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Pengaruh Kombinasi Kompres Hangat dan Aromaterapi Lavender untuk Mengurangi Nyeri Pasien Post Sectio Caesarea Yanuar, Ririn Dinur; Nani, Desiyani; Anam, Akhyarul
Journal of Language and Health Vol 5 No 3 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i3.4946

Abstract

Sectio Caesarea (SC) adalah prosedur operasi yang dilakukan untuk mengeluarkan janin atau bayi. Post operasi SC seringkali menimbulkan masalah pada pasien yaitu nyeri akut. Salah satu manajemen non-farmakologis yang dapat dilakukan adalah kombinasi kompres hangat dan aromaterapi lavender untuk menurunkan tingkat nyeri pada pasien post sc. Tujuan: Studi kasus ini bertujuan untuk mengetahui pengaruh kombinasi kompres hangat dan aromaterapi lavender terhadap penurunan tingkat nyeri pasien post SC. Metode: Penelitian ini menggunakan metode pendekatan studi kasus deskriptif dengan pendekatan asuhan keperawatan. Subjek pada penelitian ini adalah pasien post SC sejumlah tiga orang yang telah memenuhi kriteria yang ditetapkan peneliti. Data dikumpulkan melalui pengkajian awal, anamnesis, dan pengukuran skala nyeri menggunakan Numeric Rating Scale (NRS), dan pengolahan data dilakukan dengan proses asuhan keperawatan dan implementasi dengan Evidence Based Nursing (EBN) kombinasi kompres hangat dan aromaterapi lavender selama 3 hari. Hasil : Setelah dilakukan implementasi kombinasi kompres hangat dan aromaterapi lavender pada pasien post SC selama 3 hari diperoleh hasil penurunan nyeri dengan skala awal tertinggi 7 dan terendah 5 menjadi skala tertinggi 3 dan terendah 2.Kesimpulan : Terdapat pengaruh implementasi kombinasi kompres hangat dan aromaterapi lavender terhadap penurunan skala intensitas nyeri pada pasien post SC.
Activity Level, Body Mass Index, and Postural Habits Awareness in Adolescents Nani, Desiyani; Saryono, Saryono; Pratiwi, Hikmi Muharromah
Journal of Bionursing Vol 6 No 3 (2024): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2024.6.3.13509

Abstract

Background: Early adolescence is a period of growth and development marked by the onset of puberty, where important changes occur in psychological development and social roles. Excessive internet use, especially in adolescents at this time, causes health problems such as postural disorders, sedentary lifestyles, and unbalanced nutrition. Objective: This study was planned to investigate the level of activity, body mass index and habits and awareness of posture in early adolescents. Method: Measurements of body weight, height were carried out, participants filled out a questionnaire on knowledge of posture, knowledge of ergonomics and a questionnaire on postural habits awareness. Results: Participants were 33 children aged 11-17 years. Knowledge of posture at a high level was 17 adolescents (51.5%). Knowledge of musculoskeletal disorders at a moderate level was 26 adolescents (78.78%). Posture habits were mostly at a good level as many as 29 adolescents (87.9%). Conclusion: The level of activity of adolescents was mostly at a moderate level and nutritional status based on BMI was mostly in the thin category. Knowledge of posture, ergonomics and habits and awareness of posture is at medium and high levels. Indicating adequate information has been obtained by participants.
The Relationship between Gadget Addiction and Sleep Quality among Adolescents at SMK Negeri in Purbalingga Hidayat, Arif Imam; Mustikasari, Sherina; Nani, Desiyani
Journal of Bionursing Vol 6 No 3 (2024): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2024.6.3.15016

