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Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)
Published by Universitas Gadjah Mada
ISSN : 2614445x     EISSN : 26144948     DOI : https://doi.org/10.22146/jkkk.57386
Core Subject : Health,
Nursing
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) accepts novel research articles, case study, literature review, and psychometric testing articles in all field of clinical and community of nursing. This journal is published through peer-review process by nursing and health expert in academic and health care institution in Indonesia. The scope includes: 1) Surgical medical nursing 2) Emergency nursing 3) Basic nursing 4) Education in nursing 5) Management in nursing 6) Maternity nursing 7) Pediatric nursing 8) Mental health nursing 9) Community nursing
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 6 Documents
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Search results for , issue "Vol 7, No 1 (2023)" : 6 Documents clear
Pengelolaan Masalah Pernapasan pada Pasien dengan Heart Decompensation di IGD RSA Universitas Gadjah Mada: Case Report Noviya Ayuningtyas; Hersinta Retno Martani; Setyawan Setyawan
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.77411

Abstract

Background: Heart decompensation is a heart failure exacerbation caused by the body’s decompensated mechanism. Uncontrolled hypertension is one of the risk factors for heart decompensation that worse the decompensated mechanism in the presence of target organ damage (TOD). Patient with heart decompensation also suffers dyspnea, ortopnea, and paroxysmal nocturnal dyspnea (PND).Objective: To describe the management of breathing problem in patient with heart decompensation in emergency department (ED).Case: A 39-year-old woman came to ED with severe shortness of breath that has been felt since this week and has gotten worse for past few days. Her condition was as follow saturation 94%, RR 45x/ minutes, HR 153x/minutes, BP 200/125mmHg.Result: Breathing problem management in this patient was helped by oxygen therapy, positioning, mucolytic, bronchodilator, antibiotic, and corticosteroid. Breathing problem was improved after administering the therapy based on effort, frequency, depth in breathing, and oxygen saturation. In addition to breathing problem, circulation problem was also managed comprehensively and had shown improved outcome.Conclusion: Administration of therapy in the ED in heart decompensation patient with breathing problem has improved with increased saturation, reducted shortness of breath, and expelled excess fluid.ABSTRAKLatar belakang: Heart decompensation merupakan faktor yang memperparah kondisi gagal jantung kronis yang disebabkan oleh mekanisme dekompensasi tubuh. Hipertensi tidak terkontrol merupakan salah satu faktor risiko heart decompensation yang dapat memperburuk mekanisme dekompensasi dengan adanya target organ damage (TOD). Pasien dengan heart decompensation juga disertai masalah pernapasan seperti dyspnea, ortopnea, dan paroxysmal nocturnal dyspnea (PND).Tujuan: Mendeskripsikan pengelolaan masalah pernapasan pasien heart decompensation di instalasi gawat darurat (IGD).Laporan kasus: Pasien wanita, berusia 39 tahun, datang ke IGD dengan keluhan sesak napas berat yang dirasakan sejak seminggu ini dan memberat dalam beberapa hari ini. Saturasi 94%, RR 45x/ menit, nadi 153x/menit, TD 200/125mmHg.Hasil: Penatalaksanaan masalah pernapasan pada pasien dengan pemberian terapi oksigen, positioning, mukolitik, bronkodilator, antibiotik, dan kortikosteroid. Masalah pernapasan pada pasien mengalami perbaikan setelah pemberian terapi tersebut. Hal ini dilihat berdasarkan usaha, frekuensi, kedalaman bernapas, dan saturasi oksigen. Selain masalah pernapasan, masalah sirkulasi pada pasien juga dikelola secara komprehensif dan menunjukkan outcome yang membaik.Simpulan: Pemberian terapi di IGD pada pasien heart decompensation dengan masalah pernapasan mengalami perbaikan dengan peningkatan saturasi, sesak napas berkurang, cairan berlebih dapat dikeluarkan.
Penggunaan Terapi Komplementer dalam Meningkatkan Outcome Perawatan Pasien dengan Kanker Payudara: Scoping Review Surya Wahyuni; Ainur Rahma; Slamet Aminanto; Arifin Triyanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.79810

