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Systematic Review: Penurunan Nyeri pada Pasien Pasca Operasi Fraktur melalui Penggunaan Teknik Napas Dalam Romy Suwahyu; Roni Eka Sahputra; Rika Fatmadona
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 1 (2021): Januari 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i1.1085

Abstract

Salah satu penatalaksanaan fraktur adalah dengan operatif (pembedahan). Setelah dilakukannya tindakan pembedahan, pasien akan merasakan nyeri akibat insisi pembedahan . Tujuan penelitian ini adalah untuk menganalisis penggunaan teknik napas dalam terhadap penurunan nyeri pada pasien pasca operasi fraktur. Metode penelitian ini dimulai dari pencarian data menggunakan lima database yaitu Science Direct, Taylor & Francis Online (Tandfonline), Google Scholar, SAGE dan PubMed dengan rentang tahun 2014-2020 dengan jumlah 907 artikel. Artikel dicari dengan kata kunci “deep breathing AND postoperative AND fracture AND pain”. Ditemukan 12 artikel memenuhi kriteria yang dinilai menggunakan the JBI critical appraisal tools. Hasil telaah artikel yang telah dilakukan adalah penggunaan teknik napas dalam yang diberikan mampu mengurangi nyeri pada pasien pasca operasi fraktur. Prosedur teknik napas dalam yang bisa dianjurkan adalah adalah ciptakan lingkungan yang tenang, usahakan tetap rileks dan tenang, menarik napas dalam dari hidung dan mengisi paru-paru dengan udara melalui hitungan 1,2,3, perlahan-lahan udara dihembuskan melalui mulut sambil merasakan ekstremitas atas dan bawah rileks, anjurkan bernapas dengan irama normal 3 kali, menarik napas lagi melalui hidung dan menghembuskan melalui mulut secara perlahan-lahan, membiarkan telapak tangan dan kaki rileks, usahakan tetap konsentrasi atau mata sambil terpejam, pada saat konsentrasi pusatkan pada daerah yang nyeri, anjurkan untuk mengulangi prosedur hingga nyeri terasa berkurang. waktu penggunaan teknik napas dalam yang bisa dianjurkan untuk nyeri pada pasien pasca operasi fraktur adalah pada jam 1, 2, 4, 8, 12, 24 setelah operasi dan saat merasakan nyeri.
Pengalaman Fatigue dan Strategi Manajemen Gejala Pasien Penyakit Ginjal Stadium Akhir yang Menjalani Hemodialisa Dwi Nurul Salmi; Hema Malini; Reni Prima Gusty; Raveinal Raveinal; Hendri Budi; Rika Fatmadona
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 2 (2021): April 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i2.1252

Abstract

Fatigue merupakan salah satu gejala fisik utama yang paling banyak dikeluhkan oleh pasien penyakit ginjal stadium akhir yang menjalani hemodialisa sehingga mengakibatkan aktifitas dan keterbatasan hidup pasien yang dapat mempengaruhi kualitas hidup pasien hemodialisa. Tujuan dalam penelitian ini untuk mengetahui pengalaman kelelahan dan strategi manajemen gejala pasien hemodialisa. Penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Sampel diambil dengan purposive sampling pada 6 partisipan yang dilakukan dengan wawancara semi terstruktur. Penelitian telah dilakukan di RSUP Dr. M. Djamil Padang pada bulan Januari 2020 sampai bulan Desember 2020. Terdapat tiga tema yang diperoleh dalam penelitian ini yaitu sifat fatigue, keterbatasan akibat fatigue, dan cara mengatasi fatigue. Kesimpulan penelitian ini dapat memperjelas gambaran sifat kelelahan pasien sehingga perlunya intervensi terapeutik sehingga pasien mampu untuk melakukan manajemen gejala fatigue secara efektif yang disertai dengan penguatan sistem pendukung.
Kewaspadaan Terhadap Kanker Pada Perempuan Keturunan Pasien Kanker Payudara Boby Febri Krisdianto; Fitri Mailani; Rika Fatmadona; Hema Malini
Ners Jurnal Keperawatan Vol 19, No 1 (2023)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.19.1.46-54.2023

