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All Journal JMM (Jurnal Masyarakat Mandiri) Jurnal Kreativitas PKM Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Indonesian Journal of Global Health research Jurnal Kebidanan Indonesia Proceedings of the International Conference on Nursing and Health Sciences Journal of Applied Nursing and Health Jurnal Keperawatan 'Aisyiyah Jurnal Masyarakat Madani Indonesia International Journal of Health Sciences
Ika Subekti Wulandari, Ika Subekti
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Relationship between Anxiety and Pain in Infusion Procedures: Implications for Children's Hospital Care Megasari, Anis Laela; Wulandari, Ika Subekti; Maula, Sheyla Najwatul; Yusviputri, Nayla Asri
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.4612

Abstract

Insertion of an IV is a medical procedure that is often performed on children in hospitals. This procedure often causes anxiety and pain which can affect the child's comfort and healing process. Objective: This study aims to analyze the relationship between anxiety levels and the intensity of pain felt by children when installing an IV. Methods: The research method used is quantitative with a cross-sectional approach. The sampling technique uses purposive sampling by paying attention to inclusion and exclusion criteria. The total number of respondents in this study was 60 people. Data was collected through an anxiety questionnaire using the facial image scale (FIS) and a pain scale using the Wong Baker Face questionnaire. These two questionnaires were filled out by the child before and after the infusion procedure. Results: The results of data analysis showed that there was a significant positive correlation between the level of anxiety and the intensity of pain felt by children (r=0.49, p<0.05). Conclusions: The results of this study show that the higher the child's anxiety before the infusion procedure, the higher the pain intensity felt. This research suggests the importance of psychological intervention to reduce anxiety in children before the infusion procedure in order to reduce pain and increase the child's comfort during hospital treatment.
PERSEPSI MASYARAKAT SURAKARTA TERHADAP BAHAYA COVID-19 Ropitasari, Ropitasari; Winarni, Wiwin; Subekti Wulandari, Ika
Jurnal Kebidanan Indonesia Vol 13, No 1 (2022): JANUARI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/jki.v13i1.566

Abstract

OPTIMALISASI KEPATUHAN PUASA PRA OPERASI MELALUI ASPIRATION SIMULATION DEVICES DALAM UPAYA PENCEGAHAN RESIKO ASPIRASI OPERATIVE Wulandari, Ika Subekti; Megasari, Anis Laela; Cahyanto, Erindra Budi; Mulyani, Sri; Musfiroh, Mujahidatul
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 5 (2024): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i5.25979

Abstract

Abstrak: Aspirasi pulmonal selama operasi sebagai akibat dari tindakan anestesi merupakan kasus yang penting untuk dicegah, karena dapat menyebabkan peradangan paru atau bahkan meningkatkan resiko kematian. Sayangnya pasien masih belum memahami pentingnya puasa sebelum operasi dan bersikap tidak patuh dalam mengikuti instruksi puasa pra operasi. Kegiatan Pengabdian kepada Masyarakat ini bertujuan untuk meningkatkan kemampuan soft skill kepatuhan pasien dalam menjalani puasa sebelum tindakan operasi sehingga dapat menurunkan resiko kejadian aspirasi pulmonal selama operasi yang berdampak terhadap peningkatan patient safety perioperative. Peserta kegiatan ini sebanyak 20 orang yang merupakan pasien dan keluarga pasien yang akan menjalani operasi dengan spinal maupun general anestesi. Metode pengabdian ini berupa penyuluhan. Monitoring dan evaluasi dilakukan menggunakan pre- test dan post-test menggunakan kuisioner kepatuhan puasa pra operasi sebanyak 10 soal. Kegiatan telah dilakukan tanggal 5 Agustus 2024 dengan hasil rerata skor kepatuhan puasa pra operasi mengalami peningkatan 5.95 (30%) setelah dilakukan kegiatan ini. Skor minimal kepatuhan puasa pra operasi yang sebelumnya 15 meningkat menjadi 22, sedangkan skor maksimal kepatuhan puasa pra operasi yang sebelumnya 34 menjadi 38. Abstract: Pulmonary aspiration during surgery as a result of anesthesia is an important case to prevent, because it can cause lung inflammation or even increase the risk of death. Unfortunately, patients still do not understand the importance of fasting before surgery and are non-compliant in following preoperative fasting instructions. This Community Service Activity aims to improve patient compliance in fasting before surgery so that it can reduce the risk of pulmonary aspiration during surgery which has an impact on increasing perioperative patient safety. There were 20 participants in this activity. The service method is in the form of counseling. Monitoring and evaluation were carried out using a pre-test and post-test using a 10-question preoperative fasting compliance questionnaire. The activity was carried out on August 5, 2024 with the average preoperative fasting compliance score increasing by 5.95 (30%) after this activity was carried out. The minimum preoperative fasting compliance score which was previously 15 increased to 22, while the maximum preoperative fasting compliance score which was previously 34 became 38.
UPAYA MENINGKATKAN PENGETAHUAN TENTANG PERSIAPAN SEBELUM OPERASI MELALUI PENDEKATAN MULTIDIMENSI: FISIK, MENTAL, DAN SPIRITUAL Cahyanto, Erindra Budi; Santoso, Tri Budi; Suratih, Kanthi; Wulandari, Ika Subekti; Megasari, Anis Laela; Mulyani, Sri; Musfiroh, Mujahidatul
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 5 (2024): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i5.26483

