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PENGARUH ART DRAWING THERAPY TERHADAP TINGKAT KECEMASAN PADA IBU HAMIL PRE EKLAMSI Atiek Murharyati; Meilinda Kartikasari; Siti Mardiyah; Maula Marâ€™atus Sholihah; Wahyu Rima Agustin; E Ernawati
Jurnal Kesehatan Kusuma Husada Vol. 13 No. 2, Juli 2022
Publisher : Universitas Kusuma Husada Surakarta

Pre eklamsi adalah hipertensi yang terjadi pada ibu hamil dalam usia kehamilan â‰¥20 minggu atau sesudah persalinan yang ditandani dengan meningkatnya tekanan darah â‰¥140/90 MmHg, proteinurin positif dan edema. Ibu hamil dengan pre eklamsi memiliki kerentanan fisik dan psikologis lebih tinggi dibanding ibu dengan kehamilan normal karena memiliki resiko kegagalan dalam kehamilan dan persalinan yang lebih besar sehingga dapat mengakibatkan kecemasan. Kecemasan dapat diturunkan dengan art drawing therapy, art drawing therapy merupakan kegiatan yang menggunakan alat gambar dan warna sebagai media dengan tujuan agar dapat mengekspresikan emosinya. Penelitian ini menggunakan desain penelitian quasi experiment dengan pendekatan pre and post test without control group design. Populasi dalam penelitian ini adalah ibu hamil pre eklamsi yang berada di kecamatan Jati, pengambilan sample menggunakan tekhnik total sampling. Jumlah sampel 31 responden. Instrument untuk mengukur kecemasan ibu hamil pre eklamsi adalah Hamilton Rating Scale (HARS). Art drawing therapy dilakukan sebanyak 3 sesi dan setiap sesi dilakukan sau kali pertemuan selama 60 menit. Analisa data menggunakan uji Wilcoxon hasil penelitian ini menunjukan ada pengaruh pemberian art drawing therapy terhadap tingkat kecemasan pada ibu hamil pre eklamsi dengan dengan nilai p<0,000 (p value < 0,05). Kesimpulan, terdapat pengaruh art drawing therapy terhadap tingkat kecemasan ibu hamil pre eklamsi. Pre-eclampsia is hypertension that occurs in pregnant women at gestational age 20 weeks or after delivery which is characterized by increased blood pressure 140/90 MmHg, positive proteinuria and edema. Pregnant women with pre-eclampsia have higher physical and psychological vulnerabilities than mothers with normal pregnancies because they have a greater risk of failure in pregnancy and childbirth so that it can cause anxiety. Anxiety can be reduced by art drawing therapy, art drawing therapy is an activity that uses drawing and color tools as a medium in order to express emotions. This study uses a quasi-experimental research design with a pre and post test approach without a control group design. The population in this study were pre-eclampsia pregnant women who were in Jati sub-district, the sample was taken using a total sampling technique. The number of samples is 31 respondents. The instrument to measure the anxiety of pre-eclampsia pregnant women is the Hamilton Rating Scale (HARS). Art drawing therapy was carried out in 3 sessions and each session was held once for 60 minutes. Analysis of the data using the Wilcoxon test. The results of this study showed that there was an effect of giving art drawing therapy on the level of anxiety in pre-eclampsia pregnant women with a p value < 0.000 (p value < 0.05). In conclusion, there is an effect of art drawing therapy on the anxiety level of pre-eclampsia pregnant women

PENGARUH PEMASANGAN NIV (NON INVASIVE VENTILATION) DAN HFNC (HIGH FLOW NASAL CANNULA) TERHADAP FREKUENSI NAFAS DAN SATURASI OKSIGEN PADA PASIEN HAPPY HIPOXIA TERKONFIRMASI COVID-19 Wahyu Rima Agustin; Sutiyo Dani Saputro; Noviana Nur Zaidah; S Susilowati
Jurnal Kesehatan Kusuma Husada Vol. 14 No. 2, Juli 2023
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v14i2.1091

