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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Juru Rawat. Jurnal Update Keperawatan Journal of Innovative and Creativity Jurnal Sains, Teknologi dan Kesehatan Indonesian Journal of Global Health Research
Istianah Istianah
Institut Kesehatan Rajawali
Computer Science & IT Education Engineering Health Professions Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Mathematics 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.
Pengaruh Pemberian Edukasi Manajemen Gempa Bumi : Kesiapsiagaan Bencana Gempa Bumi Melalui Aplikasi Google Classroom Terhadap Tingkat Pengetahuan Remaja Di SMK 4 LPPM RI Padalarang Tahun 2026 Dewi Puspita Sari; Budi Rustandi; Ahmad Arifin; Istianah Istianah
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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

Abstract

Latar Belakang : Indonesia sebagai Negara yang berada di posisi ring of fire, menyebabkan potensi bencana alam yang tinggi. Pada tahun 2022 tercatat 3.544 bencana di Indonesia. Sesar Lembang menjadi salah satu isu ancaman bencana yang berkembang salah satunya di Kabupaten Bandung Barat. Tingginya angka korban jiwa yang meninggal akibat bencana alam gempa bumi menjadi pertanda bahwa masih rendahnya tingkat kesiapsiagaan masyarakat dalam menghadapi bencana. Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi manajemen gempa bumi menggunakan google classroom. Metode: Rancangan penelitian ini ialah quasy experiment dengan pendekatan one group pretest – postest design, melibatkan Siswa/i SMK 4 LPPM berjumlah 74 siswa dengan uji wilcoxon. Hasil: Hasil dari penelitian ini adalah terdapat kenaikan skor dari 51 – 72 ke 69 – 89 dengan p value 0.001 < 0.05. Kesimpulan : Berdasarkan hasil penelitian maka dapat disimpulkan terdapat pengaruh signifikan pada Pemberian Edukasi Manajemen Gempa Bumi : Kesiapsiagaan Bencana Gempa Bumi Melalui Aplikasi Google Classroom.
Hubungan Pengetahuan dan Sikap Perawat dengan Pemenuhan Kebutuhan Spiritual Pasien Cemas di Ruang Hemodialisa RSAU dr. M. Salamun Nadista RAR; Istianah Istianah
Journal of Innovative and Creativity (Joecy) Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.9211

Abstract

Tujuan penelitian. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap perawat dengan pemenuhan kebutuhan spiritual pasien cemas di Ruang Hemodialisa RSAU dr. M. Salamun. Bahan dan metode. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh perawat di ruang Hemodialisa RSAU dr. M. Salamun sebanyak 30 orang. Teknik sampling yang digunakan adalah non probability sampling dengan metode total sampling, sehingga seluruh populasi dijadikan sampel. Data dikumpulkan melalui kuesioner, kemudian dianalisis secara univariat dan bivariat menggunakan uji Chi-Square. Hasil. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki pengetahuan dan sikap dalam kategori rendah, yaitu 22 orang (73,3%), kategori sedang 7 orang (23,3%), dan kategori tinggi 1 orang (3,3%). Pemenuhan kebutuhan spiritual pasien cemas juga sebagian besar berada pada kategori kurang, yaitu 21 orang (70,0%), kategori cukup 8 orang (26,7%), dan kategori baik 1 orang (3,3%). Hasil analisis bivariat menunjukkan adanya hubungan yang bermakna antara pengetahuan dan sikap perawat dengan pemenuhan kebutuhan spiritual pasien cemas di Ruang Hemodialisa RSAU dr. M. Salamun dengan nilai p < 0,001. Kesimpulan. Pengetahuan dan sikap perawat berhubungan signifikan dengan pemenuhan kebutuhan spiritual pasien cemas. Semakin baik pengetahuan dan sikap perawat, semakin baik pula pemenuhan kebutuhan spiritual pasien. Temuan ini menunjukkan pentingnya penguatan kompetensi perawat melalui pelatihan dan pendekatan keperawatan holistik.
The Effect of the Guessing the Sound (GATSU) Game on Android Mobile Phones on the Decrease in Auditory Hallucinations in Schizophrenia Rizky Gumilang Pahlawan; Istianah Istianah; Ahamd Arifin; Syifa FA; Icih Susanti
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.v8i1.479

