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Nursing Care for Hydronephrosis Patients Through Deep Breathing Relaxation Techniques Implementation to Reduce Pain: A Case Report Miftah Salsabila; Muhamad Zulfatul A'la; Murtaqib; Yudho Tri Handoko
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.321

Abstract

Hydronephrosis occurs due to a disorder in the urinary tract that causes the flow of urine from the urinary tract to be obstructed, causing the dilation of the channels in the kidneys. The main symptoms that hydronephrosis patients commonly feel are pain in the lower back, nausea, and fatigue. Deep breath relaxation therapy, as a non-pharmacological therapy, has the effect of reducing pain. This study aims to determine the effect of deep breath relaxation techniques in patients with hydronephrosis and pain complaints. The method used in this study was a case study of one patient who was given an intervention for three days. The pain intensity scale was measured using the Numeric Rating Scale (NRS). This study showed a significant reduction in pain intensity in hydronephrosis patients from a scale of 6 to a scale of 3, where the deep breath relaxation technique intervention was given for three consecutive days for three sets per day in patients. Based on the results of the study, the researcher suggests the use of deep breath relaxation techniques as a non-pharmacological therapy in hydronephrosis patients with pain complaints in clinical practice, which can be provided by health workers, especially nurses or as patient-independent therapy because deep breath relaxation techniques are easy to do therapy and do not require additional tools and materials to do so.
Nursing Care for Dengue Hemorrhagic Fever Patients with Deep Breath Relaxation Intervention to Reduce Pain Tita Saskia Asmoro; Muhamad Zulfatul A'la; Mulia Hakam; Heri Siswanto
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.322

Abstract

Dengue fever or hemorrhagic fever is an acute infectious disease that can be transmitted by the Aedes aegypti mosquito. The virus carried by the Aedes aegypti mosquito will attack cells in the liver, disrupting liver function and causing swelling and bleeding. Symptoms that can occur are high fever, muscle and joint pain, and rash. One of the nonpharmacological therapies is deep breath relaxation therapy to reduce pain. This study aims to analyze deep breath relaxation techniques to reduce pain. This research design used a case report approach.   The pain can decrease after being given deep breath relaxation therapy for 3 days. On the first day, on a scale of 7, it decreased to a scale of 2 on the third day of hospitalization. Applying deep breath relaxation techniques can help reduce pain intensity by relaxing skeletal muscles that experience spasms due to increased prostaglandins, so that vasodilation of blood vessels will increase blood flow that is spasmed and ischemic. This technique can help a person or patient control themselves when feeling emotional discomfort, physical stress, or pain. Deep breath relaxation techniques can be given to patients who experience pain as a nonpharmacological therapy. The application of this relaxation technique is proven to reduce pain intensity.
The Impact of Early Marriage: a Literature Review Evita Rohmaniah; Iis Rahmawati; Muhamad Zulfatul A'la
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42841

Abstract

Early marriage is not a new phenomenon that occurs in Indonesia or in other countries. The Statistics Center noted that the incidence or prevalence of early marriage is higher in rural areas with a figure of 27.11% compared to urban areas at 17.09%. The purpose of the study was to analyze the impact of early marriage in Indonesia, so as to obtain strategies and recommendations that have the potential to create positive changes in handling problems that lead to negative impacts on adolescents who marry at an early age. This research method uses Literature Review. The literature search process carried out in this literature review uses the database used in the article in the search for articles in the form of Google Scholar, Pubmed, and scient direct with a publication year range of 2018-2023. The search was carried out using several keywords "Early marriage", "impact", AND "Teenege Girl". The findings of 10 journals show that the significant impact of early marriage on reproductive health in women and the risk of dying during childbirth. 10 articles have been identified related to the impact of early marriage on adolescent girls that have an impact on reproductive health, psychology and physical health. The conclusion is that the impact of early marriage on young women results in reproductive health problems in women, physical, psychological, and psychosocial health. In addition, mental readiness at a young age in facing something new as a mother and wife, requires mental readiness and mature thinking to make a decision to marry at a young age. From the many impacts that occur in young women's marriage, the government has issued a new rule for the maximum age of marriage at 19 years. Early marriage can occur in young women due to various factors, namely, education, economic, and cultural/customary factors.
Disaster Literacy Among Nurses in the Risk of Disaster Areas: A Literature Review Muhamad Hasan Basri; Muhamad Zulfatul A’la; Tantut Susanto
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43619

