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Asuhan Keperawatan Pada Anak Meningitis dan Gangguan Kebutuhan Dasar : Tidur dan Istirahat Dengan Pendekatan Teori Model Adaptasi Roy Nuryati; Nyimas Heny Purwati
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.4619

Abstract

Latar Belakang: Meningitis pada anak merupakan kondisi gawat darurat neurologis yang sering menimbulkan komplikasi, termasuk gangguan pemenuhan kebutuhan dasar tidur dan istirahat. Tidur yang terganggu memperburuk adaptasi fisiologis dan psikososial anak, sehingga berdampak pada proses pemulihan. Artikel ini bertujuan untuk menganalisis penerapan Roy Adaptation Model (RAM) dalam asuhan keperawatan anak dengan meningitis yang mengalami gangguan tidur dan istirahat. Metode: Penulisan dilakukan melalui studi literatur naratif dari jurnal nasional dan internasional 2016–2025, serta analisis penerapan teori keperawatan RAM berdasarkan empat mode adaptasi (fisiologis, konsep diri, fungsi peran, dan interdependensi). Data dukung diperoleh dari standar keperawatan Indonesia (SDKI, SLKI, SIKI edisi 2023). Hasil: Pengkajian dengan RAM mengidentifikasi mekanisme regulator (demam, nyeri kepala, kejang, aktivasi sistem saraf simpatis) dan kognator (persepsi nyeri, kecemasan, rasa takut, pengaruh lingkungan rumah sakit dan keluarga) yang memengaruhi kualitas tidur anak. Diagnosa keperawatan utama adalah gangguan pola tidur, nyeri, hipertermi, risiko perfusi serebral tidak efektif, dan risiko infeksi. Intervensi keperawatan yang sesuai meliputi manajemen lingkungan, manajemen nyeri, manajemen hipertermi, pemantauan fungsi neurologis, serta pencegahan infeksi. Integrasi RAM dengan standar nasional keperawatan terbukti mendukung adaptasi anak secara holistik. Kesimpulan: Penerapan RAM membantu perawat memahami faktor fisiologis dan psikososial yang menyebabkan gangguan tidur pada anak dengan meningitis. Intervensi berbasis teori dan standar praktik nasional berkontribusi pada peningkatan kualitas tidur, adaptasi, dan proses pemulihan anak.
PEMANTAUAN BERBASIS ELEKTRONIK (MEDICATION EVENT MONITORING SYSTEM (MEMS)) UNTUK MENINGKATKAN KEPATUHAN TERHADAP TERAPI ANTIRETROVIRAL PADA ANAK DENGAN INFEKSI HIV/AIDS: TINJAUAN SISTEMATIS Amelia Hartika Rani; Dwi Budiyati; Rinezia Rinza Farizal; Nyimas Heny Purwati; Irna Nursanti
An Idea Health Journal Vol 5 No 01 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i01.229

Abstract

Tuberculosis is still the main cause of death due to infectious diseases throughout the world. Adherence to antiretroviral (ARV) treatment for HIV infection is a major challenge because it involves many factors. This systematic review follows the PRISMA guidelines checklist and includes articles from various databases, such as Pubmed, Cochrane and Proquest. Quality assessment of each article is carried out using the Critical Appraisal Skills Program (CASP). The search was carried out using the keywords "ARV Therapy, HIV/AIDS Children, Monitoring System, ARV Compliance". Following the inclusion and exclusion criteria 10 relevant articles were identified, excluding duplicates, limited to full papers, open access, and written in English. These findings indicate that electronic-based monitoring shows an increase in medication adherence. Other studies also note that electronic monitoring devices can create a temporary increase in compliance but then decline after some time. These results indicate that electronic-based monitoring can have a significant clinical impact in improving medication compliance. Electronic monitoring is important, especially in children and adolescents who face unique challenges regarding compliance.
GENTLE HUMAN TOUCH ON CHANGES IN BLOOD PRESSURE OF PREMATURE BABIES IN THE PERINATOLOGY ROOM OF IBNU SINA HOSPITAL MAKASSAR Harun, Rukmini; Purwati, Nyimas Heny; Sulaiman, Suhendar
Journal of Islamic Nursing Vol 6 No 1 (2021): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v6i1.21916

