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All Journal Health Notions Jurnal Kebidanan Jurnal Sehat Mandiri Jurnal Smart Keperawatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ilmiah Ilmu dan Teknologi Rekayasa Jurnal Keperawatan Karya Bhakti Prosiding University Research Colloquium Getsempena Health Science journal
Amrih Widiati
STIKes Karya Husada Semarang
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

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Efektifitas Oral Hygiene terhadap Jumlah Koloni Mikroba sebagai Risiko Ventilator Associated Pneumonia (VAP) Syarif, Ahmad; Winarto, Eko; Eka P.U, Julvainda; Agusman, Fery; Widiati, Amrih
Jurnal Sehat Mandiri Vol 19 No 2 (2024): Jurnal Sehat Mandiri, Volume 19 Nomor 2 Desember 2024
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v19i2.1516

Abstract

Ventilator Associated Pneumonia (VAP) is inflammation of the lung parenchyma when a patient receives mechanical ventilation for more than 48 hours, caused by the bacteria Pseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumannii, Staphylococcus aureus, and Escherichia coli. The aim of the research was to determine the effectiveness of oral hygiene between chlorhexidine gluconate 0.2% and Povidone Iodine 1% on the number of microbial colonies as a risk of VAP. The research design is True Experiment Design in the form of Pretest-Posttest Control Group Design. The population is patients on mechanical ventilation from February to March 2024. The number of samples was 15 in each experimental and control group determined randomly. The research variable is counting the number of microbial colonies through swab culture and carrying out the paired sample t-test and dependent sample t-test. The research showed that there was a significant difference (P=0.000) in the pre-test with the number of microbial colonies being greater than the post-test in each chlorhexidine gluconate 0.2% group (difference in mean value 63.13) and the povidone iodine 1% group (difference in average value 71,922) for all microbes. Chlorhexsidine Gluconate 0.2% is more effective than Povidone Iodine 1% with a significant difference in the number of microbial colonies (average p-value > 0.05) both in the pre-test (difference in average value 25,198) and post-test (difference in average value average 16.46) on all microbes. Oral hygiene using chlorhexidine gluconate 0.2% is more effective than povidone iodine 1% on the number of microbial colonies as a risk of VAP. Recommended to optimize the use of 0.2% chlorhexidine gluconate in the cleaning of medical instruments such as ventilators.
STUDI KASUS: PENERAPAN TEKNIK RELAKSASI NAPAS DALAM UNTUK MENGURANGI NYERI PADA PASIEN DENGAN POST OPERASI ULKUS DM Manuel, Juniela; Widiati, Amrih
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.46728

Abstract

Pasien dengan ulkus kaki diabetik (UKD) yang menjalani tindakan operasi, seperti amputasi, sering mengalami nyeri pasca operasi yang dapat mempengaruhi proses pemulihan dan kualitas hidup. Salah satu pendekatan non-farmakologis yang efektif untuk mengatasi nyeri adalah teknik relaksasi napas dalam. Teknik ini bekerja dengan menstimulasi sistem saraf parasimpatis dan mendorong pelepasan endorfin, sehingga dapat membantu mengurangi persepsi nyeri serta memberikan efek tenang dan rileks pada pasien. Penerapan teknik relaksasi dalam pada pasien post operasi ulkus DM terbukti dapat menurunkan tingkat nyeri, meningkatkan kenyamanan, serta mendukung proses penyembuhan luka secara menyeluruh. Intervensi sederhana ini dapat dijadikan sebagai bagian dari terapi suportif yang mudah diterapkan dalam praktik keperawatan sehari-hari. Penelitian ini bertujuan untuk mengetahui penerapan teknik relaksasi napas dalam untuk menurunkan nyeri post operasi ulkus DM. Desain penelitian menggunakan deskriptif dalam bentuk studi kasus dengan pendekatan proses keperawatan yang terdiri dari pengkajian, diagnosa keperawatan, perencanaan, pelaksanaan dan evaluasi dengan memfokuskan implementasi keperawatan pada nyeri post ulkus DM dengan memberikan teknik relaksasi napas dalam. Adapun subjek dalam studi kasus berjumlah dua orang. Hasil penelitian menunjukkan terdapat penurunan intensitas skala nyeri pada kedua pasien dari skala 5 ke 3 dan 4 ke 2 setelah diberikan teknik relaksasi napas dalam. Kesimpulan: pemberian teknik relaksasi napas dalam dianggap efektif dan mempunyai dampak positif dalam menurunkan nyeri pada pasien post operasi.
PENERAPAN GUIDED IMAGERY TERHADAP TINGKAT NYERI PADA PASIEN GASTRITIS Setyowati, Agnes Heru; Widiati, Amrih
Jurnal Keperawatan Karya Bhakti Vol. 11 No. 2 (2025)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.224

