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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Jurnal Ilmu Keperawatan Medikal Bedah NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Ners Journal of Telenursing (JOTING) Jurnal Abdi Kesehatan dan Kedokteran Jurnal Pengabdian Pada Masyarakat Jurnal of Community Health Development (JCHD) JOURNAL OF Qualitative Health Research & Case Studies Reports
Argi Virgona Bangun
Universitas Jenderal Achmad Yani
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Penerapan teknik relaksasi genggam jari untuk mengurangi nyeri pada pasien dengan post operasi appendectomy Badrujamaludin, Asep; Rismayanti, Rismayanti; Ismafiaty, Ismafiaty; Bangun, Argi Virgona
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 3 (2025): July Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i3.1114

Abstract

Background: Pain management treatments can be performed using pharmacological and non-pharmacological methods. Non-pharmacological therapies are used as support for pharmacological therapies to reduce the duration of pain episodes that are short in nature, lasting for a few seconds or minutes. Some forms of non-pharmacological treatment are through deep breath relaxation techniques, changes in body position, massage, hot-cold therapy, and finger grip relaxation. Purpose: To determine the effectiveness of the application of finger grip relaxation in reducing pain intensity in patients with acute pain after appendectomy surgery. Method: This study uses descriptive research with a case report design in the form of nursing care, by applying EBN (evidence based nursing) to one subject. The research subject was a 21-year-old man who experienced acute pain due to postoperative appendectomy. Data was collected through interview & observation methods. Results: After three interventions with a frequency of 1x/day, there was a significant decrease in pain intensity from 7 to 2. Conclusion: This shows that there is an effective application of finger grip relaxation to reduce pain intensity in patients post appendectomy surgery. With this study, it is hoped that it can increase knowledge and be used as a useful reference source regarding finger grip relaxation interventions in acute pain problems in postoperative appendectomy patients.   Keywords: Appendectomy; Finger Grip Relaxation; Pain.   Pendahuluan: Penanganan pengelolaan nyeri dapat dilakukan dengan menggunakan metode farmakologis dan nonfarmakologis. Terapi non-farmakologis digunakan sebagai dukungan bagi terapi farmakologis guna mengurangi durasi episode nyeri yang bersifat singkat, berlangsung selama beberapa detik atau menit. Beberapa  bentuk penanganan non farmakologi adalah melalui teknik relaksasi nafas dalam, perubahan posisi tubuh, pijatan, terapi panas-dingin, dan relaksasi genggam jari. Tujuan: Untuk   mengetahui efektifitas penerapan relaksasi genggam jari dalam menurunkan intensitas nyeri pada pasien dengan nyeri akut post operasi apendiktomi. Metode: Penelitian deskriptif dengan desain  case report dalam bentuk asuhan keperawatan dengan mengaplikasikan EBN (evidence based nursing) pada satu subjek. Subjek penelitian merupakan seorang laki-laki berusia 21 tahun yang mengalami nyeri akut akibat post operasi appendiktomi. Data dikumpulkan melalui metode wawancara dan observasi. Hasil: Setelah dilakukan intervensi selama tiga kali dengan frekuensi 1x/hari, terdapat adanya penurunan intensitas nyeri yang signifikan dari 7 ke 2. Simpulan: Ada efektifitas penerapan relaksasi genggam jari terhadap penurunan intensitas nyeri pada pasien post operasi appendiktomi. Saran: Penelitian ini diharapkan  dapat meningkatkan pengetahuan dan  dijadikan sebagai sumber referensi yang bermanfaat mengenai intervensi relaksasi genggam jari pada masalah nyeri akut pada pasien post operasi apendiktomi.   Kata kunci : Appendektomi; Nyeri; Relaksasi Genggam Jari.
Berkebun Sebagai Terapi Menurunkan Stres Lanjut Usia Di Panti Sosial Tresna Werdha Sukmana, Arief Wibawa; Nadirawati, Nadirawati; Bangun, Argi Virgona
Jurnal of Community Health Development Vol 6 No 2 (2025): Journal Of Community Health Development Terbitan Bulan Juli 2025
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jchd.2025.6.2.15678

Abstract

Lanjut usia merupakan kelompok rentan yang berisiko mengalami stres akibat perubahan fisik, psikologis, dan sosial. Keterbatasan aktivitas serta kurangnya interaksi sosial di panti werdha seringkali memperburuk kondisi tersebut. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kesejahteraan psikologis lansia melalui terapi berkebun sebagai salah satu pendekatan nonfarmakologis untuk menurunkan tingkat stres. Kegiatan dilaksanakan di Panti Werdha Asuhan Bunda Bandung, sebanyak 24 lansia, dengan metode pelatihan berkebun, dan praktik langsung yang disesuaikan dengan kemampuan fisik lansia. Evaluasi dilakukan melalui observasi, wawancara, dan pengukuran tingkat stres menggunakan kuesioner DASS sebelum dan sesudah intervensi. Hasil kegiatan menunjukkan adanya penurunan tingkat stres, peningkatan semangat, serta keterlibatan aktif lansia dalam kegiatan berkebun. Terapi berkebun terbukti memberikan manfaat tidak hanya secara psikologis tetapi juga meningkatkan kualitas hidup lansia. Kegiatan ini diharapkan dapat menjadi program berkelanjutan di panti werdha sebagai bagian dari intervensi promotif dan preventif dalam keperawatan komunitas.
Impact of Haemodialysis: Analysis of Haemoglobin Levels and Blood Pressure Control in Patients with End-Stage Renal Disease Bangun, Argi Virgona; Baroka, Nurani Saxena; Santoso, M. Budi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.755

