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Experiences of Breast Cancer Patients with Acute Skin Toxicity Undergoing Radiotherapy Nia Mitra Agustin; Arina Widya Murni; Emil Huriani
Indonesian Journal of Global Health Research Vol 6 No 6 (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.v6i6.3861

Abstract

Radiotherapy for breast cancer has been proven to be highly effective, able to significantly reduce the risk of recurrence and lower the risk of death in the long term. However, behind these great benefits, there are side effects that need to be considered, such as skin toxicity, which can have a significant impact on the patient's physical and psychological condition. Therefore, it is necessary to review various literature to determine the various experiences of breast cancer patients with acute skin toxicity who underwent radiotherapy. Objective: To explore and analyze the experiences of breast cancer patients with acute toxicity undergoing radiotherapy through the literature. Method: Search for articles using the keywords acute skin toxicity AND breast cancer AND experience AND radiotherapy. Articles were searched through three online databases, namely sciencedirect (n = 43 articles), pubmed (n = 38 articles), and proquest (n = 32 articles). A total of 113 articles were collected through the data base. Through three screening processes that met the criteria, 4 articles were obtained. Results: This study found an outline of the classification of themes that emerged, namely: physical, functional, psychological impacts, and prevention of skin disorders due to radiotherapy as well as knowledge of breast cancer patients regarding radiotherapy. It is hoped that the results of this research can contribute to improving health care by expanding the scope of services to not only cover physical problems but also non-physical.
Overview of patient responses to pain stimuli based on glasgow coma scale (GCS) scores Abdul Malik; Emil Huriani; Fitri Mailani
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2155

Abstract

Decreased consciousness is a clinical condition that requires rapid and accurate assessment. One method used is the application of nail bed pressure pain stimulation to elicit a response from the patient. This study aims to determine the consistency of responses from patients with decreased consciousness when given pain stimulation based on the Glasgow Coma Scale (GCS) score in the emergency department of Dr. M. Djamil Hospital in Padang. This was a quantitative descriptive study with 70 respondents selected using purposive sampling. Consciousness levels were measured twice. Data were collected in July 2025 using the GCS assessment format, then analyzed descriptively and cross-tabulated using frequency distribution, percentages, means, standard deviations, and correlations. The nail bed pressure technique produced an average GCS score of 6.01 ± 0.625 on the first assessment and 6.04 ± 0.711 on the second assessment. Most scores were in the range of 6–7. The nail bed pressure technique provided an inconsistent picture of changes in GCS responses in patients with decreased consciousness.
The Effect of Energy Conservation Management on Fatigue in Patients with Chronic Kidney Disease Undergoing Hemodialysis: A Quasi-Experimental Study Fitri Mailani; Mia Cahyati; Yevri Zulfiqar; Emil Huriani
Jurnal Keperawatan Soedirman Vol 21 No 1 (2026): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2026.21.1.15582

Abstract

Fatigue is the most common complaint among patients with chronic kidney disease (CKD) undergoing hemodialysis. Energy conservation management involves modifying daily activities to reduce energy expenditure and alleviate fatigue. This study examines the impact of energy conservation management on fatigue levels in patients undergoing hemodialysis. This quasi-experimental study involved 52 hemodialysis patients who were randomly assigned to either the intervention or control group. The study was conducted in a hemodialysis unit at a public hospital in West Sumatra, Indonesia, from July to September 2024. The intervention group received energy conservation management training over a six-week period, comprising 12 sessions. Fatigue levels were assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaire. Data analysis was performed using paired and independent t-tests. The results showed a significant reduction in fatigue in the intervention group (p < 0.001). The mean (SD) fatigue score decreased from 28.92 (6.14) at baseline to 22.04 (4.41) after the 12 intervention sessions. Furthermore, a statistically significant difference in fatigue scores was observed between the intervention and control groups (p < 0.001). Effective energy conservation management reduces fatigue in hemodialysis patients. Nurses can teach this strategy to help patients manage fatigue in daily life
Pengaruh Diabetic Foot Care Terhadap Risiko Ulkus Kaki Pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Belimbing Era Prajayati; Emil Huriani; Lina Febrianti
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61083

