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ASUHAN KEPERAWATAN PADA PASIEN POST SECTIO CAESEREA ATAS INDIKASI KETUBAN PECAH DINI DENGAN PEMBERIAN INTERVENSI AROMATERAPI LEMON TERHADAP SKALA NYERI Lasmida, Putri Damaiyanti; Mursiah, Mursiah; Ernawati, Ernawati
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 6 No. 1 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v5i5.5157

ABSTRAK Latar Belakang : Ketuban pecah dini (KPD) adalah pecahnya ketuban sebelum dimulainya persalinan dan diperkirakan terjadi satu jam sebelum dimulainya persalinan. Salah satu persalinan yang biasa dilakukan pada pasien dengan KPD yaitu sectio caeserea.Pasien post Sc biasanya megalami keluhan nyeri pada bekas operasi. Nyeri dapat diredakan dengan pemberian aromaterapi lemon. Metode : Metode yang digunakan yaitu dengan melakukan pemberian aromaterapi lemon melalui inhalasi selama 3 hari dengan durasi 10-15 menit. Hasil: Setelah dilakukan tindakan pemberian aromaterapi lemon terdapat perubahan antara sebelum dan sesudah pemberian aromaterapi lemon yaitu terjadinya penurunan skala nyeri terhadap pasien post sectio caeserea. Kesimpulan : Pemberian aromaterapi lemon pada pasien post sectio ceserea dapat membantu menurunkan skala nyeri. Kata Kunci : Sectio caeserea, nyeri dan aromaterapi lemon.

HUBUNGAN TINGKAT PENGETAHUAN LANSIA DENGAN NYERI RHEUMATOID ARTHRITIS PADA USIA 40-60 TAHUN DI KP. ETEK RT 001-RT 002 KEC. SINDANG JAYA KAB. TANGERANG-BANTEN Wardatul Zamilah; Rohaeti, Rohaeti; Mursiah, Mursiah
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 1 No. 2 (2023): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v1i2.5200

Latar Belakang : Rheumatoid Arthritis adalah penyakit autoimun peradangan kronis atau reaksi autoimun dimana sistem kekebalan tubuh manusia dapat menjadi tidak berfungsi dan melemah, mengakibatkankerusakan organ sendi dan lapisan sinovial, terutama di tangan, kaki, dan lutut (Asrowy et al., 2022). Tujuan : Menganalisis hubungan tingkat pengetahuan lansia dengan Rheumatoid Arthritis pada usia 40-60 tahun. Desain Penelitian: cross sectional mengukur variabel diwaktu bersamaan. Teknik Sampel: Sampel penelitian adalah 60 orang, tekhnik yang digunakan total sampling. Analisa Data: Menggunakan uji data kolerasi pearson Hasil: didapatkan hasil tingkat pengetahuan kurang sebanyak 5, tingkat pengetahuan cukup sebanyak 21 , dan tingkat pengetahuan baik sebanyak 34. Bivariat menggunakan Uji Kolerasi Pearsonmenunjukan pengetahuan baik dengan memiliki nyeri rheumatoid arthritis tinggi sebanyak 28 responden, yang mempunyai pengetahuan cukup dengan memiliki nyeri rheumatoid arthritis rendah sebanyak 3. Hubungan tingkat pengetahuan lansia dengan nyeri Rheumatoid Arthritis ditemukan p-Value 0,044% p< 0,05 artinya terdapat hubungan tingkat pengetahuan lansia dengan nyeri Rheumatoid Arthritis. Kesimpulan: Ada Hubungan antara Tingkat Pengetahuan Lansia Dengan Nyeri Rheumatoid Arthritis Pada Usia 40-60 Tahun di Kampung Etek Rt 001-Rt 002 Kec. Sindang Jaya Kab. Tangerang-Banten. Saran: Diharapkan dapat meningkatkan Tingkat pengetahuan terhadap nyeri Rheumatoid Arthritis dengan mengikuti kegiatan penyuluhan kesehatan yang diadakan oleh Dinas Kesehatan khususnya Puskesmas Sindang Jaya.

