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KAJIAN HARDINESS KELUARGA SEBAGAI CAREGIVER PADA PASIEN GAGAL JANTUNG Nauli, Yolanda Erica; Platini, Hesti; Rahayu, Urip
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 1 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i1.2684

Abstract

Gagal jantung menjadi fokus permasalahan di dunia kesehatan. Penatalaksanaan gagal jantung bersifat jangka panjang, sehingga menimbulkan beban bagi caregiver keluarga. Beban psikologis adalah beban yang paling banyak dirasakan. Hardiness atau karakter tahan banting dan tangguh membantu individu mengatasi permasalahan beban tersebut, individu dengan tingkat hardiness yang semakin tinggi cenderung memberikan asuhan keperawatan kepada pasien dengan optimal. Tujuan penelitian ini adalah untuk mengidentifikasi gambaran hardiness keluarga sebagai caregiver pada pasien gagal jantung di poliklinik RSUD Sumedang. Penelitian ini dilakukan pada bulan Mei 2024 dengan desain penelitian deskriptif kuantitatif menggunakan teknik purposive sampling dengan kriteria inklusi dan ekslusi. Populasi dalam penelitian ini adalah keluarga sebagai caregiver mendampingi perawatan pasien gagal jantung di Poliklinik Jantung RSUD Sumedang, dengan jumlah 140 orang dan sampel 103 orang. Instrumen penelitian ini menggunakan kuesioner Family Hardiness Index dengan skala Likert yang telah diuji validitas dan realibilitasnya. Hasil penelitian menemukan bahwa hampir sebagian besar caregiver keluarga memiliki tingkat hardiness sedang sebanyak 71 responden (68,9%) pada dasarnya caregiver keluarga mampu bertahan menghadapi tantangan yang dialami namun belum dapat menghadapi beban yang dialami dengan optimal. Hal tersebut dapat berdampak terhadap kualitas pendampingan dan perawatan yang diberikan caregiver keluarga kepada pasien gagal jantung. Perlunya pengembangan intervensi asuhan keperawatan yang berfokus kepada keluarga untuk mendukung kesiapan keluarga dalam menghadapi beban atau permasalahan saat menjadi seorang caregiver.
Non-pharmacological intervention to reduce pain post-appendectomy: A rapid review of randomized controlled trial studies Nurohmah, Indah Syaidah; Putri, Nabila Aulia; Azwadina, Aliffa; Nuraeni, Fauziah; Riskyani, Umy; Hayati, Amelia; Rusmana, Hera Prafitri; Merdekawati, Rahayu; Rahayu, Urip; Pebrianti, Sandra
The Journal of Palembang Nursing Studies Vol. 2 No. 2 (2023): May 2023
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns18

Abstract

Background: Appendicitis leads to post-appendectomy pain with significant physical and mental implications, necessitating non-pharmacological pain management approaches. Objective: This study aimed to determine which non-pharmacological interventions can effectively reduce postoperative pain following an appendectomy. Design: A rapid review study design was employed. Data Sources: The databases used were EBSCOhost-CINAHL and PubMed. The article search was conducted on March 14, 2022. Review Methods: The identified articles were described using PRISMA guidelines and sorted based on inclusion criteria. These criteria included patients with appendicitis aged 18-59 years who underwent appendectomy, non-pharmacological pain management interventions, studies utilizing the Randomized Controlled Trial (RCT) method, full-text articles available, English language, and articles published between 2012-2022. Studies involving pediatric and elderly appendectomy patients, as well as studies with insignificant results, were excluded.  Results: Four articles were analyzed, revealing four types of interventions: Foot and Hand Reflexology (Massage), Lavender Aromatherapy and Almond oil (Aromatherapy), Inhalation aromatherapy with sweet-scented geranium essential oil, and Acupressure Le7. These interventions were then classified into two categories: aromatherapy-based interventions and neurostimulation-based interventions. All interventions were found to significantly reduce pain in appendectomy patients. Conclusions: Non-pharmacological therapies, such as lavender and almond oil aromatherapy, sweet-scented geranium aromatherapy, foot and hand reflexology, and Le7 acupressure, have demonstrated positive effects in reducing long-term pain after an appendectomy.
Pain management in postoperative bone fracture patients: A systematic scoping review Nurjanah, Siti; Mulyana, Aep Maulid; Arhustia, Hesti Dina; Ayuningsih, Risna; Fazriyyah, Yuni Fuji; Rahayu, Urip; Pebrianti, Sandra; Arifin, Hidayat
The Journal of Palembang Nursing Studies Vol. 2 No. 2 (2023): May 2023
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns23

