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Olive Oil as Lubricant in Massage for Overcoming Decubitus in Patients with Intra Cerebral Hemorrhage Ridla, Akhmad Zainur; Cahyani, Nurul Izzah Regita; Setioputro, Baskoro; Wahyudi, Agus Setyo
Jurnal Kesehatan Komunitas Indonesia Vol 3 No 1: April 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.748 KB) | DOI: 10.58545/jkki.v3i1.96

Abstract

Intra Cerebral hemorrhage is a complication of stroke disease. The typical symptoms in ICH patients are a loss of consciousness and getting long treatment at home. As a result, the patient will lack mobilization and experience muscle stiffness which can aggravate the patient's condition; it will also slow down the patient's healing process and increase the risk of decubitus. This study aimed to determine the effectiveness of giving a massage with olive oil to overcome. This study used a case report that described the case of ICH patients with skin and tissue integrity disorders problems given the intervention of massage with olive oil carried out for five days of treatment and carried out one time a day with a duration of 10-20 minutes. The Braden scale was used to measure the level of decubitus consisting of 6 question indicator items. This study found an increase in score on the first day with a score of 11 and on the fifth-day score of 14 with an increase from a severe risk of decubitus to a moderate risk of decubitus in patients. This procedure has proven useful for reducing decubitus in hospital patients with prolonged bed rest.
Factors Influencing Obesity Levels in Productive Age 20-24 Years Old in Africa Ridla, Akhmad Zainur; Nofiyanti, Elisa Putri; Kartikasari, Oktaviana Dwi; Nurrohmah, Setyowati; Putri, Reza Lailiyatul; Adjie, Ra’uuf Thrisna; Nurhidayah, Ririn; Pasaribu, Indah Octavia Br
Jurnal Kesehatan Komunitas Indonesia Vol 3 No 1: April 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.132 KB) | DOI: 10.58545/jkki.v3i1.97

Abstract

Obesity is one of the considerable medical issues happening all around the world. Obesity has a high rate that makes it one of the reasons for difficulties in adults. People with excess weight should maintain a healthy diet to avoid diseases caused by high obesity. This research analyzes obesity rates in the productive age scope of 20-24 years in 3 nations on the African landmass (Gambia, Cameroon, and Ethiopia) utilizing information from the Demographic and Health Surveys (DHS) platform from 2018 to 2020. The strategy used to process the data is logistic regression analysis. In this review, four factors are utilized, including living environment, education level of abundance in metropolitan/provincial regions, and occupation. The statistical analysis used here is logistic regression linked to the IBM SPSS Statistic 25 application to identify the factors associated with the Prevalence of obesity in the three countries sampled in the study. From the study results, the Prevalence of obesity in Cameroon country is 14.7%, in the Gambia is 10.8%, and in Ethiopia is 4.4%. From the statistical test using logistic regression, the odds ratio (OR)> 1 means a relationship between these four risk factors and the occurrence of obesity in the 3 sample countries. This study concludes that residence, level of education, wealth index, and work activities directly affect a person's nutritional status, causing obesity.
Efektivitas Aromaterapi pada Pasien Chronic Kidney Disease dengan Keluhan Mual saat Melakukan Hemodialisa di Ruang Hemodialisa RSD dr. Soebandi Jember Shastika, Yuniawati; Ridla, Akhmad Zainur; Haristiani, Ruris; Sujarwanto, Sujarwanto
Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Vol 10, No 1 (2024): JOURNAL NURSING CARE
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jnc.v10i1.1009

