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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Kesehatan JURNAL PENDIDIKAN KEPERAWATAN INDONESIA ELKOMIKA: Jurnal Teknik Energi Elektrik, Teknik Telekomunikasi, & Teknik Elektronika Jurnal Keperawatan BSI NurseLine Journal Jurnal Keperawatan Padjadjaran Media Kesehatan Politeknik Kesehatan Makassar Journal of Health Science and Prevention Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Journal of Nursing Care ComTech: Computer, Mathematics and Engineering Applications Jurnal Perawat Indonesia Media Karya Kesehatan Jurnal Riset Kesehatan Poltekkes Depkes Bandung Malahayati International Journal of Nursing and Health Science Journal of Community Empowerment for Health Indonesian Journal of Global Health research Majalah Kesehatan Indonesia Sehat Masada MAHESA : Malahayati Health Student Journal Jurnal Keperawatan BSI Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Journal of Nursing Science Update Jurnal Keperawatan 'Aisyiyah Padjadjaran Acute Care Nursing Journal (PACNJ) Jurnal Medika Nusantara Jurnal Ilmiah Kesehatan Keperawatan Nursing Case Insight Journal
Eka Afrima Sari
Fakultas Keperawatan Universitas Padjadjaran
Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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Intervensi Pursed-Lip Breathing dan Posisi High Fowler untuk Mengatasi Gejala Sesak Napas pada Pasien dengan Coronary Artery Disease: Sebuah Studi Kasus Aulia, Hannifa Dwi; Pratiwi, Sri Hartati; Sari, Eka Afrima
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.10894

Abstract

ABSTRACT Coronary artery disease (CAD) is a pathological process characterized by the accumulation of atherosclerotic plaques in the arteries, both obstructive and non-obstructive. CAD often causes chest pain and shortness of breath. However, patients with symptoms of tightness have 4 times higher mortality compared to patients without chest pain. Pursed-lip breathing intervention and a high fowler position can be done to reduce the shortness of breath experienced by CAD patients. The purpose of this study was to determine the effect of pursed-lip breathing nursing intervention and high fowler position on shortness of breath felt by patients with coronary artery disease. This research method was carried out with a case study approach that used a case about coronary artery disease with complaints of shortness of breath in one of the patient in a hospital in Indonesia.  The results of the study obtained were patients complaining of shortness of breath on a scale of 7 out of 10, respiration rate (RR) is 25 breath per minute, SpO2 value of 100% with oxygen 5L/minute, and heard ronkhi lung sounds. Thus, patients are given nursing intervention in the form of pursed-lip breathing and high fowler positions. The results obtained during the three days of treatment were shortness of breath on a scale of 2 out of 10, respiration rate is 18 breath per minute, SpO2 value of 95% without the oxygen therapy, and ronkhi sound is absent. The conclusion is that pursed-lip breathing intervention and high fowler position are effective in patients who experience shortness of breath. Therefore, pursed-lip breathing interventions and high fowler positions can be applied to patients with coronary artery disease who experience symptoms of shortness of breath. Keywords: Pursed-Lip Breathing, High Fowler, Coronary Artery Disease  ABSTRAK Penyakit arteri koroner atau coronary artery disease (CAD) atau penyakit jantung koroner (PJK) adalah proses patologis yang ditandai dengan akumulasi plak aterosklerotik di arteri, baik obstruktif maupun non-obstruktif. PJK sering kali menimbulkan  nyeri pada dada dan sesak napas. Namun, pasien dengan gejala sesak memiliki mortalitas empat kali lebih tinggi dibandingkan dengan pasien tanpa gejala sesak. Intervensi pursed-lip breathing dan posisi high fowler dapat dilakukan untuk mengurangi rasa sesak yang dialami pasien PJK. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh intervensi keperawatan pursed-lip breathing dan posisi high fowler terhadap gejala sesak yang dirasakan oleh pasien dengan penyakit jantung koroner. Penelitian ini dilakukan dengan pendekatan studi kasus yang menggunakan sebuah kasus tentang coronary artery disease dengan keluhan sesak napas pada salah satu pasien di rumah sakit yang ada di Indonesia.  Hasil pengkajian yang didapatkan yaitu pasien mengeluh sesak napas skala 7 dari 10, respiration rate (RR) 25x/menit, saturasi oksigen 100% dengan oksigen 5L/menit, dan terdengar suara ronkhi. Sehingga, pasien diberikan intervensi keperawatan berupa pursed-lip breathing dan posisi high fowler. Hasil yang didapatkan selama tiga hari perawatan, yaitu keluhan sesak napas skala 2 dari 10, respiration rate menjadi 18x/menit, saturasi oksigen 95% tanpa bantuan terapi oksigen. Intervensi pursed-lip breathing dan posisi high fowler efektif diterapkan pada pasien yang mengalami sesak napas. Maka dari itu, intervensi pursed-lip breathing dan posisi high fowler dapat diterapkan pada pasien dengan coronary artery disease yang mengalami gejala sesak napas. Kata Kunci: Pursed-Lip Breathing, High Fowler, Penyakit Jantung Koroner
Kecemasan Kematian Pada Pasien Stroke Hamjah, Apip; Praptiwi, Atlastieka; Afrima Sari, Eka
Jurnal Keperawatan 'Aisyiyah Vol. 6 No. 1 (2019): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.086 KB) | DOI: 10.33867/jka.v6i1.95

