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Manuju : Malahayati Nursing Journal
Published by Universitas Malahayati
ISSN : 26552728     EISSN : 26554712     DOI : 10.3324
Core Subject : Health,
Health Professions Nursing Public Health
MANUJU : Malahayati Nursing Journal merupakan jurnal yang memiliki fokus utama pada hasil penelitian dan ilmu-ilmu di bidang kesehatan yang dikembangkan dengan pendekatan interdispliner dan multidisiplin. Proses penerimaan naskah selalu terbuka setiap waktu, naskah yang sudah disubmit oleh penulis akan direview oleh reviewer yang ahli dalam bidang keperawatan dan kesehatan
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 37 Documents
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Search results for , issue "Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)" : 37 Documents clear
Pengaruh Psikoedukasi terhadap Kecemasan Keluarga Pasiend di IGD RSUD Jampang Kulon Mustikarani, Desi; Hamidah, Ernawati; Abidillah, Hadi; Suryadin, Asep
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.20658

Abstract

ABSTRACT Anxiety experienced by patients' families in the Emergency Room (ER) can negatively affect medical decision-making and interactions with healthcare providers. Psychoeducation is one approach that can help families manage anxiety by increasing their knowledge and understanding of the patient's condition and the emergency service process. This study aims to determine the effect of psychoeducation on the anxiety levels of patients' families in the ER of Jampang Kulon Regional General Hospital. The study used a quasi-experimental design with a pretest-posttest control group approach. A total of 32 respondents were randomly divided into intervention and control groups, with 16 participants in each group. The intervention group received psychoeducation, while the control group received no treatment. The research instrument used was the Hamilton Anxiety Rating Scale (HARS). Wilcoxon test results showed a significant decrease in anxiety levels after psychoeducation was given (p-value = 0.001), and the Mann-Whitney test indicated a significant difference between the intervention and control groups after the intervention (p-value = 0.000). The study concludes that psychoeducation is effective in reducing anxiety levels among patients' families in the ER. This intervention is expected to become a nursing strategy to improve the comfort and emotional stability of patients' families in emergency settings. Keywords: Psychoeducation, Anxiety, Patients' Families, Emergency Room.  ABSTRAK Kecemasan yang dialami keluarga pasien di Instalasi Gawat Darurat (IGD) dapat berdampak negatif terhadap pengambilan keputusan medis dan interaksi dengan tenaga kesehatan. Psikoedukasi menjadi salah satu pendekatan yang dapat membantu keluarga mengelola kecemasan melalui peningkatan pengetahuan dan pemahaman tentang kondisi pasien serta proses pelayanan di IGD. Penelitian ini bertujuan untuk mengetahui pengaruh psikoedukasi terhadap tingkat kecemasan keluarga pasien di IGD RSUD Jampang Kulon. Desain penelitian yang digunakan adalah quasi eksperimen dengan pendekatan pretest-posttest control group design. Sampel berjumlah 32 responden, dibagi secara acak menjadi kelompok intervensi dan kelompok kontrol, masing-masing 16 orang. Intervensi berupa pemberian psikoedukasi diberikan kepada kelompok intervensi, sedangkan kelompok kontrol tidak menerima perlakuan. Instrumen penelitian menggunakan kuesioner Hamilton Anxiety Rating Scale (HARS). Hasil uji Wilcoxon menunjukkan adanya penurunan tingkat kecemasan yang signifikan setelah diberikan psikoedukasi (p-value = 0,001), dan uji Mann-Whitney menunjukkan perbedaan signifikan antara kelompok intervensi dan kontrol setelah intervensi (p-value = 0,000). Kesimpulan dari penelitian ini adalah psikoedukasi efektif dalam menurunkan tingkat kecemasan keluarga pasien di IGD. Diharapkan intervensi ini dapat dijadikan strategi keperawatan dalam meningkatkan kenyamanan dan stabilitas emosional keluarga pasien di ruang gawat darurat. Kata Kunci: Psikoedukasi, Kecemasan, Keluarga Pasien, Instalasi Gawat Darurat 
Hubungan Penggunaan Aplikasi Tiktok terhadap Perilaku Mahasiswa Keperawatan S1 di Universitas Advent Indonesia Muntuan, Yanny Eugene Nathanael; Perangin-angin, Mori Agustina br
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23135

