Stimulasi Auditori Menggunakan Murottal terhadap Vital Signs Pasien Stroke Fase Akut

This study aims to determine the effect of auditory stimulus therapy using murotal on changes in vital signs in acute phase stroke patients. This research is a Randomized Controlled Trial (RCT) with the single-blind method and parallel design without matching. The results of statistical tests using the T-test to determine the difference in the mean decrease in the five vital signs showed that there was a decrease in the average pain scale, blood pressure, and heart rate in the intervention group, which was more significant than the control group (p-value < 0,05). In conclusion, auditory stimulation therapy using murotal significantly reduces pain scale, blood pressure, and heart rate in acute phase stroke patients.   Keywords: Murotal, Auditory Stimulation, Acute Phase Stroke, TT

Intervensi Back Massage Aromaterapi terhadap Kualitas Tidur pada Pasien Diabetes Mellitus Type 2

This study aims to determine the effectiveness of aromatherapy back massage interventions on patients' sleep quality with type 2 diabetes mellitus. Methods This study was a randomized controlled trial. The results of this study obtained the mean value for the control group before the intervention was 4.77. After the intervention, the mean value was 5.17, which means the level of sleep quality was poor. In the intervention group, the mean value was 5.03 before the intervention, while after the intervention, the mean value was 4.30, which means an increase in sleep quality. Good. The difference in scoring between the control group's sleep quality is 1.17. The intervention group is 2.47 with a P-value of 0.001 (α <0.05), which means a significant difference in the average score of sleep quality between the control group and the intervention group. In conclusion, aromatherapy back massage intervention can significantly improve sleep quality in patients with type 2 diabetes mellitus.   Keywords: Aromatherapy Back Massage, Diabetes Mellitus Type 2, Sleep Qualit

Slow Deep Breathing dan Alternate Nostril Breathing terhadap Penurunan Tekanan Darah pada Pasien Hipertensi

The purpose of this study is to determine the effectiveness of slow deep breathing and alternate nostril breathing on reducing blood pressure in patients with hypertension. This study uses a quasi-experimental design with a pretest-posttest group design approach. Friedman test results showed that there were differences in systolic blood pressure (x2 = 34.09; p <0.001) and diastolic (x2 = 28.74; p <0.001) in the slow deep breathing intervention group. Based on the post hoc test, measurements from time to time obtained p values ​​(p = 0.001) for both systolic and diastolic blood pressure. Meanwhile there were differences in blood pressure in the alternate nostril systolic breathing group (x2 = 15.50; p <0.001), diastolic (x2 = 17.18; p <0.001). Post hoc test found a significant decrease in systolic and diastolic blood pressure from each measurement time during the intervention period with p values ​​0.005 and 0.025, respectively. Conclusion, in this study that slow deep breathing is much more effective in reducing blood pressure in hypertensive patients.   Keywords: Alternate Nostril Breathing, Hypertension, Decreased Blood Pressure, Slow Deep Breathin

Pemberian Aromaterapi Lavender terhadap Kualitas Tidur Pasien Hemodialisis

This study aims to determine the effectiveness of lavender aromatherapy on hemodialysis patients' sleep quality. The method used is experimental intervention twice a week for four weeks. Before and after the intervention, sleep quality will be measured using the PSQI (Pittsburgh Sleep Quality Index) instrument. The results showed that (t = 22.789, p = 0.0001). 7.3% of the variable variation in the model was able to explain changes in the percentage of sleep quality (R2=0.073). Education variables (β=0.240, p=1.888), duration of HD (β=0.227, p=1.583), and the variable that is a predictor of sleep quality is gender (β=-0.006, p=0.421). In conclusion, there is a relationship between giving lavender aromatherapy and the sleep quality of hemodialysis patients compared to patients who did not receive lavender aromatherapy.   Keywords: Lavender Aromatherapy, Hemodialysis, Sleep Qualit

Fatigue Dan Kualitas Hidup Pada Pasien Gagal Ginjal Kronis Dengan Terapi Hemodialisa

Objective: The aim of this study was to investigate the relationship of fatigue to the quality of life among patients who undergo hemodialysisMethods: A descriptive correlative study with purposive sampling technique was applied in this study. Data obtained from direct observation using the FACIT-F questionnaire and WHOQOL BREF. A total of 80 respondents was recruited.Results:   The results of the study showed the average age of the subject were 47 years, 56% of them were male, and the majority had a high school educational background. Most of the patients had a length of hemodialysis for more than two years. Hemodialysis patients were experienced fatigue with a mean value of 26,50 (SD = 7.07). Among domains of quality of life, the social domain had the lowest score (9.38). Multivariate analysis showed there was a consistent correlation between fatigue and four domains of quality of life.Conclusion:   Fatigue is a major problem experienced by the patient’s hemodialysis and influences their quality of life. The researchers suggest the health services can improve promotive and preventive efforts through education, training, related to fatigue to promote quality of life for clients who undergo hemodialysis, especially female, older age, and lower educational status. Further research is expected to examine the other variables such as social support and environmen