Abstract

Background: The global prevalence of sleep quality disorders ranges from 15,3% to 39,2%. According to Indonesian data, as much as 63% of adolescents' sleep quality needs have not been met. Poor sleep quality will result from excessive device use throughout the day. Sleep deprivation can affect sleep patterns and interfere with social interactions. Methods: This quantitative study uses a correlation approach and data collection techniques for gadget addiction scales, namely the Smartphone Addiction Scale (SAS) and Sleep Quality Scale (SQS). The subjects of this study were 48 students of Central Java State Vocational Schools in Purbalingga. The sampling technique of this study used total sampling for data analysis techniques using non-parametric analysis techniques, namely Spearman rho analysis. Results: A correlation value of p = 0.00 < 0.05 means that H0 is not accepted. The correlation coefficient between the two variables is equal to 0.744. So it can be interpreted that there is a strong relationship between gadget addiction and sleep quality among adolescents. Conclusion: There is a significant relationship between gadget addiction and sleep quality in adolescents.
Studi Kasus: Implementasi Pemberian Terapi Bermain Balok pada Anak Stunting di Desa Kemutug Kidul Fitriani, Gita Salsa Viera; Purnamasari, Meivita Dewi; Nani, Desiyani
Journal of Bionursing Vol 7 No 1 (2025): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2025.7.1.15402

Abstract

Background. Stunting is a growth disorder due to chronic malnutrition and/or chronic or recurrent infectious diseases as indicated by the z-score of height for age (TB/U). Accordig to WHO, children with stunting can cause developmental disorders such as gross motor, fine motor, language and social disorders. Fine motor development is relate to the development ability to use the fingers to carry out various activities. For example, the ability to move objects from hand, scribble, arrange block, cut, write and etc. Methods. Case study by implementation based on evidance based practice in nursing care Results. Motor development in children can be increased by using block play therapy. Playing with block trains children to be able to move the small muscles in their hand and trans coordination between eye and hand movement Conclusion. The application of block play therapy in writing this final scientific work can improve fine motor aspect in preschool aged children.
Meronce Manik-Manik Meningkatkan Kemampuan Motorik Halus Balita dengan DDST Caution Pratiwi, Gita Sabrina; Nani, Desiyani
Journal of Bionursing Vol 7 No 1 (2025): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2025.7.1.15406

Abstract

Background: Children aged 3-5 year fall into the preschool stage, characterized by distinctive traits. At this age, they are in the psychosocial development stage of initiative and guilt. Children in this stage tend to engage in imaginative play, demonstrate creativity, show initiative in play, and learn new skills through games. Children with DDST Caution exhibit a delay in age-approproate developmental milestone. Objective: This case study was conducted to illustrate the implementation of constructive bead stringing play therapy on the improvement of fine motor skills in toodlers with DDST caution. Method: an observational study was conducted to investigate perceived behavior control among nurses working in ward setting. A total sampling technique was applied to recruite 47 nurses work in pediatric ward. Univariate analysis was utilize. Results: DDST assessment results indicated cautionary interpretation due to failures in fine motor aspects. After implementing constructive play therapy twice, there was an improvement in fine motor skills. The children showed enhanced fine motor skills in finger usage, hand precision, hand-eye coordination, and outcomes of the activities Conclusion: The results of the implementing constructive bead stringing play therapy showed an improvement in the fine motor skills of children, particulary in finger usage, hand precision, hand-eye coordination during movements, and the outcomes activities.
Efektivitas metode case-based concept map untuk meningkatkan pemahaman patofisiologi dan perilaku caring mahasiswa keperawatan Pratiwi, Hikmi Muharromah; Nani, Desiyani
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.597

