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STUDI KASUS: NYERI KEPALA SEKUNDER EC SPACE OCCUPYING LESION INTRAKRANIAL (ASTROSITOMA DIFUS WHO GRADE II) POST KRANIOTOMI REMOVAL TUMOR Rizki Nugraha Agung
HUMAN CARE JOURNAL Vol 6, No 3 (2021): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/hcj.v6i3.1428

Abstrak Nyeri kepala merupakan salah satu tanda gejala khas pada pasien dengan tumor otak seperti astrositoma, kondisi tersebut disebabkan karena tekanan yang ditimbulkan oleh tumor terhadap jaringan disekitar otak atau oleh kondisi edema serebri yang menyebabkan tekanan intrakranial meningkat. Pengaturan posisi kepala merupakan salah satu intervensi keperawatan yang dapat digunakan pada masalah keperawatan nyeri kepala. Penelitian ini bertujuan untuk mengetahu apakah ada pengaruh elevasi kepala 30 derajat terhadap penurunan intrakranial. Metode penelitian menggunakan mendekatan asuhan keperawatan. Hasil penelitian ini dapat diketahui bahwa pemberian elevasi kepala 30 derajat selama sepuluh hari dapat menurnkan tekanan intrakranial sehingga perfusi serebral efektif dan nyeri kepala berkurang.Kata Kunci: Nyeri Kepala, Astrositoma, Posisi kepala, Perawat AbstractHeadache is one of the typical signs symptom in patients with brain tumors as Astrocytoma. It’s caused by the pressure from tumor in tissues around the brain or cerebral edema conditions that cause increased intracranial pressure. Head positioning is one of the nursing interventions that can be used in headache nursing problems. The study aim to determine whether there is an effect of 30 degree head elevation on intracranial reduction. The research method was a nursing care approach. The results of this study that giving a 30 degree head elevation for ten days can reduce intracranial pressure, so that cerebral perfusion was effective and headache was reduced.Keywords: Headache, Astrocytoma, Head positioning, Nurses.

Penguatan Kualitas Pendidik Klinik/Preseptor Klinik Melalui Peningkatan Kemampuan Evaluasi Pembelajaran Dengan Metode: Objective Structured Clinical Examination (OSCE) Tahap Basic Naryati Naryati; Muhammad Hadi; Rizki Nugraha Agung; Melati Fajarini; Giri Widakdo
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 7 (2022): Volume 5 No 7 Juli 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i7.6880

