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The Experience of Symptom Cluster and Symptom Alleviation Self-Care in Patients with Head and Neck Cancer: A Qualitative Study Wyssie Ika Sari; Suhartini Ismail
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Patients with head and neck cancer usually experience physical and psychological changes and adjustments related to the disease and management of therapy. The patients will experience symptom cluster and will use effective symptom alleviation self-care to relieve the symptoms. The proper identification of symptom cluster and the effectiveness of using symptom alleviation self-care will be the basis for the success of disease management. This study aimed to investigate the symptom cluster and symptom alleviation self-care in patients with head and neck cancer, and which has an impact on the quality of life. This research was a pilot study using a qualitative design and involved five patients at the public hospital in Semarang, Indonesia. The qualitative design has been chosen to explore the varied of symptom experienced by the patients about the nature, number, location, duration and intensity of experiences, which may different experiences of symptom cluster and symptom alleviation self-care for each patient with Head and Neck Cancer. Data were collected through semi-structured interviews and analyzed used the qualitative content analysis process. Three themes were identified in this study, including: the patients’ experience of symptom cluster, the patients’ experience of symptom alleviation self-care, and the impaired quality of life domain. The results of this study showed that the patients’ experience sickness and gastrointestinal symptom cluster during illness and undergoing therapy, as well as variations in the symptom alleviation self-care, including: diet/ nutrition/ lifestyle changes, mind/ body/ spiritual control, biological treatment, herbal treatment, and prescribed medicine. The symptom cluster and symptom alleviation self-care has an impact on the patients’ outcome that is the quality of life. This study showed that the experience of symptom cluster and symptom alleviation self-care varied and highly individualized, which has an impact on the quality of life. The importance of proper identification about symptom cluster and the effectiveness of using symptom alleviation self-care by the nurses will be the basis for the success of disease management to improve the patients’ quality of life. Therefore, optimizing the nurses’ role is needed as the basis for the development of symptom management nursing programs.

Hubungan antara Dukungan Keluarga dengan Perilaku Ibu dalam Pemberian ASI Eksklusif DI Desa Trenyang Wilayah Kerja Puskesmas Sumberpucung Ririn Kurniawati; Wyssie Ika Sari; Dita Islamiah
Borneo Journal of Medical Laboratory Technology Vol 2 No 2 (2020): Borneo Journal of Medical Laboratory Technology
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Mother's Milk (ASI) is the best food that contains all nutrients needed by infants aged 0-6 months. Breast milk can affect the growth and development of bayp. The purpose of this study was to identify the relationship between family support and mother's behavior in providing exclusive ASI in the trenyang village Sumber Pucung health center. This research was conducted with a case control approach. The variable in this study is the dependent variable family support, the independent variable exclusive breast feeding. The research was carried out in trenyang village, the working area of Sumber Pucung, sampling purposive sampling with a large sample of 96 infants aged 7-24 months. Date were then tested using chi square analysis. Chi squere test results obtained p (0.015) <0.05 then H1 is accepted and rejected by H0, which means there is a relationship between family support and maternal behavior in providing exclusive breastfeeding in trenyang village Sumber Pucung. And the value obtained OR = 2.77 means that family support gives 2.77 times the opportunity for family support. Conclusion of this research is all family give support to mother's behavior in providing exclusive ASI health officer should increase cooperation with mom family because support will increase the mom’s self supporting. Health workers are expected to increase cooperation with Posyandu cadres because family support will increase independence for mothers in exclusivebreastfeeding.

Treatment Modalities, Analgesic Use, Cancer Stage, and Cancer Location on Symptom Clusters in Head and Neck Cancer Patients Wyssie Ika Sari
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.736

Introduction: Head and neck cancer patients generally have the same symptoms, but the prevalence and severity can vary. The prevalence and severity of symptoms in a cluster are related to the overall symptom experience. The prevalence and severity of symptoms in a cluster can be related to the patient's health and illness state. Objectives: This research aims to determine the relationship between treatment modalities, analgesic use, cancer stage, and cancer location on symptom clusters in head and neck cancer patients. Methods: The method used is analytical observational with a cross-sectional approach. The sample inclusion criteria were as follows: head and neck cancer without metastatic disease to the brain, cooperative and good at communicating, and age 18-70 years. Meanwhile, the exclusion criteria are not completing the questionnaire due to critical condition, mental disorders, death, and patient going home. The sampling technique used was consecutive sampling, consisting of 111 patients at Dr. Kariadi Central General Hospital of Semarang. Data analysis using Spearman Rho. Results: The relationship between the significance values of the treatment modality variables for sickness and gastrointestinal symptom clusters, the use of analgesics for gastrointestinal symptom clusters, the location of cancer for emotional symptom clusters, and the stage with symptom clusters is <0.05. The research results also show that several variables also have a significance value of > 0.05. Conclusions: Good identification of treatment modalities, use of analgesics, cancer stage, and cancer location is expected to be able to overcome symptom clusters in head and neck cancer.