Abstract

Pengalaman memiliki penyakit stroke dan datangnya serangan stroke menyebabkan munculnya kecemasan berlebihan yang mengarah pada kecemasan kematian. Kecemasan kematian dapat memengaruhi kualitas hidup pasien pasca stroke menjadi kurang optimal. Penelitian ini bertujuan untuk mengetahui gambaran kecemasan kematian pada pasien pasca stroke. Rancangan penelitian menggunakan metode deskriptif kuantitatif melibatkan 51 pasien pasca stroke yang diambil dengan teknik consecutive sampling. Data dikumpulkan menggunakan instrumen Death Anxiety Scale (DAS) yang diadaptasi untuk pasien pasca stroke. Data dianalisis dengan statistik deskriptif (frekuensi dan persentasi). Hasil penelitian menunjukkan hampir 80% pasien pasca stroke mengalami kecemasan kematian tingkat tinggi (n=39). Umumnya lebih dari setengah responden yang mengalami kecemasan kematian tingkat tinggi memasuki lanjut usia. Berdasarkan hasil tersebut perlu dilakukan pengelolaan kecemasan kematian pada pasien pasca stroke diantaranya dengan adanya dukungan keluarga, terapi spiritualitas, konseling kelompok, SEFT (Spiritual Emotional Freedom Technique) dan pemberian pendidikan kesehatan terkait penyakit stroke.
Skill and performance to formulate evidence-based practice among nursing students: A qualitative study Carissa Muthia Putri Nugroho; Titis Kurniawan; Hasniatisari Harun; Nursiswati Nursiswati; Eka Afrima Sari
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i8.13392

Abstract

Background: The PICO framework is frequently applied to formulate question for conducting literature searching in the evidence-based practices (EBPs) development. However, students experienced challenges in fitting the clinical questions into PICO's format. In Indonesia, the EBP was mostly taught conventionally through lectures and discussions. There was no specific evaluation for assessing the accuracy of the PICO formula. Previous studies indicated that incorporating visual art in learning effectively improves students' observation skills, self-confidence, communication skills, and promotes transformational learning.Purpose: To describe the implementation of the PICO game and visual art as an EBP learning method and evaluate the accuracy of the PICO formula and the visual art created by nursing students, including their perspectives on the applied EBP learning method.Method: This descriptive study was conducted at a secondary hospital in Sumedang District, West Java-Indonesia, in July 2023. Totally 53 nursing profession program (NPP) students of a University in Indonesia were voluntarily recruited as participants. They divided into 9 groups and received a description of how to play the PICO game and visual art for developing the PICO formula question. Each group required to develop PICO questions from the PICO trigger pictures and keywords on the PICO worksheets and to draw at least one visual art illustration from the developed PICO question. At the end of those sessions, they were also required to provide opinions on this EBP learning approach. The PICO question accuracy was assessed using the PICO formula observation sheet, while the visual art compatibility was measured using the visual art observation sheet. Quantitative data were analyzed descriptively and the students’ perspectives on the EBP learning processes were analyzed by identifying the topic mostly described.Results: There were 63 PICO formulas and 18 visual art illustrations. Most of the PICO formulas (93.7%) were identified as accurate. However, more than one-third (41.3%) of the PICO formula did not include the C (comparison) component. More than half of the developed visual art illustrations (61%) were inappropriately describing the developed PICO formula. Participants reported that using PICO Games and visual art was an interesting and fun approach that enhanced their comprehension of the PICO question formula, EBP, and improved their teamwork capacity.Conclusion: The PICO game and visual art learning method facilitates high accuracy of the PICO question formula and is perceived as an effective and interesting EBP learning method. However, as the “C” (comparison) is the PICO component mostly found uncompleted, it is important to elaborate more on this issue in the EBP learning session. It is also important to extend the duration of the EBP learning method to facilitate students drawing the expected visual art appropriately. Further studies are needed to further confirm and follow up on the findings of this study.
The Effect of Progressive Muscle Relaxation for Fatigue in a Patient with Tuberculosis and Pneumonia Rahmania, Sina Sabila; Nugraha, Bambang Aditya; Sari, Eka Afrima
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.64860

