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ANALISIS GAMBARAN DIRI PASIEN KANKER PAYUDARA DENGAN RESPON SPIRITUAL Purbaningsih, Endah Sari; Muadi, Muadi; Karlina, Nonok; Aini, Cica Fikrotuan
Edu Masda Journal Vol 6, No 2 (2022): Edu Masda Journal Volume 6 Nomor 2
Publisher : STIKes Kharisma Persada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52118/edumasda.v6i2.162

Abstract

Pengaruh Terapi Akupresur Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Uptd Puskesmas Loji Kabupaten Majalengka Al Farez, M.Fahad; Muadi, Muadi; Dwi Andhini, Citra Setyo
Jurnal Kesehatan Mahardika Vol. 12 No. 1 (2025): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v12i1.237

Abstract

Penyebab utama dari kematian dini di seluruh dunia disebut dengan Tekanan Darah Tinggi atau Hipertensi. Salah satu cara untuk mengatasi hipertensi yaitu dengan terapi Akupresur. Penelitian ini bertujuan untuk mengetahui pengaruh terapi akupresur terhadap penurunan tekanan darah tinggi pada penderita hipertensi. Penelitian ini menggunakan desain penelitian Quasi Experiment dengan Pre test – post Test Without Control dengan sampel Non Probability Sampling dengan Dengan cara Purposive Sampling, yang melibatkan 94 Lansia dengan hipertensi Tekanan darah diukur menggunakan spigmomanometer dan terapi akupresur dengan Standar Operational Procedure (SOP). Hasil Penelitian Sebelum terapi akupresur rerata tekanan darah sistolik dan diastolik sebelum terapi akupresur sebesar 156,62/103,64 mmHg sedangkan rerata tekanan darah sistolik dan diastolik  setelah terapi akupresur  146,72/97,23 mmHg, mengalami penurunan signifikan dengan mean rank tekanan darah sistolik dan diastolik berada pada angka 47,50, sementara setelah terapi, mean rank turun menjadi 0,00. Nilai p-value sebesar 0,001 < 0,05 menunjukkan bahwa perbedaan ini signifikan secara statistik, artinya Pengaruh terapi akupresur terhadap penurunan tekanan darah pada penderita hipertensi di wilayah kerja Puskesmas Loji.
Faktor Risiko Perilaku Perundungan Psikologis pada Remaja Putri Di Pondok Pesantren Ar-Ridwan Kabupaten Cirebon Muadi, Muadi
Blantika: Multidisciplinary Journal Vol. 1 No. 3 (2023): Reguler Issue
Publisher : PT. Publikasiku Academic Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57096/blantika.v1i3.33

Abstract

Prevalensi perundungan di Indonesia sebanyak (41%)  yang dialami anak laki-laki dan perempuan  yang berusia 15 tahun. Perundungan yang dilakukan yaitu perundungan secara fisik (12,8%), mengambil dan menghancurkan barang pribadi (18,7%), mengalami ancaman (10%), mengolok-olok (19,4%), pengucilan (16,7%), dan penyebaran rumor buruk (16,4%). Penelitian ini bertujuan untuk mengidentifikasi faktor risiko perilaku perundungan psikologis pada remaja putri. Penelitian ini menggunakan penelitian kuantitatif dengan desain deskritif . Sampel penelitian adalah santri putri berjumlah 73 responden, teknik pengambilan sampel purposive sampling. Instrumen yang digunakan adalah Olweus bully/victim quesitionnaire (OBVQ-R) dan kuesioner examining the prevalence and risk factors of school bullying perpetration among chinese children and adolescents. Hasil penelitian didapatkan kurang dari setengah responden (45.2%) berusia 14-16 tahun. Faktor internal berdasarkan jenis kelamin bahwa seluruh responden (100%) berjenis kelamin perempuan. Faktor internal berdasarkan tingkat pendidikan dan suku bahwa lebih dari setengah responden (60.3%) tingkat pendidikan Madrasah tsanawiyah (MTS) dan lebih dari setengah responden (58.9%) suku Jawa. Dan lebih dari setengah responden (58.9%) dalam faktor risiko perundungan psikologis dengan kategori sedang. Faktor risiko perilaku perundungan psikolgis pada remaja putri di pondok pesantren Ar-Ridwan Kabupaten Cirebon dalam kategori sedang yaitu lebih dari setengah responden (58.9%).
Penerapan Terapi Imajinasi Terbimbing dalam Mengurangi Kecemasan pada Pasien Stroke Non Hemoragik (SNH) Karlina, Nonok; Muadi, Muadi; Sari, Yulia
Jurnal Keperawatan Profesional Vol 13, No 1 (2025): Determinants of Health
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i1.11591

