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PENGETAHUAN PALLIATIVE CARE PADA KELUARGA DENGAN KANKER Fitriyanti, Dwi; Ananta Tanujiarso, Bagus; Jumatul Laely, Anna
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 4 (2023): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i3.1571

Abstract

Cancer is a leading cause of death worldwide, accounting for nearly 10 million deaths in 2020, or nearly one in six deaths. Cancer is a chronic and/or terminal disease with various manifestations or signs depending on which body system is affected. The needs of cancer patients are not only the fulfillment or treatment of physical symptoms but also the importance of supporting psychological, social, and spiritual needs. The main support for cancer patients is the family, which plays an important role in providing care to the patient. The treatment given to cancer sufferers is palliative care. This research aims to determine the knowledge of palliative care in families with cancer. This research uses a quantitative descriptive methodology with a cross-sectional approach. The sampling technique used was purposive sampling with a sample size of 120 responses. The research instrument used a knowledge-level questionnaire about palliative care. The data analysis technique used is univariate analysis. The research results showed that the majority of respondents' knowledge was in the poor category, with 47 (39.16%), 38 respondents (31.67%) with good knowledge, and 35 respondents (29.17%) with sufficient knowledge. Recommendations for further research can provide interventions to increase the knowledge of families with cancer. The ultimate goal of palliative care can be achieved, namely improving the patient's quality of life.
PENGARUH PEMBERIAN EDUKASI LEAFLET TERHADAP PENGETAHUAN TENTANG HIPOTERMIA PADA PENDAKI GUNUNG DI GUNUNG ANDONG Tanujiarso, Bagus Ananta; Pratama, Gusma Rizky; Sari, Rinda Intan
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 4 (2023): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i4.1837

Abstract

At present, most people, within specific age, like hiking. However, not all hikers are aware of the danger of hypothermia. Hypothermia refers to heat loss in humans that practically lowers the temperature. From 2013 to 2015, 41 hikers died due to hypothermia. Many hypothermia cases and information are not relevant to health science. These problems worsen the preparation and management of hypothermia. One of the preventions is - providing hypothermia education so the mortality rates of hikers due to hypothermia could be prevented. This study aims to determine the effect of providing educational leaflets on knowledge about polythermia in mountaineers on Mount Andong. The type of research used is quantitative research with a pre-experimental design one group pre test-post test design. This research will be carried out at the Gunung Andong Via Sawit Basecamp in May 2023. The sampling technique used is the Accidental Sampling technique. The sample used in this study was 55 climbers. In this study, respondents were given the opportunity to read the leaflet for 10 minutes. The statistical test used in this study used the Wilcoxon test. The results showed the mean score before the treatment was 81.57 with an SD of 9.38, a minimum score of 47, and a maximum score of 100. On the other hand, the mean score after the intervention was 89.65 with an SD of 7.82, a minimum score of 76, and a maximum score of 100. The researchers concluded the cognitive score of hypothermia improved after the implementation of leaflet education media. The researcher expects these research results as the future reference of hypothermia dangers, health care services for hypothermia hiker victims, and literature works to improve the awareness of hypothermia dangers.
PENGARUH SELF SELECTED AROMATERAPI DAN MASSAGE TERHADAP TEKANAN DARAH, FREKUENSI NAFAS DAN FREKUENSI NADI PASIEN DI ICU Tanujiarso, Bagus Ananta; Saputri, Maretya Asih
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i4.2558

Abstract

Patients in the ICU often experience hemodynamic instability because the control mechanism does not function normally. Critical patients in the ICU need appropriate treatment to reduce hemodynamic conditions. One non-pharmacological therapy that can be used is self-selected aromatherapy, which is a therapy that gives patients the freedom to choose the aromatherapy they like. Another non-pharmacological therapy is massage. Massage can increase blood circulation, stimulate muscles and provide relaxation by massaging, rubbing or squeezing parts of the patient's body. The collaboration of these two therapies affects the patient's hemodynamic status due to the release of electrochemical compounds received from the brain which causes relaxation. This research is a pre-experimental research with a one group pretest posttest design. The population in the study were 39 patients treated in the SMC ICU Room at Telogorejo Hospital for the period January – February 2024. The instruments used are bedside monitors and observation sheets. The research results showed that before being given self-selected aromatherapy and massage, the average person had a systolic blood pressure of 135.83 mmHg, diastolic blood pressure of 76.20 mmHg, respiratory frequency of 19.54 x/minute and pulse frequency of 78.11 x/minute. After being given therapy, the average systolic blood pressure was 130.29 mmHg, diastolic blood pressure 74.14 mmHg, respiratory frequency 17.69 x/minute and pulse frequency 74.97 x/minute. There is an effect of self-selected aromatherapy and massage on systolic blood pressure (pvalue 0.000), diastolic blood pressure (pvalue 0.028), respiratory frequency (pvalue 0.011) and pulse frequency (pvalue 0.000). It is hoped that this research will be an alternative therapy in stabilizing hemodynamics, and will then be implemented by nurses according to the SOP.
Kombinasi Terapi Spiritual Emotional Freedom Technique (SEFT) dan Aromaterapi Meningkatkan Kualitas Tidur dan Menurunkan Kecemasan Pasien di Ruang Intensif Tanujiarso, Bagus Ananta; Saraswati, Dyah
Jurnal Penelitian Perawat Profesional Vol 7 No 1 (2025): Februari 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i1.5876

