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All Journal NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Java Nursing Journal Jurnal Pustaka Keperawatan
Kumala Dewi, Feti
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Hubungan Literasi Kesehatan Dengan Perilaku Vaksinasi Covid-19 Pada Masyarakat Di Desa Panusupan Kecamatan Rembang Kabupaten Purbalingga Anggara, Yayan Bayu; Kumala Dewi, Feti; Wahyu Ningrum, Ema
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 2 (2024): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i2.2204

Abstract

Vaccines are the most effective way to prevent infectious diseases. Vaccine hesitancy and misinformation present major barriers to achieving community coverage and immunity. Evidence-based health literacy needs to be developed as an effective strategy to encourage vaccine uptake. The aim of the study was to determine the relationship between health literacy and covid-19 vaccination behaviour in the community in Panusupan Village, Rembang Subdistrict, Purbalingga Regency. The research design was a correlation study survey with a cross sectional approach. Sample of this study were residents targeted for covid-19 vaccination in Panusupan Village, Rembang Subdistrict, Purbalingga Regency, 92 respondents using proportionate stratified random sampling technique. Research instrument used the eHealth Literacy Scale During Covid Indonesia Version questionnaire. Data analysis using the spearman-rank. Results showed spearman rank test obtained a p-value of 0.0001 ≤ α (0.05) and rho value: 0.499. The conclusion is that there is a weak relationship with a positive direction between health literacy and covid-19 vaccination behaviour in the community in Panusupan Village, Rembang District, Purbalingga Regency.
Effect of Effective Cough Education Video on Airway Clearance in Post General Anesthesia Patients Rizki Ayu W; Burhan, Asmat; Kumala Dewi, Feti
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.84

Abstract

Background: Post-anesthesia disorders, particularly respiratory conditions related to hypoxia, can rapidly lead to fatal outcomes if not promptly identified and managed. Effective coughing techniques are essential for patients to expel phlegm efficiently. Purpose: This study aimed to evaluate the effectiveness of airway clearance in patient post-general anesthesia at RSI Purwokerto after viewing cough instruction videos. Methods: A quasi-experimental design, specifically the Pretest-Posttest Control Group Design, was employed. A total of 52 respondents were selected through purposive sampling. Data on airway clearance were collected using observation sheets. The Mann-Whitney U and Wilcoxon tests were utilized for data analysis. Results: Prior to viewing the instructional videos, the average airway clearance score was 1.03; this improved to 0.42 post-intervention. In the control group, the average score improved from 1.07 to 0.73 after education. The Wilcoxon test results indicated a significant difference in airway clearance before and after the intervention in both the experimental group (p = 0.001, p < 0.05) and the control group (p = 0.003, p < 0.05). Furthermore, the Mann-Whitney U test revealed a significant difference between the experimental and control groups post-intervention (p = 0.026, p < 0.05). Conclusion: The findings demonstrate that viewing cough instruction videos significantly improve airway clearance in patients who have undergone general anesthesia. This intervention is effective in enhancing respiratory outcomes in this patient population at RSI Purwokerto.  
Efektivitas Kombinasi Aromaterapi Jahe dan Akupresur terhadap Penurunan Mual dan Muntah Pascaoperasi dengan Anestesi Spinal Vermansyah, Alvin; Novitasari, Dwi; Kumala Dewi, Feti
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 5 No 1 (2026): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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Abstract

Postoperative nausea and vomiting (PONV) are commonly experienced by patients undergoing spinal anesthesia. This condition occurs due to the activation of the vomiting center situated in the medulla oblongata, activated by inputs from the gastrointestinal tract, vestibular apparatus, and the pharmacological effects of anesthetic agents and opioids. This process involves multiple receptor pathways, including dopamine (D2), serotonin (5-HT3), muscarinic (M1), histamine (H1), neurokinin-1 (NK1), and opioid (?) receptors, which collectively regulate emetic reflexes via the Chemoreceptor Trigger Zone (CTZ). Ginger aromatherapy exerts antiemetic effects by suppressing serotonin (5-HT3) receptor activity, thereby diminishing stimulation of the vomiting center. Meanwhile, P6 acupressure influences the autonomic nervous system and promotes beta-endorphin secretion, contributing to the inhibition of nausea and vomiting reflexes. This research sought to evaluate the effectiveness of combining ginger aromatherapy with P6 acupressure in alleviating PONV. This research utilised a quasi-experimental design with a pretest–posttest control group format and included 22 respondents chosen purposively. The assessment of symptoms was carried out using “the Rhodes Index of Nausea, Vomiting, and Retching (RINVR)”. Paired t-test analysis in the intervention group revealed a score reduction from 14.18 to 6.45 (p = 0.000), whereas the control group showed a change from 13.55 to 11.00 (p = 0.001). Independent t-test results on posttest scores confirmed a significant difference between groups (p = 0.000). These findings indicate that the combined intervention is effective in reducing PONV among spinal anesthesia patients
Co-Authors Anggara, Yayan Bayu Burhan, Asmat Dwi Novitasari Rizki Ayu W Vermansyah, Alvin Wahyu Ningrum, Ema