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Anggraeni, Diah Tika
Universitas Pembangunan Nasional Veteran Jakarta
Agriculture, Biological Sciences & Forestry Humanities Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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STUDI LITERATUR: UPDATE PELAKSANAAN ORAL CARE PADA PASIEN YANG TERPASANG VENTILASI MEKANIK DI RUANG ICU Anggraeni, Diah Tika
Jurnal Keperawatan Widya Gantari Indonesia Vol 4, No 1 (2020): Jurnal Keperawatan Widya Gantari Indonesia
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v4i1.1496

Abstract

 Pasien dengan ventilasi mekanik akan mengalami stress oral seperti hilangnya substansi protektif gigi, gangguan fungsi mukosiliari dan perubahan komposisi flora oral. Masalah kesehatan mulut tersebut berpotensi terjadinya kolonisasi bakteri penyebab Ventilator-associated pneumonia(VAP), padahal VAP menjadi salah satu penyebab terbesar mortalitas di ICU. Untuk mengidentifikasi hasil penelitian terbaru tentang pelaksanaan oral care pasien terpasang ventilasi mekanik. Penelaahan dilakukan berdasarkan content analysis. Pencarian dibatasi pada artikel yang dipublish dari tahun 2009-2017 dengan jenis penelitian Randomised-controlled trial(RCT) maupun kuasi eksperimen dalam bahasa inggris. Database yang digunakan adalah CINAHL, pubmed, MEDLINE, Proquest dan Sciencedirect dengan kata kunci oral care, oral hygiene, mouth care, mechanically ventilated, intubated, critical care dan intensive care.  Didapatkan sepuluh artikel tentang efektifitas Chlorhexidine gluconate(CHX) sebagai agen antimikroba dengan konsentrasi dan volume yang bervariasi. Teknik pelaksanaan oral care yang paling efektif adalah dengan cara toothbrushing dengan frekuensi sesuai dengan skor pengkajian mulut. Selain itu, direkomendasikan pemberian moisturizer untuk menjaga integritas mukosa. Beberapa alat pengkajian kesehatan mulut yang dapat digunakan adalah Oral Assessment Guide(OAG), Beck Oral Assessment Scale(BOAS)  atau Mucosal-Plaque Score(MPS). Pelaksanaan oral care secara komprehensif dapat memperbaiki kesehatan mulut pasien dengan ventilasi mekanik, sehingga kolonisasi bakteri penyebab VAP dapat dicegah. Oleh karena itu, perawat perlu memahami dan mengaplikasikan instrumen pengkajian mulut sebagai dasar pemberian intervensi.      Kata kunci :  ICU, intubasi trakea, oral care, oral hygiene
Validation of risk perception questionnaire for covid-19: Indonesian version for critical care nurses Diki Ardiansyah; Diah Tika Anggraeni
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 1 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(1).55-66

Abstract

Background : The high need for intensive care in COVID-19 patients often has an impact on large workloads, long-term fatigue, and exposure to infections. Perception plays an important role in the desire to change behavior, including the impact. However, to date, there is no valid and reliable assessment instrument to measure risk perceptions of Covid-19. Objectives: This study aims to examine the validity and reliability of the nurse's risk perception questionnaire in the care of Covid-19 patients in the Intensive Care unit according to the situation in Indonesia.Methods: This study was conducted on nurses who treat COVID-19 patients in the ICU. The research design was carried out in a cross-sectional manner. The sampling technique used was total sampling, with a total of 35 respondents. The researcher conducted an analysis through five stages, namely translation and cross-cultural adaptation of the instrument in order to obtain the Indonesian version of the Risk Perception questionnaire. After that, a retrial was carried out on 15 nurses who worked in the COVID-19 room. The statistical test was used to test the validity and reliability using Cronbach's alpha and reliability analysis.Results: The results of the validity test with Cronbach's alpha of 0.379 - 0.766 with a reliability test using analytical reliability of 0.943. The value of the r table is 0.3338. There are 5 items from the risk perception questionnaire that are not valid after the construct validity test. The researcher then issued 5 invalid items. So that there are 42 out of 47 questionnaire items that are relevant to the condition of nurses caring for COVID-19 patients in the ICU in Indonesia.Conclusions: This risk perception questionnaire is valid and reliable, so the risk perception questionnaire can be used in Indonesia to evaluate nurses' risk perceptions in treating COVID-19 patients in the ICU. Researchers recommend health care providers evaluate nurses' risk perceptions using this questionnaire.  
THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT Diah Tika Anggraeni; Ayu Trisna Hayati; Aan Nur'aeni
Belitung Nursing Journal Vol. 6 No. 1 (2020): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.971

