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PENERAPAN TEKNIK GUIDED IMAGERY UNTUK MENGATASI NYERI PADA PASIEN POST INSISI DRAINASE ABSES MANDIBULA Putri Utami, Mega; Sekar Siwi, Adiratna
Jurnal Ilmu Kesehatan MAKIA Vol 14 No 2 (2024): Jurnal Ilmu Kesehatan MAKIA - In Press
Publisher : LPPM ISTeK ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/jmakia.v14i2.349

ABSTRAK Abses leher dalam merupakan akumulasi pus antara fasia superfisial dan profunda leher dalam yang terjadi akibat penjalaran infeksi seperti infeksi pada gigi. Akumulasi pus yang semakin banyak menyebabkan penekanan pada ruang submandibula sehingga menimbulkan nyeri Penanganan nyeri non-farmakologis lebih praktis, sederhana, dan dapat dilakukan oleh perawat. Perawatan nyeri nonfarmakologis antara lain akupresur, akupunktur, messaging, relaksasi Benson, dan terapi guided imagery. Tujuan penelitian ini adalah untuk mengetahui efektivitas penerapan teknik guided imagery kombinasi aromatherapy untuk menurunkan skala nyeri pada pasien post insisi drainase abses mandibula dengan masalah nyeri akut di RSUD Prof. Dr. Margono Soekarjo Purwokerti di Ruang Intensive Care Unit (ICU). Metode penelitian ini menggunakan case study dengan pendekatan proses asuhan keperawatan dan lembar Critical Care Pain Observation Toll (CPOT). Hasil penelitian menunjukkan sebelum diberikan implementasi guided imagery berada pada skala 4 (nyeri sedang), setelah diberikan teknik guided imagery selama 3x24 jam menunjukkan adanya perubahan skala nyeri menjadi 2 (nyeri ringan). Teknik guided imagery efektif untuk menurunkan skala nyeri pada pasien post insisi drainase abses mandibula dan diharapkan bisa diaplikasikan oleh perawat dalam manajemen nyeri.

APLIKASI LATIHAN BATUK EFEKTIF PADA MASALAH KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF DENGAN PENYAKIT PNEUMONIA DI RUMAH SAKIT INAHO KAI JEPANG Ayunika, Viqtanesya; Sumarni, Tri; Sekar Siwi, Adiratna
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol 3 No 4 (2024): SPIKesNas - November 2024
Publisher : STIKES dan AKZI Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar

Pneumonia is an acute lower respiratory tract infection with symptoms of cough accompanied by shortness of breath caused by infectious agents such as viruses, bacteria, mycoplasma (fungi), and aspiration of foreign substances, in the form of inflammation of the lungs accompanied by exudation and consolidation. This study aims to describe appropriate nursing care and interventions for Mrs. I with pneumonia whose primary diagnosis is ineffective airway clearance. This research uses the case study method with a case study of nursing care which includes assessment, determining diagnosis, determining nursing interventions, implementation and evaluation. The participants in this research were Mrs. I with problems with ineffective airway clearance. Providing effective cough training interventions carried out within a period of 3 x 24 hours was able to reduce shortness of breath and cough effectively. Evaluation of the results was carried out over 3 x 24 hours, it was found that ineffective airway clearance was resolved with the criteria of effective cough being quite increased, oxygen saturation was increasing, sputum production was quite decreased, dyspnea was quite improved, respiratory frequency was quite improved, and breath sounds were quite improved. Non-pharmacological therapy, namely coughing exercises, can help improve airway clearance and is not effective when combined with other pharmacological therapies.

Pelatihan Kader Kesehatan Desa Mipiran Padamara Purbalingga Tentang Teknik Slow Deep Breathing Sebagai Upaya Penurunan Tekanan Darah Pada Penderita Hipertensi Pramesti, Prillia Amanda; Khasanah, Suci; Sekar Siwi, Adiratna
Mejuajua: Jurnal Pengabdian pada Masyarakat Vol. 4 No. 2 (2024): Desember 2024
Publisher : Yayasan Penelitian dan Inovasi Sumatera (YPIS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/mejuajuajabdimas.v4i2.165