Abstract

Fatigue is a common and persistent symptom in patients with tuberculosis (TB), particularly in recurrent cases and when accompanied by pneumonia. Increased systemic inflammation and reduced activity tolerance often lead to functional decline, while pharmacological treatment alone may not sufficiently address fatigue. Progressive muscle relaxation (PMR) is a non-pharmacological intervention that reduces muscle tension and stress, support physiological recovery. This study describes the effect of PMR to reduce fatigue in a patient with recurrent tuberculosis and pneumonia. This study is a case review involving a 65-year-old female patient diagnosed with pulmonary TB and pneumonia. PMR was administered over four consecutive days, with one session lasting 15–20 minutes per session. The sessions were conducted at varying times, including in the morning, afternoon, or before bedtime. Fatigue levels were measured after each session using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale. The patient showed improvement in vital signs, with blood pressure increasing from 108/65 mmHg to 116/61 mmHg, heart rate decreasing from 111 to 62 beats per minute, and the FACIT-F score improved from 12 (severe fatigue) to 36 (mild fatigue), indicating a reduction in fatigue severity. Functionally, the patient was able to walk to the bathroom independently and no longer experienced weakness or dyspnea post-activity. These findings indicate that PMR contributed to a reduction in the patient’s fatigue level. This intervention has potential as a supportive rehabilitative strategy, with adjustments in duration and frequency based on patient condition.
Self-Esteem Pasien Gagal Ginjal Kronis di Unit Hemodialisis RSUD Welas Asih Jawa Barat Chairunnisa, Afina; Komariah, Maria; Sari, Eka Afrima
Malahayati Nursing Journal Vol 8, No 2 (2026): Volume 8 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i2.24304

