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Manajemen Nyeri Akut pada Pasien dengan Batu Ureter Level UVJ dan Batu Ginjal Dextra Ana Khumaeroh; Lestari Sukmarini
Journal of Telenursing (JOTING) Vol 4 No 2 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i2.3703

Abstract

This study aims to identify the effectiveness of collaborative interventions providing analgesic therapy of the Nonsteroidal Anti-Inflammatory Drugs (NSAID) class in treating acute pain problems in patients with ureteral stones and right kidney stones. The method used is a single case study of patients with grade II & IV right hydronephrosis and right hydroureter ecausa distal ureterolithiasis UVJ level and right nephrolithiasis. The results showed that administering the NSAID class of analgesic therapy was effective as the first therapy for acute pain problems. Nurses have an important role in implementing collaborative interventions in administering analgesics, namely conducting pain assessments, assessing patient history, monitoring pain scales, observing patient responses to administering analgesics and helping patients improve comfort. In conclusion, the collaborative intervention of providing NSAID-class analgesics is effective in treating acute pain in patients with ureteral and kidney stones. Keywords: Dextra Kidney Stones, Ureteral Stones, Acute Pain, NSAID Therapy
Self-Efficacy and Feeling of Security Associated with Risky Sexual Behavior among Commercial Sex Workers Living with HIV Anki Tias Yolanda; Agung Waluyo; Lestari Sukmarini
Jurnal Keperawatan Indonesia Vol 23 No 1 (2020): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.537

Abstract

Commercial sex workers (CSWs) represent a key population for HIV transmission. CSWs continue to thrive because of the development of the tourism sector and the acceptance of communities. This study aimed to identify the factors associated with risky sexual behavior among CSWs living with HIV. A cross-sectional design was adopted. The sample size was set to 80 CSWs living with HIV in the Special Region of Yogyakarta and Central Java. Chi-square and multiple logistic regression were used in the data analysis. Results showed the significant relationship of self-efficacy (p < 0.001; OR = 9.365) and feeling secure (p= 0.033; OR= 2.762) with risky sexual behavior. No significant relationship was noted between income (p= 0.244), knowledge (p= 0.110), attitude (p= 0.978), drug use (p= 0.150), alcohol consumption (p= 0.642), and sexual violence (p= 0.968) and risky sexual behavior. Nursing practices are expected to focus on promotive and preventative efforts by involving communities in enhancing the feeling of security and self-efficacy of CSWs through health programs and improvement of health facilities. Abstrak Efikasi Diri dan Perasaan Aman Berhubungan dengan Perilaku Seksual Berisiko pada Pekerja Seks Komersial dengan HIV. Pekerja Seks Komersial (PSK) menjadi populasi kunci penularan HIV. Perkembangan sektor pariwisata dan penerimaan masyarakat menjadikan PSK tetap bertahan. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang memengaruhi perilaku seksual berisiko pada PSK dengan HIV positif. Desain penelitian ini adalah cross-sectional dengan jumlah sampel 80 Orang Dengan HIV AIDS (ODHA) PSK di Daerah Istimewa Yogyakarta dan Jawa Tengah. Analisis data menggunakan Chi-Square dan regresi logistik ganda. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara efikasi diri (p< 0,001; OR= 9,365) dan perasaan aman (p= 0,033; OR= 2,762) dengan perilaku seksual berisiko. Tidak terdapat hubungan yang signifikan antara penghasilan (p= 0,244), pengetahuan (p= 0,110), sikap (p= 0,978), pemakaian narkoba (p= 0,150), konsumsi alkohol (p= 0,642), dan kekerasan seksual (p= 0,968) dengan perilaku seksual berisiko. Pelayanan keperawatan diharapkan lebih berfokus pada upaya promotif dan preventif dengan melibatkan masyarakat dalam meningkatkan rasa aman dan efikasi diri PSK melalui program-program kesehatan dan peningkatan fasilitas kesehatan. Kata Kunci: HIV, pekerja seks komersial, perilaku seksual berisiko
Adaptation to Sexual Dysfunction in Patients with Chronic Renal Failure Akhyarul Anam; Lestari Sukmarini; Agung Waluyo
Jurnal Keperawatan Indonesia Vol 23 No 2 (2020): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i2.582

