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Perbedaan Kepatuhan Anak Autis antara Applied Behavior Analysis (ABA) dan Aromaterapi Lavender Hapsari, Eti Dwi; Nani, Desiyani; Fitriyani, Aris
JURNAL KEPERAWATAN MERSI Vol. 13 No. 2 (2024): Oktober
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v13i2.11697

Abstract

Background: Autism is a developmental disorder that cannot be cured but its symptoms can be reduced with therapy. One therapy for autistic children is ABA behavioral therapy. The success of ABA behavioral therapy is greatly influenced by the level of compliance of autistic children. Disobedience in autistic children is influenced by the anxiety that occurs, this is because autistic children who are used to living in their world must carry out tasks in the ABA method of behavioral therapy. Lavender aromatherapy has been widely used to reduce anxiety. Lavender aromatherapy is expected to reduce anxiety levels thereby increasing compliance scores in autistic children. Objective: To determine the difference in compliance scores of autistic children when undergoing ABA behavioral therapy without and with lavender aromatherapy. Methods: The research was a post-test control group design. The sample consisted of 12 autistic children recruited using a purposive sampling method. The intervention is the ABA therapy with lavender aromatherapy made of 20 drops in 100 ml. The data were analyzed using the Wilcoxon difference test Results: The average compliance score for autistic children without aromatherapy was 34.54 ± 17.02, while the average compliance score for autistic children with aromatherapy was 46.76 ± 18.98 (z= 0.013, p= 0.05). The ABA with lavender aromatherapy effectively improves the compliance of autistic children. Conclusion: There was a significant difference between the compliance scores of autistic children when ABA behavioral therapy was carried out without and with lavender aromatherapy.
Effect of Range of Motion Exercise on Extremity Joint Muscle Strength in Ischemic Stroke Patients a Literature review Nasim, Nasim; Nani, Desiyani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.651

Abstract

Aims: Muscle strength and Range of Motion (ROM) are very important for ischemic stroke patients because they can prevent contractures, and increase the muscle strength of ischemic stroke patients. Range of motion (ROM) exercises in the upper extremities can increase muscle strength so that post-stroke patients can perform Activities of Daily Living independently. Objective: To know about the effect of the effectiveness of ROM with various methods to increase muscle strength and range of motion of joints. Method: Literature review to determine range of motion exercise on limb joint muscle strength in ischemic stroke patients with 5 articles with 4 data  search tools: PubMed, NCBI, Science Direct, and Proquest. The inclusion criteria were patients who had an ischemic stroke, randomized control trials, and the full text available in a literature review published in the last five years, i.e. 2018-2023, articles in English. Results: From the articles obtained, 556 articles were found  Research campresearch searched in accordance with creteria found 5 articles on the effect of range of motion exercise on muscle strength of the extremity joints in ischemic stroke patients.  Positive results were obtained from the benefits of muscle strength and ROM. Clinical evidence was obtained from five journals analyzed that there was an increase in strength and range of motion and there were differences in the results of the experimental group and the control group. Conclusion: The provision of ROM intervention techniques is proven to increase muscle strength and joint range of motion in ischemic stroke patients, so as to help patients in the process of maintaining muscle strength and joint range of motion. In the future, this activity can be done independently by patients at home.
Efektivitas penggunaan telehealth di ruang rawat inap terhadap caring: literature review Asti, Arnika Dwi; Karlina, Nonok; Haniyah, Siti; Purbaningsih, Endah Sari; Sukesih, Sukesih; Puspanegara, Aditiya; Siswanti, Heny; Nani, Desiyani
Jurnal Praktik Dan Pendidikan Keperawatan Vol 6 No 01 (2025): Journal of Nursing Practice and Education
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/bw1jj405

