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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Ilmiah Wahana Pendidikan Jurnal Riset Ilmiah Health Dynamics Jurnal Sains, Teknologi dan Kesehatan Holistik Jurnal Kesehatan
Tonika Tohri
Institut Kesehatan Rajawali
Religion Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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PENERAPAN INTERVENSI TERAPI RELAKSASI BENSON TERHADAP NYERI DADA PADA PASIEN DENGAN GANGGUAN SISTEM KARDIOVASKULAR AKIBAT ACS DENGAN ST- ELEVASI MIOKARD INFARK (STEMI) ANTERIOR e.c HIPERTENSI DI RUANG ICU RSUD CIBABAT Adinda Epriliyani; Eny Kusmiran; Tonika Tohri; Istianah Istianah
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 4 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i4.2001

Abstract

Hipertensi atau tekanan darah tinggi merupakan kondisi medis kronis yang ditandai oleh peningkatan tekanan darah arteri secara persisten di atas nilai normal. Hipertensi bisa mengakibatkan ACS dengan ST-Elevation Myocardial Infarction (STEMI). ST-Elevation Myocardial Infarction (STEMI) adalah sindrom koroner akut yang dapat menimbulkan komplikasi serius, termasuk gangguan hemodinamik dan nyeri dada berat. Penatalaksanaan nyeri di ICU menjadi prioritas karena dapat memperburuk kondisi pasien, sehingga terapi relaksasi benson dapat digunakan sebagai alternatif nonfarmakologis. Pasien mengeluh nyeri dada dengan skala nyeri tujuh. Salah satu diagnosa keperawatannya adalah nyeri akut. Setelah empat hari perawatan, terdapat penurunan skala nyeri dari tujuh menjadi dua pasca terapi relaksasi benson. Setelah intervensi terapi relaksasi benson, nyeri dada pasien STEMI menurun, pasien merasa lebih nyaman dan rileks, serta tidak ada efek samping yang merugikan. Setelah empat hari perawatan, masalah keperawatan dapat teratasi.
The Relationship Between Family Support and Medication Adherence in Type 2 Diabetes Patients at Cililin Hospital, Bandung, Indonesia Yayu Kartini; Tonika Tohri; Mawar Puspa Warna
Health Dynamics Vol 1, No 12 (2024): December 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11204

Abstract

Background: Diabetes mellitus is often called the silent killer and often causes complications for sufferers that require long-term treatment. Family support is the involvement provided by the family to the patient which includes a positive attitude, affirmation and assistance. Compliance is the degree to which patients carry out treatment methods and behavior recommended by health workers. This study aims to determine the relationship between family support and medication adherence to type 2 diabetes mellitus patients at the internal medicine polyclinic of Indonesian Hospital. Methods: Categorical comparative analysis in 2 groups was not paired with a cross-sectional approach. The population in this study is 325 respondents. Sampling was determined using the purposive sampling technique as many as 77 respondents who met the criteria. The instruments in this study used the Nursalam social family support questionnaire and the MMAS-8 (Morisky Medication 8-item Adherence Scale) questionnaire. Data analysis used univariate and bivariate analysis with the Fisher Exact test. Results: The results of the fisher exact test obtained a p-value of 0.00 or <0.05, namely there was a relationship between family support and medication adherence in type 2 diabetes mellitus patients. Conclusion: There is a significant relationship between family support and medication adherence in patients with type 2 diabetes mellitus at the internal medicine polyclinic of Cililin Hospital.
Protocol-Guided Suctioning for Safe Airway Management in Hemorrhagic Stroke Patients with External Ventricular Drainage: A Case Study Tuti Nurlela; Lisbet Octovia Manalu; Tonika Tohri; Istianah Istianah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.998

