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Penerapan Konsep Teori Model Betty Neuman Pada Asuhan Keperawatan Dengan Hospitalisasi Pada Anak di Rumah Sakit Agus Khusaeni; Irna Nursanti
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 3 No. 3 (2024): September : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2774

Abstract

Hospitalization is a situation where a child is required to stay and be in the hospital in a planned manner to receive care and treatment from the time he is admitted to the hospital until the child is allowed to go home again. Hospitalization is considered an event that can be stressful for children. One of the impacts of hospitalization on children is anxiety. Anxiety is a general term for hormonal changes that occur in response to threatening or frightening events or conditions, which can inhibit children's behavior, cognitive capacity, and emotional and physical health. More persistent frightening and threatening situations are more frequently experienced by children. The general aim of this case study is to implement the application of the concept of the Betty Neuman model theory to nursing care with hospitalization of children in hospitals. The research method in this case study involves the application of a nursing process approach method based on the selected nursing theory. Data collection techniques were carried out through interviews, observation, physical examination, and implementation of nursing care. The data sources used involve primary data obtained directly from patients, and secondary data originating from families, health workers, as well as documentation of other examination results to carry out nursing care. The results of nursing care by applying the Betty Neuman model theory to nursing care with hospitalization of children in hospitals are that anxiety related to hospitalization of children improves and ineffective coping related to inadequate preparation for stressors experienced by children also improves.
Efek pemberian aromaterapi lemon terhadap kejadian early post-operative nausea and vomiting (PONV) herniated nucleus pulposus dengan general anestesi Chairil Anwar; Irna Nursanti; Wati Jumaiyah; Dhea Natashia; Mira Rosmiatin
Hik Vol. 20 No. 3 (2026): Volume 20 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i3.3203