Abstract

Aims: To analyze the effect of hemodialysis on hemoglobin levels and blood pressure in patients with End Stage Renal Disease (ESRD). Method: The study used a one-group pretest-posttest design with 17 respondents. Data were collected using EDTA tubes, sphygmomanometers, and stethoscopes. A paired t-test and Wilcoxon signed-rank test were applied to analyze the significance of changes between pretest and posttest results Results: The mean hemoglobin level before hemodialysis was 7.92 g/dL and increased to 8.50 g/dL after hemodialysis (p = 0.001). The mean systolic blood pressure decreased from 136.6 mmHg before to 124.0 mmHg after hemodialysis (p = 0.003). However, there was no significant difference in diastolic blood pressure, with an average of 80.6 mmHg before and 78.6 mmHg after hemodialysis (p = 0.180). Conclusion: It can be concluded that hemodialysis significantly increases hemoglobin levels and reduces systolic blood pressure in ESRD patients, while diastolic blood pressure remains unchanged. Regular monitoring of hemoglobin and systolic blood pressure is crucial for managing patient health. Hemodialysis effectively raises hemoglobin levels and reduces systolic blood pressure in ESRD patients. Regular monitoring of both parameters is essential for effective patient management. While the findings highlight the benefits of hemodialysis, the limited sample size may restrict the generalizability of the results. Further studies with larger sample sizes are needed to confirm these findings and explore the long-term implications.
Dynamics of Health Decisions in Elderly with Multimorbidity: Findings from a Qualitative Approach Bangun, Argi Virgona; Nanda Sulistyani Putri, Syanita Dwi; Aminullah, Muthia Arfha
Jurnal Pendidikan Keperawatan Indonesia Vol 10, No 2 (2024): Volume 10, Nomor 2, Desember 2024
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v10i2.74880

Abstract

Introduction: Understanding health decision-making among elderly individuals with multimorbidity is essential for improving their care, especially in the context of polypharmacy. As the number of older adults with multiple chronic conditions increases, it becomes crucial to explore how they navigate complex healthcare choices that affect their well-being and quality of life. Objective: This qualitative study aimed to explore the decision-making processes of elderly individuals with multimorbidity undergoing polypharmacy. Method: Nine elderly individuals with multimorbidity from the Citeureup Cimahi Health Center were purposively sampled for in-depth interviews and field notes. Data were analyzed thematically using Colaizzi’s method. Result: The analysis identified five key themes: (1) decision-making dynamics, (2) navigating health opportunities, (3) adaptation and self-management, (4) support systems and communication, and (5) contextual influences. Conclusion: The study highlights the complex factors influencing health decisions among elderly individuals with multimorbidity, including aging, illness, financial barriers, and the need for more comprehensive healthcare. It underscores the importance of respecting autonomy and creating a healthcare system that prioritizes comfort, dignity, and quality of life.
Effect of Diabetes Self-Management Education on Quality of Life in Patients with Type 2 Diabetes Mellitus: A Quasi-Experimental Study Najwatussikha Najwatussikha; Argi Virgona Bangun; M. Budi Santoso
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55949

Abstract

Type 2 diabetes mellitus is a chronic disease that requires continuous self-management to prevent complications and maintain quality of life. Diabetes Self-Management Education (DSME) has been widely promoted as a structured educational intervention to improve patients’ self-care behaviors. To analyze the effect of a DSME program on quality of life among patients with type 2 diabetes mellitus. A quasi-experimental pretest–posttest control group study was conducted among patients with type 2 diabetes attending the outpatient clinic at RSUD Majalengka, Indonesia. A total of 106 participants were recruited using purposive sampling and divided into intervention (n=53) and control (n=53) groups. The intervention group received a structured DSME program consisting of four sessions covering diabetes knowledge, physical activity, nutrition management, and pharmacological therapy. Quality of life was measured using the Diabetes Quality of Life (DQOL) questionnaire before and after the intervention. Data were analyzed using statistical tests to compare within-group and between-group changes. Participants who received DSME showed greater improvement in Quality of life scores compared with the control group. The intervention supported better self-management behaviors, improved understanding of disease management, and increased patient engagement in their care. significantly improves quality of life among patients with type 2 diabetes mellitus and can be considered an effective educational strategy in outpatient care settings.
Peningkatan Penyembuhan Luka dan Stabilitas Glikemik pada Pasien Diabetes Melitus Tipe 2 dengan Fasciitis Nekrotikan: Laporan Kasus: Improvement in Wound Healing and Glycemic Stability in a Patient with Type 2 Diabetes Mellitus and Necrotizing Fasciitis: A Case Report Xavier, Julieta de Carvalho; Luruk, Ricardo Correia; Bangun, Argi Virgona; Marpaung, Lilis Suryani
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.185

