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Asuhan Keperawatan pada Klien dengan Ketidakstabilan KGD Studi Kasus Klien DM Tipe II dengan Terapi Relaksasi Otot Progresif di Ruang Mawar Merah Putih Bawah RSUD Sidoarjo Rahman, Handono Fatkhur; Permatasari, Lutfia; Dewi, Novela Eka Candra
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 5, No 1 (2024)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v5i1.8003

Abstract

Pendahuluan : Diabetes melitus merupakan sekelompok kelainan heterogen yang ditandai oleh kenaikan kadar glukosa dalam darah atau hiperglikemia. Tujuan : Mengetahui gambaran pemberian terapi relaksasi otot progresif  dalam Asuhan Keperawatan Pada Klien Dengan Ketidakstabilan Kadar Glukosa Darah ( Studi Kasus Klien Diabetes Melitus Tipe II) Dengan Terapi Relaksasi Otot Progresif Di Ruang Mawar Merah Putih Bawah Rsud Sidoarjo. Metode : metode yang digunakan adalah studi kasus dengan teknik pengumpulan data melalui wawancara, observasi, pemeriksaan fisik dan pendokumentasian pelaksanaan relaksasi otot progresif. Pelaksanaan Relaksasi Otot Progresif dilakukan selama 3 hari berturut turut dengan durasi 10 menit. Hasil : Hasil evaluasi keperawatan berdasarkan catatan perkembangan menunjukkan bahwa, setelah dilakukan terapi relaksasi otot progresif selama 3 kali pertemuan, indikator kriteria hasil tercapai sepenuhnya penurunan sering BAK, sering merasa lapar dan gula darah puasa menurun. Kesimpulan : Berdasarkan hasil evaluasi kasus yang dilakukan dapat disimpulkan bahwa penerapan relaksasi otot progresif menangani ketidakstabilan kadar glukosa darah efektif untuk digunakan karena adanya perubahan kadar glukosa darah sebelum dan sesudah terapi yaitu dari kadar glukosa darah tinggi menjadi turun.
Penerapan Teknik Relaksasi Diaphragmatic Breathing untuk Mengurangi Nyeri Post Operasi Sectio Caesarea pada Pasien dengan Indikasi Gemelli di Ruang Nifas RSUD Sidoarjo Fitri, Melinia Akhirul; Andayani, Sri Astutik; Dewi, Novela Eka Candra
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 5, No 1 (2024)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v5i1.7119

Abstract

Nyeri akut pada post operasi sectio caesarea dirasakan setelah operasi selesai, pasien mulai sadar dan efek anastesi habis maka pasien akan merasakan nyeri pada bagian tubuh yang mengalami pembedahan. Salah satu intervensi yang dapat dilakukan dalam mengatasi nyeri akut pada post sectio caesarea adalah terapi non farmakologis adalah teknik relaksasi nafas dalam, relaksasi napas adalah pernapasan abdomen (Diaphragmatic Breathing) dengan frekuensi lambat atau perlatihan, berirama, dan nyaman yang dilakukan dengan memejamkan mata. Terapi non farmakologis ini tidak memiliki efek samping. Melaksanakan penerapan teknik relaksasi nafas dalam untuk menurunkan nyeri post operasi sectio caesarea pada pasien dengan indikasi gemelli di ruang nifas RSUD Sidoarjo. Studi kasus ini menggunakan desain deskriptif dengan pendekatan asuhan keperawatan. Subjek studi kasus adalah pasien dengan keluhan nyeri post operasi sectio caesarea. Hasil studi kasus yang dilakukan pada psien dengan keluhan nyeri post operasi sectio caesarea setelah diberikan intervensi selama 3x24 jam  diketahui bahwa teknik relaksasi nafas dalam dapat menurunkan intensitas nyeri. Berdasarkan data pengkajian diatas didapatkan data keluhan utama pasien dengan keluhan nyeri post operasi sectio caesarea dan teknik relaksasi nafas dalam dapat menurunkan intensitas nyeri pada pasien post operasi sectio caesarea.
Penerapan Teknik Batuk Efektif dengan Masalah Keperawatan Bersihan Jalan Napas Tidak Efektif pada Pasien Anak dengan Bronkopneumonia di Ruang Picu RSUD Sidoarjo Hasan, Zainul; Andayani, Sri Astutik; Dewi, Novela Eka Candra
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 5, No 1 (2024)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v5i1.8345