Abstract

ABSTRACT The number of TikTok users worldwide reached an estimated 1.09 billion in April 2023, representing about 13.6% of the global population (Arinka,2023). The platform's rapid growth has positioned Indonesia as the second country globally with the highest number of active users, following only the United States (Pongratte et al., 2023). This quantitative, cross-sectional study aims to analyze the significant relationship between the intensity of TikTok usage and the behavior of S1 Nursing students at Universitas Advent Indonesia. Utilizing a sample of 166 active users (N=278) selected via purposive sampling, data are collected using a dichotomous questionnaire for usage intensity and a Likert scale for student behavior, with analysis planned via bivariate statistics. The research anticipates finding that moderate-to-high usage intensity leads to negative behaviors like academic procrastination and sleep disturbances. The conclusion will confirm that TikTok usage significantly relates to changes in nursing student behavior, emphasizing the institutional need for policies promoting balanced and wise use of social media to safeguard academic performance. Keywords: TikTok, Usage Intensity, Student Behavior, Nursing, Internet Addiction.  ABSTRAK Jumlah pengguna TikTok di dunia cukup tinggi, diperkirakan mencapai 1,09 miliar pengguna. Jika dibandingkan dengan populasi dunia yang sekitar 8 miliar, maka persentase pengguna TikTok di dunia adalah sekitar 13,6% (Arinka, 2023). Dalam beberapa tahun terakhir, TikTok mengalami peningkatan pengguna yang sangat pesat. Data menunjukkan bahwa Indonesia menempati peringkat kedua dengan jumlah pengguna aktif TikTok terbanyak di dunia, setelah Amerika Serikat. (Pongratte et al., 2023). Penelitian ini bertujuan untuk menganalisis hubungan antara intensitas penggunaan aplikasi terhadap perilaku mahasiswa Keperawatan di Universitas Advent Indonesia. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Populasi penelitian ini adalah seluruh mahasiswa S1 Keperawatan Universitas Advent Indonesia (N=278), dengan sampel sebanyak 166 responden yang diambil menggunakan teknik purposive sampling (pengguna aktif TikTok). Data dikumpulkan melalui kuesioner yang terdiri dari dua instrumen: kuesioner intensitas penggunaan TikTok (skala dikotomis) dan kuesioner perilaku mahasiswa (skala Likert). Hubungan antar variabel akan diuji menggunakan analisis statistik bivariat. Hasil penelitian diharapkan menunjukkan bahwa sebagian besar mahasiswa memiliki intensitas penggunaan TikTok pada kategori sedang hingga tinggi, dengan kecenderungan perilaku yang mengarah pada prokrastinasi akademik, gangguan tidur, atau penurunan produktivitas. Analisis bivariat diprediksi akan menunjukkan adanya hubungan yang signifikan antara intensitas penggunaan TikTok terhadap perilaku mahasiswa S1 Keperawatan.  Penelitian ini menyimpulkan bahwa penggunaan aplikasi memiliki hubungan yang signifikan dengan perubahan perilaku mahasiswa Keperawatan, menegaskan perlunya kebijakan institusi dalam mendorong penggunaan media sosial yang bijak dan seimbang untuk mendukung performa akademik.  Kata Kunci: Tiktok, Intensitas Penggunaan, Perilaku Mahasiswa, Keperawatan, Kecanduan Internet.
Community Diagnosis Activity Report in Efforts to Increase Tuberculosis Preventive Therapy Acceptance Rate in Dukuh Village, Cikupa Health Center Work Area, Cikupa Subdistrict, Tangerang Regency, Banten Province Period: May 2, 2025 - June 28, 2025 S, Cindy Clarissa; Atzmardina, Zita; Baharits, Irvan
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.22769