Abstract

Background: Ineffective airway clearance is a frequent nursing diagnosis in critically ill patients, particularly those with hemorrhagic stroke who experience decreased consciousness and impaired cough reflex. Accumulation of airway secretions increases the risk of hypoxia, aspiration, and respiratory complications, necessitating comprehensive airway management in the intensive care unit (ICU). Objective: This study aims to describe the implementation of suction-based nursing care in managing ineffective airway clearance in a patient with hemorrhagic stroke following external ventricular drainage (EVD). Methods: A single-patient case study was conducted in the ICU. Data were collected through comprehensive nursing assessment, direct observation, physical examination, and review of medical records. Nursing interventions were implemented based on clinical guidelines, including airway monitoring, positioning, oxygen therapy, and suction procedures. Data were analyzed descriptively to evaluate changes in clinical indicators over a five-day observation period. Results: Following structured airway management, progressive improvement in respiratory parameters was observed. Oxygen saturation (SpO₂) increased from 94% at baseline to 98% by Day 5, while respiratory rate decreased from 30 to 18 breaths per minute. Secretion volume reduced from approximately 25–30 ml/day to 8–10 ml/day, accompanied by changes in consistency from thick and viscous to thin and clear. Auscultation findings improved from bilateral rhonchi with gurgling to clear vesicular breath sounds. No adverse events or signs of neurological instability were observed during suction procedures. Conclusion: This case study demonstrates that structured, suction-based nursing care may effectively improve airway clearance and respiratory status in critically ill hemorrhagic stroke patients. Early and carefully monitored airway interventions can support oxygenation and reduce secretion burden without compromising patient safety in the ICU
ANALISIS ASUHAN KEPERAWATAN PADA PASIEN DENGAN RISIKO BUNUH DIRI AKIBAT DEPRESI DENGAN INTERVENSI GUIDED IMAGERY DAN FOCUS GROUP DISCUSSION DI RUANG JIWA INTENSIF CAMAR RS JIWA PROVINSI JAWA BARATTAHUN 2026 Ai Mona; Tonika Tohri; Budi Rustandi
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 2 (2026): SINERGI : Jurnal Riset Ilmiah, February 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i2.2428

Abstract

Background: Depression is a mood disorder that significantly increases the risk of suicide, particularly among patients in acute psychiatric intensive care settings. Suicide risk management is a priority in nursing care as it directly relates to patient safety. Non-pharmacological interventions such as Guided Imagery and Focus Group Discussion (FGD) may help stabilize emotions and improve coping mechanisms. Objective: To analyze nursing care for patients at risk of suicide due to depression through the implementation of Guided Imagery and Focus Group Discussion interventions in a psychiatric intensive care unit. Methods: This study employed a descriptive analytic method with a case study approach. Data were collected through observation, interviews, active participation, documentation review, and literature study. The subject was a patient diagnosed with depression and high suicide risk admitted to a psychiatric intensive care unit. Interventions were implemented in stages, beginning with Guided Imagery for emotional stabilization, followed by FGD to enhance social support and coping skills. Evaluation was conducted by assessing behavioral changes, emotional responses, and suicide risk scores. Results: The findings showed a significant reduction in suicide risk scores from high risk (scores of 14 and 11) to low risk (score of 3) after the interventions. Patients reported feeling calmer, more comfortable, experiencing fewer negative thoughts, and showing increased motivation to live. FGD facilitated emotional expression and strengthened social support. Conclusion: The implementation of Guided Imagery and Focus Group Discussion was effective in reducing suicide risk among patients with depression in a psychiatric intensive care setting. These interventions can be integrated into comprehensive nursing care to support suicide prevention efforts
Hubungan Pola Asuh Orang Tua Dengan Perkembangan Sosial Emosional Anak di TK Al-Marhammah Tahun 2026 Angelica Natali; Tonika Tohri; Metilda Metilda; Istianah Istianah
Jurnal Ilmiah Wahana Pendidikan Vol 12 No 9.B (2026): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Perkembangan sosial emosional adalah salah satu aspek penting dalam proses tumbuh kembang anak, terutama anak usia prasekolah. Pada masa ini anak mencapai masa keemasan yang mulai sensitif terhadap stimulasi dan pengalaman yang didapat. Pola asuh orang tua adalah salah satu faktor yang mempengaruhi perkembangan ini. Tujuan Penelitian: Untuk mengetahui hubungan antara pola asuh orang tua dengan perkembangan sosial emosional anak prasekolah TK Al-Marhammah Tahun 2026. Metode: Penelitian ini merupakan penelitian kuantitatif korelasional dengan pendekatan cross-sectional. Pengambilan data sampel dilakukan menggunakan total sampling dengan subjek 45 orang. Data dikumpulkan menggunakan alat ukur berupa kuesioner PSDQ dan KMME. Hasil Penelitian: Hasil penelitian menggunakan uji Chi-Square dengan nilai p-value sebesar 0,001. Simpulan: Terdapat hubungan antara pola asuh orang tua dengan perkembangan sosial emosional anak usia prasekolah di TK Al-Marhammah. Sebanyak 20 responden (44,4%) mereka menetapkan pola asuh otoriter, dengan sebanyak 25 anak (55,6%) memiliki perkembangan sosial emosional tidak baik.
Pendekatan body mind spirit sebagai solusi holistik untuk meningkatkan kualitas hidup pasien gagal ginjal kronis Istianah Istianah; Muhammad Deri Ramadhan; Tonika Tohri
Hik Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1262