Abstract

Literasi bencana memegang peran penting dalam fase kesiapsiagaan, respons dan fase pemulihan bencana, terutama bagi perawat yang bekerja di daerah rawan bencana. Perawat memiliki peran yang sangat krusial dalam menangani situasi darurat bencana, sehingga diperlukan peningkatan literasi kebencanaan melalui pendidikan, pelatihan, dan dukungan sosial yang sitematis guna meningkatkan kesiapan mereka dalam menghadapi kondisi darurat di wilayah dengan risiko tinggi bencana. Studi literatur ini dilakukan untuk meninjau berbagai penelitian yang membahas tentang literasi bencana pada perawat di daerah rawan bencana. Sumber data diperoleh dari berbagai database pencarian seperti PubMed, Scopus, Google Scholar, ScienceDirect, dengan artikel penelitian yang dipublikasikan antara tahun 2019 hingga 2025. Kata kunci yang digunakan mencakup "Disaster Literacy", "Nursing Education", "Disaster Preparedness", dan "Emergency Nurses", “Disaster Prone Areas”. Literasi bencana pada perawat mencakup dimensi dan strategi kebencanaan. Dimensi utama kebencanaan meliputi pengetahuan teknis, keterampilan psikososial, kepemimpinan, dan kesiapan fisik serta mental. Sementara itu, strategi utama yang efektif dalam meningkatkan literasi kebencanaan pada perawat meliputi pendidikan bencana dalam kurikulum keperawatan, pelatihan berbasis simulasi, dan dukungan sosial yang berfokus pada peningkatan ketahanan psikologis dan efikasi diri. Namun tingkat kesiapsiagaan bencana pada perawat di daerah rawan bencana masih tergolong sedang. Lebih lanjut pelatihan yang memadai serta pengalaman langsung dalam merespon bencana terbukti mampu meningkatkan kompetensi perawat secara signifikan dalam menghadapi situasi kebencanaan. Pendekatan multidimensi dalam meningkatkan literasi bencana pada perawat di daerah rawan bencana sangat diperlukan. Pendidikan formal, pelatihan berkelanjutan, serta dukungan sosial harus menjadi bagian dari kebijakan dan praktik keperawatan bencana. Dengan literasi bencana yang lebih baik, perawat dapat memberikan respons yang lebih cepat dan efektif dalam situasi darurat, baik dalam skala lokal maupun internasional.
Predicting Mortality and ICU Admission in Trauma: An Emergency Nursing Comparison of NEWS, RTS, and MREMS Yunanto, Rismawan; Maysaroh, Salma; Setioputro, Baskoro; Haristiani, Ruris; 'Ala, Muhamad Zulfatul
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.13037

Abstract

Trauma is a global health problem, which is a serious issue, claiming around 8% of all lives lost. Proper treatment is crucial, and accurate assessment is key. Coming hotfooting out of nowhere or being involved in a sudden accident are two of the most common causes.  Many methods have been established for the determination of trauma and for the guidance of treatment. This study attempted to compare the performance of NEWS, MREMS, and RTS in predicting death and ICU admission among trauma patients in Indonesia. This cross-sectional design analyzed 90 trauma patients admitted to the hospital in 2024. Patients aged ≥ 16 years with complete medical records were included. The instruments used to predict mortality and ICU admission were NEWS (National Early Warning Score), RTS (Revised Trauma Score), and MREMS. The analysis was conducted by comparing the predictive performance using AUCROC with the optimal threshold value by the Youden index. The Odds Ratio (OR) value was also determined. The analysis of this study was conducted using SPSS version 29. Interpretation results with p < 0.05 were considered significant. The results of this study analysis showed that the three scoring systems (NEWS, RTS, and MREMS) had excellent discriminatory ability to predict mortality (AUCROC ≥ 0.95, p < 0.001), with NEWS achieving the highest performance (AUCROC 0.979, sensitivity 0.966, specificity 0.883) compared to other instruments. In the ICU admission variable, the predictive performance results were lower, but NEWS still had a better value (AUCROC 0.816) compared to the others. This analysis concludes that the three instruments have acceptable discriminative power. NEWS is a superior instrument, as evidenced by better descriptive results for sensitivity and specificity in predicting trauma mortality and ICU admission. This finding further validates the usability of NEWS as an effective triage tool for predicting early risk of mortality and ICU admission in trauma patients.
Effectiveness of Implementing a Reminder Control Information System Using the SKEDit Program for Diarrhea Patients: Efektifitas Penerapan Sistem Informasi Reminder Control Menggunakan Program SKEDit Pada Pasien Diare Muhamad Hasan Basri; Agus Meriroja; Muhamad Zulfatul A’la; Dodi Wijaya
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 3 No. 1 (2025): May 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v3i1.278

