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Warm Salt Water Immersion Therapy Can Reduce Scabies Pruritus Tahratul Yovalwan; Asmawati Asmawati; Kheli Fitria Annuril
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 4, No 2 (2022): OKTOBER
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v4i2.338

Abstract

Scabies is one of the most common skin infections worldwide caused by infection of Sarcoptic scabiei var hominis that caused lesion and pruritus (itching). It is the most common skin disease in the community, especially at male students of the Islamic boarding school community. The purpose of this study was to identify the effect of warm salt water immersion therapy on reducing the pruritus of scabies among male students in Islamic boarding school. The research was a quasi-experiment with a pre-posttest design with a control group. The total of respondents was 56 male students with Scabies divided into two group, with 28 respondents each. The control group received warm water immersion. The intervention group received warmed sea salt water immersion on their legs, hands and toes with the duration of 10 minutes once a day for 6 days. The pruritus score data were collected using a pruritus severity scale questionnaire with 12 items. The t-test analysis showed that there is a different of mean pruritus scabies before and after intervention in both group scabies by 2.72. The warm salt water immersion therapy has a significant effect in reducing mean pruritus. The warm sea salt water soak therapy is more effective than warm water only (p-value; 0.000≤ 0.05). Warm sea salt water immersion therapy is easy to do for community and beneficial in reducing scabies pruritus and increase a sense of comfort and accelerate the healing of skin lesion.
A Scoping Review: Factors Associated with Pruritus in CKD (Chronic Kidney Disease) Patients Undergoing Dialysis Tahratul Yovalwan; Fitri Arofiati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i2.1763

Abstract

Chronic Kidney Disease (CKD) is characterized by progressive loss of kidney function over time due to kidney damage or reduced glomerular filtration rate (GFR) of less than 60 mL/min/173m2 for more than 3 months. The increased levels of urea in patients with chronic kidney failure can cause pruritus known as uremic pruritus or chronic kidney disease-associated pruritus (CKD-ap). The research method that will be used is PRISMA. These scoping reviews will use a systematic approach and selection process. Library sources were traced from the Proquest, PubMed, Scopus and Google Scholar databases. This scoping review aims to examine the associated factors with pruritus in patients undergoing dialysis. Factors related to uremic pruritus, namely based on analysis through scoping reviews that have been carried out on 8 articles, it was found that the most widely used study design was cross-sectional, the most widely used type of dealisis is hemodialysis with the number of articles is 3 articles and the number of patients that is male 505 samples (60.4%) and women 331 samples (39.6%) with the Total is 836 samples. Factors associated with uremic pruritus are gender, age, the dose of dialysis, duration of dialysis, urea/urea, C-Reactive Protein (CRP), and parathyroid hormone (PTH).The conclusion is that the factor that most dominant factor affecting pruritus is the factor of laboratory results, which is a factor that can be modified. Abstrak: Chronic Kidney Disease (CKD) ditandai dengan hilangnya fungsi ginjal secara bertahap dari waktu ke waktu karena kerusakan ginjal atau ketika laju filtrasi glomerulus (LFG) kurang dari 60mL/menit/1,73 m2 selama lebih dari 3 bulan. Peningkatan kadar ureum pada penderita gagal ginjal kronik dapat menyebabkan pruritus yang dikenal dengan istilah pruritus uremik atau chronic kidney disease associated pruritus (CKD-ap). Metode penelitian menggunakan PRISMA. Scoping review ini menggunakan pendekatan dan proses seleksi yang sistematis. Sumber pustaka ditelusur dari database Proquest, PubMed, Scopus dan Google Schoolar. Scoping review ini bertujuan untuk menelaah faktor-faktor yang berhubungan dengan pruritus uremik pada pasien yang menjalani dialisis. Faktor yang berhubungan pruritus uremik yaitu berdasarkan analisis melalui scoping review yang telah dilakukan pada 8 artikel maka didapatkan hasil bahwa desain penelitian paling banyak digunakan yaitu cross sectional, tipe dealisis paling banyak digunakan yaitu hemodialisis dengan jumlah artikel yaitu 3 artikel dan jumlah pasien yaitu Laki-laki 505 sampel (60,4%) dan perempuan  331 sampel (39,6%) Total 836 sampel. Faktor yang berhubungan dengan pruritus uremik adalah jenis kelamin, umur, dosis dialisis, lama dialisis, urea/ureum, C-Reactive Protein (CRP), dan hormon paratiroid (PTH). kesimpulan yang paling dominan mempengaruhi pruritus adalah faktor hasil laboratorium yaitu faktor yang mampu untuk dimodifikasi.
Artificial intelligence (AI) in efforts to prevent teenage suicide: literature review Rosadi, Muhammad Imron; Yovalwan, Tahratul; Asaduddin, Akmal Zaki
Media Keperawatan Indonesia Vol 7, No 1 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.1.2024.53-61

