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All Journal Media Keperawatan Indonesia South East Asia Nursing Research Ners Muda Humanism : Jurnal Pengabdian Masyarakat Journal of Vocational Nursing Holistic Nursing Care Approach SALUTA: Jurnal Pengabdian Kepada Masyarakat
Yunie Armiyati
Universitas Muhammadiyah Semarang
Religion Humanities Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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Penurunan Tekanan Darah Pada Pasien Usia Lanjut Menggunakan Terapi Musik Mella Suryaningsih; Yunie Armiyati
Ners Muda Vol 2, No 2 (2021)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v2i2.6301

Abstract

Prevalensi hipertensi pada kelompok lansia di Indonesia berdasarkan Rikesdas tahun 2018 sebanya 63,2%. Hipetensi perlu mendapat penananganan dengan tepat agar tidak terjadi komplikasi. Salah satu penanganan untuk mengobati hipertensi dapat dilakukan dengan menggunakan terapi nonfarmakologi menggunakan terapi musik tradisional kecapi suling Sunda. Tujuan studi kasus ini adalah untuk mengetahui penurunan tekanan darah setelah dilberikan terapi musik pada pasien lansia. Desain studi kasus ini menggunakan deskriptif dengan pendekatan asuhan keperawatan dan Sampel berjumlah 2 pasien, yang didapatkan secara purposive dan random sampling. Pengambilan data menggunakan instrumen Sphygmomanometer, mp3, Aerphone. Pengambilan data tekanan darah dilakukan sebelum dan sesudah diberikan terapi musik tradisional berupa kecapi suling Sunda selama 15 menit sebelum pemberian obat hipertensi. Pasien telah menandatangani surat persetujuan. Setelah dilakukan pemberian terapi musik tradisional berupa kecapi suling sunda terdapat rata-rata penurunan tekanan darah yang terajadi pada kedua pasien sebanyak 3,48%. Pemberian terapi musik tradisional berupa kecapi suling sunda mampu menurunkan tekanan darah pada pasien lansia.
Murottal Therapy Lowers Blood Pressure in Hypertensive Patients Rastia Irmachatshalihah; Yunie Armiyati
Media Keperawatan Indonesia Vol 2, No 3 (2019)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (63.017 KB) | DOI: 10.26714/mki.2.3.2019.97-104

Abstract

The incidence of hypertension always increasing every year, the incidence of hypertension increased from 25,8% to 34.1% in 2018. The Hypertension’s patients were prone to psychological problems for example stress that could raise the blood pressure. The intervention non-pharmacological for lowering blood pressure is using intervention murottal. This study aims to analyze the influence murottal’s therapy to decrease blood pressure in hypertension’s patients in the community health center Bandarharjo. The design used was quasy experiment with pre test and post test used purposive samplind and random sampling got result 20 respondents. The results of statistical tests therapy murottal have effected on the blood pressure to hypertension’s patient p value= 0,000 (α<0,05). Therapy murottal can reduce the blood pressure on then patient hypertension in the work of the comunity health center of bandarharjo. The supposed nurse can do gift treatment murottal intervention can be taught and applied to lower the blood pressure to increase nursing care.
Improving Quality of Life in Hemodialysis Patients with Intradialysis Hypertension Using “SEHAT” Nursing Interventions Yunie Armiyati; Suharyo Hadisaputro; Shofa Chasani; Untung Sujianto
Media Keperawatan Indonesia Vol 4, No 3 (2021)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.439 KB) | DOI: 10.26714/mki.4.3.2021.208-217

Abstract

Intradialytic hypertension can reduce the quality of life in hemodialysis patients. Providing appropriate nursing interventions will reduce morbidity, and improve the quality of intradialytic hypertensive patients. Provision of “SEHAT” nursing intervention package in the form of providing support, education and empowering, holistically with attention to therapeutic sensitivity can be applied to overcome patients problems. The purpose of the study was to analyze the "SEHAT" nursing intervention package to improve the quality of life of intradialytic hypertensive patients. The research method was a randomized controlled trial on 40 samples of hemodialysis patients which were divided into 20 group samples and 20 control group samples. The research instrument uses the Indonesian version of the Kidney Disease Quality of Life (KDQOL-36). The intervention was carried out for 4 weeks using the SEHAT nursing intervention package. The results showed an increase in the quality of life scores of respondents in the intervention group after being given SEHAT nursing intervention (p=0.000). There was a significant difference in the quality of life scores between the intervention group and the control group after being given the intervention (p=0.000). The “SEHAT” nursing intervention package is effective for improving the quality of life of intradialytic hypertensive patients.
Factors Contributing to Intradialytic Hypertension in Hemodialysis Patients Yunie Armiyati; Suharyo Hadisaputro; Shofa Chasani; Untung Sujianto
South East Asia Nursing Research Vol 3, No 2 (2021)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.3.2.2021.73-80