Penggunaan NIV pada pasien gagal napas pada 3 jam pertama lebih efektif dalam memperbaiki klinis respirasi, kadar pCO2 dan rasio PaO2/FiO2 dibanding penggunaan ventilasi mekanik dengan intubasi. HFNC dapat memberikan campuran udara dan oksigen dengan FiO2 tinggi yang dipanaskan dan dilembabkan secara memadai dengan laju aliran 30 - 60 L / menit, dan dianggap memiliki sejumlah manfaat fisiologis. Penelitian ini bertujuan umtuk mengetahui pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoxia terkonfirmasi Covid-19. Metode penelitian ini menggunakan rancangan Quasy Experiment dengan bentuk Pre Post Test. Penelitian ini menilai frekuensi nafas dan saturasi oksigen sebelum dan sesudah pemasangan NIV dan HFNC. Teknik sampling dengan menggunakan purposive sampling sebanyak 172 responden. Pengaruh pemasangan NIV dan HFNC terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoksia terkonfirmasi covid-19 dilakukan uji uji Wilcoxon. Hasil analisa Uji Wilcoxon menunjukkan bahwa ada pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap Frekuensi Nafas (p value 0,000) dan saturasi oksigen (p value 0,000) pada pasien happy hipoxia terkonfirmasi Covid-19 . Kesimpulan pada penelitian ini asalah ada pengaruh pemasangan NIV (Non Invasive Ventilation) dan HFNC (High Flow Nasal Cannula) terhadap frekuensi nafas dan saturasi oksigen pada pasien happy hipoxia terkonfirmasi Covid-19. The use of NIV in patients with respiratory failure in the first 3 hours is more effective in improving clinical respiration, pCO2 levels and PaO2/FiO2 ratios compared to the use of mechanical ventilation with intubation. HFNC can provide adequately heated and humidified high FiO2 air and oxygen mixtures at flow rates of 30 â€“ 60 L/min, and is thought to have a number of physiological benefits. This study aims to determine the effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installations on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed with Covid-19. This research method uses the Quasy Experiment design with the Pre Post Test form. This study assessed respiratory rate and oxygen saturation before and after NIV and HFNC installation. The sampling technique used purposive sampling of 172 respondents. The effect of NIV and HFNC installation on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed by Covid-19 was carried out by the Wilcoxon test. The results of the Wilcoxon Test analysis showed that there was an effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installation on Respiratory Frequency (p value 0.000) and oxygen saturation (p value 0.000) in happy hypoxic patients confirmed with Covid-19. The conclusion in this study is that there is an effect of NIV (Non Invasive Ventilation) and HFNC (High Flow Nasal Cannula) installation on respiratory frequency and oxygen saturation in happy hypoxic patients confirmed with Covid-19.

PENGARUH TERAPI MUSIK DENGAN BRAINWAVE TERHADAP PENURUNAN INSOMNIA PADA MAHASISWA TINGKAT AKHIR DI STIKES KUSUMA HUSADA SURAKARTA Adi Buyu Prakoso; Wahyu Rima Agustin; Maria Wisnu Kanita
Journal of Advanced Nursing and Health Sciences Vol. 1 No. 1, Agustus 2020
Publisher : Universitas Kusuma Husada Surakarta

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Sleep is a basic human need. Every one may experience sleep disorder. Insomnia is a condition in which one encounters difficulty in sleeping especially at night. A variety of managements to deal with insomnia are very required b students considering its impacts on their productivity. Brainwave is a music created by adjusting its frequency in such a way that the brain is affected when listening to it periodically. The objective of this research is to investigate the effect brainwave music therapy on insomnia reduction of final-year students. This research used the quasi experimental research method with one-group pretest-posttest design. Consecutive sampling was used to determine its samples. They consisted of 18 respondents. The data of the research were analyzed by using the Wilcoxon’s Test. The result of Wilcoxon’s Test shows that the p-value was 0.000 which was less than 0.05, meaning that the brainwave music therapy could reduce insomnia of the final-year students of Kusuma Husada College of Health Sciences of Surakarta. Thus, the brainwave music therapy had an effect on insomnia following the therapy. The result of this research is expected to be used as a non-pharmacological intervention to deal with insomnia.