Abstract

Background: A fracture is a condition in which the continuity of bone tissue is broken, causing stress and pain during the healing process. Therefore, the management of pain in postoperative bone fracture patients should be addressed.. Objective: The aim is to identify interventions for managing pain in patients with postoperative bone fractures. Design: A systematic scoping review. Data Sources: The search process was conducted from March 8 to March 15, 2022, using the following databases: PubMed, CINAHL, and Science Direct. Review Methods: PRISMA flowcharts were used for the systematic review. Articles published in the last five years (2018-2022) were included, focusing on full-text articles, randomized controlled trials (RCTs), and cohort studies that discussed the topic of postoperative pain management in fracture patients. The search yielded a total of 4,324 articles from the four databases. After screening by year, 819 articles were obtained. Based on the full text and abstracts of 432 articles, and applying exclusion and inclusion criteria, five articles were selected.  Results: The five articles demonstrated that pain management in postoperative bone fracture patients can be achieved through various pharmacological approaches, including peripheral nerve block anesthesia, antioxidants (vitamin C), intravenous tranexamic acid, intravenous dexamethasone, and the use of calculators and comprehensive pain plans as management tools. Conclusions: This study recommends that healthcare professionals apply and further develop the findings as a pain management strategy for postoperative bone fracture patients. 
Post-operative pain management with non-pharmacological interventions in patients undergoing breast cancer surgery: A systematic scoping review Hikmat, Rohman; Rahayu, Urip; Pebrianti, Sandra; Cahyani, Eka Maulidya; Sari, Cindy Puspita; Afrilia, Ghea
The Journal of Palembang Nursing Studies Vol. 1 No. 3 (2022): September 2022
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns.v1i3.24

Abstract

Background: Breast cancer become the most incident of cancer among women, especially in Indonesia. Non-pharmacological therapy becomes the additional intervention to address the pain after breast cancer surgery. Objective: The purpose of this study was to determine various non-pharmacological therapeutic interventions that can be performed in pain management in post-operative breast cancer patients. Design: The design used in this literature review is a systematic scoping review. Data Sources: This study used a scoping review system where after obtaining articles from three databases there are CINAHL, Pubmed, and Proquest. Review Methods: The articles will be synthesized and assessed using the clinical appraisal tools of Joanna Briggs Institute (JBI). JBI version of Randomized controlled trial. Results: From the total of 577 articles searched in the database, we obtained seven articles included in the study. The interventions to reduce pain include music therapy and progressive muscle relaxation therapy, acupuncture, foot reflexology, massage and meditation, autology, mindfulness-based cognitive therapy (MBCT), and neuromuscular taping on musculoskeletal (NMT). Apart from relieving pain various interventions that can be done can improve well-being, reduce stress, and reduce the length of treatment or treatment. Conclusions: The result of this study can be an additional intervention that can be applied by nurses and other health care workers.
MANAJEMEN PASCA BEDAH PADA KASUS OPEN FRAKTUR SEGMENTAL CRURIS : CASE REPORT Ramdhani, Muhammad Zaky; Nugraha, Bambang Aditya; Rahayu, Urip
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 6 (2024): SENTRI : Jurnal Riset Ilmiah, Juni 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i6.3007

Abstract

Fraktur tibia segmental terbuka merupakan kejadian fraktur yang jarang terjadi dan memiliki angka komplikasi yang tinggi, umumnya fraktur ini disebabkan oleh kecelakaan bermotor. Prinsip penganan fraktur yaitu dengan reposisi tulang agar terjadinya penyatuan kembali. Salah satu tindakan operatif yang dapat dilakukan yaitu dengan Open Reduction Internal Fixation (ORIF). Tujuan dilakukannya penelitian ini untuk mengetahui manajemen perawatan pada pasien dewasa pasca ORIF open cruris tiba segmental. Metode yang digunakan yaitu dengan pendekatan laporan kasus. Hasil diamati dari respon pasien terhadap pemberian intervensi manajemen nyeri, pencegahan infeksi, perawatan luka, dan juga pembidaian yang menunjang dalam pemulihan fraktur. Manajemen yang tepat dalam menanggulangi pasien pasca ORIF menjadi kunci dalam indikasi pemulangan pasien one day care surgery, sehingga perlu mendapatkan perlakuan yang tepat yang tak luput dari peran perawat. Perawatan pasien yang diberikan sejalan dengan prinsip operasi perawatan satu hari dan mendukung indikasi pemulangan pasien pasca operasi. Namun, intervensi tertentu khususnya dalam mobilisasi dini masih belum optimal.
STIMULASI AUDITORI PADA PASIEN CEDERA KEPALA DENGAN PENURUNAN KESADARAN Septiany, Maulidya; Kosasih, Cecp E.; Rahayu, Urip
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 7 No 2 (2019): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.401 KB)

