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Penerapan Hydrogel dan Antimicrobial Dressing terhadap Penyembuhan Luka dan Sensasi Perifer pada Pasien Gangrene Pedis Karina, Grashiva Putri; Sari, Eka Afrima; Harun, Hasniatisari
Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i3.1226

Abstract

Gangrene is one of Diabetes Mellitus (DM) complication causing tissue death in wound and decreased peripheral sensation. Priority management of gangrene is through tissue reperfusion and wound care with modern dressing to enhance healing and increase periphery circulation. This research aimed to report wound healing progress and peripheral sensation gangrene in a patient who was given hydrogel and antimicrobial dressing. Research design used a descriptive case study approach. Sample involved one inpatient in West Java regional public hospital who was diagnosed with gangrene, had necrotic wounds, and poor peripheral perfusion, currently treated with modern dressing hydrogel and antimicrobial dressing. The instrument used is Bates Jensen Wound Assessment Tools (BJWAT), lowest score shows significant wound healing progress. Decreasing wound healing score using BJWAT questionnaire from 41 to 29, peripheral sensation (+), and monofilament score from 0/9 to 5/9 after the intervention. Modern dressing improved wound healing and peripheral sensation in gangrene pedis patient. Thus, it is expected to examine effectiveness of hydrogel and antimicrobial dressings on healing scores and peripheral sensation in gangrene pedis patients more extensively.  
E-Growth Monitoring System (EGMS) sebagai Upaya Penurunan Prevalensi Stunting MUKHTAR, HUSNENI; SUSANTI, HESTY; CAHYADI, WILLY ANUGRAH; RAHMAWATI, DIEN; MUTTAQIEN, TEUKU ZULKARNAIN; SUDIYONO, OOY ARIE; SUSANTO, KUSNAHADI; SETIYADI, SUTO; GERALDI, ARIK; PUJIRAHARJO, YOGA; SARI, SHEIZI PRISTA; SARI, EKA AFRIMA; YUDIARTI, DIENA
ELKOMIKA: Jurnal Teknik Energi Elektrik, Teknik Telekomunikasi, & Teknik Elektronika Vol 10, No 4: Published October 2022
Publisher : Institut Teknologi Nasional, Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26760/elkomika.v10i4.903

Abstract

ABSTRAKPemerintah Indonesia melalui Stranas Percepatan Pencegahan Anak Kerdil (stunting) 2018-2024 memprioritaskan pencegahan dan penurunan prevalensi stunting dengan menyasar berbagai penyebab langsung dan tidak langsung yang memerlukan kerjasama dan koordinasi lintas sektor di seluruh tingkatan pemerintah, swasta, dunia usaha dan masyarakat, terutama di Posyandu. EGrowth Monitoring System (EGMS) yang dirancang ini berfungsi untuk mengukur tumbuh kembang bayi dan balita, terutama mendeteksi terjadinya stunting dan gizi buruk sejak dini agar dapat dilakukan upaya perbaikan secara tepat. Implementasi produk inovasi ini menggunakan sensor ultrasonik dan load cell untuk mengukur tinggi badan dan berat badan bayi dan balita, di mana rentang error pembacaan sensor-sensor tersebut secara berturut-turut adalah 0,01 – 4,36% dan 0,00 – 1,43%.Kata kunci: stunting, e-growth monitoring system, berat badan, tinggi badan, posyandu ABSTRACTIndonesian government, through National Strategy for Preventing Child Stunting 2018-2024, prioritize both prevention and reduction of stunting prevalence by targeting the causes. It requires inter-sector coordinations between government, private companies, businesses, and citizens, especially in local clinics. E-Growth Monitoring System (EGMS) is proposed to measure the growth of infant and toddler, specifically to detect a possible stunting and bad nutrition as early as possible in order to devise an improvement effectively. The implementation of this innovation employs the use of both ultrasonic sensor and load cell to measure the body height and weight of infant and toddler. Its expected margin of error for the sensors are 0.01 – 4.36% and 0.00 – 1.43% for ultrasonic sensor and load cell, respectively.Keywords: stunting, e-growth monitoring system, weight, height, posyandu
KEYAKINAN MAHASISWA PROGRAM PROFESI NERS TERKAIT PENERAPAN EVIDENCE-BASED PRACTICE Yutantri, Savitri Kartika; Kurniawan, Titis; Sari, Eka Afrima; Harun, Hasniatisari; Nursiswati, Nursiswati
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.v17i1.2721

