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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
Efektivitas Terapi Musik dalam Menurunkan Tekanan Darah pada Pasien dengan Hipertensi Rifka Hanum; Lestari Sukmarini; Anggri Noorana Zahra
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.v5i2.6092

Abstract

This study aims to examine the literature that explores the effectiveness of music therapy in reducing blood pressure in hypertensive patients. The method used is a literature study method using secondary data from previous research which is a journal published from 2018 to 2020 in English and Indonesian journals. The inclusion criteria in this study were: articles explaining music therapy and its benefits in reducing blood pressure, original research, and subjects in this study were patients with hypertension. The types of studies used were randomized controlled trials and quasi-experiments. The literature search used the Clinicalkey, Proquest, Wiley online library, PubMed, and Google Scholar databases. Using the keywords "music therapy" "combination" and "hypertension" or "blood pressure". The results showed that nine studies related to music therapy can reduce blood pressure in hypertensive patients with an average decrease in systolic pressure of 10-29mmHg and diastolic pressure of 2-16mmHg. In conclusion, music therapy has a positive effect on lowering blood pressure in hypertension sufferers. Keywords: Hypertension, Music Therapy, Blood Pressure
Hubungan Penerimaan Diri dengan Kepatuhan Pembatasan Cairan pada Pasien Gagal Ginjal Ana Khumaeroh; Lestari Sukmarini; Masfuri Masfuri
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.v5i2.6183

Abstract

This study aimed to identify the relationship between self acceptance and fluid adherence in ESRD patients undergoing HD. This study used cross sectional design with consecutive sampling of 121 respondents. Data collection used fluid adherence questionnaires, self acceptance scale and documentation studies. The analysis used chi square and logistic regression. The result showed that 79,3% of respondents had adherence to fluid restriction and 78,5% of them had self acceptance. The analysis result also showed there was a significant relationship between self acceptance and fluid adherence (p=0,024), but no significant relationship between self-acceptance and IDWG (p=0.154). There was significant relationship between confounding variable of the length of time undergoing HD and fluid adherence (p=0.033), adequacy HD and IDWG (p=0,011). However, other confounding variables were not significant relationship with fluid adherence, which were: age, gender, education, and comorbidities. Furthermore, the multivariat analysis found that self acceptance was the most dominant variable affecting fluid adherence (p=0.006) after controlling by variables of the sex and the length of time undergoing HD, which can predicted 21% to fluid adherence. In conclusion, from the results of this study, it was found that there was a significant relationship between self-acceptance and length of time undergoing hemodialysis with fluid adherence in terminal renal failure patients undergoing hemodialysis. Key words: Hemodialysis, End Stage Renal Disease, Fluid adherence, Self Acceptance
Aromatherapy sebagai penurun ansietas dan depresi dalam menunjang kualitas hidup pasien penyakit ginjal tahap akhir yang menjalani hemodialisis: A systematic review Adelia Pradita; Agung Waluyo; Lestari Sukmarini
Holistik Jurnal Kesehatan Vol. 18 No. 3 (2024): Volume 18 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i3.137

Abstract

Background: Anxiety and depression are common problems in patients with end stage renal disease that impact quality of life with significant morbidity and mortality. This can be prevented by administering aromatherapy. Aromatherapy as a part of alternative and complementary therapy to treat anxiety and depression. Purpose: To review and discuss the studies related to aromatherapy in addressing anxiety and depression in end stage renal disease patients undergoing hemodialysis. Method: In this systematic review, we did content analysis by doing a search method using electronic databases. These electronic databases consist of Pubmed, Scopus, Embase, Science Direct, and ProQuest published from 2013 to 2023 and study designed RCT and quasi-eksperiment. The keywords in the search were Hemodialysis AND Aromatherapy AND depression AND anxiety. Quality assessment of selected articles used by Joanna Briggs Institute (JBI). Results: There were ten articles showing the effectiveness of using aromatherapy on anxiety and depression. Conclusion: Aromatherapy has a positive impact in addressing anxiety and depression in hemodialysis patients thus aromatherapy can possibly be applied in Indonesia as a safe, simple, and inexpensive method in nursing care to improve quality of life in end stage renal disease patients undergoing hemodialysis. Suggestion: Hemodialysis nurses as health care professionals who always interact with patients can incorporate evidence-based practices such as aromatherapy in the treatment management of anxiety and depression in hemodialysis patients.   Keywords: Anxiety; Aromatherapy; Depression; End Stage Renal Disease; Hemodialysis.   Pendahuluan: Ansietas dan depresi merupakan masalah yang sering terjadi pada pasien penyakit ginjal tahap akhir yang berdampak pada kualitas hidup dan meningkatkan morbiditas dan mortalitas yang signifikan. Hal tersebut dapat dicegah dengan intervensi pemberian aromatherapy. Aromatherapy sebagai salah satu cabang pengobatan komplementer dan alternatif untuk mengatasi ansietas dan depresi. Tujuan: Untuk meninjau dan mendiskusikan penelitian-penelitian terkait aromatherapy dalam mengatasi ansietas dan depresi pada pasien penyakit ginjal tahap akhir menjalani hemodialisis. Metode: Tinjauan sistematis dengan pencarian literatur menggunakan 5 database yaitu Pubmed, Scopus, Embase, Science Direct, dan ProQuest yang diterbitkan dari tahun 2013 hingga 2023 dengan desain RCT dan quasi-eksperimen. Kata kunci dalam pencarian adalah Hemodialysis AND Aromatherapy AND depression AND anxiety. Penilaian kualitas artikel yang dipilih menggunakan Joanna Briggs Institute (JBI). Hasil: Terdapat sepuluh artikel yang menunjukkan efektivitas penggunaan aromatherapy terhadap ansietas dan depresi. Simpulan: Penggunaan aromatherapy berdampak positif dalam mengatasi ansietas dan depresi pada pasien hemodialisis sehingga aromatherapy dapat memungkinkan untuk digunakan di Indonesia sebagai metode yang sederhana, aman, dan murah dalam pemberian asuhan keperawatan sebagai upaya peningkatan kualitas hidup pasien penyakit ginjal tahap akhir menjalani hemodialisis. Saran: Perawat hemodialisis sebagai profesional perawatan kesehatan yang selalu berinteraksi dengan pasien dapat menggabungkan praktik berbasis bukti seperti aromatherapy dalam manajemen perawatan ansietas dan depresi pasien hemodialisis.   Kata Kunci: Ansietas; Aromatherapy; Depresi; Hemodialisis; Penyakit Ginjal Tahap Akhir.