Abstract

Abstrak: Tindakan operasi merupakan salah satu upaya untuk mengembalikan kesehatan. Namun sebagian masyarakat masih belum paham tentang persiapan apa saja yang perlu dilakukan sebelum operasi. Ketidaktahuan ini bisa berdampak merugikan pada saat menjelang dan selama operasi maupun timbulnya gangguan setelah operasi. Pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan masyarakat tentang persiapan pra operasi melalui pendekatan multidimensi meliputi aspek fisik, mental, dan spiritual. Mitra program ini adalah anggota organisasi PKK di Kabupaten Klaten yang diikuti 57 peserta. Pendekatan tersebut mencakup pendidikan tentang nutrisi seimbang, manajemen stres, dan dukungan spiritual untukmeningkatkan pengetahuan mitra tentang persiapan sebelum operasi agar pelaksanaan operasi berjalan lancar dan mengurangi risiko pasca operasi. Pengetahuan diukur dengan kuesioner dengan hasil pre-test menunjukkan rata-rata skor pemahaman sebesar 50,0 meningkat menjadi 78,60 pada post-test. Hal ini menunjukkan adanya peningkatan pengetahuan peserta mengenai pentingnya persiapan pra operasi. Pendekatan multidimensi meliputi aspek fisik, mental, dan spiritual perlu dilaksanakan secara berkala. Abstract: Surgery is one of the efforts to restore health. However, some people still do not understand what preparations need to be made before surgery. This ignorance can have a detrimental impact on the time before and during surgery as well as the onset of disorders after surgery. This community service aims to increase community knowledge about preoperative preparation through a multidimensional approach including physical, mental, and spiritual aspects. The partners of this programme were members of the PKK organisation in, Klaten Regency with 57 participants. The approach included education on balanced nutrition, stress management, and spiritual support to improve partners' knowledge on preoperative preparation to ensure smooth operation and reduce postoperative risks. Knowledge was measured by questionnaire with the pre-test results showing an average understanding score of 50.0 increasing to 78.60 in the post-test. This shows an increase in participants' knowledge about the importance of preoperative preparation. A multidimensional approach covering physical, mental, and spiritual aspects needs to be implemented regularly. 
The Influence of Psycho-Educational Therapy on Anxiety in Children with Cancer Undergoing Chemotherapy Megasari, Anis Laela; Wulandari, Ika Subekti
International Journal of Health Sciences Vol. 2 No. 1 (2024): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v2i1.273

