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Effect Of Five Finger Relaxation Intervention On Fatigue In Ca Mammae Clients Probowati, Rovica; Buyu prakoso, Adi; Mei Astuti, Andriana; Aboo Bakkar, Zainie; Nur Azizah, Anisa
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/icohetech.v5i1.4244

Abstract

Background: fatigue is the most disturbing sign and symptom felt by cancer patients. As a result of fatigue, clients become too tired to engage in daily activities so that it can affect the client's quality of life. It is necessary to know the factors that have the most significant relationship with fatigue in cancer clients and appropriate nursing interventions are needed to overcome it. Objective: this study was to determine the factors that have the most significant relationship with fatigue in cancer clients and to determine the effect of five-finger relaxation technique intervention on fatigue. Method: research with pre-test and post-test design with 32 respondents with purposive sampling. Data analysis using paired t-test, wilcoxon and spearman correlation. Results: the study showed that sleep quality had a significant relationship with fatigue (p value = 0.004), and the five-finger relaxation technique had an effect on improving sleep quality and decreasing fatigue in ca mammae clients (p = 0.000). Sleep quality and fatigue have a moderate relationship (r = 0.396) and a positive pattern. Conclusion: this study recommends the need to use the five-finger relaxation technique to overcome sleep quality disorders and fatigue as symptoms and signs that are often found in cancer clients.
Analysis of chronic patient management with communication SBAR and interprofessional collaboration (IPC) Mei Astuti, Andriani; Bala Krishnan, Arvind; Probowati, Rovica; Buyu Prakoso, Adi; Firdaus, Insanul
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/bsv3va04

Abstract

The occurrence of chronic diseases is a predominant challenge in global public health. Chronic diseases have a high incidence; according to the 2021 study conducted by the Global Burden of Disease, chronic diseases such as hypertension and diabetes are included in the top five death risks in the world and are responsible for approximately 20% of global deaths. SBAR communication technique is the prioritized indicator for effective communication quality in patient safety goal (IPSG 2). Patient safety highly depends on the medical team’s action in decreasing unwanted incidence, which can be prevented by increasing effective communication through socializing SBAR communication. The purpose of this study was to analyze the effect of implementing SBAR communication in interprofessional collaboration (IPC) between doctors and nurses on patient safety. The research used a quasi-experimental method with a one-group pretest-posttest design. The respondents were 35 nurses and 35 doctor specialists according to the inclusion criteria with purposive sampling. The research instruments were SBAR communication questionnaires, with a validity value of CVI=0.87 and a reliability value of Cronbach’s Alpha=0.62. Data was analyzed using the Wilcoxon Test. The results showed a significant difference in pre-post SBAR implementation scores between doctors and nurses (p=0.04; p<0.05). The research results showed that the Mean Rank was 18.00 for both doctor specialists and nurses, indicating that socializing SBAR communication could significantly change the mean rank value.
The Effect of Mindfulness Based Cognitive Therapy (MBCT) for Optimizing Efficacy Self-Care in Cancer Patients Undergoing Treatment Rovica Probowati; Witriyani Witriyani; Andriani Mei Astuti; Veren Pinka Nabila
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.3775