Abstract

Traumatic brain injury (TBI) is a disease that is able to change a person’s level of consciousness and causedeath with a case fatality rate (CFR) of 4.37%. In addition, the impact of these injuries can also causecognitive damage and physical function. Giving sensory stimulation in the form of auditory stimulation asearly as possible is very important for survival, quality of life and long-term prognosis in head injurypatients because hearing is the last sensory function to function in decreased consciousness. The aim of thisstudy was to determine the effect of auditory stimulation on head injury patients with decreasedconsciousness. This study is a literature review. The databases used are ProQuest, CINAHL, PsycINFO,Google Scholar, PubMed, EBSCO and ScienceDirect with the keywords used are Traumatic Brain Injury,Auditory Stimulation, Comatose Patient, Level of Consciousness. The inclusion criteria were articlespublished in 2008-2018, Randomized Clinical Trial (RCT) studies, the study sample was head injurypatients with reduced awareness, the intervention provided was in the form of auditory stimulation andarticles written in English. The results of this literature study obtained 6 research articles that were inaccordance with the objectives and review criteria. The results of the study concluded that auditorystimulation in head injury patients had a significant effect on increasing consciousness status. Therefore,auditory stimulation can be recommended as an additional non-pharmacological therapy for head injurypatients who experience decreased consciousness.
Gambaran tingkat kesadaran diri tentang penyakit kanker pada masyarakat Amalia, Sabrina Nur; Purba, Chandra Isabella Hostanida; Rahayu, Urip
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.832

Abstract

Background: Cancer is a disease that is the leading cause of death on a world scale and by 2022 will reach 19 million cases. Cancer in Indonesia reached 408,661 cases in 2022 with a death rate of 242,988 cases. The most important disease prevention is to foster self-awareness. Self-awareness is the key to change in one's life in carrying out healthier behavior. Purpose: To determine the level of self-awareness about cancer in the community. Method: A quantitative descriptive study was conducted on residents in Jatinangor District to determine the level of self-awareness about cancer. The sampling technique used was proportional random sampling and from 12 villages in Jatinangor District, 3 villages were selected as research locations, namely Sayang Village, Cileles Village, and Cintamulya Village. The sample inclusion criteria were residents who lived locally with age ≥ 18 years. The instrument in this study was the Cancer Awareness Measure (CAM) questionnaire consisting of 6 domains and 47 question items. Data were analyzed using univariate analysis. Results: There were 53.6% of respondents who had low self-awareness of cancer and from the 6 domains, 3 domains including awareness of the most at-risk age, the highest incidence of cancer, and cancer screening programs were in the low self-awareness category. Conclusion: Conclusion: The level of self-awareness of cancer in the community is still relatively low and is often found in respondents with female gender characteristics, age range 26-35 years, unemployed, last education level elementary school, and no history of cancer in the family. Suggestion: Further research can examine the factors that influence the low level of self-awareness of cancer.   Keywords: Cancer; Self-Awareness; Society.   Pendahuluan: Kanker adalah penyakit yang menjadi penyebab utama kematian dalam skala dunia dan pada tahun 2022 mencapai 19 juta kasus. Penyakit kanker di Indonesia mencapai 408.661 kasus pada tahun 2022 dengan angka kematian sebanyak 242.988 kasus. Pencegahan penyakit yang paling penting adalah dengan menumbuhkan kesadaran dalam diri. Kesadaran diri merupakan kunci perubahan dalam hidup seseorang dalam melakukan perilaku lebih sehat. Tujuan: Untuk mengetahui gambaran tingkat kesadaran diri tentang penyakit kanker pada masyarakat. Metode: Penelitian deskriptif kuantitatif yang dilakukan kepada penduduk di Kecamatan Jatinangor untuk mengetahui gambaran tingkat kesadaran diri tentang penyakit kanker. Teknik pengambilan sampel yang digunakan yakni proporsional random sampling dan dari 12 desa di Kecamatan Jatinangor, terpilih 3 desa sebagai lokasi penelitian diantaranya Desa Sayang, Desa Cileles, dan Desa Cintamulya. Kriteria inklusi sampel adalah penduduk yang berdomisili setempat dengan usia ≥ 18 tahun. Instrumen dalam penelitian ini adalah kuesioner Cancer Awareness Measure (CAM) terdiri dari 6 domain dan 47 item pertanyaan. Data dianalisis menggunakan univariate. Hasil: Terdapat sebanyak 53.6% responden memiliki kesadaran diri yang kurang terhadap penyakit kanker dan dari 6 domain, 3 domain diantaranya kesadaran terhadap usia paling berisiko, insidensi kanker terbanyak, dan program skrining kanker berada pada kategori kesadaran diri rendah. Simpulan: Tingkat kesadaran diri terhadap kanker pada masyarakat masih tergolong rendah dan banyak ditemukan pada responden dengan karakteristik berjenis kelamin perempuan, rentang usia 26-35 tahun, tidak bekerja, tingkat pendidikan terakhir sekolah dasar, dan tidak memiliki riwayat kanker dalam keluarga. Saran: Penelitian selanjutnya dapat meneliti terkait faktor-faktor yang memengaruhi rendahnya tingkat kesadaran diri terhadap penyakit kanker.   Kata Kunci: Kanker; Kesadaran Diri; Masyarakat.
Resiliensi perawat rawat inap, instalasi gawat darurat, dan intensive care unit Wadhanti, Dewa Ayu Puspa; Rahayu, Urip; Yulianita, Henny
Holistik Jurnal Kesehatan Vol. 19 No. 3 (2025): Volume 19 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i3.845