Abstract

Intradialytic hypertension (IDH) is the most common complication of hemodialysis patients in Indonesia. It must be controlled, to maintain the patient's quality of life and prevent worsening conditions. Some factors affecting IDH include predialysis fluid overload characterized by excessive interdialytic weight gain (IDWG), low adherence to fluid restriction and increased ultrafiltration during haemodialysis. The study aims to identify contributing factors of IDH. A case-control design was used in this study. A purposive sampling technique was used to recruit 92 samples at two centres of dialysis in Semarang, which was divided into case group (n=46) and control group (n=46). Data were analyzed using the Chi-square test by calculating Odds Ratios (OR). The finding showed that excessive IDWG (p=0,000, OR=16.95, 95% CI:5,56-51,65), low fluid adherence (p=0,001, OR=4,41, 95% CI:1,82-10,68) and excessive ultrafiltration (p=0,000, OR = 29,52, 95% CI:9,23-94,46) showed significant result. However, the incidence of IDH was not correlated with sex, age and length of haemodialysis. A greater increase in interdialytic weight requires lower fluid and higher ultrafiltration factors must be controlled precisely because those are considered as the risk factors for the high incidence of IDH. Excessive ultrafiltration is the most dominant risk factor in the high incidence of IDH.
Penerapan pencucian luka menggunakan air rebusan daun jambu biji terhadap tingkat malodor pasien luka kaki diabetik Arief Shofyan Baidhowy; Yunie Armiyati; Jazil Imandarri
Holistic Nursing Care Approach Vol 2, No 1 (2022)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (419.69 KB) | DOI: 10.26714/hnca.v2i1.8758

Abstract

Pasien Diabetes Mellitus memiliki masalah yang serius terkait komplikasi Ulkus kaki diabetik. Dampak dari ulkus kaki diabetik meliputi malodor (bau), gangguan integritas kulit dan jaringan serta nyeri akut. Pencucian luka menggunakan air rebusan daun Jambu biji mampu menurunkan malodor dan membantu memperbaiki integritas jaringan. Studi kasus ini bertujuan untuk mengetahui pengaruh pemberian rebusan daun Jambu biji terhadap tingkat malodor pasien ulkus kaki diabetik. Studi kasus menggunakan metode deskriptif dengan pendekatan proses keperawatan. Subyek studi kasus adalah pasien penyakit Diabetes Mellitus yang mengalami komplikasi ulkus kaki diabetik dengan malodor berjumlah 2 orang. Hasil studi kasus menunjukan bahwa pasien mengalami penurunan rata-rata skor malodor sebanyak 3 poin setelah dilakukan tindakan pencucian luka menggunakan air rebusan daun jambu biji 3 hari sekali selama dua pekan. Tindakan pencucian luka menggunakan air rebusan daun jambu biji mampu menurunkan tingkat malodor pasien ulkus kaki diabetik.
Filial Therapy-based Family for Children Disabilities to Reduce the Family Stress in COVID-19 Pandemic Dewi Setyawati; Much Nurkharistna Al Jihad; Dera Alfiyanti; Yunie Armiyati
South East Asia Nursing Research Vol 4, No 4 (2022)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.4.4.2022.1-5

Abstract

Filial therapy is a psychoeducational intervention designed to improve parent-child relationships, reduce problematic behavior in children, and reduce parental stress by including parents as therapeutic agents. Parent access-group sessions are facilitated by therapists who teach adult skills based on play therapy techniques, which parents then implement with their children under the supervision of a facilitator. The objective of this research is to determine differences in family stress between those who do Filial Therapy and those who do not receive Filial Therapy. The method used in this study is a quasi-experimental approach with a non-equivalent pre-post-test approach with a control group. Identification of respondents according to the criteria, namely families with ABK and school-age children with special needs (7-12 years) at SLB Semarang. The instrument used was a questionnaire of Perceived Stress Scale. Before treatment, the average stress level in the control group was higher than that in the intervention group, 17.25 (Standard Deviation ± 5.01). The average stress level in the control and intervention groups before Filial therapy was carried out was relatively the same at 17.25 and 16.87. In contrast, after Filial therapy was performed in both groups, the stress level decreased by 15.62 and 10.00. The analysis using the independent t-test showed differences in the reduction in stress levels in the control and intervention groups before and after Filial therapy (p-value = 0.000). Conclusion: it can be concluded that filial therapy can significantly reduce the stress level of families with children's disabilities.
Penurunan Tekanan Darah Pasien Hipertensi Menggunakan Kombinasi Terapi Musik Alam dan Aromaterapi Mawar: Studi Kasus Agus Supriono; Yunie Armiyati
Ners Muda Vol 3, No 2 (2022)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v3i2.8375

