Articles
            
            
            
            
            
                            
                    
                        ANALISIS FAKTOR RISIKO DIABETES MELLITUS TIPE 2 
                    
                    Karlina, Nonok; 
Wulandari, Angernani Trias; 
Amalia, Lisa Rizky                    
                     Ensiklopedia of Journal Vol 6, No 4 (2024): Vol. 6 No. 4 Edisi 3 Juli 2024 
                    
                    Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.33559/eoj.v6i4.2029                            
                                            
                    
                        
                            
                            
                                
Abstract: The International Diabetes Federation (IDF) states that in 2019, 63 million people aged 20-79 years had diabetes worldwide, representing a prevalence of 9.3% of the total population of that age group. In the elderly group (65-79 years) it is estimated that the prevalence of diabetes will further increase to 19.9%. The majority of the incidence of diabetes mellitus (DM) occurs in the elderly. Because the elderly body has experienced changes in tolerance to glucose. The aim of the study was to determine the factors associated with the incidence of diabetes mellitus in the elderly at the Binangun Health Center, Cilacap Regency in 2023. The type of research used is quantitative research using explanatory research, to find an explanation for the occurrence of a phenomenon. The result of this research is a description of the causal relationship. The sample used was the entire population at the research site, namely 55 respondents. The results showed that there was a relationship between physical activity (p value: 0.010) and stress levels (p value: 0.000) on the incidence of diabetes mellitus. It is recommended that patients have the awareness to always do regular physical activity, make lifestyle changes towards a better direction so that they will get a good quality of life for the prevention of complications and poor patient conditions.Keywords: Physical Activity, Diabetes, Stress
                            
                         
                     
                 
                
                            
                    
                        FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KANKER SERVIKS 
                    
                    Herniyatun, Herniyatun; 
Lestyani, Lestyani; 
Kuntoadi, Gama Bagus; 
Karlina, Nonok; 
Dewi, Siti Utami                    
                     Ensiklopedia of Journal Vol 6, No 3 (2024): Vol. 6 No. 3 Edisi 2 April 2024 
                    
                    Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.33559/eoj.v6i3.2320                            
                                            
                    
                        
                            
                            
                                
Cervical cancer is a malignancy originating from the cervix with abnormal growth of body tissue cells that turn malignant. The number of cervical cancer cases at Arifin Achmad Regional General Hospital Riau Province in 2019 amounted to 312 cases. The purpose of the study was to determine the factors associated with the incidence of cervical cancer at the Arifin Ahmad Regional General Hospital, Riau Province. This study was a cross sectional quantitative analytic study with a sample of 117. Sampling technique with sonsecutive sampling. The instrument in this study used a questionnaire. Data analysis was univariate and bivariate using chi square test. The results of the analysis there is a relationship between knowledge (P=0.000), age (P=0.002), parity (P=0.043), with the incidence of cervical cancer. It is suggested that the Arifin Achmad Hospital of Riau Province be used as further information about the factors associated with the incidence of cervical cancer in patients can be reduced by providing early detection socialization and counseling, especially about risk factors for cervical cancer based on knowledge, age, and parity.Keywords: Cervical Cancer, Parity, Knowledge Age
                            
                         
                     
                 
                
                            
                    
                        FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN ODHA DALAM MENJALANI TERAPI ANTIRETROVIRAL (ARV) 
                    
                    Rondonuwu, Rolly Harvie Stevan; 
Karlina, Nonok; 
Fitriana, Nur Gilang; 
Kartadarma, Supriyatni; 
Askur, Askur                    
                     Ensiklopedia of Journal Vol 6, No 3 (2024): Vol. 6 No. 3 Edisi 2 April 2024 
                    
                    Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.33559/eoj.v6i3.2334                            
                                            
                    
                        
                            
                            