ABSTRAK Implementasi pendidikan tahap profesi ners adalah peserta didik menerapkan ilmu pengetahuan teori, konsep dan keterampilan teknis yang telah dikuasai pada program akademik pada klien langsung melalui program internship dimana peserta didik dibimbing oleh seorang perawat sebagai preceptor. Keberadaan pendidik klinik/preceptor sangat diperlukan dalam menjamin keterlaksanaan layanan pasien yang berkualitas serta menjamin kompetensi peserta didik. Disamping itu, pendidik klinik/preceptor juga diperlukan untuk mengurangi stres yang mungkin dialami oleh peserta didik sebagai lulusan sarjana keperawatan baru yang belum mengenal dunia kerja sebenarnya serta untuk menjamin bahwa tanggung jawab tidak sepenuhnya berada pada peserta didik, tidak diberikan secara lebih dini atau tidak seharusnya diberikan secara kurang tepat. Metoda pembelajaran pada tahap profesi berfokus pada pelaksanaan pendelegasian kewenangan dari preceptor kepada peserta didiknya. Sedangkan kegiatan evaluasi pada tahap profesi lebih terfokus pada pembuktian bahwa peserta didik telah memiliki kompetensi yang ditetapkan dan disertai dengan kemandirian dalam menjalankan kompetensinya sebagai cerminan kewenangan telah dimiliki. Tujuan dari pelatihan OSCE diharapkan dapat memberi pemahaman tentang evaluasi dengan metode OSCE, sehingga para evaluator dapat mengevaluasi secara objektif sesuai kemampuan mahasiswa. Metode yang akan dilakukan adalah pelatihan OSCE kepada preseptor klinik rumah sakit aliansi. Hasil yang didapatkan pre-tes dengan nilai rata-rata 65, setelah diberikan pelatihan meningkat menjadi 85. Kesimpulan yang didapatkan terjadi peningkatan pemahaman preseptor mahasiswa. Kata Kunci: Kompetensi Klinik, OSCE, Pendidikan Keperawatan, Pendidik Klinik, Preseptor Klinik ABSTRACT The implementation of the nursing profession education stage is that students apply theoretical knowledge, concepts and technical skills that have been mastered in academic programs to clients directly through an internship program where students are guided by a nurse as a preceptor. The existence of clinical educators/preceptors is very necessary in ensuring the implementation of quality patient services and ensuring the competence of students. In addition, clinical educators / preceptors are also needed to reduce stress that may be experienced by students as new nursing graduates who are not familiar with the real world of work and to ensure that the responsibility is not entirely on the students, is not given earlier or should not be given. given incorrectly. The learning method at the professional stage focuses on implementing the delegation of authority from the preceptor to his students. Meanwhile, evaluation activities at the professional stage are more focused on proving that students have the competencies defined and accompanied by independence in carrying out their competencies as a reflection of the authority they have. The purpose of the OSCE training is expected to provide an understanding of evaluation using the OSCE method, so that evaluators can evaluate objectively according to students' abilities. The method that will be used is OSCE training for clinical precepts of alliance hospitals. The results obtained pre-test with an average value of 65, after being given the training increased to 85. The conclusion obtained was an increase in the understanding of students' precepts. Keywords: Clinical Competence, OSCE, Nursing Education, Clinical Educator, Clinical Precept

Upaya Menurunkan Burnout Syndrome Perawat Aliansi Rumah Sakit Islam Jakarta Yani Sofiani; Abdu Rahim Kamil; Rizki Nugraha Agung; Nuraeni Nuraeni; Suryani Suryani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 5 (2023): Volume 6 No 5 Mei 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i5.9536

ABSTRAK Burnout syndrome merupakan suatu kondisi yang sering terjadi pada perawat akibat dari tuntutan pekerjaan yang tinggi dan kurangnya dukungan sosial. Burnout syndrome dapat mempengaruhi kinerja perawat dan kualitas pelayanan kesehatan yang diberikan kepada pasien. Oleh karena itu, upaya untuk menurunkan burnout syndrome pada perawat sangat penting dilakukan. Kegiatan ini bertujuan untuk menurunkan tingkat burnout syndrome pada perawat Aliansi Rumah Sakit Islam Jakarta melalui kegiatan Pengabdian Kepada Masyarakat (PKM). Kegiatan PKM yang dilakukan adalah edukasi tentang burnout syndrome, gejala, dampak, serta hal-hal yang dapat mencegah atau mengurangi burnout pada perawat. Selama kegiatan PKM, terdapat partisipasi yang aktif dari perawat dan terlihat antusias dalam memperoleh informasi baru terkait burnout syndrome. Kegiatan ini dilaksanakan pada 29 November 2022 diikuti 30 perawat dari Aliansi Rumah Sakit Islam Jakarta. Hasil dari kegiatan PKM menunjukkan adanya peningkatan pengetahuan perawat tentang burnout syndrome, gejala, dampak, dan cara mencegah atau menguranginya. Selain itu, terdapat peningkatan kesadaran perawat untuk melakukan self-care dan mengelola stres dengan baik. Diharapkan melalui kegiatan PKM ini, dapat membantu perawat Aliansi Rumah Sakit Islam Jakarta dalam menurunkan tingkat burnout syndrome dan meningkatkan kualitas pelayanan kesehatan yang diberikan kepada pasien. Kegiatan PKM ini juga dapat menjadi model bagi rumah sakit atau institusi lainnya dalam upaya penurunan burnout syndrome pada perawat. Kata Kunci: Burnout Syndrome, Perawat, PKM ABSTRACT Burnout syndrome is a condition that often occurs in nurses due to high job demands and lack of social support. Burnout syndrome can affect the performance of nurses and the quality of health services provided to patients. Therefore, efforts to reduce burnout syndrome in nurses are very important. This activity aims to reduce the level of burnout syndrome among nurses at the Jakarta Islamic Hospital Alliance through Community Service (PKM) activities. PKM activities carried out are education about burnout syndrome, symptoms, impacts, and things that can prevent or reduce burnout in nurses. During the PKM activities, there was active participation from nurses and they seemed enthusiastic in obtaining new information regarding burnout syndrome. This activity was held on 29 November 2022 attended by 30 nurses from the Jakarta Islamic Hospital Alliance. The results of PKM activities show an increase in nurses' knowledge about burnout syndrome, its symptoms, impacts, and how to prevent or reduce it. In addition, there is an increase in the awareness of nurses to carry out self-care and manage stress well. It is hoped that through this PKM activity, it can help nurses at the Jakarta Islamic Hospital Alliance in reducing burnout syndrome rates and improving the quality of health services provided to patients. This PKM activity can also be a model for hospitals or other institutions in efforts to reduce burnout syndrome in nurses. Keywords: Burnout Syndrome, Nurses, PKM

