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Clinical Evidence Based Nursing (EBNP) Penggunaan Berg Balance Scale Untuk Mengkaji Keseimbangan Pada Pasien Stroke Dwi Kartika Rahayuningtyas; Ratna Sitorus; I Made Kariasa; Yunisar Gultom
Jurnal Keperawatan Vol 6 No 2 (2021): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v6i2.836

Abstract

Stroke can affect balance. Balance is the ability to maintain the body in a balanced position both in static and dynamic conditions. However, the assessment of the existing balance is only done in a static state in stroke patients. The balance assessment describes the balance of stroke patients so that they can be written on asessment form and the transfer record and can determine the need for balance training as one of the rehabilitation of stroke patients. This EBN application aims to find out the use of Berg Balance Scale to assess the balance of both static and dynamic conditions in stroke patients. The method used is conducting PICO analysis, searching database, critical appraisal, and determining relevant journals. EBN implementation was carried out on 10 people who had a stroke in zone A on the 5th floor of Building A RSUPN Dr. Cipto Mangunkusumo. This study uses the Berg Balance Scale scale in Indonesian. The analysis showed that stroke patients who experienced balance disorders were 7 people and did not experience a balance of 3 people BBS can assess the balance of stroke patients in accordance with existing evidence. BBS can be used as a balance assessment in stroke patients.
Manajemen Fatigue Post Stroke Secara Non Fisik, Apakah Efektif Vema Tiyas Puspita; I Made Kariasa
Dunia Keperawatan Vol 8, No 2 (2020): July 2020
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dk.v8i2.8253

Abstract

Stroke merupakan salah satu penyebab utama kematian dan disabilitas di seluruh dunia. Salah satu komplikasi stroke adalah fatigue post stroke (FPS), dimana prevalensi berkisar 25%-85%. Mekanisme FPS belum diketahui secara pasti kemungkinan dapat disebabkan oleh fatigue fisik dan mental. Faktor-faktor yang menyebabkan FPS antara lain disabilitas fisik dan gangguan psikologi. Intervensi baik fisik maupun non fisik belum terbukti secara efektif mengatasi FPS. Tujuan dari studi ini untuk melihat keefektifan intervensi yang bersifat non fisik dalam mengatasi FPS. Studi ini merupakan literature review dengan pencarian artikel menggunakan database Scopus, Ebsco, dan Science Direct dengan kata kunci fatigue post stroke, non-physical intervention, dan stroke management. Kriteria inklusi adalah jurnal full text dalam Bahasa inggris, intervensi pada manusia, penelitian Randomize Control Trial (RCT) atau Quasi experiment, jurnal yang terbit dari tahun 2015-2020 dan penelitian yang mengukur tingkat FPS sebagai tujuan utamanya. Hasil studi literatur didapatkan lima artikel RCT yang sesuai kriteria inklusi, dari kelima artikel didapatkan tiga jenis intervensi yaitu obat psikostimulan, Traditional Chinese Medicine (TCM) dan intervensi psikologi. Meskipun tidak semua intervensi menunjukkan hasil yang signifikan, intervensi dengan modafinil, Cognitive Behavioral Therapy dan TCM dapat menurunkan FPS. Hasil dari telaah literatur dapat dijadikan sebagai bukti dasar dalam penanganan fatigue pada pasien post strok
Peran Keluarga Terhadap Self Management Pasien Pasca Stroke: Literature Review Irmina Ika Yuniarti; I Made Kariasa
Dunia Keperawatan Vol 8, No 3 (2020): November 2020
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dk.v8i3.8256

Abstract

Stroke dapat menyebabkan kematian dan menimbulkan dampak kecacatan. Self management dengan dukungan keluarga diperlukan untuk beradaptasi dengan kondisi pasca stroke serta mencegah stroke berulang. Dukungan keluarga mempunyai peran untuk keberhasilan self management. Tujuan : literature review bertujuan untuk mengidentifikasi dan menganalisa peran penting dari dukungan kelurga terhadap self management pasien pasca stroke. Desain : naratif literature review. Metode: analisis penelitian yang diterbitkan pada data base online ProQuest, EBSCO, Google scholar dan Scopus, CINAHL, MEDLINE, Science direct. Penelitian dipilih menggunakan kriteria dan kata kunci periode 2015-2019. Sembilan penelitian dilakukan analisa menggunakan proses literature review. Hasil: Dukungan keluarga yang dapat diberikan pada pasien stroke dalam melaksanakan self management meliputi: dukungan terhadap manajemen penyakit, dukungan terhadap manajemen peran, dukungan terhadap manajemen emosi Kesimpulan : dukungan yang kuat dari keluarga diperlukan untuk meningkatkan self management pada pasien stroke karena keluarga merupakan pendamping utama pasien dalam beradaptasi dengan perubahan yang terjadi pasca stroke.
Rehabilitasi Latihan Fisik terhadap Pemulihan Pasca Stroke Rika Diah Pitaloka; I Made Kariasa
Jurnal Keperawatan Silampari Vol 5 No 1 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (420.682 KB) | DOI: 10.31539/jks.v5i1.2975

