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All Journal Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Jurnal Kreativitas PKM INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Sehat Mandiri Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Journal of Health and Nutrition Research
Arifin Triyanto
Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada
Humanities Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Other

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TREND PERAWATAN PRAKONSEPSI PADA PASANGAN YANG AKAN MENIKAH DI INDONESIA : TINJAUAN DESAIN PENELITIAN SAMPAI DENGAN ANALISIS DATA Hendriyanti, Yeni; Triyanto, Arifin
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49122

Abstract

Perawatan prakonsepsi merupakan intervensi penting dalam meningkatkan kesehatan ibu dan bayi melalui identifikasi serta pengelolaan risiko sebelum kehamilan. Meskipun memiliki manfaat besar, tingkat partisipasi masyarakat terhadap program ini di Indonesia masih tergolong rendah. Berbagai penelitian telah dilakukan terkait perawatan prakonsepsi, namun belum ada kajian yang secara komprehensif menganalisis tren dan karakteristik penelitian tersebut. Penelitian ini bertujuan untuk mengidentifikasi arah penelitian, desain studi, topik utama, serta pendekatan intervensi yang digunakan dalam publikasi mengenai prakonsepsi selama periode 2014 hingga 2025. Metode yang digunakan adalah analisis konten terhadap artikel-artikel yang telah dipublikasikan dan terindeks dalam SINTA. Instrumen penelitian mencakup tren jumlah publikasi, pendekatan penelitian, desain penelitian, subjek penelitian, topik utama, instrumen yang digunakan, teknik analisis data, serta rekomendasi yang diberikan dalam studi. Data dianalisis secara deskriptif dan divisualisasikan dalam bentuk diagram batang. Hasil menunjukkan lonjakan jumlah publikasi pada tahun 2023 sebesar 43,8%. Pendekatan kuantitatif dan desain cross-sectional paling dominan digunakan, sementara pendekatan kualitatif, mixed methods, serta R&D masih jarang diterapkan. Fokus penelitian umumnya pada calon pengantin perempuan, dengan keterlibatan remaja dan kelompok muda yang masih minim. Instrumen utama berupa kuesioner, dan analisis data didominasi oleh metode deskriptif serta uji Wilcoxon. Topik penelitian didominasi dengan topik edukasi prakonsepsi. Temuan ini mengindikasikan perlunya penguatan pendekatan metodologis, perluasan cakupan populasi sasaran, serta pengembangan model layanan prakonsepsi yang lebih kontekstual dan berbasis bukti, guna mendukung strategi promotif dan preventif dalam meningkatkan derajat kesehatan ibu dan anak.
Minyak Zaitun dan Kunyit untuk Mengurangi Gatal pada Pasien Hemodialisis: Studi Kasus Kurniawati, Rizka Yudhit; Triyanto, Arifin; Sukardi, Sukardi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 2 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.95555