Abstract

Evidence-Based Practice (EBP) atau praktik berbasis bukti merupakan pendekatan proses pengambilan keputusan klinis berbasis bukti untuk mewujudkan pelayanan kesehatan yang berkualitas tinggi. Keyakinan individu terhadap EBP dapat secara langsung memengaruhi implementasi EBP. Keyakinan perawat terhadap nilai EBP sangat penting untuk dapat meningkatkan kualitas hasil layanan kesehatan penelitian ini bertujuan untuk melihat tingkat keyakinan mahasiswa program profesi ners terkait penerapan EBP. Penelitian deskriptif kuantitatif ini melibatkan 140 mahasiswa Program Profesi Ners di Universitas Padjadjaran dengan menggunakan teknik total sampling. Data dikumpulkan menggunakan Evidence-Based Practice Belief Scale yang terdiri atas empat domain, 16 item pertanyaan, dengan Cronbach alpha 0,90 dan kemudian data dianalisis secara deskriptif. Dalam keempat domain yang diteliti dalam penelitian ini, Domain dengan tingkat keyakinan terhadap kemampuan mencari sumber EBP memiliki skor yang paling rendah dan domain yang meyakini bahwa EBP itu mudah memiliki nilai yang paling tinggi. Dengan demikian, penting bagi program studi Profesi Ners untuk memperbaiki metode pembelajaran EBP lebih lanjut, terutama untuk memperbaiki domain keyakinan terhadap kemampuan mencari sumber.
Pemberdayaan Keluarga dalam Manajemen Nutrisi pada Pasien Gagal Ginjal Kronis di Garut Pratiwi, Sri Hartati; Sari, Eka Afrima; Lukman, Dede; Yosilistia, Yosilistia; Puspita, Tita; Rohayanti, Yanti; Dwi, Tia; Musawi, Husein
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 3 (2025): Volume 8 No 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i3.18357

Abstract

ABSTRAK Pasien Penyakit Ginjal Kronik harus melakukan self-management termasuk pada pengaturan nutrisi yang harus dikonsumsinya. Hal ini menyebabkan pasien PGK mengalami kebingungan dan ketakutan untuk mengkonsumsi makanan. Selain itu, Pasien PGK sering mengalami mual dan muntah akibat dari peningkatan kadar ureum dan kreatinin sehingga dapat mengurangi asupan nutrisi sesuai dengan kebutuhan. Kondisi tersebut dapat menyebabkan pasien mengalami malnutrisi yang dapat memperburuk kondisinya. Keluarga memiliki peran yang penting dalam memberikan dukungan kepada pasien PGK dalam menjalankan manajemen nutrisi. Program pengabdian kepada masyarakat ini dilakukan untuk memberdayakan keluarga dalam memberikan dukungan yang adekuat kepada pasien PGK untuk melakukan manajemen nutrisi. Program pengabdian ini dilakukan dengan memberikan edukasi kepada keluarga pasien PGK mengenai manajemen nutrisi dengan menggunakan metode ceramah dan tanya jawab serta menggunakan berbagai media edukasi. Program ini dievaluasi dengan menggunakan pre-post test. Terdapat peningkatan total skor pre-post test sebesar 29,8 % yang mengindikasikan adanya peningkatan pengetahuan keluarga mengenai manajemen nutrisi pasien PGK. Program pengabdian kepada masyarakat dengan menggunakan metode ceramah dan tanya jawab dapat meningkatkan pengetahuan keluarga dalam manajemen nutrisi pasien PGK. Tenaga kesehatan diharapkan dapat menlakukan edukasi kepada pasien dan keluarga secara berkesinambungan dan berkelanjutan terkait dengan manajemen nutrisi pada pasien PGK. Kata Kunci: Manajemen Nutrisi, Pemberdayaan Keluarga, Penyakit Ginjal Kronik  ABSTRACT Patients with chronic kidney disease (CKD) are required to perform self-management, which includes managing their nutritional intake. This causes CKD patients to experience confusion and fear of consuming food. In addition, CKD patients often experience nausea and vomiting due to increased levels of urea and creatinine, which can reduce nutritional intake according to their needs. These conditions can lead to malnutrition in patients, potentially worsening their condition. Families play a crucial role in assisting CKD patients with their nutritional management. The goal of this community service program was to enable families to effectively support CKD patients in their nutritional management. We conducted this community service program by educating families of CKD patients about nutritional management through lectures, question-and-answer sessions, and various educational media. We evaluated this program using a pre-post test. There was an increase in the total pre-post test score of 29.8%, indicating an increase in family knowledge regarding nutritional management for CKD patients. Conclusion: Community service programs using lecture and question-and-answer methods can improve family knowledge in nutritional management for CKD patients. We expect health workers to continuously and sustainably educate patients and families about nutritional management in CKD patients.  Keywords: Nutrition Management, Family Empowerment, Chronic Kidney Disease
Application of Hand Held Fan Therapy and Orthopneic Position to Reduce Dyspnea in Congestive Heart Failure (CHF) Patients: Case Report Salsabilla, Sausan Zahrah Salwa; Platini, Hesti; Sari, Eka Afrima
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63827

