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All Journal Jurnal NERS Jurnal Keperawatan Padjadjaran Jurnal Kesehatan Vokasional Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Holistic International Journal of Nursing and Health Services (IJNHS) Faletehan Health Journal Jurnal Ilmiah Keperawatan Imelda Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Ners Widya Husada Indonesian Journal of Global Health research Jurnal Menara Medika Jurnal Kesmas Asclepius PROFESI (Profesional Islam): Media Publikasi Penelitian MAHESA : Malahayati Health Student Journal DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Holistik Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Tuti Nuraini
Rumah Sakit Umum Daerah Besemah Pagar Alam Sumatera Selata
Humanities Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Implementation of Lymphoma Exercises to Reduce Pain and Improve Sleep Quality Using the Theory of Planned Behavior Approach Wibawa, Shinta Restu; Waluyo, Agung; Nuraini, Tuti
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i3.877

Abstract

Background: Patients with lymphoma often experience various signs and symptoms that can significantly affect their quality of life. Pain and poor sleep quality are two main symptoms commonly experienced by lymphoma patients. The combination of pain and sleep disturbance can negatively impact patients' energy, mood, and ability to perform daily activities, thus requiring appropriate attention and management in the care of lymphoma patients. Objective: This study aims to apply Evidence Based Nursing Practice: Lymphoma Exercises in nursing care for patients with lymphoma using the Theory of Planned Behaviour approach. Method: This approach emphasizes the importance of attitudes, subjective norms, and perceived behavioral control in shaping nursing diagnoses. This framework can enhance understanding and improve patient care. The research method used is a quantitative experiment without a control group. Respondents completed questionnaires to measure pain using the Numerical Rating Scale (NRS), and to measure sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Result: The results show that the intervention had a substantial positive impact on pain and sleep patterns of lymphoma patients. Recommendation: The reduction in pain and improvement in sleep quality can be explained through several potential mechanisms
Sampel Susu Formula dan Praktik Pemberian Air Susu Ibu Eksklusif Nuraini, Tuti; Julia, Madarina; Dasuki, Djaswadi
Kesmas Vol. 7, No. 12
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Cakupan pemberian air susu ibu (ASI) eksklusif di Kota Pagar Alam, tahun 2011 sekitar 43% tergolong rendah. Sebaliknya, pemberian susu formula meningkat tiga kali lipat dari 10,3% menjadi 32,5%. Iklan susu formula telah menyentuh bidan swasta dan puskesmas melalui pendekatan produsen susu formula dan pemberian susu formula secara gratis kepada ibu menyusui. Penelitian yang bertujuan mengetahui determinan kegagalan praktik pemberian ASI eksklusif di Kota Pagar Alam Provinsi Sumatera Selatan ini menggunakan desain studi unmatching kasus kontrol. Populasi adalah seluruh ibu yang mempunyai bayi berusia 7-12 bulan. Penarikan sampel dilakukan dengan metode proportional random sampling. Variabel terikat praktik adalah pemberian ASI eksklusif, variabel bebas adalah pemberian sampel susu formula. Ibu yang mendapat sampel susu formula dan yang tidak mendapat dukungan tenaga kesehatan berisiko 3,67 dan 4,2 kali lebih besar untuk tidak memberikan ASI eksklusif. The coverage of exclusive breastfeeding in the City of Pagar Alam in 2011 was by 43%. Advertising of infant formula has reached privately practicing midwives or health centers. The approach from infant formula manufacturers to midwives in health centers is by providing free milk formula to nursing mothers to be distributed under the pretext of promotion. The objective of this study is to analyze the determinants of exclusive breastfeeding practice failures in the City of Pagar Alam of South Sumatra Province. The population study with an unmatched case-control design was conducted in the City of Pagar Alam. The population was all breastfeeding mothers who had babies in the city of Pagar Alam of South Sumatra Province. The research subjects are breastfeeding mothers who had babies aged 7 - 12 months who selected with proportional random sampling method. The variables of the study included the dependent variable, i.e, the practice of exclusive breastfeeding, the independent variable, i.e, promotion of free milk formula samples. The risk of not exclusively breast feeding amang mothers who had accepted formula milk samples and who absence of support posed by health workers is 3.67 and 4.20 times higher the mothers who had not accepted the formula milk sample and who absence of support posed by heath worker.
RELATIONSHIP BETWEEN SELF-EFFICACY AND FEAR OF CANCER RECURRENCE IN CERVIX CANCER PATIENTS Isran, Isran; Nuraini, Tuti; Afiyanti, Yati; Gayatri, Dewi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2602

