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All Journal Jurnal Keperawatan Indonesia Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes Jurnal Keperawatan Padjadjaran Jurnal Kesehatan Vokasional Jurnal Keperawatan Silampari Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Jurnal Kepemimpinan dan Manajemen Keperawatan Faletehan Health Journal Jurnal Kesehatan Karya Husada Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Jurnal Keperawatan Muhammadiyah Bengkulu MAHESA : Malahayati Health Student Journal Window of Nursing Journal Journal Of Health & Cardiovascular Nursing Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal AFIAT Jurnal Info Kesehatan
Tuti Nuraini
Basic Science And Fundamental Nursing Department, Faculty Of Nursing, Universitas Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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Faktor psikososial yang memengaruhi post-traumatic growth pada pasien kanker payudara: Sebuah tinjauan literatur sistematis Maria Elisabeth Peni Tukan; Tuti Nuraini; Giur Hargiana
Hik Vol. 20 No. 1 (2026): Volume 20 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i1.2196

Abstract

Background: Breast cancer is often perceived as a traumatic event that demands adaptive capacity to survive and find new meaning after a difficult process. One adaptive mechanism is post-traumatic growth (PTG), which is positive psychological growth after experiencing trauma. The level of PTG in breast cancer patients varies and is influenced by multifactorial and complex psychosocial factors, including both internal and external factors. Purpose: To synthesize scientific evidence regarding psychosocial factors associated with post-traumatic growth in breast cancer patients. Method: This systematic literature review was conducted in accordance with PRISMA guidelines and the methodological framework of the Joanna Briggs Institute (JBI). A comprehensive literature search was conducted in five electronic databases: ScienceDirect, PubMed, SpringerLink, Google Scholar, and Sage Journals. English-language research articles published within the last 10 years were selected based on predetermined inclusion criteria. Data were systematically extracted and synthesized using a narrative approach. Results: Ten studies were selected from 1,081 articles identified initially, involving a total of 2,464 breast cancer patients. Post-traumatic growth in breast cancer patients is influenced by the interaction between internal psychological factors and external social factors. Psychological factors associated with PTG include resilience, optimism, self-efficacy, locus of control, perceived stress, and coping strategies, while perceived social support emerged as the most significant external factor. Conclusion: PTG in breast cancer patients is formed through a psychosocial adaptation process influenced by both psychological factors and social support. These findings emphasize the importance of evidence-based nursing and psychosocial interventions to support psychological growth and quality of life in patients.   Keywords: Breast Cancer; Post-Traumatic Growth; Psychosocial Factors; Resilience; Social Support.   Pendahuluan: Kanker payudara sering dipersepsikan sebagai peristiwa traumatis yang menuntut kapasitas adaptif untuk bertahan hidup dan menemukan makna baru setelah menjalani proses yang sulit. Salah satu mekanisme adaptif adalah post-traumatic growth (PTG), yaitu pertumbuhan psikologis positif setelah mengalami trauma. Tingkat PTG pada pasien kanker payudara bervariasi dan dipengaruhi oleh faktor psikososial yang multifaktorial dan kompleks, mencakup faktor internal maupun eksternal. Tujuan: Untuk mensintesis bukti ilmiah mengenai faktor-faktor psikososial yang berhubungan dengan post-traumatic growth pada pasien kanker payudara. Metode: Tinjauan literatur sistematis ini dilakukan sesuai dengan pedoman PRISMA dan kerangka metodologis dari Joanna Briggs Institute (JBI). Penelusuran literatur secara komprehensif dilakukan pada 5 basis data elektronik, yaitu ScienceDirect, PubMed, SpringerLink, Google Scholar, dan Sage Journals. Artikel penelitian berbahasa Inggris yang diterbitkan dalam 10 tahun terakhir dipilih berdasarkan kriteria inklusi yang telah ditetapkan. Data diekstraksi secara sistematis dan disintesis menggunakan pendekatan naratif. Hasil: Sebanyak 10 studi terpilih dari 1,081 artikel yang teridentifikasi pada tahap awal, dengan total 2,464 pasien kanker payudara. Post-traumatic growth pada pasien kanker payudara dipengaruhi oleh interaksi antara faktor psikologis internal dan faktor sosial eksternal. Faktor psikologis yang berhubungan dengan PTG meliputi resiliensi, optimisme, efikasi diri, locus of control, persepsi stres, dan strategi koping, sedangkan dukungan sosial yang dirasakan muncul sebagai faktor eksternal yang paling signifikan. Simpulan: PTG pada pasien kanker payudara terbentuk melalui proses adaptasi psikososial yang dipengaruhi oleh faktor psikologis dan dukungan sosial. Temuan ini menegaskan pentingnya intervensi keperawatan dan psikososial berbasis bukti untuk mendukung pertumbuhan psikologis dan kualitas hidup pasien.   Kata Kunci: Dukungan Sosial; Faktor Psikososial; Kanker Payudara; Post-Traumatic Growth; Resiliensi.
Stres Kerja Memicu Sindrom Kelelahan Pada Perawat Manajer di Masa Pandemi Covid-19 Lia Dwi Jayanti; Hanny Handiyani; Tuti Nuraini; La Ode A. Rahman; Prayetni Prayetni
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 5 No. 2 (2022)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v5i2.1549