Hubungan Dukungan Keluarga Terhadap Kepatuhan Minum Obat Pada Pasien Stroke Berulang Wyssie Ika Sari; Fetreo Negeo Putra; Ira Puspitasari
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 1 (2023): Desember
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i1.642

Abstract Recurrent stroke is one of the complications that often occurs after a stroke and can be more fatal than the first stroke, due to the increasing extent of brain damage that occurs. The efforts that can be done include medication adherence and family support, family support is needed, especially for stroke patients who are also chronic diseases and require taking drugs for a long time. This study aims to identify family support, medication adherence, and analyze the relationship of family support to medication adherence in recurrent stroke patients at Wava Husada Hospital. The design of this research is correlational descriptive with a cross sectional approach. The sample size was 65 respondents using purposive sampling that met the inclusion criteria. The independent variable is family support while the dependent variable is medication adherence. Data were collected using a questionnaire and analyzed using Pearson with a significance level of =0.05. The results showed that the relationship between family support and adherence was p=0.014 with a correlation coefficient of 0.304. It can be concluded that there is a relationship between family support for medication adherence, where the better the support provided, the higher the level of medication adherence. The role of nurses is important in providing education to families regarding medication adherence because it will determine the success of the therapeutic regimen in preventing recurrent stroke. Keywords: family support, medication adherence, recurrent stroke Abstrak Stroke berulang merupakan salah satu komplikasi yang sering timbul setelah post stroke dan bisa lebih fatal dari stroke pertama, karena bertambah luasnya kerusakan otak yang terjadi. Adapun upaya yang dapat dilakukan diantaranya adalah kepatuhan minum obat dan dukungan keluarga, dukungan keluarga sangat diperlukan terutama pada penderita stroke yang juga merupakan penyakit kronik dan mengharuskan mengkonsumsi obat dalam jangka waktu yang lama. Penelitian ini bertujuan untuk mengidentifikasi dukungan keluarga, kepatuhan berobat, dan menganalisa hubungan dukungan keluarga terhadap kepatuhan minum obat pada pasien stroke berulang di RS Wava Husada. Desain penelitian ini adalah deskriptif korelasional dengan pendekatan cross sectional. Besar sample sebanyak 65 responden dengan menggunakan purposive sampling yang memenuhi kriteria inklusi. Variabel independen adalah dukungan keluarga sedangkan variabel dependen adalah kepatuhan minum obat. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan pearson dengan tingkat signifikansi ɑ=0,05. Hasil penelitian menunjukkan hubungan dukungan keluarga terhadap kepatuhan p=0,014 dengan nilai koefisien korelasi 0,304. Dapat disimpulkan bahwa terdapat hubungan dukungan keluarga terhadap kepatuhan minum obat, dimana semakin baik dukungan yang diberikan maka tingkat kepatuhan minum obat akan meningkat. Peran perawat penting dalam pemberian edukasi kepada keluarga terkait kepatuhan minum obat karena akan mementukan keberhasilan regimen terapeutik terhadap pencegahan stroke berulang. Kata kunci : dukungan keluarga, kepatuhan minum obat, stroke berulang

Treatment Modalities, Analgesic Use, Cancer Stage, and Cancer Location on Symptom Clusters in Head and Neck Cancer Patients Wyssie Ika Sari
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 1 (2024): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i1.736

Introduction: Head and neck cancer patients generally have the same symptoms, but the prevalence and severity can vary. The prevalence and severity of symptoms in a cluster are related to the overall symptom experience. The prevalence and severity of symptoms in a cluster can be related to the patient's health and illness state. Objectives: This research aims to determine the relationship between treatment modalities, analgesic use, cancer stage, and cancer location on symptom clusters in head and neck cancer patients. Methods: The method used is analytical observational with a cross-sectional approach. The sample inclusion criteria were as follows: head and neck cancer without metastatic disease to the brain, cooperative and good at communicating, and age 18-70 years. Meanwhile, the exclusion criteria are not completing the questionnaire due to critical condition, mental disorders, death, and patient going home. The sampling technique used was consecutive sampling, consisting of 111 patients at Dr. Kariadi Central General Hospital of Semarang. Data analysis using Spearman Rho. Results: The relationship between the significance values of the treatment modality variables for sickness and gastrointestinal symptom clusters, the use of analgesics for gastrointestinal symptom clusters, the location of cancer for emotional symptom clusters, and the stage with symptom clusters is <0.05. The research results also show that several variables also have a significance value of > 0.05. Conclusions: Good identification of treatment modalities, use of analgesics, cancer stage, and cancer location is expected to be able to overcome symptom clusters in head and neck cancer.