Abstract

ABSTRACT Tuberculosis (TB) is an infectious disease caused by the Mycobacterium tuberculosis complex. Tuberculosis Preventive Therapy (TPT) is necessary for individuals at high risk of contracting TB to prevent transmission. However, the uptake rate of TPT remains low in areas with the highest number of TB cases. From January to April 2025, the number of TPT recipients in the Cikupa Community Health Center's working area was only 41 people, falling short of the target of 91. The objective was for all participants to demonstrate increased knowledge following the intervention and to be able to correctly perform the intervention. Data was collected through a mini-survey conducted among the community within the Cikupa Community Health Center's working area. The collected data was then analyzed using the Blum Paradigm to identify problems. Problem prioritization was determined using the non-scoring Delphi method. A Fishbone diagram was used to identify the root causes of the problem. During the intervention, pre-tests and post-tests were administered to assess the knowledge of Dukuh village residents before and after the intervention. The PDCA (Plan-Do-Check-Act) cycle and a systems approach were used for monitoring and evaluation. The problem identification using the Blum Paradigm indicated that 'Lifestyle' was the primary contributing factor. In Intervention 1, a total of 26 participants showed an increase in correct answers on their post-test compared to their pre-test, and 31 participants achieved a post-test score of ≥ 70. For Intervention 2, three participants were able to correctly re-demonstrate the procedure. Following Interventions 1 and 2, the program was declared successful. It is expected that these interventions will lead to an increase in the number of TPT recipients in the Dukuh Village area. Keywords: Tuberculosis, TPT, Community Diagnosis
Pemetaan Keberadaan Tempat Pengolahan Sampah 3R (Reuse, Reduce, Recycle) dalam Upaya Mewujudkan Zero Waste di Kabupaten Tangerang Qurratu’aini, Nabeela; Hartono, Budi
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.22996

Abstract

ABSTRACT The waste problem in Tangerang Regency is becoming increasingly complex due to its rapid population growth. The local government has established 3R (Reduce, Reuse, Recycle) Waste Processing Sites to help reach the zero-waste goal, but making these efforts truly effective remains a challenge. This study aims to map the locations of the 3R Waste Processing Sites (TPS), assess their operational effectiveness, and identify the primary challenges in waste management. We used spatial analysis with the Quantum Geographic Information System (QGIS) version 3.34 LTR to do this. All 29 3R TPS in Tangerang Regency were included, serving as both the population and the sample for our research. We relied on secondary data from relevant agencies. The results show that while there are 29 3R TPS, only 14 are actively operating. The main challenges include uneven service coverage, low waste absorption capacity, and a limited number of 3R TPS, particularly in densely populated areas, which generate high amounts of waste. To better address these issues, the Tangerang Regency Government should focus on increasing the number of 3R TPS and distributing them more evenly, with a particular emphasis on densely populated areas with high waste production. Additionally, encouraging active community participation in waste management through the 3R TPS is crucial to the program's success.  Keywords: GIS, Waste Management, TPS 3R, Zero Waste  ABSTRAK Permasalahan persampahan di Kabupaten Tangerang semakin kompleks seiring pertumbuhan jumlah penduduk yang tinggi. Pemerintah telah mengembangkan Tempat Pengolahan Sampah 3R (Reduce, Reuse, Recycle) untuk mendukung target zero waste, namun efektivitasnya masih menjadi tantangan. Penelitian ini bertujuan untuk memetakan distribusi TPS 3R, mengevaluasi efektivitasnya, serta mengidentifikasi hambatan utama dalam pengelolaan sampah. Metode yang digunakan adalah analisis spasial dengan aplikasi Quantum Geographic Information System (QGIS) versi 3.34 LTR. Hasil penelitian menunjukkan terdapat 29 TPS 3R di Kabupaten Tangerang, tetapi hanya 14 yang aktif beroperasi. Jangkauan layanan yang belum merata, kapasitas daya serap sampah yang rendah, dan keterbatasan jumlah TPS 3R menjadi kendala utama, terlebih dengan tingginya jumlah timbulan sampah akibat kepadatan penduduk. Oleh karena itu, diperlukan strategi penguatan, mulai dari penambahan jumlah dan pemerataan distribusi TPS 3R, peningkatan kapasitas pengelolaan, hingga keterlibatan aktif masyarakat untuk mencapai pengelolaan sampah yang lebih efektif. Kata Kunci: GIS, Persampahan, TPS 3R, Zero Waste
Hubungan Antara Perilaku Bullying dengan Body Image pada Siswi Sekolah Menengah Kejuruan (SMK) Muhammadiyah 1 Banjarmasin Amin, Muhammad; Syafwani, Muhammad; Raya, Mardha; Agustini, Meti
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.21289