HUBUNGAN PENGETAHUAN DAN SIKAP IBU DENGAN KEJADIAN PNEUMONIA PADA BALITA

Pneumonia in toddlers is one of the unresolved health problems, and is also the biggest cause of death for toddlers in Indonesia. The purpose of this study was to determine the correlation between knowledge and attitudes of mothers with the incidence of pneumonia in toddlers at Puskesmas Kecamatan Koja. The research design used cross sectional. The sample of this study was toddlers with complaints of cough or difficulty breathing who were treated at Puskesmas Kecamatan Koja with a total of 103 respondents who were taken by purposive sampling. Data analysis using chi-square test. The results showed that there was a significant correlation between mother's knowledge and the incidence of pneumonia in toddlers (p-value = 0.004) and there was a significant correlation between mother's attitude and the incidence of pneumonia in toddlers at Puskesmas Kecamatan Koja (p-value = 0.001). Nurses at primary level health services are expected to increase the provision of health education about pneumonia to mothers who have toddlers, so that the incidence of pneumonia in toddlers can be prevented.Penyakit pneumonia pada balita merupakan salah satu masalah kesehatan yang belum dapat terselesaikan, dan juga merupakan penyebab kematian balita terbesar di Indonesia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap ibu dengan kejadian pneumonia pada balita di Puskesmas Kecamatan Koja. Desain penelitian menggunakan cross sectional. Sampel penelitian ini balita dengan keluhan batuk atau sukar bernapas yang berobat di Puskesmas Kecamatan Koja dengan jumlah 103 responden yang diambil secara purposive sampling. Analisis data menggunakan uji chi-square. Hasil penelitian menunjukan ada hubungan yang signifikan antara pengetahuan ibu dengan kejadian pneumonia pada balita (p- value = 0,004) dan ada hubungan yang signifikan antara sikap ibu dengan kejadian pneumonia pada balita di Puskesmas Kecamatan Koja (p-value = 0,001). Perawat di pelayanan kesehatan tingkat dasar diharapkan dapat meningkatkan pemberian pendidikan kesehatan tentang pneumonia kepada ibu yang memiliki balita, sehingga kejadian pneumonia pada balita dapat dicegah

HUBUNGAN ANTARA DURASI PENYAKIT, FREKUENSI HOSPITALISASI DAN TINGKAT KEPARAHAN GEJALA DENGAN KEJADIAN PUTUS OBAT PADA PASIEN DENGAN GANGGUAN JIWA

Psychological disorders are one of the chronic diseases that decrease patients' productivity and require long-term care and treatment. During the treatment process, patients often experience relapses due to the length of the treatment. One of the factors that can trigger relapse is medication discontinuation. Therefore, through this study, the researcher aims to obtain an overview of patients with mental disorders and relapse occurrences, as well as to determine the impact of medication discontinuation on the duration of mental illness, frequency of hospitalization, and severity of symptoms during relapse. This study is cross-sectional study involving 108 respondents. The analysis in this study utilized descriptive analysis and bivariate analysis using independent t-test. The results of this study indicate that one of the reasons family members bring patients to the hospital is the emergence of anger symptoms (26.1%), with medication discontinuation due to lack of patient medication adherence support being another common reason (23.5%). The research also shows a correlation between the duration of mental illness, frequency of hospitalization, severity of symptoms, and medication discontinuation in patients with mental disorders. Based on these findings, the involvement of family and effective discharge planning is crucial in reducing relapse rates and promoting rehabilitation towards independent and productive patient outcomes.Gangguan kejiwaan merupakan salah satu penyakit yang bersifat kronik, yang menurunkan produktifitas penderita, dan membutuhkan perawatan dan pengobatan dalam jangka panjang. Dalam proses perjalanan pengobatan sering kali pasien mengalami kambuh karena panjangnya proses pengobatan. Kejadian yang menimbulkan pasien kambuh salah satunya adalah putus obat. Penelitian ini bertujuan untuk mendapatkan gambaran pasien gangguan jiwa dengan kejadian kambuh, dan untuk mengetahui dampak dari kejadian putus obat terhadap lama mengalami gangguan jiwa, frekuensi hospitalisasi, dan tingkat keparahan gejala Ketika kambuh. Penelitian ini adalah penelitian cross-sectional study yang melibatkan 108 responden. Analisis dalam penelitian ini menggunakan analisis deskriptif dan analisis bivariat dengan menggunakan uji independent t-test. Hasil penelitian ini menunjukan bahwa alasan keluarga membawa pasien kerumah sakit adalah munculnya gejala marah 26.1%, dengan alasan putus obat akibat tidak adanya pendamping pasien minum obat 23.5%. Penelitian juga menunjukan adanya hubungan lama mengalami gangguan jiwa, frekuensi hospitalisasi, dan keparahan gejala dengan putus obat pada pasien dengan gangguan jiwa. Berdasarkan hasil ini maka dibutuhkan peran keluarga dan discharged planning yang baik untuk mengurangi kekambuhan dan meningkatkan rehabilitasi menuju pasien yang mandiri dan produktif