Abstract

Cancer is a disease that can threaten a person's life which can occur in every cancer sufferer, apart from that cancer can also cause psychological problems such as low efficacy of patient self-care which will have an impact on treatment compliance in cancer patients.Objective: The aim of this study was to determine the effect of the MBCT intervention on whether it could increase self-care efficacy in cancer patients undergoing cancer treatment. Method: The method used in this research is an experiment with a pretest-posttest design with control group design. The research subjects were 20 people who were divided into experimental and control groups with inclusive. Data analysis used the Wilcoxon and Mann-Whitney tests. Results: The results showed an increase in self-care efficacy after administering the mindfulness-based cognitive therapy (MBCT) intervention with a self-care efficacy value of Z = -2.660 and p = 0.008. Conclusions: The research results show that mindfulness based cognitive behavior therapy (MBCT) can increase patient confidence in carrying out treatment regularly. Cancer patients who Applying MBCT in everyday life they can also feel the effects such as tense muscles becoming more comfortable, better conscious breathing begins to feel the impact on the subject's calmness, and increased ability to detect the body. Mindfulness-based cognitive therapy (MBCT) changes the behavior of each participant to be able to accept themselves in any situation, more easily adapt to changes that occur in their physical and life and establish social relationships with other people.
Pengaruh Pemberian Deep Breathing Exercise Terhadap Kualitas Tidur Pada Ibu Hamil Primigravida Di Wilayah Kerja Puskesmas Gatak Reny Kurniasari; Ikrima Rahmasari; Rovica Probowati
JPNM Jurnal Pustaka Nusantara Multidisiplin Vol. 4 No. 4 (2026): October : Jurnal Pustaka Nusantara Multidisiplin (ACCEPTED)
Publisher : SM Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59945/jpnm.v4i4.1576

Abstract

Gangguan kualitas tidur merupakan salah satu masalah yang sering dialami oleh ibu hamil primigravida akibat perubahan fisiologis dan psikologis selama kehamilan. Kualitas tidur yang buruk dapat berdampak pada kesehatan ibu maupun janin. Salah satu intervensi nonfarmakologis yang dapat dilakukan untuk membantu meningkatkan kualitas tidur adalah deep breathing exercise. Mengetahui pengaruh pemberian deep breathing exercise terhadap kualitas tidur pada ibu hamil primigravida di wilayah kerja Puskesmas Gatak. Penelitian ini menggunakan metode kuantitatif dengan desain quasi experimental menggunakan rancangan one group pretest-posttest design. Teknik sampling yang digunakan adalah total sampling. Jumlah sampel awal sebanyak 33 ibu hamil primigravida, namun 3 responden mengalami drop out, sehingga jumlah sampel yang dianalisis sebanyak 30 responden. Intervensi berupa deep breathing exercise diberikan selama 3 hari berturut-turut pada sore hari. Pengukuran kualitas tidur dilakukan menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI) sebelum pretest dan sesudah posttest intervensi. Analisis data menggunakan uji Wilcoxon Signed Rank Test. Sebelum diberikan intervensi, seluruh responden (100%) memiliki kualitas tidur dalam kategori buruk. Setelah diberikan deep breathing exercise, sebanyak 14 responden (46,7%) memiliki kualitas tidur dalam kategori baik dan 16 responden (53,3%) masih berada dalam kategori buruk. Hasil uji Wilcoxon Signed Rank Test menunjukkan nilai Z = -4,596 dengan p < 0,001, sehingga terdapat perbedaan yang signifikan antara kualitas tidur sebelum dan sesudah intervensi. Hasil effect size diperoleh nilai r = 0,84, yang menunjukkan bahwa deep breathing exercise memiliki pengaruh yang kuat terhadap peningkatan kualitas tidur pada ibu hamil primigravida.
Kepatuhan Mengkonsumsi Tablet Fe dan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Grogol Sarah Nur Safitri; Rovica Probowati; Muzaroah Ermawati
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.368

Abstract

Background: Anemia in pregnant women is a health issue that can increase the risk of complications for both mother and fetus. One preventive measure is routine consumption of iron (Fe) tablets. However, adherence remains a challenge, contributing to continued cases of anemia. Research Objective: To determine the relationship between adherence to iron tablet consumption and the incidence of anemia among pregnant women at Grogol Community Health Center, Sukoharjo Regency. Research Methodology: This study used an observational analytic quantitative design with a cross-sectional approach. The sample consisted of 104 pregnant women selected through total sampling. Adherence to iron tablet consumption was assessed using the Morisky Medication Adherence Scale (MMAS), while anemia was determined based on hemoglobin (Hb) levels. Data were analyzed using the Chi-square test. Research Results: Of the 104 respondents, 64 (61.5%) were adherent to iron tablet consumption, while 40 (38.5%) were non-adherent. Anemia was found in 78 respondents (75.0%). Anemia occurred more frequently among pregnant women who were non-adherent than among those who were adherent. The Chi-square test showed a significant relationship between adherence to iron tablet consumption and anemia (p = 0.005). Conclusion: Adherence to iron tablet consumption is significantly associated with anemia among pregnant women at Grogol Community Health Center. These findings highlight the importance of improving education and monitoring of adherence to iron tablet consumption during pregnancy.
Dukungan Emosional dan Sosial Keluarga dengan Anak Down Syndrome: Studi Fenomenologi Winta Noviyana; Totok Wahyudi; Rovica Probowati
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1219