Abstract

Background: Postoperative nausea and vomiting (PONV) is a complication that can occur within 0–2 hours after surgery (early PONV). The incidence of PONV is influenced by patient factors, such as age, gender, smoking status, and history of motion sickness. A non-pharmacological approach using lemon aromatherapy is a promising complementary intervention alternative. Purpose: To evaluate the effect of lemon aromatherapy on the incidence of early postoperative nausea and vomiting (PONV) in patients with nucleus pulposus herniation under general anesthesia. Method: This study used a quasi-experimental design with a pretest-posttest control group design. The study population was patients undergoing nucleus pulposus herniation surgery under general anesthesia at Mayapada Hospital, Kuningan, South Jakarta, in the Recovery Room (PACU). This study was conducted in November 2024. A sample of 34 participants (17 participants in the intervention group and 17 participants in the control group) was selected using purposive sampling. Statistical analysis of the data used univariate, bivariate (paired sample t-test), and multivariate (multiple linear regression) tests. Results: The intervention group showed a significant reduction in PONV scores (p = 0.038; t = 2.729 > t table 2.119). The post-test comparison between the two groups yielded highly significant results (p = 0.000). Multivariate analysis showed that gender (p = 0.011) and history of motion sickness (p = 0.017) were the most influential confounding variables (R² = 0.307). Conclusion: Lemon aromatherapy was proven effective in reducing the incidence of PONV in patients with HNP under general anesthesia. Gender and history of motion sickness were significant predictors. Lemon aromatherapy is recommended as a complementary non-pharmacological intervention in postoperative care. Suggestion: Further research is recommended to compare the effectiveness of lemon aromatherapy with other intervention methods in larger and more diverse samples.   Keywords: Early Postoperative Nausea and Vomiting (PONV); General Anesthesia; Herniated Nucleus Pulposus (HNP); Lemon Aromatherapy.   Pendahuluan: Post Operative Nausea and Vomiting (PONV) merupakan komplikasi yang dapat terjadi dalam 0–2 jam pasca operasi (early PONV). Insidensi PONV dipengaruhi faktor pasien, seperti usia, jenis kelamin, status merokok, dan riwayat mabuk perjalanan. Pendekatan non-farmakologis melalui aromaterapi lemon menjadi alternatif intervensi komplementer yang menjanjikan. Tujuan: Untuk mengevaluasi efek pemberian aromaterapi lemon terhadap kejadian early post-operative nausea and vomiting (PONV) herniated nucleus pulposus dengan general anestesi. Metode: Desain penelitian quasi eksperimental dengan pretest-posttest control group design. Populasi penelitian ini adalah pasien yang menjalani operasi HNP dengan general anestesi di RS Mayapada Hospital Kuningan Jakarta Selatan, di Ruang Pemulihan (PACU) dan dilaksanakan pada bulan November 2024. Jumlah sampel 34 partisipan (kelompok intervensi 17 partisipan dan kelompok kontrol 17 partisipan) dipilih dengan purposive sampling. Analisis statistik data menggunakan uji univariat, bivariat (paired sample t-test), dan multivariat (regresi linear berganda). Hasil: Kelompok intervensi menunjukkan penurunan skor PONV yang signifikan (p = 0.038; t = 2.729 > t tabel 2.119). Perbandingan post-test antara kedua kelompok memberikan hasil sangat signifikan (p = 0,000). Analisis multivariat menunjukkan bahwa jenis kelamin (p = 0.011) dan riwayat motion sickness (p = 0.017) merupakan variabel confounding yang paling berpengaruh (R² = 0.307). Simpulan: Pemberian aromaterapi lemon terbukti efektif menurunkan kejadian PONV pada pasien HNP dengan general anestesi. Faktor jenis kelamin dan riwayat motion sickness menjadi prediktor signifikan. Saran: Penelitian selanjutnya disarankan untuk membandingkan efektivitas aromaterapi lemon dengan metode intervensi lainnya pada sampel yang lebih besar dan beragam.   Kata Kunci: Aromaterapi Lemon; Early Post-Operative Nausea And Vomiting (PONV); General Anestesi; Herniated Nucleus Pulposus (HNP).
Co-Authors Abdilah Septiana Putri Ade Asrianti Ade Asrianti Ade Indah Irmayanti Yusuf Ade Indah Irmayanti Yusuf Adi Fahrudin Agnes Elisabeth Agnes Purba Agus Khusaeni Agustin, Marini Alni Lisarni Amami Amami Amelia Hartika Rani Ana Rif’atus Sakinah Surosa Anita Setyawati Arianti, Mery Asima Sirat Asrul Fahmi Ayu Sundari Bayu Aji Sismanto Chairil Anwar Cornellia Moningka Cut Mutiya Bunsal Danur Azissah Roesliana Sofais Dayang Laily Dea Aprilya Depira Elza Nada DEWI ANGGRAINI Dewi Anggraini Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dhea Natashia Dian Anggur Yulianti Dian Fitria Diana Irawati Diana Irawati Diana Irawati Dwi Ayu Fajar Dwi Budiyati Edy Prayitno Eko Riyanti Elfira Husna Endang Zakaria Erian Fatria Etti Sumyati Euis Purwatyningsih Euis Suhartini Fadhillah, Harif Fauzi Asra Fazarudin Fazarudin Febrian Rahmat Suwandi Fira Awanis Hazrina Fitri Handayani Fitri Yanti Giri Widagdo Giri Widagdo Giri Widakdo Hadi, Muhammad Henny Syapitri Hesti Rahayu Ii ismail Iis Sri Hardiati Irawati, Diana Istinganah Ito Iswati Ivan Elisabeth Purba Joko Relo Sutopo Jumaiyah, Wati Khoiriyah Kurniati Kurniati Linlin Lindayani M Natsir Nugroho Mahmud, Lia Rizqa Amelia Marthalena Simamora Masliha, Masliha Mery Arianti Mira Rosmiatin Mira Rosmiatin Muniroh Mursiti Mursiti Mustopa Mustopa Nani Winani Nani Winani Natsir Hugroho Natsir Nugroho Nendra Bagus Pamungkas Ni Luh Putu Martini Ni Wayan Rindiasih Nia Triani Noviana Haryanti Nugroho, M Natsir Nurhayati Nurhayati Khaier Nyimas Heny Purwati Pitriyanti Pitriyanti Prihatini, Fitria Putri Permata Sari Raudatul Jannah Reni Andriyani Rinezia Rinza Farizal Rinni Novella Simatupang Rival Wastu Kencana Rohman Azzam Rohman Azzam Rohman Azzam Rosaliana Ayu Saputri Ruth Sarah Rahmania Sarida Surya Manurung Sembiring, Rinawati Shiva Zakiyatul Ula Silviani Dewi Slamet Slamet Slametiningsih Slametiningsih Suci Rahmadia Suharjo Suharjo Sunardi Supra Saba, Iba Suwalgiyah Tri Lestari Wanda Yuni Putri Wati Jumaiyah Westy Tahapary Wicke Afriza Yahya Yahya Yeni Purnamasari Yunike Edmaningsih