Abstract

Background: Adequate understanding of pathophysiology is essential for nursing students to provide competent care and demonstrate caring behavior towards patients. In addition, caring behavior is at the core of the nursing care process. Concept maps, a visual learning strategy, have shown promise in facilitating the understanding of pathophysiology and may positively impact on improving caring behavior among nursing students. Purpose: To analyze the effectiveness of the case-based concept map method in improving the understanding of pathophysiology and caring behavior of nursing students. Method: A quasi-experimental study with a pre-posttest with control group approach on 149 nursing students (intervention group: 81 participants, control group: 68 participants) in May - July 2024. The application of the concept map was carried out for 5 weeks in the intervention group. This study used the Caring Behavior Inventory (CBI) questionnaire to measure students' caring behavior and a quiz to measure students' understanding of pathophysiology which was filled out online. The analysis in this study used paired t-test and independent t-test. Results: The mean score difference in pathophysiology understanding between the intervention group and the control group was significantly higher in the intervention group (p = 0.000, t = 3.882). In contrast, the mean score of caring behavior did not show a significant difference between the intervention and control groups (p = 0.37, t = 0.899). Conclusion: The case-based concept map is effective in enhancing the understanding of pathophysiology; however, this method remains inconsistent in promoting the caring behaviors of nursing students. Suggestion: Future research is expected to develop an extended case-based concept map application in nursing process planning (formulation of nursing diagnoses, determination of outcome criteria, and selection of nursing interventions) in nursing students at the final level or nursing students who are carrying out learning in clinical practice.   Keywords: Concept Map; Caring Behavior; Nursing Students; Pathophysiology.   Pendahuluan: Pemahaman yang adekuat tentang patofisiologi sangat penting bagi mahasiswa keperawatan untuk memberikan perawatan yang kompeten dan menunjukkan perilaku caring kepada pasien. Selain itu, perilaku caring merupakan inti dari proses asuhan keperawatan. Concept map merupakan sebuah strategi pembelajaran visual, terbukti menjanjikan dalam memfasilitasi pemahaman patofisiologi dan mungkin berdampak terhadap peningkatan perilaku caring pada mahasiswa keperawatan. Tujuan: Untuk menganalisis efektivitas metode case-based concept map dalam meningkatkan pemahaman patofisiologi dan perilaku caring mahasiswa keperawatan. Metode: Penelitian studi quasi eksperimental dengan pendekatan pre-posttest with control group pada 149 mahasiswa Jurusan Keperawatan (kelompok intervensi: 81 partisipan, kelompok kontrol: 68 partisipan) pada bulan Mei – Juli 2024. Penerapan concept map dilakukan selama 5 minggu pada kelompok intervensi. Penelitian ini menggunakan kuesioner Caring Behavior Inventory (CBI) untuk mengukur perilaku caring mahasiswa dan kuis untuk mengukur pemahaman patofisiologi mahasiswa yang diisi secara online. Paired-t-test dan independent t-test digunakan untuk analisis dalam penelitian ini. Hasil: Perbedaan rerata skor pemahaman patofisiologi pada kelompok intervensi lebih tinggi secara signifikan dibandingkan skor rerata pada kelompok kontrol (p = 0.000, t = 3.882). Sedangkan, rerata skor perilaku caring antara kelompok intervensi dan kontol tidak berbeda secara signifikan (p = 0.37, t = 0.899). Simpulan: Case-based concept map efektif dalam meningkatkan pemahaman patofisiologi. Namun, metode ini masih belum inkonsisten dalam meningkatkan perilaku caring mahasiswa keperawatan. Saran: Penelitian selanjutnya diharapkan dapat mengembangkan aplikasi case-based concept map yang diperluas dalam perencanaan proses keperawatan (perumusan diagnosa keperawatan, penentuan kriteria luaran, dan pemilihan intervensi keperawatan) pada mahasiswa keperawatan.   Kata Kunci: Concept Map; Mahasiswa Keperawatan; Patofisiologi; Perilaku Caring.
Continuous glucose monitor sebagai alat pemantau glukosa real-time pada pasien diabetes mellitus: Sebuah tinjauan sistematis Nugroho, Yohanes Wahyu; Nani, Desiyani
Holistik Jurnal Kesehatan Vol. 19 No. 5 (2025): Volume 19 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i5.583

