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PERILAKU KESEHATAN ANGGOTA KELUARGA DENGAN PASIEN KANKER Hikmatia, Nurlita Dwi; Zahra, Anggri Noorana
Jurnal Riset Kesehatan Nasional Vol 2, No 2 (2018)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Pendahuluan: Kanker adalah penyakit yang berdampak pada perubahan perilaku kesehatan baik bagi pasien maupun anggota keluarga. Oleh karena itu, penting untuk mengetahui perilaku kesehatan anggota keluarga penderita kanker. Metode: Penelitian cross-sectional ini dilakukan dengan 100 anggota keluarga pasien kanker yang berusia 18-75 tahun di RSPAD Gatot Soebroto: Klinik Bedah melalui teknik pengambilan sampel berturut-turut. Pengumpulan data menggunakan data kuesioner karakteristik dan Kuesioner Survey of Health Behavior: Family member. Hasil: Hasil penelitian menunjukkan adanya peningkatan perilaku diet, penurunan aktivitas fisik intensitas sedang, dan perilaku penghentian merokok yang baik pada keluarga dengan pasien kanker. Saran: Anggota keluarga pasien kanker memiliki gambaran yang baik tentang perilaku diet dan merokok. Namun, terjadi penurunan aktivitas fisik pada anggota keluarga pasien kanker setelah mengetahui anggota keluarganya terdiagnosis kanker. Rekomendasi penelitian ini terletak pada penyediaan pendidikan tentang gaya hidup sehat bagi penderita kanker dan keluarga. Kata kunci: Kanker, perilaku kesehatan keluarga, perilaku aktivitas fisik, perilaku diet sehat, perilaku merokok.

Hubungan Kadar HbA1c dan Kualitas Tidur pada Pasien Diabetes Melitus Tipe 2 Anggri Noorana Zahra; Misella Elvira Farida
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 3, No 3 (2018)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

ABSTRAKKualitas tidur yang buruk pada pasien diabetes melitus tipe 2 akan berdampak pada kualitas hidupnya. Kualitas tidur yang buruk disebabkan oleh komplikasi diabetes melitus yang diakibatkan oleh status kontrol gula darah yang buruk. Kadar HbA1c dapat menggambarkan status kontrol gula darah pasien dalam tiga bulan terakhir. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hubungan kadar HbA1c dengan kualitas tidur pada pasien diabetes melitus tipe 2. Metode: Penelitian ini menggunakan metode cross sectional. Responden adalah pasien diabetes melitus tipe 2 sebanyak 110 orang yang dipilih dengan teknik consecutive sampling. Lokasi penelitian di Poli Endokrin RSUPN Dr. Cipto Mangunkusumo. Data kadar HbA1c diperoleh dari hasil pemeriksaan HbA1c responden dalam tiga bulan terakhir dan kualitas tidur diukur dengan Pittsburgh Sleep Quality Index (PSQI). Analisis data menggunakan uji deskriptif dan analisis bivariat dengan menggunakan chi square. Hasil penelitian: Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara kadar HbA1c dengan kualitas tidur responden (p=0,000) dimana responden dengan kadar HbA1c pada kategori diabetes memiliki peluang 45 kali untuk memiliki kualitas tidur yang buruk dibandingkan responden dengan kadar HbA1c pada kategori normal. Diskusi: Kontrol gula darah yang buruk dapat menyebabkan penderita diabetes menderita neuropati diabetik yang menyebabkan nyeri pada kaki dan osmotik diabetes yang dapat menyebabkan nokturia. Hal tersebut dapat menurunkan kualitas tidur pasien diabetes. Kesimpulan: Penelitian ini merekomendasikan kepada perawat agar memberikan intervensi yang tepat dalam penatalaksanaan diabetes melitus sehingga pasien dapat mempertahankan status kontrol gula darah yang baik dan mendapatkan kualitas tidur yang baik.Kata kunci: diabetes melitus tipe 2, kadar HbA1c, kualitas tidur, Pittsburgh Sleep Quality Index.The Relationship Between HbA1c Level and Sleep Quality in Patients with Type 2 Diabetes MellitusABSTRACTPoor sleep quality in patients with type 2 diabetes mellitus (T2DM) will have an impact on their quality of life. Poor sleep quality is caused by complications of diabetes mellitus that is caused by poor glycemic control. HbA1c level describes the patient’s glycemic control in the last three months. Objective: This study aims to identify the relationship between HbA1c level and sleep quality in patients with T2DM. Methods: The study was using a cross sectional approach, 110 patients with T2DM at the Endocrine Polyclinic of Dr. Cipto Mangunkusumo National General Referal Hospital Jakarta were recruited by consecutive sampling technique. HbA1c level was taken from the results of HbA1c examination of respondents in the last three months and sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI). The gathered data were analyzed using descriptive and chi-square test. Results: The results of this study indicated that there was a significant correlation between HbA1c level and the sleep quality of respondents (p=0,000). The respondents with HbA1c level in the diabetes category have a 45 times greater chance of experiencing poor sleep quality compared to respondents with levels HbA1c in the normal category. Discussion: Poor blood glycemic control can cause patients to suffer from diabetic neuropathy, which causes pain or uncomfortable sensation in the legs, and osmotic diuresis, which can cause nocturia. It can reduce the sleep quality of diabetes patients. Conclusion: This study recommends the nurses to provid education and encourage patients with T2DM to maintain their glycemic control to promote healthy sleep among diabetic.Keywords: Type 2 diabetes mellitus, HbA1c level, sleep quality, pittsburgh sleep quality index.

