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INSTRUMEN PENILAIAN KUALITAS TIDUR PADA ANAK Khairun Nisa; Ika wahyuning Pertiwi; Alfonsius Ade Wirawan
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1024

Abstract

An enough sleep is necessary for physiological, emotional and mental development. The important of knowing and conducting an assessment to assess sleep quality and to find out the causes of sleep disorders so that they could provide the correct intervention according to the needs and problems experienced. The purpose of this literature review is to find out the types of questionnaires that could be used to measure the sleep quallity. The researched method used a literature studied approached with journals as sources, database search by using Scopus, Sciencedirect, and Pubmed. The Eligibility test for selected article used The Jonna Briggs Institute (JBI). The results of searched article, it was found that 5 articles that contained questionnaires that could be used to assess the sleep quality in children, they are the Children's Sleep Habits Questionnaire (CSHQ), Children's Sleep Assessment Questionnaire (CSAQ), Pittsburgh Sleep Quality Index (PSQI-T), Children's Sleep-Wake Scale (CSWS), Insomnia Severity Index (ISI), Athens Insomnia Scale (AIS), and Sleep Quality Index (SQI). It Found 8 types of questionnaires that could be used to assess sleep quality in children. This literature of study could be used to solve research problems that wanted to know more about the sleep problems in children.
CAN ACUPRESSURE THERAPY REDUCE NAUSEA AND VOMITING IN CHEMOTHERAPY PATIENTS ? (A LITERATURE REVIEW) Alfonsius Ade Wirawan; Khairun Nisa
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1028

Abstract

Nausea and vomiting is the most common side effect in chemotherapy patients. To reduce nausea and vomiting, non-pharmacological therapy can be using. Acupressure is a treatment with emphasis on certain body points to relieve symptoms of the disease. The objective of this study is to determine the effectiveness of acupressure therapy on nausea and vomiting in chemotherapy patients. The design of this research is a literature review. Articles were created according to the PRISMA method, using the PubMed, ScienceDirect, and Sage databases. The research questions used the PICO method. The inclusion criteria for this review article were cancer patients undergoing chemotherapy, focusing on adult patients, articles with quasy experimental research or RCTs, and articles published from 2012-2022. The included articles were analyzed by JBI critical assessment. 7 articles were included in this study (5 RCT articles and 2 Quasy experiment articles). 6 articles showed that acupressure therapy had an effect on nausea and vomiting of chemotherapy patients while 1 article showed that there was no statistical significance of acupressure therapy on nausea and vomiting of chemotherapy patients. The conclusion is acupressure has been shown to reduce nausea and vomiting in chemotherapy patients.
Pengaruh Edukasi Terhadap Body Image Pasien Kanker Payudara (Literature Review) Alfonsius Ade Wirawan
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1057

Abstract

Kanker payudara adalah kanker yang paling umum ditemukan di seluruh dunia, jenis kanker ini juga menjadi penyebab utama kematian akibat kanker pada wanita. Intervensi pada pasien kanker payudara dapat menimbulkan masalah body image pada pasien. Untuk mengurangi masalah body image ini, perlu dilakukan intervensi yang tepat berdasarkan evidence. Tujuan penelitian ini adalah mencari evidence untuk mengetahui efek edukasi terhadap body image pada wanita dengan kanker payudara. Desain penlitian ini adalah literature review yang disusun dengan menggunakan pedoman checklist PRISMA. Menggunakan dua database yaitu ScienceDirect dan PubMed. Dan didapatkan 9 artikel, 6 artikel RCT dan 3 artikel quasi-experimental. Hasilnya, seluruh artikel menunjukkan ada pengaruh intervensi yang diberikan terhadap body image pada wanita dengan kanker payudara. Kesimpulannya, intervensi edukasi, baik secara tatap muka langsung maupaun jarak jauh, memiliki hasil yang positif bagi body image wanita dengan kanker payudara.
Pengaruh Voice Rehabilitation Pada Pasien Kanker Laring (Literature Review) Wirawan, Alfonsius Ade; Fitriani, Fitriani
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 4 (2023): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i4.1789

