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Jurnal Ners
Published by Universitas Pahlawan Tuanku Tambusai
ISSN : -     EISSN : 25802194     DOI : 10.31004
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
Fokus Jurnal Ners meliputi bidang kajian riset keperawatan diantaranya Keperawatan Medikal Bedah, Keperawatan Maternitas, Keperawatan Gawat Darurat, Keperawatan Anak, Keperawatan Lansia, Keperawatan Jiwa, Keperawatan Keluarga, Keperawatan Masyarakat, Manajemen Keperawatan dan Terapi Komplementer yang dapat menunjang tindakan keperawatan Jurnal Ners dikelola dan diterbitkan oleh Program Studi Keperawatan Fakultas Ilmu Kesehatan (FIK) Universitas Pahlawan Tuanku Tambusai Jurnal Ners adalah pengembangan dari Jurnal Program Studi Keperawatan STIKes Tuanku Tambusai yang mulai melakukan publikasi cetak tahun 2012 seiring dengan perubahan bentuk Institusi menjadi Universitas Pahlawan
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 12 Documents
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Search results for , issue "Vol. 10 No. 3 (2026)" : 12 Documents clear
Efektivitas Terapi Musik dalam Menurunkan Mual Muntah Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi di Rumah Sakit Umum Haji Medan Barus, Tania Cristine Br; Tarigan , Mula; Siregar, Farida Linda Sari
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58235

Abstract

Mual muntah akibat kemoterapi atau chemotherapy induced nausea and vomiting (CINV) merupakan salah satu efek samping yang paling sering dialami pasien kanker payudara dan dapat memengaruhi kualitas hidup pasien selama menjalani terapi. Walaupun terapi antiemetik telah diberikan, sebagian pasien masih mengalami mual muntah sehingga diperlukan intervensi nonfarmakologis sebagai terapi pendamping. Salah satu intervensi yang dapat digunakan adalah terapi musik. Penelitian ini bertujuan untuk menganalisis efektivitas terapi musik dalam menurunkan mual muntah pada pasien kanker payudara yang menjalani kemoterapi di Rumah Sakit Umum Haji Medan. Penelitian ini menggunakan desain quasi experiment dengan pendekatan pretest-posttest nonequivalent control group. Sampel penelitian sebanyak 60 responden yang dibagi menjadi kelompok intervensi sebanyak 30 responden dan kelompok kontrol sebanyak 30 responden menggunakan teknik total sampling. Kelompok intervensi diberikan terapi musik selama 25 menit sebanyak dua kali, yaitu sebelum dan saat kemoterapi berlangsung, sedangkan kelompok kontrol hanya mendapatkan terapi antiemetik standar. Instrumen penelitian menggunakan Rhodes Index Nausea Vomiting and Retching (RINVR). Analisis data menggunakan uji Wilcoxon dan Mann Whitney. Hasil penelitian menunjukkan terdapat penurunan mual muntah yang signifikan pada kelompok intervensi setelah diberikan terapi musik dengan nilai p-value <0,05. Hasil uji Mann Whitney juga menunjukkan terdapat perbedaan signifikan antara kelompok kontrol dan kelompok intervensi pada hasil posttest dengan nilai p-value <0,05. Terapi musik efektif dalam menurunkan mual muntah pada pasien kanker payudara yang menjalani kemoterapi dan dapat digunakan sebagai intervensi keperawatan nonfarmakologis.
Temporary Closure for Gastroschisis Using Everyday Disposable Medical Devices: A Literature Review Alnaz, Ahmad Razi Maulana; Fikri, Erjan; Yamamoto, Zulham; Alnaz, Fini Meirisa
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58283

Abstract

Background: Gastroschisis is a life-threatening congenital abdominal wall defect requiring immediate surgical intervention at birth. In resource-limited healthcare settings, the availability of specialized silo devices for staged abdominal closure is frequently constrained by economic and logistical barriers. The use of everyday disposable medical devices as low-cost alternatives has gained increasing attention as a pragmatic approach to improving neonatal surgical outcomes in such environments. Objective: This literature review aims to synthesize available evidence on the use of disposable medical devices as alternative silo substitutes for temporary gastroschisis closure, evaluating their clinical applicability, safety profile, cost-effectiveness, and relevance to nursing care in low-resource neonatal settings. Methods: A systematic narrative literature review was conducted using databases including PubMed, Scopus, ScienceDirect, Springer, and Wiley Online Library. Studies published between 2015 and 2026 examining gastroschisis management, temporary abdominal closure techniques, improvised silo alternatives, and neonatal surgical outcomes were included. A total of 42 articles met inclusion criteria after screening and critical appraisal. Results: Evidence from multiple studies supports the feasibility and relative safety of improvised silo construction using readily available disposable materials, including urologic drainage bags, intravenous fluid bags, bowel irrigation sleeves, and sterile surgical gloves, particularly in settings where commercial silos are unavailable. Outcomes including bowel reduction time, wound infection rates, time to primary closure, and mortality were comparable to those achieved with commercial spring-loaded or sutured silos in several reports. Multidisciplinary neonatal nursing care was identified as a critical determinant of postoperative success. Conclusion: Everyday disposable medical devices represent a viable and cost-effective approach to temporary gastroschisis closure in resource-limited environments. Standardized protocols, rigorous infection control practices, and multidisciplinary collaboration are essential to optimize outcomes. Further high-quality prospective studies are needed to establish evidence-based guidelines for improvised closure techniques. Keywords: gastroschisis; temporary abdominal closure; disposable medical devices; neonatal surgery; resource-limited settings

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