Abstract

ABSTRACT Adolescence is a transition period from childhood to adulthood. WHO stated in 2020 that adolescents aged 10 to 19 years experience physical, emotional, social, and mental health changes due to exposure to poverty, harassment, and bullying behavior. Indonesia is ranked 4th highest in bullying problems. In adolescents who experience bullying, it occurs in their body image, various acts of bullying experienced can be captured as feedback related to physical appearance. The purpose of this study was to determine the Relationship Between Bullying Behavior and Body Image in Female Students at Muhammadiyah 1 Banjarmasin Vocational High School (SMK). This research method is Quantitative Correlational conducted in April 2025. Data was taken using a Likert scale questionnaire instrument for Bullying Behavior and Body Image with Spearman Rank correlation analysis. The sample in this study was 49 female students of Muhammadiyah 1 Banjarmasin Vocational High School (SMK) with the Systematic Total Sampling technique. The results of the study are the strength of the relationship between the Bullying Behavior variable and Body Image with a correlation value of 0.315 with a significant value of 0.028. The significance value is lower than the significance level <0.05, which means that there is a relationship between Bullying Behavior and Body Image in female students. It is hoped that the nursing profession, especially the psychiatric ward, can provide education about mental health, especially regarding Bullying Behavior and Body Image.  Keywords: Adolescents, High School Students, Bullying Behavior, Body Image  ABSTRAK Masa remaja adalah masa transisi dari anak-anak ke dewasa. WHO menyatakan pada tahun 2020 bahwa remaja berusia 10 hingga 19 tahun mengalami perubahan fisik, emosional, sosial, dan kesehatan mental karena terpapar kemiskinan, pelecehan, dan perilaku bullying. Indonesia di peringkat ke-4 tertinggi dalam permasalahan bullying.Pada remaja yang mengalami bullying terjadi pada body imagenya, bermacam - macam tindakan bullying yang dialami dapat ditangkap sebagai feedback terkait penampilan fisik. Tujuan penelitian ini untuk mengetahui Hubungan Antara Perilaku Bullying Dengan Body Image Pada Siswi Di Sekolah Menengah Kejuruan (SMK) Muhammadiyah 1 Banjarmasin. Metode penelitian ini adalah Kuantitatif Korelasional dilakukan pada bulan April 2025. Data diambil menggunakan instrument kuesioner skala likert Perilaku Bullying dan Body Image dengan analisis korelasi Spearman Rank. Sampel dalam penelitian ini sebanyak 49 responden siswi Sekolah Menengah Kejuruan (SMK) Muhammadiyah 1 Banjarmasin dengan teknik Systematic Total Sampling. Hasil dari penelitian adalah kekuatan hubungan antara variabel Perilaku Bullying dengan Body Image dengan nilai korelasi yaitu sebesar 0,315 dengan nilai signifikan 0,028. Nilai signifakan tersebut lebih rendah dari taraf signifakn  <0,05 yang berarti terdapat hubungan antara Perilaku Bullyingdengan Body Image pada siswi. Diharapkan untuk profesi keperawatan khususnya stase kejiwaan, dapat memberikan edukasi tentang kesehatan mental khususnya perihal Perilaku Bulying dan Body Image. Kata Kunci: Remaja, Siswi Sekolah Menengah, Perilaku Bullying, Body Image
Sistematic Literature Review: Pengembangan Sistem Informasi Dalam Mendukung Pemantauan Terapi Pasien Gunawan, Novia Riansari; Kartini, Apoina; Purnami, Cahya Tri
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.22906