Abstract

This study aims to identify the effect of exercise and physical activity on post-stroke recovery. The method in this study is a literature review by collecting international databases, namely PubMed, Proquest, Science Direct, NCBI, Sage Journal, and Taylor & Francis. The results showed that the total number of studies reviewed was 12 studies, with 701 patients. The types of stroke included in this study were; recurrent stroke, ischemic, infarction, intracerebral hemorrhage, and transient ischemic attack. Physical activity interventions in this literature study are aerobic exercise, walking exercise, isokinetic training, balance exercise, and aquatic-based exercise. In conclusion, regular physical activity and exercise affect chronic stroke recovery, significantly improving motor function, emotional, cardiorespiratory health, and quality of life. Keywords: Physical Exercise, Recovery, Rehabilitation, Stroke
Studi Fenomenologi : Pengalaman Perubahan Fungsi Seksual Pada Klien Dengan Cedera Medula Spinalis Harun Al Rasid; Masfuri Masfuri; I Made Kariasa
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 3, No 1 (2019): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v3i1.26

Abstract

Cedera Medula Spinalis (CMS) mengakibatkan deficit neurologis yang mempengaruhi seksualitas. Seksualitas merupakan bagian integral dari kehidupan yang kompleks dan oleh sebagian besar klien dianggap tabu (taboo) untukdi diskusikan terutama di Indonesia. Seksualitas merupakan bagian integral dari kehidupan seseorang dan oleh sebagian besar klien dianggap tabu (taboo) untuk didiskusikan terutama di Indonesia. Penelitian ini bertujuan untuk mendapatkan gambaran makna dari pengalaman perubahan fungsi seksual pada klien dengan cedera medulla spinalis. Desain penelitian adalah penelitian kualitatif dengan pendekatan fenomenologi pada enam partisipan. Pengumpulan data dengan wawancara mendalam dan catatan lapangan. Analisa data menggunakan metode Collaizi. Penelitian ini menghasilkan enam buah tema yaitu 1) kesedihan akibat kelemahan/perubahan fisik, 2) perubahan fungsi seksual, 3) respon psikologis terhadap perubahan fungsi seksual, 4) cara mengekspresikan fungsi seksual, 5) harapan untuk memenuhi kebutuhan seksual dan 6) harapan terhadap pelayanan keperawatan di rumah sakit dalam mengatasi masalah kebutuhan seksual. Hasil penelitian diatas dapat dijadikan dasar penelitian lebih lanjut.
Pengalaman Orang dengan HIV AIDS Pengguna Napza Suntik Selama Menjalani Terapi Antiretroviral dan Metadon Idramsyah Idramsyah; Agung Waluyo; I Made Kariasa
Journal of Telenursing (JOTING) Vol 1 No 2 (2019): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (512.945 KB) | DOI: 10.31539/joting.v1i2.912

Abstract

The aim of this research is to study the experience of People With HIV AIDS (PLWHA) Injection Drugs Users (IDUs) while undergoing anti-retroviral (ARV) and Methadone therapy. This qualitative research method uses a phenomenological approach. The interview transcript was analyzed by the Colaizi analysis stage. The analysis showed that ODHA of IDU felt physically normal and had a positive psychosocial life. Participants experience feelings of saturation with routine and obligation and are often seized with feelings of fear. PLWHA IDUs also experience side effects of concomitant ARV and Methadone therapy. Conclusion, Although PLWHA IDUs felt the benefits of therapy, they still experience various physical and psychosocial problems due to treatment procedures and ARV and Methadone treatment response. Keywords: Antiretroviral, HIV / AIDS, IDUs, Methadone, ODHA
Pemantauan Minum Obat dengan Menggunakan Media Komunikasi Digital pada Pasien Tuberculosis Ristinawati Ristinawati; I Made Kariasa
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (352.328 KB) | DOI: 10.31539/jks.v6i1.3754

Abstract

This study aims to explore the effectiveness of modifying drug-taking control using digital communication media on Tuberculosis survivors. The research method used is a literature review by searching five databases. Namely, Google Scholar, Clinical Key, EbscoHost, and Pubmed, using the keywords "Tuberculosis," "adherence," "internet", "Smartphone," and "Directly Observed." The results of the study found that the monitoring method for taking medication involved digital information technology, namely 1) a smartphone that can play videos and the "Video Observed Treatment" application can be installed, 2) "E monitor via a smartphone that is used as a reminder to take medication, 3) a device that functions as a monitoring box to remind people to take medication 4) Reminders that are carried out using telephone devices that are intervened directly from the center. In conclusion, patient adherence to treatment in the control group resulted in a lower estimate of the effectiveness of the intervention with the test case group using digital communication media. Keywords: Internet, Compliance, Drug Administration, Smartphone, Tuberculosis
VR's EFFICACY IN IMPROVING UPPER EXTREMITY MOTOR FUNGCTION IN STROKE PATIENTS Wilson Simangunsong; I Made Kariasa
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14, No 1 (2023): Jurnal Kesehatan
Publisher : STIKes Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.932

