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All Journal Indonesian Contemporary Nursing Journal (ICON Journal) Jurnal Ilmiah Keperawatan Sai Betik Journal of Nursing Care Media Karya Kesehatan Midwifery and Nursing Research (MANR) Jurnal Ners Nutrix Journal Jurnal Keperawatan Raflesia Quality : Jurnal Kesehatan JURNAL SKALA HUSADA: THE JOURNAL OF HEALTH Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Multidisiplin Indonesia Holistik Jurnal Kesehatan Strada Jurnal Ilmiah Kesehatan (SJIK)
Dwi Ari Murti Widigdo
Poltekkes Kemenkes Semarang
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PENGARUH AKUPRESUR TERHADAP MUAL DAN MUNTAH PADA PASIEN POST SECTIO CAESAREA DENGAN SPINAL ANESTESI: EFFECT OF ACUPRESSURE ON NAUSEA AND VOMITING POST CESAREAN SECTION WITH SPINAL ANESTHESIA Sarif, Sarif; Supriyadi, Supriyadi; Widigdo, Dwi Ari Murti; Sudirman, Sudirman
Quality : Jurnal Kesehatan Vol. 18 No. 1 (2024): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v18i1.1575

Abstract

Mual dan muntah pasca operasi/ Post Operative Nuasea and Vomiting (PONV) sering terjadi pada pasien post sectio caesarea (SC) dengan spinal anastesi dengan prevalensi 1- 43% pada wanita dengan SC di bawah pengaruh spinal anestes. Terapi farmakologi tidak memuaskan karena tidak bisa sepenuhnya memperbaiki PONV. Akupresur merupakan terapi komplementer yang diduga dapat mengurangi mual dan muntah dengan melepaskan endorphine. Penelitian ini bertujuan untuk membuktikan pengaruh akupresur terhadap mual dan muntah pada pasien pasien sectio caesarea dengan spinal anestesi. Penelitian ini merupakan True Eksperiment, pre test and post test control group design. Hasil penelitian diperoleh perbedaan PONV yang signifikan (p<0,001).  pada kelompok intervensi. Sebelum intervensi pada jam ke 0 post operasi, rerata PONV adalah 3,03, yang mengalami penurunan signifikan menjadi 0,77 pada jam ke 6 dan 0,02 pada jam ke 12 post operasi. Terdapat perbedaan signifikan mual dan muntah pada pasien postsectio caesarea dengan spinal anestesi antara kelompok intervensi dan kelompok kontrol p<0,05. Dapat disimpulkan bahwa pemberian intervensi akupresur pasca operasi sectio caesarea dengan spinal anestesi berpengaruh terhadap penurunan mual dan muntah pasca operasi.
Penerapan Familiar Auditory Sensory Training Pada Pasien Stroke Dengan Masalah Penurunan Kesadaran di Intensive Care Unit Safira, Ekatiara Siva; Widigdo, Dwi Ari Murti; Sunarmi, Sunarmi; Sarwono, Bambang; Roatib, Ali
NUTRIX Vol 8 No 2 (2024): Volume 8, Issue 2, 2024
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v8i2.1146

Abstract

Stroke dapat menyebabkan penurunan kesadaran bahkan bisa berakibat fatal atau kematian. Pasien stroke dengan tingkat kesadaran yang rendah memerlukan penatalaksanaan nonfarmakologi tambahan yakni dengan memberikan stimulasi sensori berupa stimulasi sensori auditori. Salah satu terapi stimulasi sensori auditori yaitu dengan metode Familiar Auditory Sensory Training (FAST). Penelitian ini menggunakan desain studi kasus yang disajikan dalam bentuk deskriptif mulai dari pengkajian hingga evaluasi. Setelah dilakukan terapi FAST menunjukkan hasil adanya perubahan tingkat kesadaran pada seluruh pasien dari hari pertama hingga hari ketiga dari skor GCS terendah 5 (sopor) sedangkan tertingginya 9 (somnolen) menjadi terendah 8 (somnolen) sedangkan skor tertingginya adalah 14 (composmenstis). Selain itu, tanda-tanda vital pasien pun berada dalam batas normal. Dalam mengelola pasien dengan penurunan tingkat kesadaran khususnya pada pasien stroke, perawat perlu melakukan terapi FAST. Terapi ini membantu mempercepat pemulihan tingkat kesadaran. Pasien stroke dengan penurunan kesadaran sebaiknya diberikan terapi FAST.
Factors That Influence Complience With Hypertension Patiens In The Kaliangkrik Puskesmas Working Area Novela, Nona Ringgi; Supriyatno, Heru; Sarwono, Bambang; Widigdo, Dwi Ari Murti
Midwifery and Nursing Research Vol. 6 No. 2 (2024): September 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v6i2.11705