Abstract

Suicide is a highly complex mental health issue that is a leading cause of death and requires efforts to reduce the number of victims. In the modern technology era, the utilization of artificial intelligence (AI) is seen as a suicide prevention initiative and presents a significant challenge in global prevention efforts. This literature review aims to determine the use of Artificial Intelligence (AI) in efforts to prevent teenage suicide. The research method utilizes the PRISMA guidelines. This literature review employs a systematic approach and selection process. Literature sources were searched from Proquest, PubMed, Google Scholar, and Scopus databases. Out of the 7 reviewed articles, 2 were from South Korea, 2 from the United States, and the remaining 3 were from Spain, Italy, and Canada. The Cohort research design was the most prevalent in this literature review (N = 5), and one study used an RCT design (N = 1), while a Cross-Sectional research design was employed in one study (N = 1). Overall, it indicates that AI is capable of predicting suicide risk and preventing suicide. The results of the literature review indicate that the use of AI technology has benefits in preventing teenage suicide.
Effect of Puerperal Exercises and Auricular Acupressure on Uterine Involution Fhadilah Rahmadini; Nur Elly; Erni Buston; Tahratul Yovalwan; Wahyudi Rahmadani
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i1.2810

Abstract

The process of uterine involution in postpartum mothers does not always proceed smoothly, potentially leading to subinvolution of the uterus and postpartum hemorrhage. This study aims to determine the influence of puerperal exercises and auricular acupressure on uterine involution in postpartum mothers. The research utilized a quasi-experimental design with a post-test only control group. The study was conducted in Bengkulu City. The sample consisted of 40 postpartum mothers, divided into 20 respondents in the intervention group receiving a combination of puerperal exercises and auricular acupressure, and 20 respondents in the control group receiving only puerperal exercises. Sampling technique was done through purposive sampling. The instruments used were a measuring tape and a questionnaire. Data analysis employed independent T-test. The results indicate a decrease in the height of the uterine fundus in both intervention and control groups, but the decrease in uterine involution was more significant in the intervention group (p=0.000). The study concludes that there is an influence of the combination of puerperal exercises and auricular acupressure on reducing uterine involution in postpartum mothers.
The Effect of Emotional Freedom Technique (Eft) Therapy on Anxiety Levels In Pre Mothers Sectio Caesarea At Bpm Bengkulu City Agustina, Fatma; Elly, Nur; Dahrizal, Dahrizal; Asmawati, Asmawati; Husni, Husni; Yovalwan, Tahratul; Rahmadani, Wahyudi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2820

Abstract

Background: Anxiety in mothers before giving birth reaches 18-70% from 5.263.057 which can have an impact on delaying surgery, increasing hospitalization days, and can cause postpartum depression.  Objective: The purpose of this study was to determine the effect of emotional freedom technique (EFT) therapy on the level of anxiety in pre-sectio caesarea mothers at BPM Bengkulu City. Method: The research design used was a quasi-experiment design with a pretest-posttest design with a control group. The study sample was pregnant women aged ?35 weeks with indications of SC (displacement, fetal/pelvic disproportion, previous SC history, twins). The number of samples in this study was 34 respondents (17 respondents in each group). The sampling technique used in this research is total sampling. The instrument used is the Anxiety Assessment Scale Pregnant for women in Labour (AASPWL). Data analysis was performed using the Wilcoxon test and the Mann-Whitney test with a confidence value of 0.05. Result: The results showed that after being given the EFT intervention there was a difference in the level of anxiety scores in sectio caesarea mothers with a mean difference of around 3.24 (p-value 0.000). Conclusion: The EFT intervention is a benefit for lower anxiety in mothers before delivery by SC.
GAMBARAN PASIEN PALIATIF DENGAN HIPERTENSI PADA LANSIA DI WILAYAH KERJA PUSKESMAS KOTA BENGKULU Tahratul Yovalwan, Wahyudi Rahmadani,
JURNAL AKADEMI KEPERAWATAN HUSADA KARYA JAYA Vol 11 No 2 (2025): JAKHKJ September 2025
Publisher : Akademi Keperawatan Husada Karya Jaya Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59374/jakhkj.v11i2.520

