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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.
Analysis Of The Application Of Merle H. Mishel's Theory: Uncertainty In Illness Theory In Patients With Colon Cancer Cases Amami Amami; Irna Nursanti
The Journal General Health and Pharmaceutical Sciences Research Vol. 2 No. 1 (2024): March : The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v2i1.156

Abstract

Introduction: Mishel's Theory of Uncertainty in Illness offers insights into how patients navigate uncertainty in health contexts. This study examines its application in individuals with colon cancer.Methods: Literature review and case study analysis were employed to explore Mishel's theory's relevance in colon cancer care.Results: Mishel's theory provides a framework for understanding and addressing uncertainty among colon cancer patients. Nursing interventions focusing on education, social support, and coping strategies facilitate patient adaptation.Conclusion: Mishel's Theory of Uncertainty in Illness enhances nursing practice by guiding interventions tailored to address uncertainty in colon cancer patients. Integrating this framework fosters patient understanding and coping, ultimately improving quality of care and patient outcomes.
Nursing Care for Type 2 Diabetes Mellitus Patients Based on Nola J. Pender's Health Promotion Model: A Case Report Danur Azissah Roesliana Sofais; Irna Nursanti
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.993

Abstract

Type 2 Diabetes Mellitus (T2DM) is a global health burden with increasing prevalence. Persistent hyperglycemia can lead to both microvascular and macrovascular complications. The patient's adherence to therapy, especially lifestyle modifications (diet and physical activity), is the main determinant of treatment success. The purpose of this case report is to analyze the basic concepts, key components, and application of the Nola J. Pender Health Promotion Model in the nursing practice of Type 2 Diabetes Mellitus. This study employed a descriptive case report design. Data were collected through comprehensive nursing assessment, including patient interviews, physical examinations, anthropometric measurements, laboratory results, and review of medical records. Data analysis was conducted using a theory-based approach by systematically mapping patient data to the components of Nola J. Pender’s Health Promotion Model. The analysis showed that the Health Promotion Model effectively guided nursing interventions to promote positive health behaviors, such as physical activity, balanced nutrition, medication adherence, and stress management. This model provides a comprehensive framework that considers personal, interpersonal, and situational factors in the formation of health behaviors. Nola J. Pender's Health Promotion Model provides systematic guidance for nurses to identify factors influencing health behaviors and design holistic, client-centered interventions.
The Effect of Back and Hand Massage Intervention on Pain in Patients Post-Cardiac Catheterization Fazarudin Fazarudin; Irna Nursanti; Wati Jumaiyah; Dhea Natashia; Ii ismail
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.1194

Abstract

Cardiac catheterization is an invasive procedure that involves the insertion of one or more catheters into the heart and certain blood vessels to visualize the heart chambers, valves, great vessels, and coronary arteries. Prolonged immobilization in patients after cardiac catheterization can cause complications, one of them is back pain. The nursing intervention in this study was back and hand massage. This study aims to determine the effectiveness of back and hand massage interventions on pain in patients after cardiac catheterization. This study used a quasi-experimental method with a pre-test and post-test design, with an intervention group and a control group design. The sampling technique used purposive sampling. The sample size was 36 patients who had cardiac catheterization, calculated using the Federer formula. The intervention group received a total of 20 minutes of massage therapy: 10 minutes of back massage, 10 minutes of hand massage, the first period was carried out after the sheath was removed, and the second period was carried out after the elastic bandage was removed. The data analysis technique used multivariate with the Generalized Linear Model (GLM) Repeated Measures (RM) method. The results showed that back and hand massage had an effect on pain in post-cardiac catheterization patients, with a P value of 0.000. This indicates decreasing a pain scores after the intervention. Multivariate testing indicated that previous experience with catheterization pain influenced pain in post-catheterization patients. Back and hand massage intervention is expected to be an alternative supportive intervention, especially in post-catheterization patients, in reducing pain.
Model Konsep Teori Keperawatan Hildegard Elizabeth Peplau pada Celulitis Ante Brachii Osteomielitis dan DM II Kurniati Kurniati; Irna Nursanti
Journal of Telenursing (JOTING) Vol. 8 No. 1 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/mymb7244