Abstract

Background: Chronic kidney disease (CKD) is a progressive and irreversible renal dysfunction, where the kidneys fail to function properly, lead to the body’s inability to maintain metabolism and fluid-electrolyte balance. More than half of end-stage CKD patients exhibit pruritus-related issues. Pruritus (itchiness) can result in redness, lesions, sleep disturbances, fatigue, depression, decreased quality of life, and even death. Therefore, a proper management is necessary to reduce pruritus complaints.Objective: To confirm the benefit of olive oil and turmeric in alleviating pruritus.Case report: A patient, 63 years old, had been undergoing hemodialysis since 2021 and had complained of itchiness 1 month after hemodialysis sessions. For three months, the patient applied a mixture of olive oil and turmeric powder on the area where the itchiness were felt, in the frequency of once every 1-2 days at night.Outcome: The intensity of itching had decreased from scale of 7 to 4, provided more comfort and improved sleep quality. Both olive oil and turmeric powder had anti-inflammatory and antioxidant properties that reduced pruritus complaints.Conclusion: The combination of these two ingredients can be considered as one therapy option to alleviate pruritus complaints in CKD patients undergoing hemodialysis.INTISARILatar belakang: Chronic kidney disease (CKD) merupakan gangguan fungsi renal yang progresif dan irreversible sehingga tubuh gagal untuk mempertahankan metabolisme dan keseimbangan cairan elektrolit. Lebih dari setengah pasien CKD tahap akhir menunjukkan masalah pruritus (gatal). Pruritus dapat mengakibatkan kemerahan, lesi, gangguan tidur, kelelahan, depresi, penurunan kualitas hidup, bahkan kematian. Oleh karena itu, perlu penanganan untuk mengurangi keluhan pruritus. Tujuan: Mengetahui manfaat minyak zaitun dan kunyit terhadap pruritus pada pasien dengan CKD. Laporan kasus: Seorang pasien usia 63 tahun, menjalani hemodialisis sejak 2021 dan mengeluhkan pruritus (gatal) sejak 1 bulan menjalani hemodialisis. Selama tiga bulan pasien mengoleskan campuran minyak zaitun dan bubuk kunyit pada bagian tubuh yang terasa gatal, dengan frekuensi 1-2 hari sekali pada malam hari.Hasil: Intensitas gatal berkurang dari skala 7 ke 4, lebih nyaman dan dapat meningkatkan kualitas tidur. Minyak zaitun dan bubuk kunyit memiliki efek antiinflamasi dan antioksidan yang berperan dalam mengurangi keluhan gatal. Simpulan: Campuran kedua bahan ini dapat dijadikan sebagai salah satu terapi untuk mengurangi keluhan pruritus pada pasien CKD yang menjalani hemodialisis.Kata kunci: hemodialisis; kunyit; minyak zaitun; pruritus 
Manajemen Syok Hipovolemia pada Pasien Fraktur Patologis Neck-Femur Suspek Metastasis dengan Hemiarthroplasty: Studi Kasus Retnaningsih, Retnaningsih; Triyanto, Arifin; Subekti, Tri
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 2 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.95734

Abstract

Background: Hemiarthroplasty in a pathological neck-femur fracture of suspected Metastatic Bone Disease (MBD) case, increases the risk of intraoperative bleeding and hypovolemic shock. Case studies related to this phenomenon are scarce.Objective: Describe the management of hypovolemic shock in pathological neck-femur fracture patient with MBD suspect which was followed by hemiarthroplasty action.Case Report: A 59-year-old woman experienced bleeding of 1,000-1,300 cc during surgery, causing shock with low blood pressure, tachycardia, and cold acral. Management of hypovolemic shock during surgery included fluid resuscitation, administration of vasopressors, blood transfusion, and administration of tranexamic acid.Outcome: Hypovolemic shock management course of action was include hemodynamic and coagulation management, with the collaboration of a team of nurses and doctors. The role of instrument, circular, and anesthesia nurses was crucial to maintain patient stability during surgery. After being given management intervention hypovolemic shock, the patient's response to resuscitation therapy was in a fast category so that the shock was quickly resolved and the operation could be continued until completion.Conclusion: Monitoring and rapid treatment of shock in pathological neck-femur fracture patient with MBD suspect which is followed by hemiarthroplasty action, including intraoperative bleeding, can prevent morbidity and mortality.INTISARILatar belakang:Hemiarthroplasty pada fraktur patologis neck-femur suspek Metastatic Bone Disease (MBD) meningkatkan risiko perdarahan intraoperatif dan syok hipovolemia. Studi kasus terkait hal ini masih jarang ditemukan. Tujuan: Mendeskripsikan tata laksana manajemen syok hipovolemia pada pasien fraktur patologis neck-femur suspek mengalami MBD untuk kemudian mendapatkan tindakan hemiarthroplasty.Laporan kasus: Wanita 59 tahun mengalami perdarahan 1.000-1.300 cc selama operasi, menyebabkan syok dengan tekanan darah rendah, takikardi, dan akral dingin. Manajemen syok hipovolemia selama operasi, meliputi resusitasi cairan, pemberian vasopressor, transfusi darah, dan pemberian asam traneksamat.Hasil:Tindakan manajemen syok hipovolemia meliputi manajemen hemodinamik dan koagulasi, dengan kolaborasi tim perawat dan dokter. Peran perawat instrumen, sirkuler, dan anestesi penting untuk menjaga stabilitas pasien selama operasi. Setelah diberikan intervensi manajemen syok hipovolemia, respons pasien terhadap terapi resusitasi termasuk katagori cepat, sehingga syok segera teratasi dan operasi dapat dilanjutkan sampai selesai.Simpulan:Monitoring dan penanganan syok secara cepat pada pasien fraktur patologis neck-femur yang dilakukan tindakan hemiarthroplasty dengan perdarahan intraoperatif dapat mencegah morbiditas dan mortalitas.  
Penerapan Protokol Pengkajian Nyeri 24 Jam Pada Pasien Paska Operasi Orthopedi Triyanto, Arifin; Masfuri, Masfuri; Arista, Liya; Aisyiyah, Umi
MAHESA : Malahayati Health Student Journal Vol 4, No 2 (2024): Volume 4 Nomor 2 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i2.13144

