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Hubungan Identifikasi Risiko Dekubitus Skala Braden dengan Penerapan Range of Motion pada Pasien Stroke Hadrianti, Dessy; Olviani, Yurida; Saherna, Jenny; M. Hidayatullah, M. Hidayatullah
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14988

ABSTRACT Stroke is usually characterized by paralysis of the limbs on one side of the body, which causes the sufferer to experience pressure ulcers. One of the treatments that can be done for stroke sufferers is Range of Motion which helps restore the condition of stroke sufferers who experience paralysis, so that there is no risk of pressure ulcers. Objective: to determine the relationship between range of motion management and prevention of pressure ulcers in stroke patients at H. Damanhuri Barabai Regional Hospital in 2023. Method: quantitative correlational with cross sectional research design. The population was all stroke patients who were admitted to class 1, 2 and 3 at H. Damanhuri Barabai Regional Hospital. The sampling technique was Consecutive sampling of 96 respondents. The instrument consists of the operational standard Range of Motion (ROM) and the risk of pressure ulcers using the Branden scale. Results: The majority of stroke patients were 46-55 years old, 57 respondents (59.4%), 49 respondents (51%) had a high school education and 28 respondents (29.2%) worked in the private sector. The majority of risk prevention of pressure ulcers in stroke patients was moderate, amounting to 38 respondents (39.6%). The majority of respondents' understanding of the management of range of motion in stroke patients was not carried out by 51 respondents (53.1%). There is a relationship between managing range of motion and preventing the risk of pressure ulcers in stroke patients at H. Damanhuri Barabai Regional Hospital in 2023 Keywords : Identification, Prevention of the Risk Pressure Ulcers, Braden Scale, Range of Motion, Stroke ABSTRAK Edukasi Stroke biasanya ditandai dengan kelumpuhan anggota gerak di salah satu sisi anggota tubuh, yang menyebabkan penderita mengalami luka dekubitus. penatalaksanaan yang bisa dilakukan pada penderita stroke salah satunya yaitu Range of motion yang membantu memulihkan keadaan penderita stroke yang mengalami kelumpuhan, agar tidak terjadinya risiko dekubitus. Tujuan: mengetahui hubungan penatalaksaaan Range of motion dengan pencegahan resiko dekubitus pada pasien stroke di RSUD H. Damanhuri Barabai tahun 2023. Metode: kuantitatif korelasional dengan desain penelitian cross sectional. Populasi adalah seluruh pasien pederita stroke yang dirawat inap kelas 1, 2 dan 3 RSUD H. Damanhuri Barabai. Teknik sampling Consecutive sampling sebanyak 96 responden. Instrumen terdiri dari standar operasional Range Of Motion (ROM) dan resiko luka tekan menggunakan skala branden. Hasil: Pasien stroke mayoritas pasien stroke berumur 46-55 tahun sebesar 57 responden (59,4%), berpendidikan SMA sebesar 49 responden (51%) dan pekerjaan swasta sebesar 28 responden (29,2%). Pencegahan resiko dekubitus pada pasien stroke mayoritas sedang sebesar 38 responden (39,6%). Pemahaman responden terhadap penatalaksanaan Range of motion pada pasien stroke mayoritas tidak dilakukan sebesar 51 responden (53,1%). Terdapat hubungan penatalaksaaan Range of motion dengan pencegahan resiko dekubitus pada pasien stroke di RSUD H. Damanhuri Barabai tahun 2023 Kata Kunci: Identifikasi, Pencegahan Risiko Dekubitus, Skala Braden, Range of Motion, Stroke

The Effect of Aloe Vera Extract on Wound Healing In Post Hospitalization Diabetes Mellitus Patients Olviani, Yurida; Apriyanti, Uni; Hadrianti, Dessy; Saherna, Jenny; Hermawan, Aditya
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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The number of people with diabetes increases from year to year, accompanied by an increase in complications of diabetic ulcers. Various kinds of interventions are carried out to accelerate the healing of diabetic foot wounds, one of which is the use of aloe vera extract. To determine the effect of aloe vera extract on wound healing in patients with post-hospitalization diabetes mellitus. This study used a Pre-Experiment research design with a group Pretest post-test design. The population was all patients with diabetes mellitus and diabetic ulcers, and the sample was taken using the accidental sampling technique, totalling 37 people. Data analysis using the Wilcoxon Sign Rank Test Most of the wound healing before being given aloe vera extract was quite good. Namely, 26 people, or 70.3%, most wound healing after being given aloe vera extract was good; 28 people or 75.7%, there was an effect of providing aloe vera extract to wound healing in Diabetes Mellitus patients with a value of p = 0.000. Nurses should apply wound care using aloe vera as a non-pharmacological independent nursing action.