Abstract

Stroke non-hemoragik (SNH) terjadi akibat adanya hambatan aliran darah ke otak yang disebabkan oleh sumbatan pada pembuluh darah, sehingga mengganggu fungsi neurologis secara parsial maupun menyeluruh. Penulisan karya ilmiah ini bertujuan untuk mengkaji pemberian asuhan keperawatan pada pasien dengan masalah psikologis berupa ansietas. Metode  yang digunakan adalah studi kasus, dengan subjek satu pasien stroke non-hemoragik yang sedang menjalani perawatan di ruang stroke unit dan menunjukkan gejala ansietas. Pengumpulan data dilakukan melalui wawancara, observasi, serta peninjauan dokumentasi medis. Dalam proses keperawatan yang berlangsung selama tiga hari, pasien menunjukkan tanda-tanda kecemasan yang berkaitan dengan gangguan mobilitas pada sisi kanan tubuh. Intervensi yang diberikan untuk menangani ansietas tersebut berupa terapi imajinasi terbimbing, sebagai bentuk pendekatan keperawatan berbasis bukti (Evidence-Based Nursing). Hasil evaluasi menunjukkan bahwa setelah dilakukan terapi selama tiga hari, tingkat kecemasan pasien mengalami penurunan yang signifikan dan masalah keperwatan apat teratasi. Penerapan (EBN) yang diterapkan menunjukan hasil yang cukup baik, adanya penurunan terhadap tingkat ansietas, pasien sudah tidak cemas lagi dan pasien sudah tampak tenang.  Kesimpulannya, terapi imajinasi terbimbing efektif digunakan untuk mengurangi ansietas pada pasien stroke non hemoragik.
Pengembangan Alat Peraga Listrik Searah pada Miniatur Rumah Al Akbar, Amin; Syuwari, Hanifah Ridho; Muna, Nailul; Cholimah, Vina Nur; Maghfiroh, Adinda Haniatul; Kartika, Ika; Atika, Iva Nandya; Muadi, Muadi
Indonesian Journal of Learning and Educational Studies Vol. 1 No. 1 (2023): Indonesian Journal of Learning and Educational Studies
Publisher : Piramida Akademi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62385/ijles.v1i1.2

Abstract

This study aims to develop a teaching aid in the form of miniature houses that explains the concept of series and parallel electrical circuits. This type of research is research and development research. Research and Development is a research method used to produce products, the product produced in this research is the manufacture of learning media. This research was said to be successful if the results obtained from the questionnaire were in the range of 3.26-4.00 and 2.56-3.25 or in very good and good criteria. In the material expert assessment, an average score of 3 was obtained in the good category, while in the media expert asessment, 2.22 was obtained in the poor category. So it can be concluded that conceptually the development of learning media in the form of a miniature house is able to explain series and parallel circuits in unidirectional electricity material. However, in the terms of feasibility and aesthetics, it is necessary to revise the appearance of the props.
Asuhan Keperawatan pada Pasien dengan Syok Hipovolemik di Rumah Sakit Daerah Gunungjati Kota Cirebon Azriliyani, Raeisya; Muadi, Muadi; Zakiyah, Vivy; Afriani, Julia; Rahmawati, Yulia
Jurnal Global Ilmiah Vol. 1 No. 9 (2024): Jurnal Global Ilmiah
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/jgi.v1i9.94