Abstract

Faktor genetik memegang peran pen ting penyebab terjadinya kanker payudara. Terutama pada anak dari ibu yang terkena kanker payudara memiliki kesempatan 2 kali lebih besar terkena kanker payudara. masih sedikit penelitian  yang menggunakan metode kualitatif  sejauh ini menggali gambaran pengalaman anak dari ibu yang terdiagnosa kanker dalam kewaspadaan dan pencegahan kanker. Penelitian ini merupakan penelitian kualitatif dengan menggunakan metode pendekatan fenomenologi. Data diambil dari wawawancara mendalam 10 anggota keluarga pasien kanker paliatif. Setelah data di analisis ,diekstraksi maka diklasifikasikan ke dalam 3 tema sebagai berikut: 1) Kurangnya pengetahuan dan kemampuan yang terbatas dalam melakukan sadari 2) Keengganan dalam mengetahui kanker Payudara, 3) Harapan keluarga terhadap dukungan dari dokter dan perawatan di rumah yang mendukung perawatan anggota keluarganya,.  Penelitian ini menegaskan pentingnya pentingnya seorang anak mendapatkan konseling dan edukasi kesehatan tentang kewaspadaan kanker dengan berkaca pada ibunya yang terdiagnosa kanker payudara.
Studi Komparatif Efektifitas Model Pembelajaran Klinik One Minute Preceptor (Omp) Dan Snapps Terhadap Pencapaian Kompetensi Mata Kuliah Kepemimpinan Dan Manajemen Keperawatan Mahasiswa Profesi Ners Fkep Unand Setiadi Syarli; Yulastri Arif; Rika Fatmadona; Larasuci Arini
Jurnal Keperawatan Muhammadiyah Vol 5 No 1 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v5i1.4657

Abstract

Introduction: The problem that is happening right now is the level of national nurse competency test passing which is currently still low. Various factors are believed to influence, among others, clinical learning strategies that are ineffective and do not meet the different learning needs such as in leadership and nursing management subjects. Various effective models have been studied and developed including the One Minute Preceptor (OMP) mode and SNAPPS. Objective: to assess and compare the effectiveness of the OMP and SNAPPS models on the achievement of students' cognitive, affective, psychomotor and critical thinking competencies in the nursing management phase. Method: quasi-experiment with pretest and posttest group design. Total sampling (n = 13) and grouped n1 = 6 (OMP) and n2 = 7 (SNAPPS). Data analysis with paired t-test and independent t-test. Results: There were differences in the mean of competence (P <0.05) before and after the OMP treatment (cognitive; 18.3, affective; 7.8, critical thinking; 11.6) and SNAPPS (cognitive; 19.28, affective; 3.14, critical thinking; 5.0. There is a difference (P <0.05) the difference between the average competence before and after the treatment of OMP and SNAPPS (cognitive; 21,31 and 20,35) and (critical thinking: 0,96 and 7,61) Conclusion: OMP clinical learning model is considered more effective in the cognitive domain, critical thinking and psychomotor while the SNAPPS model is effective in the affective domain
PIJAT TERAPEUTIK SEBAGAI EVIDENCE BASED PRACTICE PADA PASIEN KANKER UNTUK MENGURANGI DISTRESS Rika Fatmadona
Ners Jurnal Keperawatan Vol 11, No 1 (2015)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.11.1.77-84.2015