Abstract

ABSTRACT The development of information systems in health services is important in improving the efficiency and quality of services. Hospital Information Systems (HIS) play a role in managing patient data including supporting therapymonitoring. Digitalization of information systems allows for more effective therapy monitoring, improves coordination between medical personnel, and patient satisfaction. This study uses a systematic literature reviewmethod with the PRISMA approach to review several studies that discuss the application of information systems in therapy monitoring in several countries. 404 literatures were obtained from the Scopus, Google Scholar, and Pubmed databases with publication inclusion criteria in the 2014-2024 that are in accordance withHIS and therapy monitoring.  The study results showed that the use of electronic health records (EHR) and mobile-based applications increased patient adherence to therapy, optimized coordination of health workers, and enabled more accurate data-based decision- making. The study also showed that digital technology supported therapy monitoring in increasing patient engagement and facilitating access to information for health workers. This study confirms that the implementation of integrated SIRS plays a significant role in improving the efficiency of hospital services, especially in monitoring patient therapy. With the use of appropriate technology, hospitals can provide more effective care and improve the overall quality of service. Keywords: Hospital Information System, Therapy Monitoring, Service Efficiency, Health Information Technology. ABSTRAK Perkembangan sistem informasi dalam pelayanan kesehatan penting dalam meningkatkan efisiensi dan kualitas layanan. Sistem Informasi Rumah Sakit (SIRS) berperan dalam pengelolaan data pasien termasuk mendukung pemantauan terapi. Digitalisasi sistem informasi memungkinkan pemantauan terapi yang lebih efektif, meningkatkan koordinasi antar tenaga medis, serta meningkatkan kepuasan pasien. Penelitian ini menggunakan metode systematic literature review dengan pendekatan PRISMA untuk meninjau beberapa penelitian yang membahas penerapan sistem informasi dalam pemantauan terapi di beberapa negara. Diperoleh 404 literatur yang berasal dari database scopus, goole scholar, serta pubmed dengan kritera inklusi publikasi dalam rentang tahun 2014 - 2024 yang sesuai dengan SIRS dan pemantauan terapi. Hasil kajian menunjukkan bahwa penggunaan electronic health records (HER) dan aplikasi berbasis mobile meningkatkan kepatuhan pasien terhadap terapi, mengoptimalkan koordinasi tenaga kesehatan, serta memungkinkan pengambilan keputusan berbasis data yang lebih akurat. Studi juga menunjukkan bahwa teknologi digital mendukung pemantauan terapi dalam meningkatkan keterlibatan pasien dan mempermudahkan akses informasi bagi tenaga kesehatan. Dari kajian ini menegaskan pelaksanaan SIRS yang terintegrasi berperan signifikan dalam meningkatkan efisiensi layana rumah sakit terutama dalam pemantauan terapi pasien. Dengan pemanfaatan teknologi yang tepat, rumah sakit dapat memberikan perawatan lebih efektif dan meningkatkan kualitas layanan secara keseluruhan. Kata Kunci: Sistem Informasi Rumah Sakit, Pemantauan Terapi, Efisiensi Pelayanan, Teknologi Informasi Kesehatan.
Community Diagnosis Activity Report in Efforts to Reduce the Incidence of New Stunting Cases in the Working Area of Legok Primary Health Center, Legok Subdistrict, Tangerang Regency, Banten Province Wijaya, Tomi; Pratiwi, Wynne; Kamila, Nadira Rachma; P, Emia Debora; Tirtasari, Silviana
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23118

Abstract

ABSTRACT Stunting remains one of Indonesia’s most persistent public health challenges, particularly among children under five. The high incidence of new stunting cases in the working area of Legok Primary Health Center, Tangerang Regency, prompted the implementation of a community diagnosis program to identify its root causes and develop targeted interventions. This program aimed to empower community health cadres as front-line educators to enhance stunting prevention through improved knowledge, skills, and community engagement. The activity was conducted from July 14 to August 16, 2025, and followed a structured community-based diagnostic approach. The problem prioritization process was carried out using the USG (Urgency, Seriousness, Growth) method, while the determinants of health were analyzed through Blum’s Health Field Paradigm. Root cause identification was performed using the non-scoring Delphi technique, Fishbone Diagram, and 5 WHY analysis. These steps revealed that insufficient and inconsistent cadre education on stunting prevention and outdated educational materials were major contributing factors. Interventions included interactive workshops and demonstration-based training sessions focused on balanced nutrition, exclusive breastfeeding, and appropriate complementary feeding practices. The implementation was monitored using the PDCA (Plan-Do-Check-Act) cycle and evaluated through a Systems Approach to ensure quality control and sustainability. A total of 30 community health cadres participated in the intervention. Pre-test results showed that only 2 participants (6.67%) scored above 90, whereas post-test results indicated that all 30 cadres (100%) achieved scores higher than 90. This significant improvement reflects the effectiveness of the training in enhancing cadres’ knowledge and confidence to deliver accurate health education at the community level. This program demonstrated that structured, cadre-centered community education can effectively strengthen local capacity for stunting prevention. Continuous training, active supervision, and integration with maternal and child health programs are essential to sustain knowledge transfer and achieve long-term reductions in stunting prevalence. Keywords: Cadre, Community Diagnosis, Health Education, Stunting Prevention, Training Program.
Pemenuhan Kebutuhan Paliatif pada Anak Neuroblastoma yang Mengalami Chemo-Brain : Laporan Kasus Saegaert, Marbella Valemouren; Utami, Tuti Asrianti
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.21577