Abstract

Latar belakang Penyakit bronkopneumonia dapat mengganggu fungsi dari saluran pernapasan pada tubuh manusia yang nantinya akan menyebabkan klien mengalami gejala batuk berdahak, sesak nafas, serta menjadi pemicu terjadinya penumpukan produksi sekret di area bronkus dan sekitar alveoli sehingga timbul masalah bersihan jalan napas tidak efektif. Tujuan dari studi ini adalah untuk mengindentifikasi Penerapan Teknik Batuk Efektif untuk Masalah Bersihan Jalan Napas Tidak Efektif pada Pasien Anak Dengan Bronkopneumonia di Ruang PICU RSUD Sidoarjo. Metode  metode yang digunakan dalam karya ilmia akhir ini menggunakan metode pemberian tekhnik batuk efektif pada pasien dengan Hasil dari evaluasi keperawatan berdasarkan catatan perkembangan menunjukkan bahwa, setelah dilakukan penerapan tekhnik batuk efektif selama 3 hari pertemuan, indicator pada kriteria hasil tercapai sepenuhnya dibuktikan dengan penurunan terhadap produksi sputum, suara napas tambahan dan rasa cemas yang dirasakan klien, serta perbaikan frekuensi napas. Kesimpulan  bahwa Penerapan Teknik Batuk Efektif untuk mengatasi masalah bersihan jalan napas pada pasien anak dengan Bronkopneumonia di Ruang PICU RSUD Sidoarjo.
Application of Active Cough Techniques in Cases of Ineffective Airway Clearance in An.Q Patients with a Diagnosis of Acute Bronchopneumonia Qaimah, Silatil; Munir, Zainal; Dewi, Novela Eka Candra
Research of Service Administration Health and Sains Healthys Vol 5, No 2 (2024): Research of Service Administration Health and Sains Healthys (Desember)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/rehat.v5i2.7412

Abstract

Background: Bronchopneumonia can disrupt the function of the respiratory tract in the human body, which will later cause clients to experience symptoms of coughing up phlegm, shortness of breath, and can trigger accumulation of secretion production in the bronchial area and around the alveoli, resulting in problems with ineffective airway clearance. Objective: of this study is to identify the application of effective cough techniques for cases of ineffective airway clearance in pediatric patients with acute bronchopneumonia in the children's room at Sidoarjo Regional Hospital. Method: the method used in this final scientific work uses a method of providing effective cough techniques to patients with Results: the nursing evaluation based on progress notes shows that, after implementing effective cough techniques for 3 days of meetings, the indicators in the outcome criteria were fully achieved as evidenced by a decrease on sputum production, additional breath sounds and anxiety felt by the client, as well as improvement in respiratory frequency. Conclusion: The application of the cough technique is effective in overcoming airway clearance problems in pediatric patients with acute bronchopneumonia in the children's room at Sidoarjo Regional Hospital.
The Influence of B-SE on the Health Behavior of Santri Islamic Boarding School Related to Dengue Fever Prevention Dewi, Novela Eka Candra; Safitri, Siti Zulfiana; Putriyana, Sofiyatul; Andini, Sulis Cahya
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 5, No 4 (2024)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v5i4.9735

