Dwina Oktavia Deli
Universitas Gadjah Mada

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A Scoping Review of Risk Factors and Implantation Sites in Ectopic Pregnancy Halfie Zaqiyah Gusti Puspitasari; Agung Subakti Nuzulullail; Dwina Oktavia Deli; Elsi Dwi Hapsari; Wiwin Lismidiati
Media Keperawatan Indonesia Vol 9, No 1 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.1.2026.93-106

Abstract

Ectopic pregnancy Ectopic pregnancy is an obstetric condition with serious clinical consequences. This study aims to map the risk factors and location of ectopic pregnancy implantation based on the latest evidence. The design of this study is a scoping review with literature searches conducted on May 20–23, 2025, through ScienceDirect, PubMed, Web of Science, and ProQuest. Inclusion criteria included open-access original articles published between 2020 and 2025 that reported risk factors and implantation sites for ectopic pregnancy. Theoretical articles and instrument development studies were excluded. The selection and synthesis process followed the PRISMA-ScR (2020) guidelines, the JBI Critical Appraisal Checklist (2020), and the Guidance for Conducting Systematic Scoping Reviews (2015). Of the 5,519 articles identified, eight studies with observational (n=7) and cross-sectional (n=1) designs met the criteria. The synthesis results showed that a history of previous ectopic pregnancy was the most consistently reported risk factor, followed by a history of surgery and infertility. The most common implantation site was the fallopian tube, particularly in the ampulla, fimbria, and isthmus. These findings emphasize the importance of comprehensive identification of risk factors to support more effective prevention, early detection, and long-term management strategies
Dibalik strategi nonfarmakologis untuk nyeri punggung kronis: Terapi Su Jok pada lansia dengan Hernia Nukleus Pulposus (HNP) : Behind nonpharmacological strategies for chronic back pain: Su Jok therapy in elderly patients with Herniated Nucleus Pulposus (HNP) Dwina Oktavia Deli; Petrus Paris Rumsori; Rurry Nindya Taluphyta; Ariani Arista Putri Pertiwi; Intansari Nurjannah
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 12 No. 1 (2026): JiKep | Februari 2026
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v12i1.2934

Abstract

Hernia Nukleus Pulposus (HNP) merupakan penyebab utama nyeri punggung kronis pada lansia yang memengaruhi mobilitas dan kualitas hidup. Pendekatan farmakologis sering digunakan, tetapi berisiko menimbulkan efek samping, sehingga diperlukan alternatif nonfarmakologis seperti terapi Su Jok. Laporan kasus ini mengevaluasi efektivitas Su Jok dalam menurunkan nyeri dan meningkatkan mobilitas pada pasien lansia dengan HNP. Seorang pasien perempuan usia 59 tahun dengan keluhan nyeri punggung bawah menjalar hingga kedua kaki, skala nyeri 7–8, Intervensi dilakukan melalui pemijatan area tangan (Su) pada punggung tangan (yang) di titik korespondensi punggung lumbal 1–5 serta ruas jari manis dan tengah yang berkaitan dengan area kaki, dilanjutkan dengan penempelan biji chia seed selama ±30 menit. Pasien diedukasi melakukan terapi mandiri di rumah 1–2 kali per minggu. Setelah intervensi, skala nyeri menurun menjadi 5, disertai peningkatan kemampuan berjalan dan kenyamanan. Pasien menunjukkan respon emosional positif berupa motivasi dan kepercayaan diri untuk melakukan terapi mandiri serta tidak ditemukan efek samping. Terapi Su Jok terbukti aman dan berhasil meredakan nyeri dan dapat diterapkan sebagai intervensi komplementer nonfarmakologis untuk menurunkan nyeri punggung kronis pada lansia dengan HNP. Edukasi terapi mandiri memperkuat keberlanjutan hasil positif, diharapkan akan meningkatkan kepatuhan pasien.
Alcohol Consumption and Gastrointestinal Cancer Risk: A Scoping Review Agung Subakti Nuzulullail; Amalia Khasanah Ima Dudini; Aulia Diah Rahayu; Avantika Puspa Imelda Wensi; Dita Aditia Mamonto; Dhiana Ayu Novitasari; Dwina Oktavia Deli; Mukaromah Mukaromah; Riyati Riyati; Wa Ode Umi Kalsum; Wiwin Lismidiati
Media Keperawatan Indonesia Vol 8, No 4 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.4.2025.272-280

Abstract

Cancer is one of the leading causes of death worldwide, including gastrointestinal cancer, which continues to increase in prevalence. One contributing risk factor is long-term alcohol consumption. This study aims to determine the relationship between alcohol consumption and the incidence of gastrointestinal cancer. The study design used a scoping review through four databases, namely ScienceDirect, PubMed, SpringerLink, and Medline. Articles were selected based on inclusion and exclusion criteria, with the screening process following the PRISMA 2020 guidelines. The selected articles were then synthesized using the Guidance for Conducting Systematic Scoping Review (2020) guidelines. A total of seven articles met the criteria. Various types of gastrointestinal cancer related to alcohol consumption were found, including colorectal, esophageal, stomach, and liver cancer, and even breast cancer. Most studies examined current and past patterns of alcohol consumption. Overall, the findings of this study prove that alcohol consumption, whether in the past, present, or cumulative, is associated with an increased incidence of gastrointestinal cancer, especially colorectal cancer.