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EXPLORATION OF MOTHER POST SECTIO CAESAR WITH ACUTE PAIN: CASE REPORT Sri Wahyuningsih; Nurul Hayati; Rizeki Dwi Fibriansari; Siti Anisa; Emi Suprapti
Indonesian Journal of Health Care Management Vol 1, No 2 (2021): Indonesian Journal of Health Care Management
Publisher : STIKes Kepanjen

Actions after sectio caesarea surgery can provide problems that arise as a result of the incision of tissue tears on the abdominal wall and uterine wall causing continuity changes so that the patient feels pain. One of the non-pharmacological therapies that can be given to postoperative sectio caesarea patients is gradual mobilization in overcoming pain nursing problems with the aim of reducing pain and restoring the patient's condition. The purpose of this study was to explore nursing care for post sectio caesarea mothers with acute pain nursing problems in the Teratai Room RSUD dr. Haryoto Lumajang. Descriptive qualitative research method through case reports on postpartum patients with suture wounds on the abdominal wall in the Lotus Room RSUD dr. Haryoto Lumajang. Nursing care for 3 days started from data collection with interview techniques, observation, physical examination, and documentation. The results obtained Mrs. S P20002 postpartum cesarean delivery patient with indication of breech location with acute pain in abdominal wall suture wound in April 2021. Management according to intervention by gradually mobilizing, deep breathing relaxation therapy and collaborating with the medical team. The conclusion of the acute pain problem in the suture wound on the abdominal wall was felt to be reduced by the patient, on the 2nd and 3rd day after comprehensive nursing care was carried out.

THE EFFECT OF TREATMENT OF WATERBOLE JUICE ON BLOOD PRESSURE REDUCTION IN HYPERTENSION PATIENTS: LITERATURE REVIEW Mashuri Mashuri; Rizeki Dwi Fibriansari; Indriana Noor Istiqomah; Risma Wahyu Khandidah
Indonesian Journal of Health Care Management Vol 2, No 1 (2021): Indonesian Journal of Health Care Management
Publisher : STIKes Kepanjen

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Hypertension is generally caused by an unfavorable lifestyle includingexcessive salt consumption because salt can increase blood pressure quicklyin some people, especially for people with severe hypertension, people withmild hypertension, and people with old age. This study aims to explain theeffect of giving watermelon juice on reducing blood pressure in patients withhypertension. The writing method used is a literature review related to theeffect of giving watermelon juice on reducing blood pressure in patients withhypertension. Journals used as references were obtained by Schoolar, andTaylor and Francis. The results showed that there was an effect of givingwatermelon juice on reducing blood pressure in patients with hypertension.Watermelon juice can also neutralize blood pressure so that watermelon juiceconsumers will not experience a continuous decrease in blood pressure. Sothat people with hypertension can consume regularly with a healthy lifestyle.

IMPROVING MC-KENZIE EXERCISE CAPABILITIES THROUGH SIMULATION METHOD IN THE AGRICULTURE AREA Rizeki Dwi Fibriansari; Anggia Astuti; Dwi Ochta Pebriyanti
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 4 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v4i2.38363

Introduction: Low back pain is one of the factors causing morbidity and mortality in agricultural areas, namely pain syndrome experienced by individuals caused by poor body position. This can injure soft tissue structures that include muscles and ligaments. Community service aims to improve farmers' knowledge and skills in the PTPN XII Gunung Gambir Jember Agricultural Area to prevent low back pain. Methods: Community service activities are carried out by providing education through simulations to farmers. The reason for choosing this method is that farmers prefer real experiences compared to lectures. Results: Simulation learning and role play will allow farmers to learn firsthand through watching, practicing, and role-playing how to do the Mc-Kenzie Exercise. Thus, it is hoped that farmers will experience more knowledge and skills in preventing low back pain. Conclusion: Community service activities can increase farmers' knowledge of skills about Mc-Kenzie exercises to prevent low back pain without side effects. KEYWORDS Mc-Kenzie Workout, Low Back Pain, Simulation

The Application of Virgin Coconut Oil (VCO) on Dermatitis Patients with Impaired Skin Integrity in Agricultural Areas: A Literature Review Rizeki Dwi FIbriansari; Siti Eka Yuni; Arista Maisyaroh; Eko Prasetya Widianto
Nursing and Health Sciences Journal (NHSJ) Vol. 2 No. 1 (2022): March 2022
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v2i2.88

Virgin Coconut Oil is a non-pharmacological therapy that can be applied to overcome the problem of impaired skin integrity. Virgin coconut oil contains antioxidants and is rich in vitamin E. The aim of the review was to determine the effect of VCO on impaired skin integrity in farmers with dermatitis. Initial searches for articles were made on Google Scholar and PubMed. Studies on the application of virgin coconut oil found 2,560 articles/journals but only 8 articles met the search criteria. According to search results, virgin coconut oil therapy can solve the problem of impaired skin integrity. Besides, it is also very important to be applied as a non-pharmacological therapy for farmers who are at risk of contact dermatitis. It is hoped that health professionals can recommend this as a therapy for disease problems related to impaired skin integrity such as dermatitis.