Abstract

ABSTRACT Neuroblastoma is a prevalent malignant solid tumor in pediatric populations, frequently diagnosed at an advanced stage. Chemotherapy serves as the principal treatment modality; however, it is associated with long-term adverse effects, including cognitive impairments collectively referred to as chemo-brain. This case report aims to elaborate on the palliative care needs and the nursing strategies employed to address the cognitive and holistic issues faced by children with neuroblastoma who exhibit symptoms of chemo-brain. A descriptive qualitative approach utilizing a case report design was applied. Data collection involved direct clinical observations, in-depth interviews with primary caregivers, and comprehensive analysis of nursing documentation for two pediatric patients diagnosed with stage IV neuroblastoma. Cognitive impairments due to chemo-brain were manifested through deficits in memory, communication, and behavioral functioning. Identified palliative needs encompassed physical (pain and constipation), psychological (emotional instability and anxiety), and social-spiritual domains. Nursing interventions, including play therapy, relaxation techniques, and family-centered care, were instrumental in addressing these multidimensional needs. The implementation of a comprehensive, multidisciplinary, and family-involved palliative care approach significantly contributes to enhancing the quality of life in pediatric patients experiencing chemo-brain secondary to neuroblastoma. Keyword: Chemo-brain, Neuroblastoma, Pediatric Palliative Care, Cognitive Impairment, Holistic Nursing.  ABSTRAK Neuroblastoma merupakan salah satu jenis tumor padat yang paling umum ditemukan pada populasi anak dan sering kali terdiagnosis pada stadium lanjut. Kemoterapi sebagai terapi utama dapat menyebabkan efek samping jangka panjang berupa gangguan fungsi kognitif yang dikenal dengan istilah chemo-brain. Laporan kasus ini bertujuan untuk menguraikan kebutuhan paliatif yang dialami oleh anak dengan neuroblastoma yang mengalami chemo-brain serta strategi keperawatan yang digunakan untuk memenuhi kebutuhan tersebut secara menyeluruh. Penelitian ini menggunakan pendekatan deskriptif kualitatif dengan desain studi kasus. Data dikumpulkan melalui observasi klinis langsung, wawancara mendalam dengan orang tua, dan telaah dokumentasi keperawatan pada dua anak yang didiagnosis neuroblastoma stadium IV. Gangguan kognitif yang dialami anak mencakup penurunan memori, kemampuan komunikasi, dan fungsi perilaku. Kebutuhan paliatif yang teridentifikasi meliputi aspek fisik (nyeri dan konstipasi), psikologis (emosi labil dan kecemasan), serta sosial dan spiritual. Intervensi keperawatan berupa terapi bermain, teknik relaksasi, dan perawatan berpusat pada keluarga terbukti berkontribusi dalam pemenuhan kebutuhan tersebut. Pendekatan paliatif yang menyeluruh, melibatkan kolaborasi multidisiplin dan peran aktif keluarga, terbukti efektif dalam meningkatkan kualitas hidup anak dengan chemo-brain akibat terapi kanker. Kata Kunci: Chemo-brain, Neuroblastoma, Paliatif Anak, Gangguan Kognitif, Keperawatan Holistik
Pengaruh Terapi Relaksasi Benson terhadap Tingkat Kecemasan pada Pasien Chronic Kidney Disease yang Menjalani Hemodialisis Hadrianti, Dessy; Suroto, Suroto; Olviani, Yurida; Saherna, Jenny; Rizkiah, Nova
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.20789

