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Gambaran Karakteristik Pasien Miastenia Gravis Di Pulau Jawa Tri Antika Rizki Kusuma Putri; I Made Kariasa; Debie Dahlia
JURNAL KESEHATAN BHAKTI HUSADA Vol 2 No 2 (2016): JURNAL KESEHATAN BHAKTI HUSADA
Publisher : UP3M AKPER-AKBID BHAKTI HUSADA CIKARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (68.198 KB)

Abstract

Miastenia gravis merupakan kelainan autoimun yang menyerang neurotransmitter di tautan neuromuskular dan menghambat terjadinya kontraksi di otot. Kelemahan otot yang terjadi menyebabkan keterbatasan aktivitas fisik serta terganggunya kesejahteraan psikologis dan interaksi sosial yang dimiliki oleh pasien. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik pada pasien miastenia gravis. Penelitian ini merupakan deskriptif analitik dengan desain cross sectional yang melibatkan 75 pasien. Hasil penelitian menunjukan sebagian besar responden berjenis kelamin perempuan dengan persentase sebesar 73.3%, sebagian besar responden memiliki penghasilan di atas UMR (Upah Minimum Regional) (57.3%), gejala fisik yang ditunjukkan oleh responden terbanyak berada terbatas pada kelemahan otot mata dengan persentase sebesar 36.0%, rerata usia responden yaitu 36.39 tahun (95% CI 33.68-39.09) dengan standar deviasi 11.574, rata-rata lama menderita miastenia gravis pada responden yakni 6.80 tahun (95% CI 5.65-7.95) dengan standar deviasi sebesar 4.986. Hasil pada penelitian ini akan membantu dalam melakukan penelitian lanjut terkait gambaran dampak fisik maupun psikologis yang diakibatkan oleh miastenia gravis serta cara meminimalisir dampak tersebut.
Balutan Parcel Alternatif Penatalaksanaan Fistula Gastrointestinal pada Luka Dehiscence: Studi Kasus Debie Dahlia
Jurnal Keperawatan Indonesia Vol 11, No 2 (2007): September
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v11i2.190

Abstract

AbstrakFistula merupakan saluran abnormal antara lumen organ berongga dengan organ berongga lainnya atau dengan kulit. Fistula gastrointestinal terjadi sebagai akibat dari komplikasi pascapembedahan abdomen dan manifestasi sekunder dari proses patologi intraabdomen. Fokus penatalaksanaannya pada upaya mempertahankan keseimbangan cairan dan elektrolit, mengistirahatkan intestin dan mendukung nutrisi, pengobatan medis, melindungi kulit sekitar luka, dan menampung cairan fistula. Strategi menampung cairan fistula merupakan komponen utama pada penatalaksanaan fistula non pembedahan. Studi kasus ini menggambarkan upaya\untuk menampung cairan fistula, memberikan kenyamanan, memfasilitasi penyembuhan luka, dan melindungi kulit sekitar luka seorang laki-laki berusia 66 tahun dengan luka dehiscence dan fistula di dalam luka. AbstractA fistula is an abnormal passage between the lumen of a hollow viscous organ and another hollow organ or the skin. Gastrointestinal fistula present as devastating complication following postoperative abdominal surgery and as secondary manifestation due to primary intra-abdominal pathologic processes. Management challenges focus on maintaining fluid and electrolyte balance, providing bowel rest and nutrition support, initiating medication treatment, ensuring skin protection, and containing the fistula effluent. Containing the fistula effluent is a key component of non-surgical fistula management. Following extensive abdominal surgery, the wound of a 66 years old man dehisced and a gastrointestinal fistula formed inside the wound. This case study describes efforts to contain fistula drainage, while providing comfort, facilitating wound healing, and protecting the periwound skin.
Management Leg Positioning After Total Knee Arthroplasty: An Evidence Based Nursing Practice Adelina Vidya Ardiyati Adel; Debie Dahlia; Dikha Ayu Kurnia
International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 6 (2021): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v4i6.530