The Effectiveness of Acupressure Therapy to Reduce Nausea and Vomiting in Colorectal Cancer Patients Undergoing Chemotherapy: Case Study Mega Apriyanti; Anggri Noorana Zahra
Essential English Grammar Vol 2 No 2 (2022): Journal Of Health and Cardiovascular Nursing
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Chemotherapy have side effect for colorectal cancer patients such as anemia, leukopenia, neutropenia, thrombocytopenia, heart and skin disorders, diarrhea, mucositis, nausea, vomiting, and hypersensitivity reactions. Themost common side effects in patients undergoing chemotherapy cycles are Nausea and vomiting. It common effect impact patient's quality of life. The purpose of this article is to analyze nursing interventions in a 38-year-old woman whileundergoing the 3rd cycle of chemotherapy with the application of acupressure therapy to reduce nausea and vomiting.This article uses the case study method using the Visual Analog Scale (VAS) instrument to measure the level of nauseabefore and after being given acupressure intervention. The massage point area to suppress or reduce nausea and vomiting is at points P6 and ST36. This acupressure technique intervention was given for 5 days of treatment. Based on this, the intervention of acupressure techniques at points P6 and ST36 is effective to reducing complaints of nausea in cancer patients undergoing chemotherapy. This study recommends acupressure as a non-pharmacological intervention that can be implemented in patients with chemotherapy effect which nausea and vomiting in patients undergoing chemotherapy at the hospital

Peer Education: Health Education for Adolescent Girls to Prevent Adolescent Sexual Risk Behaviors Sri Yona; Elly Nurachmah; Anggri Noorana Zahra; Cut Sarida Pompey
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 9, No 1 (2023): March
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.63736

Adolescent girls aged 15-24 are at risk of contracting sexually transmitted diseases such as HIV/AIDS. The existence of adolescent promiscuity, inadequate knowledge of adolescents about HIV/AIDS, and lack of communication with parents on adolescent reproductive health are some related factors to the increased number of adolescents infected with sexually transmitted diseases and HIV/AIDS. Based on these situations, providing health education to adolescents is an alternative solution. The activities were carried out by implementing health education for teenage girls, conducted in four sessions. All sessions were held online, with interactive discussion methods, role play and demonstrations. A total of 18 adolescent girls participated in this activity. The final results showed that there is an increasing mean score of post-test on HIV knowledge (0.5), adolescent reproductive health (0.44), and self-esteem (0.39). There are no significant different between pre and post-test for the level of knowledge on HIV, adolescent reproductive health, adolescent risk behavior and self-esteem. Only risky behavior does not demonstrate an increase in the mean score. Providing health education to teenage girls has improved their knowledge and understanding of HIV/AIDS and adolescent reproductive health and increased adolescent self-esteem. However, these activities did not affect the score of teens’ behavior change. It was due to the duration of health education was not sufficient to change their behavior.

Evidence Based Nursing Jacobson’s Progressive Muscle Relaxation untuk Mengurangi Kecemasan dan Depresi pada Pasien Dengan Hiv Retnowati, Retnowati; Waluyo, Agung; Zahra, Anggri Noorana; Purba, Sariaman
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): 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.v6i1.9001