Abstract

Background: Oral infections can be a potential source of infection resulting in a variety of systemic diseases, especially in intubated patients in an Intensive Care Unit (ICU). Endotracheal tube (ETT) of the intubated patient’s mouth can be an entry point and place of bacteria colonization that causes ventilator-associated pneumonia which is one of the causes of the patient’s death in ICU. Nurses as caregivers have an important role in providing oral care intervention to maintain oral health and prevent the infection. Objective: This study aimed to analyze the effect of oral care intervention on oral health status of intubated patients in the ICU. Methods: This was a pre-experimental study with one group pre-test post-test design. A consecutive sampling was used to select 18 intubated patients in the ICU of Al Islam hospital in Bandung. Oral health status was evaluated by Beck Oral Assessment Scale (BOAS). Descriptive analysis was used for the univariate analysis and t-test was used for bivariate analysis. Results: The results showed that oral health scores before and after intervention were 11.94 and 13.28 (p=.004). The BOAS subscales had a significant worsening of the lips, gingiva, oral mucosa and saliva (p<.05), while there was an improvement in teeth subscale after oral care intervention (p<.001). Conclusion: The results suggested that the oral health status of intubated patients had worsened, despite routinely oral care intervention using chlorhexidine gluconate. Mucosa care may become an essential part of the oral care intervention for intubated patients. Therefore, additional topical agent is needed to maintain the moisture of the mucosal membrane, so that the oral health status of intubated patients will be better.
ANALYSIS OF KIDNEY FAILURE RISK FACTORS AMONG HYPERTENSIVE PATIENTS IN BAROS SERANG BANTEN Fiora Ladesvita; Diah Tika Anggraeni; Florensia Lima
Jurnal Kesehatan Medika Saintika Vol 11, No 2 (2020): Desember 2020
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v11i2.655

Abstract

Hypertension is one of predisposing factors for decreased kidney function. Early detection of the risk of kidney failure is important to prevent further damage of kidneys because of hypertension. The purpose of this study was to analyze risk factors for kidney failure in hypertensive patients in Baros, Serang, Banten. The research method used was a quantitative study with a cross sectional design and a total sampling technique with  total sample size was 46 people according to the inclusion criteria. The instruments used were a stress level questionnaire and an observation sheet to record blood pressure, proteinuria, albuminuria, and urine creatinine as measured by the Rapid Test Complete Urine Test Strips. The results showed, as many as 22 people (47.8%) with a salt consumption pattern of more than 1 teaspoon a day, 14 people (30.4%) with a history of hypertension in the family and 16 people (34.8%) with mild stress levels, were at risk for chronic renal failure (OR 4.25; p value = 0.019; OR 4.71; p value = 0.029; p value = 0.012). In addition, there was a significant relationship between systolic blood pressure, albuminuria, proteinuria, and urine creatinine with the albumin creatinine ratio (p value 0.000; 0.001; 0.018; 0,001). It is concluded that of the 11 factors, there are 7 factors that are associated with the risk of chronic renal failure in hypertensive patients based on the albumin creatinine ratio.
Determinan Kepatuhan Masyarakat Urban pada Protokol Kesehatan dalam Mencegah Penyebaran Covid-19 di Era Kebiasaan Baru Nayla Kamilia Fithri; Rizki Amalia; Diah Tika Anggraeni
Jurnal Kesehatan Masyarakat Indonesia Volume 17. No. 2. Tahun 2022
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkmi.17.2.2022.24-32