Abstract

Background: Hypertension is often referred to as the silent killer due to its potential to harm vital organs like the heart and kidneys without showing noticeable symptoms. Adherence to medication is crucial in preventing hypertension. Various factors, including medication-related issues, contribute to patient non-compliance. Many individuals fail to adhere to hypertension medication due to perceived side effects following consumption.Methods: This study uses a quantitative research method with a correlational research design. It employs a Cross-Sectional approach. The sampling technique used in this study is proportional simple random sampling. The sample consists of 88 respondents who suffer from hypertension. The research instrument used in this study is a questionnaire on factors influencing medication adherence among hypertension patients. To determine the relationships between these factors and medication adherence among hypertension patients, this study utilizes the Chi-Square test and Logistic Regression analysis.Conclusion: The most dominant factor influencing medication adherence in hypertension sufferers is the knowledge factor, followed by the second factor, namely the assumption of drug side effects. The most dominant factor influencing medication adherence in hypertensive patients is knowledge, followed by the second factor, which is assumptions about medication side effects.
Potential of Honey Hydrogel Modern Dressing in Wound Healing of Patients with Grade II Diabetic Foot Ulcer Afikirtiani, Winda; Arwani, Arwani; Widigdo, Dwi Ari Murti
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 8 No. 1 (2023): Volume 8 No. 1 Agustus 2023
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v8i1.28153

Abstract

Aims: To analyze the potential of honey hydrogel modern dressing in wound healing process in patients with grade II diabetic ulcers. Methods: The research design used a true experiment with a randomized pretest posttestcontrol group design. This study had 36 respondents who were divided into 2 groupsthrough simple random sampling. The intervention group was given honey hydrogel with 4measurements. The first measurement or pretest on day 1, the second measurement orposttest 1 on day 7, the third measurement or posttest 2 on day 14, and the fourthmeasurement or posttest 3 on day 21. The instrument used to measure patient woundhealing using the Bates-Jensen Wound Assessment Tool (BWAT). Results: The increase in the mean wound healing score of patients who were given honeyhydrogel modern dressing from a score of 42.11 on day 1 to 34.56 on day 21 with p = 0.001while the increase in the mean wound healing score of patients who were givenmanufacturer hydrogel modern dressing from a score of 41.67 on day 1 to 37.17 on day 21with p = 0.001. The effect size between the intervention group and the control group is quitestrong with a value of 0.78. Conclusion: Honey hydrogel has the potential to promote wound healing in patients withgrade II diabetic ulcers. Further research is recommended to explore the use of honeyhydrogel by innovating the manufacturing process to ensure consistent dosing in thetreatment of grade II diabetic ulcers.
Pengaruh sleeping bag elektrik terhadap suhu tubuh pada pasien pasca operasi di instalasi bedah sentral Nafiz, Muhammad Haekal; Mardiyono, Mardiyono; Widigdo, Dwi Ari Murti
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1684

