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Patient Health Questionnaire-9 (PHQ-9) Efektif Untuk Mendeteksi Risiko Depresi Postpartum Prima Daniyati Kusuma; Carla Raymondalexas Marchira; Shinta Prawitasari
Jurnal Keperawatan Respati Yogyakarta Vol 5 No 3 (2018): SEPTEMBER 2018
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v5i3.266

Bentuk yang paling ringan dari depresi postpartum seringkali tidak dikenali karena dianggap normal. Oleh karena itu, skrining sangatlah dianjurkan kepada ibu dengan gejala depresi pada masa postpartum. Pemeriksaan skrining dapat dibantu dengan skala penilaian psikiatrik Patient Health Questionnaire 9 (PHQ-9). Tujuan penelitian ini adalah menganalisis efektivitas PHQ-9 terhadap EPDS untuk mendeteksi risiko depresi postpartum. Jenis penelitian non eksperimental dengan rancangan cross sectional. Populasi dalam penelitian ini adalah ibu postpartum. Teknik pengambilan sampel dengan purposive sampling, sebanyak 100 responden. Instrumen penelitian menggunakan kuesioner PHQ-9 dan EPDS. Analisis data menggunakan screening test Thorner-Remain berupa tabulasi 2x2. Jumlah penderita depresi postpartum melalui pemeriksaan PHQ-9 sebanyak 66% sedangkan melalui EPDS sebanyak 51%. PHQ-9 dan EPDS memiliki perbedaan rentang skoring dalam mengklasifikasikan depresi. PHQ-9 memiliki nilai sensitivias yang tinggi (76,47%) dan memiliki nilai spesifisitas yang rendah (44,90%) dibandingkan dengan pemeriksaan EPDS. Berdasarkan hasil tersebut, PHQ-9 efektif untuk mendeteksi depresi postpartum dengan sensitivitas yang tinggi. Kesimpulan penelitian ini adalah PHQ-9 dan EPDS efektif dalam mendeteksi depresi postpartum. PHQ-9 efektif dalam mendeteksi depresi postpartum ringan sedangkan EPDS efektif dalam mendeteksi depresi postpartum berat.

Granisetron was more Effective than Ondansetron as Antiemetic in Ovarian Cancer Patients: a Randomized Controlled Trial: Granisetron Lebih Efektif Dibandingkan Ondansetron Sebagai Antiemetik Pada Pasien Kanker Ovarium: Penelitian Uji Acak Terkendali Hanif Reza; Shinta Prawitasari; Ardhanu Kusumanto
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1877

Objective: To determine the effectiveness of intravenousinjection of granisetron compared to ondansetron inpreventing nausea and vomiting, we used the MASCCAntiemesis Tool (MAT) in ovarian cancer patients undergoingpaclitaxel-carboplatin chemotherapyMethods: This study was conducted as a double-blind,randomized controlled trial. The treatment group received1 mg of granisetron, whereas the control group received8 mg of ondansetron intravenously. Nausea and vomitingwere assessed using the MAT scale at 12 hours, 24 hours,and 48 hours after chemotherapy. The differences in MATscores between the groups were analyzed using the Mann-Whitney test.Results: A total of 60 participants were enrolled in thisstudy. The results indicated that the MAT score at the 12-hour mark significantly differed from the 24-hour and 48-hour MAT scores (p = 0.00, p = 0.00). The MAT scores in thegranisetron group at 12 hours, 24 hours, and 48 hours werestatistically lower compared to the ondansetron group (p =0.00, p = 0.00, p = 0.00).Conclusions: In conclusion, intravenous granisetron provedto be more effective than intravenous ondansetron inpreventing nausea and vomiting among patients with ovariancancer undergoing paclitaxel-carboplatin chemotherapy.Keywords: chemotherapy, granisetron, MAT score,ondansetron, ovarian cancer.AbstrakTujuan: Mengetahui efektivitas perbandingan pemberianinjeksi intravena antara granisetron dan ondansetrondalam mencegah mual dan muntah dengan menggunakanMAT pada pasien dengan kanker ovarium yang mendapatkemoterapi dengan regimen paclitaxel-carboplatin.Metode: Penelitian ini merupakan double blind randomizedcontrolled trial dengan kelompok perlakuan diberikangranisetron 1 mg dan kelompok kontrol yang diberikaninjeksi ondansetron 8mg. Kemudian dilakukan penilaianterhadap mual dan muntah dengan menggunakan skorMAT pada 12 jam, 24 jam, dan 48 jam setelah diberikankemoterapi dengan menggunakan Mann-Whitney testkarena distribusi data tidak normal.Hasil: Total sampel pada penelitian ini adalah 60 subjek.Hasil skor MAT pada 12 jam berbeda bermakna dengan skorMAT 24 jam dan skor MAT 48 jam (p= 0,00, p= 0,00. Terdapatperbedaan bermakna secara statistik pada pengaruh terapigranisetron dan ondansetron terhadap skor MAT 12 jam, 24jam, dan 48 jam (p= 0,00, p= 0,00, p= 0,00).Kesimpulan: Pemberian injeksi granisetron intravena lebihefektif mencegah mual dan muntah dengan menggunakanMAT dibandingkan dengan injeksi ondansetron intravenapada pasien dengan kanker ovarium yang mendapatkemoterapi paclitaxel-carboplatin.Kata kunci: kemoterapi, granisetron, kanker ovarium,ondansetron, skor MAT.