Pengaruh Pemberian Terapi Murottal Al-Quran Surah Al-Isra terhadap Hemodinamik pada Pasien Stroke Habab Handal Al Harod; Wahyu Rima Agustin; Wahyuningsih Safitri
TRIAGE Jurnal Ilmu Keperawatan Vol 11 No 2 (2024)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v11i2.1146

Abstract Stroke is a disease caused by a blockage or haemorrhage in the blood vessels of the brain that can block or reduce the blood supply to the brain. The provision of Al-Quran therapy is a non-pharmacological therapy that can be used in managing pain. The research can be classified as quantitative, with a quasi-experimental approach. This research data sampling technique is non probability sampling. The sample used was 30 stroke patients. The research tools used are observation sheets, headphones, mobile phones and murottal surah Al-Isra. The characteristics of respondents aged less than 50 years were observed in 14 respondents (46.7%) out of a total of 30 respondents, while respondents aged 50 years or older were observed in 16 respondents (53.3%) out of a total of 30 respondents. The characteristics of respondents according to gender revealed that 21 males (70.0%) out of a total of 30 respondents, while females constituted 9 respondents (30.0%) out of a total of 30 respondents. The results demonstrated a p-value of 0.000 for the variables of systolic and diastolic blood pressure, respiratory rate (RR), pulse, temperature, and oxygen saturation, with a p-value less than 0.05, indicating a statistically significant result. It can be concluded that Al-Quran Murottal Therapy has an effect on the haemodynamic status in stroke patients at Moewardi Hospital.

Pengaruh Oral Hygiene terhadap Dekubitus Mukosa Oral pada Pasien Terpasang Nasogastric Tube Nabila Fitriana Khairunnisa; Wahyu Rima Agustin; Dian Nur Wulanningrum
TRIAGE Jurnal Ilmu Keperawatan Vol 11 No 2 (2024)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v11i2.1147

Oral mucosal pressure ulcers is a pressure sore found in the mucous membrane area with a history of using medical devices. The use of NGT is not only to be considered in the administration of nutrition, but also needs to be considered in the oral area. Oral hygiene is defined as the act of cleaning and refreshing the mouth, teeth, and gums. The objective of oral hygiene is to maintain the health of the lips, tongue, and oral mucosa, prevent infection, and moisturise the oral membrane and lips. This research employs quantitative methods and a quasi-experimental design. In this research, the data sampling technique is purposive sampling. The sample used was 42 respondents with inclusion criteria installed nasogastric tube (NGT). Characteristics of respondents aged <60 years were 26 respondents (61.9%) of a total of 42 respondents, while respondents aged >60 years were 16 respondents (38.1%) of a total of 42 respondents. The respondents were characterised according to gender. Of the total number of respondents, 19 were male (45.2%) and 23 were female (54.8%). The results showed that there was an effect of oral hygiene on oral mucosal pressure ulcers in patients with nasogastric tube (NGT) in the ICU room at Dr Moeward Hospital with a p-value of 0.000 (p-value <0.05).

Pengaruh Pelatihan Peace and Love terhadap Pengetahuan dan Keterampilan Penanganan Cedera Ankle Sprain pada Anggota Knc-Emergency Raditya Sohan Harizega; Wahyu Rima Agustin; Anissa Cindy Nurul Afni
TRIAGE Jurnal Ilmu Keperawatan Vol 12 No 1 (2025)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v12i1.1594