Abstract

Pasien di ruang intensive umumnya mengalami gangguan tidur disertai dengan kecemasan yang disebabkan beberapa faktor penyakit, kondisi psikologis, lingkungan dan medikasi. Upaya nonfarmakologis untuk meningkatkan kualitas tidur dan menurunkan kecemasan pada pasien di ruang intensif antara lain kombinasi terapi antara Spiritual Emotional Freedom Technique dan aromaterapi. Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi terapi Spiritual Emotional Freedom Technique (SEFT) dengan aromaterapi terhadap kualitas tidur dan kecemasan pasien di ruang intensif. Desain penelitian ini yaitu pre-experimental dengan bentuk One Group Pretest Post Test. Populasi penelitian yaitu pasien di Ruang High Nursing Dependency (HND) Semarang Medical Center (SMC) RS Telogorejo dengan jumlah 60. Jumlah responden penelitian 52 responden. Teknik sampling yang digunakan yaitu purposive sampling. Kriteria inklusi penelitian ini yaitu pasien yang memiliki kesadaran composmentis, pasien yang kooperatif, pasien yang tidak mempunyai gangguan penciuman, pasien yang mengalami gangguan kualitas tidur dan mengalami kecemasan. Kriteria eksklusi yaitu pasien yang menolak untuk menjadi responden, pasien yang tidak mengikuti latihan. Instrumen penelitian yang digunakan yaitu Kuesioner Pittsburgh Sleep Quality Index (PSQI) dan Hamilton Anxiety Rating Scale (HARS). Prosedur pemberian kombinasi terapi SEFT dan aromaterapi diberikan setiap 15-25 menit sehari 1x selama 3x pertemuan. Uji yang digunakan yaitu Uji Wilcoxon. Hasil penelitian ini dapat ditarik kesimpulan bahwa kombinasi terapi antara SEFT dan aromaterapi terbukti dapat meningkatkan kualitas tidur dan menurunkan kecemasan pasien di ruang intensif (p value < 0,05).
PEMBERDAYAAN MASYARAKAT DALAM MITIGASI BENCANA MELALUI MAS ARITANA (MASYARAKAT ROWOSARI TANGGAP BENCANA) BERBASIS PALIATIF Riris Risca Megawati; Bagus Ananta Tanujiarso; Rissa Maharani Dewi; Reza Ardhana Weshari; Emi Rosita Nirmala Sari
Balarea: Jurnal Pengabdian Masyarakat Vol. 3 No. 2 (2024): BALAREA: Jurnal Pengabdian Masyarakat
Publisher : Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/balarea.v3i1.4840

Abstract

Indonesia adalah negara dengan iklim tropis, yaitu panas dan hujan, dan terdiri dari dataran rendah dan banyak sungai tersebar. Data indeks risiko bencana Provinsi Jawa Tengah pada tahun 2022 berada di angka 115.38 dengan kategori risiko bencana sedang. Namun, Jawa Tengah terdiri dari dataran rendah dan banyak sungai tersebar. Data indeks risiko bencana di Kota Semarang di angka 103.49 dengan kategori risiko bencana sedang. Banyak bencana terjadi di Jawa Tengah menunjukkan bahwa bencana dapat terjadi, dan perlu dilakukan upaya pencegahan untuk mengurangi risiko dan dampak kerugian. Pemerintah pusat dan pemerintah daerah diberi wewenang untuk melakukan pembinaan terhadap pengembangan Desa Tangguh Bencana untuk mengurangi risiko bencana. Sendai Framework for Disaster Risk Reduction (SFDRR) 2015-2030 memprioritaskan pemahaman tentang risiko bencana sebagai tujuan utama. Salah satu upaya untuk mengurangi resiko dan dampak dari bencana yang merupakan pengetahuan masyarakat. Pengetahuan adalah hasil dari penginderaan manusia atau pemahaman mereka tentang suatu objek melalui panca indra mereka. Pengalaman banjir terjadi hampir setiap tahun meningkatkan pengetahuan dan kesiapsiagaan masyarakat. Peningkatan pemahaman melalui informasi penting untuk mengurangi risiko bencana adalah mengubah informasi tentang sesuatu. Masyarakat tanggap bencana dapat mengacu pada masyarakat yang memiliki kemampuan untuk seadaptasi dan merespons ancaman bencana, dan dapat dengan cepat pulih dari dampak negative bencana jika terkena dampaknya. Masyarakat tanggap bencana terlibat aktif dalam menilai, menganalisis, mengolah, memantau, mengevaluasi dan mengurangi risiko bencana di wilayahnya, memanfaatkan sumber daya lokal untuk menjamin keberlanjutan.
PENGARUH PEMBERIAN POSISI ORTHOPNEIC TERHADAP SATURASI OKSIGEN, RESPIRATION RATE DAN FATIGUE PADA PASIEN CONGESTIVE HEART FAILURE DI INSTALASI GAWAT DARURAT Tanujiarso, Bagus Ananta; Santoso, Bagus; Wulansari, Ni Made Ayu
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2733

