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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Keperawatan Silampari Jurnal Kreativitas PKM Syntax Idea Indonesian Journal of Global Health research INDOGENIUS Jurnal Kesehatan Amanah Eduvest - Journal of Universal Studies JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Lentera: Multidisciplinary Studies Jurnal Ilmu Kesehatan dan Gizi Al Makki Health Informatics Journal Jurnal Kesehatan Mahardika Jurnal Medika Nusantara Vitamedica: Jurnal Rumpun Kesehatan Umum MEJORA Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Lentera: Multidisciplinary Studies
Dwiyanti Purbasari
Institut Teknologi Dan Kesehatan Mahardika, Jawa Barat, Indonesia
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Nursing Care for Oxygenation Needs Disorder in Patients Diagnosed with Bronchitis in the Jimbaran Lama Ward Oom Komariyah; Khaerunnisa Dwi Hikmatun; Diana Sari; Risma Fitriyani; Dwiyanti Purbasari
Al Makki Health Informatics Journal Vol. 2 No. 3 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i3.26

Abstract

Ineffective airway clearance is one of the oxygenation disorders in patients with respiratory disorders (bronchitis). One of the practical nursing actions is to cough effectively to remove mucus in the respiratory tract. This study aimed to determine and analyze nursing care for impaired oxygenation needs in patients with a medical diagnosis of bronchitis in the old Jimbaran room. This research method uses a descriptive design as a nursing practice case study approach. The case study examines the respiratory rate (RR) of patients with respiratory disorders (bronchitis) after giving effective coughing measures for 3x24 hours. The results showed that the patient's RR before implementation was 24 x/min. In comparison, after being given an effective cough implementation for 3x24 hours, the RR was 20 x/min. In conclusion, nursing actions that need to be taken in patients with respiratory disorders (bronchitis) include assessing sputum production, effective coughing techniques, counseling regarding positioning, and collaborative oxygen or nebulizer administration. The implication of this study is the importance of effective coughing measures in managing bronchitis patients, including evaluation of sputum production, training in proper coughing techniques, education on proper positioning, and collaboration with oxygen or nebulizer administration as needed. Synchronization between research objectives and research conclusions. Present the research subject, research criteria, data collection methods, and data analysis.
Studi Korelasi antara Suhu Inkubator dan Intensitas Cahaya dengan Klasifikasi Suhu Tubuh pada Bayi Prematur Dwiyanti Purbasari
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.831

Abstract

Premature neonate will experience rapid loss of body heat immediately after birth. Mortality of neonate is caused by changes in body temperature at birth, namely hypothermia.. The purpose of this study was to analyze the correlation of incubator temperature and light intensity with the classification of premature neonate body temperature. The research design used a correlational approach with a cross-sectional approach. The population of this study were premature neonates in the Perinatology ward and NICU of Waled Hospital, Cirebon Regency. The sample in this study were 32 neonates using purposive sampling. The instruments used were observation sheets, thermometers, luxmeters, thermohygrometers. Data analysis in this study used Chi square. The results showed that a correlation between incubator temperature and body temperature in premature neonates. (p value = 0.05; α = 0.05) and there is a correlation between light intensity with body temperature in premature neonates. (p value = 0.05; α = 0.05). Measuring the neonates body temperature and resetting the incubator temperature needs to be done periodically by health workers.
Maternal Factors in Managing Seizures in Children Dwiyanti Purbasari
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6265

Abstract

Febrile seizures are medical emergencies commonly occurring in children aged 6 months to 5 years that require immediate and appropriate response. Maternal knowledge plays a critical role in managing these events to prevent complications.Objective : This study aims to examine the relationship between maternal knowledge, education, occupation, and age with the management of febrile seizures in children at Mitra Plumbon Hospital. A quantitative research design with a cross-sectional approach was used. A total of 84 mothers whose children experienced febrile seizures were selected through total sampling. A validated structured questionnaire was used as the instrument. The questionnaire underwent validity and reliability testing on a sample of 10 mothers to ensure its appropriateness for the study. Data were analyzed using the Spearman Rank test and ordinal regression.Result : The results showed that 45.2% of mothers had good knowledge and 47.6% demonstrated appropriate seizure management. Significant relationships were found between knowledge (r = 0.567; p < 0.001) and education (r = 0.287; p = 0.008) with seizure management. Age and occupation showed no significant correlation.Conclusion : It is concluded that maternal knowledge and education significantly influence the proper management of febrile seizures. Continuous health education for mothers is essential to improve emergency handling of febrile seizures at home.
The Impact of Nutritional Intake on Bilirubin Levels in Hospitalized Neonates with Hyperbilirubinemia Dwiyanti Purbasari
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6267

