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Perbaikan Klinis Kaki Diabetik Menggunakan Terapi Akupunktur Tommy Indra; Dewi Gayatri; Debie Dahlia; Liya Arista
Jurnal Keperawatan Silampari Vol 5 No 2 (2022): 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 (273.878 KB) | DOI: 10.31539/jks.v5i2.3481

Abstract

This study aims to identify and analyze the effect of acupuncture therapy on diabetic foot disorders. The design of this study was a systematic review by searching five scientific databases to obtain relevant sources related to specific problems related to acupuncture therapy in reducing disorders of the diabetic foot, namely Pubmed, Scientidirect, Springer Journals, Scopus, and Sage Journals. The research results were 3103 articles, and five articles were relevant and met the criteria. The use of acupuncture therapy affects disorders of the diabetic foot, namely a significant reduction in symptoms such as a prickling sensation or burning feet, numbness, to pain, and as an alternative therapy option in diabetic neuropathy sufferers. In conclusion, acupuncture effectively treats diabetic foot disorders and can be applied to nursing care as a non-pharmacological therapy. Keywords: Acupuncture, Diabetic Foot, Neuropathy
Early Weight Bearing pada Pasien Post Operasi Fraktur Ekstremitas Bawah Enny Selawaty Boangmanalu; Masfuri Masfuri; Liya Arista
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): 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 (394.407 KB) | DOI: 10.31539/jks.v6i2.5623

Abstract

This study aims to identify and analyze the effectiveness of weight bearing in postoperative lower extremity fractures. The method used is to review the literature results by analyzing data systematically using a checklist of protocols and rules (PRISMA) and for the feasibility of the study results using the PICO framework. Search for articles using three online databases, namely Science Direct, Google scholar, and PubMed. The results showed that the five pieces discussed the impact of early weight bearing on postoperative lower extremity patients with discussions that had a positive effect—withholding weight / early weight bearing results reducing the incidence of thromboembolic disease. Active movement can reduce joint stiffness, maintain muscle mass, and the ability to return to activities. In conclusion, early weight bearing can be used to increase muscle strength after surgery for lower extremity fracture. Keywords: Orthopedic surgery, Lower extremity fracture
Terapi Virtual Reality (VR) terhadap Skala Nyeri Penderita Osteoarthritis (OA) Post Total Knee Replacement (TKR) Jun Absa B; Masfuri Masfuri; Liya Arista
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jks.v6i2.5653

Abstract

This study aims to analyze the effectiveness of Virtual Reality (VR) technology on pain scales in post-TKR osteoarthritis patients. Using previously defined keywords, this research uses the literature review method, which originates from the database, namely ClinicKey Nursing, EBSCOhost, ProQuest, and Embase with Publish in 2018-2022. The results showed that after the four databases were determined, 511 articles were produced, of which Clinickey Nursing (n = 41), EBSCOhost (n = 17), EMBASE (n = 3), and ProQuest (n = 450). First and second screening (n = 81) (=26). duplication and filtering of titles/abstracts, and based on inclusion and exclusion criteria, the number of articles were grouped into 5 (n=5). In conclusion, VR technology devices still need to do an in-depth study regarding the effectiveness of their use as a distraction technology in post-TKR patients. Specific assessment of the use of VR technology in terms of Visualization, Auditory, and Type of VR Devices used to control functions. Keywords: Osteoarthritis, Pain Scale, Total Knee Replacement, Virtual Reality
Effectiveness of smartphone and virtual reality based exergaming on mobility of stroke patients: A systematic review Triensya, Rafiana; Kariasa, I Made; Arista, Liya; Waluyo, Agung
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.1010