Abstract

Fear of cancer recurrence (FCR) makes cancer patients physically and psychologically disturbed. FCR is caused by cancer patients' lack of ability or competence to exercise self-control (self-efficacy) while undergoing cancer treatment. This study aims to determine the relationship between self-efficacy and fear of recurrence in cervix cancer patients. The method used was cross-sectional, and it was carried out on 169 cervix cancer patients using the CBI (Cancer Behaviour Inventory) instrument to measure self-efficacy and the FCRI (Fear of Cancer Recurrence) instrument to measure fear of recurrence. The results showed that low self-efficacy 90 patients (52,3%) and high fear of cancer recurrence 89 patients (55%). The domain of coping with medication and side effects had the lowest Self-efficacy with 96 patients (56.8%) and the domain of functional impairment was the highest FCR domain with 84 patients (49.7%). However, that a significant relationship between self-efficacy and FCR in cervix cancer patients (p=0,012) with an OR 2,290. Self-efficacy is needed by cancer patients to overcome their fear of cancer recurrence. Therefore, help from health workers is needed to increase the self-efficacy of cancer patients.
GUIDED IMAGERY WITH DIGITAL THERAPY VIRTUAL REALITY AS PAIN SCORE AMONG BREAST CANCER PATIENTS: A RANDOMIZED CONTROLLED TRIAL Primayanthi, Anak Agung Ayu Emi; Gayatri, Dewi; Abd Rahman, La Ode; Nuraini, Tuti; Waluyo, Agung
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2671

Abstract

Breast cancer is the most common cancer worldwide. Breast cancer has the highest rate around 42.1 per 100,000 in Indonesian. The most common problems experienced are physical problems such as pain. Pain is related to the patient's quality of life. Digital-based guided imagery with virtual reality in pain management are still rarely used. This study aims to determine the effectiveness of guided imagery using digital therapy virtual reality in breast cancer patients. The method uses RCT with a parallel design. 60 respondents who were randomized using block randomization into 30 in both control and intervention groups. Conducted at Dharmais Cancer Hospital using virtual reality for 10-15 minutes in intervention group and digital leaflets to control group. Measurements using the NRS were carried out every day for 7 days. The results showed that guided imagery with virtual reality was able to reduce the pain scale in breast cancer patients compared to the control group with P = 0.000 (? 0.05). The use of virtual reality can be used as a reference for oncology nurses in providing non-pharmacological therapy to reduce pain and stress in patients especially breast cancer patients.
Identification of Affective Learning, Affective Aspect, and Measuring Tools Used in Nursing Education: a Systematic Review Haryani, Ani; Gayatri, Dewi; Novieastari, Enie; Nuraini, Tuti; Sulistyowati, Dita
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2662

Abstract

Attitude is one of the domains in the competence of nurses. Attitudes are formed through internalizing learning experiences related to how students feel when they learn. Affective Learning refers to learning that enriches emotions, belief systems, and professional values. In nursing education, the attitude aspect is often the goal of learning but is not followed by learning strategies and evaluations to achieve these learning goals. The research aims to identify effective learning strategies and measure tools used to identify changes from the affective skills or affective aspect studied. A systematic review using electronic literature databases published from year 2012 until 2022. Scopus Search, Clinical Key Nursing, ProQuest, Ebscohost, SAGE Journals, and Science Direct. The research design criteria are randomized control trials and quasi-experimental studies. Eligibility assessment by conducting a critical appraisal using tools from the Joanna Briggs Institute critical appraisal. 15 articles met the criteria, consisting of five Randomized Control Trial research articles, and 10 Quasi-experimental articles. The results of a systematic review show that Simulations using standardized patients and reflective practice are learning methods that are often used. Empathy is the most researched affective aspect followed by communication, self-efficacy, and self-confidence. Empathy as the most affective aspect studied was measured using The Jefferson Empathy Scale. Learning interventions aimed to improve an affective aspect of nursing students are not single, but integrate various learning methods. This is also influenced by the affective aspect developed in learning, which is not a single aspect, and uses several measuring tools to assess its development.
Effectiveness of Music Therapy on Anxiety Levels and Sleep Quality in Cancer Patients: A Systematic Review Sitorus, Kristiani; Novieastari, Enie; Gayatri, Dewi; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3227

Abstract

Cancer is a major global cause of death Cancer patients have a great sense of anxiety about their illness, which has an impact on their sleep quality. Music therapy intervention is one of the non-pharmacological therapies that can be given to cancer patients. It is important to identify the effectiveness of music therapy in reducing anxiety and improving sleep quality in cancer patients. Method: Journals and articles were searched using five databases ProQuest, EBSCOHost, Pubmed, ScienceDirect, and Sage Journal. The author selected several relevant journals and articles from 2010 to 2023. The results of the search of 11 articles found that music therapy interventions proved effective in reducing the stress levels of cancer patients. Music therapy can also improve the sleep quality of cancer patients. Music therapy is effective in reducing anxiety and improving the quality of sleep of cancer patients.
Modified Mindfulness-Based Stress Reduction (MBSR) Therapy to Reduce Psychological Distress in Chronic Kidney Disease (CKD) Patients on Haemodialysis (HD) Arsyi, Dila Nurul; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3694