Abstract

Structural and functional abnormalities of the heart cause congestive heart failure (CHF), a clinical syndrome. CHF is characterized by a reduced ability of the heart to pump blood so that the resulting cardiac outputis inadequate which affects hemodynamics such as oxygen saturation and respiratory rate as well as complaints of fatigue. In CHF patients, position adjustment affects respiration rate, oxygen saturation, and shortness of breath. The study aims to determine the effect of orthopneic positioning on oxygen saturation, respiration rate, and fatigue in patients with CHF in IGD. This research was quantitative study with a pre experiment one group pretest posstest design approach. The sample in this study consisted of 32 respondents with quota sampling. The Wilcoxon rank test obtained a p-value <0,001, indicating the influence of orthopneic position on patients with CHF in the emergency care unit. Following the prescribed orthopneic position, the oxygen saturation value increased to 96.50%, the respiration rate increased to 21.75 times/min, and the fatigue rate remained moderate. These results demonstrate that orthopneic positions can effectively alleviate breathing difficulties and fatigue in patients with CHF because in this position it can improve respiratory muscle function and maximize the process of inspiration and expiration. The researcher suggests the implementation of orthopneic positions as an alternative to addressing problems of oxygen saturation, respiration rate, and fatigue in patients with CHF in the emergency care facility.
Optimalisasi Peran Kader Kesehatan melalui Program “Pemantik Ikan Serai” dalam Mencegah KLB Demam Berdarah Dengue Tanujiarso, Bagus Ananta; Puspita, Nella Vallen Ika; Gloria, Fransisca
Jurnal Peduli Masyarakat Vol 7 No 4 (2025): Jurnal Peduli Masyarakat: Juli 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i4.7205

Abstract

Demam Berdarah Dengue (DBD) masih menjadi masalah kesehatan serius di Kota Semarang, khususnya Kelurahan Gisikdrono yang memiliki angka kasus tinggi hingga berisiko mengalami Kejadian Luar Biasa (KLB). Rendahnya optimalisasi kader kesehatan dalam pemantauan jentik, kurangnya sosialisasi, serta minimnya pemanfaatan sumber daya lokal seperti tanaman toga menjadi tantangan utama. Kegiatan pengabdian masyarakat ini bertujuan untuk mengoptimalkan peran kader melalui program “Pemantik Ikan Serai” (Peningkatan Kemampuan Petugas Jumantik, Program Ikanisasi, dan Pemanfaatan Tanaman Serai). Metode pelaksanaan meliputi pelatihan kader jumantik tentang pemeriksaan jentik, teknik komunikasi edukasi 3M Plus, pengolahan serai menjadi minyak dan sabun cair, serta budidaya ikan pemakan jentik. Kegiatan pengabdian masyarakat ini adalah kader kesehatan dan kader jumantik RW 12 Kelurahan Gisikdrono, Kecamatan Semarang Barat, Kota Semarang sebanyak 28 orang. Kegiatan dilaksanakan melalui koordinasi dengan Forum Kesehatan Kelurahan (FKK), sosialisasi, implementasi, serta monitoring dan evaluasi. Hasil kegiatan menunjukkan peningkatan pengetahuan dan keterampilan kader dalam pemantauan jentik, pengolahan serai, serta penerapan ikanisasi. Monitoring Angka Bebas Jentik (ABJ) juga menunjukkan trend membaik, serta masyarakat mulai mengadopsi perilaku hidup bersih dan sehat. Dengan demikian, program ini efektif meningkatkan kapasitas kader dan menjadi upaya preventif dalam menekan risiko KLB DBD di Kelurahan Gisikdrono.