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Modified TR Band Application Technique for the Prevention of Hemostasis-Related Complications in Transradial Percutaneous Coronary Intervention (PCI) Abda Ali; Muhammadong Muhammadong; Endah Sari Purbaningsih
International Journal Of Health Science Vol. 5 No. 1 (2025): : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i1.5122

Abstract

The Trans Radial Band (TR Band) is a compression method applied to the radial artery following percutaneous coronary intervention (PCI). Prolonged TR Band removal duration may increase the risk of complications, while premature removal can lead to bleeding. This systematic review aims to evaluate the effectiveness of various modified TR Band application techniques in enhancing hemostasis and preventing vascular complications after transradial PCI. The study followed PRISMA guidelines, with literature searches conducted in PubMed, Scopus, and Google Scholar using specific keywords related to TR Band and its modifications. The results show that several modification techniques—including the use of rollers, slow deflation protocols, dual TR Band application, and hemostatic patches made from chitosan and potassium ferrate—generally improve hemostatic effectiveness, reduce hematoma incidence, and enhance patient comfort. However, limitations such as small sample sizes and the lack of long-term data remain challenges. Conclusion: Modified TR Band techniques are considered safe and effective, but larger-scale studies are still needed.
Exploring the Relationship between Body Shaming and Self-Concept among Adolescents Ani Nurhaeni; Dewi Erna Marisa; Thia Oktiany; Rosalia Rahayu; Endah Sari Purbaningsih; Lili Wahyuni
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6264

Abstract

Body shaming is a pervasive issue with significant psychological consequences, particularly among adolescents. As adolescents undergo various physical and emotional changes, the pressures of social comparison and body image often lead to negative impacts on their self-concept. This study explores the relationship between body shaming and self-concept among adolescents in Cirebon, Indonesia.Methods:A cross-sectional design was used in this study, This study used total sampling, involving 180 students aged 12–16 years. Data were collected using a structured questionnaire that assessed participants' experiences with body shaming and their self concept, including self-esteem, self-identity, and physical appearance satisfaction. The questionnaire had previously undergone validity and reliability testing in a different school setting to ensure its accuracy and consistency.The analysis was conducted using Pearson’s correlation and regression analysis to examine the relationship between body shaming and self-concept.Results: The findings indicate a significant negative correlation between body shaming experiences and self-concept. As body shaming experiences increased, adolescents reported lower levels of self-esteem, self-identity, and satisfaction with their physical appearance. These results highlight the psychological toll of body shaming and its negative influence on adolescent self-concept.Conclusion:This study provides strong evidence that body shaming negatively impacts adolescents’ self-concept. These findings underscore the importance of addressing body shaming through interventions aimed at fostering self-acceptance, body positivity, and resilience among adolescents, particularly within school settings.
Development of A Prototype of the M-Health_Desila Application (Digital Elderly Self-Health Screening Application) for Early Screening of Degenerative Diseases in the Elderly Dewi Erna Marisa; Endah Sari Purbaningsih; Hendri Rosmawan; Fitri Nurhadits
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.990

Abstract

Degenerative diseases in the elderly, such as hypertension, diabetes, and osteoarthritis, are major health issues in Indonesia. Early screening is often suboptimal due to limited healthcare access, low health literacy, and the absence of elderly-friendly digital media. This study aimed to develop M-Health_Desila prototype application to support early screening of degenerative diseases in the elderly. This study employed a research and development design comprising a literature review, needs analysis, system design, prototype development, expert validation, and limited trials. Expert validation was conducted by health and technology specialists, while the limited trials involved 10 health cadres and 10 elderly participants in Cirebon. The prototype was successfully developed with features including digital questionnaires, health history, automated screening results, and follow-up recommendations. Validation confirmed content suitability with suggestions to improve icons and add audio features. Limited trials showed cadres rated the app as very feasible (60%) and feasible (40%), while elderly participants rated it feasible (50%), very feasible (30%), and moderately feasible (20%). Technology readiness level increased from 2 to 3. The m-health application is considered feasible for early screening of degenerative diseases in the elderly, though further interface improvements are needed to enhance usability.
Asuhan Keperawatan Pada Tn.U Dengan Diagnosa Medis Congestive Heart Failure Rizki Dian Cahyawati; Endah Sari Purbaningsih; Sumarni; Dikha Sazilli; Mahendra
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

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Abstract

The World Health Organization (WHO) in 2016 showed that in 2015 there were 23 million or around 54% of total deaths caused by Congestive Heart Failure (CHF). Based on a doctor's diagnosis, the prevalence of heart failure is around 1.5% or 29,550 people. Meanwhile, according to diagnosis or symptoms, the estimated number of heart failure sufferers is 0.4% or around 29,880 people. CHF, commonly known as congestive heart failure, is the heart's inability to pump adequate blood to meet the tissue's need for oxygen and sufficient nutrients, causing cardiac output that should be normal to decrease and causing chest pain. This study aims to determine nursing care for CHF patients in the ICCU room at Rsu Gunung Jati, Cirebon City. After applying nursing care to patient Mr. U using a case study method consisting of assessment, nursing diagnosis, intervention, implementation and evaluation which was carried out for 2 days. The results showed that the nursing diagnosis of decreased cardiac output was partially resolved, the problem of gas exchange disorders was resolved, and the final diagnosis, namely anxiety, was resolved on day 2 of treatment.
Pengaruh Pijat Oksitoksin, Untuk Melancarkan Asi Pada Ibu Post Partum P0A1 Dengan Partus Spontan Di Ruang Mawar RSUD Waled Nadia Sindia Devi; Endah Sari Purbaningsih; Indah Mamay Maftuha; Uswatun Khasanah; Neneng Rimawati Nurokhman
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