Abstract

ABSTRACT Pain is a problem that always arises in postoperative patients. Pain in patients after orthopedic surgery is higher than in other surgical cases. Postoperative pain management has not been fulfilled optimally. Untreated pain problems have a negative impact both physically and psychologically. To find out the implementation of the 24-hour pain assessment protocol in patient with orthopaedic surgery. This study is the application of Evidence Based Nursing (EBN) in post orthopedic surgery patients. Inclusion criteria: patients undergoing orthopedic surgery, aged 18 years, can communicate well, willing to be involved in the study. Exclusion criteria: patients with decreased consciousness and patients with cognitive impairment. Pain reporting was carried out independently at the 3rd hour, 7th hour, 11th hour, 15th hour, 19th hour and 24th hour in a state of rest and in a state of movement. The most severe postoperative pain was reported by patients in the first 3 hours after surgery and began to decrease in both conditions both at rest and during movement. Pain at 3 to 19 hours showed a significant difference between pain at rest and on movement (p<0.05). At the 24th hour measurement, the results showed that there was no difference in pain scores at rest and during movement (p>0.05). Application of pain assessment protocols for 24 hours after orthopedic surgery can determine the dynamics of patient pain from time to time while at rest and during movement. Pain in patients after orthopedic surgery is at a mild to moderate level. Keywords: Assessment, Orthopaedic, Pain, Surgery  ABSTRAK Nyeri menjadi permasalahan yang selalu muncul pada pasien paska operasi. Nyeri pada pasien paska pembedahan orthopedi lebih tinggi dibandingkan pada kasus pembedahan lainnya. Manajemen nyeri paska operasi belum terpenuhi secara optimal. Masalah nyeri yang tidak tertangani memberikan dampak negatif baik secara fisik maupun psikologis. Untuk mengetahui penerapan protokol pengkajian nyeri 24 jam pada pasien paska operasi orthopedi. Penelitian merupakan penerapan Evidence Based Nursing (EBN) pada pasien paska operasi orthopedi. Kriteria inklusi: pasien yang menjalani operasi ortopedi, berusia ≥ 18 tahun, dapat berkomunikasi dengan baik, bersedia terlibat dalam penelitian. Kriteria eksklusi: pasien dengan penurunan kesadaran dan pasien dengan gangguan kognitif. Pelaporan nyeri dilakukan secara mandiri pada jam ke-3, jam ke-7, jam ke-11, jam ke-15, jam ke-19 dan jam ke-24 dalam kondisi istirahat dan dalam kondisi pergerakan. Nyeri paska operasi paling berat laporkan oleh pasien pada 3 jam pertama paska operasi dan mulai menurun pada kedua kondisi baik saat istirahat maupun saat pergerakan. Nyeri pada jam ke-3 sampai dengan jam ke-19, menunjukkan perbedaan yang signifikan antara nyeri saat istirahat dan saat pergerakan (p<0,05). Pada pengukuran jam ke-24, didapatkan hasil tidak terdapat perbedaan skor nyeri saat istirahat dan saat pergerakan (p>0,05). Penerapan protokol assessmen nyeri selama 24 jam paska operasi orthopedi dapat mengetahui dinamika nyeri pasien dari waktu ke waktu saat kondisi istirahat maupun saat pergerakan. Nyeri pada pasien paska operasi orthopedi berada pada tingkat ringan hingga sedang. Kata Kunci: Nyeri, Orthopedi, Pembedahan, Pengkajian
Increasing Health Cadre Capacity in Education and Counseling Services at Posyandu and Posbindu Triyanto, Arifin; Subagya, Ami Novianti; Kusumawardhana, Feri Dini; Hendriyanti, Yeni; Septiani, Dila; Jatira'ufani, Nefit Anugrah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 7 (2025): Volume 8 No 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i7.20578

