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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Riset Ilmiah Health Dynamics Jurnal Sains, Teknologi dan Kesehatan
Tonika Tohri
Institut Kesehatan Rajawali
Computer Science & IT Dentistry Economics, Econometrics & Finance 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
Co-Authors Adinda Epriliyani Ai Mona Budi Rustandi Eny Kusmiran Istianah Istianah Lisbet Octovia Manalu Mawar Puspa Warna Tuti Nurlela Yayu Kartini