ASUHAN KEPERAWATAN PADA PASIEN G4P2A1 H 30 MINGGU IBU PEB DENGAN PEMBERIAN INTERVENSI RELAKSASI AUTOGENIK TERHADAP ANSIETAS DI RUANG ASTER RSUD KABUPATEN TANGERANG Nur Kholifah; Mursiah, Mursiah; Ernawati, Ernawati
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 6 No. 2 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v6i2.5214

Pendahuluan : Kehamilan merupakan suatu proses alamiah dan fisiologis. Setiap wanita yang memiliki organ reproduksi sehat, jika telah mengalami menstruasi dan melakukan hubungan seksual dengan seorang pria yang organ reproduksinya sehat, sangat besar kemungkinannya terjadi kehamilan. Komplikasi kehamilan merupakan terjadinya masalah kesehatan pada ibu yang mengandung. Terdapat beberapa komplikasi yang dapat terjadi ketika ibu sedang mengandung salah satunya yaitu terdapatnya masalah hipertensi (Preeklampsia) pada ibu hamil. Preeklampsia merupakan komplikasi kehamilan yang cukup serius, yaitu kondisi ketika tekanan darah ibu hamil meningkat disertai adanya protein di dalam urine. Dampak yang ditimbulkan pada ibu hamil dengan preeklamsia akan merasa dirinya lebih cemas dibandingkan dengan ibu hamil yang tidak memiliki penyakit penyerta. Bahwa ibu hamil dengan preeklamsi psikologisnya akan terganggu karena perasaan cemas. Terdapat banyak masalah dan keluhan selama kehamilan salah satunya masalah psikologis berupa kecemasan selama hamil. Penatalaksanaan kecemasan dapat dilakukan dengan menejemen nonfarmakologi yaitu Relaksasi nafas dalam, relaksasi autogenik dan mendengar murotal, Relaksasi autogenik adalah salah satu terapi nonfarmakologi dengan menggunakan diri sendiri sebagai pusat terapi dengan menggunakan kata-kata afirmasi yang dapat menenangkan pikiran. Metode : Memberikan intervensi teknik relaksasi autogenik pada pasien G4P2A1 terhadap ansietas. Hasil : Hasil implementasi dn evluasi selama 3 hari dengan intervensi teknik relaksasi autogenik terdapat penurunan dari tingkat ansietas sedang menjadi ansietas ringan. Kesimpulan : Menunjukkan bahwa terdapat penurunan tingkat ansietas pada pasien G4P2A1 setelah diberikan teknik relaksasi autogenik selama 3 hari menunjukan terdapat perubahan tanda- tanda vital pasien dan keluhan tentang kecemasan pasien sebelum dan sesudah dilakukan tindakan teknik relaksasi autogenik.

ASUHAN KEPERAWATAN PADA PASIEN POST HISTEREKTOMI TOTAL ATAS INDIKASI MIOMA UTERI DENGAN PEMBERIAN INTERVENSI TERAPI RELAKSASI NAFAS DALAM DAN DISTRAKSI TERHADAP NYERI AKUT DI RUANG ASTER RSUD KABUPATEN TANGERANG Sri Rahayu; Mursiah, Mursiah; Ernawati, Ernawati
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 6 No. 3 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v6i3.5244

Latar Belakang: Mioma uteri merupakan penyakit tumor jinak pada otot rahim yang disertai jaringan ikatnya Gejala terjadinya mioma uteri sukar dideteksi karena tidak semua mioma uteri memberikan keluhan dan memperlukan tindakan operatif. Angka kejadian mioma uteri di dunia mencapai 226 juta kasus dengan prevalensi mencapai 60-75% terjadi pada wanita berusia di atas 20-35 tahun. Angka kejadian mioma uteri di indonesia terjadi pada 20-50% wanita, serta lebih dari 70% pada wanita di awal masa menopause. Metode:penulisan ini dilakukan dengan studi kasus dimana penulis melakukan asuhan keperawatan kepada satu pasien post histerektomi dengan nyeri akut. Hasil: Setelah dilakukan intervensi pemberian teknik relaksasi nafas dalam dan distraksi selama 3 hari didapatkan hasil nyeri berkurang dari skala 5 menjadi skala 3. Kesimpulan: Berdasarkan hasil tersebut adanya keberhasilan dalam melakukan asuhan keperawatan pada paien post histerektomi total atas indikasi mioma uteri dengan penerapan teknik relaksasi nafas dalam dan distraksi tehadap nyeri akut.

