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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
KOMBINASI TEKNIK RELAKSASI BENSON DAN SLEEP HYGIENE EDUCATION DALAM MEMPENGARUHI KUALITAS TIDUR PASIEN PASCA STROKE Rohmah, Anis Ika Nur; Irawaty, Dewi; Dahlia, Debie
Journals of Ners Community Vol 10, No 2 (2019): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (523.405 KB)

Abstract

Gangguan tidur dipandang sebagai masalah potensial yang terjadi pada pasien pasca stroke. Dalam mengatasi gangguan tidur dibutuhkan intervensi psikologis dan perilaku. Penelitian ini bertujuan mengetahui pengaruh teknik relaksasi Benson dikombinasikan dengan Sleep Hygiene Education (SHE) terhadap kualitas tidur pasien pasca stroke. Metode yang digunakan quasi experiment pre-post test design with control group. Dari 58 responden, 30 responden kelompok intervensi menerapkan relaksasi Benson dikombinasikan dengan SHE dan 28 responden menerapkan relaksasi Benson sebagai kelompok kontrol. Hasil penelitian menunjukkan ada peningkatan kualitas tidur pada kedua kelompok (p=0,0001) setelah perlakuan dan terdapat perbedaan yang bermakna antara dua kelompok tersebut (p=0,0001). Relaksasi Benson dikombinasikan dengan SHE direkomendasikan sebagai salah satu terapi non farmakologi untuk mengoptimalkan kualitas tidur pada pasien pasca stroke.
Bentuk Kaki Berhubungan dengan Keseimbangan Fungsional pada Pasien Neuropati Diabetik Desnita, Ria; Dahlia, Debie; Sukmarini, Lestari
Jurnal Keperawatan Muhammadiyah Vol 5, No 1 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.928 KB) | DOI: 10.30651/jkm.v5i1.3967

Abstract

Changes in foot posture in diabetic neuropathy patients affects the function of the legs as the base support in maintaining body balance. The study aimed to determine the correlation foot posture with functional balance in patients with diabetic neuropathy. This study design was analytic cross sectional, recruited 132 diabetic neuropathy patients. Statistical analysis used Chi Square, Pooled T-test, and multiple logistic regression. The results showed a significant correlation between foot posture and functional balance in diabetic neuropathy patients, the power of correlation is moderate and positive direction (p= 0.001; α= 0.05; r= 0,352). This study suggests the nurse to perform early detection and prevention of the risk of falls in diabetic neuropathy patients related to changes in foot posture and functional balance.
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
Ozone Regional Non-Invasive (ORNi) Therapy in Combination with Nursing Management of Diabetic Foot Ulcer Care: A Case Study Arisanty, irma Puspita; Dahlia, Debie
Jurnal Keperawatan Soedirman Vol 16, No 2 (2021)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2021.16.2.1647

Abstract

Background: DFU patients must be treated properly less than 30 days to prevent infection spread to the bone, causes smaller opportunity to recovery and higher risk for amputation. Ozone therpay has a clearer clinical effect, affects the wound healing process, it can be seen by decreasing the length of stay. Method: Case studies of 3 DFU patients who were given ORNi therapy. Wound evaluation using Bettes-Jenssen Assessment tool skoring system. Results: There were significant improvement in these cases after given a noninvasive regional ozone therapy (ORNi) as a combination in standard treatment for 5 – 7 times. There are no sign of infection, granulation and epithelization processes were running optimal and exudate production was controlled. Conclusions and recommendation: Using ORNi therapy as an adjunct to standard care has shown a significant improvement. The rate of granulation and epithelization during 15 days of treatment has an average growth rate of granulation and epithelization up to 22%. Researchers recommend to do more research with suficcient sample size related to the use of ozone therapy as an adjunct in wound care.
Efektifitas Lembar Pemantauan Insulin Terintegrasi Untuk Mengurangi Kejadian Hipoglikemia pada Pasien Diabetes Mellitus Tipe 2 Dikha Ayu Kurnia; Debie Dahlia
Jurnal Keperawatan Indonesia Vol 21, No 2 (2018): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i2.497

Abstract

Hipoglikemia merupakan salah satu efek samping pemberian terapi insulin pada pasien Diabetes Melitus tipe 2. Penelitian ini bertujuan untuk mengembangkan dan menguji keefektifan lembar pemantauan insulin terintegrasi dalam memantau kejadian hipoglikemia pada pasien DM tipe 2 yang mendapatkan terapi insulin analog. Hasil menunjukkan rerata kejadian hipoglikemia lebih tinggi saat makan pagi (t (18)= 2,9732; p= 0,0059) dan sore (t (18)= 3.0956; p= 0,0043) setelah pemberian rapid-acting insulinmelalui pemantauan lembar insulin terintegrasi Namun, hasil penelitian ini juga menunjukkan bahwa tidak ada hubungan signifikan antara pemantauan asupan kalori, dosis insulin, dan perubahan pola tidur dengan kejadian hipoglikemia. Sehingga lembar pemantauan insulin terintegrasi tidak efektif dalam mencegah kejadian hipoglikemia. Penelitian ini merekomendasikan perawat untuk lebih memahami pengkajian hipoglikemia dalam lembar pemantauan insulin terintegrasi. Kata Kunci: Kejadian hipoglikemia, lembar pemantauan insulin terintegrasi, pasien DM Tipe 2, terapi insulin Abstract The Effectiveness of the Integrated Insulin Monitoring Sheets to Decrease Hypoglycemia Incidence on the Diabetes Mellitus Type 2 Patients. Hypoglycemia is one of the side effects of insulin therapy administration for Type 2 Diabetes Mellitus patients. The study aimed to develop the integrated insulin monitoring sheets and examine its effectiveness in identifying and recording the incidence of hypoglycemia who received analog insulin therapies. The results showed that the integrated insulin monitoring sheet recorded the significantly higher incidence of hypoglycemia during the morning (t (18)= 2.9732; p= 0.0059) and evening (t (18)= 3.0956; p= 0.0043) meals after the administration of rapid-acting insulin). The record integrated insulin monitoring sheet, revealed no significant relationships between the incidence of hypoglycemia and the monitoring of calorie needs, insulin therapy administration, blood glucose, and level insomnia incidences. This study recommended activities that enable nurses to better understand the assessment of hypoglycemia.  Keywords: Diabetes Mellitus Type 2 Patients, hypoglycemia, insulin therapy, the integrated Insulin Monitoring Sheet
Penerapan Telemedicine terhadap Penyembuhan Luka Kaki Diabetik Grade IV Paska Amputasi Nila Indrayati; Debie Dahlia; Riri Maria
Journal of Telenursing (JOTING) Vol 3 No 2 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i2.2938

Abstract

This study aims to describe the healing process of diabetic foot wounds monitored through telemedicine during the Coronavirus disease-19 pandemic. The method used in this study was a case report of a 64-year-old patient with a history of grade IV diabetic foot injuries after amputation of the thumb on the right foot. The time needed to do telemedicine as a medium for monitoring wound conditions and education is about 30 minutes. The results showed that wound healing was significantly successful, within one month, as many as ten dressing changes with a duration of once every three days. In conclusion, telemedicine contributes positively to efforts to heal diabetic foot wounds. Keywords: Case Report, COVID-19, Diabetic Foot Sores, Telemedicine
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.