Abstract

Pengasuhan anak dengan Down Syndrome memberikan dinamika dan tantangan psikososial yang kompleks bagi system keluarga, khususnya ibu sebagai pengasuh utama. Pemahaman mendalam mengenai proses adaptasi, dukungan keluarga, dan ketahanan pengasuhan sangat krusial dalam merancang intervensi keperawatan keluarga holistic. Penelitian kualitatif ini bertujuan untuk mengeksplorasi secara mendalam pengalaman keluarga, proses adaptasi, bentuk dukungan, serta ketahanan psikososial ibu dalam merawat anak dengan Down Syndrome. Penelitian kualitatif deskriptif fenomenologi ini melibatkan 4 partisipan 2 keluarga yang memiliki anak Down Syndrome usia 9 dan 10 tahun di kota Surakarta. Pengumpulan data melalui wawancara mendalam (in-depth interview) hingga mencapai kejenuhan data (data saturation). Transkip analisis tematik dilakukan untuk mengekstrak tema-tema utama. Analisis tematik mengahsilkan empat tema utama, yaitu: (1) Proses adaptasi keluarga yang berkembang bertahap dari reaksi emosional awal (kejutan/kebingungan) menuju penerimaan realistis dan penyesuaian peran; (2) Dukungan berkelanjutan dalam mengoktimalkan tumbuh kembang serta kemandirian anak; (3) peran sentral dalam ikatan emosional ibu sebagai pengasuh utama (Primary Caregiver); serta (4) Ketahanan psikososial ibu dalam menghadapi beban pengasuhan, hambatan komunikasi, dan syigma lingkungan sosial. Adaptasi dan ketahanan keluarga dibangun melalui interaksi emosional yang solid, strategi coping berbasis spiritual, serta stimulasi berkelanjutan. Hasil penelitian ini merekomendasikan penerapan modul intervensi berbasis Family Centered Care (FCC) dalam praktik keperawatan anak dan komunitas.
Pemberian Teknik Relaksasi Benson terhadap Intensitas Nyeri Pasien Post Operasi Kanker Payudara di RSUD Dr. Moewardi Surakarta Ilma Nur Nafi'a; Rovica Probowati; Dwi Lestari Mukti Palupi
Inovasi Kesehatan Global Vol. 3 No. 3 (2026): Agustus: Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v3i3.3353

Abstract

Postoperative pain is a major problem experienced by breast cancer patients because it can hinder recovery, reduce mobility, and affect quality of life. The Benson relaxation technique is a non-pharmacological intervention that may reduce pain intensity by inducing a relaxation response through deep breathing, concentration on specific words or phrases, and acceptance. This study aimed to determine the effect of applying the Benson relaxation technique on pain intensity in postoperative breast cancer patients at Dr. Moewardi Hospital, Surakarta. The study used a pre-experimental design with a one-group pretest-posttest approach. The population consisted of 35 respondents selected using consecutive sampling based on predetermined inclusion criteria. Pain intensity was measured using the Numeric Rating Scale (NRS), and data were analyzed using the Wilcoxon Signed-Rank Test with a significance level of 0.05. The results showed that the mean pain intensity decreased from 6.03 before the intervention to 4.20 after the intervention. The Wilcoxon Signed-Rank Test produced Z = −5.283 and p = 0.000 (p < 0.05), indicating a significant effect of the Benson relaxation technique on postoperative pain intensity. Therefore, the Benson relaxation technique is effective in reducing pain intensity and can be used as an adjunct non-pharmacological therapy in postoperative pain management.