Kecemasan dan depresi yang tidak di obati akan mengganggu proses perawatan HIV dan mengarah pada ketidakpatuhan pengobatan ARV (Manavalan et al., 2023), penurunan kesehatan mental dan kesejahteraan pada ODHA berhubungan dengan jumlah CD4, dan jumlah CD4 yang rendah dapat menjadi indikator depresi yang tidak diobati (Ramirez-garcia et al., 2019). Jacobson’s Progresive Muscle Relaxation (JPMR) telah digunakan untuk mengatasi berbagai jenis masalah kesehatan termasuk untuk mengatasi kecemasan dan depresi pada pasien dengan HIV/AIDS. Dengan metode one group pre test dan post test, partisipan sebanyak 20 responden. Dengan kriteria inklusi pasien HIV/AIDS berusia lebih dari 20 tahun, dan mengalami kecemasan dan depresi. Sedangkan kriteria eksklusinya adalah pasien dengan gangguan depresi berat dan terdapat gangguan system neurologis. Menggunakan instrumen Hospital Anxiety and Depression Scale (HADS) untuk mengukur skor pre test dan post test terhadap kecemasan dan depresi yang dirasakan oleh pasien HIV/AIDS yang berobat ke poliklinik Wijayakusuma RSUP Fatmawati. Pemberian intervensi teknik Jacobson’s Progresive muscle relaxation pada pasien dengan HIV terbukti efektif, efisien merupakan metode non-invasif yang sederhana, hemat biaya dan dapat dilakukan kapan saja dan dimana saja untuk menurunkan kecemasan dan depresi pada pasien dengan HIV. Kata Kunci: Jacobson’s Progresive muscle relaxation, kecemasan, depresi orang dengan HIV/AIDS

Intervensi Terapi Musik Terhadap Penurunan Tingkat Cemas Pada Pasien Penyakit Kardiovaskular : Systematic Review Setiawan, Haris Fadjar; Nurachmah, Elly; Zahra, Anggri Noorana; Waluyo, Agung
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43064

Cardiovascular disease is often characterised by symptoms such as chest pain, palpitations, dyspnoea, excessive sweating, trembling, dizziness, and somatic symptoms such as pain and fatigue. In addition to physical problems, cardiovascular patients also often face psychological disorders, especially anxiety. High levels of anxiety in these patients can hinder the treatment process and worsen their condition. One effective nonpharmacological therapy to reduce anxiety in cardiovascular patients is music therapy, which can help calm and relax patients. Aim: to describe whether music therapy intervention is effective in reducing anxiety levels in cardiovascular patients. Methods: the writing of this article uses a systematic review conducted through a search strategy on 4 databases namely Scopus, scince direct, Pubmed, and Clinical key with a total of 3,824 articles obtained. The articles were then filtered based on inclusion and exclusion criteria to leave 5 articles. A total of 5 articles that met the criteria were then subjected to critical appraisal using the JBI Critical Appraisal Checklist guidelines. Results: In general, this systematic review shows that music therapy intervention is effective in reducing the anxiety level of cardiovascular patients.

Effect Of Cognitive Behavioral Therapy On Reducing Anxiety, Stress And Depression In HIV-AIDS Patients : A Systematic Review Hasibuan, Riska Eka Fatma; Yona, Sri; Zahra, Anggri Noorana
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43509

Introduction: HIV/AIDS remains a major public health issue, impacting patients' physical, social, and psychological well-being. Psychological effects like anxiety, stress, and depression are prevalent due to stigma, uncertain prognosis, and treatment complexity. Persistent stress weakens the immune system, accelerates disease progression, and reduces quality of life. Psychotherapy, such as Cognitive Behavioral Therapy (CBT), has been widely developed and proven effective in managing these issues. Objective: This study aims to examine the effect of CBT on reducing anxiety, stress, and depression in HIV/AIDS patients. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methods was used to select articles. Critical Appraisal Skills Programme was used for quality assessment. Discussion: This study reviewed ten articles on CBT's impact. Seven articles discussed CBT, two covered yoga therapy, and one explored mindfulness therapy. Results and Conclusions: CBT effectively reduces anxiety, stress, and depression in HIV/AIDS patients. Combining CBT with other therapies, such as Motivational Enhancement Therapy (MET), Medication Management Algorithm (MMA), and Enhanced Usual Depression Care (EUDC) plus the Healthy Options program, can provide additional benefits. CBT also improves patients' quality of life and has been shown to reduce HIV viral load.

Manfaat Pendidikan Kesehatan terhadap Perilaku Berisiko pada Pasien HIV: Systmatic Review Wirastiningtyas, Shendika; Yona, Sri; Zahra, Anggri Noorana
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44471

Latar belakang : Human Immunodeficiency Virus (HIV) masih menjadi masalah kesehatan global yang erat kaitannya dengan perilaku berisiko. Pendidikan kesehatan memiliki peran penting dalam meningkatkan pengetahuan, mengurangi stigma, dan mendorong perubahan perilaku pada Orang dengan HIV/AIDS (ODHA). Tujuan : Mengevaluasi pengaruh pendidikan kesehatan terhadap konsistensi penggunaan kondom pada ODHA. Metode : Penelitian ini menggunakan metode telaah sistematis beberapa artikel, Penelusuran artikel dilakukan pada database melalui beberapa sumber database yaitu Sage Journals, Science Direct, Springer Link dan Taylor & Francis dari mulai tahun 2014 hingga 2024. Hasil : menunjukkan bahwa intervensi pendidikan kesehatan mampu meningkatkan penggunaan kondom dan menurunkan perilaku seksual berisiko.. Kesimpulan : menegaskan bahwa pendidikan kesehatan efektif sebagai strategi preventif dan perlu diintegrasikan dalam layanan komprehensif bagi ODHA untuk menekan penyebaran HIV dan meningkatkan kualitas hidup pasien.