Ankle sprain is a musculoskeletal injury due to excessive tension or tearing of the ankle ligaments. Ankle sprain injuries can be managed with the PEACE and LOVE approach, which is an injury management method that not only focuses on the improvement but also considers aspects of injury recovery to increase knowledge and awareness of injury and recovery of psychological trauma post-injury. KNC-Emergency is an organization that plays an active role in handling medical teams, therefore it is important to develop medical knowledge and skills in first aid for injuries. Purpose to find out the application effect of the PEACE and LOVE training on the knowledge and skills of ankle sprain management in KNC-Emergency members. The research method used the quasi-experiment, the sampling technique used purposive sampling using the Slovin formula for 38 KNC-Emergency members. The PEACE and LOVE training was conducted over two meetings using the measurement tool of a questionnaire sheet to measure knowledge and an observation sheet to measure ankle sprain injury management skills using the PEACE and LOVE approach. The bivariate result using the Wilcoxon test pre and post training showed a p-value of 0.000 (p-value < 0.05). The PEACE and LOVE training is effective to improve knowledge and skills of ankle sprain management in KNC-Emergency members

Pengaruh Posisi Pronasi terhadap Derajat Keparahan Acute Respiratory Distress Syndrome (ARDS) pada Pasien Covid-19 Setiyawan Setiyawan; Wahyu Rima Agustin; Noviana Nur Zaidah
Faletehan Health Journal Vol 9 No 02 (2022): Faletehan Health Journal, July 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i02.415

Coronavirus disease 2019 (COVID-19) is an acute respiratory disease which can be exacerbated by Acute Respiratory Distress Syndrome (ARDS), multiple organ failure, septic shock, and acute heart failure requiring intensive care. Prone position can play its role in the prevention of those impairments. This study aimed to describe the role of prone position in the management of Covid-19 patients. This is a quantitative study with a quasi-experimental and one group pre-test post-test design. The samples were 32 covid-19 patients treated in Intensive Care unit (ICU) with Non-Invasive Ventilation (NIV) as respondents selected by a consecutive sampling technique. The data analysis used Wilcoxon test. The instruments were Lung Injury Score (LIS) and the parameter result observation sheets from the bedside monitors. The results showed that prone position could reduce the severity of ARDS in COVID-19 patients. Prone position can be recommended as a nursing intervention in adult COVID-19 patients who experience respiratory disorders.

PENGARUH MOBILISASI PROGRESIF LEVEL I-V TERHADAP STATUS HEMODINAMIK PADA PASIEN POST VENTILASI MEKANIK DI ICU RUMAH SAKIT INDRIATI SOLO BARU Wahyu Rima Agustin; Noviana Nur Zaidah; Fika Ervina Apriyanti; Setiyawan Setiyawan
Jurnal Kesehatan Kusuma Husada Vol. 15 No. 2, Juli 2024
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v15i2.1481

Mobilisasi progresif yaitu pemberian tindakan berupa teknik yang berfungsi sebagai pengobatan bertahap dan dilakukan kepada pasien kritis di Ruangan Intensive Care Unit. Mobilisasi pada pasien post ventilasi mekanik penting dilakukan karena dapat memperlancar peredaran darah, membantu pernapasan menjadi lebih baik, mengembalikan aktivitas pasien agar dapat bergerak normal dan memenuhi kebutuhan gerak harian, serta mengembalikan tingkat kemandirian pasien setelah operasi (Merdawati, 2018). Tujuan penelitian ini untuk mengetahui pengaruh mobilisasi progresif Level I-V terhadap status hemodinamik pasien post ventilasi di ruang ICU. Jenis penelitian ini kuantitatif dengan rancangan Pre Experimental, teknik sampling memakai metode non probability sampling dengan purpose sampling dan sampel yang digunakan sebanyak 30 responden, instrumen yang digunakan SOP mobilisasi progresif level I-V dan lembar observasi bed monitor. Uji Wilxocon yang dan didapatkan nilai P Value pada MAP Pre_Post yaitu 0,002, RR Pre_Post yaitu 0,001, Nadi Pre_Post yaitu 0,000, Suhu Pre_Post yaitu 0,009, dan SPO2 Pre_Post yaitu 0,000 (P Value < 0,005) yang artinya ada Pengaruh Mobilisasi Progresif Level I-V Terhadap Status Hemodinamik Pada Pasien Post Ventilasi Mekanik Di ICU Rumah Sakit Indriati Solo Baru.

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