                                
ARV treatment adherence is necessary for successful treatment. Non-adherence in treatment can lead to failure of low virology first-line treatment regimens. This study aims to determine the factors associated with adherence of PLWHA in undergoing Antiretroviral (ARV) therapy at the VCT Clinic of Selasih Hospital, Pelalawan Regency. The study was quantitative in nature with a cross sectional approach. The population was all PLWHA who received ARV therapy as many as 116 people. The sample size of 54 respondents was taken using accidental sampling technique. Measuring instrument research questionnaire. Data analysis with chi square test. The results showed that the majority of high knowledge 41 respondents (75.9%) negative motivation as many as 34 respondents (63%), family did not support as many as 28 respondents (51.9%), There is a relationship between motivation (p=0.006) and family support (p=0.014) with PLWHA compliance in undergoing ARV therapy. It is concluded that the variables associated with adherence of PLWHA in undergoing ARV therapy are motivation and family support. It is recommended to respondents to be able to increase motivation and compliance in undergoing Antiretroviral (ARV) therapy by picking up drugs on time to the hospital and taking ARV drugs in a disciplined manner.Keywords: Antiretrovirals, Motivation, PLHIV, Knowledge 
                            
                         
                     
                 
                
                            
                    
                        LITERATURE RIVIEW: EFEKTIFITAS RANGE OF MOTION (ROM) AKTIF TERHADAP PENINGKATAN KEKUATAN OTOT PADA PENDERITA STROKE 
                    
                    Nonok Karlina; 
Erida Fadila; 
Fega Nurpuji Khairiyah                    
                     Jurnal Mahasiswa Ilmu Kesehatan Vol. 1 No. 3 (2023): Juli : Jurnal Mahasiswa Ilmu Kesehatan 
                    
                    Publisher : STIKes Ibnu Sina Ajibarang 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.59841/jumkes.v1i3.60                            
                                            
                    
                        
                            
                            
                                
Introduction: Stroke sufferers really need good treatment to prevent physical and mental disability because stroke patients can recover completely and quickly handled within the first 6 hours (golden period), but if more than that time does not get maximum treatment then there will be disability and physical weakness such as hemipares. Objective: This literature summary aims to review the relationship between the effectiveness of active range of motion (ROM) on increasing muscle strength in stroke patients. Research method: In compiling this research literature researchers use the PIO method: Population is a stroke patient, Intervention with active ROM, Outcome muscle strength.Results: Based on 5 journals, it was found that there was an influence after Rangge Of Motion (ROM) therapy in healing stroke that experienced muscle weakness. Conclusion: ROM exercise is effective for increasing muscle strength and preventing muscle weakness, by giving exercise 2x a day morning and evening about 15-30 minutes.
                            
                         
                     
                 
                
                            
                    
                        TINDAKAN SUCTION TERHADAP BERSIHAN JALAN NAFAS PADA PASIEN INTRACEREBRAL HEMORRHAGE POST OP CRANIOTOMY : STUDI KASUS 
                    
                    Nonok Karlina; 
Fauziyatu Alfiyah, Suci; 
Nurcahyana, Yayan; 
Budihartiningrum, Fitriani; 
Prihatini, Nur                    
                     Jurnal Kesehatan Mahardika Vol. 10 No. 2 (2023): Jurnal Kesehatan Mahardika 
                    
                    Publisher : LPPM ITEKES Mahardika 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.54867/jkm.v10i2.190                            
                                            
                    
                        
                            
                            
                                
Intracerebral hemorrhage (ICH) is the deadliest type of stroke in the world that causes rupture of blood vessels so that patients experience a decrease in consciousness. Patients with decreased consciousness do not have an effective cough reflex resulting in a buildup of secrets in the airway. Suction is the main implementation for patients who are unable to remove secretions on airway hygiene. This case study aims to explain nursing care for Intracerebral Hemorrhage (ICH) patients in the ICU Room of Gunung Jati Hospital Cirebon. The type of research used is a case study approach. The study was conducted for 3 days. The results obtained based on patient assessment data experienced a buildup of sputum production in the airway. Nursing actions that can be given are suction actions. After 3 consecutive days, the patient's airway clearance increased. Nursing action of mucus sucking / suction is one of the effective interventions used in improving the airway of patients, especially in Intracerebral Hemorrhage (ICH) patients.
                            