Abstract

Latar Belakang: Hemodialisa atau cuci darah adalah intervensi yang biasa digunakan untuk terapi bagi pasien dengan gagal ginjal kronis. Walaupun, hemodialisa merupakan prosedur yang aman, tetapi prosedur ini memiliki beberapa efek samping salah satunya adalah muncul rasa mual. Mual yang muncul akibat mengikuti prosedur hemodialisa berdampak pada penurunan nafsu makan, penurunan berat badan, dan menyebabkan muntah yang akan menyebabkan dehidrasi serta ketidakseimbangan cairan dan elektrolit. Aromaterapi sebagai terapi non-farmakologis memiliki efek menenangkan sehingga dipercaya dapat menurunkan mual.Tujuan: Penelitian ini bertujuan untuk mengetahui efek dari pemberian aromaterapi pada pasien CKD dengan keluhan mual saat melakukan hemodialisaMethods: Penelitian ini menggunakan metode studi kasus pada satu pasien gagal ginjal kronis yang sedang menjalani prosedur hemodialisa yang memiliki keluhan mual, kemudian dilakukan pemberian intervensi mengikuti jadwal hemodialisa pasien. Skala intensitas mual diukur menggunakan Nausea Severity Scale (NSS).Results: Penelitian ini menunjukkan bahwa terdapat penurunan skala intensitas mual setiap setelah dilakukan pemberian aromaterapi.Conclusion: Maka peneliti menyarankan penggunaan aromaterapi lavender sebagai terapi non-farmakologis pada pasien dengan keluhan mual yang sedang menjalani prosedur hemodialisa di praktik klinis, baik diberikan oleh petugas kesehatan terutama perawat atau sebagai terapi mandiri bagi pasien karena aromaterapi termasuk terapi yang murah dan mudah dicari di Indonesia.
Effect of Family Caregiver Empowerment on Burnout in Caregiver Type 2 Diabetes Wardani, Novita Putri Eka; Rondhianto; Ridla, Akhmad Zainur
JI-KES (Jurnal Ilmu Kesehatan) Vol. 8 No. 2 (2025): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/jikes.v8i2.798

Abstract

Abstrak Burnout pada caregiver dapat muncul sebagai reaksi dari peran, tanggung jawab, dan kurang optimalnya caregiver keluarga dalam merawat penderita T2DM.  Burnout yang terjadi mengindikasikan kurangnya sumber daya dalam penatalaksanaan T2DM yang menyebabkan kemampuan keluarga tidak memadai. Penelitian ini bertujuan untuk menganalisis pengaruh intervensi Family Caregiver Empowerment Model (FCEM) terhadap Burnout pada Caregiver pasien Diabetes Melitus tipe 2. Penelitian ini merupakan penelitian quasi eksperimental dengan desain pretest dan posttest dengan sampel sebanyak 74 responden, secara acak menggunakan cluster sampling (perlakuan = 35, kontrol = 39). Variabel independen adalah FCEM, dan variabel dependen adalah burnout. Instrumen yang digunakan adalah kuesioner Maslach Burnout Inventory (MBI-HSS). Analisis statistik menggunakan Wilcoxon signed rank test dan Mann Whitney. Hasil penelitian menunjukkan bahwa pada kelompok intervensi dan kelompok kontrol terdapat perbedaan skor burnout yang signifikan pada saat pretest dan posttest (p=<0.001 p=0.002 < α =0.05). Terdapat perbedaan yang signifikan pada skor burnout antara kelompok intervensi dan kelompok kontrol (p=<0,001). Intervensi FCEM dapat mengurangi depresi pada penderita T2DM. Perawat dapat menggunakan intervensi FCEM untuk meningkatkan kapasitas keluarga dalam perawatan diri diabetes untuk mengurangi burnout pada caregiver pasien T2DM.    Kata kunci: burnout, pemberdayaan, pengasuh keluarga, diabetes mellitus tipe 2   Abstract Burnout in caregivers can arise as a reaction to the role, responsibility, and less-than-optimal family caregivers in caring for people with T2DM. Burnout may indicate a lack of resources in managing T2DM, which can result in inadequate family abilities. This study aims to analyze the effect of the Family Caregiver Empowerment Model (FCEM) intervention on Burnout in Caregivers of type 2 Diabetes Mellitus patients. The study was a quasi-experimental pretest and posttest design with a sample of 74 respondents, randomly using cluster sampling (treatment = 35, control = 39). The independent variable is FCEM, and the dependent variable is burnout. The instrument used was the Maslach Burnout Inventory (MBI-HSS) questionnaire. Statistical analysis used Wilcoxon signed rank test and Mann Whitney. The results showed that in both the intervention and control groups, there was a significant difference in burnout scores at the pretest and posttest (p=<0.001 p=0.002 < α =0.05). There was a significant difference in burnout scores between the intervention and control groups (p=<0,001). FCEM intervention could reduce depression in people with T2DM. Nurses can use FCEM interventions to increase family capacity in diabetes self-care and reduce burnout in caregivers of patients with T2DM. Keywords: burnout, empowerment, family caregiver, type 2 diabetes mellitus
The correlations between illness perception and self-care in chronic kidney disease patients undergoing hemodialysis Nur Widayati; Marsya Nurrahmawati; Akhmad Zainur Ridla; Muhamad Toha
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 4 (2025): December 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i4.607

