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STUDI KASUS IMPLEMENTASI EVIDENCE-BASED NURSING: WATER TEPID SPONGE BATH UNTUK MENURUNKAN DEMAM PASIEN TIFOID Firmansyah, Andan; Setiawan, Henri; Ariyanto, Heri
Viva Medika Vol 14 No 02 (2021)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v14i02.579

Abstract

Typhoid is an acute febrile illness caused by a bacterial infection of salmonella typhi and its endotoxin stimulates the synthesis and release of pyrogens by leukocytes in inflamed tissue resulting in hyperthermia. A non-pharmacological technique that can be used to reduce the increase in body temperature in hyperthermic patients is by doing a water tepid sponge bath, this technique is still rarely found in the field. Nurses tend to give antipyretics more often when children experience hyperthermia. This case study aims to present the results of implementing the evidence-based nursing water tepid sponge bath as an effort to reduce fever in typoid patients. Physical examination was performed using the head to toe method in typoid patients. The North American Nursing Diagnosis Association (NANDA) is used to determine nursing diagnoses. Meanwhile, nursing intervention refers to the Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC). A hyperthermic nursing diagnosis with a diagnosis number 00007 is given a nursing intervention in the form of a water tepid sponge bath. After being given nursing intervention for 7 days, hyperthermia was resolved by the criteria that the patient's body temperature returned to normal 36.2 °C. Water tepid sponge bath is effective in reducing body temperature in typoid patients
UPAYA MENINGKATKAN KUALITAS TIDUR LANSIA DENGAN METODE PEMBERIAN MADU MURNI Najamuddin, Nur Isriani; Wahab, Masyita; Shinta, Bella D.; Firmansyah, Andan
Viva Medika Vol 16 No 1 (2022)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i1.785

Abstract

Elderly (elderly) will experience changes both physically, mentally, spiritually and psychosocially. Complaints about difficulty sleeping at night often occur in the elderly. This is an important matter for the elderly, so an efficient and comfortable treatment is needed from side effects. Giving honey is one form of treatment with a relaxation method which is a type of non-pharmacological treatment that aims to improve the quality of sleep in the elderly. This research aims to identify the effect of honey on sleep quality in the elderly before and after giving pure honey in Galeso Village, Wonomulyo Community Health Center, Polewali Mandar Regency. This research is a quantitative research using a pre-experimental design. The research was carried out in Galeso Village from June to July 2021. The sample in this research amounted to 17 people. The analysis was tested using univariate and bivariate analysis. Sleep quality was measured using the PSQI (Pittsburgh Sleep Quality Index) questionnaire. Based on the Wilcoxon test analysis, the results showed that there was an effect of giving pure honey on sleep quality in the elderly
Remote Genetic Counseling and Psychoeducation for Patients with Genetic Issues: a Systematic Literature Review Setiawan, Henri; Hidayat, Nur; Setiawan, Doni; Firmansyah, Andan; Ariyanto, Heri
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14765

Abstract

ABSTRACT Remote technology refers to electronic information and telecommunication technologies utilized by medical personnel and doctors to manage patient health remotely. Such technologies encompass digital images, videos, or text files stored on computer systems. Technology-driven remote genetic counseling has demonstrated efficacy in enhancing the quality of life for patients afflicted with genetic disorders. Hence, researchers undertook a systematic review to assess the impact of remote technology interventions on the psychological well-being of patients with genetic diseases. Inclusion criteria comprised English articles published from 2012 to 2023 focusing on technology-based remote genetic counseling interventions for patients with genetic disorders, with outcomes pertaining to psychological well-being. Research designs included randomized controlled trials and quasi-experimental studies, while exclusion criteria encompassed literature reviews, systematic reviews, and scoping reviews. The review encompassed four databases: PubMed, Scopus, Proquest, and Wiley. Critical Appraisal Checklist from the Joanna Briggs Institute was employed for methodological assessment. The studies, comprising randomized controlled trials and quasi-experimental designs, met the inclusion criteria. The review of remote genetic counseling and psychoeducational interventions indicated a significant impact on psychological well-being, thereby enhancing the quality of life for patients with genetic disorders. remote genetic counseling  and psychoeducational interventions interventions have been shown to ameliorate the psychological status of patients affected by genetic disorders, thereby enhancing their quality of life. Evidence-based interventions utilizing technology can be integrated into medical care systems to effectively manage patients with genetic disorders. Keywords: Remote Genetic Counseling, Mobile Applications, Psychoeducation, Telephone, Web-Based 
The Implementation Of Psychosocial Rehabilitation In Adolescents Using Drugs With Inefective Coping Problems Rahayu, Gumelar Zati; Suhanda, Suhanda; Firmansyah, Andan
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.304