Abstract

Kanker laring merupakan salah satu tipe kanker kepala dan leher. Salah satu penatalaksanaan pasien kanker laring adalah radioterapi. Akan tetapi, penatalaksanaan ini dapat menyebabkan gangguan suara pada pasien. Untuk itu, dibutuhkan manajemen terapi pasien untuk meningkatkan dan mengoptimalkan kemampuan suara pasien. Salah satunya adalah rehabilitasi suara. Tujuan studi ini adalah untuk mengetahui keefektifan voice rehabilitation pada pasien kanker laring yang telah menjalani radioterapi berdasarkan literatur terkait. Desain penelitian ini adalah literature review yang disusun menggunakan checklist PRISMA, dengan menggunakan 3 database yaitu ScienceDirect, PubMed dan Sage. Hasilnya didapatkan 9 artikel RCT yang sesuai dengan kriteria inklusi dan ekslusi. Keseluruhan artikel memberikan temuan bahwa terapi voice rehabilitation memiliki efek yang baik dalam meningkatkan kemampuan suara pasien kanker laring setelah menjalani radioterapi.
Penerapan Intervensi Progressive Muscle Relaxation (PMR) Terhadap Nyeri Pasien Kanker Payudara Usoh, Trivena Veronika; Wirawan, Alfonsius Ade; Larira, Dina Mariana
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 3 (2024): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i3.2339

Abstract

Latar Belakang: Kanker payudara merupakan tumor (benjolan ganas) yang dapat tumbuh di kelenjar susu, saluran kelenjar, dan jaringan penyangga payudara (jaringan lemak, dan jaringan ikat payudara). Pasien kanker payudara merasakan berbagai gejala, antara lain nyeri atau rasa tidak nyaman pada payudara. Salah satu teknik relaksasi sebagai terapi nonfarmakologi yang dapat mengatasi nyeri pada pasien kanker payudara adalah Progressive Muscle Relaxation (PMR). PMR merupakan terapi modalitas untuk mendapatkan sensasi rileks dengan cara menegangkan suatu kelompok otot dan menghentikan ketegangan atau merelaksasikan otot kembali. Tujuan: Mengetahui efektivitas penerapan terapi Progressive muscle relaxation terhadap tingkat nyeri pasien kanker payudara. Metode: Studi kasus dengan menerapkan intervensi PMR pada 10 pasien kanker payudara yang menjalani kemoterapi. Hasil: Masalah keperawatan yang muncul yaitu nyeri akut, kelelahan, kecemasan, pola tidur terganggu, gangguan integritas kulit, dan risiko defisit nutrisi. Intervensi keperawatan yang diberikan adalah Progressive Muscle Relaxation (PMR). Dengan hasil penelitian, dari 10 orang dengan skala nyeri pada rentang 2-3 terjadi penurunan skala nyeri pada rentang 1-2 dengan 1 pasien mengalami masalah nyeri teratasi atau nyeri berkurang dan 1 pasien tidak mengalami perubahan skala nyeri. Kesimpulan: Penerapan intervensi PMR dapat menurunkan skala nyeri pada pasien kanker payudara yang menjalani kemoterapi dengan skala nyeri ringan 2-3.
Intrumen Body Image Scale (BSI) Pada Pasien Kanker Payudara (Literature Review) Wirawan, Alfonsius Ade
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i2.1261