Abstract

Self-care has become a concern among chronic kidney disease (CKD) patients undergoing hemodialysis due to limitations in performing self-care and daily activities. An individual's perception of their illness plays a crucial role in coping with and adapting to the condition. This study aimed to analyze the correlation between illness perception and self-care in CKD patients undergoing hemodialysis. This research was a correlational descriptive design with a cross-sectional approach. Ninety-seven respondents participated in this study. Data were collected using the Brief Illness Perception Questionnaire (B-IPQ) and the Self-care of CKD index and analyzed using Spearman's rank test with a significance level of 0.05. The mean of illness perception was 37.16 ±10.29, and the median of self–care was 68 (45-91). There was a significant negative correlation between illness perception and self-care in CKD patients undergoing hemodialysis (p=0.003 and r=-0.299). Illness perception is related to self-care in CKD patients undergoing hemodialysis—the more positive the illness perception, the lower the patient's dependence on self-care. Therefore, improving illness perception is essential to optimize self-care in CKD patients undergoing hemodialysis.
Resilience and Quality of Life on Type 2 Diabetes Mellitus Patients with Chronic Complications Nur Widayati; Izdihar Javier Wardika; Akhmad Zainur Ridla
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 2 (2024): June 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i2.311

Abstract

The emergence of complications in patients with type 2 DM significantly impacts the quality of life. Resilience as part of self-coping may be connected with the quality of life and the severity of the complications. This study analyzed the correlation between resilience and quality of life in type 2 DM patients with chronic complications. The method was an observational study with a cross-sectional approach. Thirty-five respondents were recruited in this study using a consecutive sampling technique. Data were collected using Connor Davidson Resilience Scale 25 (CD-RISC 25) and Diabetes Quality of Life (DQOL) questionnaires and analyzed by Pearson Product Moment (p <0.05). The result showed that the mean value of resilience was 63.06 (±12.47), while the average value of quality of life was 72.46 (±11.78). A strong positive correlation existed between resilience and quality of life (p-value = 0.000; r = 0.782). Increased resilience score equals increased quality of life of type 2 DM patients with chronic complications. Providing interventions to increase resilience is essential to optimize the quality of life in type 2 DM patients with chronic complications.
Effectiveness of Family-Centered Auditory and Tactile Sensory Stimulation on Level of Consciousness in Traumatic Brain Injury Patients Aqidatun Ayu Wulandari; Akhmad Zainur Ridla; Siswoyo Siswoyo; Heri Siswanto
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3991

Abstract

TBI patients with decreased consciousness will experience decreased sensory and stimulus perception as a result of prolonged hospitalization, immobilization, and social isolation. Therefore, sensory stimulation is needed to increase patient awareness. This study aimed to determine the effects of family-centered auditory and tactile sensory stimulation in patients with TBI. A case study was used to describe the intervention in this study. The study sample was an adult patients with TBI admitted to the intensive care unit. The trained family members provided auditory and tactile sensory stimulation once daily for 1 week. Two instruments were used for data collection, the “Glasgow Coma Scale” and the “Fall Outline of Unresponsiveness Score” to assess the patient’s level of consciousness (LOC). The results showed that implementing organized auditory and tactile sensory stimulation by trained family members was increased the average GCS and FOUR score. Patients in this study showed an increase in LOC with a GCS score of 8-14 and FOUR score of 9-14 on 7 days of intervention. Thus, auditory and tactile sensory stimulation by trained family members enhanced the consciousness of patients with trauma-induced brain injury. This method is recommended for patients with traumatic brain injury.
Implementation of Independent VAP Prevention Bundle to Prevent Ventilator-Associated Pneumonia (VAP) in Mechanically Ventilated ICU Patients Lia Azizah; Akhmad Zainur Ridla; Ana Nistiandani; Sugito Tri Gunarto
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 5 (2026): May 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170507