                         
                     
                 
                
                            
                    
                        Penerapan Terapi Imajinasi Terbimbing dalam Mengurangi Kecemasan pada Pasien Stroke Non Hemoragik (SNH) 
                    
                    Karlina, Nonok; 
Muadi, Muadi; 
Sari, Yulia                    
                     Jurnal Keperawatan Profesional Vol 13, No 1 (2025): Determinants of Health 
                    
                    Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.33650/jkp.v13i1.11591                            
                                            
                    
                        
                            
                            
                                
Stroke non-hemoragik (SNH) terjadi akibat adanya hambatan aliran darah ke otak yang disebabkan oleh sumbatan pada pembuluh darah, sehingga mengganggu fungsi neurologis secara parsial maupun menyeluruh. Penulisan karya ilmiah ini bertujuan untuk mengkaji pemberian asuhan keperawatan pada pasien dengan masalah psikologis berupa ansietas. Metode  yang digunakan adalah studi kasus, dengan subjek satu pasien stroke non-hemoragik yang sedang menjalani perawatan di ruang stroke unit dan menunjukkan gejala ansietas. Pengumpulan data dilakukan melalui wawancara, observasi, serta peninjauan dokumentasi medis. Dalam proses keperawatan yang berlangsung selama tiga hari, pasien menunjukkan tanda-tanda kecemasan yang berkaitan dengan gangguan mobilitas pada sisi kanan tubuh. Intervensi yang diberikan untuk menangani ansietas tersebut berupa terapi imajinasi terbimbing, sebagai bentuk pendekatan keperawatan berbasis bukti (Evidence-Based Nursing). Hasil evaluasi menunjukkan bahwa setelah dilakukan terapi selama tiga hari, tingkat kecemasan pasien mengalami penurunan yang signifikan dan masalah keperwatan apat teratasi. Penerapan (EBN) yang diterapkan menunjukan hasil yang cukup baik, adanya penurunan terhadap tingkat ansietas, pasien sudah tidak cemas lagi dan pasien sudah tampak tenang.  Kesimpulannya, terapi imajinasi terbimbing efektif digunakan untuk mengurangi ansietas pada pasien stroke non hemoragik.
                            
                         
                     
                 
                
                            
                    
                        Penerapan Range Of Motion (ROM) Exercise Bola Karet 
                    
                    Mirani, Tessa Vera; 
Karlina, Nonok; 
Muadi, Rafif                    
                     Jurnal Keperawatan Profesional Vol 13, No 1 (2025): Determinants of Health 
                    
                    Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.33650/jkp.v13i1.11581                            
                                            
                    
                        
                            
                            
                                
Stroke non-hemoragik terjadi akibat penyumbatan pembuluh darah yang menyebabkan gangguan aliran darah ke otak, sering menimbulkan masalah mobilitas fisik pada pasien. Penelitian ini bertujuan menggambarkan pengaruh efektivitas terapi Range of Motion (ROM) menggunakan bola karet dalam meningkatkan kekuatan otot pasien Stroke Non Hemoragik (SNH) dengan gangguan mobilitas fisik. Metode yang digunakan adalah studi kasus dengan satu responden yang mengalami penurunan kekuatan otot, dimana intervensi berupa terapi ROM aktif dan didapatkan hasil pengakajian yaitu sulit menggerakkan ekstremitas kiri. Pengukuran kekuatan otot dilakukan menggunakan Manual Muscle Testing (MMT) sebelum dan sesudah terapi. Hasil evaluasi pada hari ketiga setelah 3 hari latihan dengan frekuensi latihan menggenggam bola karet 2 kali sehari dengan durasi waktu 10 – 15 menit atau setara dengan 6 kali pertemuan menunjukkan keluhan susah menggerakkan ekstremitas kiri menurun dan adanya peningkatan kekuatan otot dari sebelum dilakukan terapi menggenggam bola karet yang dirasakan pasien penurunan kekuatan otot skor 3 dan setelah diberikan terapi menggenggam bola karet meningkat menjadi kekuatan otot skor 4. Simpulan penelitian ini adalah terapi ROM dengan bola karet efektif meningkatkan kekuatan otot pada pasien Stroke Non Hemoragik (SNH) sehingga dapat menjadi bagian dari asuhan keperawatan untuk mengatasi gangguan mobilitas fisik.
                            