Abstract

Background: The COVID-19 pandemic has changed the way of life. We are facing new challenges, including how to carry out daily life while still making efforts to prevent the spread of the Covid-19 virus. The implementation is to implement the health protocol as much as possible.  However, we still do not know much about the rate and determinants of adoption of the recommended health behaviors. Objective: The research objective was to determine the factors that affect public compliance with the Covid-19 health Protokol. Method: The method used in this research is to use a descriptive analytical survey research type with a cross-sectional approach. he population in this study were all people with a sample size of 212 people and were selected using convinience sampling. The data was collected using an online questionnaire for one month. Data analysis used in this study was bivariate analysis using the chi square test. Result: The results showed that there were one factors that had a significant relationship with public compliance with health Protocols, it was attitude (p 0.000), and four factors that had not significant effect on public compliance with health Protokol, namely age (p 0,919), knowlage (p 0,913), gender (p 0.146) and martial status (p 0,900). Conclusion: It is hoped that policy makers can disseminate information about Covid using the  right  media  so  that  it  can  increase interaction   and  attract   participants  in   increasing   knowledge,   attitudes,   motivation  and  public compliance with the Covid-19 health Protokol.
“KASENSI” KADER SEHAT HIPERTENSI SEBAGAI UPAYA PENCEGAHAN COVID-19 PADA MASYARAKAT BERISIKO TINGGI Fiora Ladesvita; Diah Tika Anggraeni; Mareta Dea Rosaline
Jurnal Bakti Masyarakat Indonesia Vol 4, No 3 (2021): Jurnal Bakti Masyarakat Indonesia
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jbmi.v4i3.13537

Abstract

Hypertensive patients were at high risk for exposure to COVID-19. Individuals with hypertension have a 2.5 times higher risk of suffering from severe COVID-19 and death than individuals without hypertension. One of the efforts that can be done was training for Health cadres and forming Hypertension Healthy Cadres during the pandemic. The approach taken is through the provision of training that begins with a pre-test to determine the level of knowledge and readiness to become a KASENSI COVID-19. After filling out the pre-test, training was carried out and also taught hypertension exercise to Cadres. After a series of training events, a post-test was given to determine and measure the final understanding. From the test results, it can be seen that the knowledge of Cadres increased by 6% after being given training related to KASENSI COVID-19 with p value 0.000 which means that the KASENSI COVID-19 training is effective in increasing the knowledge of Health cadres at Posbindu Dahlia Senja. As many as 15 out of 20 cadres said the material provided in the training was very useful and easy to apply to prevent COVID-19 infection in hypertensive patients, and 5 out of 20 cadres said hypertension exercise was very easy to do and taught to all hypertension sufferers during home visits by cadres. It is hoped that all cadres can carry out the main tasks and functions of KASENSI COVID-19 and play an active role in preventing exposure and reducing the risk of severity due to COVID-19 infection in sufferers with hypertension comorbidABSTRAK:Pasien hipertensi sangat berisiko terhadap paparan COVID-19. Individu dengan hipertensi memiliki risiko 2,5 kali lebih tinggi untuk menderita COVID-19 yang parah dan mengalami kematian dibandingkan individu tanpa hipertensi. Salah satu upaya yang dapat dilakukan yaitu pelatihan terhadap kader kesehatan dan membentuk Kader Sehat Hipertensi di masa pandemi. Pendekatan yang dilakukan yaitu melalui pemberian pelatihan yang diawali dengan pre-test untuk mengetahui tingkat pengetahuan dan kesiapan untuk menjadi KASENSI COVID-19. Setelah mengisi pre-test, dilakukan pelatihan dan juga diajarkan senam hipertensi kepada kader.Setelah rangkaian acara pelatihan, diberikan post-testuntuk mengetahui dan mengukur pemahaman akhir. Hasil tes menunjukkan peningkatan pengetahuan kader sebesar 6% setelah diberikan pelatihan terkait KASENSI COVID-19 dengan p value 0,000 yang bermakna bahwa pelatihan KASENSI COVID-19 efektif dalam meningkatkan pengetahuan kader kesehatan di Posbindu Dahlia Senja. Sebanyak 15 dari 20 kader mengatakan materi yang diberikan dalam pelatihan sangat bermanfaat dan mudah diaplikasikan untuk mencegah infeksi COVID-19 pada pasien hipertensi, dan 5 dari 20 kader mengatakan senam hipertensi sangat mudah untuk dilakukan dan diajarkan ke seluruh penderita hipertensi pada saat kunjungan rumah oleh kader. Diharapkan seluruh kader dapat menjalankan tugas pokok dan fungsi KASENSI COVID-19 dan berperan aktif dalam mencegah paparan serta menurunkan resiko tingkat keparahan akibat infeksi COVID-19 pada masyarakat dengan komorbid hipertensi
Peningkatan Kesadaran PHBS Cuci Tangan dengan Benar pada Anak Usia Sekolah Nourmayansa Vidya Anggraini; Diah Tika Anggraeni; Mareta Dea Rosaline
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 4 (2022): Volume 5 No 4 April 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i4.5399

