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All Journal Jurnal Penelitian Kesehatan Suara Forikes Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Kesehatan Manarang International Journal of Nursing and Health Services (IJNHS) Care : Jurnal Ilmiah Ilmu Kesehatan Poltekita : Jurnal Ilmu Kesehatan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Keperawatan Malang (JKM) Jurnal Ilmiah Kesehatan Rustida PROFESSIONAL HEALTH JOURNAL Nursing Information Journal Al-Khidmah Jurnal Pengabdian Masyarakat Journal of Innovation Research and Knowledge Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Kesehatan dr. Soebandi Journal of Nursing Periodic Bhakti Patrika
Hendra Dwi Cahyono
Nursing, Faculty Of Health Science, Universitas Dr. Soebandi, Indonesia
Religion Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Age, Chemotherapy Frequency, and Nutritional Status as Predictors of Chemotherapy-induced Anemia in Rural Populations Cahyono, Hendra Dwi; Martiana, Ina; Kusumasa, Fitri; Fatarona, Anita; Tursina, Hella Meldy; Correia Ximenes, Joao Manuel
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.7149

Abstract

Chemotherapy is a primary treatment modality for cancer, but it often results in adverse effects such as anemia due to decreased hemoglobin levels. Factors including age, chemotherapy frequency, and nutritional status may influence hemoglobin levels, particularly in rural areas with limited healthcare resources. To examine the relationship between age, chemotherapy frequency, and nutritional status and hemoglobin levels among cancer patients undergoing chemotherapy in a rural setting. This cross-sectional, correlational study involved 154 cancer patients undergoing chemotherapy at Baladhika Husada Hospital, Jember, from July to September 2024. Data were collected through patient interviews, the Mini Nutritional Assessment (MNA), and hemoglobin test results. Bivariate analysis using Spearman’s rank correlation was conducted to assess associations among variables. The majority of participants were aged 46–55 years (42.8%), had received 1–3 chemotherapy cycles (57.1%), and were at risk of malnutrition (45.5%). A significant association was found between age (p = 0.009, r = 0.191) and nutritional status (p = 0.014, r = 0.178) and hemoglobin levels. No significant association was found between chemotherapy frequency and hemoglobin levels (p = 0.60). Age and nutritional status are significantly associated with hemoglobin levels in cancer patients undergoing chemotherapy, while chemotherapy frequency is not. These findings highlight the need for individualized care and nutritional interventions, particularly for elderly patients in rural areas, to mitigate the risk of Chemotherapy-Induced Anemia
Progressive Muscle Relaxation Implementation On Anxiety Level Of Pre Op AV Shunt Surgery Patients Fatarona, Anita; Martiana, Ina; Cahyono, Hendra Dwi; Cholida, Diana
Nursing Information Journal Vol. 5 No. 1 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v5i1.1224

Abstract

Chronic Kidney Disease (CKD) affects over 10% of the global population (>800 million people) and increases the risk of cardiovascular diseases such as coronary artery disease, heart failure, and stroke. One of the primary treatments for CKD is hemodialysis, with arteriovenous (AV) shunt access used in approximately 92% of procedures. AV shunt installation is a surgical procedure often associated with increased patient anxiety. In addition to pharmacological treatment, non-pharmacological approaches such as Progressive Muscle Relaxation (PMR) can be effective in reducing anxiety. This study aimed to determine the effect of PMR on the anxiety levels of patients undergoing pre-operative AV shunt installation. A quasi-experimental pretest-posttest design with a control group was used, involving 70 respondents at Jember Klinik Hospital, divided equally into intervention and control groups (n=35 each). Sampling was conducted using sequential sampling. The State-Trait Anxiety Inventory (STAI) was used to measure anxiety levels, and data were analyzed using the Wilcoxon Signed Rank Test. Results showed a significant decrease in anxiety in the intervention group after receiving PMR. The median anxiety score in the experimental group decreased from 42.66 (pre-test) to 29.57 (post-test), moving from moderate to mild anxiety. In contrast, the control group showed no significant change (pre-test median = 38.06; post-test = 40.03). The Wilcoxon test yielded a p-value of 0.000 in the intervention group, indicating a significant difference before and after the intervention. These findings support the use of PMR as an effective complementary therapy to reduce anxiety in pre-operative CKD patients undergoing AV shunt surgery.
Management of Severe Preeclampsia with Anemia in Pregnant Women with Covid-19 Infection : A Multidisciplinary Approach Handayani, Ririn; Anggraeni, Ernawati; Sari, Melati Puspita; Handayani, Yuni; Cahyono, Hendra Dwi
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 3 July 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i3.2329