Abstract

The prevalence of chronic renal failure in Indonesia tends to increase in the lower age group (45–54 years). Chronic renal failure may lead to impaired sexual function. A descriptive phenomenology study with in-depth interviews was carried out with 12 participants, and thematic content analysis was applied. Six themes were revealed, as follows: 1) adaptation process to sexual dysfunction experienced, 2) sexual dysfunction experience, 3) importance of fulfilling sexuality needs, 4) behavior in dealing with sexual dysfunction, 5) perception of the cause of sexual dysfunction, and 6) participants’ expectation of health service related to sexual function. The experience of adapting to sexual dysfunction became a meaningful process through partner involvement. Similar research involving more heterogeneous samples would benefit further discourse. Abstrak Adaptasi Terhadap Disfungsi Seksual Pada Pasien Gagal Ginjal Kronis. Prevalensi gagal ginjal kronis di Indonesia cenderung meningkat pada kelompok usia lebih muda (45–54 tahun). Gagal ginjal kronis sering menyebabkan gangguan fungsi seksualitas (disfungsi seksual). Penelitian ini bertujuan mendapatkan gambaran mendalam tentang pengalaman proses adaptasi pasien gagal ginjal kronis yang mengalami disfungsi seksual. Desain penelitian menggunakan deskriptif fenomenologi dengan wawancara mendalam. Dua belas partisipan diperoleh dengan teknik purposive sampling. Hasil penelitian ini teridentifikasi enam tema yaitu 1) proses adaptasi terhadap disfungsi seksual yang dialami partisipan, 2) disfungsi seksual yang dialami, 3) makna pentingnya pemenuhan kebutuhan seksualitas, 4) perilaku dalam menghadapi disfungsi seksual, 5) persepsi tentang penyebab disfungsi seksual, dan 6) harapan partisipan terhadap pelayanan kesehatan terkait fungsi seksualitas. Proses adaptasi yang dialami partisipan merupakan pengalaman yang sangat bermakna karena melibatkan dirinya sendiri dan hubungan interpersonal dengan pasangannya. Penelitian sejenis dengan sampel lebih heterogen diperlukan untuk memperkaya keilmuan. Kata kunci: disfungsi seksual, gagal ginjal kronis, pengalaman proses adaptasi pasien
Penurunan Nyeri dan Kekakuan Sendi Menggunakan Extra Virgin Olive Oil Topikal pada Osteoarthritis Lutut Betty Luinta Saragih; Masfuri Masfuri; Lestari Sukmarini
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.1152

Abstract

Nyeri dan kekakuan sendi merupakan gejala utama yang sering terjadi pada pasien osteoarthritis (OA) lutut. Terapi komplementer dan alternatif diperlukan untuk menurunkan tingkat nyeri dan kekakuan sendi pada OA lutut tanpa efek samping. Penelitian ini bertujuan untuk mengidentifikasi Extra Virgin Olive Oil (EVOO) topikal terhadap nyeri dan kekakuan sendi pada pasien OA lutut. Desain penelitian menggunakan quasi-experimental menggunakan pre-test and post-test dengan kelompok kontrol. Jumlah sampel terdiri dari 15 responden pada masing-masing kelompok intervensi (EVOO topikal) dan kelompok kontrol (placebo) dengan teknik consecutive sampling. Uji statistik dilakukan menggunakan uji parametrik (pooled t-test dan paired t-test) dan uji non parametrik (Mann-Whitney test dan Wilcoxon test) sesuai hasil uji normalitas. Hasil penelitian menunjukkan EVOO topikal menunjukan sedikit lebih berefek dalam menurunkan tingkat nyeri sesudah intervensi (hari ke-7 dan hari ke-14) dan kekakuan sendi pada hari ke-14 dibandingkan placebo (p < 0,05). Kesimpulan penelitian ini menunjukkan bahwa EVOO topikal secara bertahap menurunkan nyeri dan kekakuan sendi pada pasien OA lutut. Oleh karena itu, EVOO topikal direkomendasikan sebagai terapi komplementer dan alternatif yang aman tanpa efek samping pada pasien OA lutut.
Terapi Komplementer dalam Mengatasi Gangguan Tidur Pasien yang Menjalani Hemodialisis Rasmiati Rasmiati; Tuti Herawati; Lestari Sukmarini
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.6261