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease that frequently leads to serious complications, including severe soft tissue infections such as necrotizing fasciitis. Chronic hyperglycemia contributes to impaired tissue perfusion, decreased immune response, and delayed wound healing, thereby increasing the risk of severe infection and poor clinical outcomes. This case report describes the implementation of comprehensive nursing care for a patient with Type 2 Diabetes Mellitus complicated by necrotizing fasciitis. This study employed a descriptive case report design involving a 72-year-old male patient diagnosed with necrotizing fasciitis of the left lower extremity, accompanied by Type 2 Diabetes Mellitus and systemic complications. Nursing care was delivered using the nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. The main nursing variables addressed were skin/tissue integrity, infection risk, and blood glucose stability. Data were collected through patient interviews, physical examination, wound observation, blood glucose monitoring, and review of medical and nursing records. The primary nursing diagnoses identified were impaired skin/tissue integrity, risk of infection, and unstable blood glucose levels. Nursing interventions focused on aseptic wound care, glycemic control management, infection prevention, pain management, and patient education. Evaluation outcomes demonstrated improvement in wound condition, reduced purulent exudate, stabilization of blood glucose levels, and decreased pain intensity during the course of nursing care. This case report indicates that comprehensive and evidence-based nursing care, particularly strict glycemic control combined with appropriate wound management, plays a critical role in supporting wound healing and preventing further complications in patients with Type 2 Diabetes Mellitus and necrotizing fasciitis.
Penerapan Posisi Semi Fowler dalam Meningkatkan Kualitas Tidur dan Mengurangi Sesak Napas pada Pasien Congestive Heart Failure : Studi Kasus Berbasis Evidence-Based Nursing: Implementation of Semi-Fowler Position to Improve Sleep Quality and Reduce Dyspnea in Patients with Congestive Heart Failure : An Evidence-Based Nursing Case Study Luruk, Ricardo Correia; Xavier, Julieta de Carvalho; Bangun, Argi Virgona; Marpaung, Lilis Suryani
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.188

Abstract

Congestive Heart Failure (CHF) is a chronic cardiovascular condition frequently accompanied by dyspnea and impaired sleep quality as a result of pulmonary congestion and reduced cardiac output. These symptoms significantly affect patient comfort and quality of life, highlighting the need for effective non-pharmacological nursing interventions. This study aimed to describe the implementation of the semi-Fowler position as an Evidence-Based Nursing (EBN) intervention to reduce dyspnea and improve sleep quality in patients with CHF. This study employed an Evidence-Based Nursing case study design involving one patient diagnosed with CHF who was hospitalized at Immanuel Hospital Bandung. The patient experienced dyspnea and sleep disturbances but was hemodynamically stable and fully conscious. The intervention consisted of positioning the patient in a semi-Fowler position with head-of-bed elevation of 30–45 degrees for approximately 15 minutes once daily over three consecutive days. Data were collected through nursing assessments, direct clinical observation, and evaluation of patient responses before and after the intervention. The findings demonstrated a positive clinical response following the implementation of the semi-Fowler position. The patient reported reduced dyspnea, improved respiratory comfort, and decreased use of accessory muscles during breathing. In addition, improvements were observed in sleep duration and perceived sleep quality, with fewer nocturnal awakenings related to shortness of breath. In conclusion, the semi-Fowler position is an effective, simple, and safe non-pharmacological nursing intervention for reducing dyspnea and improving sleep quality in patients with Congestive Heart Failure . This intervention can be integrated into routine nursing care as part of Evidence-Based Nursing practice to enhance patient comfort and overall quality of life.
Co-Authors Achmad Setya Roswendi Aminullah, Muthia Arfha Badrujamaludin, Asep Baroka, Nurani Saxena Chatarina Suryaningsih Dewi Umu Kulsum Fitria Ningsih Galih Jatnika Henny Suzana Mediani Herlina Herlina Ismafiaty, Ismafiaty Kosasi, Cecep Eli Lilis Rohayani Luruk, Ricardo Correia M. Budi Santoso Marpaung, Lilis Suryani Meivi Sesanelvira Musdalipa, Musdalipa Musri Nadirawati Nadirawati Nadirawati Nadirawati Najwatussikha Najwatussikha Nanda Sulistyani Putri, Syanita Dwi Nunung Nurjanah Nur'aeni, Susi Nurfitriawaty, Risma Nurhalinah, Nurhalinah Nyai Junengsih Oyoh Oyoh Rini Mulyati Rismayanti Rismayanti Santoso, M. Budi Setiawati Setiawati Siti Dewi Rahmayanti Sri Wulandari Novianti Suharjiman Suharjiman Sukmana, Arief Wibawa Susilowati Susilowati Xavier, Julieta de Carvalho