Abstract

Cancer is still a significant health problem that causes a high mortality rate worldwide. It affects not only adults but also children. One of the types of cancer commonly suffered by children is leukemia. Chemotherapy is one of the treatments for leukemia. Unfortunately, chemotherapy often leads to issues in children, such as anxiety. This aimed to determine the influence of psycho-Education on anxiety in children with leukemia undergoing chemotherapy. This method using a pre-experimental design with one group pretest posttest. The sample was obtained using total sampling, consisting of 25 respondents. Psycho-educational therapy was conducted three times, and it consisted of four sessions in each activity, namely: Session 1 (education about cancer and treatment therapy), Session 2 (effects of chemotherapy), Session 3 (actions and prevention of chemotherapy side effects), and Session 4: stress management (teaching various non-pharmacological stress management techniques). The intervention was administered three times before the scheduled chemotherapy for 15 minutes. The researcher used Anxiety test by using the Spence Children's Anxiety Scale (SCAS). Results: The Wilcoxon test results showed a p-value of 0.001. Based on the research findings, it indicated that there is an influence of Psycho-Educational Therapy on anxiety in children with leukemia undergoing chemotherapy.
Edukasi Kepatuhan Puasa Pra-Operasi untuk Mencegah Post Dural Puncture Headache di RSUD Ibu Fatmawati Surakarta Megasari, Anis Laela; Wulandari, Ika Subekti; Cahyanto, Erindra Budi; Mulyani, Sri; Santoso, Tri Budi; Fitriana, Fia; Supriyatno, Abigael Thea Rahmany; Susilowati, Amanda Bintang; Ramadhani, Aura Kamilla; Fitriana, Azizah Nur
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 11 (2025): Volume 8 No 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i11.22532

Abstract

ABSTRAK Puasa pra-operasi merupakan salah satu bagian penting dari persiapan pembedahan yang bertujuan mencegah komplikasi anestesi. Namun masih banyak ditemukan pasien maupun keluarga pasien yang tidak memahami tujuan dan manfaat puasa pra operasi. Ketidakpahaman pasien dan keluarga pasien terhadap durasi serta tujuan puasa masih menjadi masalah yang berdampak pada rendahnya tingkat kepatuhan. Edukasi ini bertujuan untuk meningkatkan pemahaman dan kepatuhan pasien dalam menjalankan puasa pra operasi. Kegiatan ini dilakukan dengan menggunakan metode penyuluhan yang dikombinasikan dengan penggunaan media permainan edukatif “SOPAN” (Spin Wheel untuk Kepatuhan Pra-operasi). Metode penyuluhan efektif dalam meningkatkan pemahaman pasien terhadap kepatuhan pra operasi. Kegiatan ini dilaksanakan di RSUD Ibu Fatmawati Soekarno Kota Surakarta. Sebanyak 15 peserta yang terdiri dari pasien dan pendamping pasien mengikuti sesi edukasi, pretest, posttest, dan permainan interaktif. Hasil evaluasi menunjukkan terdapat peningkatan skor pemahaman peserta setelah edukasi, yaitu sebanyak 25%. Edukasi dengan pendekatan interaktif melalui media permainan terbukti efektif dalam meningkatkan pemahaman pasien mengenai kepatuhan puasa pra-operasi. Strategi ini dapat menjadi inovasi dalam edukasi kesehatan untuk mendukung keselamatan pasien pada tindakan pembedahan.  Kata Kunci: Edukasi Kesehatan, Kepatuhan, Keselamatan Pembedahan, Permainan Edukatif, Puasa Pra Operasi.  ABSTRACT Preoperative fasting is an essential part of surgical preparation, aimed at preventing anesthetic complications. However, many patients and their families still do not understand the purpose and benefits of preoperative fasting. This lack of understanding regarding the duration and purpose of fasting remains a problem, resulting in low levels of compliance. This educational program aims to improve patient understanding and compliance with preoperative fasting. This activity was conducted using a counseling method combined with the educational game "SOPAN" (Spin Wheel for Preoperative Compliance). This educational method is effective in improving patient understanding of preoperative compliance. This activity was conducted at Ibu Fatmawati Soekarno General Hospital in Surakarta City. A total of 15 participants, consisting of patients and their companions, participated in the educational session, pretest, posttest, and interactive game. Evaluation results showed a 25% increase in participants' understanding after the education. Interactive education through games has proven effective in improving patient understanding of preoperative fasting compliance. This strategy can be an innovation in health education to support patient safety during surgical procedures. Keywords: Compliance, Educational Games, Health Education, Preoperative Fasting, Surgical Safety.
The Effect of Psychoeducational Therapy on the Self Efficacy of Children with Chemotherapy Program Megasari, Anis Laela; Wulandari, Ika Subekti
Indonesian Journal of Global Health Research Vol 6 No 4 (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.v6i4.3303