Abstract

Background: Stroke is a leading cause of long-term disability and death worldwide. Recent advances in rehabilitation technology have introduced exergaming, a form of interactive physical therapy using digital games, as a promising intervention to enhance motor recovery. Purpose: To evaluate the effectiveness of smartphone and virtual reality based exergaming on mobility of stroke patients. Method: Systematic review research and article search were conducted through ScienceDirect, ProQuest, EBSCOhost (Medline), SAGE Journals, and PubMed databases. The review and synthesis process used the PRISMA diagram guide. Results: Based on the review of 7 literatures obtained, it shows that the majority reported significant improvements in patient mobility after exergaming interventions, especially those using smartphone applications and virtual reality (VR) platforms. Conclusion: Smartphone-based exergaming and virtual reality (VR) are effective and attractive therapeutic approaches to improve mobility in stroke rehabilitation.   Keywords: Exergaming; Mobility;  Smartphone; Stroke Patients; Virtual Reality.   Pendahuluan: Stroke adalah penyebab utama kecacatan dan kematian jangka panjang di seluruh dunia. Kemajuan terbaru dalam teknologi rehabilitasi telah memperkenalkan exergaming bentuk terapi fisik interaktif menggunakan permainan digital sebagai intervensi yang menjanjikan untuk meningkatkan pemulihan motorik. Tujuan: Untuk mengevaluasi efektivitas latihan berbasis telepon pintar dan realitas virtual terhadap mobilitas pasien stroke. Metode: Penelitian systematic review dan pencarian artikel dilakukan melalui database ScienceDirect, ProQuest, EBSCOhost (Medline), SAGE Journals, dan PubMed. Proses review dan sintesis menggunakan panduan diagram PRISMA. Hasil: Berdasarkan review dari 7 literatur yang didapatkan, menunjukkan bahwa mayoritas melaporkan peningkatan yang signifikan dalam mobilitas pasien setelah intervensi exergaming, terutama yang menggunakan aplikasi ponsel pintar dan platform realitas virtual. Simpulan: Exergaming berbasis smartphone dan virtual reality (VR) merupakan pendekatan terapi yang efektif dan menarik untuk meningkatkan mobilitas dalam rehabilitasi stroke.   Kata Kunci: Exergaming; Mobility;  Smartphone; Stroke Patients; Virtual Reality.
Improvement of Obesity Events Through Online Fast Food Dating Patterns at University X Students in Depok City Yasmin Az Zahrah; Liya Arista
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 5 No. 1 (2021): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/v8k80c04

Abstract

The fast-food online diet can outweigh obesity. The research was conducted on students because students were at the stage of adulthood where metabolism slows down and the trend of ordering food online is mostly done by students. This study identified the relationship between fast food online diet, physical activity, and genetic history with obesity. The research design used was cross sectional with a population of all University X students class 2016-2019 and a total sample of 164 respondents. Data obtained from the FFQ and IPAQ questionnaire sheets through the online G-form. The results of the bivariate analysis with the Chi-Square test showed that there was no significant relationship between online fast food eating patterns and BMI / obesity (p> 0.005), likewise for physical activity variables also did not show a significant relationship with obesity (p = 0.746) However, for genetic history, there was a significant association with obesity (p <0.05). This shows that eating fast food online does not directly lead to obesity. There are various other factors that can trigger obesity, one of which is genetic history.
Isometric Exercise of Quadriceps and Gluteal Muscle in Patient with Close Femur Fracture Sri Wirayuni; Liya Arista
JIKO (Jurnal Ilmiah Keperawatan Orthopedi) Vol. 5 No. 1 (2021): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : Unit Penelitian dan Pengabdian Masyarakat STIKES Fatmawati Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/83y24034

Abstract

Femur fracture is a fracture in the largest bone in the body. The femur requires significant force to fracture. One of the treatments for femoral fracture is reduction and immobilization using traction. Immobilization in traction-attached patients before preoperatively requires isometric exercises to maintain muscle strength. Isometric exercise is a muscle contraction exercise, the patient contracts the muscles without moving the muscles to maintain muscle and prevent atrophy. The purpose of this paper is to identify the effectiveness of isometric exercises to increase isometric muscle strength in patients with lower limb fracture. The methodology used is a case study. The application of isometric exercises can increase muscle strength in patients with skin traction attached. Nurses need to pay attention to factors that can affect the patient's ability to perform isometric exercises so that the results obtained can be more optimal and the patient experiences an increase in the ability of his limbs.
Effectiveness of Oral Stimuly Cold Therapy (Popsicle) on Thirst Perception in Postoperative Patients: A Systematic Review Melawati, Wati; Dahlia, Debie; Yona, Sri; Arista, Liya
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6400