Abstract

Newborns commonly experience an increase in bilirubin levels starting from the first day of life. If not properly managed, this condition can develop into hyperbilirubinemia—a frequently encountered health issue among neonates that may lead to severe neurological complications. Nutritional intake, particularly breastfeeding, is believed to play a crucial role in the elimination of bilirubin through feces and urine. Objective: This study aimed to analyze the relationship between nutritional intake and total bilirubin levels in neonates with hyperbilirubinemia on the final day of hospitalization. Methods: This research employed an analytical correlational design with a cross-sectional approach. A total of 34 respondents were selected using accidental sampling during of June at Waled Regional Public Hospital, Cirebon Regency. Data analysis was performed using Pearson’s correlation test. Results: The findings revealed a significant relationship between nutritional intake and total bilirubin levels in neonates with hyperbilirubinemia (p-value = 0.001; r = -0.542), indicating a moderate negative correlation. Conclusion: Adequate nutritional intake, especially breastfeeding, combined with appropriate medical management, plays an important role in reducing bilirubin levels in neonates with hyperbilirubinemia.
Kepatuhan konsumsi Terapi Kelasi Besi Dengan Kualitas Hidup Anak Pada Penderita Thalasemia Mayor di RSUD Majalengka Dwiyanti Purbasari; Nur Alfi Lail
MEJORA Medical Journal Awatara Vol 2 No 1 (2024): JANUARY
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i1.147

Abstract

Menurut World Bank menunjukan 7% dari populasi dunia merupakan pembawa sifat thalasemia. Di Indonesia bulan juni tahun 2021 sebanyak 10.973 kasus. Provinsi Jawa Barat memiliki jumlah penderita thalasemia terbanyak, pada akhir 2019 jumlahnya 4.000 kasus. Ketua POPTI menyampaikan terdapat 145 kasus thalasemia di Majalengka. Tahun 2023 pada bulan mei tercatat 115 penderita thalasemia yang melakukan rawat jalan di Klinik Thalasemia RSUD Majalengka. Tujuan penelitian ini adalah untuk mengetahui hubungan kepatuhan konsumsi terapi kelasi besi dengan kualitas hidup anak pada penderita thalasemia mayor di RSUD Majalengka. Jenis penelitian ini adalah kuantitatif deskriptif korelasi dengan pendekatan cross- sectional. Populasi dalam penelitian ini adalah anak penderita thalasemia mayor yang mengkonsumsi terapi kelasi besi dan berusia 6-18 tahun. Pengambilan sampel menggunakan teknik porpusive sampling berjumlah 53 responden. Instrumen yang digunakan berupa kuisioner MCQ versi melayu dan PedsQL. Analisa data menggunkan uji Spearman Rank. Tempat penelitian di RSUD Majalengka pada tanggal 15 Mei-10 Juni 2023. Hasil analisa bivariat menggunakan uji spearman rank p value < α dan r < 1,00 hubungan yang bermakna antara kepatuhan konsumsi terapi kealsi besi dengan fungsi fisik (0,00), fungsi emosional (0,00), fungsi sosial (0,00), dan fungsi sekolah/akademik (0,01) Dengan arah korelasi positif sedang hingga positif kuat yang menunjukan bahwa semakin tinggi kepatuhan konsumsi terapi kelasi besi maka semakin baik kualitas hidup anak thalasemia
Penerapan Teknik Relaksasi Benson Pada Pasien Dengan Nyeri Akut Akibat Post Operasi Transurethral Resection Of The Prostate Atas Indikasi Benigna Prostat Hyperplasia Oom Komariyah; Dwiyanti Purbasari; Diana Sari; Risma Fitriyani; Khaerunnisa Dwi Hikmatun
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.263