Abstract

Abstrak Latar Belakang: Gastritis merupakan masalah kesehatan global yang banyak dialami oleh masyarakat. Nyeri merupakan masalah yang umum dirasakan oleh penderita gastritis. Nyeri tersebut jika tidak ditangani dapat membawa dampak mengganggu kualitas hidup dan aktivitas sehari-hari. Penanganan nyeri pada pasien gastritis dapat dilakukan secara non farmakologi. Tujuan: untuk mengetahui penerapan guided imagery terhadap tingkat nyeri pada pasien gastritis. Metode Penelitian: Jenis penelitian ini yaitu studi kasus dengan 2 sampel penelitian yaitu pasien gastritis yang mengalami nyeri. Penerapan guided imagery dilakukan 3 kali dalam 3 hari berturut-turut, dimana setiap kali penerapan guided imagery selam 15 menit. Pengukuran tingkat nyeri menggunakan Numerical Rating Scale dan dilakukan setiap kali sebelum dan sesudah penerapan guided imagery. Hasil: Sebelum penerapan guided imagery diketahui tingkat nyeri pada subjek 1 yaitu skala 6 (nyeri sedang) dan subjek 2 yaitu skala 5 (sedang) dan sesudah penerapan guided imagery terjadi penurunan nyeri pada subjek 1 dan 2 yaitu skala 2 (nyeri ringan). Simpulan: Terapi guided imagery dapat mejadi salah satu terapi alternatif untuk mengurangi nyeri pada pasien gastritis. Kata Kunci: Gastritis; Guided imagery; Nyeri     Abstract Background: Gastritis is a global health problem that is widely experienced by the community. Pain is a common problem felt by gastritis sufferers. If left untreated, this pain can have an impact on disrupting the quality of life and daily activities. Pain management in gastritis patients can be done non-pharmacologically. Objective: to determine the application of guided imagery to the level of pain in gastritis patients. Research Method: This type of research is a case study with 2 research samples, namely gastritis patients who experience pain. The application of guided imagery was carried out 3 times in 3 consecutive days, where each time the application of guided imagery lasted for 15 minutes. Measurement of pain levels using the Numerical Rating Scale and was carried out each time before and after the application of guided imagery. Results: Before the application of guided imagery, the level of pain in subject 1 was known to be a scale of 6 (moderate pain) and subject 2 was a scale of 5 (moderate) and after the application of guided imagery there was a decrease in pain in subjects 1 and 2, namely a scale of 2 (mild pain). Conclusion: Guided imagery therapy can be an alternative therapy to reduce pain in gastritis patients. Keywords: Gastritis; Guided imagery; Pain  
AROMATERAPI LEMON MENURUNKAN TINGKAT NYERI PADA IBU POSTPARTUM SECTIO CAESAREA Heru Setyowati, Agnes; Kustriyanti, Dwi; Widiati, Amrih
Jurnal Keperawatan Karya Bhakti Vol. 11 No. 2 (2025)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56186/jkkb.225

Abstract

Background: Sectio caesarea is an artificial birth method that aims to deliver the baby. This action physically causes pain in the abdominal area due to surgery. Management of this pain can be done through non-pharmacological therapy such as lemon aromatherapy. Objective: To analyze the effect of lemon aromatherapy on pain levels in post-sectio caesarea mothers. Research Method: This type of research is quasi-experimental with pre-test and post-test without control design. The research sample was 30 post-sectio caesarea mothers who were determined using the accidental sampling technique. Intervention was given by giving lemon aromatherapy for 30 minutes. Measurement of pain data using the Numerical Rating Scale. Research data were analyzed using the Wilcoxon test. Results: Giving lemon aromatherapy effectively reduced pain in all research respondents with a p value of 0.000. Conclusion: Lemon aromatherapy therapy can be used as an alternative therapy in handling cases of pain in post-CS mothers.
Terapi Peregangan Otot Pernafasan untuk Kapasitas Vital Paru Pasien Asma Yunani, Y; Widiati, Amrih; Jamaluddin, M
Prosiding University Research Colloquium Proceeding of The 7th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Asthma caused dyspnea because bronchospasme. Expiration rate andinspiration volume decrease, it will reduce pulmonary vital capacity.Asthma patient need exercise to improve pulmonary vital capacity. Therespiratory muscle stretching will strengthen and endurancerespiratory muscles. The objective of the study was to know the effectof respiratory muscle stretching toward pulmonary vital capacity ofasthma patient. These study used quantitative study with quasyexperiment by using randomized pretest posttest design. Interventiongroup used respiratory muscle stretching and control group used deepbreathing exercise. The sample was 15 respondents for interventiongroup and 15 respondents for control group. The instruments werespirometry and observation sheet. Data analysis used T paired test andMann Whitney test by hypothesis test with ? 0.05. The mean differencebetween two groups used Mann Whitney test, where p value was 0.001.Respiratory muscle stretching more efective to increase pulmonaryvital capacity.
Co-Authors ., Sarwoko Ahmad Syarif arista adityasari putri Dwi Kustriyanti Eka P.U, Julvainda Eko Winarto Fauzia, Wilda Fery Agusman Heru Setyowati, Agnes M Jamaluddin, M M. Jamaluddin Mandaty, Fhandy Aldy Manuel, Juniela Sella, Rosdiana Setyowati, Agnes Heru Supri Tegar Wisnu Prasetyo Uta Alita Marsanti Wayor W Widiyaningsih Wardah Fauziah Widiyaningsih, Widiyaningsih Witri Hastuti Witri Hastuti Yunani Yunani Yunani Yunani Yunani Yunani, Yunani Yunani, Y