Abstract

Sindrom kelelahan menjadi masalah kesehatan akibat stres kerja yang dialami oleh semua manajer keperawatan di masa pandemi Covid-19. Perawat manajer rentan mengalami kelelahan karena beban kerja yang tinggi dan kurang waktu istirahat dalam melakukan peran dan fungsinya sebagai manajer. Peningkatan stres kerja akan menimbulkan kelelahan psikis dan fisik perawat manajer. Penelitian ini bertujuan mengidentifikasi stres kerja sebagai faktor yang berhubungan dengan sindrom kelelahan perawat manajer di masa pandemi Covid-19.Desain penelitian menggunakan korelasi deskriptif dengan pendekatan cross sectional yang dilakukan terhadap 147 responden. Teknik pengambilan sampel dengan menggunakan estimasi proporsi. Analisis yang digunakan analisis univariat dan analisis bivariat dengan menggunakan uji korelasi pearson. Sindrom kelelahan perawat manajer di masa pandemi Covid-19 sebesar 42,04%. Stres kerja perawat manajer di rumah sakit selama pandemi Covid-19 sebesar 57,71%. Terdapat hubungan yang signifikan antara stres kerja dengan sindrom kelelahan (p=0,000). Stres kerja dapat memicu sindrom kelelahan perawat manajer di masa pandemi Covid-19. Penelitian ini merekomendasikan agar pimpinan rumah sakit mengadakan pelatihan manajemen diri, membangun lingkungan kerja yang kondusif, dan meningkatkan kesejahteraan dengan pemberian insentif, gaji, serta penghargaan yang sesuai di masa pandemi. Dukungan organisasi untuk perawat manajer dengan pemberian waktu istirahat yang cukup, makanan sehat, program spiritual, dan olahraga di masa pandemi Covid-19.
DUKUNGAN SOSIAL SEBAGAI FAKTOR PENGUAT HEALTH LITERACY PADA MAHASANTRI Syadza Tazkia; Tuti Nuraini; Andi Amalia Wildani; Kuntarti Kuntarti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 11, No 1 (2026)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v11i1.715