Abstract

One of the surgical procedures for patients with Benign Prostatic Hyperplasia (BPH) is Transurethral Resection of the Prostate (TURP). This procedure often causes postoperative pain in the lower abdominal area or around the pubic symphysis. Benson relaxation technique is a non-pharmacological pain management approach that helps alleviate mental and physical tension as well as stress, thereby increasing pain tolerance. This study aims to determine the effect of the Benson relaxation technique in reducing acute pain in postoperative patients with Benign Prostatic Hyperplasia (BPH) at Waled Regional General Hospital, Cirebon Regency. The study employed a case study design with a nursing process approach on one respondent who underwent TURP surgery one day earlier due to BPH. Benson relaxation therapy was administered on the second to fourth postoperative days. Pain was assessed using the Numeric Rating Scale (NRS) and qualitative pain evaluation. The study was conducted in December 2023. By the fourth postoperative day, the patient reported mild pain characterized by a stabbing sensation around the surgical wound in the abdomen. The pain was intermittent, particularly when getting out of bed, moving, or engaging in physical activity. The pain scale was 3, and the patient appeared calm and relaxed, with a pulse rate of 84 beats per minute and a respiratory rate of 18 breaths per minute during activities without supplemental oxygen. Continuous application of the Benson relaxation technique can serve as a complementary intervention to reduce acute pain in postoperative TURP patients due to BPH.
Penerapan Posisi Semi Fowler terhadap Peningkatan Status Pernapasan pada Pasien Pneumonia dengan Respiratory Failure Diruang ICU RSD Gunung Jati Kota Cirebon Sri Sundari; Erida Fadila; Dwiyanti Purbasari
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 1 (2026): JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i1.2424

Abstract

Pneumonia with respiratory failure is a critical condition caused by inflammation of the lung parenchyma that disrupts gas exchange, requiring intensive care in the ICU. In addition to medical therapy, an effective non-pharmacological intervention to optimize lung expansion and oxygenation status is the semi-Fowler position (30°–45°). Objective: To analyze the effectiveness of the semi-Fowler position in improving respiratory status in pneumonia patients with respiratory failure in the ICU of Gunung Jati Regional Hospital, Cirebon City. Methods: This study used a descriptive case study method based on evidence-based practice. Subjects consisted of five adult patients with respiratory failure in the ICU. The semi-Fowler position intervention was given for 3 consecutive days of care. The instruments used included a critical care nursing care format, an oximeter, and an observation sheet. Results: Before the intervention, all five patients experienced severe shortness of breath with an average respiratory rate (RR) of 26–30 x/minute. The primary patient (Mrs. I, 74 years old) experienced decreased consciousness, was on a ventilator, had accumulated secretions, and rhonchi. After 3 days of semi-Fowler position intervention accompanied by adequate suctioning, all five patients showed significant improvement with a decrease in RR of 5–6 x/minute (to 20–25 x/minute). In Mrs. I, the accumulation of secretions and rhonchi decreased, peripheral circulation improved, and there were no pressure ulcer complications. Conclusion: The application of the semi-Fowler position (30°–45°) effectively improved respiratory status and addressed the nursing problem of ineffective breathing patterns in pneumonia patients with respiratory failure in the ICU.
Intradialytic Stretching Exercise terhadap Nyeri dan Tekanan Darah pada Pasien Hemodialisis Feni Novia; Dwiyanti Purbasari
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.856

Abstract

Chronic Kidney Disease (CKD) is a global health problem with an increasing prevalence every year. CKD patients who undergo hemodialysis often experience complications such as muscle cramps, fatigue, and changes in blood pressure during the dialysis process that have an impact on quality of life. This study aims to analyze the effectiveness of the application of Intradialytic Stretching Exercise on pain and blood pressure in hemodialysis patients. The research method uses a qualitative approach with a case study design. The study sample consisted of one patient with a medical diagnosis of CKD on HD and a primary nursing diagnosis of chronic pain. Data were collected through nursing assessments including anamnesis, inspection, palpation, percussion, and auscultation. Implementation was carried out by administering Intradialytic Stretching Exercise according to the procedure, then evaluating the patient's pain level and blood pressure. Data analysis used comparative descriptive between pre- and post-intervention conditions. The research will be carried out in February 2026 at the Hemodialysis Room of Gunung Jati Hospital, Cirebon City. The results showed a decrease in pain scale, reduced muscle cramp complaints, patients appeared more relaxed, and blood pressure was stable during the hemodialysis process. These findings confirm that Intradialytic Stretching Exercise is effective as a nonpharmacological intervention to reduce pain and maintain blood pressure stability in hemodialysis patients.
Kombinasi Semi Fowler dan Pursed Lip Breathing terhadap Stabilisasi Respirasi pada Pasien Gagal Jantung: Studi Kasus Fika Dwilianti Sakri; Dwiyanti Purbasari
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 1 (2026): Januari : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i1.857