Abstract

Abstract. Total Knee Arthroplasty (TKA) is an effective surgical treatment in patients with moderate to severe knee arthritis. This surgical intervention has the potential to cause blood loss of up to 1000cc, which can lead to a decrease in haemoglobin levels and postoperative functional abilities. There are many methods to reduce the amount of blood loss after TKA surgery, one of the most effective and efficient methods is to position the knee flexion 45° for 24 hours post-operative TKA. This study was the application of Evidence Based Nursing (EBN) with a sample of 10 that meet theInclusion criteria were patients with knee osteoarthritis stage III and IV and underwent TKA Total Knee Arthroplasty (TKA) is an effective surgical treatment in patients with moderate to severe knee arthritis. This surgical intervention has the potential to cause blood loss of up to 1000cc, which can lead to a decrease in haemoglobin levels and postoperative functional abilities. There are many methods to reduce the amount of blood loss after TKA surgery, one of the most effective and efficient methods is to position the knee flexion 45° for 24 hours post-operative TKA. This case series aims to present the result of applying evidence-based leg positioning after TKA to reduce blood loss with a sample of 10 that meet the Inclusion criteria were patients with knee osteoarthritis stage III and IV and underwent TKA (Total Knee Arthroplasty) surgical procedures. The results show that all respondents are female, most of them are <60 years old (60%), and BMI in the overweight category is 70%, the amount of Hidden Blood Loss is in the range of 420cc-700cc, 30% of respondents have post-op Hb levels <10gr/dl, and 60% of respondents have a ROM value of 90° on day 5 Post Operation. The Implementation of EBN Knee flexion position for 24 hours post TKA effective to reduce the amount of blood loss and improve the patient's functional ability by facilitating the patient to start rehabilitation exercises early
DRY EYE MANAGEMENT IN PATIENTS AFTER CATARACT SURGERY: A LITERATURE REVIEW Eti - Sumartiyah; Debie Dahlia
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 4 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (148.08 KB) | DOI: 10.35654/ijnhs.v2i4.99

Abstract

Cataract surgery is the most common surgical procedure performed to restore visual function due to opacification of the lens. One of the side effects of cataract surgery is the appearance of dry eye symptoms that can occur one to three weeks after surgery. Dry eye symptoms were reduced visual acuity can affect daily work, so that it can interfere with work productivity and quality of life. This paper is a literature review to identify dry eye management in patients after cataract surgery. The search was carried out on Web of Science, EBSCO, PubMed, and Google Scholar. The results showed that the management of dry eyes can be done with drugs, healthy living behaviors especially maintaining eye health and hygiene and also avoiding various risk factors for dry eyes. Assessment of early signs and symptoms of the dry eye needs to be done before surgery so that it can reduce the risk of dry eye events. Management of dry eye in post-cataract surgery patients needs to be done comprehensively so that it can improve the patient's visual ability and a better quality of life. Keywords: cataracts, dry eyes, dry eye management
Potensi Pelaksanaan Self Monitoring Blood Glucose Pada Pasien Diabetes Dalam Meningkatkan Kualitas Hidup dan Kontrol Glikemik Pandan Enggarwati; Debie Dahlia; Sri Yona
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 10 No 02 (2020): Jurnal Ilmiah Ilmu Keperawatan Indonesia Edisi Juni 2020
Publisher : STIKIM Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.001 KB) | DOI: 10.33221/jiiki.v10i02.560

Abstract

Abstract Introduction: Diseases that are considered particularly dominant in Indonesia are now starting to shift toward chronic diseases and one of which is diabetes mellitus (DM). Ever since a patient is diagnosed with DM, DM management must be carried out continuously and it will bring changes to the patients’ lifestyle. Health-Related Quality of Life (HRQoL) is a health indicator which covers interrelated subjective and multidimensional concepts, including assessment of physical, functional, psychological, and religious aspects. Self Monitoring Blood Glucose (SMBG) is a part of DM disease management which allows control of the glycemic index and quality of life. However, potential benefits of SMBG implementation needs to be discovered further. Objective: The purpose of this article is to determine the potential of SMBG in DM management and its relation to the glycemic index and quality of life. Methods: Literature review of this article based on EBSCOhost, PubMed, ProQuest, Willey Library Online dan ScienceDirect from 2013 - 2019. Results: The result shows that SMBG had a significant impact on HRQoL and glycemic index control. Conclusion: The role of nurses in the provision of comprehensive education is essential to increase the knowledge of the use of SMBG and drive patient’s motivation to ensure they are able to properly report the results of SMBG that they conducted.