Determinan Terbentuknya Epibole (Rolled Under Epithelial) Pada Penyembuhan Ulkus Kaki Diabetik Irma Puspita Arisanty; Yani Sofiani; Rizki Nugraha Agung; Fitrian Rayasari; Dian Noviati Kurniasih
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49253

Introduction: Diabetic foot ulcers (wounds) are chronic ulcers that require special treatment, one of which is to ensure that the wound edge epithelialization process goes well. Epibole is a wound edge complication where the epithelium rolls downward, preventing wound closure. Methods: This study is a cross sectional observation with a conscusive sampling method in diabetikic foot ulcer patients. Results: Statistical analysis of this study showed the incidence of epibole in diabetic foot ulcers was 18.3% (N=93) and showed no significant relationship between the characteristics of respondents, ulcer characteristics with the incidence of epibole in diabetic foot ulcers. Multivariate analysis showed that the determinant factor of epibole formation in diabetic foot ulcer healing was wound age with an OR value of 5.566. Chronic wounds aged ≥ 21 days have the characteristic of keratinocytes (epithelialization) that slow down (do not migrate) so that epibole is formed and the wound is difficult to close. Recommendation: The occurrence of epibole should be identified as soon as posible, so that it can be treated immediately and accelerate wound re-epithelial or closure.

Challenges in clinical training for professional nurse students: A qualitative study Naryati Naryati; Muhammad Hadi; Rizki Nugraha Agung; Melati Fajarini
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2700

Introduction: Clinical training is a cornerstone of nursing education, equipping students with the practical competencies required for professional practice. However, professional nursing students often face significant obstacles, including limited supervision, communication barriers, emotional strain, and resource constraints that hinder their clinical learning. Despite these concerns, few studies in Indonesia have systematically explored these challenges, creating a gap in understanding the specific contextual factors shaping clinical training experiences. Objective: This study aimed to explore the challenges experienced by professional nursing students during clinical training in Indonesia. Methods: A qualitative descriptive study was conducted using semi-structured interviews with 25 professional nursing students from accredited nursing programs in Indonesia. Data collection occurred between March and June 2025 to provide temporal context. Participants were purposively sampled to ensure diverse experiences. Thematic analysis followed Braun and Clarke’s six-step framework, and NVivo software supported data management. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies. Results: Analysis revealed five central themes: (1) Inadequate clinical supervision, characterized by limited instructor availability and insufficient feedback; (2) Communication barriers, including hierarchical dynamics, medical jargon, and language differences; (3) Emotional and psychological strain, stemming from high workloads and performance anxiety; (4) Resource constraints, such as limited access to modern tools and simulation facilities; and (5) Interpersonal challenges, involving peer competition and difficulties in collaborative learning. These issues were further influenced by Indonesia’s cultural and institutional context. Conclusion: Overcoming these barriers requires a holistic strategy encompassing improved student-to-instructor ratios, enhanced communication training, stress management initiatives, investment in educational resources, and fostering positive peer relationships. Institutional dedication to these interventions is critical to advancing clinical training outcomes and cultivating competent nursing professionals.