Abstract

Rendahnya tingkat health literacy (HL) di kalangan mahasiswa menjadi tantangan dalam upaya peningkatan kesehatan masyarakat, termasuk di lingkungan pesantren. Dukungan sosial diperkirakan menjadi faktor pengaruh tingkat HL. Tujuan penelitian: Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan sosial dengan tingkat HL. Metode: Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional, melibatkan 171 mahasantri yang dipilih melalui stratified random sampling. Instrumen penelitian berupa kuesioner Health Literacy Survey-Europe-16 Questions (HLS-EU-Q16) dan Multidimensional Scale of Perceived Social Support (MSPSS). Analisis data menggunakan uji chi square. Hasil: Sebanyak 60,23% responden memiliki dukungan sosial yang baik. sebanyak 50,88% responden memiliki HL yang baik, sedangkan 49,12% lainnya memiliki HL kurang baik. Terdapat hubungan signifikan antara dukungan sosial dan tingkat health literacy (ρ = 0,011). Mahasantri dengan dukungan sosial yang baik memiliki kemungkinan 2,346 kali lebih besar untuk memiliki health literacy yang baik dibandingkan santri dengan dukungan sosial kurang baik. Diskusi: Tingkat dukungan sosial yang baik berhubungan dengan tingkat health literacy mahasantri yang baik, begitu pun sebaliknya. Kesimpulan: Terdapat hubungan antara dukungan sosial dengan health literacy. Oleh karena itu, diperlukan upaya penguatan jaringan dukungan sosial dan program edukasi kesehatan guna meningkatkan tingkat health literacy mahasantri.Kata Kunci: dukungan sosial, health literacy, mahasantri, pesantren. Social Support as A Reinforcing Factor for Health Literacy among MahasantriABSTRACTLow levels of health literacy (HL) among university students pose a significant challenge to public health promotion efforts, including within Islamic boarding school (pesantren) environments. Social support is anticipated to be an influential factor in determining HL levels. Objective: This study aims to analyze the correlation between social support and health literacy levels. Methods: A descriptive quantitative design with a cross-sectional approach was employed, involving 171 mahasantri (Islamic boarding school university students) selected through stratified random sampling. Research instruments included the Health Literacy Survey-Europe-16 Questions (HLS-EU-Q16) and the Multidimensional Scale of Perceived Social Support (MSPSS). Data were analyzed using the chi-square test. Results: The findings revealed that 60.2% of respondents perceived good social support. The average health literacy score among respondents was 12.76 (95% CI, SD 3.33). Furthermore, a significant correlation was found between social support and health literacy levels (ρ = 0.011). Mahasantri with good social support were 2.346 times more likely to possess adequate health literacy compared to those with poorer social support. Discussion: Higher levels of social support are correlated with better health literacy among mahasantri, and vice versa. Conclusion: There is a significant correlation between social support and health literacy. Consequently, efforts to strengthen social support networks and implement health education programs are essential to enhance health literacy levels among mahasantri.Keywords: Social Support, Health Literacy, Mahasantri, Pesantren
AKUPRESUR SEBAGAI ALTERNATIF UNTUK MENGURANGI NYERI PASIEN KANKER SERVIKS: STUDI KASUS Ayu Ramadhana; Siti Utami Dewi; Indah Susilowati; Tuti Nuraini
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 3 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i3.375

Abstract

ABSTRAK Kanker serviks merupakan salah satu penyakit kronis yang dialami perempuan dengan berbagai gejala sepanjang hidup pasien. Nyeri pada pasien kanker berdampak serius secara fisik, mental, kesehatan emosional, serta kualitas hidup. Melihat dampak dari nyeri, diperlukan manajemen nyeri yang merupakan bagian esensial dalam perawatan kanker. Salah satu penatalaksanaan nyeri secara nonfarmakologi ialah teknik akupresur. Tujuan penelitian: untuk mendeskripsikan penanganan nyeri secara nonfarmakologi yaitu akupresur pada pasien kanker. Keluhan utama: Subjek dalam studi kasus, yaitu pasien kanker serviks dengan inisial Ny. SN 42 tahun dengan nyeri sejak terdiagnosis kanker dan semakin bertambah intensitasnya pada saat menjalani terapi radiasi. Intervensi akupresur dalam penelitian ini dilakukan selama tujuh hari, intervensi dilakukan oleh peneliti yang telah memiliki sertifikat kompetensi akupresur. Hasil: Studi kasus ini menunjukkan pasien mengalami penurunan skala nyeri setelah dilakukan intervensi akupresur selama 7 hari, dari skala 7 (nyeri berat) menjadi skala 3 (nyeri ringan). Simpulan: Manajemen nyeri dengan terapi nonfarmakologis, yakni akupresur, direkomendasikan sebagai terapi komplementer pilihan pada intervensi keperawatan, khususnya dalam mengurangi nyeri pada pasien kanker.Kata Kunci: akupresur, kanker serviks, nyeri  Acupressure as An Alternative To Reduce Pain in Cervical Cancer Patients: A Case Study ABSTRACTCervical cancer is one of the chronic diseases experienced by women with various symptoms throughout their life. Pain in cancer patients seriously impacts physical, mental, and emotional health and quality of life. Therefore, pain management is needed as an essential part of cancer treatment. One of the of non -pharmacological pain management is acupressure technique. Objective: To describe nonpharmacological pain management, namely acupressure in cancer patients. Chief Complaint: A subject in the case study was a cervical cancer patient, Mrs. SN, 42 years old, with pain since being diagnosed with cancer, and its intensity increased when undergoing radiation therapy. Acupressure intervention in this study was conducted for seven days and carried out by the researcher, who already had an acupressure competency certificate. Results: This case study indicated the patient had a decrease in pain scale after acupressure intervention for 7 days, from a scale of 7 (severe pain) to 3 (mild pain). Conclusion: Pain management with nonpharmacological therapy, namely acupressure, is recommended as an alternative to complementary therapy in nursing interventions, especially in managing pain in cancer patients.Keywords: acupressure, cervical cancer, pain
Peningkatan Kemampuan Timbang Terima Pasien Melalui Budaya Komunikasi SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION (SBAR) DI RS DI BEKASI Dian Anggraini; Enie Novieastari; Tuti Nuraini
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 4, No 2 (2019)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.532 KB) | DOI: 10.32419/jppni.v4i2.182