Abstract

Pasien kanker payudara mengalami berbagai gejala penyakit dan efek samping pengobatan, salah satunya adalah gangguan body image. Masalah body image dapat mempengaruhi kesehatan pasien bahkan dapat menurunkan kualitas hidup pasien. Karena itu butuh dilakukan pengukuran body image secara berkala dengan menggunakan instrumen yang tepat dan andal. Penelitian ini bertujuan mencari tahu kefektifan body image scale (BIS) dalam mengukur body image pasien kanker payudara. Metodologi yang digunakan dalam studi ini adalah literature review. Hasil studi ini adalah penulis menggunakan 7 artikel ilmiah yang telah diseleksi sesuai dengan kriteria inklusi dan tujuan penelitian. Keseluruhan artikel menjelaskan bahwa BIS memiliki keandalan dan validitas yang sangat baik untuk mengukur body image pasien kanker payudara.
Self Care Management pada Pasien Penyakit Kronis dengan Pendekatan Edukasi di Ruang Hemodialisa Melati RSUP. Prof. Dr. R. D. Kandou Manado Mandias, Veronica; Masi, Gresty Natalia Maria; Wirawan, Alfonsius Ade; Larira, Dina Mariana
Mapalus Nursing Science Journal Vol. 2 No. 2 (2024): Mapalus Nursing Science Journal (MNSJ)
Publisher : Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/mnsj.v2i2.55324

Abstract

ABSTRAK Latar Belakang: Penyakit kronis berpengaruh terhadap aspek fisik dan biopsikososial kehidupan individu dengan penyakit tersebut. Gagal ginjal merupakan salah satu penyakit kronis, dimana terjadi kerusakan ginjal baik struktur dan atau fungsinya yang berlangsung selama 3 bulan atau lebih. Self care management merupakan suatu upaya untuk memberdayakan pasien berpartisipasi dalam perawatan kesehatan mereka untuk mencegah komplikasi, mengontrol tanda dan gejala yang dirasakan, mengikuti program pengobatan dan meminimalkan efek penyakit dalam kehidupan mereka. Peningkatan self care dapat dilakukan dengan cara memberikan edukasi kepada pasien. Tujuan: Untuk analisis self care management pasien penyakit kronis dengan pendekatan edukasi. Metode: Studi kasus, penulis mengambil 1 orang pasien Ny. E.W., dengan diagnosa medis Penyakit Ginjal Kronis dan Diabetes Mellitus di Ruang Hemodialisa Melati Prof DR. R. D. Kandou Manado dengan intervensi berupa edukasi menggunakan media booklet dan flipchart kalender yang didalamnya terdapat manajemen penyakit ginjal kronis dan diabetes mellitus untuk meningkatkan self care. Hasil: Setelah pemberian intervensi edukasi pasien dan keluarga dapat mengetahui tentang manajemen penyakit ginjal kronis dan diabetes mellitus, pasien dapat melaporkan pantauan balance cairan dan gula darah secara mandiri di rumah dalam 3 hari. Kesimpulan: Pemberian intervensi edukasi tentang manajemen penyakit ginjal kronis dan diabetes mellitus dapat meningkatkan self care bagi pasien dan keluarga dalam perawatan sehari-hari. Kata Kunci : Edukasi ; Penyakit Kronis ; Self Care. ABSTRACT Background: Chronic diseases affect the physical and biopsychosocial aspects of the lives of individuals with these diseases. Kidney failure is a chronic disease, where there is damage to the kidneys, both structure and/or function, that lasts for 3 months or more. Self-care management is an effort to empower patients to participate in their health care to prevent complications, control perceived signs and symptoms, follow treatment programs and minimize the effects of disease on their lives. Improving self-care can be done by providing education to patients. Objective: To analyze the self-care management of chronic disease patients with an educational approach. Method: Case study, the author took 1 patient Mrs. E.W., with a medical diagnosis of Chronic Kidney Disease and Diabetes Mellitus in the Melati Hemodialysis Room Prof DR. R. D. Kandou Manado with intervention in the form of education using booklet and calendar flipchart media which includes management of chronic kidney disease and diabetes mellitus to improve self-care. Results: After providing educational interventions, patients and families can learn about the management of chronic kidney disease and diabetes mellitus, patients can report monitoring fluid balance and blood sugar independently at home within 3 days. Conclusion: Providing educational interventions regarding the management of chronic kidney disease and diabetes mellitus can improve self-care for patients and families in daily care. Keywords: Education; Chronic Diseases; Self-Care
Yoga for Myocardial Infarction Care, What’s the Recommendation? Purnamayanti, Ni Kadek Diah; Wirawan, Alfonsius Ade
Indonesian Contemporary Nursing Journal (indones.contemp.nurs.j.) Vol. 8 No. 2 (2024): Volume 8 No. 2 Februari 2024
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v8i2.32278