The Effectiveness of Kegel Exercises in Reducing Urinary Incontinence in Post-Operative TURP Patients Junaidin Junaidin; Rizki Nugraha Agung; Dewi Anggraini; Wati Jumaiyah
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5242

Urinary incontinence is a common complication following Transurethral Resection of the Prostate (TURP) for benign prostatic tumors, which significantly impacts the quality of life of patients. Kegel exercises have been proven effective as a non-pharmacological intervention to improve bladder control and strengthen the pelvic floor muscles. This study aims to evaluate the effectiveness of Kegel exercises in reducing urinary incontinence levels in post-TURP patients. Objective to assess the effectiveness of Kegel exercises in reducing the severity of urinary incontinence in post-TURP patients. This study used a quasi-experimental design with a pre-test and post-test approach on 15 post-TURP patients at RSUD Labuang Baji Makassar. Respondents performed Kegel exercises for 7 days with a frequency of 6 sessions per day. Urinary incontinence levels were measured using the ICIQ-UI Short Form questionnaire before and after the intervention. Data analysis was conducted using the dependent t-test. Before the intervention, the average urinary incontinence score was 24.27 (±2.712), which decreased to 21.73 (±3.217) after the intervention, with a p-value of < 0.001. The effect size of 0.915 indicates a significant effect. Kegel exercises are effective in reducing the severity of urinary incontinence in post-TURP patients. This intervention is recommended as a non-pharmacological therapy to improve patients' quality of life.

Standardized Swallowing Assessment (SSA) Diagnostic Test for Diysphagia Screening in Stroke Patients in the Stroke Center Treatment Room Nurun Salaman Alhidayat; Rizki Nugraha Agung; Ninik Yunitri
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.v7i3.6057

Stroke is the second leading cause of death in the world with cases continuing to increase every year, and one of the complications that often occurs is dysphagia, which can cause nutritional and respiratory disorders. Early detection of dysphagia through appropriate screening, such as the Standardized Swallowing Assessment (SSA), is very important to prevent further complications and improve the recovery of stroke patients.. Objective: to conduct diagnostic tests of the SSA assessment instrument for dysphagia screening in the Stroke Center room of Labuang Baji Hospital, South Sulawesi Province, Makassar. Method: In this study, a diagnostic test was used by measuring the sensitivity and specificity of the SSA instrument. The diagnostic test is a descriptive observational study with a cross-sectional study design. Results: The results of this study indicate that the sensitivity level of the SSA instrument reached 96.55% and the specificity level of the SSA instrument reached 87.5%. Conclusions: Dysphagia screening Standardized Swallowing Assessment (SSA) can be used as a standard instrument to identify dysphagia manifestations.

Effectiveness of Intradialytic Exercise on Fatigue in Chronic Kidney Failure Patients Undergoing Hemodialysis Therapy Safruddin Safruddin; Rizki Nugraha Agung; Dewi Anggraini; Wati Jumaiyah
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.v7i3.6079

Fatigue is one of the most common symptoms experienced by patients undergoing hemodialysis therapy. This condition can affect the quality of life of chronic patients, because reduced physical activity, such as sedentary habits, and emotional stress can also be the cause of fatigue. Intradialitic exercise has various benefits in reducing fatigue experienced by patients. This study aims to evaluate the effect of exercise training on the level of fatigue in patients undergoing hemodialysis therapy. The study used a design Quasi-experimental research using the pre-test and post test group design. The research population was all patients with end-stage renal failure with the sampling technique being accidental sampling, with amount sample of 22 patients. Intradialytic exercises were performed for six weeks at a frequency of twice a week, with each session lasting a maximum of 20 minutes. Fatigue levels were measured using the Functional Assessment of Chronic Illness Therapy (FACIT) questionnaire. Data analysis was performed using the dependent t-test. The results of the study showed that the average level of fatigue before the intervention is 26.36 (SD ± 3.580 ), while the average score is the fatigue level after intervention is 32.09 (SD ±4.116 ) with a p value of 0.001, the effect size is -3.378, then including in category effect tall based on Cohen'. There is significant difference between fatigue levels before and after interdialytic exercise in patients with chronic renal failure undergoing hemodialytic therapy.