Abstract

Premature babies are babies born before 37 gestational age, many problems that often arise in premature babies such as hypoglycemia or immature hemodynamic status in this case is blood pressure. To maintain the stability of blood pressure, a nursing intervention is needed, namely Gentle Human Touch. This study aims to see how the influence of gentle human touch on blood pressure in premature infants by using quantitative research methods with a Quasi Experimental design to try out an intervention on a group of subjects with or without a comparison group, but not randomized to include subjects in the treatment or control group. with a sample of 9 people in the perinatology room of Ibnu Sina Hospital Makassar. The results showed that the p value: 0.001 which indicates that there is an influence of gentle human touch on the blood pressure of premature babies in the perinatology room of Ibnu Sina Hospital Makassar. It is hoped that the nurses on duty in the perinatology room will be able to implement this intervention.
Pemberdayaan Keluarga dalam Merawat Anak Balita dengan Pneumonia Pasca Hospitalisasi Nyimas Heny Purwati; Dhea Natashia; Anita Apriliawati; Dewi Purnamawati; Emmy Putri Wahyuni; Tri Imrotun; Yuniarsih Yuniarsih
Jurnal Pengabdian Masyarakat Saga Komunitas Vol. 2 No. 3 (2023): Jurnal Pengabdian Masyarakat Saga Komunitas Volume 02 Nomor 02 April 2023
Publisher : Sagamedia Indo Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jpmsk.v2i2.95

Abstract

Background: Pneumonia is an acute respiratory infection that attacks the lungs. Pneumonia causes symptoms of difficulty breathing which if left untreated will lead to death. Families with problems with family members who experience illness or disease often make the family unable to meet health care needs or experience powerlessness which worsens the health condition of family members who experience health problems. Nursing intervention is needed to overcome the problem of family powerlessness. Objectives: This community service aims to increase mothers' knowledge and perceptions of caring for toddlers with pneumonia after being hospitalized at Pasar Rebo Hospital. Methods: The method used consists of identifying problems and needs, assessing problems, formulating plans, providing health education, and monitoring the ability of mothers to care for toddlers with pneumonia after being hospitalized. This community service was carried out for four months from June to September 2022. The health education activity was carried out for one day in the children's care room at Pasar Rebo Hospital. The target of this community service activity is mothers who have toddlers with pneumonia who are treated at Pasar Rebo Hospital as many as 10 people. Results: The results of the evaluation show that the average value of knowledge is post-test> pre-test and the average value of attitude is post-test> pre-test. Conclusion: There is an increase in the knowledge and attitude of mothers in caring for children under five with pneumonia after hospitalization. Health education needs to be carried out on an ongoing basis for mothers who have children under five with post-hospitalization pneumonia so they can carry out optimal care and prevent repeated treatments.
The Effectiveness of the PrimaKu Application on Parents Behavior in Monitoring the Growth of Toddlers Sahariah Sahariah; Nyimas Heny Purwati; Anita Apriliawati
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 04 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i04.2698