Abstract

Tingginya risiko ulkus kaki pada pasien diabetes melitus akibat gangguan sensitivitas dan sirkulasi perifer belum diimbangi dengan pelaksanaan perawatan kaki diabetik yang optimal. Penelitian ini bertujuan mengetahui pengaruh diabetic foot care terhadap risiko ulkus kaki pada pasien diabetes melitus. Metode penelitian menggunakan desain quasi-experiment dengan pendekatan pretest-posttest control group design. Instrumen dalam penelitian menggunakan ankle brachial index (ABI), dan tes monofilamen 10 gram. Analisis data dilakukan menggunakan uji Wilcoxon Signed Rank Test dan Mann-Whitney. Hasil analisis univariat menunjukkan responden didominasi perempuan (86,7% pada kelompok intervensi; 66,7% pada kelompok kontrol) dengan rata-rata usia 60,87±8,25 tahun pada kelompok intervensi dan 58,53±7,46 tahun pada kelompok kontrol, serta rata-rata lama menderita DM 7,00±1,76 tahun dan 6,13±1,17 tahun secara berurutan. Hasil analisis bivariat menunjukkan penurunan signifikan skor tes monofilamen dari median 3 menjadi 2 (p<0,001) dan peningkatan nilai ABI (p=0,002) pada kelompok intervensi, dengan perbedaan sensitivitas yang lebih baik dibandingkan kelompok kontrol (p=0,003). Dengan demikian, diabetic foot care efektif meningkatkan sensitivitas kaki dan memperbaiki sirkulasi perifer sehingga berpotensi menurunkan risiko ulkus kaki pada pasien diabetes melitus. Intervensi ini direkomendasikan untuk diterapkan secara rutin sebagai upaya preventif di layanan kesehatan primer melalui penyusunan SPO dan Program Prolanis.
PENERAPAN PIJAT PERUT UNTUK MENURUNKAN VOLUME RESIDU LAMBUNG PADA PASIEN DI ICU: The Application of Abdominal Massage to Reduce Gastric Residual Volume in ICU Patients Emil Huriani; Shinta Kencana; Dally Rahman
JKKI Vol 3 No 2 (2026)
Publisher : Himpunan Perawat Critical Care Indonesia

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Abstract

Penggunaan obat-obatan golongan opioid pada pasien kritis yang terpasang ventilasi mekanik di intensive careunit (ICU) meningkatkan resiko terjadinya gangguan sistem gastrointestinal seperti peningkatan volume residulambung. Hal ini dapat berakibat terjadinya penundaan pemberian nutrisi enteral yang berujung pada keadaanmalnutrisi dan bertambahnya hari rawatan di ICU. Simulasi saraf parasimpatis dan kontraktilitas gastrointestinal dapat dilakukan dengan pijat perut agar pengosongan lambung tidak tertunda dan dismotilitas gastrointestinal dapat dicegah. Tujuan penelitian ini adalah untuk menerapkan dan membuktikan efektifitas pijat perut untuk menurunkan volume residu lambung pada pasien kritis yang terpasang ventilasi mekanik. Metode penelitian adalah studi kasus. Pijat perut dilaksanakan dua kali sehari selama tiga hari kepada lima orang pasien kritis yang terpasang ventilasi mekanik dan mendapatkan nutrisi enteral dan mengalami peningkatan volume residu lambung. Penelitian di lakukan di ICU RSUP dr M Djamil Padang. Analisa data dilakukan menggunakan analisis deskriptif dan uji one-way ANOVA. Hasil penerapan pijat perut menunjukkan adanya penurunan volume residu lambung (p&lt;0.05). Intervensi pijat perut efektif untuk menurunkan volume residu lambung pada pasien kritis yang terpasang ventilasi mekanik. Penerapan pijat perut perlu didukung dengan regulasi standar operasional prosedur sehingga dapat direkomendasikan untuk diterapkan sebagai salah satu prosedur tindakan perawatan pada pasien yang terpasang ventilasi mekanik di ICU.
PERAN PERAWAT DALAM MELAKUKAN WEANING VENTILASI MEKANIK: LITERATURE REVIEW: The Role of Nurses in Mechanical Ventilation Weaning : A Literature Review Tri Nadia Putri; Emil Huriani; Hema Malini
JKKI Vol 3 No 2 (2026)
Publisher : Himpunan Perawat Critical Care Indonesia

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Abstract

Perawat memiliki peran sentral dalam proses weaning ventilasi mekanik pada pasien. Identifikasi kemampuanpasien untuk menjalani weaning menjadi aspek penting yang menuntut pengetahuan dan pengalaman perawatdalam menangani pasien dengan ventilator. Penelitian ini bertujuan mengidentifikasi peran perawat dalam prosesweaning ventilasi mekanik. Kajian literatur dilakukan melalui tahapan identifikasi, skrining, dan penerapan kriteria inklusi. Alur pencarian evidence ditampilkan menggunakan PRISMA flowchart. Sebanyak lima artikel memenuhi kriteria inklusi. Hasil studi literatur menunjukkan bahwa perawat berperan penting dalam seluruh tahapan weaning , meliputi inisiasi proses melalui kolaborasi interdisipliner dengan dokter, persiapan pasien berbasis patient-centered care, hingga pemantauan periode pelepasan ventilasi mekanik. Peran perawat dalam weaning ventilasi mekanik sangat krusial, baik dalam mengobservasi pelepasan awal berdasarkan kondisi pasien maupun dalam merekomendasikan inisiasi program weaning . Pengetahuan dan pengalaman perawat menjadi faktor kunci keberhasilan proses ini.
Directional Model of Health-Related Quality of Life After Percutaneous Coronary Intervention: A Structural Equation Model Analysis Emil Huriani
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.80773