Abstract

Latar Belakang: Perkembangan teknologi digital mendorong perubahan signifikan dalam praktik keperawatan, termasuk penerapan telehealth untuk mempertahankan kualitas pelayanan di ruang rawat inap diperlukan bukti ilmiah untuk menilai sejauh mana telehealth dapat mendukung atau bahkan memperkuat perilaku caring perawat terhadap pasien.Metode: Systematic Literature Review dilakukan mengikuti pedoman PRISMA 2020 dengan pencarian artikel melalui database Scopus, PubMed, dan Google Scholar. Kriteria inklusi meliputi studi empiris tahun 2015-2025 yang mengevaluasi efek intervensi telehealth terhadap caring perawat di fasilitas rawat inap. Kualitas metodologi artikel dinilai menggunakan JBI Critical Appraisal Tools.Hasil: Dari 1.476 artikel yang diidentifikasi, dua penelitian memenuhi kriteria inklusi dan dinyatakan layak dianalisis. Studi menunjukkan bahwa intervensi telehealth yang dilakukan secara sinkron, seperti panggilan video atau teleedukasi rutin selama 8–16 minggu, efektif meningkatkan dimensi caring, khususnya empati, dukungan emosional, dan kontinuitas hubungan perawat-pasien. Kelompok intervensi menunjukkan penurunan distress emosional hingga 50% dibanding kontrol (p < 0,05).Kesimpulan: Telehealth terbukti efektif mendukung praktik caring keperawatan di ruang rawat inap dengan efektivitas moderat (effect size 0,3-0,5). Teknologi ini mampu memperkuat hubungan terapeutik dan kontinuitas pelayanan bila dilaksanakan dengan prinsip empatik dan humanistik. Diperlukan penelitian lanjutan dengan desain randomized controlled trial dan penggunaan instrumen caring terstandar seperti Caring Behaviors Inventory untuk memastikan validitas hasil.
The Effectiveness of Education with Animated Videos on Knowledge of Musculoskeletal Disorders and Postural Habits in Adolescents Yuni Ardani, Madia; Nani, Desiyani; Hidayat, Arif Imam; Fa-is Walohtae
Window of Health : Jurnal Kesehatan Vol 7 No 4 (October 2024)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.v7i4.824

Abstract

Musculoskeletal disorders (MSDs) are disorders that occur in muscles, nerves, tendons, ligaments, bones, and joints. Complaints of MSDs often occur in adolescent school-age individuals, thus requiring health education through animated video media regarding early prevention of musculoskeletal disorders and ergonomic attitudes. This study aims to identify the influence of using animated videos on the level of knowledge of musculoskeletal disorders (MSDs) and postural habits and to analyze the relationship between MSDs knowledge and postural habits. This research used a Quasi-Experimental method with a pretest-posttest approach with a control group. The convenience sampling technique was used with 75 samples. Data analysis used univariate and bivariate analysis, namely with difference and cross-tabulation tests. The results of the study showed that the majority of respondents were female, 16 years old, with normal body mass index (BMI), parents' education level of high school, and income above the minimum wage. There were differences in the level of knowledge of musculoskeletal disorders (MSDs) and postural habits in the intervention and control groups, with obtained values of p = 0.006 and p = 0.016 (p < α, α = 0.05). There was a relationship between the level of knowledge of musculoskeletal disorders (MSDs) and postural habits, with an obtained value of p = 0.013 (p < α, α = 0.05). Thus, it is concluded that the provision of animated videos significantly influences knowledge of musculoskeletal disorders (MSDs) and postural habits.
CASE STUDY: EDUCATION AND IMPLEMENTATION OF FEEDING RULES TO IMPROVE CHILDREN'S APPETITE AND MOTHERS' FEEDING BEHAVIORS FOR CHILDREN WITH STUNTING Narantika, Dhea; Purnamasari, Meivita Dewi; Nani, Desiyani
International Journal of Biomedical Nursing Review Vol 5 No 1 (2026): International Journal of Biomedical Nursing Review (IJBNR)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ijbnr.2026.5.1.10933

Abstract

Introduction: Stunting is a condition of short or very short stature based on the Length/Height-for-Age index. Feeding is a crucial part of life for infants and children under three (toddlers), and most parent-child interactions occur during feedings. Long-term feeding difficulties can lead to growth failure and delays in growth and development. One way to address feeding difficulties is through the implementation of feeding rules. Purpose: This case study aims to determine the effect of education and the application of feeding rules on child patients with stunting. Methods: This research is a qualitative study with a descriptive case study approach, compiled from nursing care reports using the nursing process. Based on the implementation of Evidence-Based Nursing (EBN) in nursing practice, the case study uses an activity flow based on Polit and Beck (2012). The instrument used in the study was a questionnaire. Discussion: The results of observations for 3 consecutive days after being given education showed that mothers were able to apply feeding rules with an increase in questionnaire results related to knowledge and application of feeding rules. Conclusion: There was an increase in children's appetite and mothers' behavior after being given education on feeding rules and implementing feeding rules.
Virtual reality (VR) dalam pembelajaran perawatan luka terhadap self-efficacy dan kemampuan psikomotor mahasiswa keperawatan: A systematic literature review Gufron, Muhamad; Nani, Desiyani
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.1873