Abstract

Objective : Drug abuse in adolescents is a serious problem that affects their physical, psychological, and social health. In addition, the problem of ineffective coping has a frequent impact on drug users. Data from the National Narcotics Agency show that out of 34.7 million drug users in Indonesia, the prevalence of drug attacks in West Java is at 2.45%, with a total of 850 thousand people in the age range of 10-59 years. It is hoped that this can help adolescent drug users overcome ineffective coping problems through better selfunderstanding, managing emotions, improving social skills, and forming healthy groups. Method  : This research method uses a case study design. The case study design was chosen because this study aims to gain an in-depth understanding of the application of psychosocial rehabilitation to adolescent drug users with ineffective coping problems. The implementation of this research lasted for 10 days located in Banjarsari District. Result : The results of the case study after being given psychosocial rehabilitation the client's coping becomes effective and regular, the client can assess the positive aspects that can be done. Clients are able to carry out methods of implementing psychosocial rehabilitation. Conclusion and Recommendations : By paying attention to the physical, psychological and social aspects of this process can help adolescents to overcome the problem of ineffective coping. Support from the family and encouragement from the social environment also influence the recovery process.
Usability of Mobile Application for Implementing Genetic Counselling Intervention among Thalassemia Patients and Caregivers: A Case Study of Cyber Gen Setiawan, Henri; Hidayat, Nur; Farihatun, Atun; Indriastuti, Marlina; Kurniawan, Rudi; Firmansyah, Andan; Andarini, Esti; Lutfi Sandi, Yudisa Diaz
Elinvo (Electronics, Informatics, and Vocational Education) Vol. 8 No. 1 (2023): Mei 2023
Publisher : Department of Electronic and Informatic Engineering Education, Faculty of Engineering, UNY

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/elinvo.v8i1.55688

Abstract

Utilization of communication and information technology has been widely used in the health sector, especially nursing. As one of the nursing interventions for thalassemia patients and caregivers, genetic counseling is not only done face to face but can use android-based telenursing facilities through the complete features available in the Cyber Gen application. This study aims to measure the usability level of Cyber Gen application as an indirect genetic counseling medium for thalassemia patients. This application was developed with four main services: basic information about diseases, consultation rooms, social support, and direct surveys. This application is built using the Flutter Framework, the Dart programming language, and Cloud Firestore as the database. Usability was measured by using the System Usability Scale in two groups of 30 respondents each with an incidental sampling technique. The usability score shows 81.75 for personal users and 82.25 for counselor users with a 100% readiness level for use. These results indicate that the Cyber Gen application can be used to deliver genetic counseling intervention to thalassemia patients and caregivers.
The Use of the Picture Exchange Communication System to Improve Expressive Language Skills in Non-Verbal Children with Autism: A Systematic Literature Review Fahliza, Aqshal Ilham; Pradiansyah, Kevin Septia; Rhousnaka, Dika; Purwati, Ayu Endang; Firmansyah, Andan; Irpan Ali Rahman; Setiawan, Henri
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.824

Abstract

Introduction: Children with non-verbal autism often experience barriers in developing expressive language skills, which impact their ability to communicate and engage in social interactions. The Picture Exchange Communication System (PECS) has been developed as an alternative intervention strategy aimed at enhancing functional communication in individuals with verbal limitations, including children with autism. Objective: Children with non-verbal autism often experience barriers in developing expressive language skills, which impact their ability to communicate and engage in social interactions. The PECS has been developed as an alternative intervention strategy aimed at enhancing functional communication in individuals with verbal limitations, including children with autism. Method: This study is a systematic review that explored seven journal databases, PubMed, ProQuest, JSTOR, Garuda, ScienceDirect, CNKI, and Wiley, from 2010 to 2024, with a population of non-verbal children with autism aged 3–12 years who received PECS intervention. The measured parameters included the number of spoken words, picture exchange ability, and functional communication. Three independent reviewers conducted screening using the PRISMA flowchart, quality assessment with the CASP Checklist, and data extraction based on author, intervention, facilitator, setting, sessions, methods, and research topics. Result: Based on 12 articles involving 158 participants, PECS was found to be effective in enhancing expressive communication in children with non-verbal autism and contributed to improvements in the use of short phrases, comprehension of instructions, as well as the reduction of non-adaptive and aggressive behaviors. PECS therapy with a duration of 30–60 minutes across 129 sessions over 23 weeks proved to be optimal, supported by RCT studies demonstrating its effectiveness in improving individuals’ expressive language abilities. Conclusion: PECS is an effective intervention for improving expressive language skills in children with non-verbal autism. This study emphasizes the importance of assessing a child’s developmental progress prior to implementing PECS, in order to tailor the intervention to individual needs. Furthermore, the active involvement of parents and educators is essential to ensure that PECS is implemented consistently and effectively across various settings.
The Application of Lego Play Therapy For Children at Risk of Developmental Disorders Due to Gadget Addiction Tsalis, Shabrina; Firmansyah, Andan; Utami Asmarani, Sri
Asy-Syifa : Journal of Science and Technology Nursing Vol. 3 No. 2 (2025): Asy-Syifa: Journal of Science and Technology Nursing
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/asyjstn.v3i2.925