Abstract

ABSTRACT The health status of Indonesian society both in toddler, adult population and elderly are still a serious concern. Community-based health services such as posyandu and posbindu become an effort to maintaining health in community. Currently, activities such as posyandu and posbindu face many diverse challenges. One of the obstacles experienced is the lack of role of health cadres. Training programs for health cadres can increasing the number of posbindu cadres, increasing the availability of health promotion media for posbindu participants, increasing cadre knowledge and skills in education and counseling. This activity aims to increase the capacity of health cadres in education and counseling services at posyandu and psbindu. The method applied in this community service is through health education. The series of activities include health education through lecture methods and question and answer discussions and at the end of the session a joint screening simulation of non-communicable diseases and counseling simulations were carried out. In this activity, the increase in cadre capacity was evaluated in terms of knowledge with pre- and post-tests. The activity was attended by 20 participants consisting of health cadres at posyandu, posbindu and youth organizations who served as youth cadres. The results of the pre- and post-test measurements showed that there was an increase in participant knowledge by 18 points with a p value of 0.001. Based on these results, it can be concluded that health education activities for cadres can increase the capacity of cadres in education and counseling services at posyandu dan posbindu. Keywords: Education, Health Cadres, Counseling, Posbindu, Posyandu
The Types of Support That Enhance Body Image in Patients with Breast Cancer: A Scoping Review Christaputri, Silvia Tri Wahyu; Triyanto, Arifin; Tsauroh, Salsabila Fiqrotu; Mulyainuningsih, Wa Ode Saridewi; Effendy, Christantie
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.559

Abstract

Patients with breast cancer often experience dissatisfaction with themselves as a result of the treatment process they undergo, potentially resulting in a negative body image and affecting the effectiveness of treatment and their quality of life. Therefore, support is needed to address this issue. This study aims to identify the types of support that can be provided to improve body image in patients with breast cancer through a scoping review. We conducted a search using five databases, including ScienceDirect, Wiley, Scopus, ClinicalKey, and ProQuest. The inclusion criteria used were English-language articles and original research articles published between January 2020 and May 2025. Review articles, books, and pilot studies were excluded. The screening procedure was conducted in accordance with the PRISMA 2020 guidelines, and article eligibility was assessed by three researchers using the JBI Critical Appraisal Checklist (2020). Ten articles were obtained, indicating that various forms of support can be provided, such as social support (from family, friends, prominent figures, important or special people, and health workers); partner support; psychological support carried out through clinical interventions; and support from groups of fellow breast cancer survivors, but social support from family being the most commonly implemented form. This support helps patients in the process of improving body image that has changed due to the treatment process; however, in practice, the provision of a single type of support cannot stand alone. These findings affirm that providing support to enhance a positive body image in patients requires thorough attention. Further research is expected to explore the effectiveness of each type of support and involve more than one form of support to produce more comprehensive findings.
Eksplorasi Pengalaman Pasien Spinal Cord Injury dalam Melakukan Adaptasi Rumah Pascaperawatan di RSUP Dr. Sardjito: Studi Kualitatif Najhan, Muhammad Azka; Triyanto, Arifin; Mulyani, Sri
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 10, No 1 (2026)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.116722