Abstract

Background: Chronic kidney disease (CKD) patients undergoing hemodialysis often experience a decreased quality of life due to physical, psychological, social, and spiritual disorders. A holistic approach such as the Body Mind Spirit (BMS) model is believed to improve patients' overall quality of life. Purpose: To determine the effect of the body mind spirit approach in improving the quality of life of chronic kidney disease (CKD) patients. Method: This study used a quasi-experimental design with a pre-post-test approach without a control group. The study sample consisted of 30 CKD patients selected using purposive sampling. The BMS model intervention was implemented for 4 weeks through education, relaxation, and spiritual support sessions. Quality of life was measured using the KDQOL-36 questionnaire before and after the intervention. Results: Most participants were male with an average age of 52 years, had been on hemodialysis for >2 years, and most (80%) had a poor quality of life. However, after the BMS intervention, their quality of life improved. There was a significant increase in patients' quality of life scores after the BMS model intervention (p < 0.05). The physical, psychological, and spiritual dimensions showed significant improvements. Conclusion: The body-mind-spirit model is effective in improving the quality of life of chronic kidney disease (CKD) patients undergoing hemodialysis. This approach can be used as a holistic surgical intervention strategy in hospitals.   Keywords: Body-Mind-Spiritual; Chronic Kidney Failure; Hemodialysis; Quality of Life.   Pendahuluan: Pasien gagal ginjal kronik (GGK) yang menjalani hemodialisa sering mengalami penurunan kualitas hidup akibat gangguan fisik, psikologis, sosial, dan spiritual. Pendekatan holistik seperti model Body Mind Spirit (BMS) diyakini mampu meningkatkan kualitas hidup pasien secara menyeluruh. Tujuan: Untuk mengetahui pengaruh pendekatan body mind spirit dalam meningkatkan kualitas hidup pasien gagal ginjal kronis. Metode: Penelitian ini menggunakan desain quasi-eksperimental dengan pendekatan pre-post-test tanpa kelompok kontrol. Sampel berjumlah 30 pasien GGK yang dipilih secara purposive sampling. Intervensi model BMS dilaksanakan selama 4 minggu melalui sesi edukasi, relaksasi, dan dukungan spiritual. Pengukuran kualitas hidup dilakukan menggunakan kuesioner KDQOL-36 sebelum dan sesudah intervensi. Hasil: Sebagian besar partisipan laki-laki dengan rerata usia 52 tahun, menjalani hemodialisa > 2 tahun, dan sebagian besar (80%) memiliki kualitas hidup yang buruk, sedangkan setelah diberikan intervensi BMI kualitas hidup pasien menjadi meningkat. Terdapat peningkatan signifikan skor kualitas hidup pasien setelah diberikan intervensi model BMS (p < 0.05). Dimensi fisik, psikologis, dan spiritual menunjukkan perbaikan yang bermakna. Simpulan: Model body mind spirit efektif dalam meningkatkan kualitas hidup pasien GGK yang menjalani hemodialisa. Pendekatan ini dapat dijadikan strategi intervensi keperawatan berbasis holistik di rumah sakit. Kata Kunci: Body Mind Spirit; Gagal Ginjal Kronik; Hemodialisa; Kualitas Hidup.
Co-Authors Adinda Epriliyani Ai Mona Angelica Natali Budi Rustandi Eny Kusmiran Istianah Istianah Lisbet Octovia Manalu Mawar Puspa Warna Metilda Metilda Ramadhan, Muhammad Deri Tuti Nurlela Yayu Kartini