Abstract

Salah satu kondisi krisis yang memerlukan tindakan segera yaitu syok. Syok hipovolemik adalah suatu kondisi kegawatdaruratan yang ditandai dengan hilangnya kemampuan intavaskuler untuk mempertahankan volume secara adekuat yang disebabkan oleh intake yang tidak adekuat, kehilangan cairan berlebih atau gabungan dari kedua kondisi tersebut. Manifestasi klinis pada syok hipovolemik diantaranya hipotensi, oliguria, takikardi, pernafasan cepat dan dangkal, gelisah dan agitasi, penurunan kognitif, kulit lembab pucat dan dingin. Tujuan dari penulisan ini adalah untuk memberikan gambaran asuhan keperawatan pada pasien dengan syok hipovolemik di ruang Instalasi Gawat Darurat Rumah Sakit Daerah Gunungjati Kota Cirebon. Metode penelitian pada kasus ini adalah study kasus deskriptif. Subjek dalam penelitian ini adalah pasien dengan syok hipovolemik di Instalasi Gawat Darurat Rumah Sakit Daerah Gunungjati Kota Cirebon. Berdasarkan pengkajian yang dilakukan pada pasien didapatkan masalah keperawatan pola nafas tidak efektif, perfusi perifer tidak efektif dan hipovolemia. Intervensi yang dilakukan selama 1 x 7 jam di ruang Instalasi Gawat Darurat dengan tujuan dan kriteria hasil masing masing diagnosa. Setelah dilakukan implementasi keperawatan penulis melakukan evaluasi. Hasil evaluasi pada diagnose pola nafas tidak efektif didapatkan masalah teratasi sebagian dengan hasil ferkuensi nafas menurun menjadi 25 x/menit. Begitupula dengan diagnosa perfusi perifer tidak efektif dan hipovolemia didapatkan masalah teratasi sebagian sesuai dengan kriteria hasil tekanan darah sistolik dan diastolic membaik 136/80 mmHg, SPO2 100% dengan Non Rebreathing Mask 10 lpm.
Implementation of Semi Fowler Position to Reduce Shortness of breath on Congestive Heart Failure (CHF) Amelia, Lia; Karlina, Nonok; Muadi, Muadi
Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i2.11587

Abstract

Patient  with congestive heart failure(CHF) often experience shortness of breath due to fluid buildup in the lungsIn the Emergency Department, shortness of breath is a primary complaint requiring prompt and appropriate treatment. Incorrect body positioning can exacerbate symptoms. The semi-Fowler's position is a simple intervention that can increase lung expansion and decrease heart workload. The purpose of this studyTo determine the effectiveness of the semi-Fowler position in reducing shortness of breath in congestive heart failure (CHF) patients in the Emergency Department. The focus of the study is highly relevant to emergency clinical conditions and contributes to nursing practice in the ER, particularly in the initial management of shortness of breath symptoms due to CHF. The study used a case study design, which is appropriate to describe the direct effects of nursing interventions on individual patients in acute conditions. The duration of the intervention (1x7 hours) and respiratory rate measurements are appropriate steps to evaluate clinical changes. The results showed a decrease in respiratory rate from 30x/minute to 24x/minute after the semi-Fowler position intervention, which indicates an improvement in respiratory conditions, indicating that the breathing pattern was partially resolved, meaning the intervention provided benefits but had not completely resolved the problem of shortness of breath. These results are in line with the physiological theory that the semi-Fowler position can reduce diaphragmatic pressure and increase lung expansion.
Application of Music Therapy to Reduce Anxiety of Non-Hemorrhagic Stroke (NHS) Patients Yulianingsih, Devi; Karlina, Nonok; Muadi, Muadi
Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i2.11592