Abstract

ABSTRACT Patients with chronic kidney disease (CKD) undergoing hemodialysis face not only physical burdens, but also psychological, social, and spiritual challenges. One of the psychological impacts often experienced is a decline in self-esteem due to dependence on dialysis machines, changes in body image, and limitations on social activities. Low self-esteem can affect compliance with therapy and impact the patient's quality of life. This study aims to determine the level of self-esteem in CKD patients undergoing hemodialysis at Welas Asih Regional General Hospital in West Java. This study uses a quantitative descriptive design with a cross-sectional approach. The data used were secondary data from a study by lecturers at the Faculty of Nursing, Padjadjaran University, entitled “Harmony in Health: The Intersection of Natural Resources and Well-Being,” which was conducted in September–October 2024. The research instrument used was the Rosenberg Self-Esteem Scale (RSES) and was analyzed using univariate analysis. The results showed that most CKD patients undergoing hemodialysis were in the low self-esteem category (66.67%). Low self-esteem was more prevalent among female respondents, those who were married, had a secondary education, were unemployed, had undergone hemodialysis for ≥12 months, and had a history of comorbidities such as hypertension. This study indicates that low self-esteem remains a prominent psychological issue among CKD patients undergoing hemodialysis at Welas Asih Regional General Hospital in West Java. These findings emphasize the importance of addressing psychological aspects as part of nursing care, particularly in supporting patients' self-acceptance and adaptation to chronic illness. Keywords: Chronic Kidney Disease, Hemodialysis, Self-Esteem.  ABSTRAK Pasien gagal ginjal kronis (GGK) yang menjalani hemodialisis tidak hanya menghadapi beban fisik, tetapi juga tantangan psikologis, sosial, dan spiritual. Salah satu dampak psikologis yang sering dialami adalah penurunan self-esteem akibat ketergantungan pada mesin dialisis, perubahan citra tubuh, serta keterbatasan aktivitas sosial. Rendahnya self-esteem dapat memengaruhi kepatuhan terhadap terapi dan berdampak pada kualitas hidup pasien.  Penelitian ini bertujuan untuk mengetahui gambaran tingkat self-esteem pada pasien GGK yang menjalani hemodialisis di RSUD Welas Asih Jawa Barat. Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional. Data yang digunakan merupakan data sekunder dari penelitian dosen Fakultas Keperawatan Universitas Padjadjaran dengan judul “Harmony in Health: The Intersection of Natural Resources and Well-Being” yang dilaksanakan pada bulan September–Oktober 2024. Instrumen penelitian yang digunakan adalah Rosenberg Self-Esteem Scale (RSES) dan dianalisis menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa sebagian besar pasien GGK yang menjalani hemodialisis berada pada kategori self- esteem rendah (66.67%).Self-esteem rendah lebih banyak ditemukan pada responden perempuan, menikah, tingkat pendidikan menengah,tidak bekerja, yang menjalani hemodialisis ≥12 bulan, serta dengan riwayat penyakit penyerta seperti hipertensi.Penelitian ini menunjukkan bahwa self-esteem rendah masih menjadi masalah psikologis yang menonjol pada pasienGGK yang menjalani hemodialisis di RSUD Welas Asih Jawa Barat. Temuan ini menegaskan pentingnya perhatian terhadap aspek psikologis sebagai bagian dari asuhan keperawatan, khususnya dalam mendukung penerimaan diri dan adaptasi pasien terhadap penyakit kronik Kata Kunci: Gagal Ginjal Kronis, Hemodialisis, Self-Esteem.
Hubungan Frekuensi Konsumsi Kopi dengan Tingkat Konsentrasi Belajar pada Mahasiswa Fakultas Keperawatan Universitas Padjadjaran Wistara, Adli; Sari, Eka Afrima; Nugraha, Bambang Aditya
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24542

