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Wayunah Wayunah
Universitas Bakti Tunah Husada
Education Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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EFEKTIFITAS WAKTU PERUBAHAN POSISI TIDUR TERHADAP KEJADIAN DEKUBITUS PADA PASIEN STROKE DI RUMAH SAKIT X KABUPATEN INDRAMAYU Wayunah Wayunah
JURNAL KESEHATAN INDRA HUSADA Vol 6 No 2 (2018): Juli-Desember
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.326 KB) | DOI: 10.36973/jkih.v6i2.147

Abstract

Stroke merupakan penyakit yang menyebabkan deficit neurologis, samapai terjadi penurunan kesadaran sehingga terjadi ketidakmampuan dalam mobilisasi. Perawatan pasien stroke yang lama dapat menyebabkan terjadinya dekubitus. Tindakan keperawatan untuk mencegah terjadinya dekubitus adalah dengan perubahan posisi tidur. Waktu perubahan posisi tidur yang direkomendasikan adalah setiap 2 jam. Namun tidak semua rumah sakit memberlakukannya. Tujuan penelitian adalah untuk mengetahui efektivitas perubahan posisi tidur pada pasien stroke yang mengalami penurunan kesadaran. Sampel dalam penelitian ini sebanyak 16 pasien stroke dimana terbagi menjadi 2 kelompok yaitu 8 pasien kelompok intervensi dan 8 pasien kelompok kontrol. Pada kelompok intervensi dilakukan perubahan posisi tidur setiap 2 jam, sedangkan pada kelompok kontrol setiap 4 jam sesuai dengan SOP rumah sakit. Hasil menunjukkan ada perbedaan kejadian dekubitus pada kelompok pasien yang dilakukan perubahan posisi tidur setiap 2 jam dengan kelompok pasien yang dilakukan perubahan posisi tidur setiap 4 jam (p=0,021; α = 0,05), artinya perubahan posisi tidur setiap 2 jam efektif mencegah terjadinya dekubitus. Saran ditujukan untuk rumah sakit agar menerapkan SOP perubahan posisi tidur setiap 2 jam pada semua pasien yang memiliki risiko dekubitus.
RELATIONSHIP OF ELF CARE MANAGEMENT AS AN EFFORT TO CONTROL BLOOD GLUCOSE LEVELS IN DIABETES MELLITUS PATIENTS: A LITERATURE REVIEW Wayunah Wayunah; Titin Hidayatin; Ayunda Ayunda
JURNAL KESEHATAN INDRA HUSADA Vol 8 No 2 (2020): Juli-Desember
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v8i2.270

Abstract

Pendahuluan: Diabetes Mellitus merupakan penyakit metabolikkronis yang ditandai dengan peningkatan kadar glukosa darah.Akibat peningkatan glukosa darah menyebabkan berbagai komplikasi bahkan kematian.Penyakit ini tidak dapat disembuhkan, namun dapat dikontrol, Upaya mengontrol glukosadarah pada penderita diabetes mellitus melalui perilaku self care management, yaitu dengan pengaturan pola makan (diet), aktivitas fisik/olahraga, monitoring gula darah, dan kepatuhan konsumsi obat.Sudah banyak penelitian terkait masalah ini, namun belum ada yang mereview dari hasil-hasil penelitian tersebut.Tujuan peneitian ini adalah untuk mengetahui hubungan self care management dengan kadar glukosa darah pada penderita diabetes mellitus. Metode: Penelitianini menggunakan metode systematic literature review. Artikel diambil dari Google schoolar, Portal Garuda, Repository, Directory of Open Access Journals (DOAJ),Hindawi Publhising, dan Sinta, dari tahun 2010 s.d 2020.Prosedur pencarian dan seleksi artikel menggunakan Preferred Reporting Items for Systematic Reviews & Meta-analyses (PRISMA). Hasil: Berdasarkan hasil penelitian dari 8 artikel yang dianalisis diketahui ada hubungan antara self care management dengan kadar glukosa darah. (p-value = <0,05). Kesimpulan: Self care management merupakan salah satu upaya dalam menurunkan kadar glukosa darah. Saran ditujukan untuk perawat agar memasukan intervensi diabetic self care management education sebagai upaya promotif dan preventif pada penderita DM.
Faktor-Faktor yang Berhubungan dengan Kejadian Rehospitalisasi pada Pasien Congestive Heart Failure (CHF) Ridho Kunto Prabowo; Wayunah Wayunah; Wulan Luqti Vaeli
Bima Nursing Journal Vol 4, No 1 (2022): November
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/bnj.v4i1.1026