Abstract

Background: Nurses are among the most vulnerable professions to stress. Workload and work environment are among the primary causes of stress for nurses in various care units. This not only affects their well-being but also impacts the quality of care provided to patients. Resilience helps nurses adapt, endure, and recover from challenging and high-pressure situations. High resilience can enhance job satisfaction and reduce the negative effects of work-related stress. V    Purpose: To identify the resilience of inpatient, emergency department (ED), and intensive care unit (ICU) nurses in carrying out their daily duties. Method: A descriptive quantitative design with the nursing population at RSUD Umar Wirahadikusumah. The sampling technique used is disproportionate stratified sampling, with a total sample consisting of 38 Emergency Department (ED) nurses, 31 Intensive Care Unit (ICU) nurses, and 144 inpatient ward nurses. The study utilizes the Connor Davidson Resilience Scale (CD RISC-25) in the Indonesian language. Data analysis is conducted using univariate analysis. Results: This study shows that less than half of the nurses working in the inpatient, emergency department (ED), and intensive care unit (ICU) have moderate resilience (43.7%), while 31.5% have low resilience, and only a small percentage (24.9%) demonstrate high resilience. The lowest resilience aspect among inpatient, emergency department (ED), and ICU nurses is the coping aspect. Conclusion: Most nurses in the inpatient unit, emergency department (ED), and ICU have a moderate to low level of resilience, with coping being the lowest resilience aspect.   Keywords: Emergency Department; Intensive Care Unit (ICU); Inpatient Unit; Nurse; Resilience.   Pendahuluan: Perawat merupakan profesi yang paling rentan terhadap stres. Beban kerja dan lingkungan kerja menjadi salah satu penyebab utama stres bagi perawat di berbagai unit perawatan. Hal ini tidak hanya memengaruhi kesejahteraan, tetapi juga dapat memengaruhi kualitas perawatan yang diberikan kepada pasien. Resiliensi membantu perawat untuk beradaptasi, bertahan, serta bangkit dari situasi sulit dan penuh tekanan. Resiliensi yang tinggi dapat meningkatkan kepuasan kerja dan mengurangi berbagai dampak negatif akibat stres kerja. Tujuan: Untuk mengidentifikasi resiliensi perawat rawat inap, instalasi gawat darurat, dan intensive care unit. Metode: Penelitian desain deskriptif kuantitatif dengan populasi perawat di RSUD Umar Wirahadikusumah. Teknik sampling yang dilakukan adalah disproportionate stratified sampling dengan sampel penelitian, yaitu 144 perawat rawat inap, 38 perawat Instalasi Gawat Darurat (IGD), dan 31 perawat Intensive Care Unit (ICU). Penelitian ini menggunakan instrumen Connor Davidson Resilience Scale (CD RISC-25) berbahasa Indonesia. Analisis data yang digunakan adalah analisis univariat. Hasil: Penelitian ini menunjukkan bahwa kurang dari setengah perawat yang bekerja di rawat inap, IGD, dan ICU secara keseluruhan memiliki resiliensi sedang (43.7%), setengah lainnya memiliki resiliensi rendah (31.5%), dan hanya sebagian kecil memiliki resiliensi tinggi (24.9%). Aspek resiliensi terendah pada perawat rawat inap, IGD, dan ICU adalah aspek koping. Simpulan: Sebagian besar perawat di rawat inap, IGD, dan ICU memiliki tingkat resiliensi yang tergolong sedang hingga rendah dengan aspek resiliensi terendah adalah koping.   Kata Kunci: Instalasi Gawat Darurat; Intensive Care Unit (ICU); Perawat; Rawat Inap; Resiliensi.
Flail Chest Fracture of Ribs 2-9 with Post-CTT Lung Contusion and Subcutaneous Emphysema: A Case Report Sarjono, Kalih; Rahayu, Urip
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3983

