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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (712.438 KB) | DOI: 10.36053/ijohcm.v1i2.10

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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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Abstract

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

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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

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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.252 KB) | DOI: 10.53713/htechj.v1i2.20

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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.
APA SAJA FAKTOR PENYEBAB TRAUMA FISIK ? LAPORAN SURVEI DI AREA PERTANIAN Maisyaroh Arista; Eko Prasetya Widianto; Rizeki Dwi Fibriansari; Devi Elisa Dostya Ainul Qoyyimah; Dharmayanti Putri Jaladri
Jurnal Keperawatan Terapan Vol 7 No 2 (2021): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i2.2905

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Abstract: Having a job as a farmer doesn't mean you don't have negative risks that can cause pain. Even the farming profession has health risks that tend to vary with the naked eye. The use of pesticides that can lead to poisoning, the use of agricultural tools and machinery which can cause injury, even to the position at work that can cause certain diseases that can interfere with the activities of farmers. Identify the relationship between causal factors and the incidence of occupational illness in the agricultural sector. The research method is a cross sectional method to link the causative factors with the incidence of work related illness in the agricultural area. The survey was conducted on 357 farmers in the working area of the Lumajang Regency Agriculture Service. Ergonomics analysis results, Pearson Chi Square value is 0.004. This value indicates that there is a relationship between ergonomics and the incidence of back pain. The use of pesticides, has a Pearson Chi Square analysis, the value is 0.000. This value indicates that there is a relationship between the use of pesticides and the disease caused such as shortness of breath or eye irritation. While using alsinta, the Pearson Chi Square analysis has a value of 0.000. This value is below 0.05, which means that there is a close relationship between the use of alsinta and the incidence of injuries by farmers. Based on the results above, there are three factors that cause taruma in the agricultural area, namely pesticides, agricultural tools and machinery and ergonomic position errors. So that efforts are needed to anticipate the high risk of occupational diseases in agricultural areas.. Keywords: Agriculture, Farmer, Occupational disease
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

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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.
MANAJEMEN KESEHATAN KELUARGA PADA PASIEN YANG MENDERITA HIPERTENSI DI MASA PANDEMI COVID-19: STUDI KASUS Suhari, Suhari; Sulistyono, Raden Endro; Fibriansari, Rizeki Dwi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 2 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i2.352

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ABSTRAKPeningkatan penyakit tidak menular (PTM) menjadi tantangan kesehatan di dunia dan Indonesia dalam menjaga kualitas kehidupan pasien. Salah satu PTM, yaitu hipertensi telah menjadi masalah keluarga dalam melakukan perawatan dan pengelolaan kesehatan pasien di rumah serta proses penyembuhan, apalagi pada situasi pandemi Corona Virus Disease 2019 (Covid-19). Tujuan penelitian: Menggambarkan asuhan keperawatan pada klien yang mengalami hipertensi, khususnya pada aspek manajemen kesehatan keluarga melalui kunjungan rumah. Keluhan utama pasien: Ny. R (70 tahun) jarang memeriksakan kesehatan ke puskesmas karena adanya kondisi pandemi dan kesulitan transportasi. Ny. R telah menderita hipertensi sejak 10 tahun yang lalu, sering merasakan kepala terasa berat, tetapi ia tidak tahu cara mengatasinya. Ny. R juga kurang menerapkan protokol kesehatan (memakai masker) dan kurang mendapat dukungan keluarga. Masalah keperawatan manajemen kesehatan keluarga tidak efektif disebabkan oleh kompleksitas program perawatan. Hasil: Intervensi keperawatan melalui kunjungan rumah efektif mengatasi masalah keperawatan, yaitu manajemen kesehatan keluarga tidak efektif.  Diskusi: Melalui kunjungan rumah, perawat dapat memberikan intervensi, yaitu dukungan koping keluarga dalam menfasilitasi pengambilan keputusan jangka panjang, pemenuhan kebutuhan dasar, dan memberikan informasi fasilitas perawatan kesehatan yang dapat dijangkau oleh keluarga. Kesimpulan: Perawat kesehatan komunitas berperan dalam meningkatkan motivasi dan mengembangkan sikap pasien untuk menggunakan fasilitas perawatan kesehatan. Upaya promotif dan preventif yang dilakukan melalui kunjungan rumah dapat mengendalikan faktor risiko hipertensi pada lanjut usia (lansia). Kunjungan rumah yang mematuhi protokol kesehatan efektif dilakukan di masa pandemi Covid-19 karena pasien lansia merasa lebih nyaman.Kata Kunci: Covid-19, hipertensi, keluarga Family Health Management in Hypertensive Patients During the Covid-19 Pandemic: A Case Study ABSTRACTThe increase in non-communicable diseases (NCDs) is a health challenge in the world and Indonesia in maintaining patients' quality of life. Hypertension, one of the NCDs, has become a family problem in caring for and managing patients' health at home and in the healing process, especially in the Corona Virus Disease 2019 (Covid-19) pandemic. Objective: To describe nursing care for hypertensive clients, especially in family health management through home visits. Primary complaint: Mrs. R (70 years old) rarely went to the Public Health Centre to have her health examined due to the pandemic and transportation difficulties. Mrs. R had been suffering from hypertension since 10 years ago and often had a heavy head feeling, but she did not know how to manage it. Mrs. R also did not apply health protocols (wearing masks) and lacked family support. Family health management nursing was ineffective due to the complexity of the care program. Results: Nursing interventions through home visit has an effect to overcome nursing probem, which was ineffective family health management.  Discussion: Through home visits, nurses can make interventions, namely family coping support in facilitating long-term decision making, meeting basic needs, and providing information on health care facilities that families can reach. Conclusion: Community health nurses play a role in increasing motivation and developing patient attitudes to use health care facilities. Promotive and preventive efforts made through home visits can control risk factors for hypertension in the elderly. Home visits that comply with health protocols are effective during the Covid-19 pandemic because elderly patients feel more comfortable.Keywords: Covid-19, Hypertension, Family
MOBILISASI BERTAHAP PASCA-SECTIO CAESARIA: STUDI KASUS DI RSUD dr. HARYOTO LUMAJANG Wahyuningsih, Sri; Hayati, Nurul; Fibriansari, Rizeki Dwi; Ulfa, Maria
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 2 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i2.351