Abstract

The prevalence of heart disease in Indonesia is 1.5% and in West Java 1.6%, with acute decompensated heart failure (ADHF) being one of the cardiovascular conditions that frequently requires hospitalization. ADHF is a condition characterized by a sudden or gradual worsening of heart failure symptoms that can cause shortness of breath. Objective: To determine the effect of a combination of the semi-Fowler position and pursed-lip breathing on respiratory stabilization in patients with ADHF. Research method: Qualitative research using a case study design. The sample consisted of 2 individuals with a medical diagnosis of ADHF and a nursing diagnosis of ineffective breathing pattern. The research procedure involved assessment through history-taking, inspection, palpation, percussion, and auscultation; implementation of the semi-Fowler position and pursed-lip breathing; and evaluation of respiratory stabilization. The study was conducted over three days, from February 23 to 25, 2026, in the ICCU ward at Gunung Jati Regional General Hospital. Research findings: The nursing diagnosis based on the SDKI for both respondents was ineffective breathing pattern; data from both respondents indicated complaints of shortness of breath, increased respiratory rate, use of accessory breathing muscles, and decreased oxygen saturation. After implementing the semi-Fowler position and pursed-lip breathing, respiratory stabilization occurred, with shortness of breath improving, respiratory rate improving, use of accessory breathing muscles decreasing, and oxygen saturation improving. Conclusion and Recommendations: The combination of the semi-Fowler position and pursed-lip breathing can help stabilize respiration in patients with shortness of breath. It is hoped that the combination of the semi-Fowler position and pursed-lip breathing can be implemented as a safe and simple nonpharmacological nursing intervention to help stabilize respiration in patients with respiratory disorders, particularly heart failure.
Intervensi Non-Farmakologis untuk Menurunkan Fatigue ada Pasien Gagal Ginjal Kronik Sri Alifia Anjani Yahya; Erida Fadila; Dwiyanti Purbasari
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 1 (2026): Januari: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i1.2382

Abstract

Chronic kidney failure patients undergoing hemodialysis often experience fatigue that impacts physical, psychological, and quality of life. The treatment of fatigue does not only depend on pharmacological therapy, but can also be done through non-pharmacological interventions that are safer and have fewer side effects. This study aims to analyze the effectiveness of non-pharmacological interventions in reducing fatigue in hemodialysis patients. The research method uses Systematic Literature Review (SLR) with the PRISMA approach. Articles were obtained from Google Scholar, PubMed, ScienceDirect, and Garuda databases. A total of 11 articles that met the inclusion criteria were analyzed in depth. The results of the study showed that various non-pharmacological interventions such as relaxation therapy, exercise, acupressure, music therapy, and recreational therapy were proven to be effective in reducing fatigue and improving the comfort, sleep quality, physical capacity, and quality of life of hemodialysis patients. These findings confirm that non-pharmacological interventions can be used as complementary, safe, and effective companion therapies in clinical practice. The implications of this study provide a basis for health workers to integrate non-pharmacological interventions in the treatment program for patients with chronic kidney failure, so that it is expected to improve the overall quality of life.
Co-Authors Ahmad Syaripudin Amal, Safira Melenia Andini , Andini Anita Sundari Citra Setyo Dwi Andhini Desi Mirnasari Diana Sari Diana Sari Diana Sari Didik Rinanto Dwi Hikmatun , Khaerunnisa Dwi Hikmatun, Khaerunnisa Dwi, Citra Setyo Erida Fadila Fadila, Erida Feni Novia Fika Dwilianti Sakri Fikry Tryasmoro Fitriyani, Risma Hana Choerunisa, Najwa Hasna Ilma Naufani Inne Septia Delian Karlina, Nonok Khaerunnisa Dwi Hikmatun Khaerunnisa Dwi Hikmatun Komariah , Oom Komariyah , Oom Komariyah, Oom Marselina, Seli Meli Nur Imani Nani Yunita Nonok Kalina Nur Alfi Lail Oom Komariyah Oom Komariyah Puspita, Siska Qur’aeni, Devi Nurul Rahayu, Windy Rahmatunisa, Ninis Ratna Kuning Budi Rahayu, Atik Riah, Suci Risma Fitriyani Risma Fitriyani Rosalia Rahayu Saidah Saniyah Sindi Lailatul Muasanah Siska Puspita Sri Alifia Anjani Yahya Sri Sundari Susan, Yanti Tantri Maulani Putri Thia Octiany Thia Oktiani Tio Anggara Uni Wahyuni