Hubungan Symtom Alleviation Self Care Terhadap Quality of Life pada Pasien Kanker Kepala dan Leher Wyssie Ika Sari; Awal Prasetyo; Suhartini Ismail
Health Care Media Vol 3 No 5 (2019): JURNAL HEALTH CARE MEDIA
Publisher : ITKM WIDYA CIPTA HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70633/2721-6993.101

Pasien kanker kepala dan leher akan mengalami berbagai individual symptomdan mereka menggunakan metode perawatan diriuntuk meredakannya, disebut symptom alleviation self care. Identifikasi tepat dari symptom alleviation self care akan menjadi dasar bagi keberhasilan symptom atau disease management, yang mempengaruhi quality of life pasien. Penelitian ini bertujuan mengetahui hubungansymptom alleviationself careterhadap quality of lifepada pasienkanker kepala dan leher. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan consecutive sampling dengan jumlah sampel sebanyak 111 responden di RSUP Dr. Kariadi Semarang, RSUD Tugurejo Semarang, dan RSUD Kabupaten Temanggung. Analisis data menggunakan uji Spearman Rho. Hasil analisis hubungan variabel symptom alleviation self care terhadap quality of life menunjukkan adanya korelasi bermakna dengan arah positif pada skala fungsional dan status kesehatan global/ QOL dan pada skala gejala/ item memiliki arah hubungan yang negatif. Adapun korelasi yang paling tinggi ditunjukkan pada korelasi kontrol pikiran/ tubuh/ spiritual terhadap skala gejala/ item.Symptom alleviation self care bervariasi dan sangat individual, dalam memberikan dampak terhadap quality of life. Identifikasi yang tepat tentang symptom alleviation self care oleh perawat menjadi dasar bagi keberhasilan symptom atau disease management untuk meningkatkan quality of life pasien kanker kepala dan leher.

PENGARUH AROMATERAPI LEMON OIL TERHADAP PERUBAHAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI POSYANDU LANSIA DESA SUWARU KECAMATAN PAGELARAN wyssie ika sari
Health Care Media Vol 6 No 2 (2022): JURNAL HEALTHCARE MEDIA
Publisher : ITKM WIDYA CIPTA HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70633/2721-6993.204

Hypertension is the increase of blood pressure of diastolic and of sistolic which an intermitent. Hypertension becomes a big problem to elderly wich the increasing of age . Hypertension if don’t handle unattended hypertension will heart attack, stroke, renal failure even disesase.. One of effort to overcome hypertension is by conducting lemon oil aromatherapy. Lemon oil contents of flavonoid and limonene which are to overcome high blood pressure. This research aimed to know influence of lemon oil aromatherapy effect towards blood pressure change on the elderly with hypertension in Posyandu Lansia Suwaru Village Kecamatan Pagelaran. This type of research is quasi experiment with pre and post test with controle group. A sampling technique used by purposive sampling, consisty of 84 respondents. Analysis of the data used to determine the differences between the mean blood pressure in each group is statistical test of wilcoxon and mann-whitney u. The result of wilcoxon test showed there was differences between pre and post lemon oil aromatherapy treatment which the significancy = 0,000 ( p < 0,05) and result of mann-whitney u test showed that lemon oil aromatherapy effect on changes in blood pressure with value of significancy = 0,006 ( p < 0,05). The Conclusion of this research is that influence of lemon oil aromatherapy effect towards blood pressure change on the elderly with hypertension.

The Differences in Triage Accuracy in Low and High Category Respiratory Emergency Cases Using the Early Warning System Score (EWSS) by Nursing Students Ardiyani, Vita Maryah; Metrikayanto, Wahyu Dini; Sutriningsih , Ani; Arlinda , Putu Sintya; Mumpuni , Risna Yekti; Srihayati, Yati; Junaedi , Rosly; Pratiwi , Indah Dwi; Sari , Wyssie Ika; Hardiyanto, Hardiyanto
Jurnal Kesehatan dr. Soebandi Vol 13 No 1 (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.v13i1.803