Abstract

Background: Child development is an important factor. The success of each phase affects the child's ability in the next phase. The low level of knowledge, attitudes and actions of parents about growth, and development disorders can cause deviations in growth, development, and mental and emotional disorders. Objectives: This study aims to determine the effectiveness of the PrimaKu application on the behavior (knowledge, attitudes, and actions) of parents in monitoring the growth and development of toddlers in the Panincong Health Center Work Area, Soppeng Regency. Methods: The research design used a quasi-experimental design with a nonequivalent control group pre and post-test design. The sample consisted of 36 respondents who were divided into the intervention and control groups. Data were analyzed using T-test. Results: The results showed that there was an effect of the PrimaKu application on the knowledge (p-value = 0.0001), attitudes (p-value = 0.0001) and actions (p value = 0.0001) of parents in monitoring the growth and development of toddlers, there was an average difference knowledge (p-value = 0.007 ), attitudes (p-value = 0.007) and actions (p-value = 0.028) of parents in the intervention group and control group (p-value = 0.0001). Conclusion: Parents should be able to use the PrimaKu application to improve behavior (knowledge, attitudes, and actions) in monitoring the growth and development of toddlers.
The Effect of Oxygen Inhalation Therapy on Hemodynamics (Heart Rate and Respiratory Rate) in Toddlers With Pneumonia Tri Imroatun; Nyimas Heny Purwati; Anita Apriliawati; Titin Sutini
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 03 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 03 September
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i03.2703

Abstract

Background: Pneumonia causes the lung tissue to become inflamed, the alveoli are filled with pus and fluid causes difficulty in oxygen absorption resulting in difficulty breathing. Children with pneumonia cause the ability of the lungs to expand to decrease so that the body reacts by breathing quickly so that hypoxia does not occur. Objectives: The purpose of this study was to determine the effect of inhalation therapy using oxygen on hemodynamics (Heart Rate and Respiratory Rate) in children under five with pneumonia. Methods: The design of this study was a quasy experiment with the control group and the intervention group, the number of respondents in this study was 32 respondents who were divided into two groups, the sampling used was a simple random sampling method. Results: The results showed that the mean heart rate value of the intervention group compared to the control group was 131.29;135.04, in addition to that the mean respiratory rate value of the intervention group and control group was 32.01;34.20. from the results of the bivariate analysis it was found that there was an influence before and after in the control group and the intervention group with p-value=0.000. Conclusion: the conclusion in this study is So, from the results of this study, researchers argue, in providing respiratory rate stability to pediatric patients with respiratory tract disorders such as pneumonia, both therapies can be given, both inhalation therapy with oxygen, and inhalation therapy using compressors.
The Relationship Between Parental Mediation, Family Functioning, and Parental Digital Literacy with Children's Gadget Use Sarini Sarini; Nyimas Heny Purwati; Anita Apriliawati; Desty Lismayanti
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 02 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 02 Juni 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i02.3484

Abstract

Background: Excessive use of gadgets among children has negative impacts, such as reduced social interaction, learning disorders, sleep disturbances, vision problems, and radiation risks. Parental mediation strategies and digital literacy can help prevent excessive gadget use in children. Objective: This study aims to determine the relationship between parental mediation, family functioning, and parental digital literacy with gadget use among school-aged children. Methods: The research design employed a descriptive analytic approach with a cross-sectional method. The study sample consisted of school-aged children from elementary schools in Karawang District, selected using purposive sampling with a total of 149 respondents. Data analysis was conducted using the chi-square test followed by multiple logistic regression with a significance level of < 0.05. Results: The study results showed that, in the bivariate analysis, there was a relationship between parental mediation, family functioning, and parental digital literacy with gadget use among children (p-value < 0.05). The multiple logistic regression test results indicated that the variable most associated with gadget use among children was parental mediation. Conclusion: This study is expected to serve as a reference for nurses to assist parents in applying parental mediation techniques and enhancing digital literacy socialization to prevent excessive gadget use in children.
A Comparative Study of Nursing Services Between MPKP and Non-MPKP Hospital in Tangerang Ibnu Hajar; Muhamad Hadi; Eni Widiastuti; Harif Fadhilah; Nyimas Heny Purwati; Satinah Satinah
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 04 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i04.3910

