadap kualifikasi pelayanan keperawatan yang lebih tinggi.
Hubungan Pemberdayaan Diri dengan Kecerdasan Emosional Pasien Diabetes Mellitus Tipe 2 di RSD dr. Soebandi Jember Shera, Salma Dena; Hakam, Mulia; Widayati, Nur
Jurnal Ilmiah Ners Indonesia Vol 5 No 2 (2024): November 2024
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jini.v5i2.36311

Abstract

Diabetes Mellitus (DM) is a chronic disease that places a significant emotional and cognitive burden on patients, making them vulnerable to various psychological problems. Individuals with Diabetes Mellitus generally experience emotional challenges such as anxiety, stress, fear, and guilt. Self-empowerment plays an important role in enabling patients to exercise control over their condition and improve their emotional intelligence. This study aims to analyze the relationship between self-empowerment and emotional intelligence in type 2 Diabetes Mellitus patients at RSD dr. Soebandi Jember. This research used an analytical observational design with a cross-sectional approach and involved 112 participants selected through consecutive sampling. The Diabetes Empowerment Scale Long Form (DES-LF) instrument and the Trait Emotional Intelligence Questionnaire Short Form (TEIQUE-SF) were used to assess self-empowerment and emotional intelligence, respectively. Data analysis was carried out using Pearson correlation with a significant level of 0.01. The results showed that the mean value of self-empowerment was 52.96 (SD=±2.8), while the average value of emotional intelligence was 152.53 (SD=±20.8). A strong positive relationship between self-empowerment and emotional intelligence was found (p-value = 0.000, was r = 0.999). Higher levels of self-empowerment were associated with increased emotional intelligence in type 2 Diabetes Mellitus patients. These findings underline the importance of improving emotional intelligence. Abstrak Masalah utama dalam penanganan Diabetes Mellitus (DM) adalah beban emosional dan kognitif yang signifikan dialami pasien, yang membuat mereka rentan terhadap berbagai masalah psikologis. Individu dengan Diabetes Mellitus sering menghadapi tantangan emosional seperti kecemasan, stres, ketakutan, dan rasa bersalah. Pemberdayaan diri memainkan peran penting untuk membantu pasien mengelola kondisi mereka secara efektif dan meningkatkan kecerdasan emosional dalam menghadapi penyakit ini. Penelitian ini bertujuan untuk menganalisis hubungan antara pemberdayaan diri dan kecerdasan emosional pada pasien Diabetes Mellitus tipe 2 di RSD dr. Soebandi Jember. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional dan melibatkan 112 responden yang menggunakan teknik sampling consecutive sampling. Instrumen Diabetes Empowerment Scale Long Form (DES-LF) dan Trait Emotional Intelligence Questionnaire Short Form (TEIQUE-SF) digunakan untuk menilai pemberdayaan diri dan kecerdasan emosional secara berturut-turut. Analisis data dilakukan menggunakan korelasi Pearson dengan tingkat signifikan 0,01. Hasil menunjukkan bahwa nilai rata-rata pemberdayaan diri adalah 52,96 (SD=±2,8), sedangkan nilai rata-rata kecerdasan emosional adalah 152,53 (SD=±20,8). Ditemukan hubungan positif yang kuat antara pemberdayaan diri dan kecerdasan emosional (p-value = 0,000, r = 0,999). Tingkat pemberdayaan diri yang lebih tinggi dikaitkan dengan peningkatan kecerdasan emosional pada pasien Diabetes Mellitus tipe 2. Temuan ini menekankan pentingnya meningkatkan kecerdasan emosional pada pasien DM Tipe 2. Kata kunci : Diabetes mellitus tipe 2, Kecerdasan Emosional, Pemberdayaan Diri
Mitigation Of Non-Natural Disaster Outbreaks Through Increasing Awareness Of The COVID-19 Protocol In Mayang Village, Jember Indonesia: Mitigasi Bencana Non-Alam Wabah Penyakit Melalui Peningkatan Kesadaran Protokol Covid-19 Pada Masyarakat Desa Mayang Jember Sutawardana, Jon Hafan; Hakam, Mulia; Nistiandani, Ana; Siswoyo, Siswoyo
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v1i1.40