The Relationship Between Anemia and Nutritional Status with the Occurrence of Fatigue in Children with Cancer Undergoing Chemotherapy at Dharmais Cancer Hospital in Jakarta Purwati, Nyimas Heny; Natashia, Dhea; Wahyuni, Emmy Putri; Dais, Exsos Grend; Lusty, Junita; Ruriwinita, Ruriwinita; Sofyan, Evi; Fitriana, Anantusia; Karwati, Eti; Fitriyati, Fitriyati; Mursiah, Mursiah
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20191

Background: The challenge of fatigue significantly affects children undergoing cancer treatment, impacting their overall well-being and quality of life. Unlike their healthy counterparts, pediatric cancer patients grapple with the demanding impacts of chemotherapy, leading to anemia and nutritional deficiencies that exacerbate fatigue. Beyond fatigue, chemotherapy alters appetite, nutrient utilization, and mental function. Fatigue's multidimensional impact, marked by reduced energy and increased need for rest, can detrimentally affect the quality of life for pediatric patients. Understanding these challenges is essential for devising tailored strategies that comprehensively address the unique needs of children undergoing cancer treatment, enhancing their overall well-being and quality of life.Objective: This research aims were to determine the relationship between anemia and nutritional status with the occurrence of fatigue in children with cancer undergoing chemotherapy at Dharmais Cancer Hospital in Jakarta.Methods: An analytical cross-sectional study conducted in August 2022 included a sample of 24 children selected through accidental sampling. Demographic and disease characteristics, such as age, gender, cancer type, cancer stage, and treatment duration, were collected through a questionnaire. Anemia was determined by hemoglobin levels (12 mg/dl), and nutritional status was assessed using Body Mass Index. Fatigue was measured with tailored instruments for different age groups: the Parent Fatigue Scale (PFS) for children under 7 years and the Child Fatigue Scale (CFS) for those aged 7 years and older. Statistical analyses included univariate assessment, bivariate analysis with the chi-square test, and logistic regression.Results: Demographic analysis revealed a predominantly male sample (70.8%) with a significant adolescent presence (41.7%) and a prevalence of leukemia (37.5%). Most participants were in early cancer stages (58.3%), undergoing treatment for over a year (62.5%). Anemia was common (54.2%), and 58.3% were underweight. High fatigue prevalence was observed (62.5%). Chi-square analysis found no significant gender or cancer stage differences in fatigue. Age and treatment duration showed no significant associations with fatigue. Logistic regression revealed a significant association between anemia and fatigue in the first model (p = 0.022, Exp. B = 0.104). The second model, incorporating nutritional status, showed a non-significant relationship with anemia but a notable association with normal nutritional status and fatigue (p = 0.022, Exp. 0.059). This underscores the crucial role of nutritional interventions in mitigating fatigue.Conclusion: This study highlights a significant relationship between anemia and nutritional status with fatigue in children undergoing chemotherapy. These findings underscore the importance of considering anemia and nutritional interventions when providing care to pediatric cancer patients undergoing chemotherapy. Nurses play a vital role in addressing these concerns and enhancing the overall well-being of children with cancer.

PENGARUH PENYULUHAN PLATFORM JUDI ONLINE TERHADAP KESEHATAN MENTAL REMAJA DI KELURAHAN KALIBARU KAB TANGERANG Afrioza, Selvy; Padilah, Sunia; Mursiah, Mursiah
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 15 No. 02 (2024): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jikbh.v15i02.1275

Latar Belakang: Perkembangan teknologi digital telah mempermudah akses terhadap berbagai platform online, termasuk judi online. Meskipun dianggap sebagai hiburan, judi online dapat berdampak negatif terhadap kesehatan mental remaja. Adapaun data dari Kementerian Kesehatan menunjukkan bahwa sekitar 6,1 persen remaja di Indonesia mengalami gangguan mental, dan hasil Riskesdas tahun 2018 mengungkapkan bahwa gangguan kesehatan mental yang terjadi adalah depresi dan kecemasan. Fakta ini menegaskan urgensi untuk menangani dampak judi online terhadap kesehatan mental remaja, diantaranya adalah dilakukan penyuluhan.Metode: Menggunakan bersifat kuantitatif dengan desain korelasional menggunakan pendekatan cross-sectional.Hasil: Berdasarkan frekuensi kesehatan mental ditemukan bahwa 93,1% tidak menunjukkan adanya masalah kesehatan mental. Namun, hasil uji Chi-Square adalah p-value < 0,05, mengindikasikan adanya pengaruh signifikan antara penyuluhan platform judi online terhadap kesehatan mental remaja di Kelurahan Kalibaru.Kesimpulan: Penyuluhan ini memiliki peran penting dalam mengurangi risiko gangguan kesehatan mental di kalangan remaja yang terlibat dalam aktivitas judi online.

