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Aplikasi Terapi Guided Imagery Untuk Mengurangi Nyeri Akut Pada Ny. S Dengan Ca Mammae: Studi Kasus Rr. Reza Fitri Dwi Milenia; Murtaqib Murtaqib; Ana Nistiandani; Sulis Setyowati
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 3 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.87315

Background: Breast cancer is the second leading cause of death in women after cervical cancer. One of the most feared symptoms by cancer patients is pain. Cancer patients have used guided imagery relaxation techniques for several years, and it has been proven that they can help reduce the side effects of chemotherapy, such as nausea, vomiting, pain, anxiety, and depression.Objective: To analyze the application of guided imagery therapy to reduce acute pain in Mrs.S with Ca Mammae in the Upper Melati Room, RSD dr. Soebandi.Case report: Mrs. S, 46 years old, is being treated in the Melati Room at RSD dr. Soebandi Jember with a medical diagnosis of Ca Mammae. When he came to RSD dr. Soebandi Jember patient complained of pain with a scale of 5 with a dull ache in the left breast. Patients were given the main intervention of Guided Imagery therapy for 3 days of treatment to reduce pain.Outcome: The patient said that on the first day of the intervention, the pain felt intermittent and it was difficult to sleep. Then after being given guided imagery therapy, the pain felt reduced.Conclusion: Guided imagery therapy can be applied to breast cancer patients where it can help reduce pain due to breast cancer felt by patients so that it will help in patient health care

Foot Self Care Education To Prevent Diabetic Ulcers: Edukasi Foot Self Care Untuk Mencegah Ulkus Diabetik Nistiandani, Ana; Widayati, Nur
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

The major complication of diabetes mellitus that needs special attention at this time is diabetic ulcers. Diabetic ulcers on the feet can reduce the quality of life and cause death. A lack of knowledge about foot care can cause this. In addition to controlling blood sugar levels, people with diabetes need education about foot care that is applied independently at home (foot self-care). This service aims to enable participants to understand and implement foot self-care to prevent diabetic ulcers. The educational method is given by lecture. Community service activities are carried out in four stages: education, discussion, question and answer, and evaluation. Participation partners involved are the Gucialit village community, totaling 25 people. Characteristics of the participants indicated that the gender of the majority of participants was male, totaling 17 people (68%), dominated by late adulthood, totaling 15 people (60%), and the majority were farmers, totaling 22 people (88%). The service results show increased knowledge about foot self-care to prevent diabetic ulcers before and after being given education. Further education on foot self-care can be given using a simulation method so that people can practice it directly.

Mitigation Of Non-Natural Disaster Outbreaks Through Increasing Awareness Of The COVID-19 Protocol In Mayang Village, Jember Indonesia: Mitigasi Bencana Non-Alam Wabah Penyakit Melalui Peningkatan Kesadaran Protokol Covid-19 Pada Masyarakat Desa Mayang Jember Sutawardana, Jon Hafan; Hakam, Mulia; Nistiandani, Ana; Siswoyo, Siswoyo
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

At the end of the COVID-19 Pandemic, as it is today, people tend to lose their self-awareness regarding implementing their health protocols. On the other hand, a new variant of Covid 19 threatens public health, as evidenced by the recent increase in the number of cases in Indonesia. The community needs to get educated about mitigating non-natural disasters of the Covid 19 outbreak, so they can prepare themselves when the danger of this outbreak re-emerges in the community through self-awareness of the Covid 19 Protocol. The time of health education is about 60 minutes. Health education methods are used through lectures, discussions, and demonstrations using information media such as LCD projectors, leaflets, posters, and X-banners. Understanding evaluation methods using pre-test and post-test. The community showed enthusiasm during the activity, as evidenced by the many questions asked. Participants could also practice washing their hands properly and wearing a mask. When the verbal evaluation was carried out, participants could also answer the questions the teaching team posed correctly. The results of the written test evaluation showed an increase in the average value, namely from the pre-test score of 70.5 to 90.1 for the post-test average value. The community expressed their commitment to implementing the COVID-19 protocol in their daily lives to prevent the spread of COVID-19 cases.