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At the end of the COVID-19 Pandemic, as it is today, people tend to lose their self-awareness regarding implementing their health protocols. On the other hand, a new variant of Covid 19 threatens public health, as evidenced by the recent increase in the number of cases in Indonesia. The community needs to get educated about mitigating non-natural disasters of the Covid 19 outbreak, so they can prepare themselves when the danger of this outbreak re-emerges in the community through self-awareness of the Covid 19 Protocol. The time of health education is about 60 minutes. Health education methods are used through lectures, discussions, and demonstrations using information media such as LCD projectors, leaflets, posters, and X-banners. Understanding evaluation methods using pre-test and post-test. The community showed enthusiasm during the activity, as evidenced by the many questions asked. Participants could also practice washing their hands properly and wearing a mask. When the verbal evaluation was carried out, participants could also answer the questions the teaching team posed correctly. The results of the written test evaluation showed an increase in the average value, namely from the pre-test score of 70.5 to 90.1 for the post-test average value. The community expressed their commitment to implementing the COVID-19 protocol in their daily lives to prevent the spread of COVID-19 cases.
Kombinasi Foot Massage dan Aromaterapi terhadap Gangguan Pola Tidur dan Hemodinamik pada Pasien Kanker Kolon Akhmad Zainur Ridla; Yustika Amalia; Mulia Hakam; Mustakim Mustakim
Jurnal Keperawatan Vol 21 No 1 (2023): Jurnal Keperawatan Maret 2023
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jkp.v21i1.1168

Abstract

Pendahuluan: Kanker merupakan sekelompok besar penyakit yang dimulai di jaringan tubuh yang mengalami pertumbuhan abnormal. Kanker kolorektal menjadi kasus kanker terbanyak ketiga di seluruh dunia. Efek dari adanya neoplasma, konsekuensi pembedahan, kemoterapi atau radioterapi, adanya nyeri, penggunaan opioid, dan kondisi psikologis lain yang dialami pasien kanker dapat menyebabkan munculnya gangguan tidur hingga perubahan hemodinamik. Penderita kanker harus memiliki kualitas tidur yang baik untuk mempertahankan kondisi dan daya tahan tubuh secara optimal. Terapi komplementer dapat digunakan sebagai terapi pendukung dalam meningkatkan kualitas tidur pada pasien kanker seperti foot massage dan aromaterapi. Tujuan: Menganalisis penerapan foot massage dan aromaterapi terhadap kualitas tidur dan hemodinamik pada pasien kanker kolon di RSD dr. Soebandi Jember. Metode: Jenis penelitian ini adalah studi kasus yang dilakukan pada seorang pasien kanker kolon yang mengalami masalah gangguan tidur dan hemodinamik dengan memberikan intervensi foot massage dan aromaterapi. Foot massage dilakukan sebanyak 7 kali dan aromaterapi diberikan sebanyak 3 kali dengan durasi 15 menit. Evaluasi dilakukan sebelum dan sesudah intervensi diberikan. Evaluasi pemberian foot massage dan aromaterapi dilakukan dengan mengukur kualitas tidur menggunakan kuesioner PSQI. Hemodinamik dievaluasi dengan mengukur tekanan darah, MAP, dan nadi. Hasil: Setelah dilakukan intervensi didapatkan peningkatkan kualitas tidur dari kualitas tidur buruk (skor 11) menjadi kualitas tidur baik (skorv4) dan hemodinamik yang mengalami kestabilan ditunjukkan adanya penurunan sistole dengan rentang 13-32 mmHg dan penurunan diastole dengan rentang 9-13 mmHg. Kesimpulan: Foot massage dan aromaterapi dapat menjadi intervensi mandiri keperawatan yang efektif untuk meningkatkan kualitas tidur dan menstabilkan hemodinamik khususnya pada pasien kanker.
Effectiveness of Chewing Gum Therapy as Prevention of Post-Operative Ileus (POI) in Post-Laparotomy Surgery Patients in the Mawar Room of RSD dr. Soebandi Jember Naili, Naila Khoirun; Hakam, Mulia; Siswoyo; Shodikin, Mohammad
Jurnal Kesehatan Komunitas Indonesia Vol 5 No 1: April 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v5i1.484