Abstract

Hipertensi atau tekanan darah tinggi yang tidak dapat dikelola dengan baik dapat menimbulkan berbagai komplikasi seperti kerusakan pada ginjal, jantung, dan otak yang dapat menurunkan kualitas hidup pasien. Penanganan hipertensi secara nonfarmakologi antara lain dengan kombinasi musik alam dan aromaterapi mawar. Studi kasus ini bertujuan untuk mengetahui penurunan tekanan darah pasien hipertensi, setelah dilakukan kombinasi terapi musik alam dan aromaterapi mawar. Desain studi kasus ini menggunakan deskriptif dengan pendekatan proses asuhan keperawatan. Subyek studi kasus adalah dua orang pasien hipertensi yang didapatkan secara random. Instrumen untuk mengukur tekanan darah menggunakan sphygmomanometer digital yang sudah terkalibrasi dan terstandar yang diukur sebelum dan sesudah dilakukan kombinasi terapi musik alam dan aromaterapi mawar. Hasil studi kasus menunjukan adanya penurunan rerata tekanan darah pada subyek studi setelah dilakukan kombinasi terapi musik alam dan aromaterapi mawar selama dua hari dengan durasi 15 menit setiap sesi. Kombinasi terapi musik alam dan aromaterapi mawar mampu menurunkan tekanan darah  pada pasien hipertensi. Intervensi Kombinasi terapi musik alam dan aromaterapi mawar bisa dijadikan sebagai salah satu tindakan mandiri perawat yang aman dan efektif sebagai upaya pencegahan komplikasi hipertensi
Penurunan Tekanan Darah pada Lansia Hipertensi Menggunakan Terapi Pijat Refleksi Ratna Faradhila; Yunie Armiyati; Akhmad Mustofa
Ners Muda Vol 3, No 3 (2022)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v3i3.8220

Abstract

Penyakit kronis yang banyak diderita oleh lansia adalah hipertensi, penyakit ini merupakan salah satu dari beberapa faktor risiko pernyakit kerdiovaskuler. Hipertensi berpotensi menyebabkan kondisi komplikasi seperti penyakit jantung koroner, gagal ginjal maupun stroke yang berujung pada kematian. Salah satu manajemen non farmakologi yang memiliki pengaruh untuk dapat menurunkan tekanan darah tinggi pada penderita hipertensi adalah terapi pijat refleksi. Studi kasus ini bertujuan untuk mengatahui perbedaan tekanan darah setelah pemberian terapi pijat refleksi. Desain studi kasus ini menggunakan metode deskriptif dengan pendekatan proses asuhan keperawatan. Subyek studi diberikan tiga kali intervensi pijat refleksi kaki dengan durasi 30 menit. Tekanan darah diukur menggunakan sphygmomanometer digital yang terkalibrasi, dilakukan sebelum dan sesudah pemberian terapi pijat refleksi. Hasil studi kasus menunjukkan adanya penurunan tekanan darah sistolik dan diastolik pada lansia hipertensi dengan rata-rata penurunan tekanan darah sistolik sebesar 14 mmHg (turun 19%) dan rata-rata penurunan tekanan darah diastolik sebesar 7,2 mmHg (turun 15%) setelah diberikan terapi pijat refleksi selama 3 hari. Secara fisiologis terapi pijat refleksi memiliki pengaruh terhadap elastisitas dinding pembuluh darah juga dapat merangsang sistem saraf simpatis yang mengalami penurunan aktivitas sehingga mengakibatkan penurunan pada tekanan darah. Terapi pijat refleksi dapat menjadi alternatif tindakan keperawatan untuk menurunkan tekanan darah pada lansia hipertensi.
Effects of Early Warning Score (EWS) on outcomes of inpatient services Teguh Theryana Bobonera; Vivi Yosafianti Pohan; Mohammad Fatkhul Mubin; Yunie Armiyati
South East Asia Nursing Research Vol 4, No 3 (2022)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The decrease in patient morbidity and mortality is influenced by quality inpatient services. Hospitalized patients can be in stable or unstable conditions. There is a phenomenon of patients whose condition is not stable being placed in inpatient, due to the limitations of the intensive care unit. These patients are at risk for worsening clinical conditions that increase morbidity and mortality. One of the efforts to improve quality related to patient safety in hospitals is the application of the Early Warning Score (EWS) including in inpatient installations. An early warning score is one of the assessment parameters in hospital accreditation and quality of care.  The aim of this literature review is to explain effects of early warning score (EWS) on outcomes of inpatient services. This study uses a literature study approach with a descriptive review type. The articles used are international with a range of years from 2011-2021. The databases used are Proquest, PubMed, and the Google Scholar search engine. Implementation of EWS has resulted in higher utilization of the rapid response system but a lower incidence of cardiopulmonary arrest; it is associated with lower mortality rates, and improved patient safety and clinical outcomes. The results obtained that there is a correlation between the EWS value with mortality but not with the length of stay. Research results related to the correlation of EWS with referrals to ICU/HCU and activation of code blue cannot be analyzed so that in the future a larger number of samples and case variations are needed. A clinical flow can be created in advance so that good patient management can be carried out if the EWS score is higher. An early Warning Score (EWS) can be used to predict the patient outcome which is an indicator of inpatient services.
Peningkatan Ankle Brachial Index Pasien Diabetes Mellitus Dengan Senam Kaki Diabetes: Studi Kasus Dhea Praditiya Nengsari; Yunie Armiyati
Ners Muda Vol 3, No 1 (2022)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v3i1.7487