Abstract

Dengue Hemorrhagic Fever (DHF) is a significant health issue in tropical regions, including Indonesia, particularly in environments like Islamic boarding schools with high population density and sanitation challenges. This study evaluates the effectiveness of Booklet-Self Education (B-SE) in improving knowledge and clean and healthy living behavior (PHBS) among students for DHF prevention. Using a quasi-experimental pretest-posttest group design, 204 female students were divided into experimental and control groups, each with 102 participants. The experimental group received B-SE-based health education. Results revealed a significant improvement in the knowledge and PHBS practices of the experimental group, with a p-value of 0.000 (p<0.05). These findings highlight the potential of B-SE as an effective educational tool for fostering PHBS and preventing DHF in boarding school settings. The study suggests that incorporating such educational media into health programs can reduce DHF prevalence and enhance public health awareness in similar environments.
Community Stigma toward Leprosy Patients Hidayat, Mukhlish; Hakim, Arif Rahman; Khalilah, Nur; Nur, Mohamad; Dewi, Novela Eka Candra; Rohman, Atiqur
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 6, No 1 (2025)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v6i1.10814

Abstract

Leprosy is a chronic disease that rarely causes death but often causes disability. This disability leads to different opinions in the community, which disrupts the social life of leprosy sufferers and the surrounding community. In this study, the researcher wanted to examine more deeply the opinions of people with leprosy. This research design uses qualitative research that focuses on a phenomenological approach. The participants taken in this study were 11 people who had criteria where the location of the participant's house was not more than 100 meters from the leprosy patient. Participants were selected through purposive sampling and data collection techniques using in-depth interviews with the main instrument, namely the researcher himself and assisted by other instruments in the form of field notes, interview guidelines and sound recording devices. The results of this study resulted in three themes: (1) Factors that influence stigma towards leprosy patients (2) Perceptions of Leprosy Patients (3) Forms of Stigma towards Leprosy Patients. Community stigma still occurs against leprosy patients, this is due to the low level of education and knowledge of the community about leprosy, so there needs to be intervention by health workers to increase community knowledge so that the stigma felt by leprosy patients can be reduced.
PENGARUH TERAPI BERMAIN MENGGUNTING DAN MENEMPEL KERTAS TERHADAP PERKEMBANGAN MOTORIK HALUS ANAK PRASEKOLAH DI TK AL-HIDAYAH CURAH KALAK KABUPATEN SITUBONDO Rochma, Prieta Lufiah Puteri; Munir, Zainal; Dewi, Novela Eka Candra; Nugroho, Setiyo Adi
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2575

Abstract

Fine motor development is a crucial aspect for preschool children, yet not all children progress at the same rate. Despite its importance, the appropriate methods for stimulating this development are not well understood. This study aims to analyze the impact of cutting and pasting play therapy on the fine motor development of preschool children at TK Al-Hidayah Curah Kalak, Situbondo Regency. This research employed a quasi-experimental design with a pretest-posttest format and no control group. The sample consisted of 40 children selected through total sampling. Data analysis was conducted using the Wilcoxon Signed Rank test to evaluate differences before and after the intervention. Before the intervention, 75% of children were classified as "Suspect" in the cutting activity, and 77.5% were classified as "Suspect" in the pasting activity. After the intervention, 85% of the children reached the "Normal" category in the cutting activity, and 90% in the pasting activity. The Wilcoxon test results showed a p-value of 0.000, indicating a significant effect of the play therapy on improving the children's fine motor skills. Cutting and pasting play therapy significantly enhanced the fine motor development of preschool children at TK Al-Hidayah Curah Kalak, Situbondo Regency.
Hubungan pola asuh orang tua dengan kejadian stunting pada balita usia 6 – 59 bulan Pangestu, Cipta Frandy; Munir, Zainal; Dewi, Novela Eka Candra
Jurnal Inovasi Kesehatan Masyarakat Vol 5 No 2 (2025): Journal of Public Health Innovation (JPHI)
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jphi.v5i2.1619