The Relationship Between Anemia and Nutritional Status with the Occurrence of Fatigue in Children with Cancer Undergoing Chemotherapy at Dharmais Cancer Hospital in Jakarta Purwati, Nyimas Heny; Natashia, Dhea; Wahyuni, Emmy Putri; Dais, Exsos Grend; Lusty, Junita; Ruriwinita, Ruriwinita; Sofyan, Evi; Fitriana, Anantusia; Karwati, Eti; Fitriyati, Fitriyati; Mursiah, Mursiah
IJNP (Indonesian Journal of Nursing Practices) Vol. 7 No. 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20191

Background: The challenge of fatigue significantly affects children undergoing cancer treatment, impacting their overall well-being and quality of life. Unlike their healthy counterparts, pediatric cancer patients grapple with the demanding impacts of chemotherapy, leading to anemia and nutritional deficiencies that exacerbate fatigue. Beyond fatigue, chemotherapy alters appetite, nutrient utilization, and mental function. Fatigue's multidimensional impact, marked by reduced energy and increased need for rest, can detrimentally affect the quality of life for pediatric patients. Understanding these challenges is essential for devising tailored strategies that comprehensively address the unique needs of children undergoing cancer treatment, enhancing their overall well-being and quality of life.Objective: This research aims were to determine the relationship between anemia and nutritional status with the occurrence of fatigue in children with cancer undergoing chemotherapy at Dharmais Cancer Hospital in Jakarta.Methods: An analytical cross-sectional study conducted in August 2022 included a sample of 24 children selected through accidental sampling. Demographic and disease characteristics, such as age, gender, cancer type, cancer stage, and treatment duration, were collected through a questionnaire. Anemia was determined by hemoglobin levels (<12 mg/dl), and nutritional status was assessed using Body Mass Index. Fatigue was measured with tailored instruments for different age groups: the Parent Fatigue Scale (PFS) for children under 7 years and the Child Fatigue Scale (CFS) for those aged 7 years and older. Statistical analyses included univariate assessment, bivariate analysis with the chi-square test, and logistic regression.Results: Demographic analysis revealed a predominantly male sample (70.8%) with a significant adolescent presence (41.7%) and a prevalence of leukemia (37.5%). Most participants were in early cancer stages (58.3%), undergoing treatment for over a year (62.5%). Anemia was common (54.2%), and 58.3% were underweight. High fatigue prevalence was observed (62.5%). Chi-square analysis found no significant gender or cancer stage differences in fatigue. Age and treatment duration showed no significant associations with fatigue. Logistic regression revealed a significant association between anemia and fatigue in the first model (p = 0.022, Exp. B = 0.104). The second model, incorporating nutritional status, showed a non-significant relationship with anemia but a notable association with normal nutritional status and fatigue (p = 0.022, Exp. 0.059). This underscores the crucial role of nutritional interventions in mitigating fatigue.Conclusion: This study highlights a significant relationship between anemia and nutritional status with fatigue in children undergoing chemotherapy. These findings underscore the importance of considering anemia and nutritional interventions when providing care to pediatric cancer patients undergoing chemotherapy. Nurses play a vital role in addressing these concerns and enhancing the overall well-being of children with cancer.

The Primaku application is effective in monitoring early childhood growth and development through parental assistance Dais, Exsos Grend; Wahyuni, Emmy Putri; Lusty, Junita; Ruriwinita, Ruriwinita; Fitriyati, Fitriyati; Mursiah, Mursiah; Fitriana, Anantusia; Karwati, Eti; Sofyan, Evi; Purwati, Nyimas Heny; Sutini, Titin; Apriliawati, Anita
Riset Informasi Kesehatan Vol 14 No 1 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i1.939

Background: Early childhood growth and development disorders are still a concern for parents today, especially stunting. Monitoring early childhood growth and development is still a difficulty for parents today. Lack of access to digital-based information about children's health information makes it easy for parents to underestimate this so that it is too late to take care of it. So, it is necessary to have an application for monitoring the growth and development of early childhood based on digital. Objectives: This study aims to determine the effect of the PrimaKu application on the assessment of early childhood growth and development through parental assistance. Methods: This study is a quantitative study with the type of Pre-Experiment, using the One Group Pretest-Posttest research design by providing parental assistance intervention using the PrimaKu Application in one meeting. The effect of the intervention was measured by comparing pre-test and post-test scores. Bivariate analysis was performed using the Wilcoxon Test. Results: The results of the analysis obtained a p-value: 0.001 (p <0.05) with a median pre-test>post-test value, namely 80.00>50.00 with a difference of 30.00. The minimum pre-test>post-test value, namely 50>30 with a difference of 20. The maximum pre-test>post-test value, namely 100>90 with a difference of 10. Conclusion: There is an effect of the PrimaKu application on the assessment of early childhood growth and development through parental assistance. So, that the use of the PrimaKu application is highly recommended for parents to use in assessing early childhood growth and development.