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Background: Advances in digital technology have transformed nursing education by providing innovative learning methods, particularly for practicum activities requiring clinical precision. Virtual Reality (VR) has emerged as an interactive simulation tool that offers a realistic clinical environment, enabling students to safely practice procedures without risking patient harm. Purpose: To evaluate the effectiveness of virtual reality in wound care practicum learning on improving nursing students' self-efficacy and psychomotor skills. Method: A systematic literature review (SLR) was conducted using the PRISMA framework. Relevant scientific articles published between 2014 and 2024 were retrieved from PubMed, ScienceDirect, and DOAJ databases. Of the 11,445 identified studies, seven articles met the inclusion criteria and were analyzed. Results: The review showed that VR-based learning consistently improved nursing students' self-efficacy, motivation, and psychomotor performance, particularly in wound care and dressing procedures. VR enabled repeated practice, real-time feedback, and a deeper understanding of clinical tasks compared to conventional teaching approaches. Conclusion: Virtual reality is an effective, safe, and innovative educational strategy that significantly improves the clinical competence of nursing students. Its integration into the nursing curriculum has strong potential as a modern teaching approach in the digital age.   Keywords: Nursing Students; Psychomotor Abilities; Self-Efficacy; Virtual Reality (VR); Wound Care Learning.   Pendahuluan: Kemajuan teknologi digital telah mentransformasi pendidikan keperawatan dengan menyediakan metode pembelajaran inovatif, terutama untuk aktivitas praktikum yang membutuhkan presisi klinis. Virtual reality (VR) telah muncul sebagai alat simulasi interaktif yang menawarkan lingkungan klinis yang realistis, memungkinkan mahasiswa mempraktikkan prosedur dengan aman tanpa risiko cedera pada pasien. Tujuan: Untuk mengevaluasi efektivitas virtual reality dalam pembelajaran praktikum perawatan luka terhadap peningkatan  self-efficacy dan keterampilan psikomotorik mahasiswa keperawatan. Metode: Systematic literature review (SLR) dilakukan menggunakan kerangka kerja PRISMA. Artikel ilmiah relevan yang diterbitkan antara tahun 2014-2024 diambil dari basis data PubMed, ScienceDirect, dan DOAJ. Dari 11,445 studi yang teridentifikasi, 7 artikel memenuhi kriteria inklusi dan dianalisis. Hasil: Tinjauan ini menunjukkan, bahwa pembelajaran berbasis VR secara konsisten meningkatkan self-efficacy, motivasi, dan kinerja psikomotorik mahasiswa keperawatan, terutama dalam prosedur perawatan luka dan pembalutan. VR memungkinkan praktik berulang, umpan balik waktu nyata, dan pemahaman yang lebih mendalam tentang tugas-tugas klinis dibandingkan dengan pendekatan pengajaran konvensional. Simpulan: Virtual reality merupakan strategi pendidikan yang efektif, aman, dan inovatif yang secara signifikan meningkatkan kompetensi klinis mahasiswa keperawatan. Integrasinya ke dalam kurikulum keperawatan memiliki potensi yang kuat sebagai pendekatan pengajaran modern di era digital.   Kata Kunci: Kemampuan Psikomotor; Mahasiswa Keperawatan; Pembelajaran Perawatan Luka; Self-Efficacy; Virtual Reality (VR).
Efektivitas penerapan teknik pemasangan nasogastric tube berbasis sensor pada pasien stroke infark dalam praktik keperawatan: A systematic review Purnomo, Dedy Miswar; Mulyono, Wastu Adi; Nani, Desiyani
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.1926