Abstract

Terapi pijat, merupakan terapi komplementer yang paling banyak dan aman digunakan. Masalah psikologis sebagai dampak dari gangguan fisik banyak terjadi pada pasien penyakit kronis, terutama kanker.  Tujuan penulisan ini adalah memaparkan aplikasi pijat terapeutik untuk mengurangi distress sebagai suatu Evidence Based Nursing (EBN). Metode penulisan ini berupa case study pelaksanaan EBN dilakukan di ruang rawat inap Teratai RS Kanker Dharmais, Jakarta, selama 2 minggu, dalam rentang waktu tanggal 16 April hingga 9 Mei 2014. Pijatan dilakukan selama 3 kali seminggu, 20 menit, dalam 2 minggu, sehingga masing-masing pasien mendapatkan 6 sesi pijat terapeutik.  Partisipan dalam penerapan EBN ini semuanya perempuan, dengan rentang usia 27 th-58 th, dengan 4 orang ca mammae, 1 orang ca cervix, 1 orang ca ovarium, 1 orang ca thyroid, 1 orang LNH. Setelah dilakukan sesi pijat terpeutik sesuai dengan metode Ahles, et al, (1999), didapatkan sesi pijat terapeutik mampu menurunkan cemas pasien, dilihat dari penurunan skor ESAS cemas, mampu merilekskan pasien. Ke-4 pasien yang menjalani terapi pijat pada hari pertama, didapatkan keluhan cemas sedang 2 orang, cemas berat 2 orang pada akhir sesi pasien tidak didapatkan cemas lagi. Respon pasien setelah menjalani sesi melaporkan badannya lebih segar dan tidurnya lebih nyenyak. Pada pasien yang mengeluhkan nyeri hebat dengan pemberian pijat terapeutik yang sebelumnya telah diberikan analgesik, dan teknik relaksasi, diketahui dengan pemberian pijat terapeutik walaupun belum mampu menurunkan  nyeri secara drastis, pasien dapat beradaptasi dengan nyerinya, koping pasien lebih konstruktif
Kewaspadaan Terhadap Kanker Pada Perempuan Keturunan Pasien Kanker Payudara Boby Febri Krisdianto; Fitri Mailani; Rika Fatmadona; Hema Malini
Ners Jurnal Keperawatan Vol 19, No 1 (2023)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.19.1.46-54.2023

Abstract

Pengaruh Latihan Yoga terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 : Effect of Yoga Exercise on Blood Sugar Levels of Diabetes Patients Mellitus Type 2 Leni Merdawati; Reni Prima Gusty; Rika Fatmadona; Esi Afrianti
NERS Jurnal Keperawatan Vol. 14 No. 1 (2018): NJK Volume 14, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i1.186

Abstract

The International Diabetes Federation (IDF) states that more than 371 million people in the world aged 20 79 years have diabetes mellitus (DM). While Indonesia is the 7th country with the highest prevalence of diabetes, in the world. Diabetes mellitus has become a widespread epidemic, primarily because of the increasing prevalence and incidence of type 2 diabetes. DM can increase of the morbidity and mortality associated with cardiovascular disease, blindness, kidney disorders, neurological disorders and amputation. Physical activity such as yoga is a key element in the prevention and management of type 2 diabetes, The purpose of this study was to identify the effectiveness of Yoga exercise on decreasing blood sugar levels in Type 2 DM patients. This study used an experimental approach with non equivalent group comparison pre and post test design. The study subjects consist of 40 patients as experimental group and 40 patients as control group. All patient in experimental group were guided by yoga expert for reguler practice with supervision for 3 days. The result of this study show average of blood glucose level in experimental group was 217.05mg/dl with deviation standart 56,735mg/dl, while in the control group was 256.85mg/dl with deviation standart 34.04mg/dl. There was highly significant differences blood glucose average between experimental and control group (p=0,000). Yoga exercise is effective in reducing the blood glucose level on type 2 DM Patients and higly recommended as one of treatment for promotive care.
Aplikasi Modern Wound Care pada Perawatan Luka Infeksi di RS Pemerintah Kota Padang : Application of Modern Wound Care in Infection Wound Care in Padang City Government Hospital Rika Fatmadona; Elvi Oktarina
NERS Jurnal Keperawatan Vol. 12 No. 2 (2016): NJK Volume 12, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v12i2.269

