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Empowering Pediatric Nurses in Non-Pharmacological Pain Management through Supportive-Educative Nursing Interventions at Islamic Hospital Jakarta Cempaka Putih Nyimas Heny Purwati; Dhea Natashia; Syamikar Baridwan Syamsir
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 11 (2023): Volume 6 No 11 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i11.12204

Abstract

ABSTRAK Manajemen nyeri non-farmakologis pada anak merupakan komponen penting dalam perawatan pediatrik yang membutuhkan pengetahuan, sikap, dan keterampilan perawat yang kompeten. Namun, perawat anak sering menghadapi kendala dalam memahami metode-manajemen nyeri non-farmakologis. Oleh karena itu, Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk mengevaluasi efektivitas program Supportive-Educative Nursing Interventions dalam meningkatkan perilaku perawat anak dalam menerapkan manajemen nyeri non-farmakologis. Kegiatan PkM melibatkan 15 perawat anak di Rumah Sakit Islam Jakarta Cempaka Putih dan terdiri dari lima sesi, termasuk brainstorming, edukasi kesehatan, pemutaran video, praktik kompres dingin, dan sesi diskusi. Analisis data menggunakan metode analisis kuantitatif dan kualitatif sederhana. Hasil PkM menunjukkan peningkatan signifikan dalam pengetahuan, sikap, dan keterampilan perawat anak dalam manajemen nyeri non-farmakologis pada anak. Temuan ini menegaskan pentingnya pendekatan pendidikan dan pelatihan dalam meningkatkan kualitas perawatan anak di lingkungan rumah sakit. Kata Kunci: Manajemen Nyeri Non-Farmakologis, Perawat Anak, Supportive-Educative Nursing Interventions  ABSTRACT Non-pharmacological pain management in children is a crucial component of pediatric care that requires competent nurses to possess knowledge, attitude, and skills. However, pediatric nurses often face challenges due to inadequate understanding of non-pharmacological pain management methods. Therefore, this Community Service Activity (CSA) aims to evaluate the effectiveness of the Supportive-Educative Nursing Interventions program in improving the behavior of pediatric nurses in implementing non-pharmacological pain management. The CSA involved 15 pediatric nurses at Jakarta Cempaka Putih Islamic Hospital and consisted of five sessions, including brainstorming, health education, video presentations, cold compress practice, and discussion sessions. Data analysis was conducted using simple quantitative and qualitative methods. The results of the CSA showed a significant increase in the knowledge, attitude, and skills of pediatric nurses in non-pharmacological pain management in children. These findings emphasize the crucial role of educational and training approaches in enhancing the quality of pediatric care in a hospital setting. Keywords: Non-pharmacological pain management; Pediatric nurses; Supportive-educative nursing interventions
HUBUNGAN ANTARA DURASI PENYAKIT, FREKUENSI HOSPITALISASI DAN TINGKAT KEPARAHAN GEJALA DENGAN KEJADIAN PUTUS OBAT PADA PASIEN DENGAN GANGGUAN JIWA Dian Fitria; Dhea Natashia; Tri Setyaningsih; Veronica Yeni
Husada Mahakam Vol 13 No 1 (2023): Mei 2023
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/hmjk.v13i1.400

Abstract

Psychological disorders are one of the chronic diseases that decrease patients' productivity and require long-term care and treatment. During the treatment process, patients often experience relapses due to the length of the treatment. One of the factors that can trigger relapse is medication discontinuation. Therefore, through this study, the researcher aims to obtain an overview of patients with mental disorders and relapse occurrences, as well as to determine the impact of medication discontinuation on the duration of mental illness, frequency of hospitalization, and severity of symptoms during relapse. This study is cross-sectional study involving 108 respondents. The analysis in this study utilized descriptive analysis and bivariate analysis using independent t-test. The results of this study indicate that one of the reasons family members bring patients to the hospital is the emergence of anger symptoms (26.1%), with medication discontinuation due to lack of patient medication adherence support being another common reason (23.5%). The research also shows a correlation between the duration of mental illness, frequency of hospitalization, severity of symptoms, and medication discontinuation in patients with mental disorders. Based on these findings, the involvement of family and effective discharge planning is crucial in reducing relapse rates and promoting rehabilitation towards independent and productive patient outcomes.
Efektifitas Terapi Cermin Terhadap Peningkatan Fungsi Motorik Ekstremitas Atas Pada Pasien Stroke - Systematic Review Aprianto Guntur Irawan; Nurhayati Khaier; Kartini Kafiana R; Fira Awanis Hazrina; Dhea Natashia
Jurnal Riset Media Keperawatan Vol. 7 No. 1 (2024): JUNI
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jrmk.v7i1.469