Abstract

Chronic Kidney Disease (CKD), is a disease with high mortality and mortality, so it requires lifelong hemodialysis (HD) management, this will trigger psychological distress which increases the risk of worsening in CKD. So, it is necessary to give non-pharmacological therapies, one of which is a modification of Mindfulness-Based Stress Reduction (MBSR) Therapy. Objective: The purpose of this study was to determine the effect of MBSR therapy modification on psychological distress in CKD patients. Method: Quasi-experiment with pretest-posttest control group approach. A population of 44 respondents with a sample of 29 respondents using a simple random sampling technique. Measurement of psychological distress variables using the Kessler Pshycological Distress Scale-10 (K-10). MBSR modification therapy intervention has 4 sessions in one treatment, applied 7 days with a total duration of 30 minutes. Data analysis using paired t-test and independent t-test. Results: The results showed that the mean scores of Psychological Distress intervention group (21.7 (pre-test); 17.1 (post-test)), control group (18.8 (pre-test); 18.5 (post-test)). There were differences in mean psychological distress scores between the intervention and control groups (MD=4.38, t=5.92 (95%CI, 2.81; 5.95), p < 0.001, d=2.22). Conclusions: MBSR modification therapy can be used to reduce psychological distress in patients.
Pengaruh Cognitive Behaviour Therapy (CBT) terhadap Pasien Gagal Ginjal Kronik di Unit Hemodialisa Rumah Sakit Husada Jakarta Setyaningsih, Tri; Mustikasari, Mustikasari; Nuraini, Tuti
Jurnal Kesehatan Holistic Vol. 2 No. 1 (2018): Jurnal Kesehatan Holistic Volume 2/Nomor 1/Januari 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.04 KB) | DOI: 10.33377/jkh.v2i1.33

Abstract

Chronic renal failure (GGK) or end-stage renal disease (PGTA), is one of the major diseases in the world. In addition to difficult to cure because it is irreversible can also cause psychososil disorders. This research was conducted on 27 respondents, using quasi experimental design pre-post test without control group. The results showed that there was a significant effect of CBT therapy on self-esteem level both cognitive and behavioral in patients with CRF (p value <0,000) and the opportunity to increase self-esteem in terms of behavior with CBT therapy was 43,9%. The conclusion of this study is that CBT therapy can improve the self-esteem of GGK patients undergoing hemodialysis therapy in he Husbandry Hemodialysis unit Jakarta.
Stigma and discrimination against breast cancer survivors in Indonesia: an interpretive phenomenology study Tisnasari, Ida Ayu Made Ari Santi; Nuraini, Tuti; Afiyanti, Yati
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.39448

Abstract

Introduction: Breast cancer is the most common malignancy in women worldwide. Breast cancer and its treatment have a direct impact on all aspects of a woman's life, as well as on breast cancer survivors, thereby affecting the fulfillment of her needs. The purpose of the study is to explore stigma and discrimination against breast cancer sufferers. Methods: This study uses a qualitative method of interpretive phenomenology. Semi-structured interviews were purposively conducted from March to June 2022 with 14 women breast cancer survivors. Results: The three themes identified in this study include: a short duration of survival, being labeled as a suffering person, and social discrimination. Conclusions: Breast cancer survivors experienced stigma regarding their cancer diagnosis. Thus, highlighting the rising need of health professionals' intervention in resolving and adapting to stigma and discrimination regarding breast cancer diagnosis in Indonesia.
Cognitive Behavioral Therapy (CBT-I) Terhadap Kualitas Tidur Pasien Gagal Ginjal Yang Menjalani Hemodialisis Lakoro, Danny Des Kartyko; Natashia, Dhea; Gayatri, Dewi; Irawati, Diana; Jumaiyah, Wati; Nuraini, Tuti
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.15079