Yoga Therapy for Improving the Quality of Life among Breast Cancer Patients: Literature Review Rizeki Dwi Fibriansari; Laili Nur Azizah
Health and Technology Journal (HTechJ) Vol. 1 No. 2 (2023): April 2023
Publisher : KHD Production

Cancer is a chronic disease that affects emotional states and changes in daily life, causing physiological and psychological problems. This condition can also affect the quality of life. This literature review aims to determine the effect of yoga therapy on improving the quality of life of breast cancer patients. The method used is by searching several published studies through databases through PubMed, Sage Journal, SpringerLink, and Science Direct. Research questions are designed using the PICO principle. Selected studies were published from 2018-2022. This yoga therapy can affect the improvement of the quality of life of breast cancer patients. Yoga can reduce depressing symptoms in patients undergoing cancer treatment and is beneficial in reducing treatment side effects, emotional improvement, and quality of life. The duration of yoga therapy, which is an average of 60 minutes, will improve the quality of life of breast cancer patients. Yoga shows significant results in improving the quality of life of breast cancer patients. Yoga can majorly affect the patient's high quality of life, namely physical function, role, emotional, cognitive, and social. Yoga interventions can relieve pain symptoms of patients undergoing cancer treatment and positively impact treatment side effects, improve emotions, and reduce the quality of life.

HOW TO BUILD SELF-DIRECTED LEARNING READINESS (SDLR) AS THE FOUNDATION FOR NURSING STUDENTS TO BE LIFELONG LEARNERS? A SCOPING REVIEW Anggia Astuti; Dodi Wijaya; Zainal Abidin; Rizeki Dwi Fibriansari
UNEJ e-Proceeding 2023: 5th International Agronursing Conference (5th IANC) In Conjunction with 1st International Post
Publisher : UPT Penerbitan Universitas Jember

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Background: Lifelong learning in nursing will be led to increased quality of education, development of nursing competency, and finally, increased quality of patient care. Nursing is a lifelong profession and Self-Directed Learning (SDL) is a valuable skill to remain relevant and productive professionals. Nursing students are expected to embrace SDL and develop these skills. This review aimed to discover determinant factors of Self-Directed Learning as a foundation for being a lifelong learner, Methods: The scoping review method adapted the Arksey and O’Malley framework. There were 11 out of 290 articles selected based on inclusion and exclusion criteria. Results: Self-Directed Learning Readiness built from three themes namely self-management, desire to learn, and self-control. Combining all the evidence, the results showed that SDL was shaped by internal factors (age, gender, self-efficacy, intelligence, desire, motivation, willingness to learn, level of education) and external factors (environment, learning opportunities, cooperation). In the SDLR method, the learning process changes from teacher-directed to learner-directed. Conclusions: Nursing institutions should provide the necessary resources to embrace SDL as a main-line teaching method to ensure competent lifelong professionals.

PROBLEM-BASED LEARNING MODEL IN ACHIEVEMENT OF COMPETENCE OF NURSING STUDENTS DURING THE COVID-19 PANDEMIC Zainal Abidin; Rizeki Dwi Fibriansari; Anggia Astuti
Nurse and Health: Jurnal Keperawatan Vol 12 No 2 (2023): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v12i2.499

Background: A new policy has occurred in the world of education due to the impact of the COVID-19 pandemic, which has changed learning that must come to a class or a building or campus, to become independent learning, including nursing students. In this case, they are still required to have abilities by existing competency standards, including cognitive, affective, and psychomotor abilities that can be achieved by applying case-based learning and project-based learning models. Objectives: Find out the problem-based learning model in the competency achievement of nursing students during the COVID-19 pandemic. Methods: The research method used is analytic observational with a case-control approach. The variables in this research are teaching methodology as an independent variable and competency achievement as a dependent variable. The research was conducted for 5 months at the Diploma Nursing Study Program, Faculty of Nursing, Universitas Jember. The data collection technique in this study was by using an instrument in the form of Nursing Clinical Exercise (NCEx). The research respondents were Diploma Nursing Study Program Students with a total of 101 treatment groups with the criteria of having passed in 2022. Results: The research results show that learning models based on Case case-based learning and project-based learning are very important to develop in the classroom, laboratory, and clinical learning where students need real conditions about real cases that require direct identification and recognition. The use of PjBL may lead to improved competency achievement among nursing students. This could be reflected in higher scores on competency assessments, better clinical performance, and a deeper understanding of nursing concepts. Students also really need to be in real contact with nursing cases, especially the conditions of the COVID-19 pandemic which is a challenge for educators and students in the world of health. Conclusion: The problem-based learning method is very helpful for students in meeting the competency targets for graduates of the third diploma in nursing.