Aplikasi Primaku: Pendampingan Orang Tua Terhadap Penilaian Tumbuh Kembang Anak Usia Dini Dais, Exsos Grend; Wahyuni, Emmy Putri; Lusty, Junita; Ruriwinita, Ruriwinita; Fitriyati, Fitriyati; Mursiah, Mursiah; Fitriana, Anantusia; Karwati, Eti; Sofyan, Evi; Purwati, Nyimas Heny; Sutini, Titin; Apriliawati, Anita
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 7 No. 1 (2025): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v7i1.960

Gangguan pertumbuhan dan perkembangan anak usia dini, terutama stunting, masih menjadi kekhawatiran utama bagi orang tua. Stunting dapat menghambat potensi sumber daya manusia, meningkatkan risiko kesehatan, dan bahkan berkontribusi pada kematian anak. Prevalensi stunting di Kabupaten Tangerang naik sebesar 5,3% pada tahun 2023 berdasarkan Survei Kesehatan Indonesia (SKI). Namun, kurangnya akses informasi berbasis digital mengenai kesehatan anak membuat orang tua sering menyepelekan pemantauan pertumbuhan dan perkembangan anak usia dini, sehingga terlambat melakukan intervensi. Sebagai solusi, pengabdian kepada masyarakat ini bertujuan memberikan pendampingan orang tua dalam penerapan aplikasi PrimaKu terhadap penilaian pertumbuhan dan perkembangan anak usia dini. Kegiatan ini dilaksanakan melalui pendampingan interaktif selama satu hari di Posyandu Rajawali Wilayah Kerja Puskesmas Bojong Nangka Tangerang yang diikuti oleh 44 orang tua. Metode mencakup pre-test, sesi ceramah, diskusi, demonstrasi aplikasi, dan post-test untuk mengevaluasi peningkatan pemahaman. Hasil pre-test dan post-test menunjukkan peningkatan signifikan pada pengetahuan orang tua terhadap penilaian pertumbuhan dan perkembangan anak usia dini. Diharapkan, orang tua dapat mengimplementasikan penggunaan aplikasi PrimaKu secara mandiri, sehingga membantu menurunkan angka kejadian stunting. Sebagai tindak lanjut, perlu dilakukan penelitian untuk mengevaluasi efektivitas pendampingan orang tua dalam penerapan aplikasi PrimaKu terhadap penilaian pertumbuhan dan perkembangan anak usia dini.

The Effectiveness of Quarter Prone Position on Status Hemodynamics and Sleep Duration of Premature Infants Mursiah, Mursiah; Purwati, Nyimas Heny; Apriliawati, Anita; Awaliah, Awaliah
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3683

Prematurely born babies often face a range of complex issues such as body temperature instability, cardiovascular problems, fluctuations in blood pressure and heart rate, and respiratory disorders. Improper positioning exacerbates these challenges by compromising their underdeveloped homeostatic mechanisms, leading to physiological instability. Purpose: This study aimed to investigate the impact of the quarter-prone position on the hemodynamic status and sleep duration of premature infants.Methods: A quantitative approach was employed using a quasi-experimental research design with a pre-post control group. The study was conducted at one of urban hospitals in Indonesia over a one-month period from February to July 2023. Thirty-two participants were divided into intervention and control groups. Data analysis using univariate and bivariate analysis Independent T-Test. Results: There are no statistically significant differences among the control and intervention groups (p-value > 0.005). that there is significant statistical difference among two group at post-test at all variables (p-value : 0.00) Discussion The quarter-prone position, in conjunction with environmental factors like noise and lighting, influences the respiratory rate, heart rate, oxygen saturation, and sleep duration of premature infants. Nurses are encouraged to implement the quarter-prone position in caring for premature babies to enhance nursing quality and improve their overall quality of life. This approach is supported by its potential impact on the growth and developmental outcomes of premature infants in the long term.

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