Peppermint and Ginger Aromatherapy for Managing Nausea and Vomiting During Chemotherapy Fenny Maryani; Yani Sofiani; Rizki Nugraha Agung; Fitrian Rayasari; Dian Noviati Kurniasih
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.v7i3.6212

Nausea and vomiting are common side effects experienced by breast cancer patients undergoing chemotherapy. Complementary therapies, such as peppermint and ginger aromatherapy, have been widely studied as alternatives to relieve these symptoms. However, the effectiveness of each type of aromatherapy needs further evaluation. Objective: This study aims to analyze the effectiveness of peppermint and ginger aromatherapy in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. Methods: A Quasi-Experimental design was used with 28 breast cancer patients at Husada Hospital Jakarta, divided into two groups: peppermint and ginger. Nausea and vomiting levels were measured before, 2 hours, and 6 hours after chemotherapy and analyzed using ANOVA Repeated Measures and Independent T-Test. Results: The results showed that both peppermint and ginger aromatherapy significantly reduced nausea and vomiting after chemotherapy (p < 0.05). However, at 6 hours after chemotherapy, the peppermint group had lower average nausea and vomiting scores compared to the ginger group (6.57 vs. 10.29, p = 0.036). This indicates that peppermint is more effective than ginger in reducing nausea and vomiting after chemotherapy. Conclusion: Both peppermint and ginger aromatherapy are effective in reducing nausea and vomiting in breast cancer patients undergoing chemotherapy. However, peppermint showed higher effectiveness compared to ginger at the 6-hour post-chemotherapy time point. Future research could explore the combination of peppermint and ginger aromatherapy to enhance effectiveness in reducing nausea and vomiting in breast cancer patients.

The Effect of Progressive Muscle Relaxation on Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus Fakhrudin Nasrul Sani; Fitrian Rayasari; Dewi Anggraini; Rizki Nugraha Agung; Retno Dyah Wahyuningsih
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6969

One of the most complex chronic diseases is diabetes, which requires ongoing medical care aimed at reducing multifactorial risks beyond glycaemic control. Diabetes and stress are interrelated, where stress results in increased cortisol production, cortisol itself inhibits the work of insulin, this triggers an increase in blood sugar levels. One of the ways to control blood sugar levels by providing non-pharmacological therapy is to provide music therapy, relaxation and guided imagery. Progressive Muscle Relaxation (PMR) is one of the relaxations that can be applied to patients with diabetes mellitus. This relaxation technique can speed up the body's metabolism by physiologically increasing blood flow. This study aims to determine the effect of progressive muscle relaxation on blood sugar levels in patients with type 2 diabetes mellitus. This research is a quasi-experimental. The research design used is nonrandomised pretest - posttest with control group design. The research sample was divided into two groups, the intervention group and the control group. Blood sugar level measurements were carried out in the intervention group twice, namely before (pretest) and after (posttest) being given progressive relaxation therapy, while the control group did not receive any actions. The population in this study were patients with type 2 diabetes mellitus at Dr Moewardi Surakarta Hospital. Data analysis using the parametric paired t-test because the data is normally distributed. The blood sugar level in the control group before the relaxation intervention was an average of 237.90 mg/dl and after the relaxation intervention was an average of 218.57 mg/dl. The average blood sugar level in the control group before relaxation was 238.10 mg/dl and after relaxation was 231.43 mg/dl. The p-value for the intervention group based on the paired sample t-test statistic is 0.000 (p < 0.05) with an average decrease in blood sugar level of 19.33 mg/dl. These results indicate that progressive muscle relaxation exercises have an effect on changes in blood sugar levels in patients with type 2 diabetes mellitus. Based on the above description, it can be concluded that progressive muscle relaxation has an effect on changes in blood sugar levels in patients with type 2 diabetes mellitus.

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