Abstract

Pendahuluan: Pasien Congestive Heart Failure(CHF) sering mengalami kekambuhan yang membuat pasien harus dilakukan rehospitalisasi atau perawatan berulang akibat penanganan gejala yang terlambat, ada banyak faktor yang menyebabkan rehospitalisasi pada. Penelitian ini bertujuan untuk mengetahui fakor-faktor yang berhubungan dengan kejadian rehospitalisasi pada pasien Congestive Heart Failure(CHF). Metode: penelitian ini merupakan penelitian kuantitatif, dengan metode deskriptif korelatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien CHF di ruang penyakit dalam di RSUD Kabupaten Indramayu. Sampel sebanyak 27 responden, yang diambil menggunakan teknik purposive sampling. Instrumen penelitian ini menggunakan lembar observasi. Hasil: Hasil penelitian ini menunjukkan bahwa adanya faktor yang berhubungan dengan kejadian rehospitalisasi dengan α<0,05 adalah riwayat hipertensi (p-value 0,042) sedangkan faktor yang tidak berhubungan dengan kejadian rehospitalisasi pada pasien CHF adalah derajat penyakit (p-value 0,152), usia (p-value 0,440), jenis kelamin (p-value 0,191), kepatuhan minum obat (p-value 0,585). Kesimpulan: dari hasil yang didapat hanya riwayat hipertensi yang berhubungan dengan kejadian rehospitalisasi di ruang rawat inap penyakit dalam di RSUD Kabupaten Indramayu. Saran untuk para penderita hipertensi agar dapat mengontrol tekanan darahnya sehingga diharapkan tidak mengalami rehospitalisasi.
Interdialytic Exercise Reduces Fatigue in Chronic Kidney Failure Patients: Systematic Literature Review Wayunah Wayunah; Wiwin Nur Aeni; Aulia Faturrohman; Muhammad Saefulloh
HealthCare Nursing Journal Vol. 5 No. 2 (2023): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i2.3768

Abstract

Hemodialysis therapy that is carried out for a long time can cause physical stress in the form of fatigue and have an impact on the patient’s quality of life. Giving intradialytic exercise intervention is believed to reduce the level of fatigue. The purpose of this study was to determine the effect of intradialytic exercise on the level of fatigue in chronic kidney failure patients undergoing hemodialysis. This study used a systematic literature review method based on data from Google Schoolar, Garuda, Science Direct, and the Directory of Open Access Journal (DOAJ), by including key words are fatigue, chronic kidney failure, hemodialysisi, and intradialytic exercise. Article were selected through screening according to inclusion criteria, including publications within the last 10 years (2011 – 2022), original articles, Indonesian and English, descriptive analytic study types, and quasi experiments. The results show that Intradialytic exercises applied include breathing exercise, Range of Motion (ROM), slow deep breathing, Progressive Muscle Relaxation (PMR), Pursed Lip Breathing and Physical Exercise. Based on the 9 articles found that intradialytic exercise has an effect on the level of fatigue. The average p-value <0.05, the average post-test fatigue score is smaller than the pre=test, the smaller the average value fatigue score then the level of fatigue decreases. In conclusion, Intradialytic exercise affects the fatigue level of chronic kidney failure patients undergoing hemodialysis. Suggestions are given to HD nurses to be able to implement an intradialytic exercise intervention in patients undergoing hemodialysis to reduce fatigue.
Decreased Foot Sensitivity as a Predictor of Diabetic Foot Ulcers Wayunah Wayunah; Wiwin Nur Aeni; Martin Kuncoro; Muhammad Saefulloh
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.550