Pencegahan Kerusakan Saraf Perifer Pada Penderita Diabetes Mellitus Tipe 2 Nistiandani, Ana; Sutawardana, Jon Hafan; Rondhianto
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2023): April 2023
Publisher : Al-Hijrah Indonesia

Kerusakan saraf perifer merupakan komplikasi diabetes melitus (DM) yang dapat menyebabkan kecacatan secara permanen. Kabupaten Jember memiliki angka DM yang tinggi dan penderitanya memiliki resiko untuk mengalami kerusakan saraf perifer. Desa Mayang merupakan mitra sasaran yang membutuhkan informasi untuk mencegah kerusakan saraf perifer. Pengabdian masyarakat ini bertujuan untuk mencegah kerusakan saraf perifer pada penderita diabetes melitus tipe 2 di Kabupaten Jember. Metode pelaksanaan dilakukan dengan ceramah, diskusi, adanya evaluasi berdasarkan nilai pretes dan postes yang diberikan kepada peserta. Hasil kegiatan ini menunjukkan nilai pretes yang didapatkan dari rata-rata jawaban benar yaitu 41,79%. Sedangkan nilai benar rata-rata peserta postest yaitu 69,5%. Meskipun jawaban benar peserta belum mencapai 100%, dapat dikatakan bahwa terdapat peningkatan secara pengetahuan terkait diabetes melitus dan pencegahan komplikasi kerusakan saraf perifer pada peserta.Berdasarkan hasil tersebut, terdapat peningkatan nilai rata-rata jawaban benar dari peserta pengabdian kepada masyarakat. Sehingga dapat disimpulkan bahwa edukasi dengan metode diskusi dan ceramah efektif meningkatkan pengetahuan masyarakat.

Foot Self Care Education To Prevent Diabetic Ulcers: Edukasi Foot Self Care Untuk Mencegah Ulkus Diabetik Nistiandani, Ana; Widayati, Nur
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v1i1.29

The major complication of diabetes mellitus that needs special attention at this time is diabetic ulcers. Diabetic ulcers on the feet can reduce the quality of life and cause death. A lack of knowledge about foot care can cause this. In addition to controlling blood sugar levels, people with diabetes need education about foot care that is applied independently at home (foot self-care). This service aims to enable participants to understand and implement foot self-care to prevent diabetic ulcers. The educational method is given by lecture. Community service activities are carried out in four stages: education, discussion, question and answer, and evaluation. Participation partners involved are the Gucialit village community, totaling 25 people. Characteristics of the participants indicated that the gender of the majority of participants was male, totaling 17 people (68%), dominated by late adulthood, totaling 15 people (60%), and the majority were farmers, totaling 22 people (88%). The service results show increased knowledge about foot self-care to prevent diabetic ulcers before and after being given education. Further education on foot self-care can be given using a simulation method so that people can practice it directly.

Mitigation Of Non-Natural Disaster Outbreaks Through Increasing Awareness Of The COVID-19 Protocol In Mayang Village, Jember Indonesia: Mitigasi Bencana Non-Alam Wabah Penyakit Melalui Peningkatan Kesadaran Protokol Covid-19 Pada Masyarakat Desa Mayang Jember Sutawardana, Jon Hafan; Hakam, Mulia; Nistiandani, Ana; Siswoyo, Siswoyo
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): Desember 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v1i1.40

At the end of the COVID-19 Pandemic, as it is today, people tend to lose their self-awareness regarding implementing their health protocols. On the other hand, a new variant of Covid 19 threatens public health, as evidenced by the recent increase in the number of cases in Indonesia. The community needs to get educated about mitigating non-natural disasters of the Covid 19 outbreak, so they can prepare themselves when the danger of this outbreak re-emerges in the community through self-awareness of the Covid 19 Protocol. The time of health education is about 60 minutes. Health education methods are used through lectures, discussions, and demonstrations using information media such as LCD projectors, leaflets, posters, and X-banners. Understanding evaluation methods using pre-test and post-test. The community showed enthusiasm during the activity, as evidenced by the many questions asked. Participants could also practice washing their hands properly and wearing a mask. When the verbal evaluation was carried out, participants could also answer the questions the teaching team posed correctly. The results of the written test evaluation showed an increase in the average value, namely from the pre-test score of 70.5 to 90.1 for the post-test average value. The community expressed their commitment to implementing the COVID-19 protocol in their daily lives to prevent the spread of COVID-19 cases.

Pencegahan Kerusakan Saraf Perifer Pada Penderita Diabetes Mellitus Tipe 2 Nistiandani, Ana; Sutawardana, Jon Hafan; Rondhianto
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2023): April 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v2i1.75

Kerusakan saraf perifer merupakan komplikasi diabetes melitus (DM) yang dapat menyebabkan kecacatan secara permanen. Kabupaten Jember memiliki angka DM yang tinggi dan penderitanya memiliki resiko untuk mengalami kerusakan saraf perifer. Desa Mayang merupakan mitra sasaran yang membutuhkan informasi untuk mencegah kerusakan saraf perifer. Pengabdian masyarakat ini bertujuan untuk mencegah kerusakan saraf perifer pada penderita diabetes melitus tipe 2 di Kabupaten Jember. Metode pelaksanaan dilakukan dengan ceramah, diskusi, adanya evaluasi berdasarkan nilai pretes dan postes yang diberikan kepada peserta. Hasil kegiatan ini menunjukkan nilai pretes yang didapatkan dari rata-rata jawaban benar yaitu 41,79%. Sedangkan nilai benar rata-rata peserta postest yaitu 69,5%. Meskipun jawaban benar peserta belum mencapai 100%, dapat dikatakan bahwa terdapat peningkatan secara pengetahuan terkait diabetes melitus dan pencegahan komplikasi kerusakan saraf perifer pada peserta.Berdasarkan hasil tersebut, terdapat peningkatan nilai rata-rata jawaban benar dari peserta pengabdian kepada masyarakat. Sehingga dapat disimpulkan bahwa edukasi dengan metode diskusi dan ceramah efektif meningkatkan pengetahuan masyarakat.