Abstract

Latar Belakang: Kejadian stroke meningkat secara global dan menjadi penyebab ketiga dari kecacatan. Kerusakan akibat stroke seringkali menyebabkan gangguan motorik, sehingga sejumlah besar penderita stroke mengalami gangguan berkelanjutan pada anggota tubuh atas. Mengingat pentingnya fungsi anggota tubuh atas dalam aktivitas sehari-hari, perlu dilakukan penelitian terkait terapi neurorehabilitasi yang dapat meningkatkan fungsi anggota tubuh atas. Terapi Cermin (Mirror Therapy) sebagai teknik rehabilitasi yang relatif baru telah banyak diterapkan pada pasien stroke. Tujuan: Review sistematis ini bertujuan untuk meninjau dan mensintesis bukti klinis tentang penerapan terapi cermin pada pemulihan motorik anggota tubuh atas pada pasien stroke. Metode: Tiga basis data digunakan, yaitu PubMed, Cochrane, dan ProQuest untuk mencari literatur terkait terapi cermin dan pasca stroke. Kriteria inklusi yang digunakan adalah publikasi pada tahun 2016 hingga 2023, artikel berbahasa Inggris dan teks penuh, serta penelitian RCT atau studi eksperimental berdasarkan judul. Hasil: Dari total 5 artikel yang diperoleh dari sintesis menggunakan metode PRISMA yang telah direview secara sistematis dan dinilai kualitasnya, terdiri dari 3 artikel RCT dan 2 artikel studi eksperimental. Hasil dari semua penelitian menunjukkan bahwa kekuatan otot dan fungsi motorik pada pasien pasca stroke setelah diberikan intervensi terapi cermin mengalami peningkatan pada fungsi motorik anggota tubuh atas yang mengalami hemiparesis, dengan demikian meningkatkan kemandirian aktivitas sehari-hari pada pasien. Diskusi: Review sistematis ini memberikan bukti bahwa efek terapi cermin pada pasien pasca stroke dalam meningkatkan pemulihan fungsi motorik anggota tubuh atas selama rehabilitasi efektif sebagai terapi tambahan untuk pasien yang menjalani rehabilitasi pasca stroke standar.  
Slow Deep Breathing dan Alternate Nostril Breathing terhadap Penurunan Tekanan Darah pada Pasien Hipertensi Faradilla Miftah Suranata; Agung Waluyo; Wati Jumaiyah; Dhea Natashia
Jurnal Keperawatan Silampari Vol 2 No 2 (2019): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (669.643 KB) | DOI: 10.31539/jks.v2i2.702

Abstract

The purpose of this study is to determine the effectiveness of slow deep breathing and alternate nostril breathing on reducing blood pressure in patients with hypertension. This study uses a quasi-experimental design with a pretest-posttest group design approach. Friedman test results showed that there were differences in systolic blood pressure (x2 = 34.09; p <0.001) and diastolic (x2 = 28.74; p <0.001) in the slow deep breathing intervention group. Based on the post hoc test, measurements from time to time obtained p values ​​(p = 0.001) for both systolic and diastolic blood pressure. Meanwhile there were differences in blood pressure in the alternate nostril systolic breathing group (x2 = 15.50; p <0.001), diastolic (x2 = 17.18; p <0.001). Post hoc test found a significant decrease in systolic and diastolic blood pressure from each measurement time during the intervention period with p values ​​0.005 and 0.025, respectively. Conclusion, in this study that slow deep breathing is much more effective in reducing blood pressure in hypertensive patients. Keywords: Alternate Nostril Breathing, Hypertension, Decreased Blood Pressure, Slow Deep Breathing
Stimulasi Auditori Menggunakan Murottal terhadap Vital Signs Pasien Stroke Fase Akut Irman Irman; Dhea Natashia; Dewi Gayatri
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.603 KB) | DOI: 10.31539/jks.v4i2.1926