Abstract

Aims: There was limited evidence of yoga involvement in caring for patients with cardiac infarction. The study aims to reveal the effect of yoga in cardiac rehabilitation post-myocardial infarction. Methods: This study is a systematic review. Literature searching was conducted in October 2023 in Google Scholar, Proquest, Sage Journal, and Pubmed databases. Inclusion criteria include clinical trials in the last five years. Exclusion criteria for a single-arm intervention.  Results: Findings included six RCTs conducted in India, Poland, and the UK. Yoga interventions varied widely, with most delivered over 12 weeks, the longest extending to a one-year follow-up and the shortest provided in a single 45-minute session. Three studies assessed echocardiographic outcomes, with two reporting improved ejection fraction and one finding no significant change. Additionally, three studies demonstrated improvement in psychosocial outcomes. Conclusion: As a potentially effective strategy, Yoga is a potential therapeutic intervention for cardiac rehabilitation programs among myocardial infarction patients.
Correlation Ankle Brachial Index and Inlow’s Foot Screening Among Diabetes Patient at Tourism Area in Buleleng Udrayana, Oka; Purnamayanti, Ni Kadek Diah; Gautama, Made Satya Nugraha; Pratiwi, Luh Dea; Wirawan, Alfonsius Ade
Jurnal Kesehatan Holistic Vol. 9 No. 1 (2025): Jurnal Kesehatan Holistic Volume 9/ Nomor 1/ Januari 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v9i1.235

Abstract

Foot complications are a financial burden because treatment is comprehensive and lasts a long time. The prevalence of foot complications occurs repeatedly in every diabetes patient, so skills are needed to carry out early detection of diabetic foot complications. Early detection can be done with a non-invasive procedure using a simple technique, known as an ankle brachial index (ABI) examination. Other examination techniques are carried out comprehensively through inspection, palpation, and neurological examination using low's 60 second foot screening. This study aims to determine the relationship between ABI and Inlow's 60 second foot screening in type II diabetes mellitus patients in primary health facilities in Buleleng Regency. The design of this research was cross sectional carried out in September 2024. The population in this study were diabetes patients who were members of prolanis assisted by a community health center in Buleleng Regency. The total sample was 168 people. The research results showed a correlation between ABI examination results and Inlow's foot screening (p=<0.001). Routine diabetic foot examinations need to be carried out at primary health facilities for mapping, treatment and referral.
ACUPRESSURE THERAPY TO DECREASE BLOOD PRESSURE FOR MRS. MT WITH CORONARY ARTERY DISEASE Hanifah, Qolbu Ainun; Nurmansyah, Muhamad; Wirawan, Alfonsius Ade
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 9 No. 1 (2025): VOLUME 9 ISSUE 1 APRIL 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss1/657

Abstract

Background: The increase in cases of Coronary Artery Disease (CAD) is the highest compared to other cardiovascular diseases. Symptoms of CAD cause chest pain, increased heart rate, and increased blood pressure. Pharmacological therapy is sometimes resistant which ultimately fails to decrease blood pressure, thus introducing various non-pharmacological therapies, one of which is acupressure. The purpose of this study was to provide nursing care to CAD patients by applying acupressure to decrease blood pressure. The research method used was a case study on Mrs. MT with a descriptive approach based on caring for CAD patients. The application for acupressure was given on August 1-5 2024. The results showed significant changes in systolic and diastolic values. Acupressure is provided at points PC6, LI4, and LR3 once a day on average decrease systolic values while stabilizing diastolic values. Conclusion: Acupressure affects reducing blood pressure in CAD patients who have undergone Percutaneous Coronary Intervention (PCI).