Abstract

ABSTRAK Latar Belakang: Komunikasi tidak efektif dalam timbang terima dapat meningkatkan kejadian medication error, membahayakan pasien, memperpanjang proses perawatan, menurunkan kepuasan pasien, memperpanjang hari rawat pasien yang akan berdampak pada kurangnya mutu asuhan keperawatan yang diberikan pada pasien. Upaya meningkatkan mutu pelayanan salah satunya dengan menerapkan komunikasi Situation, Background, Assessment, Recommendation (SBAR). Komunikasi SBAR sudah mulai diterapkan pada kebijakan akreditasi rumah sakit, di beberapa rumah sakit masih ada yang belum menerapkan komunikasi SBAR. Tujuan: penelitian ini bertujuan mengidentifikasi perbedaan pengetahuan dan kemampuan perawat setelah pelatihan SBAR. Metode: pre-eksperiment dengan pre-post tanpa kelompok kontrol, sampel penelitian seluruh Perawat Primer dan Penanggung Jawab shift (n= 17). Pengukuran pengetahuan dengan melakukan tes tertulis sebelum dan sesudah pelatihan, dan untuk data kemampuan perawat timbang terima dengan komunikasi SBAR dilakukan pengamatan timbang terima sebelum dan sesudah pelatihan dengan menggunakan lembar observasi. Analisis data dengan uji t berpasangan dan uji Wilcoxon. Hasil: ada perbedaan yang bermakna rerata pengetahuan sebelum dan sesudah pelatihan (p-value <0,001), ada perbedaan yang bermakna rerata kemampuan perawat sebelum dan sesudah pelatihan komunikasi SBAR dalam timbang terima pasien antar shift (p-value <0,001). Kesimpulan: komunikasi SBAR efektif untuk meningkatkan sosialisasi, motivasi, mentoring, supervisi, serta pengembangan pendidikan yang berkelanjutan.Kata Kunci: Komunikasi, pengetahuan, SBAR, timbang terimaImprovement of the Handover Ability Through Situation, Background, Assessment, Recommendation (Sbar) Communication Culture in Hospital at Bekasi City ABSTRACTBackground: Ineffective communication in the handover can increase the incidence of medication errors, endanger the patient, prolong the treatment process, reduce patient satisfaction, extend patient care days which will have an impact on the lack of quality nursing care provided to patients. To improve quality of service, one of them is to apply SBAR communication. SBAR communication is already implemented in accreditation policy at hospital. Meanwhile, there are some hospital not yet implement it. Objective: this study was to identify differences in nurses’ knowledge and abilities after training. Methods: pre-experiment with pre-post without a control group, a sample of all Primary Nurse and Shift Guidance (n = 17), Measurement of knowledge by conducting a written test before and after training, and measurement of the ability to handover nurses with SBAR communication conducted handover observations before and after training using observation sheets. Data analysis by paired t-test and Wilcoxon test. Results: there were significant differences in the mean of knowledge before and after training (p-value <0.001), there were significant differences in the mean ability of nurses before and after SBAR communication training in the handover of patients between shifts (p-value <0.001). Discussion: SBAR communication must become a culture, its implementation needs managerial support and nurse commitment. Conclusion: communication with SBAR could improve effectively socialization, motivation, mentoring, supervision, and continuing education development.Keywords: Communication, knowledge, SBAR, handover
ANALISIS KEBUTUHAN KADER KESEHATAN DALAM MENGATASI PENYAKIT TIDAK MENULAR SAAT PANDEMI COVID-19 DI BANTEN Tuti Nuraini; Nani Asna Dewi; Retno Lestari; Ice Yulia Wardani; Poppy Fitriani; Shanti Farida Rachmi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 6, No 1 (2021)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v6i1.255