Abstract

Introduction: Diabetic foot ulcers are a complication that often occurs in people with diabetes mellitus. This complication begins with a decrease in foot sensitivity which leads to neuropathy, resulting in frequent trauma to the feet. Decreased foot sensitivity in the form of decreased sensation of heat, cold, and pain is a dangerous complaint because it has a very high risk of causing foot ulcers or neuropathic foot ulcers. Objective: This study aimed to determine the relationship between the level of foot sensitivity and the incidence of dibetic foot ulcers in diabetes mellitus patients. Method: The type of research is a descriptive correlation with a cross-sectional approach. The population, all DM pstients at Internal Medicine Clinic 1 and 2 Indramayu District Hospital. The sample was 48 people taken by accidental sampling. Data collection tools used observation sheets and 10 G monofilament, while data analysis techniques used the Chi-square test. Result: The research results obtained from 44 respondents showed that 22 respondents (%) experienced neuropathy. Of these, 21 (95.5%) had ulcers. Meanwhile, of the 26 respondents who did not have neuropathy, 21 (80.8%) did not have ulcers. The results of further analysis obtained a p-value of 0.000 and an OR value of 88.2. Conclusion: The conclusion from this study is that there is a relationship between the level of sensitivity and the incidence of diabetic foot ulcers. DM patients who experience neuropathy are 88.2 times more likely to develop ulcers than those who do not experience neuropathy. Suggestions are given to nurses to continue making efforts to prevent diabetic foot ulcers by checking the sensitivity of the patient's feet regularly, at least once a year.
MANAJEMEN HAUS PADA PENDERITA GAGAL GINJAL KRONIS YANG MENJALANI HEMODIALISA : A LITERATUR REVIEW Wayunah Wayunah; Adi Asariana; Anis Dasela
Medical-Surgical Journal of Nursing Research Vol. 1 No. 1 (2022): Medical-Surgical Journal of Nursing Research
Publisher : Medical-Surgical Journal of Nursing Research

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Gagal ginjal kronik merupakan penyakit dimana terjadi gangguan fungsi ginjal progresif dan irreversible. Masalah utama pasien yang menjalani hemodialisa adalah penambahan berat badan diantara dua waktu hemodialisis (Interdialytic weight gain = IDWG). Manajamen haus sangat penting dilakukan penderita GGK yang menjalankan hemodialisa untuk menurunkan rasa haus. Studi ini bertujuan untuk mengetahui manajemen haus yang paling efektif mengurangi rasa haus untuk penderita gagal ginjal kronis yang menjalani hemodialisis. Artikel diskrining sesuai kriteria inklusi dan eksklusi. Batas tahun dari 2010 s.d 2020. Kata kunci manajemen haus, gagal ginjal kronik, dan hemodialisis. Hasil penelitian 8 artikel diketahui manajemen haus berupa mengunyah permen karet, mengulum es batu, berkumur menggunakan obat kumur dan berkumur menggunakan air matang terbukti dapat menurunakan rasa haus. Namun intervensi mengulum es batu dianggap intervensi paling efektif dalam menurunkan rasa haus, baik berdasarkan derajat rasa haus maupun waktu menahan haus. Saran bagi perawat untuk dapat menerapkan salah satu intervensi manajemen haus pada penderita GGK dalam mengurangi rasa haus sehingga komplikasi dapat dicegah.
Quick of Blood Sebagai Salah Satu Faktor yang Mempengaruhi Tercapainya Adekuasi Hemodialisa Wayunah, Wayunah; Prabowo , Ridho Kunto; Fatimah , Imah; Saefulloh , Muhammad
HEALTHY BEHAVIOR JOURNAL Vol 1 No 2 (2023): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v1i2.1171