Abstract

Latar Belakang: Stunting merupakan permasalahan gizi jangka panjang yang berdampak besar terhadap tumbuh kembang anak, khususnya pada kelompok usia 6 hingga 59 bulan. Kondisi ini tidak hanya disebabkan oleh kurangnya asupan gizi, tetapi juga sangat dipengaruhi oleh pola pengasuhan orang tua. Cara orang tua mengasuh, termasuk dalam hal pemberian makan, pelayanan kesehatan, serta stimulasi tumbuh kembang anak, memainkan peran penting dalam mencegah stunting. Pola asuh yang tidak sesuai dapat menghambat pemenuhan kebutuhan dasar anak, yang pada akhirnya meningkatkan potensi terjadinya stunting. Penelitian ini dilakukan untuk menganalisis adanya keterkaitan antara pola asuh orang tua dengan kasus stunting pada balita usia 6 hingga 59 bulan.Metode: Model pendekatan yang digunakan dalam penelitian ini adalah cross-sectional. Dengan menggunakan uji statistik chi square dengan jumlah sampel sebanyak 146 responden.Hasil: Terdapat hubungan antara pola asuh orangtua dengan kejadian stunting pada balita usia 6-59 bulan di Kecamatan Paiton dengan nilai p-value 0,000 yang berarti adanya hubugan yang signifikan.Kesimpulan: Penelitian menunjukkan bahwa stunting paling banyak terjadi pada balita usia 12–24 bulan, Oleh karena itu, disarankan agar pemerintah mengadakan pelatihan rutin bagi orang tua tentang pola asuh yang positif dan praktik pemberian makan yang sesuai dengan kebutuhan gizi anak, guna menekan angka stunting sejak dini.
Pengaruh Relaksasi Napas dalam Sebagai Intervensi Non Farmakologis terhadap Penurunan Kecemasan pada Ibu Hamil Dewi, Novela Eka Candra; Jatmiko, Desinta Dwi; Fitrianingsih, Dina; Nisa', Dina Khoirun; Lestari, Dinda Dwi; Febrianti, Dini
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 6, No 3 (2025)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v6i3.12499

Abstract

The third trimester of pregnancy is often marked by heightened anxiety as mothers approach childbirth. Unmanaged anxiety may negatively affect both maternal psychological well-being and fetal health. This study aimed to evaluate the effectiveness of deep breathing relaxation in reducing anxiety among third-trimester pregnant women. A pre-experimental design with one-group pretest–posttest was applied to 24 eligible participants. The intervention consisted of deep breathing exercises conducted for two weeks, 2–3 times per week, each lasting 10–15 minutes. Anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HARS). Results revealed a decrease in mean anxiety scores from 11.12 (pretest) to 8.08 (posttest), with a mean reduction of 3.04 points. The Wilcoxon test showed a significant difference (p = 0.000, p < 0.05) between pre- and post-intervention scores. These findings confirm that deep breathing relaxation is effective in lowering anxiety during the third trimester of pregnancy. Practical implications highlight the importance of incorporating this technique into antenatal care programs, not only as a relaxation strategy but also as a structured component of maternal education and psychological support prior to delivery.
The Use of Virtual Reality to Enhance Practical Skills in Health Education Heru, Maulidiyah Junnatul Azizah; Dewi, Novela Eka Candra; Shandy, Putra Tri
International Journal of Instructional Technology Vol 2, No 2 (2023)
Publisher : Universitas Nurul Jadid Probolinggo, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ijit.v2i2.9329

Abstract

This research focuses on the use of Virtual Reality (VR) as a tool to improve students' practical skills in health education. The study aims to evaluate the effectiveness of VR in developing both technical and non-technical skills among students and to identify VR's contribution to more sustainable and flexible learning. A qualitative approach with a case study method was used, involving in-depth interviews, participatory observation, and document analysis at Nurul Jadid University in East Java. The results showed that the use of VR significantly enhanced students' technical skills, such as accuracy and speed in performing medical procedures, as well as non-technical skills like communication, decision-making, and teamwork. Additionally, VR provided more flexible and sustainable access to practice sessions, overcoming the physical and logistical limitations typically faced in health education. The implications of this study suggest that VR has great potential to be integrated into the health education curriculum, offering innovative solutions to improve learning quality and better prepare students for careers in the medical field. The study also recommends further comprehensive research to accommodate various variables, such as gender and age, to provide a more targeted basis for policy.