Strategi Perbaikan Sistem Pernapasan pada Pasien PPOK Melalui Terapi Komplementer Rohmah, Ulfa Nur; Yari, Yarwin; Ramba, Hardin La; Suarti, Ni Made; Prawitasari, Shinta
Jurnal Kesehatan Holistic Vol. 8 No. 1 (2024): Jurnal Kesehatan Holistic Volume 8/ Nomor 1/ Juli 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v8i1.182

Introduction: Complementary therapies have now become part of innovations that play a role in COPD patients so that they become essential as treatment supporters that have benefits, especially in improving the respiratory system, especially in COPD patients who return after exacerbations. Objectives: This study aims to determine strategies in improving the respiratory system in COPD patients through comprehensive therapy. Methods: Selection of articles using PRISMA guidelines using databased in the form of Scopus, CINAHL, Cochrane, ProQuest so that a narrative review is formed. The criteria for eligible articles include RCT or non-RCT with pre-test and post-test design, published between 2018-2023, full text, English, not considering control group, not studies related to drugs to treat diseases and complications. Results: The results obtained in this study after adjusting to the study criteria were 9 feasible articles. Complementary therapies in COPD patients can include breathing techniques, suppression techniques, music therapy, energy muscle techniques, and pulmonary rehabilitation. The complementary therapies in the study had almost mostly an impact on improving the respiratory system status of COPD patients Conclusion: Complementary therapy of COPD patients can be a holistic approach that must be a concern that can be implemented into various stages of treatment of COPD patients by involving multidisciplinary teams so that there is defense and improvement of the respiratory system

Strategi Perbaikan Sistem Pernapasan pada Pasien PPOK Melalui Terapi Komplementer Rohmah, Ulfa Nur; Yari, Yarwin; Ramba, Hardin La; Suarti, Ni Made; Prawitasari, Shinta
Jurnal Kesehatan Holistic Vol. 8 No. 1 (2024): Jurnal Kesehatan Holistic Volume 8/ Nomor 1/ Juli 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v8i1.182

Introduction: Complementary therapies have now become part of innovations that play a role in COPD patients so that they become essential as treatment supporters that have benefits, especially in improving the respiratory system, especially in COPD patients who return after exacerbations. Objectives: This study aims to determine strategies in improving the respiratory system in COPD patients through comprehensive therapy. Methods: Selection of articles using PRISMA guidelines using databased in the form of Scopus, CINAHL, Cochrane, ProQuest so that a narrative review is formed. The criteria for eligible articles include RCT or non-RCT with pre-test and post-test design, published between 2018-2023, full text, English, not considering control group, not studies related to drugs to treat diseases and complications. Results: The results obtained in this study after adjusting to the study criteria were 9 feasible articles. Complementary therapies in COPD patients can include breathing techniques, suppression techniques, music therapy, energy muscle techniques, and pulmonary rehabilitation. The complementary therapies in the study had almost mostly an impact on improving the respiratory system status of COPD patients Conclusion: Complementary therapy of COPD patients can be a holistic approach that must be a concern that can be implemented into various stages of treatment of COPD patients by involving multidisciplinary teams so that there is defense and improvement of the respiratory system