Abstract

ABSTRAK Anak merupakan generasi penerus bangsa dimasa akan datang. Akan tetapi, banyak anak-anak yang menderita diare bahkan hingga mengalami kematian. Diare dapat dicegah dengan perilaku hidup bersih dan sehat salah satunya melaksanakan cuci tangan dengan benar menggunakan sabun. Perilaku hidup bersih dan sehat (PHBS) merupakan upaya dalam meningkatkan kesehatan, mencegah dan melindungi dari terjadinya risiko berbagai ancaman penyakit. PHBS perlu diterapkan pada anak sejak dini agar anak paham dan mampu mengaplikasikan dalam kehidupan sehari-hari. Promosi PHBS banyak dilakukan dengan berbagai media. Salah satu tujuan PHBS adalah memberikan penyadaran pada masyarakat sehingga tercapai kualitas kesehatan. Kegiatan ini bertujuan meningkatkan pengetahuan dan perilaku siswa sekolah dalam mengenal dan mencegah penularan diare. Hasil penyuluhan kesehatan menunjukkan bahwa terdapat peningkatan pengetahuan sebelum dan sesudah diberikan penyuluhan kesehatan pada anak usia sekolah Setelah kegiatan penyuluhan kesehatan dihasilkan bahwa anak dapat mempraktikkan dalam kehidupan sehari-hari. Pelaksanaan PHBS perlu pantauan orang tua ketika dirumah dan dari guru ketika di sekolah. Dukungan tersebut penting dilakukan supaya anak bisa mempraktekkan PHBS khususnya mencuci tangan dengan langkah yang benar dalam kehidupan sehari-hari. Kata kunci: PHBS, anak usia sekolah, cuci tangan  ABSTRACT Children are the next generation of the nation in the future. However, many children suffer from diarrhea and even die. Diarrhea can be prevented by a clean and healthy lifestyle, one of which is washing hands properly with soap. Clean and healthy living behavior (PHBS) is an effort to improve health, prevent and protect from the risk of various disease threats. PHBS needs to be applied to children from an early age to understand and apply it in everyday life. PHBS promotions have been widely carried out, both through print and electronic media. The main goal of the PHBS movement is to improve the quality of health through awareness processes in everyday life. This community service program activity aims to increase the knowledge and behavior of school students in recognizing and preventing the transmission of diarrhea. The results of health counseling conducted on school-age children showed an increase in children's knowledge before and after being given health counseling. After health education activities are produced that children can practice in everyday life. The implementation of PHBS needs parental monitoring when at home and from the teacher when at school. This support is important so that children can practice PHBS, especially washing hands in the right way in everyday life. Keywords: PHBS, school-age children, washing hands
PROGRAM DUTA CILIK GEMBIRA (GERAKAN BERSAMA BASMI CORONA) PADA SISWA SEKOLAH DASAR KHALIFAH DEPOK Rizki Amalia; Farahdina Bachtiar; Nayla Kamilia Fithri; Diah Tika Anggraeni
Prosiding Seminar Nasional Pengabdian Kepada Masyarakat Vol 2 (2021): PROSIDING SEMINAR NASIONAL PENGABDIAN KEPADA MASYARAKAT - SNPPM2021
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Negeri Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.98 KB)