Multidimensional Symptom Burden among Patients with Hemodialysis in Indonesia

Background: Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies analyzed the symptoms as one dimension such as the severity dimension. Conducting the comprehensive symptom assessment among patients with hemodialysis is necessary to gain a better understanding of the symptom burden. Purpose: The aim of this study was to identify symptom burden among patients with hemodialysis comprehensively. Methods: This study was a descriptive study. A convenience sample of 320 patients undergoing hemodialysis was recruited from the dialysis units at two referral hospitals in Indonesia (Fatmawati Hospital and Cipto Mangunkusumo National Hospital). Indonesian Version of Chronic Kidney Disease - Symptom Burden Index (CKD-SBI) was used. For the data analysis, descriptive analysis was used. Results: Total 320 subjects were collected. This study found that lack of energy was the highest physical symptom burden under 4 dimensions: occurrence 269 (84.0%), severity (mean = 4.28, SD = 3.08), distress (mean = 4.42, SD = 3.09), and frequency (mean = 4.41, SD = 3.27). Furthermore, decreased interest in sex was the highest psychological symptom burden under for dimensions: occurrence 210 (65.6%), severity (mean = 3.39, SD = 3.38), distress (mean = 2.92, SD = 2.99), frequency (mean = 3.70, SD = 3.65). Conclusion: Lack of energy and decreased interest in sex were consistently the highest symptom burden among patients with hemodialysis. Creating appropriate interventions and managing the symptoms experienced by patients with hemodialysis comprehensively is very important to improve their quality of life.

Revista de Gandia : periódico dedicado al fomento de los intereses morales y materiales de la región, órgano de la Caja de Ahorros y Socorros y Monte de Piedad: Época Segunda Año XXIV Número 1203 - 1923 julio 14

This study aimed to identify the effect of acupressure on blood glucose levels in type 2 diabetes mellitus patients. This study used a quasi-experimental design with a pre-post test design approach. The results showed a significant difference in blood glucose levels between the intervention group and the control group (t = 4.22; p = 0.001). In conclusion, acupressure is an effective intervention to reduce blood glucose levels in patients with type 2 diabetes mellitus.   Keywords: Acupressure, Type 2 Diabetes Mellitus, Blood Glucose Level

Empowering Pediatric Nurses in Non-Pharmacological Pain Management through Supportive-Educative Nursing Interventions at Islamic Hospital Jakarta Cempaka Putih

ABSTRAK Manajemen nyeri non-farmakologis pada anak merupakan komponen penting dalam perawatan pediatrik yang membutuhkan pengetahuan, sikap, dan keterampilan perawat yang kompeten. Namun, perawat anak sering menghadapi kendala dalam memahami metode-manajemen nyeri non-farmakologis. Oleh karena itu, Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk mengevaluasi efektivitas program Supportive-Educative Nursing Interventions dalam meningkatkan perilaku perawat anak dalam menerapkan manajemen nyeri non-farmakologis. Kegiatan PkM melibatkan 15 perawat anak di Rumah Sakit Islam Jakarta Cempaka Putih dan terdiri dari lima sesi, termasuk brainstorming, edukasi kesehatan, pemutaran video, praktik kompres dingin, dan sesi diskusi. Analisis data menggunakan metode analisis kuantitatif dan kualitatif sederhana. Hasil PkM menunjukkan peningkatan signifikan dalam pengetahuan, sikap, dan keterampilan perawat anak dalam manajemen nyeri non-farmakologis pada anak. Temuan ini menegaskan pentingnya pendekatan pendidikan dan pelatihan dalam meningkatkan kualitas perawatan anak di lingkungan rumah sakit. Kata Kunci: Manajemen Nyeri Non-Farmakologis, Perawat Anak, Supportive-Educative Nursing Interventions  ABSTRACT Non-pharmacological pain management in children is a crucial component of pediatric care that requires competent nurses to possess knowledge, attitude, and skills. However, pediatric nurses often face challenges due to inadequate understanding of non-pharmacological pain management methods. Therefore, this Community Service Activity (CSA) aims to evaluate the effectiveness of the Supportive-Educative Nursing Interventions program in improving the behavior of pediatric nurses in implementing non-pharmacological pain management. The CSA involved 15 pediatric nurses at Jakarta Cempaka Putih Islamic Hospital and consisted of five sessions, including brainstorming, health education, video presentations, cold compress practice, and discussion sessions. Data analysis was conducted using simple quantitative and qualitative methods. The results of the CSA showed a significant increase in the knowledge, attitude, and skills of pediatric nurses in non-pharmacological pain management in children. These findings emphasize the crucial role of educational and training approaches in enhancing the quality of pediatric care in a hospital setting. Keywords: Non-pharmacological pain management; Pediatric nurses; Supportive-educative nursing intervention