Abstract

Background: Health services are increasingly competitive so that they carry out various development actions in the industrial era 5.0. Nursing is one that provides services. The services provided must meet predetermined service standards so as to achieve service quality which has an impact on patient satisfaction. There are various assignment methods in nursing services with their advantages and disadvantages and their use is adjusted to the characteristics of each institution. Objectives: To compare whether there is an average difference in patient satisfaction with the MPKP method with non MPKP. Methods: Research design descriptive analytic comparative study through surveys. The total number of samples is 60 respondents. Analysis using the T test Independent Test. Results: The average patient satisfaction with the MPKP method is better than the non-MPKP method. Statistical test results on the dimensions of satisfaction; reliability with P value = 0.000, assurance with P value = 0.004, tangibles with P value = 0.000, empathy with P value = 0.000 and responsiveness with P value = 0.000. So that the P value <0.05, which means that there is a significant positive difference in the average patient satisfaction in the dimensions of reliability, assurance, tangibles, empathy and responsiveness between the MPKP method and non-MPKP methods. Conclusion: There is a significant difference in the average patient satisfaction in the MPKP method with non-MPKP methods Keywords: Comparative, Nursing, PNPM, RATER, Team
The Role of Parental Motivation as a Mediator between Socioeconomic Factors and Temper Tantrum Incidents Zainal Munir; Nyimas Heny Purwati; Achmad Fauzi
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.959

Abstract

Parenting motivation is a critical factor in managing child behavior, as socioeconomic conditions often influence parental emotional responses and children's development. This study aims to analyze the impact of education level, occupation, and income on parental motivation and how this motivation subsequently influences the occurrence of temper tantrums in children with special needs. This research employed a quantitative path analysis design with a cross-sectional approach. The study was conducted at a Special Needs Primary School (SDLB) in Situbondo Regency, involving a total of 47 respondents selected through a total sampling technique. Data were collected via validated questionnaires and analyzed using multivariate linear regression to determine the mediating role of parental motivation. The findings reveal that socioeconomic factors significantly influence parental motivation, with path coefficients of 0.896 for education level, 2.062 for occupation, and 2.396 for income. Furthermore, parental motivation was found to have a direct and significant role in addressing temper tantrum issues, with a path coefficient of 0.68. Statistical analysis indicates that education, occupation, and income do not have a significant direct impact on temper tantrums in the absence of parental motivation. Parental motivation acts as a vital mediator between socioeconomic factors and the management of temper tantrums in children with special needs. The study underscores that while socioeconomic status provides a foundation, it is the parent’s internal motivation to accept and nurture their child that ultimately determines behavioral outcomes.
The Quality of Competence Through Nursing Career Paths Among Indonesian Nurses in Hospital Settings Muhammad Hadi; Dina Rahmawati; Nyimas Heny Purwati; Dhea Natashia; Slametiningsih Slametiningsih; Idyatul Hasanah
Journal of Public Health and Pharmacy Vol. 4 No. 2 (2024)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i2.5459