Abstract

Penyakit tidak menular (PTM) merupakan komorbid yang akan memperberat kondisi kesehatan seseorang saat terserang COVID-19. Kader kesehatan berperan penting dalam meminimalkan dampak tersebut namun masih sedikit informasi yang tersedia mengenai kebutuhan kader untuk dapat mengoptimalkan peran tersebut.  Tujuan: Penelitian ini bertujuan untuk mengidentifikasi kebutuhan kader untuk membantu masyarakat dengan PTM di wilayah Banten saat pandemi COVID-19 di daerah yang berpotensi bencana. Metode: Metode penelitian yang digunakan adalah kualitatif dengan melakukan Focus Group Discussions (FGD) pada 43 orang kader dari dua desa. Pengumpulan data dilakukan masing-masing tiga kali, sepanjang bulan November 2019 dan 2020, di dua desa.  Data dianalisis dengan metode konten analisis. Hasil: Didapatkan 3 tema kebutuhan kader, yaitu: (1) Kader butuh dukungan dari keluarga, tokoh masyarakat, dan tenaga kesehatan; (2) Masyarakat kurang sadar kesehatan; (3) Masyarakat lebih percaya pengobatan tradisional dan belum memiliki Badan Penyelenggara Jaminan Sosial (BPJS). Diskusi: Kader adalah orang pilihan yang bersedia membantu tetangganya tanpa pamrih. Namun, tidak mudah agar dapat dipercaya masyarakat. Pembekalan kader dengan ilmu keperawatan diperlukan untuk peningkatan kesehatan masyarakat. Kesimpulan: Kader perlu dukungan berbagai pihak agar dapat melakukan perannya dengan baik. Pengetahuan dari mulai deteksi dini sampai penanganan dengan pendekatan budaya merupakan bekal yang penting untuk kader dalam mengatasi PTM di masa pandemi COVID-19. Hal ini merupakan salah satu strategi untuk mencegah risiko terjadinya dan akibat dari PTM dan terpapar COVID-19. Keterlibatan tokoh masyarakat, persepsi positif dan pengetahuan tentang PTM dan pandemi COVID-19 menjadi penentu keberhasilan program pemerintah dalam pengendalian PTM di masa Pandemi ini.Kata kunci: bencana, COVID-19, kader kesehatan, pengetahuan, penyakit tidak menular.Analysis of the Need for Health Cadres in Overcoming Non-Communicable Diseases During the Covid-19 Pandemic in Banten ABSTRACTNon-communicable diseases (NCDs) are comorbidities that will worsen a person's health condition when they are attacked by the COVID-19. Health cadres play an important role in minimizing such impact, but little information is available regarding the needs of cadres to optimize this role. Objective: This research aims to identify the needs of cadres to assist communities with NCDs in Banten region during the COVID-19 pandemic in areas with potential disasters. Methods: The research is qualitative by conducting Focus Group Discussions (FGD) on 43 cadres from two villages. Data were collected three times each, in November 2019 and November 2020, in two villages. Data were analyzed by using content analysis method. Results: There were 3 themes of cadre needs, namely: (1) Cadres need support from families, community leaders, and health workers; (2) People were less aware of health; (3) People believed more in traditional medicine and did not have health insurance from the Social Security Administering Agency (BPJS). Discussion: Cadres were chosen people who are willing to help their neighbors selflessly. However, it is not easy to be trusted by the community. It is necessary to provide cadres with nursing knowledge to improve public health. Conclusion: Cadres need support from various parties to play their roles well. Knowledge from early detection to handling with a cultural approach is important in overcoming NCDs during the COVID-19 pandemic. This is one of the strategies to prevent the risk of incidence and consequences of NCDs and exposure to COVID-19. The involvement of community leaders, positive perceptions and knowledge about NCDs and the COVID-19 pandemic are the determinants of the success of government programs in controlling NCDs during this Pandemic.Keywords: disaster, COVID-19, health cadres, knowledge, non-communicable diseases.  
Implementation of Palliative Care in Reducing Hospital Readmission Among Cancer Patients: A Systematic Review Rifqi Alifa Bestari; Tuti Nuraini; Allenidekania Allenidekania
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24174