Hubungan Efikasi Diri dengan Activity of Daily Living (ADL) pada Pasien Post Operasi: Relationship Between Self-Efficacy and Activity of Daily Living (ADL) in Post-operative Patients Fibriansari, Rizeki Dwi; Astuti, Anggia; Mulyantoro, Adi; Mustikawati, Aleikh
Binawan Student Journal Vol. 6 No. 1 (2024)
Publisher : Direktorat Penelitian, Pengabdian Masyarakat, Dan Kerjasama Universitas Binawan (DPPMK Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/xd6ryh42

Operasi merupakan jenis pengobatan dengan menggunakan cara invasif yang sering menyebabkan nyeri, edema, imobilisasi paska pembedahan, sehingga terjadi penurunan kekuatan otot serta kemampuan ambulasi. Peningkatan mobilisasi pasien post operasi dengan efikasi diri dapat meningkatkan kemandirian pasien melakukan aktifitas. Penelitian bertujuan menganalisis hubungan antara efikasi diri dengan Activity of Daily Living (ADL) pada pasien post operasi. Desain penelitian yaitu deskriptif dengan menggunakan pendekatan cross sectional study. Kriteria inklusi, yaitu pasien yang menjalani jenis operasi mayor, usia >18 tahun, di rawat inap selama 24-48 jam dan kesadaran compos mentis. Pengumpulan data pada 57 responden menggunakan kuesioner General Self Efficacy (GSE) dan Care Depedency Scale (CDS). Hasil penelitian menunjukkan uji statistik spearman rank dengan nilai p value =0,001 hal ini menunjukkan adanya hubungan yang signifikan dengan arah korelasi positif antara efikasi diri dengan ADL pada pasien post operasi di Ruang Asparaga RSUD Dr Haryoto Lumajang. Efikasi diri merupakan aspek penting dalam mempengaruhi kemandirian melakukan ADL pada pasien post operasi. Peran perawat dalam fase post operasi salah satunya yaitu memberikan pelayanan fisik maupun psikologis melalui efikasi diri dapat bepengaruh terhadap keyakinan dan motivasi.

PROBLEM-BASED LEARNING MODEL IN ACHIEVEMENT OF COMPETENCE OF NURSING STUDENTS DURING THE COVID-19 PANDEMIC Abidin, Zainal; Fibriansari, Rizeki Dwi; Astuti, Anggia
Nurse and Health: Jurnal Keperawatan Vol 12 No 2 (2023): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v12i2.499

Background: A new policy has occurred in the world of education due to the impact of the COVID-19 pandemic, which has changed learning that must come to a class or a building or campus, to become independent learning, including nursing students. In this case, they are still required to have abilities by existing competency standards, including cognitive, affective, and psychomotor abilities that can be achieved by applying case-based learning and project-based learning models. Objectives: Find out the problem-based learning model in the competency achievement of nursing students during the COVID-19 pandemic. Methods: The research method used is analytic observational with a case-control approach. The variables in this research are teaching methodology as an independent variable and competency achievement as a dependent variable. The research was conducted for 5 months at the Diploma Nursing Study Program, Faculty of Nursing, Universitas Jember. The data collection technique in this study was by using an instrument in the form of Nursing Clinical Exercise (NCEx). The research respondents were Diploma Nursing Study Program Students with a total of 101 treatment groups with the criteria of having passed in 2022. Results: The research results show that learning models based on Case case-based learning and project-based learning are very important to develop in the classroom, laboratory, and clinical learning where students need real conditions about real cases that require direct identification and recognition. The use of PjBL may lead to improved competency achievement among nursing students. This could be reflected in higher scores on competency assessments, better clinical performance, and a deeper understanding of nursing concepts. Students also really need to be in real contact with nursing cases, especially the conditions of the COVID-19 pandemic which is a challenge for educators and students in the world of health. Conclusion: The problem-based learning method is very helpful for students in meeting the competency targets for graduates of the third diploma in nursing.

PEER GROUP LEARNING DALAM BUDAYA MASYARAKAT PANDALUNGAN TANGGUH BENCANA Rizeki Dwi Fibriansari; Arista Maisyaroh; Eko Prasetya Widianto; Saifuddin Kurnianto
Jurnal Hasil Pengabdian kepada Masyarakat Universitas Jember Vol 1 No 1 (2022): Jurnal Hasil Pengabdian Kepada Masyarakat Universitas Jember
Publisher : LP2M Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jpmunej.v1i1.53

Natural disasters are natural disasters caused by natural events, including earthquakes, tsunamis, volcanic eruptions, floods, droughts, hurricanes, and landslides. The disasters that occurred in Indonesia have claimed hundreds or even thousands of human lives and hundreds of infrastructure damaged by disasters, one of which is an earthquake. Earthquakes are natural events whose time and place of occurrence cannot be predicted. Although earthquakes are prone to occur in the ring of the fire, where and when they will occur cannot be scientifically determined. Therefore, there is a need for natural disaster mitigation that is socialized to the public. This service aims to carry out disaster response lessons for the Pandalungan community. The method used in the service is the field study practice method and learning practicum through training through lectures, discussions, and simulations as well as mentoring. This activity is carried out by providing health education on the management of earthquake emergencies, and disaster simulation activities. Efforts to increase community knowledge and skills in dealing with earthquake emergencies can be carried out by providing counseling and simulations as well as emergency skills training, especially for the community on the slopes of Mount Semeru. This simulation activity is expected to be natural disaster mitigation so that it can reduce victims in the event of a natural disaster.

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