Abstract

Background: Spinal cord injury (SCI) is a condition that causes physical, psychological, and social impairments and is a leading cause of disability. After hospital discharge, patients face challenges in adapting to the home environment, which may affect their independence and quality of life. Studies exploring the subjective experiences of patients with spinal cord injury in adapting to home environments after discharge in Indonesia remain limited. Objective: This study aimed to explore the experiences of patients with spinal cord injury in adapting to home environments after discharge from RSUP Dr. Sardjito. Methods: A qualitative study with a descriptive exploratory approach was conducted involving eight patients with spinal cord injury who had been treated at RSUP Dr. Sardjito between January 2024 and October 2025. Participants were selected using purposive sampling based on inclusion and exclusion criteria. Data were collected through semi-structured interviews. Data analysis followed the stages proposed by Erlingsson and Brysiewicz. Results: The analysis identified four main themes: (1) limitations in physical adaptation; (2) psychological conditions, including emotional responses, expectations, and coping strategies; (3) the adaptation environment, reflecting spatial adjustments, the use of assistive devices, rehabilitation processes, as well as family and social support; and (4) determinants of adaptation, including home-related barriers and economic conditions influencing the ability to adapt. Conclusion: Patients with spinal cord injury experience a complex process of home adaptation involving physical, psychological, social, and environmental aspects.INTISARILatar belakang: Spinal cord injury (SCI) merupakan cedera yang menimbulkan gangguan fisik, psikologis, dan sosial serta menjadi penyebab utama kecacatan. Setelah keluar dari rumah sakit, pasien menghadapi tantangan dalam beradaptasi di rumah yang dapat memengaruhi kemandirian dan kualitas hidup. Penelitian yang mengeksplorasi pengalaman subjektif pasien spinal cord injury dalam melakukan adaptasi rumah pascaperawatan di Indonesia masih terbatas. Tujuan: Penelitian ini bertujuan untuk mengeksplorasi pengalaman pasien spinal cord injury dalam melakukan adaptasi rumah pascaperawatan di RSUP Dr. Sardjito Metode: Penelitian kualitatif dengan pendekatan deskriptif eksploratif melibatkan delapan pasien spinal cord injury yang pernah dirawat di RSUP Dr. Sardjito pada Januari 2024-Oktober 2025. Partisipan dipilih menggunakan teknik purposive sampling berdasarkan kriteria inklusi dan eksklusi. Pengumpulan data dilakukan melalui wawancara semi terstruktur. Analisis data mengikuti tahapan Erlingsson dan Brysiewicz. Hasil: Analisis data menghasilkan empat tema utama, yaitu: (1) keterbatasan adaptasi fisik; (2) situasi psikologis yang meliputi respons emosional, harapan, dan strategi koping; (3) suasana adaptasi yang mencerminkan penyesuaian ruang, penggunaan alat bantu, proses rehabilitasi, serta dukungan keluarga dan sosial; dan (4) penentu adaptasi yang mencakup hambatan di rumah serta kondisi ekonomi yang memengaruhi kemampuan adaptasi. Simpulan: Pasien spinal cord injury mengalami proses adaptasi rumah yang kompleks yang melibatkan aspek fisik, psikologis, sosial, dan lingkungan.
Co-Authors Ainur Rahma Aisyiyah, Umi Alif Khanifudin Andayani, Qory Nurulita Anisah Umami Christantie Effendy Christaputri, Silvia Tri Wahyu Diana Nurlita Dwi Asih Rohmawati Hendriyanti, Yeni Heny Suseani Pangastuti Indy Susanti Istiqomah Nur Khasanah Jati, Puspa Silvia Jatira'ufani, Nefit Anugrah Kurniawati, Rizka Yudhit Kustanti, Anita Kusumawardhana, Feri Dini Liya Arista Maf'ula, Dluha Masfuri - Miftahul Jannah Mulyainuningsih, Wa Ode Saridewi Najhan, Muhammad Azka Partini Partini, Partini Purbasari, Alfina Fitri Retnaningsih Retnaningsih Ruswanti, Anita Ruswati, Anita Septiani, Dila Slamet Aminanto Sri Mulyani Subagya, Ami Novianti Suis Galischa Wati Sukardi Sukardi Surya Wahyuni Tri Subekti Tsauroh, Salsabila Fiqrotu Umami, Anisah