Abstract

Background: Breast cancer long-term treatment can cause side effect. Patients can use complementary treatment therapy which is causing gentler side effects and cutting treatment costs.Objective: To determine the effectiveness of complementary therapies in breast cancer patients according to scientific literature.Method: The literature search was conducted in four electronic data sources, namely PubMed, Sage Journal, Scopus, and Cochrane Library. The search used PCC with the keywords “Complementary Therapy” OR “Herbal Therapy” AND “Breast Cancer”. Inclusion criteria from the study were namely in English, in the year 2017-2022, a type of randomized controlled trial study, population of people with breast cancer. The selected literatures were analyzed using Arskey & O’Malley Framework and then data extraction were carried out.Result: The number of eligible’s articles to analyze were 6 of articles. Complementary therapy conducted in the articles were combination of Mantra meditation and listening to music, reflexology, mindful yoga, yoga, music therapy, and peppermint oil aromatherapy. The benefits of this therapy included overcoming cognitive disorders, reducing fatigue and anxiety, treating nausea, vomiting, and anorexia due to chemotherapy, increasing physical activity, and saving on treatment costs.Conclusion: The application of complementary interventions (such as combination of Mantra meditation and listening to music, reflexology, mindful yoga, yoga, music therapy, and peppermint oil aromatherapy) is effective in increasing outcome of the patient with breast cancer treatment.ABSTRAKLatar belakang: Efek samping dapat muncul akibat pengobatan jangka panjang kanker payudara. Dalam rangka mengatasinya dapat dilakukan terapi komplementer karena memiliki efek samping yang lebih sedikit dan biaya lebih murah. Terapi komplementer dapat mengurangi berbagai keluhan yang dirasakan oleh pasien kanker, seperti penurunan kemampuan kognitif, mengurangi kelelahan, kecemasan, mual dan muntah. Tujuan: Untuk mengetahui efektivitas terapi komplementer pada pasien kanker payudara dalam literatur ilmiah.Metode: Pencarian literatur dilakukan di empat sumber data elektronik, yaitu PubMed, Sage Journal, Scopus, dan Cochrane Library. Pencarian tersebut menggunakan PCC dengan kata kunci “Complementary Therapy” OR “Herbal Therapy” AND “Breast Cancer”. Kriteria inklusi dalam pencarian literatur, yaitu berbahasa Inggris dan tahun terbit 2017-2022, jenis penelitian randomized controlled trial, dengan populasi penderita kanker payudara. Literatur terpilih selanjutnya dianalisis menggunakan Arskey & O’Malley Framework, kemudian dilakukan ekstraksi data.Hasil: Jumlah artikel yang eligible untuk dianalisis sebanyak 6 artikel. Terapi komplementer yang digunakan dalam 6 artikel tersebut, yaitu kombinasi meditasi Mantra sambil mendengarkan musik, pijat refleksi, mindful yoga, yoga, terapi musik, dan aromaterapi menggunakan minyak daun mint. Manfaat yang diterima pasien, di antaranya mengatasi gangguan kognitif, mengatasi kelelahan dan kecemasan, mengobati mual muntah dan anoreksia akibat kemoterapi, meningkatkan aktivitas fisik, dan menghemat biaya perawatan.Simpulan: Penerapan intervensi komplementer (dalam bentuk kombinasi meditasi Mantra sambil mendengarkan musik, pijat refleksi, mindful yoga, yoga, terapi musik, dan aromaterapi menggunakan minyak daun mint) pada pasien kanker payudara, terbukti efektif dalam meningkatkan outcome perawatan pasien dengan kanker payudara.
Implementasi Telehealth dalam Meningkatkan Perawatan Paliatif pada Pasien Kanker di Era 4.0: Scoping Review Indy Susanti; Istiqomah Nur Khasanah; Arifin Triyanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.80140