Abstract

ABSTRACT Coffee is one of the most widely consumed beverages among college students due to its caffeine content, which acts as a stimulant to the central nervous system and serves to increase alertness and cognitive function. However, excessive coffee consumption can cause side effects such as sleep disturbances and decreased cognitive performance.This study aims to determine the relationship between coffee consumption frequency and learning concentration levels among students at the Faculty of Nursing, Padjadjaran University. This study used a correlational quantitative design with proportionate stratified random sampling technique. The sample consisted of 251 students from the Faculty of Nursing, Padjadjaran University. The research instruments used were a coffee drinking habit questionnaire to measure the frequency and amount of coffee consumption, and a learning concentration instrument to measure attention during learning, with a reliability value of ≥0.80 in previous studies. Data analysis was performed univariately using frequency distribution and bivariately using the Spearman Rank test. The results showed that most respondents had a low frequency of coffee consumption and a moderate level of concentration. Bivariate analysis showed no significant relationship between the frequency of coffee consumption and the level of concentration (p=0.137; p0.05). This study concludes that the frequency of coffee consumption is not a major factor affecting students' concentration. It is recommended that further research examine other variables such as sleep quality, academic stress, learning motivation, and study habits. Keywords: Coffee Consumption Frequency, Caffeine, Learning Concentration, Nursing Students.  ABSTRAK Kopi merupakan salah satu minuman yang banyak dikonsumsi mahasiswa karena kandungan kafein yang berperan sebagai stimulan sistem saraf pusat dan berfungsi meningkatkan kewaspadaan serta fungsi kognitif. Namun, konsumsi kopi yang berlebihan dapat menimbulkan efek samping seperti gangguan tidur dan penurunan performa kognitif. Penelitian ini bertujuan untuk mengetahui hubungan frekuensi konsumsi kopi dengan tingkat konsentrasi belajar pada mahasiswa Fakultas Keperawatan Universitas Padjadjaran. Penelitian ini menggunakan desain kuantitatif korelasional dengan teknik proportionate stratified random sampling. Jumlah sampel sebanyak 251 mahasiswa Fakultas Keperawatan Universitas Padjadjaran. Instrumen penelitian ini menggunakan kuesioner kebiasaan minum kopi untuk mengukur frekuensi dan jumlah konsumsi kopi, serta instrumen konsentrasi belajar untuk mengukur perhatian saat belajar, dengan nilai reliabilitas ≥0,80 pada penelitian sebelumnya. Analisis data dilakukan secara univariat menggunakan distribusi frekuensi dan bivariat menggunakan uji Spearman Rank. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki frekuensi konsumsi kopi rendah dan tingkat konsentrasi belajar pada kategori cukup. Analisis bivariat menunjukkan tidak terdapat hubungan yang signifikan antara frekuensi konsumsi kopi dan tingkat konsentrasi belajar (p=0,137; p0,05). Penelitian ini menyimpulkan bahwa frekuensi konsumsi kopi bukan faktor utama yang mempengaruhi konsentrasi belajar mahasiswa. Disarankan penelitian selanjutnya meneliti variabel lainnya seperti kualitas tidur, stres akademik, motivasi belajar, dan kebiasaan belajar. Kata Kunci: Frekuensi Konsumsi Kopi, Kafein, Konsentrasi Belajar, Mahasiswa Keperawatan.
Co-Authors Aan Nuraeni Adinda Putri Lestari Ahmad Ihsan Fathurrizki Anggi Jamiyanti Annisa Nurbaiti Rahmah Arifin, M Z Atlastieka Praptiwi Aulia, Hannifa Dwi Bambang Aditya Nugraha Bambang Aditya Nugraha Carissa Muthia Putri Nugroho Cecep Eli Kosasih Chairunnisa, Afina Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Constantius Augusto Daila Dahlia Rojabani Dandi Trianta Barus Delia Amalia Deshita Rimadania Desri Kristina Silalahi Dien Rahmawati Diena Yudiarti Dwi, Tia E, Ermiati Ermiati Ermiati Ermiati Ermiati Fadillah, Jasmine Fasya Fatimah, Sari Filiyanti Halim GERALDI, ARIK Hamidah . Hamjah, Apip Harun, Hasniatisari Harun, Hasniatisari Hesti Platini Hesty Susanti Husneni Mukhtar Iwan Shalahuddin Karina, Grashiva Putri Kusnahadi Susanto lukman, dede Maria Komariah Maria komariah Megalita Dwika Stevani Mira Trisyani Mujahidah, Shafira Aulia Musawi, Husein Nita Fitria Nur'aeni, Yuni Nursiswati Puspita, Tita Putri Noor Kholisoh Purnama Wati Putwi Rizki Sakinah Rahayu Merdekawati Rahmania, Sina Sabila Rahmawati, Syifa Eka Ramdani Ramdani Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rohaeti, Sri Elis Rohayanti, Yanti Rojabani, Daila Dahlia Salsabilla, Sausan Zahrah Salwa Sandra Pebrianti Sandra Pebrianti Sarah Arnika Simatupang Sari, Yuyun Kartika Sastianingsih, Siska Seizi Prista Sari Setiani, Haniifah Sheizi Prista Sari Sicilia, Asha Grace Sifva Fauziah Siska Sastianingsih Sri Hartati Pratiwi SUDIYONO, OOY ARIE Sutandi, Andi Suto Setiyadi Taty Hernawaty Teuku Zulkarnain Muttaqien Titis Kurniawan Titis Kurniawan Trias Eka Nurlela Tsauroh, Salsabila Fiqrotu Tuti Pahria Urip Rahayu Wafiq Nurul Azizah Willy Anugrah Cahyadi Windiramadhan, Alvian Pristy Wistara, Adli Yoga Pujiraharjo Yosilistia, Yosilistia Yusshy Kurnia Herliani Yusshy Kurnia Herliani Yusshy Kurnia Herliani, Yusshy Kurnia Yutantri, Savitri Kartika