Abstract

ntroduction: Nurses play a pivotal role in the provision of healthcare services both within the Indonesian context and on a worldwide scale. The development of nursing competence is crucial in order to guarantee the provision of high-quality healthcare services. To examine the elements that are linked to the enhancement of nurse competence by means of the adoption of nursing career paths within hospital settings in Indonesia. Methods: A descriptive analytical design, utilising a cross-sectional approach with a sample size of 197 nurses. The data was obtained by administering a meticulously evaluated questionnaire, designed by the researchers, to the participants. The questionnaire's validity (r=0.361) and reliability (r=0.933) were thoroughly assessed. The analysis of the research data was conducted utilising multiple linear regression tests. Results: As established through the use of multiple linear regression tests, demonstrate a statistically significant positive association (p<0.05) between organisational loyalty, organisational support, guidance, and financing, and the implementation of nurse competence quality. The obtained coefficient of determination was 0.260, suggesting that the four independent variables considered in this study have the ability to collectively account for 26% of the variability observed in the implementation of nurse competence quality. It is important to note that the remaining variation is likely impacted by additional factors not included in the analysis. The guiding element has been identified as the primary determinant in the cultivation of quality competence within hospital settings while implementing nursing career routes. Conclusion: The present study establishes that factors such as organisational loyalty, organisational support, mentorship for nurses, and financial resources for career advancement have a significant impact on the enhancement of nursing competency along the career trajectory within hospital settings. The variable exerting the most significant influence is the provision of instructions for nurses.
Co-Authors Achmad Fauzi Agustia, Wahyuni Amalia, Hayuni Amelia Hartika Rani Anggareani, Aniek Anita Anita Anita Apriliawati Anita Apriliawati Apriliawati, Anita Apriliawati, Anita Arofiati, Fitri Awaliah Awaliah, Awaliah Bambang Supriyatno Budiyati , Dwi Chindyca Anna Tasya Dais, Exsos Grend Damayanti Palopa Damayanti Polapa Dayana Noprida Desty Lismayanti Dhea Natashia Dhea Natashia Dina Rahmawati Dwi Budiyati Dwi Riniasih Elmi Susanti Endah Wahyuni Eni Widiastuti Ermawati Uki Eva Desvita Evi Sofyan Fadhillah, Harif Farizal , Rinezia Rinza Farizal, Rinezia Rinza Firmansyah Firmansyah Fitri Haryanti Fitriana, Anantusia Fitriyati, Fitriyati Hamidah . Handayani, Roswati Harif Fadhilah Harun, Rukmini Heriadi, Ronny Ibnu Hajar Idyatul Hasanah Ika Novika Imroatun, Tri Indah Rosmaya Indanah Irawati, Diana Irna Nursanti Istinganah Istinganah Kadewi, Ami Kartika Alifah Karwati, Eti Komariah, Elis Kurnianingsih, Neniek Laily, Dayang Lestari, Popy Lindesi Yanti Lumbatoruan, Astuti Lusty, junita Maemunah , Ai Maharani, Rahayu Maimunah, Ai Maya Sari Mayasari Mayasari, Mayasari Misparsih, Misparsih Muhamad Hadi Muhammad Hadi Muhammad Hadi Munaya Fauziah Mursiah Mursiah Mursiah, Mursiah Narawangsa, Asri Natasha, Dhea Natashia, Dhea Nuraidah Nuraidah, Nuraidah Nurhayati Nurohmah, Endah Nursalam Nursalam Nursanti, Irna Nuryati Nuryati Nuryati Permatasari, Irma Prabawati, Dewi Prastowo Sidi Pramono Purnamawati, Dewi Purwani, Emy Putri, Amelia Eka Rahayu Maharani Rahmania, Sarah Rani, Amelia Hartika Rayasari, Fitrian Renhoran, Farida Rinezia Rinza Farizal Riza Fitri Rohman Azzam Ruriwinita, Ruriwinita Sahariah Sahariah Sahariah Sahariah Sahariah Sahureka, Marthina Sahureka, Marthine Sari, Denny Novita Mayang Sarini Sarini Sarini Sarini Sarini Sarini Sarini Satinah Satinah Selvia Novitasari Setiawati, Dewi Nur setiyaningrum, titik Siti Nurlaelah Slametiningsih Slametiningsih Sofyan, Evi Sri Mulati Nendah Agreta Suci Dewi Utami Suhendar Sulaeman Sulaiman, Suhendar Sulistiawati, Helda Sulistiawati, Reni Syamikar Baridwan Syamsir Syamsul Anwar, Syamsul Tazkiah Aulia Tintin Sukartini Sukartini, Tintin Sukartini Titi Sulastri Titik Setyaningrum TITIN SUPRIATIN, TITIN Titin Sutini Titin Sutini Tri Imroatun Tri Imroatun Tri Imrotun Triana Srisantyorini Tuti Nuraini Upik Rahmi, Upik Wahyu Hidayati Wahyuni Agustia Wahyuni Agustina Wahyuni, Emmy Putri Yanny Trisyani Yeni Rustina Yeni Rustina Yesa Junita Sari Yuke Liza Fitri Dhadila Yulianti, Dian Anggur Yundari, Yundari Yuniarsih Yuniarsih Zainal Munir Zein, Jus Yuly Evi Zein