Abstract

Background: Stroke remains the second leading cause of death and the third combined cause of death and disability expressed by disability-adjusted lost life years (DALYs) in the world. Technological developments are used to provide more personalized and precise health services and are used for stroke prevention.Purpose: The purpose of this literature review is to look at the Effectiveness of Increasing Upper Extremity Motor Function Based on Vertual Reality Technology in Stroke Patients.Methods: The method used in the search for articles is database: Clinicalkey Nursing, EBSCOhost, EMBASE, ProQuest, Sage Journal, ScienceDirect, Scopus, SpringerLink and ClinicalKey.Results: Based on a literature review of 5 selected articles, it was found that virtual reality is effective for improving upper extremity motor function in stroke patients.Conclusion: Stroke patients can use virtual reality as a therapy to improve upper extremity motor function.
Penerapan Terapi Murottal pada Respon Fisiologis Nyeri Pasien yang Terpasang Ventilator: Literature Review Rusmala Dewi; I Made Kariasa
Jurnal Keperawatan Vol 14 No 3 (2022): Jurnal Keperawatan: September 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (318.595 KB)

Abstract

Pasien yang terpasang ventilator di intensive care unit (ICU) mengalami berbagai ketidanyamanan, salah satunya nyeri. Berbagai dampak nyeri diantaranya dapat meningkatkan tekanan darah, denyut nadi, laju respirasi, dan menurunkan saturasi oksigen. Salah satu manajemen nyeri yang dapat dilakukan pada pasien terpasang ventilator adalah terapi musik rohani dengan murottal Al-Qur’an. Penelitian ini bertujuan untuk mengidentifikasi pengaruh terapi murottal terhadap respon fisiologis nyeri pada pasien yang terpasang ventilator. Penelitian ini adalah tinjauan literatur. Penelusuran literatur dilakukan di database online Science Direct, CINAHL, ProQuest, EBSCOhost, PubMed, dan Google Scholar dengan kata kunci (critically ill patient OR intubated patient OR mechanical ventilation) AND (murottal OR Qur'an recitation OR Qur'an recital OR reciting Qur'an OR music religion). Terdapat total 1.544 artikel yang teridentifikasi. Setelah dilakukan skrining dan seleksi kriteria inklusi serta ekslusi, pada akhirnya 8 artikel dianalisis. Analisis dilakukan dengan metode deskriptif. Hasil telaah didapatkan 3 artikel mengidentifikasi bahwa terapi murottal tidak berpengaruh terhadap nyeri dan respon fisiologis pasien, sedangkan 5 artikel mengidentifikasi bahwa bahwa terapi murottal berpengaruh terhadap nyeri dan respon fisiologis pasien yang dirawat di ICU. Secara keseluruhan, terapi murottal Al-Quran memiliki dampak positif dalam mengurangi nyeri dan memperbaiki respon fisiologis pasien : menurunkan tekanan darah, denyut nadi, laju pernapasan, dan meningkatkan saturasi oksigen pasien yang dirawat di ICU. Perawat memiliki peran penting dalam manajemen nyeri pasien yang dirawat di ICU. Salah satu intervensi keperawatan mandiri yang dapat dilakukan oleh perawat adalah memberikan terapi non farmakologis dengan terapi murottal Al-Qur’an.
Perbandingan Efektivitas Latihan Intradialisis dan Profiling Suhu dalam Meningkatkan Mutu Layanan Hemodialisis Leo Ginting; Masfuri Masfuri; I Made Kariasa
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): 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.v5i1.5424

Abstract

This study aims to describe the effectiveness of intradialytic exercises and HD temperature profiling in improving the quality of HD services. The literature search method is based on the compilation of PICO through online database searches on Clinicalkey, Clinicalkey Nursing, ScienceDirect, EBSCO, ProQuest, and Scopus. Journal search results obtained 20,106 articles; after the selection stage, nine reports were obtained for analysis, consisting of 5 RCT articles, one systematic review article, two quasi-experimental articles, and one meta-analysis article. The results showed that HD patients who were routinely given intradialytic exercises would show an increase in HD adequacy achievements, suppress inflammatory reactions, increase albumin and hemoglobin values, reduce the erythropoietin resistance index, increase phosphate clearance, improve the quality of life of HD patients and minimize the risk of both acute and chronic complications. Chronic disease caused by HD. Meanwhile, temperature profiling can reduce the incidence of intradialytic hypotension, pruritus, and fatigue and reduce the severity of Restless Leg Syndrome (RLS) without interfering with the achievement of HD adequacy. This study concludes that intradialytic training and temperature profiling effectively improve the quality of HD services. Keywords: HD Quality, HD Patient Quality of Life, Intradialysis Exercise, Temperature Profiling