Abstract

Purpose: The purpose of this study is to examine the effectiveness of Lego play therapy in reducing gadget addiction among school-aged children who are at risk of developmental disorders. Methods: This study employed a qualitative design using a case study approach with a pediatric nursing care perspective. The subject was a 9-year-old girl experiencing gadget addiction. Lego play therapy was implemented over three consecutive days as an intervention to divert attention from gadget use while stimulating cognitive, creative, and social abilities. Results: The results demonstrated a reduction in the intensity of gadget use following the intervention. In addition, improvements were observed in the child’s cognitive function and social responsiveness, indicating positive behavioral changes after Lego play therapy. Conclusions: This case study concludes that Lego play therapy is effective in reducing gadget addiction in school-aged children. Beyond functioning as an attractive alternative to gadget use, Lego play therapy also supports cognitive and social development. Therefore, it can be considered a viable non-pharmacological intervention in pediatric nursing care to address challenges arising from excessive gadget use in the digital era.  
Health Education; The Comparison Between With Leaflet and Video Using Local Language In Improving Teenager’s Knowledge of Adverse Health Effect of Smoking Abdullah Abdullah; Andan Firmansyah; Asri Aprilia Rohman; Nurisriani Najamuddin; Rahmayanti Puang Kuma
Faletehan Health Journal Vol 7 No 1 (2020): Faletehan Health Journal
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v7i1.50

Abstract

Smoking is a usual activity that we always find in our society, although most of the people know the danger of it, the habit of smoking still can be found in a big amount in our society, especially in the teenage area, whose stand in the biggest amount of smoker in Indonesia in this present. Health education changes attitude of young generation through knowledge, which is influence by several elements, such as delivered information, manner or props used, and language. The purpose of this research was to identify the comparison of leaflets and videos using local language to improve knowledge of the adverse health effects of smoking in the teenager. This research used the Quasi Experiment design with Pretest and Posttest Two Group of 120 respondents. The questionnaire used to examine the knowledge of respondents. The result using the Wilcoxon test showed that leaflet and video with local language are equally effective to increase knowledge of respondents of the health effects of smoking(p= -0.000), mean score after intervention by using the local language leaflet is 1.98, and mean score by using local language video is 2.32. So, local video is more effective to improve the knowledge of teenagers about the danger of smoking than the use of local language leaflets.
Jump Rope Play Therapy to Enhance Social Interaction in a Child with Gadget Addiction: A Case Study Renata Syaira Hasbillah; Andan Firmansyah; Dadi Hamdani
KIAN JOURNAL Vol 5 No 1 (2026): KIAN JOURNAL (March 2026)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v5i1.572