Abstract

Flail chest fracture of ribs 2-9 with pulmonary contusion after CTT installation and subcutaneous emphysema is a serious condition that affects the patient's respiratory function and quality of life. Patients often experience difficulty breathing, increased respiratory rate, and severe chest pain. In addition, the presence of a flail chest can increase the risk of complications such as atelectasis, lung infections, and hypoxia. The combination of this disease accompanied by rib fractures 2-9, subcutaneous emphysema, pneumothorax, and hemothorax makes this case unique and rare, so this finding can shed new light on the possible pathogenesis of a disease or its bad effects. The aim of this study is to describe the action in cases of Flail chest fracture of ribs 2-9 with post CTT pulmonary contusion and subcutaneous emphysema. Mr. T, a 23 year old man, was admitted to the Kemuning ICU with various medical diagnoses including flail chest, rib fracture, emphysema subcutis, right pneumothorax, pleural effusion, right hemothorax, right lung contusion, and ARDS. The patient complained of shortness of breath and chest pain after a motorbike accident. Initial actions include GCS monitoring, vital signs, oxygen therapy, fluid therapy, and Chest Tube Thoracostomy (CTT) installation. The patient's condition worsened and required intubation and a ventilator, then a thoracotomy operation and wire installation were performed to stabilize the fracture. After surgery, the patient's condition improved, he was successfully weaned off the ventilator, and pain was managed with intravenous morphine and ketorolac therapy. This case highlights the complexity in flail chest management that requires careful monitoring, interprofessional collaboration, and appropriate treatment strategies to improve the outcomes of patients with this condition.
AROMATERAPI LAVENDER UNTUK MENGATASI NYERI PADA PASIEN DENGAN POST OPERASI OPEN FRACTURE CALCANEUS SINISTRA: STUDI KASUS Khairunnisa, Chandra Kirana; Rahayu, Urip; Pratiwi, Sri Hartati
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 3 (2024): SENTRI : Jurnal Riset Ilmiah, Maret 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i3.2356

Abstract

Calcaneus merupakan tulang tarsal terbesar dan berfungsi untuk menopang tubuh. Fraktur calcaneus merupakan kejadian yang jarang terjadi sekitar 1-2% dari seluruh fraktur. Fraktur perlu ditangani segera, salah satunya dengan pembedahan yang dapat menimbulkan nyeri setelahnya. Manajemen nyeri yang dapat dilakukan salah satunya yaitu dengan aromaterapi lavender. Penelitian ini bertujuan untuk mengevaluasi penggunaan teknik relaksasi aromaterapi lavender dalam mengurangi nyeri pada pasien post operasi open fracture calcaneus sinistra. Metode penelitian ini merupakan studi kasus deskriptif kualitatif dengan single case design pada pasien post operasi open fracture calcaneus sinistra dan diberikan intervensi teknik relaksasi aromaterapi lavender, kemudian dilakukan evaluasi skala nyeri menggunakan Numeric Pain Scale. Hasil penelitian ini yaitu setelah diberikan intervensi menggunakan terapi relaksasi aromaterapi lavender yang disertai dengan analgesik terdapat penurunan skala nyeri pada pasien dari skala 5 menjadi 3. Kesimpulan studi kasus ini menunjukan bahwa pemberian teknik relaksasi aromaterapi lavender yang disertai analgesic mudah digunakan serta dapat menurunkan skala nyeri pada pasien post operasi open fracture calcaneus sinistra.