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All Journal ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Jurnal Keperawatan Nusantara
Valentino Febryandy
Unknown Affiliation
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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EFFEKTIVITAS INTERVENSI BACK MASSAGE TERHADAP PENURUNAN ANXIETY PADA PASIEN CONGESTIVE HEARTFAILURE (CHF) : A SYSTEMATIC REVIEW Valentino Febryandy; Riska Fadilah
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 3 (2024): JULI
Publisher : CV. ADIBA ADISHA AMIRA

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Abstract

Background: Congestive Heart Failure (CHF) is a clinical syndrome caused by functional or structural heart abnormalities that interfere with ventricular filling or ejection of blood into the systemic circulation. Objective: To determine the effectiveness of back massage intervention in reducing anxiety in Congestive Heart Failure (CHF) patients. Physiologically, back massage is a relaxation technique that affects the body physically and psychologically. Back massage provides a relaxing effect by stimulating the release of endorphins in the brain which have the effect of suppressing sympathetic nerve activity and stimulating parasympathetic nerve activation. Method: This type of study is a systematic review, a strategy for searching articles using the PICOS framework. Inclusion criteria: Articles from 2013 to 2023; Not pay; Full text; In English language. The literature search in this systematic review was carried out through three databases of medium to high reputation, including ProQuest, Cochrane and PubMed. Results: There were Selecting the title, abstract and keywords for the articles resulted in only 52 articles that matched the title, abstract and keywords of the article with the researcher's theme. The next stage was reading the entire text of the articles that met the inclusion criteria, totaling 9 articles, then assessing the quality of the articles and the risk of bias using the JBI critical appraisal tools, namely an assessment based on research studies. So only 4 articles were assessed using JBI critical appraisal. Conclusion: showed that back massage was effective in reducing state anxiety, cortisol levels, blood pressure and HR, as well as improving sleep quality in patient caregivers
Journey To Hearing: Studi Kasus Perioperatif Nursing Terhadap Implantasi Koklea Pada Anak Penyandang Malformasi Telinga Bawaan Valentino Febryandy; A. Rizal Fadly
Jurnal Keperawatan Nusantara Vol 1 No 1 (2025): Agustus
Publisher : Sabda Abadi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6594/t3rq1390

Abstract

Background Cochlear implantation is a complex surgical procedure that serves as the primary option for patients with severe hearing impairment due to congenital ear malformations. The main challenges include anatomical variations, higher risks of complications, and the need for specialized perioperative approaches in pediatric patients. This case report aims to document evidence-based perioperative nursing management in a pediatric patient with congenital ear malformation undergoing cochlear implantation. Methods A descriptive case study was conducted using a perioperative nursing care approach based on SDKI, SLKI, and SIKI standards. The subject was a 9-year-old child with Mondini-type ear malformation who underwent unilateral cochlear implantation.DiscussionIn the preoperative phase, interventions focused on physical-psychological preparation, infection prevention (prophylactic antibiotics), and family education. The intraoperative phase involved close monitoring of the facial nerve, management of hypothermia, and the use of straight electrodes for abnormal anatomy. The postoperative phase successfully controlled pain (FLACC scale 3) without complications such as infection or cerebrospinal fluid leakage. The patient was discharged on the second day with a good functional outcome (8/12 responsive electrodes).ResultsA multidisciplinary collaborative approach and evidence-based protocols proved effective in optimizing cochlear implantation outcomes in congenital malformations. Family education and close monitoring of complications were key factors in the success of the procedure.
Co-Authors A. Rizal Fadly Riska Fadilah