Abstract

Coronavirus disease 2019 (COVID-19) is a disease that is currently pandemic almost worldwide, with the first case in Indonesia on March 2, 2020, spreading rapidly across the entire country. Pregnant women are a vulnerable group to experience health disorders, especially infectious diseases, due to changes in physiological body and immune response mechanisms within their bodies. In this study, we report a case of COVID-19 in a 31-year-old pregnant woman at 30-31 weeks of gestation, who is pregnant with her second child and complained of leaking amniotic fluid and shortness of breath. Physical examination results showed: positive SARS-CoV-2 antigen swab test, BP 156/112 mmHg, T (36.0°C), heart rate 107 beats per minute, respiratory rate 30 breaths per minute, fetal heart rate 144 beats per minute, SpO2 97%, urine protein +4, Hb 4.4 g%. Vaginal toucher examination revealed cervical dilation of 1 cm, negative for amniotic fluid leakage, and cephalic presentation. Spontaneous delivery process. The baby was born normally, female, APGAR score 1-2, weight 900 grams, length 27 cm, positive anus. Complications accompanying pneumonia, metabolic acidosis, anemia, melena, coagulopathy. This case report contains clinical descriptions, diagnosis, and management of care for pregnant women with Covid-19.
THE RELATIONSHIP BETWEEN OXYGEN SATURATION AND EPITHELIALIZATION IN GANGRENE PATIENTS IN THE JEMBER AREA Zahro, Novita; Eka Pranata, Andi; Cahyono, Hendra Dwi
Journal of Nursing Periodic Vol. 2 No. 1 (2025): January
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Diabetic ulcers or gangrene is a complication of diabetes mellitus resulting from angiopathy neuropathy and vascular disorders in the foot area. Gangrene wounds are caused by vascular disorders, nerves, and infection. If gangrene wounds are not handled properly and quickly, the wound will get worse. This study aimed to analyze the relationship between oxygen saturation and epithelialization in gangrene patients in the Jember area. Correlation analytical research design with a cross-sectional approach. The population of patients with gangrenous wounds consisted of 30 respondents using a quota sampling technique. The measuring tool uses oximetry and the Bates Janson Wound Assessment Tool checklist for Chi-Square (Fisher Exact) test analysis. Most of the gangrenous patients (63.3%) had normal oxygen saturation values ​​and almost all (80.0%) of patients had epithelialized gangrene >50%. KK = 0.436 means the relationship is sufficient. The conclusion is that there is a sufficient relationship. between oxygen saturation and epithelialization in gangrene patients in the Jember area. It is suggested that this research can be developed more completely and perfectly regarding GDA examination and participating in debridement during wound care.
The Effect of Buerger Allen Exercise on Perfusion of Peripheral Tissues in Patients with Diabetes Mellitus: Literature Reviews Anggraeni, Hani Nur; Vitaliati, Trisna; Cahyono, Hendra Dwi
Jurnal Kesehatan Manarang Vol 9 No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v9i1.776