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Background: Diabetes Mellitus (DM) is a global health problem with a prevalence that continues to increase annually. One of the main strategies to reduce the negative impact of DM is through blood glucose monitoring. Continuous glucose monitoring (CGM) technology is a potential tool to improve glycemic control and prevent diabetes complications. Purpose: To evaluate the effectiveness of continuous glucose monitoring (CGM) in monitoring blood glucose levels and to identify the safety and convenience aspects of CGM in the long-term management of patients with diabetes mellitus. Method: This systematic literature review (SLR) followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data in this study were obtained from scientific journals, conferences, and research reports accessible through electronic databases such as PubMed, Scopus, and Google Scholar, published within the last five years (2020–2024). Data analysis was conducted using a qualitative descriptive approach. Results: CGM has been shown to be effective in monitoring blood glucose levels in patients with diabetes mellitus. This technology provides real-time glucose data, enabling early detection of hypoglycemia and hyperglycemia, thus supporting faster and more accurate decision-making in diabetes management. Furthermore, CGM contributes to improved glycemic control, significantly helping prevent long-term complications. Research also shows that CGM provides additional benefits for certain patient groups, such as those undergoing intensive insulin therapy or at high risk of glucose fluctuations. In terms of safety and convenience, CGM demonstrates its superiority as a long-term monitoring tool. Safety is assured with minimal risk, while convenience is enhanced by eliminating the need for repeated finger-prick tests. Although some challenges exist, such as skin irritation and inaccuracy under certain conditions, technological innovation continues to improve the user experience. Conclusion: CGM is effective in monitoring blood glucose levels, improving glycemic control, and providing significant benefits and convenience for patients with diabetes mellitus, although some challenges continue to be addressed through technological innovation.   Keywords: Continuous Glucose Monitor; Diabetes Mellitus Patients; Real-Time Glucose Monitor.   Pendahuluan: Diabetes Mellitus (DM) merupakan salah satu masalah kesehatan global dengan prevalensi yang terus meningkat setiap tahun. Salah satu strategi utama dalam menekan dampak negatif DM adalah dengan melakukan pengelolaan melalui pemantauan kadar glukosa darah. Teknologi continuous glucose monitoring (CGM) menjadi alat yang potensial dalam meningkatkan kontrol glikemik dan mencegah komplikasi diabetes. Tujuan: Untuk mengevaluasi efektivitas penggunaan continuous glucose monitoring (CGM) dalam memantau kadar glukosa darah dan mengidentifikasi aspek keamanan dan kenyamanan CGM dalam pengelolaan jangka panjang pasien diabetes mellitus. Metode: Penelitian systematic literature review (SLR) dengan mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Data dalam penelitian ini diperoleh dari jurnal ilmiah, konferensi, dan laporan penelitian yang dapat diakses melalui database elektronik, seperti PubMed, Scopus, dan Google Scholar, diterbitkan dalam 5 tahun terakhir (2020–2024) dan analisis data dilakukan dengan pendekatan deskriptif kualitatif. Hasil: CGM terbukti efektif dalam memantau kadar glukosa darah pada pasien diabetes mellitus. Teknologi ini mampu memberikan data glukosa secara real-time, memungkinkan deteksi dini kondisi hipoglikemia, dan hiperglikemia, sehingga mendukung pengambilan keputusan yang lebih cepat dan akurat dalam pengelolaan diabetes. Selain itu, CGM berkontribusi pada peningkatan kontrol glikemik yang secara signifikan membantu mencegah komplikasi jangka panjang. Penelitian juga menunjukkan bahwa CGM memberikan manfaat tambahan bagi kelompok pasien tertentu, seperti mereka yang menjalani terapi insulin intensif atau memiliki risiko tinggi fluktuasi kadar glukosa. Dari aspek keamanan dan kenyamanan, CGM menunjukkan keunggulan sebagai alat pemantauan jangka panjang. Keamanannya terjamin dengan risiko minimal, sedangkan kenyamanannya meningkat karena mengurangi kebutuhan akan tes tusukan jari yang berulang. Meskipun beberapa kendala, seperti iritasi kulit dan ketidakakuratan pada kondisi tertentu masih ditemukan, inovasi teknologi terus memperbaiki pengalaman pengguna. Simpulan: CGM efektif dalam memantau kadar glukosa darah, meningkatkan kontrol glikemik, dan memberikan manfaat serta kenyamanan signifikan bagi pasien diabetes mellitus, meskipun terdapat beberapa kendala yang terus diperbaiki melalui inovasi teknologi.   Kata Kunci: Alat Pemantau Glukosa Real-Time; Continuous Glucose Monitor; Pasien Diabetes Mellitus.
Safe and Ergonomic M-Shape Carrying Education to Improve Mothers' Knowledge and Attitudes in Banteran Village: Edukasi Menggendong M-Shaped yang Aman dan Ergonomis untuk Meningkatkan Pengetahuan dan Sikap Ibu di Desa Banteran Muharromah Pratiwi, Hikmi; Nani, Desiyani; Sumarwati, Made; Saryono, Saryono
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2025): Edisi Juli 2025
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v5i2.1261