Abstract

ABSTRACT Cancer patients are a population at high risk of hospital readmissions due to complex symptoms. Palliative care is a multidisciplinary approach that has the potential to reduce these readmissions by providing comprehensive support.This systematic review aimed to systematically assess palliative care interventions in reducing hospital readmission among cancer patients.A systematic literature search was conducted across six major databases (PubMed, Scopus, ScienceDirect, ClinicalKey Nursing, JSTOR, and SAGE Journals) using keywords including “cancer patients”, “palliative care”, and “hospital readmission”. Inclusion criteria encompassed quantitative studies that assessed the impact of palliative care interventions on hospital readmission rates. The methodological quality of each study was appraised using the appropriate JBI Critical Appraisal Tools.Out of 10,565 original records, 8 studies were included. The study looked into both inpatient and home care-based interventions. Results consistently showed that between 7 and 30 days after discharge, palliative care significantly decreased the readmission rate.Palliative care is effective in reducing hospital readmission among cancer patients. Keywords: Hospital Readmission, Palliative Care, Cancer Patients.
Implementation of Guided Imagery and Intradialityc Exercise Regular Flexibility on Fatigue of Hemodialysis Patients Maria Yulianti; Dhea Natashia; Dewi Gayatri; Diana Irawati; Wati Jumaiyah; Tuti Nuraini
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.3706

Abstract

Fatigue is a common symptom in dialysis patients, with a significant prevalence rate. In overcoming the problem of fatigue, therapeutic management is done through the application of guided imagery and intradialytic exercise.&nbsp; Objective: Objective is assess the effect of guided imagery and intradialytic exercise regular flexibility on fatigue in patients with chronic kidney disease who are undergoing hemodialysis process. Methods: The research method used a quasi-experiment with a one group pretest-posttest design without control group approach. The population was 23 respondents with a sample size of 22 respondents using total sampling technique. Measurement of fatigue using Functional Assessment Chronic Illness Therapy (FACIT). Data analysis was performed using paired t-test and Repeated Measures ANOVA. Results: The results showed that the mean value of fatigue before intervention in the first measurement was 24.00 (±3.911). The value increased in the second measurement to 25.22 (±4.095), in the third measurement to 28.11 (±3.411), in the fourth measurement to 33.89 (±2.908), and in the last measurement to 39.67 (±3.106). This finding explained that both interventions had a significant impact on reducing fatigue (t = -18.561, p = 0.000). Time effect analysis confirmed the significant impact of the interventions on fatigue reduction scores (F(1, 473) = 187.798, p &lt; 0.000, partial eta squared = 0.917). Conclusion: This study can be used as a non-pharmacological treatment to reduce fatigue symptoms that can be done independently during the hemodialysis process, and is expected as an independent nursing intervention for a nurse in providing nursing care.
Systematic Review: The use of Propolis Mouthwash in Reducing Mucositis in Cancer Patients Undergoing Chemotherapy and Radiation Therapy Ngolu Siregar; Tuti Nuraini; Riri Maria; Yossie Susanti Eka Putri
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6490

Abstract

A systematic review of randomized clinical trials in cancer patients on the effectiveness of propolis mouthwash use in post-chemo and radiation cancer patients. Oral mucositis (OM) is a common and highly symptomatic complication of cancer therapy that affects function, quality of life. Chemotherapy and radiation are the most widely used interventions in cancer treatment. The prevalence of oral mucositis side effects among HNC patients is 93.9%. Research on the management of OM is still ongoing. This study aims to analyze a systematic review of the use of propolis in preventing and reducing the severity of oral mucositis in cancer patients undergoing chemo- and radiation therapy. Four databases through article searches tailored to the formulation of PICO questions consisting of ScienceDirect, Pubmed, ProQuest, Sage journals and EBSCO, A total of 2,252 articles were identified, and 8 articles were included in the final analysis. Of the ten articles selected, there were 6 articles that were suitable for oral mucositis treatment interventions that showed the effectiveness of using propolis mouthwash to treat ral mucositis with a Randomized Controlled Trial (RCT) design. The use of propolis mouthwash for oral mucositis can be done to overcome and prevent oral mucositis in cancer patients undergoing chemo and radiation therapy.
Optimalisasi Praktik Keperawatan Melalui Kerangka Theory of Planned Behaviour Shinta Restu Wibawa; Agung Waluyo; Tuti Nuraini; Haeril Amir
Window of Nursing Journal Vol. 6 No. 1 (2025)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/5dv41w39