Abstract

Background: Nasogastric tube (NGT) placement is an important intervention in meeting the nutritional needs of stroke patients with dysphagia. However, conventional methods often have limitations in accuracy and risk complications such as aspiration, pneumonia, and misplacement into the airway. Advances in sensor technology have improved the accuracy and safety of NGT placement procedures, thereby minimizing clinical risks and enhancing the effectiveness of nursing practices. Purpose: To determine the effectiveness of implementing sensor-based nasogastric tube insertion techniques in infarction stroke patients in nursing practice. Method: This study used a systematic review design based on the PRISMA guidelines with the PICOS framework. Articles were searched on SCOPUS, PubMed, ScienceDirect, Scisapse, and Elicit, with inclusion criteria of articles from the last 10 years, Quasi-Experimental design, RCT, Quantitative Research, and R&D. From the selection and screening process, nine articles that met the criteria were obtained and analyzed using a narrative approach. Results: Sensor technology, including pressure sensors, magnetic sensors, warning sensors, fog computing, and color detection sensors, consistently improves the accuracy of NGT position detection, speeds up the verification process, and reduces the risk of dislodgement and misalignment. Several studies have shown position tracking accuracy to reach a deviation of only 0.55–1.63 cm compared to the gold standard of radiology, while R&D research has demonstrated excellent user acceptance with validation >89%. Sensor technology also improves patient safety and provides real-time feedback unavailable with conventional methods. Conclusion: The application of sensor-based NGT placement techniques has been proven effective in improving the accuracy, safety, and efficiency of NGT placement in stroke patients. This technology has the potential to become the standard for supporting clinical processes in the future, although further research is needed on costs, facility readiness, and device integration into nursing practice.   Keywords: Nasogastric Tube; Nursing Practice; Sensor-Based Technique; Stroke Infarction.   Pendahuluan: Pemasangan nasogastric tube (NGT) merupakan intervensi penting dalam pemenuhan kebutuhan nutrisi pasien stroke infark dengan disfagia. Namun, metode konvensional sering memiliki keterbatasan akurasi dan berisiko menimbulkan komplikasi, seperti aspirasi, pneumonia, hingga misplacement ke saluran napas. Perkembangan teknologi sensor memungkinkan peningkatan akurasi dan keamanan prosedur pemasangan NGT, sehingga meminimalkan risiko klinis serta meningkatkan efektivitas praktik keperawatan. Tujuan: Untuk mengetahui efektivitas penerapan teknik pemasangan nasogastric tube berbasis sensor pada pasien stroke infark dalam praktik keperawatan. Metode: Penelitian systematic review berdasarkan pedoman PRISMA dengan framework PICOS. Pencarian artikel dilakukan pada SCOPUS, PubMed, ScienceDirect, Scisapse, dan Elicit, dengan kriteria inklusi artikel 10 tahun terakhir, desain quasi experimental, RCT, quantitative research, dan R&D. Dari proses seleksi dan penyaringan, diperoleh 9 artikel yang memenuhi kriteria dan dianalisis menggunakan pendekatan naratif. Hasil: Teknologi sensor, termasuk sensor tekanan, sensor magnetik, warning sensor, fog computing, hingga sensor pendeteksi warna secara konsisten meningkatkan akurasi deteksi posisi NGT, mempercepat proses verifikasi, dan mengurangi risiko dislodgement maupun salah jalur. Beberapa studi menunjukkan akurasi pelacakan posisi mencapai deviasi hanya 0.55–1.63 cm dibandingkan gold standard radiologi, sementara penelitian R&D menunjukkan penerimaan sangat baik pada pengguna dengan validasi >89%. Teknologi sensor juga meningkatkan keselamatan pasien dan memberikan real-time feedback yang tidak tersedia pada metode konvensional. Simpulan: Penerapan teknik pemasangan NGT berbasis sensor terbukti efektif meningkatkan akurasi, keamanan, dan efisiensi pemasangan NGT pada pasien stroke infark. Teknologi ini berpotensi menjadi standar pendukung proses klinis di masa mendatang, meskipun diperlukan penelitian lanjutan mengenai biaya, kesiapan fasilitas, dan integrasi perangkat dalam praktik keperawatan.   Kata Kunci: Nasogastric Tube; Praktik Keperawatan; Stroke Infark; Teknik Berbasis Sensor.
LITERATURE REVIEW : PEMBERIAN TERAPI AKUPRESUR TITIK TAICHONG TERHADAP PENURUNAN TEKANAN DARAH PENDERITA HIPERTENSI Amalia, Rizki; Nani, Desiyani
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.52435

Abstract

Hipertensi merupakan penyakit kardiovaskular dengan prevalensi yang terus meningkat secara global, mempengaruhi sekitar 1,28 miliar orang dewasa di seluruh dunia dan 34,11% penduduk Indonesia berusia ≥18 tahun. Terapi farmakologis konvensional menghadapi tantangan implementasi signifikan, meliputi ketidakpatuhan pasien akibat efek samping seperti batuk kering dan hipokalemia pada diuretik dengan tingkat adherence hanya 50-70%, biaya pengobatan jangka panjang yang tinggi, serta aksesibilitas tidak merata terutama di daerah terpencil dan populasi dengan tingkat sosial ekonomi rendah. Tinjauan literatur ini menganalisis efektivitas terapi akupresur titik Taichong (LR 3) terhadap penurunan tekanan darah pada penderita hipertensi menggunakan pendekatan systematic literature review dengan pencarian artikel melalui basis data PubMed, ProQuest, Semantic Scholar, ScienceDirect, dan Google Scholar periode 2015-2025 mengikuti pedoman PRISMA 2020. Dari 38.789 artikel teridentifikasi, penyaringan bertahap menghasilkan 5 artikel yang memenuhi kriteria inklusi. Hasil menunjukkan akupresur titik Taichong efektif menurunkan tekanan darah sistolik sebesar 6-22 mmHg dan diastolik 3-8,5 mmHg dengan perbedaan signifikan secara statistik (p<0,05). Durasi efektif adalah 3-15 menit per sesi menggunakan teknik hold-release (tahan 5 detik, lepas 1 detik) sebanyak 30 kali pengulangan, dengan frekuensi minimal sekali sehari atau setiap 2 hari selama minimal 3 hari berturut-turut. Akupresur titik Taichong (LR 3) terbukti efektif sebagai terapi komplementer yang dikombinasikan dengan terapi farmakologis dan modifikasi gaya hidup, serta menjadi pilihan self-care intervention mudah diaplikasikan untuk meningkatkan kontrol tekanan darah dan kualitas hidup pasien.