Hubungan Seksio Sesarea Crash dengan Luaran Maternal di RSUP Dr.Sardjito Satriagraha, Oky Ardian; Prawitasari, Shinta; Siswishanto, Rukmono
JURNAL KESEHATAN REPRODUKSI Vol 11, No 1 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.94728

Background: Crash caesarean section is performed because there is a life-threatening condition to the mother or fetus. The duration between a decision is made to perform a caesarean section until delivery the baby is termed decisions to delivery interval (DDI) or response time. Response time of 30 minutes from the decision to baby delivered is considered to prevent complications and worsen maternal conditions.Objective: To assess the relationship between response time in crash caesarean section with maternal outcome at Dr. Sardjito Hospital.Method: This study was cross sectional method using secondary data from the medical record. The subjects were all pregnant women who underwent crash caesarean section and met the inclusion criteria from January 2021 to December 2022 at Dr. Sardjito Hospital.Results and Discussion: There were 38 cases that met the criteria from 114 cases of crash caesarean section during the period January 2021 to December 2022. From the data obtained, response time of £ 30 minutes was 4 (10,5%) cases and response time > 30 minutes was 34 (89,5%) %) cases. There was no significant relationship between the duration of response time and the maternal outcomes of ICU care, blood transfusion, length of hospital stay, or surgical wound infection (p>0,05). From bivariate analysis, maternal outcomes ICU care was statistically significant relationship of preoperative Hb level <8 g/dL (p=0,003; RR 2,500; 95% CI 1,613-3,875) and severe antepartum hemorrhage (p=0,000; RR 9,880; 95% CI 1,484-65,787). From bivariate analysis, severe antepartum hemorrhage was statistically significant against maternal outcomes blood transfusion (p=0,000; RR 2,600; 95% CI 1,307-5,171).Conclusion: There was no relationship between the duration of response time for crash caesarean section based on maternal indications with maternal outcomes (ICU care, blood transfusion, length of hospital stay, and surgical wound infections) at Dr. Sardjito Hospital. There is a significant relationship between severe antepartum hemorrhage with maternal outcomes of ICU care and blood transfusion. Keywords: crash caesarean section, response time, DDI, maternal outcome

Intervensi Nonfarmakologis sebagai Solusi Kelelahan pada Pasien Kanker Payudara: Sebuah Tinjauan Sistematik Panjaitan, Ribka Sabarina; Sibualamu, Khalida Ziah; Harahap, Sarah Geltri; Prawitasari, Shinta; Setyaningsih, Tri; Ludovikus, Ludovikus
Malahayati Nursing Journal Vol 7, No 10 (2025): Volume 7 Nomor 10 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i10.22320