Abstract

Background: Car carrying activities are an important part of child care, and this skill is recommended for parents. Carrying M-Shaped is a safe and ergonomic holding practice, and is recommended by a child health professional. However, this holding practice is still not known by many parents in Indonesia, so it is necessary to hold a safe and ergonomic M-Shaped M-Shaped education. Methods: This community service activity provides health education and demonstrations of carrying M-Shaped by using jarik fabrics in 24 mothers with children under five in Bantera Village, Sumbang District which was held in August 2024. Health education with lectures and interactive discussions about the concept of holding safe and ergonomic, including the anatomical position of the baby, the benefits M-Shaped using the fingers. Results: The results of this community service activity show an increase in knowledge of the mother's attitude about carrying a safe and ergonomic M-Shape. The difference in the average score of mothers' knowledge is related to carrying M-Shaped before and after the PKM activity is 4.25. In addition, after PKM activities, the majority of mothers agreed that carrying benefits to mothers and infants (75%), carrying a comfortable position (100%), holding M-Shaped safe for newborns (54.17%) and carrying can be done by fathers (87.5%). Conclusion: Community service activities through health education and carrying practice have been proven to increase the knowledge and attitude of mothers regarding holding safe and ergonomic. This activity can continue to be carried out in the community and can be accompanied by evaluating safe and ergonomic holding practices.
The effectiveness of case-based concept map to improve pathophysiology knowledge and critical thinking among first-year nursing students: a quasi-experimental study Pratiwi, Hikmi Muharromah; Nani, Desiyani; Saryono, Saryono; Cakrawati, Laxmi Mustika
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.48114

Abstract

Introduction: Improving pathophysiology knowledge and critical thinking skills of nursing students remains as a challenge faced by nursing educators. Thus, an innovative learning method is required. Concept map by adding cases might assist increasing students' pathophysiology knowledge and critical thinking skills. Methods: A quasi-experimental study with pre- and post-test with control group design involved 104 first-year nursing students of Universitas Jenderal Soedirman, Purwokerto, Central Java in April-June 2023. Participants were divided into two classes at the beginning of the first semester and randomly allocated into the intervention (54 respondents) and the control (50 respondents) group. The intervention group was provided typical learning added with a case-based concept map development weekly for 7 weeks, while the control group underwent regular lectures based on the syllabus. Pathophysiology knowledge was measured by using Multiple Choice Questions, while critical thinking was evaluated by using the Critical Thinking Disposition Inventory questionnaire. Independent-t test and paired test were applied to evaluate the effectiveness of implementing the case-based concept map. Results: The mean score for knowledge the pathophysiology of the disease in the intervention group was significantly higher than the those in the control group (t=5.24, p=0.000). However, there was no difference in the average scores of critical thinking between two groups discovered in the study (t=0.90, p=0.37). Conclusions: Case-based concept map can be recommended as an innovative and effective learning method for teaching disease pathophysiology to nursing students. However, the case-based concept map in this study is still not consistent in improving students' critical thinking skills.
Effect of Blanket Warmer Use on Shivering Patients Post Regional Anesthesia: A Systematic Review Prasetyo, Pambudi Eko; Nani, Desiyani; Kamaluddin, Ridlwan
Eduvest - Journal of Universal Studies Vol. 4 No. 2 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i2.1024

Abstract

Shivering is closely related to hypothermy and is one of the serious problems in surgical patients and can adversely affect the patient's condition. In addition, shivering is also considered an important clinical problem to get attention to, especially since it affects the patient's comfort and increases metabolic needs that can cause problems and complications in the cardiovascular. One of the non-pharmacological interventions that can be applied is the use of a blanket warmer. Evidence related to the application of blanket warmers to treat shivering in post-regional anesthesia patients is still limited, therefore, the author is interested in further reviewing the effectiveness of the use of blanket warmers for shivering patients in the form of a systematic review. To identify the effectiveness of blanket warmers against shivering in post-regional anesthesia patients based on evidence-based research. This research is a literature study with the PRISMA approach. Systematic review using PICO. The search databases used are Google Schoolar, Pub Med, Scince Direct, Wiley Online Liberary with the keywords blanket warmer, shivering, and regional anesthesia. Result: Based on 8 research articles reviewed, it was found that blanket warmers were shown to be effective in treating shivering in post-regional anesthesia patients. The intervention technique is applied using a warm blanket increasing the body temperature. The intervention group gained an average time faster compared to the control group. Blanket warmer interventions such as electric blanket warmer, water warmer blanket, blanket blower warmer, warm blanket significantly improve body temperature in shivering post regional anesthesia patients.