Abstract

Thirst after surgery is commonly experienced by patients, with prevalence reaching 70-80% within the first 24 hours postoperatively. This condition, often overlooked in clinical practice, can impact the quality of patient recovery. Popsicle, as a form of oral stimuli cold therapy, offers an effective solution to alleviate this complaint. Objective: This study aims to evaluate the effectiveness of popsicle therapy in reducing thirst and improving comfort and the quality of recovery in postoperative patients.Methodology: A systematic review approach was used by analyzing five scholarly articles based on randomized controlled trials (RCT) and quasi-experimental designs from 2018–2024. The keyword search used was popsicle OR "oral stimuli cold therapy" OR ice therapy AND postoperative period OR postoperative AND thirst. A total of 486 articles were found, and 5 were analyzed. Articles were selected based on Joanna Briggs Institute (JBI) criteria to assess methodological quality. Discussion: The use of popsicle has been proven to reduce the intensity of thirst, with higher effectiveness compared to other non-pharmacological methods such as room-temperature water or cold sprays. The addition of menthol to popsicles enhances patient comfort and satisfaction, as well as reduces symptoms of dry mouth and halitosis.Results: All studies indicated that popsicles, especially those containing menthol, were significantly more effective in reducing postoperative thirst. Popsicles also improved the patient's recovery experience through positive psychological effects.
Determinan Perilaku SADARI pada Wanita Pekerja Industri Arista, Liya; Insani, Mahmudah Dwi
Faletehan Health Journal Vol 11 No 02 (2024): Faletehan Health Journal, Juli 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i02.721

Abstract

Breast cancer was a serious health problem in women throughout the world. Although much research had been conducted regarding breast self-exam (BSE) behavior, there was still little research on female industrial workers. Female industrial workers had great potential for exposure to carcinogenic substances, besides their busy working hours and activities potentially became obstacles in carrying out routine checks at home. The research aimed to identify the determinants of BSE behavior among female industrial workers in the Karawang area. The study used a cross-sectional approach on 112 female workers aged > 18 years and married. The sampling technique used purposive sampling. The research instrument was a questionnaire measuring the level of knowledge, attitudes and behavior of BSE. The results showed that the majority of respondents had a high level of knowledge (60.7%), sufficient attitude (61.6%), and moderate level of BSE behavior (46.4%). The most influencing determinants of BSE behavior were family history of cancer (OR=13.490), level of knowledge (OR=11.904), attitude (OR=7.873) and education (OR=0.217) respectively. Family history of cancer gave the most significant influence because women with a family history of breast cancer can obtain information easily from the family. Individual internal factors such as knowledge and attitudes also influenced BSE behavior. Therefore, an active role from health workers and workers in industrial work areas was needed to raise awareness about breast cancer and the need for regular BSE.
Penerapan Protokol Pengkajian Nyeri 24 Jam Pada Pasien Paska Operasi Orthopedi Triyanto, Arifin; Masfuri, Masfuri; Arista, Liya; Aisyiyah, Umi
MAHESA : Malahayati Health Student Journal Vol 4, No 2 (2024): Volume 4 Nomor 2 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i2.13144