Abstract

Handling of auditory hallucination symptoms in schizophrenia patients is very important because schizophrenia is a chronic severe mental disorder that lasts throughout life and has safety risks. Efforts to treat hallucinations other than pharmacological therapy need to be combined with non-pharmacological therapy. The non-pharmacological therapy method that has been present at this time still uses a direct method and requires several components for its implementation so that it needs an update effort with an accessible and efficient method, one of which is the Android-based voice guessing game (GATSU). The purpose of this study was to determine the effect of the Android-based voice guessing game (GATSU) on reducing auditory hallucinations in schizophrenia patients. This study used a quantitative approach with a quasi-experimental design with a Nonequivalent Control Group. The experimental group was given treatment with an Android-based mobile phone GATSU 5 times with a duration of 5-10 minutes each time and the control group was given treatment to guess images and sounds directly with 5 times with a duration of 10 minutes. Sample in this study was 30 respondents and sampling technique in this study used accidental sampling sampling divided into 2 groups15 experimental groups and 15 control groups.  The measuring instrument used auditory hallucination rating scale (AHRS) The instrument has through validity and reliability testing and has been declared valid and reliable for measuring auditory hallucinations. The results of the study obtained hallucination scores in the experimental group with a median pretest score of 42 and a median posttest score of 7. in the control group the median pretest score was 30 and a median posttest score of 27. Based on the results of the Wilcoxson test in the experimental group, a P-Value of 0.001 was obtained, the control group obtained a P-Value of 0.255. And in the experimental group and the control group, a Value of 0.001 was obtained . It can be concluded that Gatsu Therapy has a significant effect in reducing hallucination scores compared to the control group.
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
The Endotracheal Suctioning and Oxygen Saturation in an Intensive Care Patient with Ischemic Stroke and Decreased Consciousness: A Descriptive Case Study Lisnawati Lisnawati; Lisbet Octovia Manalu; Istianah Istianah; Budi Rustandi
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.v12i2.999

Abstract

Background: Patients with ischemic stroke and decreased consciousness are at high risk of ineffective airway clearance due to impaired cough reflex and accumulation of airway secretions. This condition may lead to hypoxemia and further neurological deterioration, requiring appropriate airway management in intensive care settings. Objective: To describe the implementation of endotracheal suctioning as part of nursing care in an intensive care patient with ischemic stroke and decreased consciousness, with particular attention to oxygen saturation and clinical airway status. Methods: A descriptive single-patient case study was conducted in the general intensive care unit. Data were collected through direct observation, physical examination, bedside monitoring, and medical record review. The nursing care process included assessment, diagnosis, planning, implementation, and evaluation. Endotracheal suctioning was performed according to clinical indications and unit protocol, and oxygen saturation was observed before and after suctioning over a five-day period. Results: At baseline, the patient presented with decreased consciousness, retained airway secretions, bilateral rhonchi, weak cough reflex, tachypnea, and oxygen saturation of 92%. Across the five-day observation period, suctioning was followed by short-term improvement in oxygen saturation, with post-procedure values reaching 97–98%, accompanied by reduced secretion burden and clearer breath sounds. By the end of observation, respiratory status was more stable and suctioning was required less frequently. Conclusion: In this case, endotracheal suctioning performed on the basis of clinical indications was associated with improvement in short-term oxygen saturation and airway clearance indicators. These observations should be interpreted within the broader context of comprehensive intensive care and should not be taken as evidence of independent treatment effect. Further studies with stronger designs are needed to evaluate the contribution of suctioning in neurocritical patients
Hubungan Dukungan Keluarga Dengan Kemampuan Self-Care Pada Pasien Gagal Jantung Intan Permata; Istianah Istianah; Komara E
Juru Rawat. Jurnal Update Keperawatan Vol 6 No 2 (2026): Juli 2026
Publisher : Prodi Keperawatan Tegal Program Diploma III Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v6i2.14730

Abstract

Heart failure is a major health problem with high morbidity and mortality rates, requiring adequate self-care ability to prevent complications and reduce hospital readmissions. This study aimed to determine the relationship between family support and self-care ability among patients with heart failure at RSAU Dr. M. Salamun in 2026. This quantitative non-experimental study employed a correlational design with a cross-sectional approach. A total of 63 respondents were selected using an accidental sampling technique. The research instruments consisted of the Self-Care of Heart Failure Index (SCHFI) questionnaire and a family support questionnaire. Data were analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that the majority of respondents had poor self-care ability (45 respondents; 71.4%) and low family support (37 respondents; 58.7%). The Chi-square test revealed a p-value of < 0.001 (α = 0.05), indicating a statistically significant relationship between family support and self-care ability among patients with heart failure at RSAU Dr. M. Salamun in 2026.
Co-Authors Adinda Epriliyani Ahmad Arifin Budi Rustandi Dewi Puspita Sari Eny Kusmiran Icih Susanti Intan Permata Komara E Lisbet Octovia Manalu Lisnawati Lisnawati Nadista RAR Rizky Gumilang Pahlawan Syifa FA Tonika Tohri Tuti Nurlela