Abstract

Background: Sustainable palliative care toward advanced stadium cancer is provided by physical, mental, and psychosocial approach. In the 4.0 era along with recent COVID-19 pandemic, the use of telehealth for public service, including for patient with cancer, has increased.Objective: To identify the implementation of telehealth in improving the palliative care of patient with cancer in the 4.0 era.Method: This research was tracing the results of scientific publications using PRISMA flow diagrams. The article selection process was carried out by identification and screening. The searching keywords included Population (cancer patient), Intervention (telehealth OR e-health OR telemedicine OR telenursing OR digital health intervention), Comparison (not applicable), Outcome (improve palliative care in 4.0 era) in several databases, i.e. Google Scholar, Willey Online, Sage, PubMed, BMJ, and Science Direct. Then the articles were selected based on the title, type of article, abstract, and content according to the inclusion and exclusion criteria. Inclusion criteria included topic suitability, published in 2017-2022, in English, open access, and research article.Outcome: Most of the telehealth services were done through mobile applications and website-based consultations. The use of telepalliative showed a positive effect on improving patient self-efficacy, sense of security, patient involvement in care, effectiveness of symptom management, supporting remote care, facilitating access to health professionals. In emergency situations when there was a worsening condition, it was still necessary to carry out direct examination and/or treatment.Conclusion: Telehealth needs further development and research to determine its level of frequency and efficiency to support health services, especially in the field of palliative care.ABSTRAKLatar belakang: Perawatan paliatif berkelanjutan diberikan secara fisik, mental, dan psikososial pada pasien kanker dengan stadium lanjut. Di era 4.0 yang bersamaan dengan adanya pandemi COVID-19, telah meningkatkan penggunaan telehealth dalam pelayanan kesehatan, termasuk pada pasien kanker. Tujuan: Mengetahui implementasi telehealth dalam meningkatkan perawatan pasien kanker di era 4.0. Metode: Penelitian ini dilakukan melalui penelusuran hasil publikasi ilmiah, menggunakan alur diagram PRISMA. Proses pemilihan artikel dilakukan dengan identifikasi dan skrining. Penelusuran kata kunci yang dilakukan, meliputi: Population (cancer patient), Intervention (telehealth OR e-health OR telemedicine OR telenursing OR digital health intervention), Comparison (tidak ada), dan Outcome (improve palliative care in 4.0 era) pada Google Schoolar, Willey Online, Sage, PubMed, BMJ, dan Science Direct. Kemudian artikel diseleksi berdasarkan judul, jenis artikel, abstrak, dan konten sesuai dengan kriteria inklusi dan eksklusi. Kriteria inklusi meliputi kesesuaian topik, diterbitkan tahun 2017- 2022, berbahasa Inggris, open access, dan research article.Hasil: Mayoritas telehealth dilakukan melalui aplikasi seluler maupun konsultasi berbasis website. Pemanfaatan telepaliatif menunjukkan efek positif terhadap peningkatan efikasi diri pasien, rasa aman, keterlibatan pasien dalam perawatan, efektivitas manajemen gejala, pendukung perawatan jarak jauh, dan mempermudah akses kepada profesional kesehatan. Dalam situasi darurat, ketika kondisi memburuk yang membutuhkan konsultasi dan perawatan secara langsung, maka tetap perlu dilakukan pemeriksaan dan/atau perawatan secara langsung.Simpulan: Penggunaan telehealth perlu terus dikembangkan dan diteliti lebih lanjut, untuk mengetahui tingkat frekuensi dan efisiensi pemanfaatannya, dalam rangka mendukung pelayanan kesehatan, khususnya di bidang perawatan paliatif.
Gambaran Kepuasan Pengguna Mobile Application Cancer Cervix Caution (Cavixaution) Untuk Pengetahuan Tentang Pencegahan Kanker Serviks Rusyda Anshari; Wiwin Lismidiati; Ayyu Sandhi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.80902