Hipertensi adalah peningkatan tekanan darah sistolik >140 mmHg atau tekanan darah diastolik >90 mmHg. Berdasarkan hasil pra survei non formal kepada kader kesehatan Desa Mipiran terdapat 113 orang mengalami hipertensi pada bulan Agustus-Oktober 2023. Setalah dievaluasi kembali kader kesehatan Desa Mipiran belum mengetahui tindakan non farmakologis untuk membantu menurunkan tekanan darah pada penderita hipertensi. Oleh karena itu, dilakukan kegiatan pengabdian kepada masyarakat ini yang bertujuan untuk meningkatkan pengetahuan kader kesehatan tentang teknik slow deep breathing sebagai upaya penurunan tekanan darah pada penderita hipertensi, meningkatkan keterampilan kader kesehatan dalam mempraktikkan teknik slow deep breathing, dan minat kader kesehatan untuk menyampaikan kembali informasi tentang teknik slow deep breathing sebagai upaya penurunan tekanan darah pada penderita hipertensi. Metode yang digunakan adalah ceramah dan demonstrasi. Evaluasi peningkatan pengetahuan dengan pre test dan post test, sedangkan evaluasi keterampilan dan minat menggunakan lembar cheklist. Kegiatan ini dilaksankan selama 2 kali pertemuan dan diikuti oleh 13 kader kesehatan. Hasil dari kegiatan ini terdapat peningkatan pengetahuan dari nilai rata-rata 70,76 menjadi 86,92. Keterampilan kader kesehatan dalam mempraktikkan didapatkan sebanyak 77% memiliki tingkat keterampilan dalam kategori baik. Minat kader kesehatan untuk menyampaikan kembali informasi didapatkan 13 peserta (100%) menjawab pernyataan dalam kategori minat tinggi. Kesimpulan kegiatan ini terdapat peningkatan pengetahuan dan keterampilan melalui pendidikan kesehatan dan pelatihan, serta minat kader kesehatan untuk menyampaikan kembali informasi tentang teknik slow deep breathing sebagai upaya penurunan tekanan darah pada penderita hipertensi.

IMPLEMENTASI KEPERAWATAN PADA LANSIA GASTRITIS DENGAN MASALAH UTAMA NYERI AKUT DI IRYOU HOUJIN AIWAKAI (IKEDA-EN) JEPANG AMBARWATI, RANGGAH REGINA CITRA; Sekar Siwi, Adiratna; Khasanah, Suci
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol 4 No 1 (2025): SPIKesNas - Februari 2025
Publisher : STIKES dan AKZI Karya Husada Kediri

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Gastritis is inflammation of the gastric mucosa caused by various factors, including Helicobacter pylori infection, irregular eating patterns, stress, and the consumption of alcohol and certain medications. Gastritis can be acute or chronic, with symptoms such as epigastric pain, nausea, vomiting, and bleeding. Treatment for gastritis involves conservative and pharmacological therapy, with a focus on pain management. This study aims to assess nursing care for gastritis patients with the primary issue of acute pain through the implementation of deep breathing relaxation techniques at Iryou Houjin Aiwakai Clinic, Japan. The research used a case study method with data collection through observation, interviews, physical examinations, and document studies. The results show that nursing interventions using deep breathing relaxation techniques reduced the pain scale from 5 to 3 within 3x24 hours. Additionally, the administration of medications such as Polaprezinc, Tsumura Rikkunshito, Polikarbophil C, and Lansoprazole was effective in alleviating gastritis symptoms. Nursing evaluation was carried out by analyzing the patient's response to the interventions, which showed a reduction in symptoms. This study concludes that a combination of pharmacological and non-pharmacological therapies can accelerate the healing process in gastritis patients.

Pelatihan Penanganan Awal pada Kegawatdaruratan Kejang Demam pada Anak Dengan Teknik Tepid Water Sponge di Balai Desa Ledug Kembaran Banyumas Hapsari, Amelya Prabawati; Sukmaningtyas, Wilis; Sekar Siwi, Adiratna
Jurnal Abdimas Kesehatan (JAK) Vol. 7 No. 2 (2025): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v7i2.890

Febrile convulsions are seizures that occur in children aged 6 months to 5 years who experience an increase in body temperature above 38 ℃. Tepid water sponge is a warm compress with a wipe technique given to patients who have high fever to reduce or reduce body temperature, so that with controlled body temperature will reduce the risk of seizures. The purpose of this community service is to implement the provision of training so as to increase the knowledge and skills of mothers in the initial handling of febrile seizures in children with tepid water sponge techniques. The methods used in this training activity are pre-test and post-test questionnaire methods, lectures, demonstrations, and discussions after the implementation of training activities. A total of 30 mothers in Ledug Village on 5 June 2024 became participants who were given a pre test and post test to determine their level of knowledge. The results of measuring the knowledge and skills of mothers after the training showed that the majority of mothers could understand well related to the management of early management of febrile seizures as many as 21 people (70%). Evaluation of skill level was also given to the parents. The results showed that before the training, all 28 participants fell into the incompetent category. After the training, there was an increase in skills with the majority being in the highly competent category as many as 13 people (42.8%). This activity proved to be effective in improving the knowledge and skills of parents in Ledug Village about the initial handling of febrile seizures in children.