Stres Pada Pasien Gagal Ginjal Yang Menjalani Hemodialisa Di RSUD Ulin Banjarmasin Zulailiah, Yulita; Hadrianti, Dessy; Saherna, Jenny
JIKES : Jurnal Ilmu Kesehatan Vol. 1 No. 1 (2022): Desember 2022
Publisher : Yayasan Pendidikan Tanggui Baimbaian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71456/jik.v1i1.88

Penelitian berjudul stress pasien gagal ginjal yang menjalani hemodialisa di RSUD Ulin Banjarmasin adalah menggunakan metode desain penelitian deskriptif dengan responden berjumlah 82 orang. Pengambilan sampel dengan Teknik nonprobability sampling dengan jenis purposive sampling. Penelitian menunjukkan bahwa responden berjenis kelamin laki-laki sebanyak 44 orang (53,7%). responden berusia sekitar 56-64 tahun berjumlah 32 orang (39%).Jenis pekerjaan responden bekerja sebagai wiraswasta sebanyak 26 orang (31,7%). Lama menjalani hemodialisa responden menjalani hemodialisa dalam rentang waktu 1-3 tahun sebanyak 40 orang (48,8%). Tingkat stress responden mengalami stres dengan tingkat sedang sebanyak 33 orang (40,2%).

The Relationship between Blood Glucose Levels and Dietary Commitment to Self-Motivation in Patients with Type 2 Diabetes Mellitus Saherna, Jenny; Hadrianti, Dessy; Heriani, Novia; Agustin, Shalma
Jurnal EduHealth Vol. 16 No. 02 (2025): Jurnal EduHealt, Edition April - June , 2025
Publisher : Sean Institute

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Diabetes Mellitus is a metabolic disorder involving dysfunction of the pancreas, resulting in insulin's inability to effectively convert blood glucose into energy. Type 2 Diabetes Mellitus is often caused by obesity and unhealthy dietary habits, making dietary regulation essential for lowering blood sugar levels. Adherence to a recommended diet requires strong motivation, which serves as a key support system. Without sufficient motivation, maintaining dietary commitment becomes challenging. This commitment refers to a person’s willingness to follow the treatment regimen as advised by healthcare professionals. The aim of this study was to determine the relationship between blood glucose levels and diet commitment in relation to self-motivation among patients with Type 2 Diabetes Mellitus. This research employed a quantitative approach with a cross-sectional design. The results of the Spearman Rho test showed a p-value = 0.000 (< 0.05), indicating a significant relationship between self-motivation and diet commitment toward blood glucose levels in patients with Type 2 Diabetes Mellitus. It can thus be concluded that there is a correlation between blood glucose levels and diet commitment as influenced by self-motivation in these patients.

Hubungan Derajat Acne Vulgaris Berdasarkan Jenis Kulit Wajah dan Moisturizer terhadap Penggunaan Masker Medis Saherna, Jenny; Suroto, Suroto; Hadrianti, Dessy; Agustina, Anita; Rasyidah, Rahma
JURNAL CITRA KEPERAWATAN Vol 11 No 1 (2023): JURNAL CITRA KEPERAWATAN Edisi : June
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v11i1.298

Acne vulgaris terjadi karena proses inflamasi kronis pada lapisan kulit yang berasal dari folikel polisebasea akibat faktor ekstrinsik seperti stres, diet, iklim, dan kosmetik serta kadar hormon dehidroepiandrosteron sulfat serum. Derajat acne vulgaris berpengaruh pada pertimbangan individu untuk menetapkan komitmen diri terhadap penggunaan masker medis yang selalu digunakan sekarang ini, setiap kali kegiatan diluar rumah dan berinteraksi dengan orang lain, untuk meminimalisir tertular virus covid-19. Tujuan penelitian ini mengetahui hubungan derajat acne vulgaris berdasarkan jenis kulit wajah dan moisturizer terhadap penggunaan masker medis. Desain penelitian, kuantitatif korelasi dengan cross sectional, melakukan observasi kulit wajah menurut standar Lehmann Grading System menggunakan kaca loop, terhadap 74 responden perempuan. Hasil penelitian, responden berjenis kelamin perempuan, didapatkan 25 responden dengan rata-rata usia 20 tahun sebesar 33,8%, berdasarkan jenis kulit didapatkan 28 reponden sebesar 37,8% dengan kulit kombinasi dan 51 responden sebesar 68,9% yang memiliki derajat acne vulgaris sedang. Kesimpulan, tidak ada hubungan secara signifikan antara derajat acne vulgaris pada jenis kulit wajah dan moisturizer terhadap penggunaan masker medis.