Abstract

Introduction. Hemodialysis therapy is a kidney replacement therapy that functions to remove metabolic waste resulting from kidney damage. The hemodialysis dose is adjusted to the patient's needs. One of the factors that influence the achievement of adequacy is quick blood flow (Qb). The higher the Qb, the more adequacy will be achieved, but it is not yet known how much Qb speed influences the achievement of hemodialysis adequacy. This research aims to determine the relationship between quick blood flow and hemodialysis adequacy. Method. This research uses descriptive analytical methods with a cross-sectional approach. The population in this study was 133 patients undergoing hemodialysis at the Indramayu District Hospital and a sample of 44 respondents using a purposive sampling technique. This research instrument uses an observation sheet and data is analyzed using the chi-square test. Result. The average quick of blood for patients was 270.57 ml/minute. A total of 24 (54.5%) respondents had Qb ≤ 270.57 ml/minute and 24 (54.5%) respondents achieved adequacy. The results of further analysis obtained a p-value of 0.029 (α < 0.05), meaning that there was a relationship between quick blood flow and hemodialysis adequacy in chronic kidney failure patients in the Hemodialysis Room at Indramayu District Hospital. Conclusion. Quick of blood is related to hemodialysis adequacy. Suggestions are aimed at nurses to adjust Qb according to the patient's dose, namely a minimum of 270 ml/minute so that adequacy is achieved.
Quick of Blood Sebagai Salah Satu Faktor yang Mempengaruhi Tercapainya Adekuasi Hemodialisa Wayunah, Wayunah; Prabowo , Ridho Kunto; Fatimah , Imah; Saefulloh , Muhammad
HEALTHY BEHAVIOR JOURNAL Vol. 1 No. 2 (2023): Healthy Behavior Journal
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/hbj.v1i2.1171

Abstract

Introduction. Hemodialysis therapy is a kidney replacement therapy that functions to remove metabolic waste resulting from kidney damage. The hemodialysis dose is adjusted to the patient's needs. One of the factors that influence the achievement of adequacy is quick blood flow (Qb). The higher the Qb, the more adequacy will be achieved, but it is not yet known how much Qb speed influences the achievement of hemodialysis adequacy. This research aims to determine the relationship between quick blood flow and hemodialysis adequacy. Method. This research uses descriptive analytical methods with a cross-sectional approach. The population in this study was 133 patients undergoing hemodialysis at the Indramayu District Hospital and a sample of 44 respondents using a purposive sampling technique. This research instrument uses an observation sheet and data is analyzed using the chi-square test. Result. The average quick of blood for patients was 270.57 ml/minute. A total of 24 (54.5%) respondents had Qb ? 270.57 ml/minute and 24 (54.5%) respondents achieved adequacy. The results of further analysis obtained a p-value of 0.029 (? < 0.05), meaning that there was a relationship between quick blood flow and hemodialysis adequacy in chronic kidney failure patients in the Hemodialysis Room at Indramayu District Hospital. Conclusion. Quick of blood is related to hemodialysis adequacy. Suggestions are aimed at nurses to adjust Qb according to the patient's dose, namely a minimum of 270 ml/minute so that adequacy is achieved.
PEMBERIAN KOMPRES HANGAT DI LIPATAN PAHA LEBIH EFEKTIF MENURUNKAN SUHU TUBUH ANAK YANG MENGALAMI DEMAM DIBANDINGKAN PEMBERIAN KOMPRES HANGAT DI DAHI Ratnawati, Dewi Sinta; Wayunah, Wayunah; Hidayatin, Titin
JURNAL KESEHATAN INDRA HUSADA Vol 4 No 2 (2016): Juli-Desember
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v4i2.9