EDUKASI TUMBUH KEMBANG PADA ORANG TUA DAN DETEKSI DINI ANAK MENGGUNAKAN DDST II (DENVER DEVELOPMENT SCREENING TEST) DI PAUD TELAPAK KAKI IBU DESA KALIBAKAL Nida, Faridatun; Netra Wirakhmi, Ikit; Sekar Siwi, Adiratna
Mejuajua: Jurnal Pengabdian pada Masyarakat Vol. 4 No. 3 (2025): April 2025
Publisher : Yayasan Penelitian dan Inovasi Sumatera (YPIS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/mejuajuajabdimas.v4i3.227

Anak usia dini, khususnya pada masa keemasan (0-6 tahun), merupakan periode krusial yang menentukan perkembangan fisik, kognitif, sosial, dan emosional anak. Namun, tantangan seperti masalah gizi, stunting, serta keterlambatan perkembangan masih menjadi isu serius. Deteksi dini sangat penting untuk mencegah dampak jangka panjang terhadap tumbuh kembang anak. Denver Development Screening Test (DDST II) merupakan salah satu alat skrining yang digunakan untuk mengidentifikasi penyimpangan perkembangan pada anak usia dini. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan orang tua mengenai tumbuh kembang anak serta melakukan deteksi dini menggunakan DDST II di PAUD Telapak Kaki Ibu Desa Kalibakal. Metode yang digunakan meliputi pre-test untuk mengukur tingkat pengetahuan, penyuluhan edukatif dengan media buku saku dan leaflet, post-test, serta pemeriksaan perkembangan anak menggunakan DDST II. Hasil kegiatan menunjukkan peningkatan pemahaman orang tua secara signifikan, di mana sebelum edukasi, 65,38% responden memiliki tingkat pengetahuan yang kurang, dan setelah edukasi, 84,62% responden memiliki pengetahuan yang baik, demikian terdapat peningkatan pengetahuan sebesar 50%. Skrining awal menunjukkan 23,08% anak mengalami keterlambatan perkembangan terutama dalam aspek personal-sosial dan 76,92% normal. Setelah pemeriksaan ulang dua minggu kemudian, 100% anak mengalami peningkatan dan tidak lagi mengalami keterlambatan. Hasil ini menunjukkan bahwa edukasi kepada orang tua serta deteksi dini dengan DDST II berperan penting dalam mendukung perkembangan anak secara optimal

HUBUNGAN ANTARA PERILAKU CARING PERAWAT DENGAN TINGKAT KECEMASAN PASIEN PRE OPERASI DI RST WIJAYAKUSUMA PURWOKERTO Junianto, Eko Wahyu; Sekar Siwi, Adiratna; Sumarni, Tri
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.v16i1.2584

Surgery or surgery involves invasive procedures that expose the body part to be treated. The perception of surgical procedures as a life-threatening process causes a person to experience anxiety and the caring behavior of nurses to preoperative patients aims to reduce patient anxiety and be ready to undergo surgery. The purpose of this study was to determine the relationship of nurses' caring behavior with the anxiety level of preoperative patients at RST Wijayakusuma Purwokerto. This type of research is quantitative correlation with a cross sectional approach. The sampling technique was consecutive sampling with a total sample of 30 patients. Data collection was carried out in December 2024. The instruments used were the Amsterdam Preoperative anxiety and Information Scale (APAIS) questionnaire and the CBI-24. The results of the study based on the spearman-rank test obtained a p-value = 0.038 < α (α = 0.05), and a correlation coefficient value of -0.381 which indicates that there is an unidirectional relationship between the level of anxiety and the caring behavior of nurses towards preoperative patients in the Antasena Room RST Wijayakusuma Purwokerto means that when the caring behavior of nurses is high, anxiety in preoperative patients will be low and vice versa.

