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All Journal Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja Jurnal Kesehatan Tambusai Lentera Perawat
Ningsih, Deasy Kurnia
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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ANALISIS TERAPI REMINISCENCE DALAM MENGHADAPI FASE MENOPAUSE DENGAN APLIKASI TEORI SELF CARE OREM DI RUMAH SAKIT SITI FATIMAH SUMATERA SELATAN Maria, Lisda; Ningsih, Deasy Kurnia
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.28700

Abstract

Menopause adalah perdarahan surut (withdrawal bleeding) fisiologik yang terakhir dalamseumur hidup perempuan, perdarahan ini menunjukkan berakhirnya kemampuan bereproduksi. Menopause terdapat dalam fase klimakterium. Klimakterium merupakan suatu periode yang menggambarkan transisi penurunan aktivitas ovarium hingga akhirnya berakhir. Proporsi jumlah perempuan pada setiap tahapan klimakterium (status menopause) berbeda-beda di setiap daerah. Sebuah penelitian yang dilakukan terhadap 275 perempuan Spanyol diketahui 36,2% berada pada fase premenopause, 2,6% berada pada fase menopause, dan 61,3% berada pada fase postmenopause. Penelitian ini bertujuan untuk menelaah secara mendalam tentang Terapi Reminiscence dalam menghadapi Perempuan pada fase Menopause dengan focus penerapan Aplikasi Teori Self Care Orem di Rumah Sakit Siti Fatimah Sumatera Selatan. Penelitian ini merupakan studi kualitatif yang menggunakan desain Rapid Assessment Procedure (RAP). Desain ini menggunakan beberapa teknik dalam pengumpulan data (observasi, WM, FGD), sebanyak lima orang dengan empat Perempuan pada fase Menopause dan satu orang key informan perawat senior penanggung jawab program kesehatan reproduksi lansia. Terapi Reminiscence  memiliki  hasil perubahan yang signifikan pada  gejala depresi aspek afektif dan  social engagement. Berdasarkan hasil penelitian didapatkan terapi  Reminiscence  efektif  untuk  menurunkan  gejala depresi pada perempuan menopause.
Integrating progressive muscle relaxation and guided imagery based on adaptation model for pain management in ovarian cancer: A nursing case study KK, Indra Frana Jaya; Nainggolan, Sutrisari Sabrina; Ningsih, Deasy Kurnia; Cahya, Febriani; Amalah, Frita Anesia; Rahayu, Rita Puji; Maharani, Shinta
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.702

Abstract

Background: Ovarian cancer frequently causes severe pain and psychological distress that negatively affect patients’ physiological and psychological well-being. Effective pain management in oncology nursing requires comprehensive strategies that combine pharmacological treatment with supportive non-pharmacological interventions. However, evidence regarding the integration of these techniques within the Roy Adaptation Model for pain management in ovarian cancer patients remains limited. Objective: This study aimed to analyze the effectiveness of integrating Progressive Muscle Relaxation and Guided Imagery based on the Roy Adaptation Model to reduce pain and anxiety in patients with ovarian cancer through a nursing case study. Methods: This study employed a descriptive case study design conducted in the Paviliun Cemara ward at RSUD Siti Fatimah, South Sumatra Province. Three ovarian cancer patients experiencing acute pain were selected using purposive sampling based on predefined inclusion criteria. Data collection was carried out through interviews, physical examination, observation, and measurement of pain and anxiety levels using the Numeric Rating Scale (NRS) and Hamilton Anxiety Rating Scale (HARS). The intervention consisted of Progressive Muscle Relaxation and Guided Imagery sessions administered twice daily for three consecutive days. Data were analyzed descriptively by comparing changes in pain and anxiety scores before and after the intervention. Results: The findings showed a consistent reduction in pain intensity and anxiety levels among all participants after the intervention. Patient 1 experienced a decrease in pain from NRS 7 to 3 and anxiety from HARS 24 to 12. Patient 2 showed a reduction in pain from NRS 8 to 0 and anxiety from HARS 18 to 8. Patient 3 demonstrated improvement with pain decreasing from NRS 8 to 2 and anxiety from HARS 25 to 10. Improvements were also observed in physiological parameters and patient comfort levels, indicating positive adaptive responses to the intervention. Conclusion: The integration of Progressive Muscle Relaxation and Guided Imagery based on the Roy Adaptation Model demonstrated beneficial effects in reducing pain and anxiety among patients with ovarian cancer. These findings suggest that relaxation-based nursing interventions may serve as effective complementary strategies in oncology pain management and support patient adaptation to illness.
NURSING CARE USING HANDHELD FANS (BASED ON ROY'S ADAPTATION MODEL) FOR PATIENTS WITH BRONCHOPNEUMONIA AND DYSPNEA KK, Indra Frana Jaya; Zulfikri, Ahmad; Pratiwi, Afrida; Ningsih, Deasy Kurnia; Cahya, Febriani; Ayunani, Sabrina; Akbar, M Agung
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 11 No. 1 (2026): January - March
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v11i1.670

Abstract

Bronchopneumonia remains a common respiratory condition that frequently leads to impaired breathing patterns in pediatric patients. Dyspnea that is not properly managed may lead to hypoxia and increased respiratory workload. Simple, safe, and evidence-based non-pharmacological interventions are needed to alleviate dyspnea symptoms. One such intervention is handheld fan therapy, which works by stimulating trigeminal mechanoreceptors to improve breathing comfort and support physiological adaptation. This study aimed to implement and evaluate the effectiveness of handheld fan therapy based on the Roy Adaptation Model in managing impaired breathing patterns among patients with bronchopneumonia. This study employed a descriptive case study design. The subjects consisted of three pediatric patients diagnosed with bronchopneumonia who met the inclusion criteria. Data were collected through nursing assessment, clinical observation, physical examination, and medical record documentation. The handheld fan therapy intervention was administered twice daily for three consecutive days, with each session lasting 5–10 minutes. Nursing care implementation followed the Indonesian Nursing Diagnosis Standards (SDKI), Nursing Outcome Standards (SLKI), and Nursing Intervention Standards (SIKI). Data were analyzed descriptively to evaluate adaptive response changes in patients. The findings indicated that all patients presented with primary complaints of dyspnea and cough with a nursing diagnosis of impaired breathing pattern. Following three days of intervention, improvements in respiratory status were observed, including decreased respiratory rate, reduced dyspnea levels, decreased cough frequency, improved oxygen saturation, and increased patient comfort. Handheld fan therapy based on the Roy Adaptation Model is an effective non-pharmacological nursing intervention for reducing dyspnea and improving breathing patterns in patients with bronchopneumonia. This intervention has the potential to be integrated into evidence-based nursing practice for respiratory care management.
Co-Authors Akbar, M. Agung Amalah, Frita Anesia Ayunani, Sabrina Cahya, Febriani KK, Indra Frana Jaya Maria, Lisda Nainggolan, Sutrisari Sabrina Pratiwi, Afrida Rahayu, Rita Puji Shinta Maharani Zulfikri, Ahmad