Abstract

ABSTRACT Pain is a problem that always arises in postoperative patients. Pain in patients after orthopedic surgery is higher than in other surgical cases. Postoperative pain management has not been fulfilled optimally. Untreated pain problems have a negative impact both physically and psychologically. To find out the implementation of the 24-hour pain assessment protocol in patient with orthopaedic surgery. This study is the application of Evidence Based Nursing (EBN) in post orthopedic surgery patients. Inclusion criteria: patients undergoing orthopedic surgery, aged 18 years, can communicate well, willing to be involved in the study. Exclusion criteria: patients with decreased consciousness and patients with cognitive impairment. Pain reporting was carried out independently at the 3rd hour, 7th hour, 11th hour, 15th hour, 19th hour and 24th hour in a state of rest and in a state of movement. The most severe postoperative pain was reported by patients in the first 3 hours after surgery and began to decrease in both conditions both at rest and during movement. Pain at 3 to 19 hours showed a significant difference between pain at rest and on movement (p<0.05). At the 24th hour measurement, the results showed that there was no difference in pain scores at rest and during movement (p>0.05). Application of pain assessment protocols for 24 hours after orthopedic surgery can determine the dynamics of patient pain from time to time while at rest and during movement. Pain in patients after orthopedic surgery is at a mild to moderate level. Keywords: Assessment, Orthopaedic, Pain, Surgery  ABSTRAK Nyeri menjadi permasalahan yang selalu muncul pada pasien paska operasi. Nyeri pada pasien paska pembedahan orthopedi lebih tinggi dibandingkan pada kasus pembedahan lainnya. Manajemen nyeri paska operasi belum terpenuhi secara optimal. Masalah nyeri yang tidak tertangani memberikan dampak negatif baik secara fisik maupun psikologis. Untuk mengetahui penerapan protokol pengkajian nyeri 24 jam pada pasien paska operasi orthopedi. Penelitian merupakan penerapan Evidence Based Nursing (EBN) pada pasien paska operasi orthopedi. Kriteria inklusi: pasien yang menjalani operasi ortopedi, berusia ≥ 18 tahun, dapat berkomunikasi dengan baik, bersedia terlibat dalam penelitian. Kriteria eksklusi: pasien dengan penurunan kesadaran dan pasien dengan gangguan kognitif. Pelaporan nyeri dilakukan secara mandiri pada jam ke-3, jam ke-7, jam ke-11, jam ke-15, jam ke-19 dan jam ke-24 dalam kondisi istirahat dan dalam kondisi pergerakan. Nyeri paska operasi paling berat laporkan oleh pasien pada 3 jam pertama paska operasi dan mulai menurun pada kedua kondisi baik saat istirahat maupun saat pergerakan. Nyeri pada jam ke-3 sampai dengan jam ke-19, menunjukkan perbedaan yang signifikan antara nyeri saat istirahat dan saat pergerakan (p<0,05). Pada pengukuran jam ke-24, didapatkan hasil tidak terdapat perbedaan skor nyeri saat istirahat dan saat pergerakan (p>0,05). Penerapan protokol assessmen nyeri selama 24 jam paska operasi orthopedi dapat mengetahui dinamika nyeri pasien dari waktu ke waktu saat kondisi istirahat maupun saat pergerakan. Nyeri pada pasien paska operasi orthopedi berada pada tingkat ringan hingga sedang. Kata Kunci: Nyeri, Orthopedi, Pembedahan, Pengkajian
A Cross-Sectional Research on Improving Clinical Confidence and Decision-Making Through One Day One Clinical Question (ODOCQ) Program Masfuri, Masfuri; Liya Arista; Massie, Juliana G.E.P; Andi Amalia Wildani; Puspita Sari, Erna; Hassan, Hamidah
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.21053

Abstract

Nurses are using knowledge sources to enhance practice through the latest and most trusted evidence-based methods. In this context, the ability to search and select knowledge can increase clinical confidence. Low clinical confidence also leads to hesitation or doubt in decision-making. As an essential element in successfully promoting achievement, the level of confidence and decision-making of the healthcare workforce should be improved. Therefore, this research aimed to determine the frequency of article sharing in improving the level of clinical confidence and decision making after following One Day One Clinical Question (ODOCQ) program. The results showed that ODOCQ was developed for nurses to enhance the capacity of online resources and publications on issues encountered in day-to-day work. A cross-sectional research using random sampling and online questionnaires was also developed to measure clinical confidence and decision-making. Inclusion criteria included one year of minimum service at the hospital, and the research was completed by 118 nurses. In addition, the frequency of article sharing as part of the ODOCQ program improved clinical confidence (p<0.001) and decision-making (p<0.019) significantly. Academic routine habits, such as the ODOCQ program and article sharing frequency, improved clinical confidence and decision-making of nurses, as well as the readiness of evidence-based nursing practice implementation. The program could be used for additional professional development and evidence-based preparation. However, further research is needed to measure the level of clinical confidence and decision-making with non-self-report measurement