Abstract

Chemotherapy is one of the therapy programs that must be carried out for cancer sufferers. Unfortunately, many cancer patients, especially children, are not ready to face it. This unpreparedness will certainly affect the success rate of the chemotherapy program. The aim of this research is to determine the effect of psychoeducational therapy on the level of self-efficacy of the chemotherapy process in children with cancer. This research used a pre-experimental with one group pretest post-test design. The population of this study were children diagnosed with leukemia who underwent chemotherapy at the YKAKi Halfway House Semarang in May-June 2023. The sample in this study used a total sampling of 25 respondents. Self-efficacy was measured using the self-efficacy scale instrument with validity results showing t-value > 1.96 and reliability test results showing r = 0.97. Providing psycho-educational therapy consists of four phases Bivariate analysis used the Wilcoxon statistical test. Statistical test results show a p-value of 0.001. It can be concluded that there is an influence of psychoeducational therapy on the level of self-efficacy for the chemotherapy process in children with cancer. Based on the research results, it can be concluded that providing atraumatic therapy such as psychoeducation is very important for pediatric patients undergoing chemotherapy. This aims to increase self-efficacy so that the chemotherapy program can be carried out optimally so as to improve the quality of the patient's health.
The Effect of Occupational Art Therapy on Depression, Anxiety and Stress in the Elderly in Nursing Homes: A Quasi-Experimental Study Laela Megasari, Anis; Subekti Wulandari, Ika; Najwatul Maula , Sheyla
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.234

Abstract

Background: Elderly individuals residing in care facilities possess the potential for low physical activity, frequent illness, a hostile environment, and a lack of self-confidence, causing older people to become anxious, stressed, and even depressed. Unfortunately, no intervention can overcome this problem. Occupational art therapy involves using artistic mediums as a form of treatment and creative processes to help express oneself, improve individual physical and coping skills, manage stress, and strengthen self-confidence. Methods: This research aims to explain the effect of occupational art therapy on depression, stress, and anxiety in older adults in nursing homes. This research uses a quasi-experimental pre and post-test design. The total sample used was 60 respondents, who were divided into intervention and control groups using a sampling technique, namely purposive sampling. Data were collected using the short version of the Depression Anxiety and Stress Scale (21 items). Descriptive statistics, frequency distribution, and Paired and Unpaired T-tests were applied for data analysis. Results: The findings of the research indicated that occupational arts therapy could reduce depression scores with an average difference of 8.63, namely an anxiety score of 5.54 and a stress score of 3.59. Data analysis showed that occupational art therapy significantly reduced anxiety, depression, and stress scores (p-value 0.000). Conclusion: Occupational art therapy can be used as a complementary therapy in nursing homes to reduce depression, anxiety, and stress in older people. The findings of this study are expected to help improve services in nursing homes, especially for reducing depression, anxiety, and stress in older people.
Stroke Type, Time to Care, and EWS as Predictors of Patient Outcomes: A Case-Control Study Megasari, Anis Laela; Wulandari, Ika Subekti
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.313

