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All Journal Journal of Midwifery and Nursing Jurnal Keperawatan Florence Nightingale Indonesian Jurnal of Nursing Sciences and Practice
Rahmania, Sarah
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Health Professions Neuroscience Nursing Public Health Social Sciences

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Effectiveness of massage therapy to reduce bilirubin levels in neonates with hyperbilirubinemia a systematic review and metaanalysis Natashia, Dhea; Rahmania, Sarah; Yulianti, Dian Anggur; Laily, Dayang; Istinganah, Istinganah; Humairah, Faradila
Journal of Midwifery and Nursing Vol. 6 No. 1 (2024): January: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v6i1.4800

Abstract

Hyperbilirubinemia in neonates is often a health problem that can cause serious complications such as encephalopathy, kernicterus, and even death if not treated properly. Currently, treatments focus on phototherapy, which despite its positive impact, also has the potential to cause negative effects such as diarrhea, dehydration, skin rash, blue baby syndrome, and skin darkening. Massage therapy is emerging as a potential intervention to reduce the need for phototherapy and lower bilirubin levels. Although massage therapy shows a positive impact, it has not been proven to be fully effective in lowering bilirubin levels in neonates with hyperbilirubinemia. The aim of this systematic review is to assess the effectiveness of massage therapy on reducing bilirubin levels in neonates with hyperbilirubinemia. In this review, 127 articles were selected, and the results showed that massage therapy was effective in reducing bilirubin levels in neonates. In conclusion, massage therapy can be implemented in health services as an effective approach to treat hyperbilirubinemia in neonates.
Efektivitas Aromatherapy terhadap Kecemasan pada Pasien Hemodialisa di Unit Hemodialisa – A Systematic Review and Meta-Analysis Hazrina, Fira Awanis; Rahmania, Sarah; Afriza, Wicke; Humairah, Faradila; Pakpahan, Risdo
Indonesian Journal of Nursing Sciences and Practice Vol 6, No 2 (2023)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v6i2.39-48

Abstract

Latar Belakang. Pasien hemodialisis dengan gejala kecemasan yang parah memiliki risiko kematian, rawat inap, atau memerlukan dialisis enam puluh persen lebih tinggi dibandingkan dengan pasien tanpa kecemasan. Kecemasan dapat menyebabkan masalah terkait kepatuhan dialisis seperti melewatkan pengobatan HD dan durasi sesi HD yang lebih pendek.Tujuan. Meta-analisis ini bertujuan untuk merangkum dan mensintesis efektivitas aromaterapi terhadap kecemasan pada pasien hemodialisis.Metode. Metaanalisis dilakukan. Basis data yang diakses antara lain PubMed, Science Direct, Proquest dari awal hingga akhir tanggal 21 Mei 2024. Penelitian ini mengikuti item pelaporan pilihan untuk Tinjauan Sistematis dan Pedoman Meta-Analyses (PRISMA). Analisis data dilakukan dengan menggunakan meta-analisis Jamovi dengan menggunakan model random effect dengan menggunakan hedges.Hasil. Nilai dari 4 studi yang disertakan dalam penelitian ini diperoleh effect size yang relatif kecil (Hedges' g = -1,26 (95% CI = -0,24 – (-0,08)) dengan heterogenitas dalam kategori tinggi (I² = 93,51%; Q 33,96; P < 0,001). Selanjutnya subjek yang paling sedikit dicoba untuk tidak diikutsertakan dalam analisis dan diperoleh hasil nilai yang sangat berbeda dengan yang lainnya, nilai Hedges' g (Hedges' g = -0,78 (95% CI = -1,63 – 0,08) dengan heterogenitas dalam kategori tinggi (I² = 87,17%; Q 15,68; P < 0,001), berarti terdapat selisih sebesar -0,48 pada kedua effect size tersebut. Dari kedua hasil analisa tersebut menunjukkan bahwa pemberian aromaterapi efektif dalam menurunkan kecemasan pada pasien hemodialisis.Kesimpulan. Adanya pengaruh pemberian aromaterapi terhadap penurunan kecemasan dan nyeri pada pasien yang menjalani hemodialisis. Penelitian yang disertakan memiliki heterogenitas yang tinggi, sehingga dapat diterapkan ke dalam intervensi yang menyebabkan kematian dalam menurunkan kecemasan pada pasien yang dilakukan hemodialisis.Implikasi Klinis. Meta-analisis ini memberikan bukti bahwa aromaterapi efektif dalam penurunan kecemasan dan nyeri pada pasien yang menjalani hemodialisis. Perawat dan profesional kesehatan lainnya dapat membuat rekomendasi untuk pasien yang sedang menjalani hemodialisis berdasarkan penelitian ini dalam mengurangi kecemasan dan nyeri.Kata Kunci. hemodialisis, kecemasan, aromaterapi
Aplikasi Teori Model Colcaba Dalam Pemenuhan Kebutuhan Rasa Nyaman Pada Neonatus Dengan Atresia Duodenum Nurhayati; Rahmania, Sarah; Laily, Dayang; Yulianti, Dian Anggur; Purwati, Nyimas Heny
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.232

Abstract

This research aims to analyze the application of Kolcaba Model Theory in meeting the needs of comfort in neonates with duodenal atresia. This research is a qualitative research with a case study approach on two neonates treated in the neonatal intensive care unit (NICU). Data were collected through direct observation, in-depth interviews with nurses and parents, and analysis of medical documents of two neonates as samples. The results showed that neonates' physical comfort was partially achieved with stable body temperature, although there were still problems with vital signs and skin condition, which required improvement in pain management and skin care. Environmental comfort was successfully maintained by keeping the baby's body temperature stable, although there were challenges in the room temperature which tended to be cold. These findings emphasize that nursing interventions based on Kolcaba Model Theory need to focus on improving pain management and skin care for physical comfort. The implementation of Kolcaba Model Theory in the care of neonates with duodenal atresia can improve the quality of nursing care in the NICU.
Aplikasi Teori Model Colcaba Dalam Pemenuhan Kebutuhan Rasa Nyaman Pada Neonatus Dengan Atresia Duodenum Nurhayati; Rahmania, Sarah; Laily, Dayang; Yulianti, Dian Anggur; Purwati, Nyimas Heny
Jurnal Keperawatan Florence Nightingale Vol 7 No 2 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v7i2.232

Abstract

This research aims to analyze the application of Kolcaba Model Theory in meeting the needs of comfort in neonates with duodenal atresia. This research is a qualitative research with a case study approach on two neonates treated in the neonatal intensive care unit (NICU). Data were collected through direct observation, in-depth interviews with nurses and parents, and analysis of medical documents of two neonates as samples. The results showed that neonates' physical comfort was partially achieved with stable body temperature, although there were still problems with vital signs and skin condition, which required improvement in pain management and skin care. Environmental comfort was successfully maintained by keeping the baby's body temperature stable, although there were challenges in the room temperature which tended to be cold. These findings emphasize that nursing interventions based on Kolcaba Model Theory need to focus on improving pain management and skin care for physical comfort. The implementation of Kolcaba Model Theory in the care of neonates with duodenal atresia can improve the quality of nursing care in the NICU.
Co-Authors Afriza, Wicke Hazrina, Fira Awanis Humairah, Faradila Istinganah Istinganah Laily, Dayang Natashia, Dhea Nurhayati Pakpahan, Risdo Purwati, Nyimas Heny Yulianti, Dian Anggur