Pengaruh Terapi Relaksasi Benson terhadap Tingkat Kecemasan pada Pasien Chronic Kidney Disease yang Menjalani Hemodialisis Hadrianti, Dessy; Suroto, Suroto; Olviani, Yurida; Saherna, Jenny; Rizkiah, Nova
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.20789

ABSTRACT Chronic Kidney Disease (CKD) continues to show a rising prevalence both globally and in Indonesia, with many patients requiring hemodialysis as a primary treatment. However, the dependency on long-term therapy and the need for lifestyle adjustments often lead to psychological stress, particularly anxiety. Benson relaxation therapy, a non-pharmacological method involving deep breathing and spiritual focus, has been recognized as a potential strategy for alleviating anxiety symptoms.This study aimed to evaluate the effectiveness of Benson relaxation therapy in reducing anxiety levels among CKD patients undergoing hemodialysis at Ulin Hospital, Banjarmasin. A pre-experimental one-group pretest-posttest design was employed. The population consisted of 431 patients from the hospital’s hemodialysis unit, and 30 respondents were selected using purposive sampling. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS).Prior to the intervention, most participants experienced moderate to severe anxiety, with 12 patients (40.0%) in each category. Post-intervention results revealed that 22 patients (73.3%) no longer experienced anxiety, while 4 patients (13.3%) remained in the mild to moderate categories. Statistical analysis using the Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest anxiety scores (Z = -4.789, p = 0.000; p < 0.05).These findings indicate that Benson relaxation therapy is effective in reducing anxiety among CKD patients undergoing hemodialysis and may serve as a supportive, non-pharmacological intervention in clinical practice. Keywords: Chronic Kidney Failure, Hermodialisis, Benson Relaxation Therapy. ABSTRAK Gagal ginjal kronik merupakan salah satu penyakit yang menunjukan peningkatan kasus di Indonesia maupun dunia, dengan banyak pasien yang memerlukan terapi hemodialisis sebagai terapi utama, namun prosedur ini sering menimbulkan tekanan kecemasan dan psikologis akibat perubahan gaya hidup serta ketergantungan jangka panjang. Salah satu pendekatan non-farmakologis yang dapat mengurangi kecemasan adalah terapi relaksasi Benson, yaitu teknik pernapasan dalam yang dipadukan dengan elemen spiritual. Penelitian ini bertujuan untuk mengetahuiefektivitas terapi benson terhadap tingkat kecemasan pada pasien Chronic Kidney Disease (CKD) yang menjalani hemodialisis di RSUD Ulin Banjarmasin. Penelitian ini menggunakan desain Pre-Experimental dengan pendekatan One-Group Pretest-Posttest Design. Populasi dalam studi ini mencakup seluruh pasien di ruang Hemodialisa RSUD Ulin Banjarmasin dengan junlah 431 pasien pada bulan terakhir, sampel terdiri dari 30 responden yang dipilih melalui metode Teknik Purposive sampling. Pengumpulan data menggunakan instrumen Hamilton Anxiety Rating Scale (HARS). Hasil pengukuran awal sebagian besar pasien Chronic Kidney Disease sebelum terapi Benson mengalami kecemasan dalam kategori sedang dan berat, masing-masing sebanyak 12 orang (40,0%). Sedangkan, tingkat kecemasan mayoritas pasien sesudah terapi Benson mengalami, yaitu 22 orang (73,3%), tidak lagi mengalami kecemasan, sementara masing masing 4 pasien (13,3%) mengalami kecemasan dalam kategori ringan dan sedang. Hasil Uji Wilcoxon Signed Rank Test menunjukan nilai Z = - 4,789 dan p = 0,000 ( p < 0,05 ), analisis hasil menunjukan terdapat perbedaan yang signifikan tingkat kecemasan sebelum dan sesudah intervensi, yang menegaskan bahwa terapi relaksasi benson berkontribusi positif dalam mengurangi kecemasan pada pasien chronic kidney disease yang menjalani hemodialysis di RSUD Ulin Banjarmasin. Kata Kunci: Gagal Ginjal Kronik, Hemodialisis, Terapi Relaksasi Benson

Hubungan Edukasi Proses Penyembuhan Luka dengan Level Ansietas terhadap Pasien Pasca Operasi Debridement Saherna, Jenny; Olviani, Yurida; Hadrianti, Dessy; Rianty, Dewi
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.13922