Abstract

ABSTRACT Hemodialysis can cause multi-component impacts such as fatigue, pain, restless legs syndrome, anxiety and depression which can cause sleep disturbances resulting in decreased sleep quality. CBT-I is a multi-component therapy that can overcome sleep problems caused by many factors. The purpose of this study was to determine the effect of CBT-I on sleep quality. The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 90 respondents with a sample size of 30 respondents using purposive sampling technique. Measurement sleep quality using pittsburgh sleep quality index (PSQI). Data analysis was performed using paired t-test and Repeated Measures ANOVA. The results showed that the average value of sleep quality before the intervention on the 1st measurement was 15.00 (±2.262), on the 2nd measurement after the intervention was 13.23 (±2.674) and the 3rd measurement was 10.23 (2.991). These findings explain cognitive behavioral insomnia (CBT-i) has a significant impact on improving sleep quality (P = 0.00). Multivariate analysis results showed the effect of time on sleep quality improvement scores (F(2, 58) = 349.493, p-value 0.000, partial eta squared = 0.959). It was also found that fatigue, pain, restless legs syndrome, anxiety and depression scores decreased. The results of this study can be used as a non-pharmacological treatment to improve sleep quality independently. Keywords: Cognitive Behavioral Therapy Insomnia, Fatigue, Sleep Quality, Hemodialysis.  ABSTRAK Hemodialisis dapat menimbulkan dampak multi komponen seperti kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi yang dapat menyebabkan gangguan tidur sehingga mengakibatkan penurunan kualitas tidur. CBT-I merupakan terapi multikomponen yang dapat mengatasi gangguan tidur yang disebabkan oleh banyak faktor. Tujuan penelitian ini adalah untuk mengetahui pengaruh CBT-I terhadap kualitas tidur. Metode penelitian yang digunakan adalah quasi eksperimen dengan pendekatan one group pretest-posttest tanpa pendekatan kelompok kontrol. Populasi sebanyak 90 responden dengan jumlah sampel sebanyak 30 responden dengan menggunakan teknik purposive sampling. Pengukuran kualitas tidur menggunakan pittsburgh sleep quality index (PSQI). Analisis data dilakukan dengan menggunakan uji t berpasangan dan Repeated Measures ANOVA. Hasil penelitian menunjukkan nilai rata-rata kualitas tidur sebelum intervensi pada pengukuran ke-1 sebesar 15,00 (±2,262), pada pengukuran ke-2 setelah intervensi sebesar 13,23 (±2,674) dan pada pengukuran ke-3 sebesar 10,23 (2,991). Temuan ini menjelaskan insomnia perilaku kognitif (CBT-i) mempunyai dampak signifikan terhadap peningkatan kualitas tidur (P = 0,00). Hasil analisis multivariat menunjukkan adanya pengaruh waktu terhadap skor peningkatan kualitas tidur (F(2,58) = 349,493, p-value 0,000, parsial eta squared = 0,959). Ditemukan juga bahwa skor kelelahan, nyeri, sindrom kaki gelisah, kecemasan dan depresi menurun. Hasil penelitian ini dapat digunakan sebagai pengobatan non farmakologi untuk meningkatkan kualitas tidur secara mandiri. Kata Kunci: Terapi Perilaku Kognitif Insomnia, Kelelahan, Kualitas Tidur, Hemodialisis.
Co-Authors Abd Rahman, La Ode Agung Waluyo Aini, Khusnul Allenidekania Allenidekania Andriyani, Yulia Ani Haryani, Ani Apriyani Apriyani Arofiati, Fitri Asna Dewi, Nani Astuty, Mazly Bella, Rosalinda Budi Anna Keliat Dewi Gayatri Dila Nurul Arsyi Dita Sulistyowati Djaswadi Dasuki Elly Nurachmah Enie Novieastari Fitri Haryanti Hanny Handiyani Hargiana, Giur Ida Yanti Indah Susilowati Irawati, Diana Isran, Isran Jumaiyah, Wati Krisna Yetti Lakoro, Danny Des Kartyko Lasut, Margareth Madarina Julia Merduaty, Rona Cahyantari Moh. Heri Kurniawan Muhammad Hadi Mustafidz, Mustafidz Mustikasari Mustikasari Natashia, Dhea Ningsih, Indarti Dwi Nuiva, Uun Nurlelasari Harahap Nursalam Nursalam Nursanti, Irna Prabawati, Dewi Pramestiyani, Mustika Prasestiyo, Hamudi Primayanthi, Anak Agung Ayu Emi Purnomo Purnomo Purwati, Nyimas Heny Putri, Yosie Susanti Eka Riri Maria Rr Tutik Sri Hariyati S., Chiyar Edison Sekarsari, Rita Sepang, Gledis Merry Sihombing, Ratna M. Sihwastuti, Sihwastuti Siregar, Ngolu Sitorus, Kristiani Sondang Manurung Sutarni , Nani Tintin Sukartini Sukartini, Tintin Sukartini Tisnasari, Ida Ayu Made Ari Santi Tri Setyaningsih Wahyu Hidayati Wardhani, Cynthia Tri Wibawa, Shinta Restu Yanny Trisyani Yati Afiyanti Yeni Rustina Yossie Susanti Eka Putri Yuli Utami