Pengaruh pelepasan dini gelang kompresi terhadap risiko komplikasi pasca angiografi koroner transradial: Tinjauan sistematik Marthafanny, Conny; Herawati, Tuti; Zahra, Anggri Noorana
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.916

Background: Transradial access is a widely used technique during coronary angiography procedures in diagnosing coronary heart disease. Prolonged use of compression bands can cause physical discomfort such as pain, hematoma and radial artery occlusion. Accelerated compression band removal is expected to provide the best balance in achieving hemostasis and minimizing the risk of these complications. Purpose: To determine the effect of early release of compression bands on the risk of complications after transradial coronary angiography. Method: A systematic review conducted based on the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) guidelines. Articles were sourced from ScienceDirect, Scopus, and ProQuest databases from 2016-2025. Inclusion criteria included studies with randomized controlled trials, quasi-experiments, and cohort studies evaluating the effect of early compression band removal on the incidence of complications of pain, hematoma and radial artery occlusion. Nine studies were assessed using the Joanna Briggs Institute (JBI) and presented using a narrative and quantitative approach. Results: The search found 4 studies with randomized controlled trial designs and 5 cohort studies involving a total of 9.854 patients. The study findings showed that the rate of pain, hematoma and radial artery occlusion was lower in the early compression band release protocol (2 hours) compared to a duration of > 4 hours. The risk of bleeding increased with a faster release duration (<2 hours). The analysis showed that the early compression band release protocol was effective in reducing the risk of possible complications. Conclusion: An optimal early compression band release protocol can improve patient comfort and safety and minimize the risk of complications related to transradial coronary angiography procedures. Further studies are needed to ensure the safety and effectiveness of the early compression band release protocol in other procedures that use transradial as the primary access. Keywords: Complications; Compression Band; Early Discharge; Post Transradial Coronary Angiography. Pendahuluan: Akses transradial menjadi teknik yang banyak digunakan selama prosedur angiografi koroner dalam mendiagnosis penyakit jantung koroner. Penggunaan gelang kompresi berkepanjangan dapat menimbulkan ketidaknyamanan fisik, seperti nyeri, hematoma, dan oklusi arteri radial. Pelepasan gelang kompresi dengan durasi yang dipercepat diharapkan memberikan keseimbangan terbaik dalam mencapai hemostasis dan meminimalkan risiko komplikasi. Tujuan: Untuk Pengaruh pelepasan dini gelang kompresi terhadap risiko komplikasi pasca angiografi koroner transradial. Metode: Tinjauan sistematis yang dilakukan berdasarkan pedoman Preferred Reporting Items for Systematic Review and Meta Analyses (PRISMA). Artikel berasal dari basis data ScienceDirect, Scopus, dan ProQuest yang terbit pada tahun 2016-2025. Kriteria inklusi meliputi studi dengan uji coba terkontrol acak, kuasi eksperimen, dan studi kohort yang mengevaluasi pengaruh pelepasan dini gelang kompresi terhadap kejadian komplikasi nyeri, hematoma, dan oklusi arteri radial. 9 studi dinilai biasnya menggunakan Joanna Briggs Institute (JBI) dan disajikan menggunakan pendekatan naratif dan kuantitatif. Hasil: Penelusuran didapatkan 4 studi dengan desain uji coba terkontrol acak dan 5 studi kohort yang melibatkan total 9,854 pasien. Temuan studi menunjukkan bahwa tingkat nyeri, hematoma, dan oklusi arteri radial lebih rendah pada protokol pelepasan dini gelang kompresi (2 jam) dibandingkan dengan durasi >4 jam. Risiko perdarahan meningkat pada durasi pelepasan yang lebih cepat (<2 jam). Analisis menunjukkan protokol pelepasan dini gelang kompresi efektif menurunkan risiko komplikasi yang mungkin terjadi. Simpulan: Protokol pelepasan dini gelang kompresi yang optimal dapat meningkatkan kenyamanan dan keselamatan pasien serta meminimalkan risiko komplikasi terkait prosedur angiografi koroner transradial. Studi lebih lanjut diperlukan guna memastikan keamanan dan keefektifan protokol pelepasan dini gelang kompresi pada prosedur lain yang menggunakan transradial sebagai akses utamanya. Kata Kunci: Gelang Kompresi; Komplikasi; Pasca Angiografi Koroner Transradial; Pelepasan Dini.

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