Abstract

AbstractAs an effort to support government programs in preventing the spreading of the coronavirus, it is necessary to provide education regarding the implementation of Clean and Healthy Lifestyle Behavior (PHBS). Intensive and sustainable PHBS education is crucial to be conducted from an early age. Children are one of the age groups that are vulnerable to contracting diseases, including Covid-19. The proposed solution and adapted to the partner's problems in the form of fostering students at SD Khalifah Depok to become child ambassadors in preventing the spread of Covid-19 in the school environment, family, and place of residence. The method used in this Community Service activity is through providing online education about Covid-19 to prospective Cilik Gembira Ambassadors (Gerakan Bersama Basmi Corona). This program was effective at increasing participants' awareness about Covid-19. This is indicated by active engagement of participants, enhanced knowledge based on pre-test and post-test results, and positive feedback from partners. AbstrakSebagai upaya dalam mendukung program pemerintah dalam pencegahan dan penyebaran virus corona, edukasi mengenai penerapan Perilaku Hidup Bersih dan Sehat (PHBS) perlu dilakukan. Penanaman PHBS secara intensif dan berkelanjutan menjadi sangat penting dan krusial dilakukan sejak dini. Anak merupakan salah satu golongan usia yang rentan terjangkit penyakit, termasuk Covid-19. Solusi yang diusulkan dan disesuaikan dengan permasalahan mitra berupa membina siswa-siswi di SD Khalifah Depok untuk menjadi duta cilik dalam pencegahan penyebaran Covid-19 di lingkungan sekolah, keluarga dan tempat tinggalnya. Metode yang digunakan dalam kegiatan Pengabdian kepada Masyarakat ini adalah melalui pemberian edukasi mengenai Covid-19 kepada calon Duta Cilik Gembira (Gerakan Bersama Basmi Corona) yang dilakukan secara daring. Kegiatan ini mampu meningkatkan pengetahuan peserta mengenai Covid-19. Hal ini ditunjukkan dengan partisipasi aktif dari peserta, peningkatan pengetahuan dari hasil pre-test dan post-test, serta umpan balik yang positif dari pihak mitra.
Program Pencegahan Stunting dimulai dari Ibu Hamil di Posyandu Kelurahan Sawangan Diah Tika Anggraeni; Mar’atul Isnainyah; Shelfia Chakarita Baskara; Prameisya Rivo Ananda; Hans Junifer Imanuel; Satrio Dafa Pratama
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 11 (2022): Volume 5 No 11 November 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i11.7504