Abstract

Introduction: Excessive gadget use among school-age children has become a growing concern due to its negative impact on social and behavioral development. Children who spend prolonged periods using digital devices often exhibit reduced social engagement, limited verbal communication, emotional withdrawal, and decreased participation in peer interactions. These conditions may hinder the development of essential interpersonal skills during a critical stage of growth. Traditional play activities, such as jump rope, offer opportunities for physical movement, communication, cooperation, and social interaction, making them potential therapeutic interventions for children experiencing gadget-related social difficulties. Objective: This study aimed to evaluate the effectiveness of jump rope play therapy in improving social interaction among children with gadget addiction. Method: A descriptive case study design was employed involving a 10-year-old female child residing in Dayeuhmanggung Village, West Java, Indonesia. The intervention consisted of two structured jump rope play therapy sessions conducted over four consecutive days. Data were collected through semi-structured interviews with parents, direct observations using behavioral checklists, gadget usage logs, and field documentation. Behavioral changes before and after the intervention were analyzed descriptively. Results: Following the intervention, the child demonstrated notable improvements in social behavior. Daily gadget use decreased from more than 3 hours to approximately 1.5 hours. Increased eye contact, spontaneous verbal responses, initiation of conversations, active participation in outdoor play, and greater willingness to interact with family members and peers were observed. Parents also reported enhanced sociability, improved mood, and reduced dependence on digital devices. Conclusion: Jump rope play therapy appears to be a culturally appropriate, low-cost, and effective intervention for enhancing social interaction and reducing gadget dependency among school-age children. The findings suggest that integrating traditional play activities into community and family-based nursing interventions may support children's psychosocial development and social reintegration.
Lego Play Therapy for Managing Excessive Gadget Use in a School-Aged Child: A Pediatric Nursing Case Study Shabrina Tsalis Nurfauziah; Andan Firmansyah; Dedi Supriadi; Sri Utami Asmarani
KIAN JOURNAL Vol 5 No 1 (2026): KIAN JOURNAL (March 2026)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v5i1.573