Abstract

Introduction: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood effectively to meet the body’s needs, resulting in decreased cardiac output. This leads to fluid accumulation in the lungs due to increased pulmonary venous pressure, which subsequently triggers pulmonary edema. Pulmonary edema causes impaired oxygen diffusion in the alveoli, resulting in dyspnea as the primary complaint in CHF patients. The main nursing problem that arises is impaired gas exchange, indicated by an increased respiratory rate, decreased oxygen saturation, and the use of accessory respiratory muscles. To help address impaired gas exchange in CHF patients, non-pharmacological therapies such as the use of a hand-held fan and the implementation of an upright sitting position (orthopnea position) can be utilized. Purpose: To evaluate the effectiveness of the hand-held fan and orthopneic position interventions in CHF patients experiencing shortness of breath. Methods: This study employed a case study approach based on observation, interviews, and medical record reviews. The interventions hand-held fan and orthopneic position were administered over three days, with each session lasting 5 minutes. Results: Following the interventions, respiratory rate decreased from 30 breaths per minute to 25 breaths per minute, and oxygen saturation increased from 95% to 98%. The patient reported feeling more relieved, comfortable during breathing, and able to sleep more easily, although occasional shortness of breath persisted. Discussion: The interventions are physiologically beneficial: the orthopneic position helps reduce venous return to the heart, thereby lowering pulmonary pressure, while hand-held fan therapy alleviates the perception of breathlessness through sensory stimulation of the face, which activates the V2 branch of the trigeminal nerve. Conclusion: The combination of hand-held fan therapy and the orthopneic position is effective in relieving dyspnea, reducing respiratory rate, and improving oxygen saturation in patients with congestive heart failure
EFFECT OF VISUAL ART AND PICO GAME ON EVIDENCE-BASED PRACTICE COMPETENCY AMONG NURSING PROFESSIONAL PROGRAMME STUDENTS Haruni, Hasniatisari; Kurniawan, Titis; Sari, Eka Afrima; Nursiswati, Nursiswati; Heliani, Yusshy Kurnia
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 10, No 1 (2025): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v20i1.656

Abstract

Introduction Most nursing students in Indonesia require specialized competency training to implement evidence-based practice (EBP) in the clinical setting. Some literature revealed that art and game-based learning methods can improve students' skills and self-efficacy on the topics studied. Therefore, this study was conducted to evaluate the application of visual art plus the PICO game in improving EBP competence in nursing students.Methods: This study used a quantitative experimental design with a pretest-posttest one-group design approach. The study was conducted on 50 students at one of the nursing education institutions in Bandung, West Java, Indonesia, with a purposive sampling technique. The visual art plus PICO game intervention was given for 25 minutes by implementing drawing activities and card games. The EBP questionnaire consisting of eight questions was used as a research instrument to obtain data on students' EBP competence at the pretest and posttest. Demographic data was analyzed by descriptive statistical analysis, and the difference in EBP competence between the pretest and posttest was analyzed by independent t-test.Results: The data analysis results showed a significant difference in students' EBP competence before and after being given the visual art plus PICO game intervention (p<0.00). The mean score of students' EBP competence increased from 38.22 in the pretest to 41.56 in the posttest. Gender, grade point average, and learning style of students also influenced the results obtained in this study.Conclusion: Visual art and PICO game interventions were effective learning methods to improve students' EBP competence. Visual art plus the PICO game can be one of the options for learning methods to improve students' EBP competence.
The Relationship between Health Literacy, Illness Perception, and Self-Management Adherence among Hemodialysis Patients in Indonesia Pratiwi, Sri Hartati; Sari, Eka Afrima; Kurniawan, Titis
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.401

Abstract

Hemodialysis patients' self-management is critical for maintaining their quality of life and minimizing complications. Patients' health literacy and perception of the disease are essential for their acceptance of the condition and treatment. However, the relationship between these variables and self-management among hemodialysis patients remains unclear. This study aims to identify the relationship between health literacy, perception of disease, and self-management among hemodialysis patients. This correlational study was cross-sectional design, with 129 hemodialysis patients consecutively recruited from a hemodialysis unit of a tertiary hospital in West Java, Indonesia. Data were collected using the Brief-Illness Perception Questionnaire (Brief-IPQ), the European Health Literacy Survey Questionnaire (HLS-EU-Q47), and the End Stage Renal Disease Adherence Questionnaire (ESRD-AQ). The data were analyzed using Pearson correlation analysis. Most of the patients had sufficient or excellent health literacy (74.4%), negative illness perception (50.4%), and low self-management practices (71.3%). Pearson’s correlation analysis revealed a positive correlation was found between health literacy and self-management practices (r = .189; ρ=0.032). Additionally, there was a negative correlation between illness perception and health literacy (r = -.27; ρ= .002) as well as between illness perception and self-management practices (r = -.762; ρ= .000). Positive illness perception and better self-management practices correlate with a higher level of health literacy. These findings highlight the importance for healthcare staff to facilitate positive illness perceptions and self-management practices, and to consider these factors as vital aspects in developing self-management education programs for ESRD patients.
Hyperthermia in a Patient with Relapse Malaria: A Case Report Mujahidah, Shafira Aulia; Sari, Eka Afrima; Pebrianti, Sandra
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/mygx4h65