Abstract

This study aims to analyze the application of Hildegard E. Peplau's Nursing Model Theory in the nursing care of patients with Cellulitis Ante Brachii Osteomyelitis and Diabetes II, where patients experience not only anxiety but also other physical problems such as pain and unstable blood sugar levels. The research method used a qualitative approach by conducting case studies on patients. The results showed that nurses who apply Peplau's theory by implementing therapeutic communication in building interpersonal relationships with patients can overcome anxiety and physical problems experienced by patients. Nurses and patients develop emotionally through four stages of the relationship: orientation, identification, exploitation, and termination. Each stage describes a mutually reinforcing and flexible relationship with intervention options tailored to SIKI and SLKI. In conclusion, this contributes to the development of understanding of the application of Peplau's theory in nursing care, which not only focuses on emotional issues such as anxiety but can also be modified to address other physical and health problems holistically. Keywords: Hildegard Peplau, Interpersonal Relationships, Nursing Theory
Konsep Model Keperawatan Berdasarkan Self Transcendence Theory Pamela G. Reed : Penelitian Wanda Yuni Putri; Irna Nursanti
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 3 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 3 (Januari 202
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i3.4676

Abstract

Makalah ini membahas teori dan model konseptual keperawatan yang dikembangkan oleh Pamela G. Reed yaitu Self-Transcendence Theory. Teori transendensi diri memiliki 3 konsep utama dan 2 konsep tambahan. Tiga konsep utama yaitu vulnerability (kerentanan), self transcendence (transendensi diri) dan well-being (kesejahteraan). Sedangkan 2 konsep tambahan yaitu moderating mediating factors (faktor-faktor yang mempengaruhi proses transendensi diri yang dapat mempengaruhi hubungan antara vulnerability dengan self-transcendence dan antara self-transcendence dengan well-being) dan point of intervention (tindakan keperawatan yang memfasilitasi self-transcendence). Teori ini menjelaskan bahwa individu yang mengalami kerentanan (vulnerability) akibat penyakit, penuaan, atau krisis kehidupan dapat mencapai kesejahteraan dengan memperluas kesadaran diri melampaui batas-batas personal, sosial, dan spiritual. Dalam konteks keperawatan, perawat berperan sebagai fasilitator untuk membantu klien menemukan makna positif, memperkuat dimensi spiritual, dan mencapai keseimbangan emosional. Makalah ini juga mengaitkan teori Reed dengan paradigma keperawatan yang meliputi manusia, lingkungan, kesehatan, dan keperawatan. Penerapan teori dijelaskan melalui studi kasus pasien dengan Ca buccal stadium lanjut, di mana intervensi keperawatan dilakukan untuk mengatasi isolasi sosial, gangguan citra tubuh, ansietas, dan proses berduka menggunakan pendekatan spiritual dan humanistik. Analisis menunjukkan bahwa teori ini memiliki kekuatan dalam penerapan pada masalah psikososial dan spiritual pasien, meskipun memiliki keterbatasan dalam menjelaskan variabel secara konkret dan aplikasi pada kasus fisik kompleks.
KONSEP TEORI IMOGENE M. KING DAN MENGAPLIKASIKAN DALAM KASUS KEPERAWATAN Abdilah Septiana Putri; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1064