Abstract

This study aims to collect relevant information on the effectiveness of complementary therapies in treating sleep disturbances in patients undergoing routine hemodialysis. The method used in this study is a literature study by collecting and reviewing several published articles regarding the role, use, and effect of complementary therapy in patients on routine hemodialysis with sleep disturbance problems. The results showed the effectiveness of complementary therapies such as music therapy, acupressure, and Benson's relaxation in overcoming sleep disturbances and improving patients' sleep quality. In conclusion, the three complementary therapies can overcome sleep disturbances and improve hemodialysis patients' sleep quality. However, of the three therapies, the authors concluded that Benson's relaxation intervention was an intervention that had better effectiveness than other complementary therapies. Keywords: Complementary Therapy, Sleep Disorders, Hemodialysis
The Effectiveness of Prone Positioning in Patients with Acute Respiratory Distress Syndrome: A Literature Review Giri Susanto; Lestari Sukmarini
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3597.905 KB) | DOI: 10.30604/jika.v7i2.985

Abstract

Acute respiratory distress syndrome (ARDS) is connected with the high mortality rate. The syndrome appears in the form of a decrease in pulmonary compliance which causes mechanical changes and gas exchange in the lungs resulting in hypoxemia which is indicated by a decrease of oxygen saturation. Prone positioning (PP) can be an intervention in moderate to severe respiratory disorders in ARDS, which aims to increase oxygen saturation. Objective: This study aims to determine the extent to which prone positioning given to ARDS patients can increase oxygen saturation. This study applies the literature review method. The search for the literature used the scientific database, such as Proquest, ScienceDirect, and Pubmed/MEDLINE with the publication years of 2019-2021. Total of 1332 articles were selected, there are 11 articles that fulfill the criteria. The review results of the 11 articles show that prone positioning has been able to increase oxygen saturation in patients with ARDS, with varying durations of pronation. The average duration of pronation is 30 to 90 minutes. The use of prone positioning can increase oxygenation and the ability of the respiratory system in patients with ARDS. The application of prone positioning in patients with moderate to severe respiratory disorders is considered quite safe. Abstrak: Acute respiratory distress syndrome (ARDS) dikaitkan dengan angka kematian yang tinggi. Sindrom yang muncul berupa penurunan komplians paru, yang menyebabkan perubahan mekanik dalam paru-paru dan pertukaran gas yang mengakibatkan hipoksemia yang ditunjukkan dengan penurunan saturasi oksigen. Posisi pronasi (PP) dapat menjadi satu intervensi pada gangguan pernafasan sedang hingga berat pada ARDS, yang bertujuan meningkatkan saturasi oksigen. Studi ini bertujuan untuk mengetahui sejauh mana pemberian posisi pronasi pada pasien ARDS dapat meningkatkan saturasi oksigen. Studi ini menggunakan metoda tinjauan literatur. Pencarian literatur menggunakan database ilmiah antara lain Proquest, ScienceDirect, dan Pubmed/medline dengan tahun publikasi 2019-2021. Dari total 1332 artikel yang diseleksi, ada 11 artikel yang memenuhi kriteria. Hasil tinjauan dari 11 artikel menunjukkan bahwa posisi pronasi mampu meningkatkan saturasi oksigen pada pasien dengan ARDS, dengan durasi pemberian posisi pronasi yang berbeda-beda. Rata -rata durasi pemberian posisi pronasi adalah 30-90 menit. Penggunaan posisi pronasi mampu meningkatkan oksigenasi dan kemampuan sistem pernafasan pada pasien dengan ARDS. Penerapan posisi pronasi pada pasien dengan gangguan pernapasan sedang hingga berat dinilai cukup aman.
Penegakan Diagnosa Keperawatan pada Pasien Gastroesofagus Reflux Disease dengan Aplikasi Sistem Pakar Forward Chaining Vitta Margareth Philipus; Lestari Sukmarini; La Ode Rahman
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5115