Abstract

Ventilator-associated pneumonia (VAP) is a nosocomial infection of the lung tissue that most often occurs in patients undergoing mechanical ventilation in intensive care units, with a high morbidity and mortality rate of 1% per day. The incidence of VAP can be prevented through a specific procedure, known as the VAP Bundle. The method in the VAP Bundle includes head-up positioning at 30°-45°, closed suctioning, and oral hygiene using 0.2% chlorhexidine aseptic solution. This study aims to evaluate the effectiveness of the VAP bundle in preventing VAP risk among mechanically ventilated patients at dr. Soebandi Regional Hospital, Jember. This study was a case report involving one patient who met the inclusion and exclusion criteria. The Modified Clinical Pulmonary Infection Score (MCPIS) was measured daily over a six-day intervention period. The results showed that during the six-day intervention, the patient's MCPIS score remained <5 (indicating no VAP). Clinical findings showed no infiltrates, non-purulent secretions, and normalized temperature by intervention end. It can be concluded that the implementation of independent VAP Bundle activities by nurses was successful in preventing VAP among mechanically ventilated ICU patients.Keywords: ventilator-associated pneumonia; head up; suction; oral hygiene; chlorhexidine
Penggunaan Familiar Auditory Sensory Training (FAST) Terhadap Tingkat Kesadaran dan Skala Nyeri Pada Pasien Post Op Kraniotomi Dekompresi : Studi Kasus Ilany Nandia Chandra; Akhmad Zainur Ridla; Rismawan Adi Yunanto; Sugito Tri Gunarto
Jurnal Perawat Indonesia Vol. 9 No. 1 (2025): May 2025
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

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

Abstract

AbstrakProsedur kraniektomi dekompresi merupakan salah satu penatalaksanaan cedera kepalauntuk menurunkan tekanan intrakranial. Tindakan ini dapat menimbulkan komplikasisalah satunya berdampak pada penurunan kesadaran dan nyeri. Pemberian intervensiFamilier auditory sensoric training (FAST) dapat dijadikan sebagai salah satu intervensiyang dapat meningkatkan kesadaran dan menurunkan skala nyeri pada pasien post opkraniektomi. Tujuan penelitian ini adalah mengetahui efektivitas pemberian intervensiFAST untuk meningkatkan kesadaran dan menurunkan skala nyeri pada pasien post opkraniektomi dekompresi hari ke 4 di RSUD dr. Soebandi Jember. Metode yang digunakandalam penelitian ini adalah metode case report. Intervensi dilakukan selama enam haripada pasien post op kraniektomi dekompresi hari ke 4. Pengumpulan data tingkatkesadaran menggunakan nilai Glasgow Coma Scale (GCS) dan pengukuran skala nyerimenggunakan Behaviour Pain Scale (BPS). Hasil penelitian menunjukan terdapatperubahan pada tingkat kesadaran dari nilai awal GCS 3 (Coma) menjadi GCS 6 (Supor)dan penurunan skala nyeri dari nilai awal 6 (nyeri) menjadi 5 (tidak nyeri) pada pasienpost op craniotomy dekompresi hari ke 4. Pemberian intervensi FAST pada pasien postop craniotomy hari ke 4 yang dilakukan selama 6 hari dan durasi pemberian selama 10menit terbukti efektif unuk meningkatkan kesadaran dan menurunkan skala nyeri.Keywords: Familiar Auditory Sensory Training, Tingkat Kesadaran, Skala Nyeri AbstractDecompression craniectomy procedure is one of the management of head injuries todecrease intracranial pressure. This procedure can cause complications, one of which has animpact on decreased level of consciousness and pain. Familiar auditory sensory training(FAST) intervention can be used as one intervention that can improvement level ofJurnal Perawat Indonesia, Volume 9 No 1, Hal 1898-1904, Mei 2025e-ISSN 2548-7051Persatuan Perawat Nasional Indonesia Jawa Tengah p-ISSN 2714-65021899consciousness and reduce pain scale in post op craniotomy patients. The purpose of thisstudy was to determine the effectiveness of FAST intervention to improvement level ofconsciousness and reduce pain scale in day 4 post op craniotomy decompression patients atRSUD dr. Soebandi Jember. The method used in this study is case report. The interventionconducted for six days in patients post craniotomy decompression. Level of consciusness wasmeasured using Glasglow Coma Scale (GCS) and pain scale using Behaviour Pain Scale(BPS). The results showed improvement level of consciousness from GCS 3 (Coma) to GCS 6(Suppor) and a decrease in the pain scale from 6 (indicate an unacceptable amount of pain)to 5 (mild pain). Therefore FAST is proven and useful to improvement level of consciousnessand reduce pain post op craniotomy decompression.Keywords: Familiar auditory sensory Training, Level of consciousness, Pain Scale