Abstract

Malaria is an infectious disease that caused by Plasmodium infection in red blood cells. The main clinical manifestations that appear in malaria are fever with shivering, shaking, and sweating and weakness. This condition can cause severe hyperthermia, which is at risk of causing brain damage, seizures, or delirium. This study aims to see the characteristics of fever and implementation in patients with malaria relapse. A 41-year-old man with a history of malaria four months ago. During the first malaria, the patient experienced fever to shivering and sweating as well as muscle pain and fatigue every morning. In malaria relapse, complaints of fever and chills every morning were exacerbated by complaints of dizziness as if being hit and weakness. Laboratory examination results found Plasmodium vivax gametocyte and schizont stages. The patient received paracetamol, cefixime, dexamethasone, and DHP Frimal therapy as well as Tepid Water Sponge therapy. After three days of treatment with a combination of pharmacological therapy and tepid water sponge, there was a decrease in temperature from 38.4°C with warm extremities, sweating, headache and shivering to 37.8°C on the second day and 36.7°C on the third day with warm extremities and no shivering, no headache and more fit. The administration of a combination of pharmacological and non-pharmacological tepid water sponge therapy in patients with malaria relapse was able to reduce hyperthermia. Further researchers are expected to be able to examine more widely the effectiveness of actions to reduce hyperthermia in adult patients with malaria.
Application of Pursed-Lip Breathing in a Patient with Right-sided Pneumothorax (Pneumothorax Dextra): a Case Report Nur'aeni, Yuni; Sari, Eka Afrima; Platini, Hesti
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/px7kvw55

Abstract

Pneumothorax is a condition in which air enters the pleural cavity of the lungs, potentially disrupting the respiratory process. A common clinical manifestation is severe shortness of breath during inspiration. Pursed-lip breathing is a non-pharmacological therapy that can relax the respiratory muscles and reduce dyspnea. This study aims to examine the application of pursed-lip breathing in a patient with pneumothorax and its effect on respiratory status. Mr. X, a 70-year-old fisherman, was admitted to the hospital with complaints of severe shortness of breath and difficulty breathing. The patient was medically diagnosed with right-sided pneumothorax due to ruptured bleb, suspected to be caused by chronic active pulmonary tuberculosis. A chest tube thoracostomy (CTT) procedure had been performed. The patient had a 55-year history of smoking 1.5-2 packs of cigarettes per day. This case report employed a nursing care approach. The intervention administered was pursed-lip breathing, conducted over three days with three repetitions per session. The evaluation focused on respiratory rate, oxygen saturation, and the level of dyspnea based on the Modified Borg Scale and the Modified Medical Research Council (mMRC) Dyspnea Scale. Evaluation results showed a decrease in respiratory rate from 25 to 21 breaths per minute and an increase in oxygen saturation from 94% to 97%. Additionally, dyspnea severity decreased from a Borg score of 3 to 2 and from mMRC grade 2 to grade 1 following the intervention. Pursed-lip breathing can improve respiratory status and reduce dyspnea, suggesting its potential as a non-pharmacological therapy for patients with pneumothorax. 
Quality of Discharge Education: Chronic Diseases Patients’ Perspectives Rahmawati, Syifa Eka; Kurniawan, Titis; Sari, Eka Afrima; Trisyani, Mira; Pahria, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3257

Abstract

Readmission is a condition where a patient needs to be re-hospitalized shortly after their initial discharge. One crucial component in preventing readmission is the quality of discharge education. Objective: This study aims to describe the quality of discharge education among patients with chronic diseases Method : A quantitative descriptive study design was used. A total of 121 in patients with chronic disease from a regional general hospital in West Java were selected through consecutive sampling. Demographic and characteristic questionnaires and the Quality of Discharge Teaching Scale (QDTS) were used as instruments. It consisting of 6 paired questions with a validity value 0.98 and reliability 0.92. Descriptive statistics were applied for data analysis. Results: Chronic patients' score of content needed and content received were high (46.7 ± 11.9). This means that patients have high information needs and the information they received from nurses answer their needs. However, there are some points where it is considered that the needed information has not been fulfilled by the information received. Conclusions: Even though the quality of the provided discharge education is high, the improvement particularly in terms of information related to who and when should be contacted and information about emotion are needed.