Abstract

This study aimed to see the use of a computer-based expert system with the forward channeling method for detecting Gastroesophageal Reflux Disease and its application in nursing. The research method used in writing this literature review is based on 25 literature in 2018-2022. This expert system is run with PHP and MYSQL programs. The results of this study are that the Forward Chaining Expert System program will detect gastroesophageal reflux disease based on the symptoms inputted into the system and display an intervention plan that can be carried out like an expert. Still, this system cannot show 100% appropriate disease diagnosis because it requires a series of other tests that still need to be put in the system. In conclusion, with this expert system technology, health workers and users are increasingly assisted and shorten the time required for disease diagnosis and treatment. Keywords: Expert System, Forward Chaining, Gastroesophageal Reflux Disease
Deteksi Penyakit Kardiovaskular pada Isyarat EKG Berbasis Deep Learning Tutut Riana Hapsari; Lestari Sukmarini; Tuti Herawati
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5178

Abstract

The purpose of this study is to review studies related to the CNN method in predicting cardiovascular disease so that it can explain the comparison of results between the CNN studies to detect cardiovascular disease that have been conducted. The research method used is a literature review. The results of the study show that the use of the CNN method to detect cardiovascular disease has excellent results, with the highest percentage of accuracy reaching 99.79%, the highest percentage of F1-score achieving 99.78%, the highest percentage of specificity achieving 98.35%, and the highest sensitivity reaching 99.71%. In conclusion, the CNN method can be implemented into a clinical decision support system that health workers such as doctors and nurses can use to assess patient health. Further research must consider the proposed CNN architectural model using the database to outperform existing research. Keywords: Convolutional Neural Network, Electrocardiogram, Detection of Cardiovascular Disease
Intradialytic Exercise dan Outcome pada Pasien yang Menjalani Hemodialisis Tatu Meri; Tuti Herawati; Lestari Sukmarini; I Made Kariasa
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5716

Abstract

This study aims to study the effect of intradialysis exercise on patients undergoing hemodialysis. The research method used is a literature search. The research results were published in English and Indonesian journals from 2018 to 2022. The literature search used PICO references in several databases, such as ScienceDirect, ProQuest, Scopus, and PubMed. The study's results showed a significant effect of intradialytic exercise on improving physical, cognitive, and sleep quality and quality of life. They could help reduce depression levels in patients undergoing hemodialysis. In conclusion, a structured and adequately monitored intradialysis exercise program is the key to the success of an intradialysis exercise program. Keywords: Hemodialysis, Intradialysis Exercise
Efektivitas Monitoring Glukosa Darah dengan Pengambilan Sampel di Telapak Tangan Terhadap Penurunan Nyeri Akibat Tusukan Jarum pada Pasien Diabetes Mellitus Laili Fitriana; Agung Waluyo; Lestari Sukmarini
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6015

Abstract

This literature study aims to determine Effectiveness of Blood Glucose Monitoring by Sampling on the Palm of the Hand in Reducing Needlestick Pain in Diabetes Mellitus Patients. The research design is a systematic review, using 6 databases, ProQuest, EMBASE, SpringerLink, Sage Journals, Scopus and Taylor and Francis. A total of 10 articles were reviewed from 2010 to 2022. The keywords used in the literature search were Diabetes Mellitus AND Blood Glucose AND pain AND palm site AND fingertip. The protocol and literature review evaluation used the Critical Appraisal Skills Program issued by the JBI Guideline. The results of the study showed that the palms of the hands as blood glucose sampling sites were effective in reducing pain due to needle pricks in patients with diabetes mellitus. In addition, pain can also be minimized by adjusting the diameter of the lancet and the depth of the puncture and using the latest technology/method for testing blood glucose. In conclusion, palms as an alternative site for blood glucose sampling are effective in reducing pain due to needle pricks in patients with diabetes mellitus. Keywords: Diabetes Mellitus, Blood Glucose, Pain, Palms, Fingertips