Abstract

Background: Stroke management requires speed in identification and action to improve stroke outcomes. Unfortunately, the identification of strokes is still slow. This study aims to determine the factors that influence the development of stroke patients. Methods: This study used a case-control design with a retrospective approach. This case-control study adheres to the STROBE reporting guidelines. Purposive sampling was applied with a sample size of 37 respondents. The variables studied were the type of stroke, the Early Warning Score (EWS), the time to seek health services, and the outcome of stroke patients. The Glasgow Outcome Scale Extended (GOSE) measures the effects on stroke patients. Spearman and Sommers's test analyzed data to determine the relationship between two variables, and the multiple regression test was used for multivariate analysis. Results: The results showed that the majority of stroke types were Non-Hemorrhagic Strokes (86.5%), the majority of EWS scores fell into the deficient category (51.4%), and the majority of the time spent seeking health services was less than 2 hours (94.6%). There is a significant relationship between the type of stroke (p-value 0.02), EWS score (p-value 0.01), and the time to seek health services and stroke outcome (p-value 0.03). Multivariate analysis revealed that the type of stroke, time to seek health services, and EWS scores were simultaneously or collectively associated with stroke patient outcomes (F count = 5.269 > F table = 2.88, with a coefficient of determination of 32.4%). This research showed that the type of stroke, time to seek health services, and the EWS score can be used as predictors of the outcome level of stroke patients. Conclusion: These findings highlight the importance of integrating Early Warning Score (EWS) into hospital protocols to support early recognition and timely response for stroke patients, potentially improving patient outcomes
HUBUNGAN TINGKAT KEBUGARAN JASMANI DENGAN KAPASITAS VITAL PARU-PARU MAHASISWA PRODI SARJANA KEPERAWATAN UNIVERSITAS KUSUMA HUSADA SURAKARTA suparmanto, gatot suparmanto; Wulandari, Ika Subekti; Kurniawan, Sahuri Teguh
Viva Medika Vol 14 No 02 (2021)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v14i02.598

Abstract

Daily activities require physical fitness so that the body can keep up with activities, as well as activities in student lectures are required to be able to attend lectures well and be supported by the vital capacity of the lungs to get maximum oxygen when inspiration and expiration and delivered throughout the body and this becomes a good indicator of lung function. The purpose of this study was to link the fitness level with the vital capacity of lungs in college students. This research method is descriptive correlative, which examines the relationship between variables using a cross-sectional approach. Data collection was carried out in the period September-October 2019, the subjects of this study were 52 final level undergraduate study program students. Examination of vital lung capacity will be measured by spirometry and fitness level is measured by Harvard step-up bench. Results: The mean value of the impurity level was 72 ± 8.84, while the mean value of vital lung capacity in this study was 3.528 ± 0.820 liters. The Spearman test was used to determine the relationship between the level of fitness and the vital capacity of the lungs, the p value was 0.000 (p <0.05) that there was a relationship between the vital capacity of the lungs and the fitness level he Spearman correlation of 0.605 indicates a positive relationship, or in other words, strong strength. Conclusion: There is a strong relationship between fitness level and lung vital capacity. The higher the fitness level of the vital lung capacity
Co-Authors Adi, Galih Setia Anissa Cindy Nurul Afni, Anissa Cindy Cahyanto, Erindra Budi Fitriana, Azizah Nur Fitriana, Fia Harsono, Meysha Sufah Zain Kanthi Suratih Kumboyono, K Laela Megasari, Anis Lilik Supriyati, Lilik Maria Wisnu Kanita Maula, Sheyla Najwatul Mayasari, Febriana Megasari, Anis Laela Metekohy, Fenissya Andini Mujahidatul Musfiroh Najwatul Maula , Sheyla Pramesthi, Nesha Dinda Putri, Wardani Anugerah Ramadhani, Aura Kamilla Retty Ratnawati Riswanto, Arif Restu Ropitasari Ropitasari Sahuri Teguh kurniawan, Sahuri Teguh Setyaningsih, Endar Sri Mulyani suparmanto, gatot suparmanto Supriyatno, Abigael Thea Rahmany Susilowati, Amanda Bintang Tri Budi Santoso Wahyuningsih Safitri, Wahyuningsih Wiwin Winarni Yudhantara, Nanda Rahman Yusviputri, Nayla Asri