Interdialytic weight gain and fatigue in chronic kidney disease patients undergoing hemodialysis: A Correlational study Nur Widayati; Maharani, Nindy Dwi; Nistiandani, Ana
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.482

Chronic Kidney Disease (CKD) has become a significant global health problem, characterized by the gradual and progressive damage to nephrons and decreased glomerular filtration rate which causes toxins in the body to accumulate and cause fatigue. One of the main problems experienced by hemodialysis patients is how to manage interdialytic weight gain (IDWG). Continuous excess extracellular fluid can cause adverse effects on the heart and respiratory function, which serves as the physiological basis for fatigue. This study aimed to analyze the relationship between IDWG and fatigue in CKD patients undergoing hemodialysis. This study used an analytical observational design with a cross-sectional approach. The sample used was 139 respondents using total sampling technique. Data collection of IDWG was conducted by a One Health digital weighing scale and Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale version 4 questionnaire. Data mean value IDWG 3.48% with a standard deviation of 1.72 and a median fatigue score of 26.0 with a low score of 12 and a high score of 46. Data were analyzed by using Spearman's rho correlation test with a significance level of 0.05. The results showed a weak negative relationship between IDWG and fatigue (p value <0.001 ; r = -0.385). It means that the higher the IDWG value, the lower the fatigue score, indicating that the fatigue level is more severe. This study highlights the importance of controlling IDWG to reduce fatigue levels in chronic kidney disease patients undergoing hemodialysis

An Application of Semi-Fowler Positioning to Overcome Nursing Problems Ineffective Breath Patterns in Clients with Chronic Kidney Disease: a Case Study Sari, Dina Setia Indah; Nistiandani, Ana; Siswoyo; Umayanah
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v2i1.71

Chronic Kidney Disease (CKD) or chronic kidney failure is a disease due to decreased kidney function that causes the body to fail to maintain fluid and electrolyte balance metabolism, resulting in urea retention and other nitrogen waste accumulation in the body. This research aims to analyze given this position to lower oxygen consumption and increase maximum lung expansion, the ineffectiveness of the client's breath pattern is more optimal in CKD patients in the Adenium Room of DR. Soebandi Jember Hospital. This type of research is descriptive using the case study approach method. The subject in this case study was one patient affected by CKD with the ineffectiveness of breath patterns. Semifowler position intervention is performed where the position of the head and body is raised by 45°. Result: The application of a semi-fowler position (45° sitting position) for 3x24 hours according to the standard of procedure helps reduce shortness of breath and helps optimize RR in the client so that the problem of ineffectiveness of breath patterns can be resolved. Interventions in regulating the angle of sleep position can meaningfully produce good respiration, so it can be considered one of the interventions to optimize the ineffectiveness of breath patterns.

Progressive Muscle Relaxation for Anxiety and Hyperglycemia in Diabetes Mellitus Type 2 Patient: A Case-Study Himmah, Faiqotul; Nistiandani, Ana; Hakam, Mulia; Setyowati, Sulis
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.129

Hyperglycemia is the main symptom in patients with diabetes mellitus. One of the risk factors that can increase blood sugar levels in diabetes mellitus (DM) patients is anxiety and stress, as a result of diabetes mellitus sufferers who experience anxiety, their physical condition does not improve, and their blood sugar levels are always high. Progressive muscle relaxation therapy (PMR) is a therapy that aims to focus the patient's attention so that they can differentiate the feelings that occur when the muscles are relaxed or relaxed from when they are contracting so that the patient can manage their body condition against their anxiety. This study aims to analyze the provision of progressive muscle relaxation therapy to control anxiety levels and blood sugar levels in patients with type 2 diabetes mellitus in the Gardena medical ward of Dr. Soebandi Hospital Jember. This research uses descriptive methods in the form of case studies on a patient with Type 2 DM. Therapy was given once a day for 20-30 minutes. Anxiety levels were measured using the DASS questionnaire, and blood sugar measurements were made using a blood sugar stick. After being given PMR therapy for 3 x 24 hours, the patients experienced a decrease in anxiety levels and blood sugar levels. Providing PMR therapy is effective in treating unstable blood glucose levels and anxiety for patient with Type 2 DM.

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