Abstract

ABSTRAK Sampai saat ini, stunting masih menjadi tantangan besar di Indonesia. Indonesia merupakan Negara dengan double burden atau dikenal dengan masalah gizi ganda, yaitu stunting dan anemia pada ibu hamil. Stunting adalah salah satu masalah kesehatan dengan prevalensi yang cukup tinggi, sesuai dengan data JME, UNICEF World Bank di tahun 2020, angka stunting di Indonesia berada di tingkat ke 115 dari 151 negara di dunia. Data stunting menurut Riset kesehatan Dasar tahun 2018  yaitu sebesar 30,8%, berdasarkan data tersebut Indonesia masuk kedalam kategori dengan angka stunting yang tinggi. Upaya pemberdayaan kepada masyarakat bisa menjadi solusi untuk mengatasi permasalahan stunting. Dengan Promosi kesehatan merupakan suatu strategi pemberdayaan kepada masyarakat dalam hal preventif dan promotif. kegiatan pengabdian masyarakat ini dilaksanakan dengan beberapa tahapa, meliputi perencanaan, pengisian pre-test, penyampaian materi terkait stunting, diskusi atau tanya jawab, pengisian post-test, dan penutupan. Hasil pemberdayaan masyarakat yang dilakukan menunjukkan hasil perbedaan pengetahuan sebelum dan sesudah dilakukannya penyuluhan, yaitu  sebesar 90% dengan total responden 57 orang ibu hamil dan balita dapat memahami materi yang telah disampaikan oleh pembicara. Program pencegahan Stunting ini efektif terhadap perubahan pola kehidupan yang lebih sehat dan baik lagi bagi para warga Sawangan Baru dan sekitarnya. Dengan adanya program ini diharapkan dapat membantu Indonesia dalam menurunkan angka Stunting. Kata Kunci: Balita, Cegah, Ibu hamil, Stunting  ABSTRACT Until now, stunting is still a big challenge in Indonesia. Indonesia is a country with a double burden or known as a double nutritional problem, namely stunting and anemia in pregnant women. Stunting is a health problem with a fairly high prevalence, according to data from JME, UNICEF World Bank in 2020, the stunting rate in Indonesia is at level 115 out of 151 countries in the world. Stunting data according to Basic Health Research in 2018 is 30.8%, based on this data Indonesia is in the category with a high stunting rate. Community empowerment efforts can be a solution to overcome the stunting problem. Health promotion is an empowerment strategy for the community in terms of prevention and promotion. This community service activity wass carried out in several stages, including planning, filling out the pre-test, delivering material related to stunting, discussion or question and answer, filling out the post-test, and closing. The results of community empowerment carried out showed that there was a difference in knowledge before and after counseling, which was 90% with a total of 57 pregnant women and toddlers as respondents being able to understand the material presented by the speaker. This Stunting prevention program’s effective in changing the pattern of life that is healthier and better for the residents of Sawangan Baru and it’s surroundings. This program’s expected to help Indonesia in reducing the Stunting rate. Keywords:Prevent, Pregnant women, Stunting, Toddlers
PERBANDINGAN TINGKAT NYERI PADA PASIEN TERPASANG VENTILASI MEKANIK SELAMA ISTIRAHAT DAN TINDAKAN KEPERAWATAN RUTIN DI RUANG INTENSIVE CARE UNIT RUMAH SAKIT PUSAT PERTAMINA Nur Sari Dewi; Diah Tika Anggraeni
Jurnal Keperawatan Widya Gantari Indonesia Vol 6 No 3 (2022): JURNAL KEPERAWATAN WIDYA GANTARI INDONESIA
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/.v6i3.4773

Abstract

Pain is the most common stressor experienced by patients in the ICU. Nearly 5 million patients are treated in the Intensive Care Unit (ICU), and 71% experience pain during treatment. Most of the pain felt by patients in the ICU is when the patient is mechanically ventilated. Pain can occur during routine nursing actions such as positioning, suction, and oral hygiene. This study aims to compare the level of pain in patients on mechanical ventilation during rest and routine nursing actions in the Intensive Care Unit of Pertamina Central Hospital. This research is an analytical observational research design with a cross-sectional approach, a sample of 31 patients with mechanical ventilation installed and the sampling technique used is non-probability sampling with accidental sampling. Data were taken using the Critical Pain Observation Tool (CPOT) questionnaire to measure pain levels. The results showed that there was a comparison of pain levels during rest and positioning with a comparison value of 15.00 (p<0.05); There is a comparison of pain levels during rest and suction action with a comparison value of 15.00 (p<0.05); There is a comparison of pain levels during rest and oral hygiene measures with a comparison value of 7.00 (p <0.05).
Co-Authors Aan Nur'aeni Ayu Trisna Hayati Diki Ardiansyah Diya Alvionita Eneng Hasanah Farahdina Bachtiar Fiora Ladesvita Florensia, Lima Hans Junifer Imanuel Lia Fitria Ningsih Lima Florensia mareta dea rosaline Mar’atul Isnainyah Nayla Kamilia Fithri Nourmayansa Vidya Anggraini Nur Sari Dewi Prameisya Rivo Ananda Rafli Rizki Anugrah Rizki Amalia Satrio Dafa Pratama Shelfia Chakarita Baskara Silviana Sholihah Syifa Putri Salsabila Talitha Estiana Rofi&#039;ah