Abstract

ABSTRACT Chronic Kidney Disease (CKD) continues to show a rising prevalence both globally and in Indonesia, with many patients requiring hemodialysis as a primary treatment. However, the dependency on long-term therapy and the need for lifestyle adjustments often lead to psychological stress, particularly anxiety. Benson relaxation therapy, a non-pharmacological method involving deep breathing and spiritual focus, has been recognized as a potential strategy for alleviating anxiety symptoms.This study aimed to evaluate the effectiveness of Benson relaxation therapy in reducing anxiety levels among CKD patients undergoing hemodialysis at Ulin Hospital, Banjarmasin. A pre-experimental one-group pretest-posttest design was employed. The population consisted of 431 patients from the hospital’s hemodialysis unit, and 30 respondents were selected using purposive sampling. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS).Prior to the intervention, most participants experienced moderate to severe anxiety, with 12 patients (40.0%) in each category. Post-intervention results revealed that 22 patients (73.3%) no longer experienced anxiety, while 4 patients (13.3%) remained in the mild to moderate categories. Statistical analysis using the Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest anxiety scores (Z = -4.789, p = 0.000; p < 0.05).These findings indicate that Benson relaxation therapy is effective in reducing anxiety among CKD patients undergoing hemodialysis and may serve as a supportive, non-pharmacological intervention in clinical practice. Keywords: Chronic Kidney Failure, Hermodialisis, Benson Relaxation Therapy.  ABSTRAK Gagal ginjal kronik merupakan salah satu penyakit yang menunjukan peningkatan kasus di Indonesia maupun dunia, dengan banyak pasien yang memerlukan terapi hemodialisis sebagai terapi utama, namun prosedur ini sering menimbulkan tekanan kecemasan dan psikologis akibat perubahan gaya hidup serta ketergantungan jangka panjang. Salah satu pendekatan non-farmakologis yang dapat mengurangi kecemasan adalah terapi relaksasi Benson, yaitu teknik pernapasan dalam yang dipadukan dengan elemen spiritual. Penelitian ini bertujuan untuk mengetahuiefektivitas terapi benson terhadap tingkat kecemasan pada pasien Chronic Kidney Disease (CKD) yang menjalani hemodialisis di RSUD Ulin Banjarmasin. Penelitian ini menggunakan desain Pre-Experimental dengan pendekatan One-Group Pretest-Posttest Design. Populasi dalam studi ini mencakup seluruh pasien di ruang Hemodialisa RSUD Ulin Banjarmasin dengan junlah 431 pasien pada bulan terakhir, sampel terdiri dari 30 responden yang dipilih melalui metode Teknik Purposive sampling. Pengumpulan data menggunakan instrumen Hamilton Anxiety Rating Scale (HARS). Hasil pengukuran awal sebagian besar pasien Chronic Kidney Disease sebelum terapi Benson mengalami kecemasan dalam kategori sedang dan berat, masing-masing sebanyak 12 orang (40,0%). Sedangkan, tingkat kecemasan mayoritas pasien sesudah terapi Benson mengalami, yaitu 22 orang (73,3%), tidak lagi mengalami kecemasan, sementara masing masing 4 pasien (13,3%) mengalami kecemasan dalam kategori ringan dan sedang. Hasil Uji Wilcoxon Signed Rank Test menunjukan nilai Z = - 4,789 dan p = 0,000 ( p < 0,05 ), analisis hasil menunjukan terdapat perbedaan yang signifikan tingkat kecemasan sebelum dan sesudah intervensi, yang menegaskan bahwa terapi relaksasi benson berkontribusi positif dalam mengurangi kecemasan pada pasien chronic kidney disease yang menjalani hemodialysis di RSUD Ulin Banjarmasin. Kata Kunci: Gagal Ginjal Kronik, Hemodialisis, Terapi Relaksasi Benson
Spontaneous Preterm Labor During Hemodialysis In A Patient With End-Stage Renal Disease And Advanced Maternal Age: A Case Report Rachmana, Moch. Arif; Laraz, Lupita G.; Pratama, Raditya Ery; Puteri, Agnes Ilene Suprapto
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.22863

Abstract

ABSTRACT Pregnancy in patients with ESRD is rare due to impaired fertility caused by HPO axis disruption. Nevertheless, with advancements in dialysis and maternal care, successful pregnancies have increasingly been reported. Such pregnancies, however, are considered high-risk and are often associated with complications such as preterm labor, intrauterine growth restriction, and low birth weight, particularly in patients with comorbidities like chronic hypertension and other risk factors such as AMA. A 41-year-old gravida 3 para 2 woman with ESRD secondary to chronic hypertension, undergoing routine hemodialysis twice weekly with each session lasting five hours for the past five years, presented with spontaneous preterm labor during a scheduled dialysis session. The patient began experiencing uterine contractions accompanied by a bloody show during the second hour of hemodialysis. The session was discontinued prematurely due to these symptoms. Subsequent examination revealed cervical dilation of 3 cm, confirming the onset of labor. Due to a history of menstrual irregularities, the pregnancy had been recognized relatively late, at 20 weeks of gestation. At 31 weeks, the patient delivered a live preterm infant. The neonate was born with low birth weight but responded well to immediate neonatal management and stabilization. Although pregnancy in ESRD patients presents significant risks, favorable maternal and neonatal outcomes can still be achieved. This case illustrates the importance of early detection, coordinated multidisciplinary care, and vigilant monitoring in improving perinatal outcomes in women undergoing chronic hemodialysis. Keywords: End-Stage Renal Disease, Hemodialysis, Preterm Labor, High Risk Pregnancy.

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