Abstract

ABSTRAKPasca-sectio caesarea (SC), pasien diharapkan melakukan mobilisasi secara bertahap untuk mencegah bahaya fisiologis dan psikologis yang mungkin dapat terjadi. Namun, masih sedikit informasi yang melaporkan tentang pelaksanaan mobilisasi dini di lapangan. Tujuan penelitian: Menggambarkan asuhan keperawatan pada pasien pasca-SC, khususnya pada aspek hambatan mobilitas fisik. Keluhan utama: Pasien 1 (21 tahun) ditemani suami datang ke RS atas rujukan puskesmas. Mereka sudah memahami bahwa harus melahirkan secara SC karena panggul sempit. Selanjutnya, dilakukan operasi SC dengan anestesi lumbal, insisi melintang, luka ± 10 cm. Pasien 1 mengalami anemia sehingga dilakukan transfusi darah. Pasien 2 (32 tahun), datang ke RS ditemani suami, dirujuk karena panggul sempit dari puskesmas, kemudian dilakukan operasi SC dengan anestesi lumbal, insisi melintang, luka ± 10 cm.  Pengkajian melalui wawancara, obervasi, pemeriksaan fisik, dan studi dokumentasi.  Hasil:Intervensi untuk mobilisasi dilakukan setelah tindakan operasi selesai secara bertahap selama tiga hari perawatan. Hari pertama dilakukan pemberian informasi dan ambulasi awal di tempat tidur. Hari kedua pengaturan posisi semi-fowler, membantu perpindahan, latihan keseimbangan berdiri, berjalan. Hari ketiga pasien melakukan aktivitas mandiri tanpa bantuan, penyuluhan perawatan di rumah setelah operasi. Diskusi: Peran perawat pada pasien dengan melakukan mobilisasi secara bertahap serta berkolaborasi dengan tenaga kesehatan yang lain dapat mendukung percepatan pasien melakukan tindakan mobilisasi secara mandiri. Simpulan: Perawat perlu meningkatkan mobilisasi pasien secara bertahap dengan memerhatikan faktor ibu dan keluarga. Perawat disarankan meningkatkan pengetahuan, misalnya mengenai ERAC dan dalam proses asuhan keperawatan menggunakan rangkaian standar pelayanan untuk penyelenggaraan praktik keperawatan di Indonesia, yaitu SDKI, SIKI, SLKI, dan SPO.Kata kunci: mobilisasi dini, sectio caesaria             Gradual Mobilization in Post Cesarean Section: A Case Study at Dr. Haryoto Hospital of Lumajang ABSTRACTAfter the caesarean section (CS), patients are expected to mobilize gradually to prevent physiological and psychological hazards. However, there is still little information reporting about the implementation of early mobilization. Objective: to describe nursing care in post-CS patients, especially regarding physical mobility barriers. Primary complaint: Patient 1 (21 years old), accompanied by her husband, came to the hospital based on the referral of the Public Health Center. They already understood that they had to give birth by cesarean section because the pelvis was narrow. Next, SC surgery was performed with lumbar anesthesia, transverse incision, and wound ± 10 cm. Patient 1 was anemic, so a blood transfusion was performed. Patient 2 (32 years) came to the hospital accompanied by her husband and was referred by the Public Health Center because of a narrow pelvis; then, an SC operation was performed with lumbar anesthesia, transverse incision, and wound ± 10 cm. Assessment through interviews, observations, physical examinations, and documentation studies.  Results: interventions for mobilization were performed after the surgery was completed in stages for 3 days of treatment. On the first day, information was given and early ambulation was performed in bed. On the second day, the activities included adjusting semi-Fowler's position, assisting the movement, exercising balanced standing, and walking. On the third day, the patient did independent activities without assistance and counseling on home care after surgery. Discussion: The nurses play a role by gradually mobilizing patients and collaborating with other health workers to support patients' acceleration to mobilize independently. Conclusion: Nurses need to increase patient mobilization gradually by paying attention to maternal and family factors. Nurses are advised to increase knowledge, for example, about ERAS and the nursing care process by using a series of service standards for implementing nursing practice in Indonesia, namely SDKI, SIKI, SLKI, dan SPO.Keywords: early mobilization, cesarean section