Abstract

Ischemic stroke or non-hemorrhagic stroke (SNH) is a condition where there is a blockage of blood vessels that causes blood flow to the brain to partially or completely stop. This final scientific work aims to assess the effectiveness of music therapy in non-hemorrhagic stroke (SNH) patients with anxiety nursing problems. The method applied in the preparation of this final scientific work is a single case study method. The subject in this case study involves one client with a case of non-hemorrhagic stroke (SNH) and has an anxiety problem who is undergoing treatment. Data collection using interview techniques, observation and documentation. The nursing care process for clients is carried out for 3 days, and the results of the assessment are obtained, namely the stiff body on the left so that the patient experiences anxiety (anxiety) due to the conditions experienced. The intervention provided is the reduction of anxiety combined with the application of EBN, namely music therapy which is implemented for 15 minutes for 1 time in 3 days. Based on the evaluation results, it was found that on the third day the nursing problem of anxiety had been resolved with objective data the patient looked calm. Furthermore, it can be concluded that music therapy can reduce the level of anxiety in non-hemorrhagic stroke (SNH) patients. Music therapy interventions can be included as part of the nursing SOP or supporting therapy.
The Application of Semi-Fowler Position to Oxygen Saturation in Chronic Kidney Disease Patients Inesta, Indi; Karlina, Nonok; Muadi, Muadi
Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i2.11593

Abstract

Chronic Kidney Disease (CKD) is a decline in kidney function that occurs gradually over a long period of time and will get worse over time. One of the clinical symptoms of CKD is shortness of breath which is a lack of oxygen entering the lungs. Sem-fowler position as one of the nursing actions that can reduce shortness of breath so that oxygen intake increases and shortness of breath decreases. This study aims to analyze nursing care by giving sem-fowler position to CKD patients with nursing problems of gas exchange disorders. This research method uses a case study method conducted from January 30 - February 01, 2025. The subject in this scientific work involves 1 patient with CKD cases.  Data collection using interview techniques, observation, and physical examination. Implementation carried out for 3 consecutive days, accompanied by measurement of peripheral capillary oxygen saturation (SpO2) using a Mindray PM 60 Oxymeter. The characteristics of this case study patient are a 61-year-old female patient and experiencing end-stage CKD (Stage V). Based on the results of oxygen saturation values before application with a value of 94% and after application including the normal category with a value of 98%. The conclusion of the application of the semi-fowler position is able to increase oxygen saturation in CKD patients.
Application Of Pre And Post Conference In The Maternity Ward Wisma Tulip 4 Prof. Soerojo Hospital Magelang Muadi, Muadi; Sulistya, Ghifa Triassukma
INDOGENIUS Vol 4 No 2A (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i2A.719

Abstract

Background & Objective:   Law No.17 of 2023 defines a hospital as a health service institution that provides comprehensive personal health services, including inpatient, outpatient, and emergency care.  Method: This study used a qualitative case study method with direct observation for 10 days in the Maternity Ward Wisma Tulip 4, Prof. Soerojo Hospital Magelang, to evaluate the implementation of Pre and Post Conference and the influencing factors. Result: The findings indicated that issues remain in the implementation of pre and post conferences during patient handovers, where execution has not been optimal. The main problems identified were suboptimal implementation influenced by limited human resources and time constraints. As an improvement step, education for nurses and midwives regarding SOPs of pre and post conferences was planned, although challenges in implementation persisted. Conclusion: It is recommended that this report be utilized by the Management of Prof. Dr. Soerojo Psychiatric Hospital as an evaluation material to enhance the management function in implementing the Professional Nursing Practice Model (PNPM).
Co-Authors Afriani, Julia Aini, Cica Fikrotuan Al Akbar, Amin Al Farez, M.Fahad Anggriawan, Moch Iqbal Atika, Iva Nandya Azriliyani, Raeisya Cholimah, Vina Nur Citra Setyo Dwi Andhini Ika Kartika Inesta, Indi Kamila, Sri Karlina, Nonok Lia Amelia Lili Wahyuni Maghfiroh, Adinda Haniatul Marisa, Dewi Erna Muna, Nailul Nurhaeni, Ani Oktiany, Thia P, Endah Sari Purbaningsih, Endah Sari Rahayu, Rosalia RR. Ella Evrita Hestiandari Sari Purbaningsi, Endah Sulistya, Ghifa Triassukma Syuwari, Hanifah Ridho Yulia Rahmawati, Yulia Yulianingsih, Devi Zakiyah, Vivy