Yunie Armiyati
University of Muhammadiyah Semarang

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Optimization of Thirst Management on CKD Patients Undergoing Hemodialysis by Sipping Ice Cube Yunie Armiyati; Khoiriyah Khoiriyah; Ahmad Mustofa
Media Keperawatan Indonesia Vol 2, No 1 (2019)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.2.1.2019.38-48

Abstract

Excess fluid is a major problem in patients with Chronic Kidney Disease (CKD). CKD patients undergoing hemodialysis must keep limiting fluid intake during the interdialysis period so that excess fluid does not occur. Consequently limiting fluid intake arises thirst and will affect fluid restriction compliance. Management of thirst that can be done in hemodialysis patients, among others, suck ice cubes, gurgling the ripe water and gurgling with mouthwash, each of which has a different action against patients thirst. The purpose of this study was to compare the three interventions "thirst management", namely sipping ice cubes, gargling ripe water and gargling with mouthwash against patient thirst. This study was an experimental study in 27 samples of CKD patients who underwent hemodialysis at Roemani Muhammadiyah Hospital in Semarang divided into 3 groups with each group 9 samples. The results showed that the duration of holding thirst for the group sipping on ice cubes averaged 93 minutes, the gurgling group of ripe water averaged 55 minutes and the average length of time holding the thirst group who gurgling with mouthwash was 69.71 minutes. There was no significant difference in the duration of holding thirst after sucking on ice cubes and gargling ripe water, and gargling with mouthwash (ρ value 0.061). Sipping ice cubes can fight the longest thirst compared to gargling ripe water or gargling with mouthwash. The recommendations of this study are expected to intervene to sipping ice cubes, gargling ripe water and gargling with mouthwash can be used for thirst management in hemodialysis patients.  Hemodialysis patients can choose interventions to reduce the thirst that is most appropriate.
Combination of Deep Breathing Relaxation and Murottal Reducing Post Chemotherapy Nausea Intensity in Nasopharyngeal Cancer (NPC) Patients Agus Suryono; Fredi Setia Nugraha; Fakhruddin Akbar; Yunie Armiyati
Media Keperawatan Indonesia Vol 3, No 1 (2020)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.759 KB) | DOI: 10.26714/mki.3.1.2020.24-31

Abstract

Nasopharyngeal Cancer (NPC) is the 3rd most common type of cancer in Indonesia after cervical and breast cancer. The method for controlling the growth of cancer cells is chemotherapy which has side effects of nausea. Post-chemotherapy nausea makes the patient uncomfortable and if not treated properly will cause complications. Management of nausea can be done with a combination of deep breathing relaxation and murottal.  The objective of the study to analyze the effect of a combination of deep breathing relaxation and murottal on the intensity of nausea in NPC patients after chemotherapy. The research method was a quasi-experiment one group pre-post-test design on 30 samples of post-chemotherapy NPC patients.  The results of the study showed that nausea intensity before and after given a combination of deep breathing and murottal obtained p-value 0,000 (p-value <0.05). There is a significant difference between nausea intensity before and after the combination of deep breathing and murottal relaxation. The combination of deep breathing and murottal breathing can reduce the intensity of nausea in NPC patients after chemotherapy.
Murottal and Clasical Music Therapy Reducing Pra Cardiac Chateterization Anxiety Sapta Darmadi; Yunie Armiyati
South East Asia Nursing Research Vol 1, No 2 (2019)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.1.2.2019.52-60

Abstract

The high incidence of patients with coronary heart disease is directly proportional to the increase in cardiac catheterization. Many patients who experience anxiety pre heart catheterization will need nursing action. Relaxation with classical music therapy and or murottal therapy can reduce patient anxiety.  The aim of this study was to determine the effectiveness of murottal therapy and classical music therapy to reduce the anxiety of patients pre heart catheterization in the Elang Installation of Dr. Kariadi Hospital Semarang. The study was a Quasi Experiment study with two group pre and post-test design. The research sample consisted of 16 patients in the classical music therapy group and 16 in the murottal therapy group. The results of the study showed that there were differences in the effectiveness of murottal therapy and classical music therapy to decrease the anxiety of patients pre heart catheterization in the Elang Installation of Dr. Kariadi Hospital Semarang (p-value 0.028).  Murottal therapy is more effective in reducing anxiety. Music therapy and murottal therapy given with a duration of 30 minutes create a calm and comfortable atmosphere so that the body becomes more relaxed, blood circulation more smoothly, blood pressure and other vital signs will decrease and can reduce anxiety in pre cardiac catheterization patients. Murottal therapy is more effective in reducing anxiety in pre cardiac catheterization patients.