Abstract

Background: Although percutaneous coronary intervention (PCI) improves survival and clinical outcomes in patients with acute coronary syndrome (ACS), many patients continue to experience impaired health-related quality of life (HRQoL). However, the direct determinants and mediating pathways influencing HRQoL among patients with ACS following PCI remain incompletely understood.Purpose: This study aimed to test the relationships among determinants of HRQoL based on the revised Wilson and Cleary model in patients with ACS following PCI.Methods: This cross-sectional study involved 240 patients. Data were collected using the Cardiac Self-Efficacy Scale, Fatigue Assessment Scale, Seattle Angina Questionnaire-7, Depression Anxiety Stress Scale-21, Social Functioning Questionnaire, and MacNew Quality of Life Questionnaire. Structural equation modeling was performed using SmartPLS version 3.2.7.Results: Self-efficacy, fatigue, anxiety, and social functioning demonstrated significant direct effects on HRQoL (β = 0.276, β = −0.151, β = −0.152, and β = 0.307, respectively; p < .05). Social functioning had the greatest direct effect on HRQoL (β = 0.307), while self-efficacy had the strongest association with its observed variables (β = 0.789).Conclusion: Self-efficacy, fatigue, anxiety, and social functioning were significant determinants of HRQoL in patients with ACS following PCI. These findings may inform comprehensive patient assessment and the development of targeted, patient-centered nursing care strategies to improve HRQoL. 
Co-Authors Abdul Malik Abdul Malik Abdullah, Khatijah Lim Adliah Wulan Sari Affim, Yonna Aisya Rahmadhanty Amanda Rahma Yunita Arina Widya Murni Atikah Hazimah Aulia Mahesa Avit Suchitra Basmanelly Basnelly - Chan, Chong Mei Dally Rahman Darmawidyawati Darmawidyawati Debby Sinthania Delta Meda Aba Dian Agusti Tanjung Dian Novita Putri Dini Tryastuti Dwi Novrianda Eka Rhestifujiayani, Eka Elvia Donny Harida Ema Julita Endang Sulistyowati Era Prajayati Esi Afriyanti Fahmy, Rahmi Farma, Ritta Feki Surya Ardica Feri Fernandes Fety Septia Feronika Fitri Mailani Fitri, Tiya Rama Fitria, Yola Gusti Sumarsih Gusti Sumarsih Gusti Surmasih Hamzah Hamzah Harningsih, Nurfa Rahim Hema Malini, Hema Hendra - Hendra Hendra Hendria Putra Heni Pujiastuti Herien, Yelly Ilfa Khairina Indah Marzalia Putri Inka Selvia Karmiza Karmiza Khatijah Binti Abdullah Khatijah Lim Abdullah Krisdianto, Boby Febri Kristanti Wahyuningtyas Lenggogeni, Devia Putri Leni Merdawati Lili Fajria Lina Febrianti Lina Manda Sari Mahatir, Mahatir Maisa, Esthika Ariany Mery sepriani Mia Cahyati MISTATI NOVITASARI Muhammad Saleh Muharriza Muharriza Muharriza Muharriza, Muharriza Muliantino, Mulyanti Roberto Muthmainah Muthmainah Mutia Dwi Sagita Nasution, Salmi Dianita Neherta, Meri Nelwati Nelwati Nia Mitra Agustin Nofrizon Nofrizon Nurfa Rahim Harningsih Nurul Huda Oktarina, Elvi P. Eko Prasetyo Putra, Ifon Driposwana Putri Suhaini R.Ade Sukarna Rachmania, Filosofie Rahmi Meilani, Fitria Rahmi Muthia Rahmi Muthia Rahmi, Hidayatul Rahmiwati Rahmiwati Rahmiwati Reni Prima Gusty Rifdatul Jannah Rika Fatmadona Rika Sabri Rika Sarfika Rike Gussanti Handayani Nasution Roni Eka Saputra Rosalina Primarta Mesuri Selvi Marcellia Setiawan Shinta Herlina Shinta Kencana Sidaria, Sidaria Siska Prima Olimviani Sovia Susianty Sri Idawati Sri Idawaty Suharizal, Suharizal Sumarsih, Gusti Susmiati Susmiati Tiurmaida Simandalahi Tri Nadia Putri Ucip Sucipto Vebby Fitri Nur&#039;arita Vebby Fitri Nur’arita Vebby Fitri Nur’arita Wirdhatul Vier Marza Yanti Puspita Sari Yesni, Marnila Yevri Zulfiqar Yonrizal Nurdin Yunaspi, Didi Yutika Jasvita Zulkarnain Edward