Abstract

Diabetes mellitus is not treated immediately can cause ineffective peripheral tissue perfusion. Ineffective peripheral tissue perfusion can lead to lower extremity amputation. Buerger allen exercise can improve ineffective peripheral tissue perfusion with an indicator of increasing the value of the ankle brachial index (ABI). This literature study aims to explore the intervention of Buerger Allen exercise on the ineffectiveness of peripheral tissue perfusion in patients with diabetes mellitus. This study uses a literature review method with 3 databases, namely Proquest, Google Scholar, and PubMed with a total of 6 articles reviewed with the PICOS framework criteria. The criteria for the articles used are those published from 2016 to 2021 amounting to 2,445 articles, then a selection is made based on duplicate titles, PICOS and critical appraisal to 6 articles. The administration of Buerger Allen exercise greatly affects the increase in the value of the ankle brachial index (ABI) as an indicator of the effectiveness of peripheral tissue perfusion in patients with diabetes mellitus. All reviewed articles show the same results. Buerger allen exercise can increase oxygen in the blood vessels so that it can be an alternative therapy that can be given to people with diabetes mellitus to improve ineffective peripheral tissue perfusion.
Upaya Pengendalian Diabetes Mellitus (DM) dengan Education Implementation pada Kelompok DM dan Kelompok Beresiko DM pada Masyarakat Urban Fatarona, Anita; Cahyono, Hendra Dwi; Martiana, Ina
Bhakti Patrika Vol. 1 No. 1 (2025): Januari
Publisher : Pubfine Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64408/bp.2025.1120

Abstract

Pendahuluan: Survey penyakit tidak menular (PTM) membuktikan bahwa prevalensi mortalitas dan morbiditas kejadian diabetes mellitus (DM) di Indonesia mengalami peningkatan. Salah satu Program Pengelolaan Penyakit Kronis (PROLANIS), namun angka DM (Diabetes Mellitus) masih meningkat. Karakteristik masyarakat Indonesia yang beragam juga memiliki perbedaan daya penerimaan dan integrasi perilaku masyarakat pedesaaan (rural) dengan masyarakat perkotaan (urban) Pemberian informasi kesehatan dengan basis Health Action Model sangat terkait dengan dampak perubahan perilaku. Metode: Metode yang digunakan dalam pengabdian Masyarakat ini, yaitu menggunakan Implementasi edukasi dengan pendekatan partisipatif, dengan melibatkan kerja sama dengan penanggung Jawab Program PTM dan Kader dalam pelaksanaan program edukasi yang berbasis Health Action Model sehingga bisa mempengaruhi perilaku. Hasil: Hasilnya menunjukkan perubahan yaitu peningkatan signifikan dalam dalam pengetahuan mengontrol dula darah (75%), motivasi dalam menjaga pola makan (60%), serta kebiasaan menerapkan perilaku dengan olahraga/ aktivitas (60%). Meskipun demikian, tantangan utama tetap pada kepatuhan dalam menjaga pola makan makanan manis dan keterbatasan melakukan aktivitas karena keluhan nyeri. Program ini juga berhasil meningkatkan pengetahuan dan pentingnya kesehatan sehingga gula darah bisa terkontrol. Kesimpulan: Kegiatan Edukasi sangat efektif dalam meningkatkan kesadaran dan pengetahuan dalam mengontrol gula darah sehingga dapat mengubah perilaku dalam memilih menu makanan, dan penerapan aktivitas atau olahgara secara rutin. Keberhasilan kegiatan ini dapat di evaluasi dalam penerapan perilaku yang baik jika program ini bisa dilakukan secara berkelanjutan. Evaluasi berkala dan partisipasi instansi terkait dan kader dalam program berkelanjutan kegiatan sangat penting dalam mencapai derajat Kesehatan yang optimal.
Co-Authors Ainul Fikriyah, Miftahur Andi Eka pranata Angfakh, Moh. Aufa Rikhil anggraeni, Ernawati Anggraeni, Hani Nur Anita Fatarona Anita Fatarona Budiman, M.Elyas Arif Cholida, Diana Correia Ximenes, Joao Manuel Darotin, Rida Dewi Irawaty Dewi Irawaty Dewi Irawaty Eka Pranata, Andi Fakhrur Afif, Muhammad Fatarona, Anita Fitria Aswinda, Novemika Handayani, Yuni Hani Nur Anggraeni Haris, Tolak Hella Meldy Tursina Hendro Prasetyo Ina Martiana Ira, Ni Putu Kusumasa, Fitri Martiana, Ina Moh. Wildan Ni Putu Ira Ririn Handayani Rofiatul Jannah Rr Tutik Sri Hariyati Sari, Melati Puspita Sutrisno, Sutrisno Sya'id, Achmad Tursina, Hella Meldy Vitaliati, Trisna Zahro, Novita