Abstract

Diabetes mellitus (DM) merupakan gangguan metabolisme kronis yang ditandai dengan hiperglikemia. Penatalaksanaan yang tidak efektif dalam menangani penyakit diabetes mellitus akan mengakibatkan komplikasi seperti penyakit arteri perifer (vasculopathy). Ankle brachial index (ABI) dapat digunakan sebagai indilator vasculopathy pada pasien dengan diabetes mellitus. Senam kaki diabetes adalah tindakan yang dapat meningkatkan perfusi perifer dan ABI pasien DM. Studi kasus bertujuan untuk mengetahui peningkatan perfusi perifer yang dilihat dari ABI pada pasien DM setelah dilakukan senam kaki diabetes selama 3 hari. Desain studi kasus adalah desain deskriptif dengan pendekatan proses keperawatan pada pasien DM. Subjek studi kasus adalah dua orang pasien DM yang tidak menjalani rawat inap, dipilih sesuai kriteria inklusi. Instrumen untuk mengukur ABI menggunakan sphygmomanometer digital yang sudah terkalibrasi dan terstandar. Hasil studi kasus menunjukan ada peningkatan perfusi perifer dan peningkatan nilai ankle brachial index sesudah dilakukan terapi senam kaki diabetes. Setelah diberikan intervensi senam kaki diabetes selama tiga hari terjadi peningkatan rerata ankle brachial index pada dua responden dari 0,72 menjadi 0,93. Senam kaki diabetes sangat efektif dapat meningkatkan ankle brachial indeks pada pasien DM. Intervensi senam kaki diabetes bisa dijadikan sebagai salah satu tindakan mandiri perawat yang aman dan efektif sebagai upaya pencegahan komplikasi ulkus diabetes.
Co-Authors Agung Subakti Nuzulullail Agus Supriono Akhmad Mustofa Arief Shofyan Baedowi Arief Shofyan Baidhowy ARIEF YANTO Chanif Chanif Chanif Dera Alfiyanti Dewi Setyawati Dhea Praditiya Nengsari Dwi Nur Rahmantika Puji Safitri Edy Soesanto Ernawati Ernawati Ika Fahmawati Jazil Imandarri Laela Dwi Yulianti Machmudah Machmudah Mella Suryaningsih Mohammad Fatkhul Mubin Much Nurkharistna Al Jihad Nikmatul Khayati Pawestri Pawestri Rastia Irmachatshalihah Ratna Faradhila Roni Sianturi Satriya Pranata Shofa Chasani Shofa Chasani Siti Aisah Sri Rejeki Suharyo Hadisaputro Suharyo Hadisaputro Syafika Putri Alya Teguh Theryana Bobonera Tri Hartiti Tri Nurhidayati Untung Sujianto Vivi Yosafianti Pohan