Abstract

Background: Mobile application Cavixaution is a health education media to improve knowledge about cervical cancer prevention. End User Computing Satisfaction (EUCS) which consists of content, format, accuracy, ease of use, and timeliness as its dimensions, becomes a measurement to determine the success of the implementation of an information system.Objective: To evaluate the user satisfaction in using mobile application Cancer Cervix Caution (Cavixaution) as health education media for knowledge about cancer cervix prevention.Method: The study was held in November – December 2019 in the Jagalan Village Bantul. The design of this study was descriptive and cross sectional approach. The data were collected using propotional and purposive sampling that involved 76 women aged 30 – 49 years who were using the mobile application Cavixaution and never done Visual Inspection of Acetic Acid (IVA).Result: Overall users were satisfied with the mobile application Cavixaution with an average rate of 3,16. The average rate for each EUCS dimensions were as follow: ease of use dimension 3,24 (satisfied), content dimension 3,14 (satisfied), format dimension 3,15 (satisfied), timeliness dimension 3,19 (satisfied) and accuracy dimension 3,10 (satisfied).Conclusion: Users are satisfied using mobile application Cavixaution. All dimensions have reached satisfaction level, with ease of use dimension had the highest value, while the accuracy dimension had the lowest satisfaction. This study shows that the mobile application Cavixaution can be used as health education media for knowledge about cervical cancer prevention and the application has fulfilled respondent expectation.ABSTRAKLatar belakang: Mobile application Cavixaution merupakan media pendidikan kesehatan dengan tujuan untuk meningkatkan pengetahuan mengenai pencegahan kanker serviks. Kepuasan pengguna menjadi suatu pengukuran untuk mengetahui keberhasilan dalam penerapan suatu sistem informasi. End User Computing Satisfaction (EUCS) yang terdiri dari lima dimensi, yaitu substansi, tampilan, akurasi, kemudahan dalam penggunaan, dan ketepatan waktu, menjadi salah satu metode untuk mengukur kepuasan pengguna terhadap produk yang berhubungan dengan teknologi informasi dan komunikasi (TIK).Tujuan: Mengetahui gambaran kepuasan pengguna dalam menggunakan aplikasi mobile application Cancer Cervix Caution (Cavixaution) sebagai media pendidikan untuk pengetahuan tentang pencegahan kanker serviks.Metode: Penelitian dilaksanakan pada bulan November – Desember 2019 di Kelurahan Jagalan, Bantul. Jenis penelitian kuantitatif deskriptif dengan rancangan cross sectional. Pemilihan sampel dengan teknik proportional dan purposive sampling dengan melibatkan subjek 76 wanita usia subur, berusia 30 – 49 tahun, yang telah menggunakan mobile application Cavixaution, serta belum pernah melakukan tes Inspeksi Visual Asetat (IVA).Hasil: Secara keseluruhan pengguna merasa puas terhadap penggunaan mobile application Cavixaution dengan nilai rata-rata 3,16. Nilai kepuasan untuk setiap dimensi adalah dimensi ease of use 3,24 (puas), dimensi content 3,14 (puas), dimensi format 3,15 (puas), dimensi timeliness 3,19 (puas), dan dimensi accuracy 3,10 (puas).Simpulan: Pengguna merasa puas dalam menggunakan mobile application Cavixaution. Pada dimensi kemudahan dalam penggunaan, memiliki nilai rata-rata kepuasan tertinggi, sedangkan dimensi akurasi mendapatkan nilai kepuasan paling rendah. Penelitian ini menunjukkan bahwa Mobile Application Cavixaution dapat digunakan sebagai media pendidikan kesehatan tentang kanker serviks, dengan rancangan aplikasi yang telah memenuhi harapan atau keinginan para pengguna.
Penerapan Relaksasi Benson Kombinasi Unsur Keyakinan untuk Menurunkan Kecemasan pada Pasien CKD yang Menjalani Hemodialisa: Studi Kasus Rovi Apriani Eka Suci; Laili Nur Hidayati
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.82351