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Abstract

Newborn babies need to receive optimal care from birth, one of which is ideal food. Breast milk (ASI) is the most recommended food for babies for at least the first 6 months of life. However, in reality, exclusive breastfeeding is not as easy as imagined. Various obstacles can arise in efforts to provide exclusive breastfeeding during the first six months of a baby's life. This research aims to provide the application of oxytocin massage in post-partum maternal care to overcome the problem of ineffective breastfeeding. The research design used in this research is a case study of a post partum mother P0A1 with spontaneous labor in the Mawar room at Waled Hospital, Cirebon Regency. This research was carried out at Waled Hospital, Cirebon Regency, precisely in the Mawar Room on January 5 2024. Breast milk production can be accelerated with non-pharmacological measures, namely through oxytocin massage which can be done by massaging the area around the back (pars thoracic vertebrae) to stimulate the release of breast milk. The mother will feel satisfied, happy, confident, because she can give breast milk to her baby. the problem of ineffective breastfeeding related to inadequate breast milk supply was resolved and a little milk came out and the patient said that after the oxytocin massage the patient felt comfortable and relaxed
Penerapan Kompres Hangat Pada Demam Thypoid Di Ruang Anyelir Rsud Waled Kabupaten Cirebon Indah Mamay maftuha; Endah Sari Purbaningsih; Nadia Sindia Devi; Uswatun Khasanah; Neneng Rimawati Nurokhman
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): April
Publisher : Awatara Publisher

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Abstract

Infectious diseases are one of the main health problems in developed and developing countries, one of them is because Typhoid fever. This study aims to Application of Warm Compresses for Typhoid Fever in the Anyelir Ward at Waled District Hospital, Cirebon Regency. The research method used is descriptive research in the form of a case study. The respondents in this study were child patients with typhoid fever in the Anyelir ward at Waled Hospital, Cirebon Regency. The results of a case study of nursing care applied to an.s with typhoid fever in the form of warm compresses for 15 minutes in one day showed that the family said the fever had begun to decrease, anxiety decreased, red skin decreased, body temperature was 37.30C. From the case studies that have been carried out, it can be concluded that warm compresses have an effect on reducing body temperature in children with typhoid fever with the results of the family saying that the fever has started to decrease, anxiety has decreased, red skin is no longer there, body temperature is 37.30C.
Asuhan Keperawatan Pada Ny. S Dengan Gangguan Integritas Kulit/Jaringan Berhubungan Dengan Neuropati Perifer Dm 2 Di Igd Rsd Gunung Jati Mahendra; Endah Sari Purbaningsih; Rizki Dian Cahyawati; Sumarni; Dikha Sazilli
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.251

Abstract

According to WHO, diabetes mellitus is a metabolic disorder characterized by increased levels of glucose in the blood (causing hyperglycemia), there are disorders of carbohydrate, fat and protein metabolism caused by damage to insulin (insulin resistance), and as a result the production and performance of insulin does not work properly. If this increase in blood glucose levels lasts for a long time and is not treated properly, this can cause complications, namely neuropathy, diabetic retinopathy, cardiovascular disease, diabetic nephropathy and diabetic ulcers. Diabetic ulcers are a complication that is difficult to treat because it is difficult for oxygen dan white blood cells to reach the tissue. One of the causes of diabetic ulcers is decreased peripheral circulation which is greatly influenced by high blood glucose levels and is closely related to peripheral arterial disease. This research aim to study and understand in depth nursing care for patients with diabetic ulcers. After applying nursing care to Ms. S patients using a case study method consisting of assessment, nursing diagnosis, intervention, implementation and evaluation. The results showed that after the wound was treated, the redness, bleeding and hematoma decreased, the wound looked clean and sterile, the problem was partially resolved, the intervention was continued with changing the bangage every day.
Penerapan Teknik Relaksasi Nafas Dalam Pada Pasien Hipertensi Dengan Nyeri Akut Indah Mamay maftuha; Endah Sari Purbaningsih; Nadia Sindia Devi; Uswatun Khasanah
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.254

Abstract

Hypertension is a condition where there is an increase in blood pressure exceeding 140/90 mmHg cornically. Hypertension is also caused by several factors, one of which is the pattern of consuming salty foods, caffein, consumption of monosodium glutamate (vetsin, soy sauce, shrimp paste).  The method used is a case study approach. The subject in this case study is a patient with a medical diagnosis of hypertension in the Kuta ward of Sumber Kasih Hospital, Cirebon City. The procedure used is providing non-pharmacological deep breathing intervention techniques to hypertensive patients who experience acute pain. The deep breathing relaxation technique is carried out with a frequency of 15 times for approximately 10 – 15 minutes. Repeat if the patient feels pain. On the first day the patient still complained of pain but on the second day the pain began to decrease and on the third day the pain began to disappear. The patient also said that if the head hurts, the patient does deep breathing relaxation techniques and this reduces the pain quite a bit. From the results of the nursing care that has been provided and the interventions that have been carried out, it can be concluded that the deep breathing relaxation technique is effective in reducing pain. These non-pharmacological techniques can be used as companions to pharmacological therapy.