Abstract

Penatalaksanaan demam dengan tindakan non farmakologis yaitu pemberian kompres hangat.Lokasi kompres hangat yaitu axilla, leher, dahi dan lipatan paha. Lokasi yang belum diketahui efektivitasnya adalah dahi dan lipatan paha.Metode penelitian menggunakan Quasi Eksperiment dengan rancangan Pretest – Posttest with Control Group. Penelitian ini berjumlah 48 responden dengan teknik Purposive Sampling. Variabel independen (Kompres Hangat) dan variabel dependen (Suhu Tubuh). Teknik analisa data menggunakan uji T-test yaitu Paired sample T-test dan uji Independent T-Test.Hasil penelitian suhu tubuh sebelum pemberian kompres di dahi 38.30oC dan pemberian kompres di lipatan paha 38.22oC. Penurunan dahi 0.25oC dan lipatan paha 0.58oC. Hasilnya ada perbedaan lokasikompres hangat dahi dan lipatan paha (P=0.000).Simpulan ada perbedaan efektivitas lokasi kompres hangat (dahi dan lipatan paha) terhadap suhu tubuh anak demam. Saran untuk tenaga kesehatan untuk menerapkan upaya penurunan suhu tubuh dengan cara kompres hangat di lokasi yang efektif menurunkan suhu tubuh.
Diabetic Foot Exercises as an Effective Effort to Reduce Blood Glucose Levels in Diabetes Patients Wayunah, Wayunah; Kenanga Purbasary, Eleni; Hardianti, Rina; Saefulloh, Muhammad
HealthCare Nursing Journal Vol. 7 No. 1 (2025): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i1.5912

Abstract

Diabetes mellitus (DM) is a global health issue with a rising prevalence. One effective intervention for managing blood glucose levels is diabetic foot exercises, which enhance blood circulation and insulin sensitivity. The purpose of this study is to determine the effect of diabetic foot exercises on blood glucose levels. This study employed a quasi-experimental design with a control group pretest-posttest approach. The sample consisted of 30 respondents divided into intervention and control groups. The intervention group performed diabetic foot exercises twice a week for four weeks. Data were analyzed using the Independent T-test. The intervention group showed a significant decrease in mean blood glucose levels, from 245.40 mg/dL to 204.93 mg/dL, with a difference of 40.47 mg/dL. Conversely, the control group experienced an increase in mean blood glucose levels, from 258.46 mg/dL to 305.80 mg/dL, with a difference of 47.34 mg/dL. Statistical analysis indicated a significant difference between the intervention and control groups, with a p-value of 0.000 (p < 0.05). Diabetic foot exercises effectively lower blood glucose levels in type 2 DM patients. This intervention can serve as an additional therapy for diabetes management, particularly for patients at risk of diabetic neuropathy. Education and widespread implementation of diabetic foot exercises are recommended as an accessible and efficient diabetes control strategy.
Co-Authors A, Iman Syarifuddin A, Saefunnuril Adi Asariana Aeni, Wiwin Nur Aneng Yuningsih Anis Dasela Anwar Huda, Syaefunnuril Asparina, Arina Aulia Faturrohman Ayunda Ayunda Bilhamdillah, Zalfa Nabilah Dewi Sinta Ratnawati Diana Sri Zustika, Diana Sri Eka Juwita Elly Nurachmah Etty Komariah Sambas, Etty Komariah Fatikhatul Jannah Fatimah , Imah Gilang Ramadhan Gustiani, Mia Ruhmiati Handayani, Eka Juwita Hardianti, Rina Hidayat, Nandita Milda Hidayatin, Titin Husnaniyah, Dedeh Ismawi, Ade Sayid Istiqomah Fauziyah Kenanga Purbasary, Eleni Kuncoro, Martin Marpatmawati, Idhfi Martin Kuncoro Muhammad Saefulloh Neneng Ratnanengsih Puspitasari Nur Aeni, Wiwin Nuraeni Nuraeni Nurhasanah, Lutfiah Rahmatunnisa, Rahmatunnisa Ramadhan, Fauzan Sebastian Ratnawati, Dewi Sinta Ridho Kunto Prabowo Sigit Mulyono Somantri, Dadang Sukma, Mentari Nurul Suprapti, Betty Wahyu Ikka Setyarini, Wahyu Ikka Wawan Rismawan, Wawan Wiwin Nur Aeni Wiwin Nuraeni, Wiwin Wulan Luqti Vaeli