Sulistyorini, Cahyo Ismawati
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Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Abstract

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.
Penerapan Evidance Based Practice Therapy Music White Noise terhadap Gangguan Tidur pada Pasien Stroke Haryanti, Noviana; Agung, Rizki Nugraha; Yunitri, Ninik; Rayasari, Fitrian; Sulistyorini, Cahyo Ismawati
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14131

Abstract

ABSTRACT Stroke is a multi-complex neurological deficit disease that impacts not only the physical condition but also the psychological and social condition of stroke patients which can affect all aspects of their life. Sleep disorders are a group of conditions characterized by disturbances in the quality and quantity of a person's sleep. Sleep quality is related to sleep interruption due to frequent and repeated brief periods of nighttime wakefulness while sleep quantity is related to difficulty in initiating and maintaining sleep. This Evidance Based Nursing application aims to get an idea of the effect of white noise on sleep disorders in hospitalized stroke patients. This research is cross-sectional. The number of samples determined by the researcher, using the G*Power 3.1 application, obtained results of 5 people with 1 additional person as a respondent in preparation for the drop out of 1 person with a final total of 7 people. White noise music therapy was effective in reducing sleep disturbances in stroke patients before the intervention, the average sleep disturbance was 8.57, decreased to 4.14 after the intervention, with a significant effect of -3.91 and a p-value <0.001, even though the EBNP journal recommended therapy using Fitbit, in the field, the use of Fitbit is not recommended because it can interfere with the patient's sleep comfort with the device worn on the wrist throughout sleep. Keywords: Evidance Based Practice, White Noise Music Therapy, Sleep Disorders, Stroke Patients.  ABSTRAK Stroke merupakan penyakit defisit neurologis multi kompleks yang berdampak bukan hanya pada kondisi fisik namun juga psikologis dan sosial pasien stroke yang dapat mempengaruhi semua sendi kehidupannya. Gangguan tidur merupakan suatu kumpulan kondisi yang dicirikan dengan adanya gangguan dalam kualitas dan kuantitas tidur seseorang. Kualitas tidur terkait dengan terputusnya tidur akibat periode singkat terjaga di malam hari yang sering dan berulang sedangkan kuantitas tidur terkait dengan kesulitan untuk memulai dan mempertahankan tidur. Aplikasi Evidance Based Nursing ini bertujuan untuk mendapatkan gambaran pengaruh white noise  terhadap gangguan tidur  pasien stroke yang menjalani rawat inap.  Penelitian ini bersifat potong lintang (cross-sectional). Jumlah sampel yang ditentukan oleh peneliti, menggunakan aplikasi G*Power 3.1 dengan mendapatkan hasil 5 orang dengan 1 orang tambahan sebagai responden sebagai persiapan droop out 1 orang dengan total akhir 7 orang. Terapi musik white noise efektif dalam mengurangi gangguan tidur pasien stroke sebelum intervensi, rata-rata gangguan tidur adalah 8.57, turun menjadi 4.14 setelah intervensi, dengan efek signifikan sebesar -3.91 dan nilai p-value <0.001, meskipun jurnal EBNP merekomendasikan terapi menggunakan Fitbit, di lapangan, penggunaan Fitbit tidak disarankan karena dapat mengganggu kenyamanan tidur pasien dengan perangkat terpasang di pergelangan tangan sepanjang tidur. Kata Kunci: Evidance Based Practice Therapy Music White Noise, Gangguan Tidur, Pasien Stroke.
Comparison of the Effectiveness Lateral Position 30 Degrees and 90 Degrees on Decubitus Events in Stroke Patients Latipah, Siti; Sofiani, Yani; Yunitri, Ninik; Mulyatsih, MG Enny; Sulistyorini, Cahyo Ismawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.713

Abstract

Aims: Stroke is the second leading cause of death and disability globally, characterized by sudden neurological deficits. Pressure ulcers, caused by prolonged bed rest, can be managed non-pharmacologically through immobilization and routine tilting to prevent decubitus. To compare the effectiveness of the lateral position with an inclination of 30 and 90 degrees on the risk of decubitus in stroke patients, in this study the control group was tilted 90 degrees and the intervention group was tilted 30 degrees. Method: The sampling method is non-probability sampling with purposive sampling, a sample of 22 patients. Results: Data analysis using Reapeted Measurement Anova resulted in a value in the experimental group resulting in a sum of square value of 24.9, f value 14.3, P < 0.001, while in the control group a sum of square value of 76.5, f value 26.8, P < 0.001 was obtained, so it can be concluded that the lateral position with an inclination of 90 degrees and 30 degrees has the same effect, namely providing a significant influence on reducing the risk of decubitus. Conclusions: The study reveals that stroke patients aged 56-65 have a higher risk of pressure ulcers, with low-weight patients at higher risk. Early lateral position intervention and nutrition can significantly reduce the risk of decubitus, highlighting the importance of early wound healing.