Abstract

Background: Benson relaxation is one of non-pharmacological therapies that helps patients deal with their anxiety, thus becomes a viable option. By reducing the body’s need for oxygen and allowing the muscles to relax, the Benson Relaxation Technique which is combined with belief elements, may induce comfort and peace feelings.Objective: To evaluate the effectiveness of the Benson relaxation therapy intervention with the combination of belief elements to reduce anxiety in a CKD patient who was receiving hemodialysis. Case report: A 70-year-old man was diagnosed with chronic kidney disease (CKD) stage V. After the first hemodialysis, this patient had complained about his feeling of limp, nausea, and queasy body, fear and anxiety about his condition, and restless sleeping. Patient was given Benson relaxation technique with the combination of elements of belief for 3 days as his main intervention.Outcome: Following the use of the Benson relaxation treatment and a combination of belief elements in the form of zikir (praising to God) and istigfar (apologizing toward God) for twice a day for three days, the result had shown a decrease in HARS score from 23 (moderate anxiety) to 15 (mild anxiety).Conclusion: Patients with CKD can effectively reduce anxiety with non-pharmacological Benson relaxation therapy using a combination of beliefs elements.ABSTRAKLatar belakang: Penanganan kecemasan dapat menggunakan terapi non-farmakologi, salah satunya dengan relaksasi Benson. Teknik Relaksasi Benson dapat menghambat aktivitas saraf simpatis sehingga mengurangi penggunaan oksigen oleh tubuh dan menyebabkan otot-otot menjadi rileks serta menimbulkan perasaan tenang dan kenyamanan.Tujuan: Mengetahui efektivitas intervensi terapi relaksasi Benson dengan penambahan unsur keyakinan untuk menurunkan kecemasan pada pasien CKD yang sedang menjalani hemodialisis.Laporan kasus: Seorang laki-laki berusia 70 tahun dengan diagnosa chronic kidney disease (CKD) stadium V. Kondisi pasien setelah melakukan hemodialisis pertama mengeluhkan lemas, mual, muntah, takut dan cemas dengan kondisinya, serta mengeluh tidak bisa beristirahat dengan tenang. Pasien diberikan intervensi utama relaksasi Benson dengan penambahan unsur keyakinan selama 3 hari.Hasil: Setelah dilakukan pemberian intervensi terapi relaksasi Benson dengan penambahan unsur keyakinan seperti berzikir dan beristigfar selama 3 hari dengan frekuensi 2 kali sehari, didapatkan hasil penurunan skor HARS dari 23 (kecemasan sedang) menjadi 15 (kecemasan ringan).Simpulan: Terapi relaksasi Benson dengan penambahan unsur keyakinan efektif untuk menurunkan kecemasan pasien CKD.
Hubungan Ketergantungan Activity Daily Living Penderita Stroke dengan Beban Family Caregiver di Puskesmas Kasihan II Siti Mulyani; Miftafu Darussalam
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.83043

Abstract

Background: Stroke can cause chronic neurological disorders that can cause physical changes and decline, especially in activities of daily living or Activity Daily Living (ADL). Prolonged ADL dependence has the potential to cause a burden for family caregivers.Objective: To determine the correlation between ADL dependence of patients with stroke and the burden of family caregivers.Method: This research was a correlational analytic quantitative study with a cross sectional design. The research was conducted in the working area of the Kasihan Health Center II in Bantul. There were 40 family caregivers and patients with stroke, as respondents. Samples were taken by simple random sampling technique. The research instruments were the Caregiver Reaction Scale (CRA) by Given and Barthel Index. Data analysis was performed with the Somers’d test.Result: most of the respondents with stroke were in mild dependence and were independent (f=18,45%), while family caregivers felt a moderate burden (f=29, 72,5%). The type of burden that the family caregiver felt the most was the burden of self-esteem with a mean score of 13,83. The Somers’d correlation test obtained the results for the value of r = 0,601, p-value = 0,000.Conclusion: There is a relationship between ADL dependency of patients with stroke and the burden of family caregivers with a moderate correlation level.ABSTRAKLatar belakang: Penyakit stroke dapat menyebabkan gangguan neurologis kronis yang dapat menimbulkan perubahan dan penurunan fisik terutama dalam aktivitas kehidupan sehari-hari atau activity daily living (ADL). Ketergantungan ADL dalam waktu yang lama berpotensi menimbulkan beban pada family caregiver.Tujuan: Untuk mengetahui hubungan ketergantungan ADL penderita stroke dengan beban family caregiver.Metode: Penelitian ini merupakan penelitian kuantitatif analitik korelasional dengan rancangan cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas Kasihan II Bantul dengan responden family caregiver dan penderita stroke sejumlah 40 responden. Sampel diambil dengan teknik simple random sampling. Instrumen penelitian menggunakan Caregiver Reaction Scale (CRA) oleh Indeks Given dan Barthel. Analisis data dilakukan dengan uji Somers’d.Hasil: Sebagian besar responden penderita stroke termasuk dalam kategori ketergantungan ringan dan mandiri (f=18, 45%). Sementara family caregiver merasakan beban sedang (f=29, 72,5%). Jenis beban yang paling dirasakan oleh family caregiver adalah beban harga diri dengan mean score 13,83. Uji korelasi Somers’d didapatkan hasil nilai r=0,601 dan p=0,000.Kesimpulan: Terdapat hubungan antara ketergantungan ADL penderita stroke dengan beban family caregiver pada tingkat korelasi sedang.

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