Abstract

Background: Excessive gadget use among school-aged children has become an increasing concern because prolonged screen exposure may interfere with cognitive, emotional, and social development. Therapeutic play has been proposed as a non-pharmacological nursing intervention to encourage healthy developmental behaviors. Objective: To describe the implementation of Lego play therapy in managing excessive gadget use in a school-aged child through a pediatric nursing case study. Methods: A qualitative single-case study was conducted involving a 9-year-old girl who demonstrated excessive gadget use. Nursing assessment, observation, and parental interviews were performed before and after a three-day Lego play therapy intervention. Behavioral responses, social interaction, attention span, emotional regulation, and engagement in play activities were documented descriptively. Results: Following the intervention, the child demonstrated reduced interest in gadget use during therapy sessions, improved attention and concentration, increased verbal communication, better emotional regulation, and greater willingness to interact with family members. The intervention also encouraged creativity and active participation in constructive play. Conclusion: This case study suggests that Lego play therapy may serve as a practical nursing intervention to redirect excessive gadget use while promoting cognitive and social engagement in school-aged children. Further studies with larger samples, standardized outcome measures, and longer follow-up periods are required to confirm these preliminary findings
Co-Authors A Fitriani Aas Rosidah Abdullah Abdullah Ade Fitriani Ade Fitriani, Ade Ade Koswara Ade Kurniawan aditya nur wahyuni Ahmad, Nizar Ai Nuraliah Ajeng Silvia Akmal Rahayu Dasuki Rahmat Albianto, Deranito Langlang Paresa Alda Nurani Asmara Alfi Fadilah Ali Apriansyah Alifia Badriatul H Alimah Nurnaziyah Amelia Oktavia Amelia Putri, Annisa Ana Samiatul Milah Andang Permana, Asep Andika Abdul Malik Andrian, Bagas Andriana, Bayu Anggraeni, Siti Dewi Annisa Fitria Nigusyanti Arifin, Hidayat Ariyanto, Heri Aryanti, Ayu Sri asep gunawan Asmarani, Sri Utami Asri Aprilia Rohman Atun Farihatun Aura Maulida, Salma Azril Ayu Endang Purwanti Ayu Endang Purwati Ayu Nalaratih Azahra, Tarisa Aziz, Iman Azmar, Dwiva Bela, Bela Bella D. Shinta Budi Rahayu Dadi Hamdani Daffa Naufal Ramadhan Daniel Akbar Wibowo Dea Sri suhartini Dedi Supriadi Dedi Supriadi Dela Yulianti Deni Firmansyah Deni Kurniawan Desty Yuliawati Dian Andriani Diki Arif Hidayat Doni Setiawan E Roslianti E Rosliati Elis Noviati Elis Roslianti Elza Dwi Zuvita Enita, Enita Esti Andarini Fahliza, Aqshal Ilham Fani Afifah Fauzanillah Fauzanillah Fauzanillah Fauziah, Diny Nur Febriani, Azhrin Fidiyanti Amatilah Fidya Anisa Firdaus Fidya Anisa Firdaus Fuzti Fauzia Gina, Gina Gumelar Zati Rahayu Gunawan Angga Saputra H Setiawan Hadryani Amin Haerani, Salsya Hani Monika Hasanah, Dinda Lutfi Hasanah, Hilmiatun Hasna Luthfiyah, Ghina Hendasyah, Firza Hendri Tamara Yuda Heni Heryani Heni Marliany Heni Pujiastuti Henri Setiawan Henri Setiawan hera maulidiyah Heri Ariyanto Heri Ariyanto Herni Oktriani Ibrahim, Bobi Iif Taufiq El Haque Iis Ismayanti Imaniar, Dewi Permata Imel Puji Astuti Indriastuti, Marlina Irma P. Arisanty Irmayanti, Delviera Irpan Ali Rahman Irpan Ali Rahman Ishana Balaputra Ismawati, Alvira Jajuk Kusumawaty Jevanesia, Nawa Fisca Julia Putri Juliyana, Ilham Kemala Fauzia Keysha Nur Shaffa Ap Launa Lutfi Sania Lena Agustina Lestari Utami, Lestari Lidia Naela Sangadah Lilis Lismayanti Lilis Lismayanti Linda Oktavianingsih Lisa Lati, Lesa Lisda Alvita Listiawati Listiawati Lusi Lestari M. Syikir Marwa, Alya Shofia Masluh Aziz, Iman Masyita Wahab Maulana Nurona, Ridha Maulidah Noorsopia Maya Ovia Meida Bintari Metty Nurherliyany Mia Laila Salsa Ahmadi MJW, Endrian Mohamad Sidik, Haris Mohammad Haekal Muhamad Akbar, Adiansyah Muhamad Ramdan Nujulul Furqon Muhamad Ramdan Nujulul Furqon Muhammad Daffa Alifio Muhammad Syahrul Zain Muhammad Syikir Mustakimah, Risma Mutia Dwi M najamuddin, nur isriani Navis Aulia Rahman Nea Sherina Nendah Sulistiani Nendela Resta Angga Putri Neng Wiwin Mulyati Nizar Ahmad Novi Mirna Lisnasari Nugraha, Ilham Nur Hidayat Nur Hidayat Nur Isriani Najamuddin Nur Isriani Najamuddin Nur Isriani Nur Zaidan, Rafi Hanif Nurani Asmara, Alda Nuranjani, Tini Nurapandi, Adi Nurhaliza, Nabila Nurhayati, Ismi Nurherliyany, Metty Nurisriani Najamuddin Nurpadilah, Demita Nurpatonah, Dini Nursamsi, Nursamsi NURUL AZIZAH Oktavianti, Riska Fitri Pradiansyah, Kevin Septia Putri, Julia Putri, Tri Antika Rizki Kusuma Rahayu, Gumelar Zati Rahmayanti Puang Kuma Raina, Ade Ramdani, Vikri Haikal Rapiyudin Rapiyudin Reika Dhamayanti Renata Syaira Hasbillah Reni Purwanti Rhousnaka, Dika Rian Rahmatulloh Rifaa Fauzan Rabani Rike Rahma Amelia Rini Fitriani Rinrin Sugiartin Riza Nuraeni Putri Rizki Aulia, Adinda Rizky Perdana Susanto Rohimah, Sri Nurul Rosidah Solihah roslianti, elis Rosmiati Rudi Kurniawan Rudi Kurniawan Safariani, Nur Salsabilah, Nadwa Sandi, Yudisa Diaz Lutfi Sandriani Sani Dayanti Santika Santika Sari, Amelia Cahya Sari, Deuis Diana Sari, Wiar Selvia David Richard Shabrina Shabrina, Shabrina Shabrina Tsalis Nurfauziah Shinta, Bella D. Shofi Nurwahidah Siti Aisyah Sri Sulastri Desi Yanti Sri Utami Asmarani Sri Wahyuni, Tyas Suhanda Suhanda Suhanda Suhanda Suhanda Suhanda Suharta Suharta Sukaesih, Iis Sukmara Aji Falah Sulistiarini Syahdan Nurul Bayan Syaira, Renata Syamsiar, Syamsiar Tarisa Amelia Tarsim Putri, Suci Ambarwati Tiara Cahya Rinukti Tiara Ningrum, Putri Azizah Tita Rohita Tsalis, Shabrina Utami Asmarani, Sri Vikri Haikal Ramdani wahab, masyita wahab, masyitah Wardana, Mahadiaz Syah Wardani, Nindi Irma Wiji Safitri, Desti Riyasti Wina Widianti Wulan Permatasari Yuda Nugraha Yulistianto Yuyun Rahayu Zahra, Septiani