ABSTRACT Fatigue is one of the most common and debilitating symptoms experienced by breast cancer patients, particularly during chemotherapy. Pharmacological management often remains insufficient, highlighting the need for safe and effective non-pharmacological interventions. To systematically identify and analyze various non-pharmacological interventions used to manage fatigue in breast cancer patients undergoing chemotherapy. This study employed a systematic review method following the PRISMA and Joanna Briggs Institute guidelines. Literature was searched from databases including PubMed, ScienceDirect, and Sagejournal using PICOT-based keywords. Included articles were Randomized Controlled Trials (RCTs) studies, published in English between 2015 and 2025.Results: Out of 585 articles identified, 6 met the inclusion criteria. The reviewed studies demonstrated the effectiveness of several non-pharmacological interventions in reducing cancer-related fatigue, including ATAS acupuncture, structured physical exercise programs (aerobic and strength training), yoga, and traditional Chinese herbal medicine (XBYRT). These interventions also showed additional benefits on sleep quality, anxiety, depression, and overall quality of life. Non-pharmacological interventions show significant potential in alleviating fatigue among breast cancer patients undergoing chemotherapy. A holistic approach that integrates physical, psychological, and spiritual strategies is recommended to improve patient well-being. Further large-scale and long-term studies are warranted to strengthen these findings. Keywords: Breast Cancer, Chemotherapy, Fatigue Non-Pharmacological Interventions ABSTRAK Kelelahan merupakan salah satu gejala paling umum dan melemahkan yang dialami pasien kanker payudara, terutama selama menjalani kemoterapi. Penanganan kelelahan dengan pendekatan farmakologis seringkali belum optimal, sehingga diperlukan strategi tambahan berupa intervensi nonfarmakologis yang aman dan efektif. Mengidentifikasi dan menganalisis secara sistematik berbagai intervensi nonfarmakologis yang digunakan untuk mengatasi kelelahan pada pasien kanker payudara yang menjalani kemoterapi. Penelitian ini menggunakan metode systematic review dengan mengacu pada panduan PRISMA dan Joanna Briggs Institute Guideline. Pencarian literatur dilakukan melalui database PubMed, ScienceDirect, dan Sagejournal dengan kata kunci sesuai format PICOT. Artikel yang dianalisis berjenis Randomized Controlled Trial (RCT), berbahasa Inggris, dan dipublikasikan dalam rentang 2015–2025. Dari 585 artikel yang ditemukan, sebanyak 6 artikel memenuhi kriteria inklusi. Intervensi nonfarmakologis yang terbukti efektif dalam menurunkan kelelahan meliputi akupunktur ATAS, program latihan fisik (aerobik dan kekuatan), yoga, dan ramuan herbal TCM (XBYRT). Efek positif juga terlihat pada aspek tambahan seperti kualitas tidur, kecemasan, depresi, dan kualitas hidup pasien. Intervensi nonfarmakologis terbukti memberikan manfaat signifikan dalam mengurangi kelelahan pada pasien kanker payudara selama kemoterapi. Penggabungan pendekatan fisik, psikologis, dan spiritual melalui intervensi yang terencana dapat menjadi strategi holistik dalam meningkatkan kualitas hidup pasien. Diperlukan penelitian lanjutan dengan jumlah sampel lebih besar dan durasi yang lebih panjang untuk memperkuat temuan ini. Kata Kunci: Intervensi Nonfarmakologis, Kanker Payudara, Kelelahan, Kemoterapi.

Pencegahan Diabetes Melitus Melalui Edukasi Faktor-Faktor yang Berkuntribusi Terhadap Peningkatan Kadar Gula Darah di Kelurahan Mangga Dua Selatan Suarti, Ni Made; Prawitasari, Shinta; Udayani, Ni Putu Eka Chandra
Jurnal Pengabdian Kesehatan Vol 1 No 1 (2024): SerQua : Service Quality (Jurnal Pengabdian Masyarakat)
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/sqj.v1i1.208

Pencegahan bertambahnya angka kejadian penyakit Diabetes Mellitus (DM) melalui pemberian pengetahuan mengenai cara-cara dalam mempertahankan kadar gula darah tetap stabil dan menghambat terjadinya komplikasi jangka panjang bagi masyarakat yang sudah terkena DM tipe II merupakan penting bagi penderita. Edukasi dan pelatihan lebih sering akan memberikan hasil yang lebih baik. Kegiatan pengabdian kepada masyarakat terdiri dari 2 tahapan yakni. Tahap persiapan dilakukan dari koordinasi perijinan dari mitra. Tahapan pelaksanaan kegiatan dilakukan pada 17 dan 18 Oktober 2023 dan RW 04 kelurahan Mangga Dua Selatan. Tahapan evaluasi dilakukan dengan pemberian kuesioner dan observasi pada peserta. Melalui penyuluhan tentang pencegahan DM melalui edukasi faktor-faktor yang berkontribusi dalam meningkatkan gula darah dapat meningkatkan pemahaman dan kesadaran serta kemampuan masyarakat kelurahan Mangga Dua Selatan dalam mencegah terjadinya penyakit DM tipe II dengan cara membatasi asupan karbohidrat dengan pemilihan makanan rendah karbohidrat, olahraga secara teratur, pemeriksaan gula darah berkala dan mengelola stress dengan baik. Bagi warga yang sudah terkena DM hendaknya menyadari pentingnya pengelolaan diet, olahraga, melakukan pemeriksaan gula darah berkala untuk memperlambat dan menghambat timbulnya komplikasi baik komplikasi jangka pendek dan jangka panjang berupa kelainan mikrovaskuler dan makrovaskuler dan gangguan saraf. Dukungan keluarga sangat dibutuhkan sebagai support sistem agar klien tetap patuh melaksanakan seluruh pilar-pilar pengelolaan DM.