Abstract

King uses a systems approach in developing conceptual systems and middle-range theory, namely the theory of goal achievement. King notes that “several scientists who have studied systems have noted that the only way to study humans interacting with the environment is to devise a conceptual framework of interdependent variables and interrelated concepts. King views humans as an open system that interacts with the environment, allowing objects, energy and information to freely influence it. In its conceptual framework, it includes three dynamic systems of interaction as individuals are called personal systems, when these individuals unite in groups it is called interpersonal systems. To deal with the problem of the patient's anxiety level, the nurse should explain the definition of the patient's illness, the risk factors that cause MCI in the patient, what examinations the patient should carry out, management and treatment for the patient. The nursing diagnosis of a knowledge deficit will decrease or decrease if the nurse has provided an explanation to the patient regarding the disease and how to treat it so that the patient no longer experiences a knowledge deficit. King's theory can describe a mutualistic relationship within a health team to achieve nursing care goals, where the individuals involved are also decision makers. It still covers a broad (general) scope, so its interpretation or application requires a clear understanding of the concept.
PENGAPLIKASIAN TEORI KATHERINE KOLCABA PADA KASUS KEPERAWATAN Depira Elza Nada; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1065

Abstract

The main concept of comfort theory is to assess the taxonomic structure between three comforts associated with four comfort experiences. One of the practical theories that supports the development of humidity both in the development of science and in practice is the comfort theory model developed by Katharine Kolcaba. In Kolcaba's perspective, relief (freedom), ease (calmness), transcendence (happiness) are indicators of providing holistic comfort (Wilson & Kolcaba, 2004). This theory provides a useful framework for improving patient comfort by helping to guide comprehensive intervention for not only physical discomfort, but also emotional or psychological discomfort. According to (Kolcaba, 2001) that patients strive to meet their comfort needs, and a comfort theoretical framework can assist nurses in assessing various comfort needs in "the context in which comfort occurs".
MODEL KONSEP TEORI ADAPTASI CALLISTA ROY PADA ASUHAN KEPERAWATAN DENGAN ANOREXIA NERVOSA Dayang Laily; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1066

Abstract

This paper aims to explore the application of Callista Roy's adaptation model theory in nursing care for Anorexia Nervosa patients. Anorexia Nervosa is a complex eating disorder with serious impacts on an individual's physical and mental health. Roy's adaptation model has a basic concept that includes four modes of adaptation, namely physiological, self-concept, social role, and interdependence. In the physiological mode, interventions focus on monitoring weight, nutrition, and optimal body function. The self-concept mode emphasizes developing self-esteem and body acceptance. Social roles are maintained through a therapeutic approach that supports positive social interactions. Additionally, interdependence is explored by involving the patient's family and social network in the healing process. By applying Callista Roy's adaptation model theory, nursing care for Anorexia Nervosa patients can become more holistic and integrated. An in-depth understanding of the four modes of adaptation provides a strong foundation for addressing the complex challenges faced by Anorexia Nervosa patients. The practical implication of this paper is the development of nursing care guidelines that are more specific and focused on the unique needs of Anorexia Nervosa patients, while still paying attention to the basic principles of Roy's adaptation model theory.
PENGAPLIKASIAN TEORI IMOGENE M. KING PADA KASUS KEPERAWATAN Hesti Rahayu; Irna Nursanti
Nusantara Hasana Journal Vol. 3 No. 8 (2024): Nusantara Hasana Journal, January 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i8.1067

Abstract

There are many nursing theories about the nurse-patient relationship, one of the most important is Imogene King's Theory of Goal Attaintment. The theory of relationship-based nursing is Imogene King's Theory of Goal Attaintment. Imogene King's Theory of Goal Attaintment is based on shared perceptions between nurses and patients and facilitates patient- and family-centered care. Imogene M. King put forward her theory that humans have three parts in their lives, namely the interaction of personal, interpersonal and social systems which form individual relationships with other individuals to maintain positive adaptation to their environment. The sub-mains of the interpersonal system include communication, interaction, where this process involves reciprocal relationships between one individual and another individual so that a transaction is formed. In the case of patients who need to install a pace maker to achieve a transaction, the same perception is needed between the nurse and the client. This case is suitable for the application of Imogene King's Theory of Goal Attainment in implementing nursing care.