Efektivitas Aromaterapi Lavender Pada Pasien Dislokasi Lutut Dengan Nyeri Akut Di RST Wijayakusuma Purwokerto Sumboko, Priyo; Ridho S, Muhammad; Sekar Siwi, Adiratna; Indira, Indira
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.v16i1.2623

Knee dislocation is a condition where the bones in the knee shift from their normal position. It can occur in the thigh bone (femur), shin bone (tibia) and kneecap bone (patella). Pain is an unpleasant symptom experienced by patients with knee dislocation. Pain in knee dislocation can be treated with various alternatives, both pharmacologically and non-pharmacologically. Pharmacologically, it can be treated with analgesic drugs. One natural method that is considered effective in reducing pain is lavender aromatherapy. This case study aims to describe the application of Lavender Aromatherapy in Knee Joint Dislocation Patients with Acute Pain in the Village of RST Wijayakusuma Purwokerto. Case studies were carried out by observation for 2x meetings and interventions providing lavender aromatherapy for 2 days on February 24-25, 2025. The results of the case study of the application of lavender aromatherapy on the first day the patient was still in pain by showing a decrease in the pain scale on the second day. On the first day, the patient's level before being given lavender aromatherapy therapy with a pain scale of 6 (moderate pain) after being given lavender aromatherapy therapy became 5 (moderate), on the second day there was a significant decrease in pain scale after being given lavender aromatherapy therapy, namely scale 2 (mild pain). Lavender aromatherapy in Knee Joint Dislocation Patients with Acute Pain in RST Wijayakusuma Purwokerto Village is effective in reducing pain applied for 2x24 hours showing significant results from a pain scale of 6 (moderate pain) to a pain scale of 2 (mild pain).

PENERAPAN TEKNIK GUIDED IMAGERY UNTUK MENGATASI NYERI PADA PASIEN POST INSISI DRAINASE ABSES MANDIBULA Putri Utami, Mega; Sekar Siwi, Adiratna
Jurnal Ilmu Kesehatan MAKIA Vol 14 No 2 (2024): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM ISTeK ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/jmakia.v14i2.349

ABSTRAK Abses leher dalam merupakan akumulasi pus antara fasia superfisial dan profunda leher dalam yang terjadi akibat penjalaran infeksi seperti infeksi pada gigi. Akumulasi pus yang semakin banyak menyebabkan penekanan pada ruang submandibula sehingga menimbulkan nyeri Penanganan nyeri non-farmakologis lebih praktis, sederhana, dan dapat dilakukan oleh perawat. Perawatan nyeri nonfarmakologis antara lain akupresur, akupunktur, messaging, relaksasi Benson, dan terapi guided imagery. Tujuan penelitian ini adalah untuk mengetahui efektivitas penerapan teknik guided imagery kombinasi aromatherapy untuk menurunkan skala nyeri pada pasien post insisi drainase abses mandibula dengan masalah nyeri akut di RSUD Prof. Dr. Margono Soekarjo Purwokerti di Ruang Intensive Care Unit (ICU). Metode penelitian ini menggunakan case study dengan pendekatan proses asuhan keperawatan dan lembar Critical Care Pain Observation Toll (CPOT). Hasil penelitian menunjukkan sebelum diberikan implementasi guided imagery berada pada skala 4 (nyeri sedang), setelah diberikan teknik guided imagery selama 3x24 jam menunjukkan adanya perubahan skala nyeri menjadi 2 (nyeri ringan). Teknik guided imagery efektif untuk menurunkan skala nyeri pada pasien post insisi drainase abses mandibula dan diharapkan bisa diaplikasikan oleh perawat dalam manajemen nyeri.

FAKTOR RISIKO YANG BERKAITAN DENGAN KEJADIAN KANKER PAYUDARA DI RSUD PROF. DR MARGONO SOEKARJO PURWOKERTO Jatmiko, Heli; Sekar Siwi, Adiratna; Apriliyani, Ita
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.v16i1.2730

Breast cancer is a malignancy that originates from the glandular cells, glandular ducts and supporting tissues of the breast, excluding the skin of the breast. Cancer can start to grow in the mammary glands, milk ducts, fatty tissue or connective tissue in the breast. According to the Every year more than 185,000 women are diagnosed with breast cancer. There are risk factors for breast cancer, including age, family history, obesity, smoking and previous history of breast cancer. This type of research is descriptive analytic using case control design. The population in this study were breast cancer patients at Prof. Dr. Margono Soekarjo Purwokerto Hospital in June–August 2023 which recorded 101 patients diagnosed with breast cancer. The sample in this study amounted to 50 in the case group and 50 samples in the control group with a total of 100 samples. Data analysis in this study was univariate and bivariate performed by calculating the magnitude of risk factors (Odd Ratio / OR). The results showed that age is a risk factor for breast cancer (OR 6.7), family history is a risk factor for breast cancer (OR 1.5), obesity is a risk factor for breast cancer (OR 6.6), smoking is not a risk factor for breast cancer (OR 1) and a previous history of breast cancer is a risk factor for breast cancer (OR 12.3).

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