Abstract

Using modern wound care dressings began to flourish in Indonesia. The change can be seen from the previous majority of caregivers believe the best make up wound healing environment remains dry wound began to turn into wound care with moisture balance method. This activity aims to share knowledge with the nurses in Surgical department Dr. M. Djamil Hospital Padang on the basis of modern wound care and everyday applications. This activity lasted for one day in the form of seminars and workshops attended by 60 people a surgical nurse. Materials provided not only on the basis of modern wound care, but also about the hospital regulation and health insurance (BPJS) regulations governing the use of the dressing method. Discussion and demontsrasi method used, so that nurses can better understand about modern wound care applications. In the future, need to be arranged procedural clear and an agreement from the medical and hospital pharmacy to use this method in treating injured patients, so the quality of service can be better.
Pijat Terapeutik sebagai Evidence Based Practice pada Pasien Kanker untuk Mengurangi Distress: Therapeutic Massage as Evidence Based Practice in Cancer Patients to Reduce Distress Rika Fatmadona
NERS Jurnal Keperawatan Vol. 11 No. 1 (2015): NJK Volume 11, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v11i1.284

Abstract

Massage therapy, is the most widely and safely complementary therapy used. Psychological problems as a result of physical disorders more common in patients with chronic diseases, especially cancer. The objective is to describe the application of therapeutic massage to reduce distress as an Evidence Based Nursing (EBN). The method of this paper wasa case study conducted in the implementation EBN at inpatient Teratai Dharmais Cancer Hospital, Jakarta, for 2 weeks, in the span of 16 April to 9 May 2014. The massage is done for 3 times a week, 20 minutes, in 2 weeks, so each patient getting 6 sessions of therapeutic massage. Participants in the application of this EBN all female, with an age range 27 -58 year, with 4 people breast cancer, 1 person cervical cancer, 1 person ovarian cancer, 1 person thyroid cancer, 1 person NHL. After therapeutic massage session in accordance with the method Ahles, et al, (1999), obtained a therapeutic massage session is able to reduce patient anxiety, seen from ESAS scores decrease anxiety, able to relax the patient. All 4 patients who underwent massage therapy on the first day, got anxious complaints are 2 people, 2 severe anxiety at the end of the session the patient is not got to worry anymore. The response of patients after undergoing a reporting session body fresher and more restful sleep. In patients who complain of severe pain by administering a therapeutic massage that had previously been given analgesics, and relaxation techniques, known to the administration of a therapeutic massage although it has not been able to drastically reduce pain, patients can adapt to the pain, the patient is more constructive coping.Suggestions are massage therapy may be an option as well as non-pharmacological interventions are applied in a non-invasive reduce patient distress, can be performed by nurses room through a brief training on technical procedures therapeutic massage. For the implementation of effective massage on the patient, let the hospital provides facilities such as massage chairs, massage beds and therapists are skilled in the art.
Analisis Faktor yang Berhubungan dengan Rencana Keluarga di Pesisir Pantai Kota Padang dalam Menghadapi Bencana Rika Fatmadona; Rika Sabri
NERS Jurnal Keperawatan Vol. 10 No. 2 (2014): NJK Volume 10, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v10i2.320

Abstract

Padang city as the capital of West Sumatra province, is geographically laid on west coast of Sumatra island, so inevitable from disaster / ring of fire. The study was purposed to investigate factors related to family plan in the coastal of Padang city on facing the disaster. The study design was cross sectional study. Population study were involved the community in 4 districts coastal of Padang city; Lubuk Begalung District, Bungus Teluk Kabung District, Koto Tangah district, North of Padang District, and Koto Tangah District, numbering 71.046 people with quota sampling 100 people. The data was collected using a questionnaire and focus group discussions. Results indicated that families who live along the coast disasters most often experienced is the earthquake-tsunami (100%).Family’s plan in facing disaster has been good (76%), most of respondents have education level on high school(42%), respondents 42% majority work in private sector jobs, more than half of respondents (67%) have less knowledge about disaster , more than half of respondents have positive attitudes toward disaster (59%), more than half of respondents (68%) had a positive perception on disaster. From the chi square test showed a significant relationship exists between knowledge and attitudes with family plan to face disaster with p <0.05. But there is no relationship between perception, employment, disaster information with plan for disasters, where p> 0.05. The conclusion is knowledge and attitude of families living in coastal area of Padang city is closely linked to disaster response plan. But the perception, jobs and disaster information is found not closely associated with the face of disaster plans. Recommendation addressed to the local government to provide knowledge and dissemination of disaster management, quick and responsive to overcome the negative issues related to disaster risk outstanding changed public perception of the disaster.