Abstract

Cancer patients often experience a variety of signs and symptoms that can significantly impact their quality of life. This research aims to apply the Theory of Planned Behavior to nursing care for cancer patients. This approach emphasizes the importance of attitudes, subjective norms, and perceived behavioral control in forming nursing diagnoses. n the context of cancer patients, understanding the factors of the Theory of Planned Behavior, namely attitudes toward the behavior, subjective norms, and perceived behavioral control, can help identify effective interventions to improve medication adherence, the adoption of a healthy lifestyle, and participation in follow-up care. This framework can increase understanding and improve patient care. The research method used is a case study approach. The research results show that the application of the Theory of Planned Behavior allows nurses to provide holistic care involving various aspects of cancer patients' lives including physical, emotional, social, spiritual and cultural. By understanding the concept of the Theory of Planned Behavior, nurses can recognize that changing a patient's behavioral habits requires planning, where from an accepting attitude to becoming a habit of carrying out therapy requires a process and needs support from both family and health workers so that goals and outcomes can be achieved.
Co-Authors Aam Sumadi Abdul Gowi Abdul Madjid Achir Yani S. Hamid Agung Waluyo Aldri Frinaldi Allenidekania Allenidekania Amalia Nur Aqmarini Amiruddin Amiruddin Andi Amalia Wildani Anik Rustiyaningsih1 Arif Rahman Ayu Ramadhana Barnis Lady Mentari Alamdani Budi Anna Keliat Cynthia Tri Wardhani Dadang Kusmana Darmajayanti, Febry Desta Bambangsafira Dewi Gayatri Dewi Irawaty Dhea Natashia Dian Anggraini Dian Istiana Diana Irawati Dina Lestari Dwi Suryani Efy Afifah Efy Afifah Elly Nurachmah Enie Novieastari Erna Puspita Sari Evin Novianti Friska Simarmata Gayatri, Dewi Gayatri, Dewi Gayatri, Dewi Gayatri, Dewi Grace Solely Haeril Amir Hanny Handiyani Hareyrha Meiranti Hargiana, Giur Herminah Winnie Firmus Herni Susanti Ice Yulia Wardani Ida Ayu Made Ari Santi Tisnasari Iin Nur Indah Sari Imami Nur Rachmawati Indah Susilowati Indah Susilowati Isran, Isran Jelita Jelita Jelita, Jelita Junaiti Sahar Kristiani Sitorus Kuntarti La Ode A. Rahman Lia Dwi Jayanti Manoppo, Inggerid Agnes Maria Elisabeth Peni Tukan Maria Yulianti Moh Heri Kurniawan Moh. Heri Kurniawan Munezarah Munezarah Munezarah Munezarah Murtiwi Murtiwi Mustikasari Mustikasari Nani Asna Dewi Ngolu Siregar Ngolu Siregar Nisa, Dinar Khoirun Nuniek Setyo Wardani Poppy Fitriani Prayetni Prayetni Purnomo Purnomo Putri Nurfitriani Rachmi, Shanti Farida Ratnawati, Ika Retno Lestari Rifqi Alifa Bestari Riri Maria Rosita, Ita Rr Tutik Sri Hariyati Santi Wahyuningsih Shinta Restu Wibawa Simbolon, Citra Nasrani Natalia Br Siti Utami Dewi Sri Sugiwati Syadza Tazkia Tiara Suciani Tri Setyaningsih Ucip Sucipto Utami, Fadhilah Rizka Waluyo , Agung Wati Jumaiyah Wibawa, Shinta Restu Yati Afiyanti Yeni Rustina Yodang Yodang Yosie Susanti Eka Putri Yossie Susanti Eka Putri Yulia Yasman Yushlihah Rofiati Yusuf