EWSS is a cumulative scoring system that standardizes the evaluation of the severity of acute illness based on the patient's vital signs. This study aims to compare the accuracy of determining triage in cases of respiratory emergencies in cases with low and high categories to find out the extent of understanding of triage by nursing students in these two categories of cases using the EWSS method. The research was carried out at 8 institutions providing undergraduate nursing education in the city and district of Malang. The sample for this research was 200 nursing students at undergraduate and professional levels. Of the 200 students, they were divided into 2 treatment groups, namely a student group of 100 respondents who were given respiratory emergency vignette cases in the low triage category (low risk) and a student group of 100 respondents who were given cases in the high triage category (emergency). The research results show the results of the Man Whitney test with a significance result of 0.91 so it can be concluded that there are no differences in the 2 treatment groups. Almost all respondents determined triage in the 2 triage groups correctly using the EWSS triage method. EWSS can be used independently by novice nurses in carrying out triage in various cases of respiratory emergencies

Hubungan Umur, Jenis Kelamin, dan Pendidikan Formal dengan Klaster Gejala pada Pasien Kanker Kepala dan Leher: Penelitian Observasional Sari, Wyssie Ika; Purwanza, Sena Wahyu
Health Information : Jurnal Penelitian Vol 14 No 2 (2022): Juli-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v14i2.494

Persamaan gejala umum dialami oleh pasien kanker, namun prevalensi dan tingkat keparahannya dapat berbeda. Prevalensi dan tingkat keparahan gejala dalam klaster mempengaruhi semakin baik atau memperburuk keseluruhan pengalaman tanda dan gejalanya. Penelitian ini bertujuan untuk menganalisis hubungan umur, jenis kelamin, dan pendidikan formal terhadap klasterisasi gejala pada pasien kanker kepala dan leher. Metode studi ini adalah observasional analitik dengan pendekatan cross-sectional. Pemilihan sampel menggunakan kriteria inklusi didiagnosis kanker kepala dan leher tanpa metastasis ke otak, rentan umur 18-70 tahun, mampu kooperatif dan baik dalam berkomunikasi, dan sampling menggunakan metode consecutive sampling pada 111 pasien yang dirawat di Rumah Sakit Umum Pusat Dr. Kariadi Semarang. Analisis data statistik menggunakan metode Spearman Rho. Hasil studi memperlihatkan bahwa terdapat hubungan yang bermakna dari variabel jenis kelamin terhadap klaster gejala gastrointestinal dengan signifikansi p<0,05. Umur dan pendidikan formal tidak berhubungan dengan klasterisasi gejala kanker kepala dan leher. Sedangkan tingkat keparahan dari gejala yang dialami berbeda berdasarkan jenis kelami, perempuan lebih mengalami keparahan dibandingkan laki-laki. Identifikasi yang baik tentang umur, jenis kelamin, dan tingkat pendidikan dapat membantu perawatan gejala kanker kepala dan leher yang lebih baik.

Hubungan Komunikasi Terapeutik Perawat dengan Tingkat Kecemasan pada Pasien Pre Operasi Katarak: Relationship Between Nurse Therapeutic Communication with Anxiety Level of Cataract Pre Operating Patients Sari, Wyssie Ika
Jurnal Surya Medika (JSM) Vol. 10 No. 2 (2024): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v10i2.7758

Indera penglihatan merupakan organ penting untuk manusia Mata mempunyai peran yang vital terutama berkaitan dengan aktivitas kehidupan manusia. Di dunia kurang lebih 1,3 miliar manusia mengalami gangguan penglihatan. Prevalensi kebutaan di Indonesia mencapai 3% dari populasi, dan penyakit katarak menempati urutan utama penyebab kebutaan pada kisaran 70-80%. Penelitian ini bertujuan untuk menganalisis hubungan komunikasi terapeutik perawat dengan tingkat kecemasan pada pasien pre operasi katarak. Desain penelitian ini menggunakan pendekatan cross sectional. Tehnik pengambilan sampel adalah purposive sampling, dengan total responden berjumlah 42 responden. Kuesioner merupakan alat pengumpulan data dalam penelitian ini, meiputi kuesioner demografi, Komunikasi Terapeutik Perawat, dan APAIS (Amsterdam Preoperative Anxiety And Information Scale). Hasil penelitian menunjukkan uji Spearman Rank (rho) di dapat nilai p-value sebesar 0.005, dan nilai r sebesar -0.423. Terdapat hubungan signifikan komunikasi terapeutik perawat terhadap tingkat kecemasan pada pasien pre operasi katarak, dengan ke eratan hubungan cukup kuat. Angka koefisien korelasi bersifat negatif sehingga hubungan kedua variabel bersifat tidak searah yang artinya, semakin baik tingkat komunikasi terapeutik perawat maka semakin rendah tingkat kecemasan pasien pre operasi katarak.

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