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This study aims to determine the effect of auditory stimulus therapy using murotal on changes in vital signs in acute phase stroke patients. This research is a Randomized Controlled Trial (RCT) with the single-blind method and parallel design without matching. The results of statistical tests using the T-test to determine the difference in the mean decrease in the five vital signs showed that there was a decrease in the average pain scale, blood pressure, and heart rate in the intervention group, which was more significant than the control group (p-value < 0,05). In conclusion, auditory stimulation therapy using murotal significantly reduces pain scale, blood pressure, and heart rate in acute phase stroke patients. Keywords: Murotal, Auditory Stimulation, Acute Phase Stroke, TTV
Intervensi Back Massage Aromaterapi terhadap Kualitas Tidur pada Pasien Diabetes Mellitus Type 2 Ahmad Syaripudin; Dhea Natashia; Dewi Gayatri
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.957 KB) | DOI: 10.31539/jks.v4i2.1930

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This study aims to determine the effectiveness of aromatherapy back massage interventions on patients' sleep quality with type 2 diabetes mellitus. Methods This study was a randomized controlled trial. The results of this study obtained the mean value for the control group before the intervention was 4.77. After the intervention, the mean value was 5.17, which means the level of sleep quality was poor. In the intervention group, the mean value was 5.03 before the intervention, while after the intervention, the mean value was 4.30, which means an increase in sleep quality. Good. The difference in scoring between the control group's sleep quality is 1.17. The intervention group is 2.47 with a P-value of 0.001 (α <0.05), which means a significant difference in the average score of sleep quality between the control group and the intervention group. In conclusion, aromatherapy back massage intervention can significantly improve sleep quality in patients with type 2 diabetes mellitus. Keywords: Aromatherapy Back Massage, Diabetes Mellitus Type 2, Sleep Quality
Cold Compress to Reduce Pain During Invasive Procedures: Systematic Review Samran, Samran; Esti Mulyawanti; Alverdo Yusufa; Syahrir Aprizal; Titin Suhaeni; Dhea Natashia
HealthCare Nursing Journal Vol. 7 No. 1 (2025): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i1.6234

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Pain is one of the common effects experienced by children during invasive procedures, such as infusion, injection, blood sampling, and others. Cold compresses are a non-pharmacological method believed to be effective in reducing pain in children prior to invasive procedures. The purpose this systematic review aims to evaluate the effectiveness of cold compresses in reducing pain in children during invasive procedures. The study adopts a systematic review approach following the PRISMA guidelines. The synthesized articles were selected based on Randomized Controlled Trials (RCT) designs and met the inclusion criteria, namely children aged 0–18 years undergoing invasive procedures. Articles were sourced from PubMed, Cochrane, and ProQuest. The collected data included population, intervention, comparison, and outcomes measured using the Visual Analog Scale (VAS) and FLACC.  A review of three articles showed that cold compresses significantly reduced pain intensity in children before invasive procedures. Data analysis using a random-effects model of secondary trial data revealed a mean difference in pain intensity of 0.34 (95% confidence interval: [-0.76, -0.33]), assessed using VAS and FLACC scores. Cold compresses are proven effective in reducing pain intensity in children before invasive procedures. Further studies are needed to explore the influence of other variables, such as the type of procedure and the duration of application
Efektivitas Aromaterapi Untuk Menurunkan Nyeri Pasien Pasca Pembedahan: A Systematic Review Suci Dewi Utami; Nendra Bagus Pamungkas; Anih Kurnia; Ade Asrianti; Sendy Pratama; Dhea Natashia
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.v5i3.4463