Abstract

Background: Post-operative ileus or POI is one of the most common problems found and disruptive after laparotomy or laparoscopy, both electively and emergency. Potential complications that can arise from POI with a prolonged period include increased post-operative pain, increased nausea and vomiting, complications in the lungs, worsening of the surgical wound healing process, inadequate oral intake, delayed post-operative mobilization, a long hospitalization period, and increased healthcare costs. Therefore, a non-pharmacological approach is needed to minimize the incidence of POI, including chewing gum therapy. Purpose: To determine the effectiveness of chewing gum therapy in preventing Post-Operative Ileus (POI) in post-laparotomy patients. Method: A case study involving two patients: intervention patients and comparison patients. Chewing gum therapy is given as much as two pieces with a chewing time of 10-15 minutes in a total of 3 times/day, and observations are carried out every 6 hours. Results: The average pain scale was lower in intervention patients, nausea occurred in comparison patients, the average bowel sounds were higher in intervention patients, and the time to the first fart after surgery was shorter in intervention patients compared to comparison patients. Conclusion: Chewing gum therapy can reduce symptoms of POI complications and accelerate the reactivation of gastrointestinal motility after surgery.
PREDICTORS OF LENGTH OF CARE IN TIBIAL FRACTURE PATIENTS: ANALYSIS OF SECONDARY DATA: PREDIKTOR LAMA PERAWATAN PADA PASIEN FRAKTUR TIBIA: ANALISIS DATA SEKUNDER Hakam, Mulia; Pratama, Fernanda Reza; Ridla, Akhmad Zainur
BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Vol. 10 No. 2 (2022): Special Issue: 2nd International Student Conference (ISC)
Publisher : Ikatan Lembaga Mahasiswa Ilmu Keperawatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53345/bimiki.v10i2.321

Abstract

Introduction: Predicting the length of care becomes important for intervention in the care system. However, it still seems that the ability to predict the length of treatment is not optimal, so that the length of treatment is prolonged. If the ability to predict the length of treatment can be done optimally, it will improve the patient's return time. Methods: This study uses a retrospective study approach. Result: There was no relationship between the predictor of length of stay with a length of treatment. Conclusion: The predictor of length of stay in this study were patients with tibia fractures at RSD dr. Soebandi. Most of the patients with tibial fractures were in the early elderly, with the gender of patients with tibia fractures being mostly male. Most of the patients with tibial fractures have no complications and the type of fracture in patients with tibia fractures is mostly in the fracture of the shaft of the tibia. There was no correlation between the predictors of length of stay and length of stay in patients with tibia fractures.
Effect of the Family Caregiver Empowerment Model Intervention on the Self-Efficacy of People with Type 2 Diabetes Mellitus Rondhianto, Rondhianto; Hakam, Mulia; Al Alawi, Rafi Izuddin
Jurnal Keperawatan Soedirman Vol 20 No 1 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.1.9388

Abstract

Low family support in diabetes management can decrease the self-efficacy of people with type 2 diabetes mellitus (T2DM), impacting diabetes management and outcomes. Healthcare providers can use the family caregiver empowerment model (FCEM) intervention to empower families as caregivers. The study aimed to analyze the effect of the FCEM intervention on people with T2DM self-efficacy. The randomized control trial study was conducted with 85 respondents (intervention group = 41; control group = 44), randomly selected using cluster random sampling. The intervention group received an empowering intervention based on the FCEM model, while the control group received standard care. Sociodemographic and diabetes self-efficacy questionnaires were used to collect the data. Data were analyzed using the dependent t-test and Mann-Whitney U test. The results showed a significant difference in self-efficacy in both groups before and after the intervention (p = 0.001). There was also a significant difference between the intervention and control groups (p = 0.001). The FCEM interventions had a positive effect on the self-efficacy of the people with T2DM. Therefore, healthcare providers can use the FCEM intervention to enhance the family's role in diabetes management and increase the self-efficacy of people with T2DM, improving diabetes self-management and outcomes.
Simulasi Pertolongan Pertama Manajemen Fraktur di SMP Islam Terpadu Al-Ghozali Jember Akhmad Zainur Ridla; Baskoro Setioputro; Mulia Hakam
Jurnal Pengabdian UNDIKMA Vol. 4 No. 3 (2023): August
Publisher : LPPM Universitas Pendidikan Mandalika (UNDIKMA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/jpu.v4i3.7874