                         
                     
                 
                
                            
                    
                        Implementation of Semi Fowler Position to Reduce Shortness of breath on Congestive Heart Failure (CHF) 
                    
                    Amelia, Lia; 
Karlina, Nonok; 
Muadi, Muadi                    
                     Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases 
                    
                    Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.33650/jkp.v13i2.11587                            
                                            
                    
                        
                            
                            
                                
Patient  with congestive heart failure(CHF) often experience shortness of breath due to fluid buildup in the lungsIn the Emergency Department, shortness of breath is a primary complaint requiring prompt and appropriate treatment. Incorrect body positioning can exacerbate symptoms. The semi-Fowler's position is a simple intervention that can increase lung expansion and decrease heart workload. The purpose of this studyTo determine the effectiveness of the semi-Fowler position in reducing shortness of breath in congestive heart failure (CHF) patients in the Emergency Department. The focus of the study is highly relevant to emergency clinical conditions and contributes to nursing practice in the ER, particularly in the initial management of shortness of breath symptoms due to CHF. The study used a case study design, which is appropriate to describe the direct effects of nursing interventions on individual patients in acute conditions. The duration of the intervention (1x7 hours) and respiratory rate measurements are appropriate steps to evaluate clinical changes. The results showed a decrease in respiratory rate from 30x/minute to 24x/minute after the semi-Fowler position intervention, which indicates an improvement in respiratory conditions, indicating that the breathing pattern was partially resolved, meaning the intervention provided benefits but had not completely resolved the problem of shortness of breath. These results are in line with the physiological theory that the semi-Fowler position can reduce diaphragmatic pressure and increase lung expansion.
                            
                         
                     
                 
                
                            
                    
                        Application of Music Therapy to Reduce Anxiety of Non-Hemorrhagic Stroke (NHS) Patients 
                    
                    Yulianingsih, Devi; 
Karlina, Nonok; 
Muadi, Muadi                    
                     Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases 
                    
                    Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.33650/jkp.v13i2.11592                            
                                            
                    
                        
                            
                            
                                
Ischemic stroke or non-hemorrhagic stroke (SNH) is a condition where there is a blockage of blood vessels that causes blood flow to the brain to partially or completely stop. This final scientific work aims to assess the effectiveness of music therapy in non-hemorrhagic stroke (SNH) patients with anxiety nursing problems. The method applied in the preparation of this final scientific work is a single case study method. The subject in this case study involves one client with a case of non-hemorrhagic stroke (SNH) and has an anxiety problem who is undergoing treatment. Data collection using interview techniques, observation and documentation. The nursing care process for clients is carried out for 3 days, and the results of the assessment are obtained, namely the stiff body on the left so that the patient experiences anxiety (anxiety) due to the conditions experienced. The intervention provided is the reduction of anxiety combined with the application of EBN, namely music therapy which is implemented for 15 minutes for 1 time in 3 days. Based on the evaluation results, it was found that on the third day the nursing problem of anxiety had been resolved with objective data the patient looked calm. Furthermore, it can be concluded that music therapy can reduce the level of anxiety in non-hemorrhagic stroke (SNH) patients. Music therapy interventions can be included as part of the nursing SOP or supporting therapy.
                            
                         
                     
                 
                
                            
                    
                        The Application of Semi-Fowler Position to Oxygen Saturation in Chronic Kidney Disease Patients 
                    
                    Inesta, Indi; 
Karlina, Nonok; 
Muadi, Muadi                    
                     Jurnal Keperawatan Profesional Vol 13, No 2 (2025): Infectious Diseases 
                    
                    Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia 
                    
                         Show Abstract
                        | 
                             Download Original
                        
                        | 
                            
                                Original Source
                            
                        
                        | 
                            
                                Check in Google Scholar
                            
                        
                                                                                    
                            | 
                                DOI: 10.33650/jkp.v13i2.11593                            
                                            
                    
                        
                            
                            
                                
Chronic Kidney Disease (CKD) is a decline in kidney function that occurs gradually over a long period of time and will get worse over time. One of the clinical symptoms of CKD is shortness of breath which is a lack of oxygen entering the lungs. Sem-fowler position as one of the nursing actions that can reduce shortness of breath so that oxygen intake increases and shortness of breath decreases. This study aims to analyze nursing care by giving sem-fowler position to CKD patients with nursing problems of gas exchange disorders. This research method uses a case study method conducted from January 30 - February 01, 2025. The subject in this scientific work involves 1 patient with CKD cases.  Data collection using interview techniques, observation, and physical examination. Implementation carried out for 3 consecutive days, accompanied by measurement of peripheral capillary oxygen saturation (SpO2) using a Mindray PM 60 Oxymeter. The characteristics of this case study patient are a 61-year-old female patient and experiencing end-stage CKD (Stage V). Based on the results of oxygen saturation values before application with a value of 94% and after application including the normal category with a value of 98%. The conclusion of the application of the semi-fowler position is able to increase oxygen saturation in CKD patients.