Abstract

Diarrhea is one of the main causes of death in the world. Environmental cleanliness, sanitation and access to clean water are still factors that trigger diarrhea, especially in developing countries such as Indonesia. Diarrhea can attack anyone at any time, both adults and children. This Community Service aims to determine the effectiveness of using the control reminder information system for diarrhea patients in increasing repeat visits at the Mayang Community Health Center. The implementation method is carried out by providing health education by providing information about diarrhea through posters, sending health education videos and Control message reminders using the SKEDit Application Program. Evaluation before health education was carried out using SKEDit, customer satisfaction was 67.8% and after health education was carried out using SKEDit, it was 80.1%. Meanwhile, the rate of repeat visits for diarrhea patients after receiving a control reminder increased by 70%. Based on the results of observations, it shows that this Community Service activity is able to increase customer satisfaction and increase repeat visits of diarrhea patients at the Mayang Community Health Center.
The Effect of Family Caregiver Empowerment Model Intervention on Resilience in Caregivers of Type 2 Diabetes Mellitus Patients Anggun Afrix Rozana; Rondhianto; Muhamad Zulfatul A'la
Jurnal Kesehatan dr. Soebandi Vol 13 No 2 (2025): Vol. 13 No. 2 (2025): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v13i2.784

Abstract

Background: Feelings of fatigue and stress can arise in caregivers when caring for patients with type 2 diabetes mellitus (T2DM) due to responsibility, pressure, and increasing demands. Therefore, the ability to bounce back from difficult situations, known as resilience, is needed. Purpose: This study aims to analyze the effect of the Family Caregiver Empowerment Model (FCEM) intervention on the resilience of caregivers of patients with type 2 diabetes mellitus. Methods: This study is a randomized control group pretest and posttest study with a sample of 74 respondents, randomly selected using cluster sampling (treatment = 35, control = 39). The independent variable is FCEM, and the dependent variable is resilience. The instrument used is the Connor-Davidson Resilience Scale 25 (CD-RISC 25) questionnaire. Statistical analysis was performed using the Wilcoxon Signed Rank Test and Independent T-test. Results: The results showed that there was a significant difference in depression scores between the pretest and posttest in both the intervention and control groups (p = 0.000 and p = 0.002, < α = 0.05). Additionally, there was a significant difference in resilience between the intervention and control groups (t = 13.644, p = 0.000). Conclusions: The findings of the study demonstrated the effect of the FCEM intervention on the resilience of caregivers of T2DM patients. It is essential to increase the resilience of family caregivers by providing empowerment as a form of social support.
Co-Authors Agus Meriroja Agustina, Baiq Linda Agustiningsih Agustiningsih Akhmad Zainur Ridla Amaningrum, Nurfika Anggun Afrix Rozana Anisah Ardiana Ardiyanto, Makhrufi M.A.S. Arif Eko Cahyono Arini, Puji Artha, Artha Baiq Reny Ermayuningsih Baskoro Setioputro Batrisyia, Irdina Benjayamas Pilayon Chanicha Chaitonthueng Chyntia, Meideline Chyntia Defi Efendi Dewi, Dwi Puspita Dodi Wijaya Emi Wuri Wuryaningsih Endrian Kurniawan, Dicky Esoh, Nahyeni Bassah Evita Rohmaniah Fauziah, Oktaviani Fauziah Gunarto, Sugito Tri Hafan Sutawardana, Jon Hana R. Agustina Hana Rizmadewi Agustina Heri Siswanto Ifka Wardaniyah Ika Adelia Susanti Iwan Setiawan Iyus Yosep Juthaluck Saentho Juwarti Juwarti Karisa, Putri Karisa Khanitta Nuntaboot, Khanitta Komarudin Komarudin Kurniasari, Reni Hesti Kushariyadi Kushariyadi Kustiarini, Ari Latifa Aini Susumaningrum Lianawati Lianawati Linda Novema Maghfiroh, Rahmawati L. Mas’ulyatul Hukmiyah Maulidiyah, Dewi Diniyatul Maysaroh, Salma Miftah Salsabila Misni, Yulia Muhamad Hasan Basri Muhamad Hasan Basri Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Niruwan Turnbull Nurfika Asmaningrum Pairin Yodsuban Rahmawati, Iis Retno Wardani, Hamidah Rismawan Adi Yunanto Rochmawati, Erna Rochmawati Rondhianto Rondhianto Rungreangkulkij, Somporn Ruris Haristiani Sanaah, Sanaah Sholihah, Mar'atus Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Ulfah Rifa’atul Fitri Sriwardani, Endang SUJARWANTO Sulis Setyowati Tantut Susanto Tita Saskia Asmoro Tri Gunarto, Sugito Tri Handoko, Yudho Ulfi Bini’Matillah Wantiyah Wantiyah Wijaya, Dodi Wira Mustapa, Gesit Yudho Tri Handoko Yudho Tri Handoko Yunanto, Rismawan Zetti Finali Zumrotul Farikhah