Abstract

This community service aims to increase students' knowledge and skills in first aid for fractures at Al-Ghozali Integrated Islamic Middle School Jember. The method used in carrying out community service activities regarding first aid to fracture victims involved lectures, discussions, and simulations related to handling fracture victims. The fracture Knowledge Questionnaire evaluated students' knowledge about fracture first aid. The results of the Wilcoxon test from the pre-test and post-test had a significance value of < 0.05, meaning there are differences in students' knowledge before and after health education about first aid trauma management fractures. Fracture education and simulation improved students' ability to identify and perform appropriate fracture first aid.
Self-Empowerment And Coping Strategies In Type 2 Diabetes Mellitus Patients Kurniyawan, Enggal Hadi; Santoso, Sofi Fitriyah; Widayati, Nur; Dewi, Erti Ikhtiarini; Hakam, Mulia; Deviantony, Fitrio; Fitria, Yeni
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 2: August 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v2i2.49

Abstract

Diabetes Mellitus is a chronic disease that can harm the body, both physically and psychologically (stress). DM patients will carry out adaptive coping strategies to properly manage treatment or therapy. The process of self-empowerment in people with type 2 diabetes mellitus will appear when they have information or knowledge about the disease so that it can influence the patient's self-skills for further treatment. This study aimed to analyze the relationship between self-empowerment and coping strategies in patients with type 2 diabetes mellitus. The design of this study was an analytical observational study using a cross-sectional method. The sampling technique used is consecutive sampling. The sample of this study was type 2 DM patients with 84 respondents. The instrument used in this study is the Diabetes Empowerment Scale-Long (DES-LF) questionnaire and the Cope Inventory questionnaire. Data were analyzed using the Spearman test. Self-empowerment and coping strategies in type 2 diabetes mellitus patients showed close to maximum results. In the results of the study, it was found that there was no significant relationship between self-empowerment and coping strategies in type 2 DM patients with p = 0.086. It means that other factors can influence coping strategies. Health services can educate patients about the importance of coping strategies for DM clients so that they can reduce the impact of DM disease
Co-Authors Ahmat Robbi Tricahyono Akhmad Zainur Ridla Al Alawi, Rafi Izuddin Amanda Putri Anugerah Andani, Kadek Novi Aripratiwi, Cirilia Baskoro Setioputro Bintari, Lula Apriliya Puteri Cristina Esria Valentin Tambunan Dewi Amaliyah Wahidah Dewi, Risma Eka Putri Arlyani Kusuma Enggal Hadi Kurniyawan Erti Ikhtiarini Dewi Erti Ikhtiarini Dewi Esti Utarti Faiqotul Himmah Firda Romadhonia Putri Rivani Fitria, Dellia Ayu Fitrio Deviantony Hafan Sutawardana, Jon Handoko, Dhimas Rizky Heri Siswanto Irma Yanti Hidayah Jon Haffan Sutawardana Kazharo, Antik Khoirunisak, Naretta Krisna Yetti Kurniawan, Fandi Ahmad Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kushariyadi Lantin Sulistiyorini, Lantin Latifa Aini Susumaningrum Lina Nur Khumairoh Mahda Febriyanti Eka Pertiwi Putri Mila Yuni Sahlia Mochammad Ubaidillah Muhamad Zulfatul A’la Murtaqib Murtaqib Mustakim Mustakim Mustakim Mustakim Naili, Naila Khoirun Nisa Nabila Sandy Nisrina Na'ilah Rahmatika Nistiandani, Ana Noka, Isara Abda Noviana Intan Putri Chayaning Pribadi Nur Rofi'ah, Siti Nur Widayati Olifia Nafa Jelita Olifia Nafa Jelita Pratama, Fernanda Reza Pribadi, Noviana Intan Putri Chayaning Ramayana Lestari Dewi Ratna Sari Hardiani Retno Purwandari Rondhianto Rondhianto Rr Tutik Sri Hariyati Santoso, Sofi Fitriyah Shera, Salma Dena Shodikin, Mohammad Siswayo SISWOYO Siswoyo Siswoyo Siti Nur Rofi'ah Siti Zumrotul Mina Sofi Fitriyah Santoso Sugiharto, Achmad Sigit Sulis Setyowati, Sulis Sutawardana, Jon Haffan Syamsul Arifin Tita Saskia Asmoro Umayanah Umayanah umniyyah, zahratul Wantiyah Wantiyah Wijayanti, Sinta Yeni Fitria Yeni Fitria Yustika Amalia Za'im, Putra Pramadita Fachruz Zumrotul Farikhah