Cegah Hipertensi Sejak Dini: Edukasi Interaktif Bagi Perempuan Sebagai Penjaga Kesehatan Keluarga Prawitasari, Shinta; Ernawati, Ernawati
Jurnal Pengabdian Kesehatan Vol 2 No 2 (2025): SerQua : Service Quality (Jurnal Pengabdian Masyarakat)
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Pendahuluan : Hipertensi merupakan tantangan kesehatan masyarakat yang signifikan di Indonesia, yang menyumbang sekitar 13% dari kematian global, dengan proyeksi menunjukkan angka ini akan meningkat menjadi 29,2% pada tahun 2025. Penelitian ini membahas kesenjangan pengetahuan mengenai pencegahan hipertensi oleh wanita, khususnya ibu yang bekerja dan ibu rumah tangga, di daerah Paku Jaya, Serpong Utara, Tangerang Selatan. Tujuan: Pelaksanaan kegiatan masyarakat ini terutama dimaksudkan untuk meningkatkan kesadaran masyarakat dan memperdalam pengetahuan tentang pencegahan hipertensi melalui pendekatan pendidikan yang menarik dan interaktif. yang bertujuan untuk mengatasi tingginya tingkat kejadian yang berkaitan erat dengan faktor gaya hidup tidak sehat dan mekanisme deteksi dini yang tidak memadai dalam komunitas untuk mendeteksi hipertensi. Metode: Program pengabdian masyarakat ini terdiri dari lima sesi pendidikan interaktif, yang dikombinasikan dengan demonstrasi pengukuran tekanan darah menggunakan sphygmomanometer digital. Tingkat pengetahuan peserta dinilai secara sistematis melalui evaluasi pre-test dan post-test untuk mengukur hasil belajar. Hasil : pengaplikasian tindakan pengabdian pada masayarakat menunjukkan peningkatan pada pengetahuan peserta, dengan skor pre-test rata-rata 63,96 dan skor post-test rata-rata 81,87, sehingga menunjukkan peningkatan sebesar 28,00% dalam pemahaman dan kesadaran tentang strategi pencegahan hipertensi.

The Relationship Between Breakfast and the Learning Concentration of Students Safitri, Maya; Prawitasari, Shinta; Ramba, Hardin La
Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i2.12296

Breakfast is the first meal consumed in the morning before starting activities, usually before 10 a.m. Breakfast plays an important role because it provides 20-35% of the calories needed by the body to carry out daily activities. In addition to providing energy, breakfast can also improve concentration, memory, and information processing speed. Glucose obtained from breakfast supports nervous system activity, mood, and cognitive function. Cognitive function is very important in the process of learning, thinking, and decision making, and is greatly influenced by breakfast intake. Physiologically, the brain needs glucose as its main source of energy, and breakfast helps restore energy supplies after fasting overnight. This study used a quantitative approach with a correlational and cross-sectional design, involving 40 eighth-grade students with total sampling. The instruments used were questionnaires, digit symbol tests (DST), and observations. The results of the analysis using the Spearman rho test showed a positive relationship between breakfast and learning concentration, with a value of r = 0.521 and a value of p = 0.001. This study is expected to contribute to education and health policies, including education on the importance of breakfast to improve the quality of education in Indonesia.

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