ABSTRACT Education about the wound healing process is the main component of basic nursing intervention in helping to reduce anxiety levels in post-operative debridement, in this case, it is necessary to evaluate the patient’s understanding in receiving the information that has been conveyed by the nurse, so that the goal of reducing anxiety levels can be realized. Anxiety is one of the triggers for instability of vital signs which has an impact on the wound healing phase. The aim of the research was to look at the relationship between education on the wound healing process and the level of anxiety in patients after debridement surgery. This research is quantitative, non experimental, using cross-sectional with purposive sampling method and spearman rank correlation test analysis, a total of 73 respondents with data collection through questionnaires. The result showednthat respondents with no anxiety were 1 person (1.4%), mild anxiety were 17 people (23.3%), moderate anxiety were 42 people (57.5%), severe anxiety were 10 people (13.7%), very severe anxiety as many as 3 people (4.1%). The conclusion resulting from data analysis was asymp. Sig. (2-Tiled) P = 0.007, P < 0.005, there is a significant relationship between understanding and anxiety level in post-operative debridement patients. Keywords: Education, Wound Healing, Anxiety, Post-Operative Debridement ABSTRAK Edukasi tentang proses penyembuhan luka merupakan komponen utama dasar intervensi keperawatan dalam membantu penurunan level ansietas pada pasien pasca operasi debridement, dalam hal ini diperlukan evaluasi pemahaman pasien dalam menerima informasi yang telah disampaikan oleh perawat, agar tujuan penurunan level anisetas dapat terealisasi. Ansietas salah satu pemicu ketidakstabilan tanda-tanda vital yang berdampak terhadap fase penyembuhan luka. Tujuan penelitan melihat hubungan edukasi proses penyembuhan luka dengan level ansietas terhadap pasien pasca operasi debridement. Penelitian ini kuantitatif, jenis non eksperimental, menggunakan cross-secstional dengan metode purposive sampling dan analisis uji korelasi spearman rank, total 73 responden dengan pengumpulan data melalui kuesioner. Hasil penelitian responden dengan tidak ada ansietas sebanyak 1 orang (1,4%), ansietas ringan sebanyak 17 orang (23,3%), ansietas sedang sebanyak 42 orang (57,5%), ansietas berat sebanyak 10 orang (13,7%), ansietas berat sekali sebanyak 3 orang (4,1%). Kesimpulan penelitian hasil analisis data didapatkan hasil Asymp. Sig. (2-Tailed) p = 0.007, p < 0.05, ada hubungan signifikan antara pemahaman dengan level ansietas pada pasien pasca operasi debridement. Kata Kunci: Edukasi, Penyembuhan Luka, Ansietas, Pasca Operasi Debridement

Geriatric Depression Scale (GDS) sebagai Pengkajian Status Psikologis pada Lansia Hadrianti, Dessy; Saherna, Jenny; Arji, Alif; Pratama, Zacky; Putri, Annisa; Khaliza, Noor
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 3 (2024): Volume 7 No 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i3.13387

ABSTRAK Peningkatan populasi lansia khususnya di Indonesia, dapat menimbulkan masalah Kesehatan seperti depresi. Gejala depresi pada lansia seringkali tidak terungkap jelas dan bisa terkait dengan perubahan fisik, penyakit, kehilangan, serta perasaan kesepian. Pengukuran tingkat depresi menggunakan Skala Depresi Geriatri (GDS) memberikan gambaran lebih lanjut tentang prevalensi depresi pada lansia, yang diperkirakan meningkat seiring pertambahan usia. Pada pengkajian tanggal 16 Oktober 2023, dihadiri 15 lansia di Kelayan B Gang JAIS RT. 009 RW. 001. Hasilnya, 11 lansia tidak mengalami depresi, sementara 4 lainnya mengalami depresi ringan. Tim pengkaji memberikan intervensi berupa terapi zikir dan dukungan keluarga kepada lansia yang mengalami depresi ringan. Kegiatan ini bertujuan untuk mengetahui tingkat depresi lansia dan memberikan pemahaman. Intervensi diberikan agar lansia mampu mengatasi depresi dalam kehidupan sehari-hari setelah memahami dan menerapkan intervensi yang diajarkan. Kata Kunci: Depresi, Lansia, GDS ABSTRACT The increase in the elderly population, especially in Indonesia, can cause health problems such as depression. Symptoms of depression in the elderly are often not clearly revealed and can be related to physical changes, illness, loss, and feelings of loneliness. Measurement of depression rates using the Geriatric Depression Scale (GDS) provides a further picture of the prevalence of depression in the elderly, which is expected to increase with age. The assessment on October 16, 2023, was attended by 15 elderly people at Kelayan B Gang JAIS RT. 009 RW. 001. As a result, 11 elderly people did not have depression, while 4 others had mild depression. The review team provided interventions in the form of remembrance therapy and family support to elderly people with mild depression. This activity aims to determine the level of depression of the elderly and provide understanding. Interventions are given so that the elderly are able to overcome depression in daily life after understanding and applying the interventions taught. Keywords: Depression, Elderly, Geriatric Depression Scale

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