Abstract

Latar Belakang: Nyeri pasca pembedahan adalah salah satu masalah utama yang dapat memperpanjang perawatan pasien dan meningkatkan biaya. Aromaterapi telah diidentifikasi sebagai intervensi non-farmakologi potensial untuk mengurangi nyeri dengan efek samping minimal. Namun, efektivitasnya masih memerlukan evaluasi lebih lanjut melalui tinjauan sistematis. Tujuan: Mengevaluasi efektivitas aromaterapi dalam menurunkan nyeri pasien pasca pembedahan, mengidentifikasi metode aplikasi yang paling efektif, serta memahami mekanisme kerjanya. Metode: Systematic review dilakukan dengan pendekatan PRISMA, menggunakan basis data PubMed, ProQuest, dan Cochrane. Artikel terpilih adalah Randomized Controlled Trials (RCT) yang diterbitkan dalam rentang 2015-2025. Kualitas artikel dinilai menggunakan JBI dan risiko bias menggunakan RoB 2. Hasil: Sebanyak enam artikel dengan total 414 pasien dianalisis. Metode yang paling efektif adalah kombinasi minyak esensial lavender, ylang-ylang, marjoram, dan neroli yang dihirup selama dua hari pasca pembedahan. Aromaterapi ini terbukti menurunkan intensitas nyeri secara signifikan dengan mekanisme kerja melalui sistem limbik yang mengatur emosi dan persepsi nyeri. Kesimpulan: Aromaterapi efektif sebagai intervensi non-farmakologi dalam menurunkan nyeri pasca pembedahan, terutama bila menggunakan kombinasi minyak esensial tertentu. Intervensi ini dapat mengurangi kebutuhan analgesik tambahan dan meningkatkan kenyamanan pasien
Efektivitas Family Centered Care Terhadap Kadar Glukosa Darah Dan HBA1C Pada Anak Dengan DM Tipe 1: Tinjauan Sistematis Dan Meta-Analisis Suci Dewi Utami; Ika Novika; Yesa Junita Sari; Kartika Alifah; Nuryati; Yuke Liza Fitri Dhadila; Tazkiah Aulia; Elmi Susanti; Nyimas Heny Purwati; Dhea Natashia
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.v5i3.4464

Abstract

Latar Belakang: Diabetes Mellitus tipe 1 (DM tipe 1) merupakan penyakit kronis yang memerlukan manajemen yang kompleks. Pada anak, dukungan keluarga sangat penting untuk meningkatkan kontrol glikemik dan mencegah komplikasi. Pendekatan family-centered care (FCC) diyakini efektif untuk meningkatkan keterlibatan keluarga dalam pengelolaan diabetes anak. Tujuan: Mengidentifikasi dan mengevaluasi efektivitas intervensi berbasis keluarga terhadap kadar glukosa darah dan HbA1c pada anak dengan DM tipe 1. Metode: Systematic review dan meta-analisis dilakukan sesuai pedoman PRISMA. Pencarian artikel dilakukan melalui PubMed, ProQuest, dan ScienceDirect menggunakan kata kunci MeSH. Artikel yang disertakan merupakan randomized controlled trial (RCT) yang melibatkan anak dengan DM tipe 1, melaporkan hasil kadar glukosa darah dan HbA1c, serta menggunakan intervensi berbasis keluarga. Hasil: Dari 1.862 artikel yang diidentifikasi, enam memenuhi kriteria inklusi. Intervensi berbasis keluarga secara signifikan menurunkan kadar HbA1c (p < 0.05) dan kadar gula darah puasa dibandingkan perawatan rutin. Beberapa model efektif yang ditemukan termasuk family-centered empowerment model, edukasi keluarga intensif, dan intervensi berbasis web. Kesimpulan: Intervensi berbasis keluarga terbukti efektif meningkatkan kontrol glikemik anak dengan DM tipe 1. Penerapan FCC perlu diintegrasikan dalam praktik keperawatan anak untuk mendukung manajemen jangka panjang dan meningkatkan kualitas hidup pasien serta keluarga.
THE EFFECTIVENESS OF ISOMETRIC HANDGRIP AND WALKING EXERCISES ON BLOOD PRESSURE IN ELDERLY PATIENTS WITH HYPERTENSION Rahmawati, Erni; Lily Herlinah; Nurhayati; Dhea Natashia; Syamsul Anwar
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.6981

Abstract

Hypertension in the elderly is one of the global health challenges with a high prevalence. This study aims to evaluate the effectiveness of isometric handgrip exercise and walking exercise in reducing blood pressure in the elderly with hypertension. The research method used a quasi-experimental design with three intervention groups: (1) isometric handgrip exercise, (2) walking exercise, and (3) a combination of both. A total of 36 elderly were randomly selected and equally divided into the three groups. The intervention was conducted for eight weeks with analysis using Shapiro Wilk test, One Way Anova and Wilcoxon Test The results showed that the isometric handgrip and combination exercise groups had a significant decrease in systolic and diastolic blood pressure (p<0.05). Meanwhile, walking exercise also had a positive effect, although not significant in all weeks of evaluation. The combination of both interventions showed the most optimal results, especially at weeks 5 and 8. This study concludes that isometric handgrip exercise and its combination with walking exercise are effective for lowering blood pressure in elderly with hypertension. It is recommended that this intervention be applied as a non-pharmacological therapy in elderly health services, with assistance by health workers to improve compliance and effectiveness of the program.