Abstract

Latar Belakang: Hipertensi adalah penyakit tidak menular yang menempati peringkat utama penyebab kematian di seluruh dunia dan secara signifikan meningkatkan risiko serangan jantung, stroke, diabetes, dan penyakit ginjal. Hipertensi sering disebut "pembunuh diam-diam", dikarenakan penderita penyakit ini biasanya tidak menunjukkan gejala, oleh sebab itu banyak pasien tidak menyadari kondisi mereka sampai komplikasi muncul. Seiring dengan perkembangan penyakit dan penurunan fungsi organ tubuh, sebagian lansia dengan hipertensi kronis dapat masuk dalam kategori pasien yang memerlukan perawatan paliatif. Tujuan: Tujuan penelitian ini adalah menggambarkan kejadian hipertensi pada lansia di wilayah kerja Puskesmas Kota Bengkulu. Metodologi Penelitian: Desain penelitian ini adalah deskriptif pada pasien hipertensi sebanyak 15 orang di wilayah kerja Puskesmas Kota Bengkulu. Penderita hipertensi pada penelitian ini memiliki usia ≥ 60 tahun. Hasil: Hasil penelitian menunjukkan rata-rata usia penderita hipertensi adalah 63,13 tahun, status pendidikan: pendidikan sekolah dasar sebanyak 46,7% (7 orang), sekolah menengah pratama sebanyak 33,3% (5 orang), sekolah menengah atas sebanyak 6,7 % (1 orang), dan perguruan tinggi sebanyak 13,3% (2 orang). Mayoritas pekerjaan responden merupakan ibu rumah tangga, dengan persentase sebesar 53,3% (8 orang). Rata-rata tekanan darah penderita hipertensi adalah 159,80/94,73 mmHg Kesimpulan: Berdasarkan hasil penelitian, dapat disimpulkan bahwa rata-rata usia penderita hipertensi dalam studi ini adalah 63,13 tahun, yang menunjukkan bahwa hipertensi umumnya dialami oleh kelompok usia lanjut. Mayoritas responden memiliki tingkat pendidikan sekolah dasar (46,7%), diikuti oleh sekolah menengah pertama (33,3%), perguruan tinggi (13,3%), dan sekolah menengah atas (6,7%). Hal ini mengindikasikan bahwa sebagian besar penderita hipertensi memiliki tingkat pendidikan yang relatif rendah. Selain itu, rerata tekanan darah responden tercatat sebesar 159,80/94,73 mmHg, yang termasuk dalam kategori hipertensi derajat 1, menandakan bahwa kondisi tekanan darah mereka memerlukan pemantauan dan intervensi yang tepat. Kata Kunci: lansia, hipertensi, paliatif
STUDI DESKRIPTIF: PRURITUS UREMIK PADA PASIEN PENYAKIT DEGENERATIF DENGAN CHRONIC KIDNEY DISEASE Wahyudi Rahmadani, Tahratul Yovalwan,
JURNAL AKADEMI KEPERAWATAN HUSADA KARYA JAYA Vol 11 No 2 (2025): JAKHKJ September 2025
Publisher : Akademi Keperawatan Husada Karya Jaya Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59374/jakhkj.v11i2.523

Abstract

Latar Belakang: Pruritus uremik adalah salah satu gejala yang paling sering muncul dan sangat mengganggu pada pasien penyakit ginjal kronik (CKD) yang menjalani terapi hemodialisis. Gejala ini memberikan dampak yang signifikan terhadap kualitas hidup penderita, seperti terganggunya pola tidur, kestabilan emosional, serta hubungan sosial. Selain itu, pruritus uremik kerap sulit diatasi dan memiliki prevalensi yang tinggi, terutama pada pasien dengan penurunan fungsi ginjal yang disertai akumulasi zat-zat toksik seperti ureum. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi gambaran kejadian pruritus uremik pada pasien degeneratif dengan penyakit ginjal kronik yang menjalani hemodialisa. Metodologi Penelitian: Penelitian ini menggunakan desain kuantitatif dengan pendekatan deskriptif. Sampel terdiri dari 48 pasien CKD yang menjalani hemodialisis di salah satu rumah sakit daerah di Kota Bengkulu, yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner 12-item pruritus severity scale dan dianalisis secara univariat menggunakan bantuan SPSS versi 25. Hasil: Sebagian besar responden adalah laki-laki (58,3%) dan tidak bekerja (72,9%). Tingkat pendidikan mayoritas adalah SMA/MA (43,8%). Berdasarkan tingkat keparahan pruritus, sebanyak 45,8% responden mengalami pruritus berat, 41,7% sedang, dan 12,5% ringan. Kesimpulan: : Pruritus uremik merupakan salah satu gejala yang umum terjadi pada pasien penyakit ginjal kronik (CKD) yang menjalani hemodialisis, dengan tingkat keparahan yang bervariasi. Sebagian besar pasien mengalami pruritus dengan kategori sedang hingga berat, yang dapat secara signifikan menurunkan kualitas hidup. Temuan ini diharapkan menjadi dasar dalam perencanaan intervensi keperawatan yang holistik dan menyeluruh Kata Kunci: Chronic Kidney Disease, Hemodialisis, Degeneratif, Pruritus Uremik