Abstract

Background: Postoperative hypothermia is a common complication in patients undergoing surgery under general anesthesia, characterized by a drop in body temperature below 36°C due to impaired thermoregulation, exposure to cold temperatures, unheated intravenous fluids, and prolonged surgery. Globally, its incidence reaches 5–15% and can lead to serious complications such as coagulation disorders, surgical site infections, prolonged recovery, and increased mortality. Prevention is achieved through warming intravenous fluids, the use of heating blankets, and continuous body temperature monitoring. An innovative electric sleeping bag is currently being developed as a more effective method for maintaining stable patient body temperature, increasing comfort, accelerating recovery, and reducing the risk of postoperative hypothermia. Purpose: To determine the effect of an electric sleeping bag on body temperature in postoperative patients. Method: This quantitative study, using a Research and Development (R&D) approach, was conducted at Assyifa Islamic Hospital in Sukabumi City. The study population consisted of 244 patients over the past five months, with a sample of 42 participants divided into intervention and control groups, each with 21 participants, and calculated using a simple random sampling technique. Data analysis was performed using a paired t-test to determine differences between the pretest and posttest. Results: Statistical analysis using a paired sample t-test showed that in the intervention group, the p-value was 0.000 (p < 0.05), indicating a significant effect of the electric sleeping bag on increasing the body temperature of postoperative patients. Conversely, in the control group, the p-value was 0.329 (p > 0.05), indicating no significant effect on changes in patient body temperature. Conclusion: The electric sleeping bag affected the increase in body temperature in postoperative patients in the intervention group (p-value 0.000), while there was no significant effect in the control group (p-value 0.329).   Keywords: Body Temperature; Electric Sleeping Bag; Hypothermia; Postoperative Patients.   Pendahuluan: Hipotermia pascaoperasi adalah komplikasi umum pada pasien yang menjalani pembedahan dengan anestesi umum, ditandai oleh penurunan suhu tubuh di bawah 36°C akibat gangguan termoregulasi, paparan suhu dingin, cairan infus tidak dipanaskan, dan lamanya operasi. Secara global, insidensinya mencapai 5–15% dan dapat menimbulkan komplikasi serius seperti gangguan koagulasi, infeksi luka operasi, perpanjangan pemulihan, serta peningkatan mortalitas. Pencegahan dilakukan melalui pemanasan cairan infus, penggunaan selimut pemanas, dan pemantauan suhu tubuh secara kontinu. Inovasi sleeping bag elektrik kini dikembangkan sebagai metode yang lebih efektif untuk menjaga kestabilan suhu tubuh pasien, meningkatkan kenyamanan, mempercepat pemulihan, dan menurunkan risiko hipotermia pascaoperasi. Tujuan : Untuk mengetahui pengaruh sleeping bag elektrik terhadap suhu tubuh pada pasien pasca operasi. Metode: Penelitian kuantitatif dengan pendekatan Research and Development (R&D), dilakukan di Rumah Sakit Islam (RSI) Assyifa Kota Sukabumi. Populasi penelitian berjumlah 244 pasien selama lima bulan terakhir dengan sampel 42 partisipan yang dibagi menjadi kelompok intervensi dan kontrol, masing-masing 21 partisipan dan dihitung menggunakan teknik simple random sampling. Analisis data dilakukan dengan uji Paired T-Test untuk melihat perbedaan pretest dan posttest Hasil: Uji statistik menggunakan Paired Samples Test menunjukkan bahwa, pada kelompok intervensi nilai p-value sebesar 0.000 (p < 0.05), sehingga ditemukan adanya pengaruh signifikan sleeping bag elektrik terhadap peningkatan suhu tubuh pasien pascaoperasi. Sebaliknya, pada kelompok kontrol diperoleh p-value sebesar 0.329 (p > 0.05), menunjukkan tidak adanya pengaruh signifikan terhadap perubahan suhu tubuh pasien. Simpulan: Sleeping bag elektrik berpengaruh terhadap peningkatan suhu tubuh pasien pascaoperasi pada kelompok intervensi (p-value 0.000), sedangkan tidak ada pengaruh yang signifikan pada kelompok kontrol (p-value 0.329).   Kata Kunci: Hipotermia; Pasien Pascaoperasi; Sleeping Bag Elektrik; Suhu Tubuh.
Co-Authors Afikirtiani, Winda Ali Roatib Arwani Arwani Bambang Sarwono Bambang Sarwono Evy Anita Aulia Evy Aulia Anita Fachry Abda El Rahman Hastuti, Anung Puji Heru Supriyatno Ineke Noviana Liota Marsha Renardiyarto Mardiyono, Mardiyono Moh. Hanafi Nafiz, Muhammad Haekal Novela, Nona Ringgi Radiah Ilham Safira, Ekatiara Siva Sarif, Sarif Sudirman Sudirman Sunarmi Sunarmi Supriyadi Supriyadi Tulus Puji Hastuti Wekoadi, Galih Mahendra Zulinda Risma Darmawati