Papers by Fitrian Rayasari
Jurnal Keperawatan Silampari
This study aims to determine the magnitude of the effect of pursed-lip breathing (PLB) exercises ... more This study aims to determine the magnitude of the effect of pursed-lip breathing (PLB) exercises on increasing the highest flow achieved by maximal expiration peak expiratory flow (APE) in COPD patients at Jakarta Islamic Hospital Cempaka Putih based on the latest research results (evidence-based Nursing Practice). This study uses a quantitative method with a type of quantitative experimental research with a quasi-experimental approach. The results showed that the results of APE measurements before and after PLB breathing exercises to male COPD sufferers at the Jakarta Islamic Hospital showed that, in general, the effects of APE before and after PLB breathing exercises on Day-1 were 278.3 liters or minutes and general after PLB Day-1 breathing exercise was 290.0 greater. From the results of the T-Test experiment, it can be interpreted that there is a significant comparison between APE before and after PLB with the number P = 0.000 or statistically in general APE before and after PLB...
Puji Syukur kita panjatkan kehadirat Allah SWT, atas segala kasih sayang-Nya kepada seluruh makhl... more Puji Syukur kita panjatkan kehadirat Allah SWT, atas segala kasih sayang-Nya kepada seluruh makhluknya. Sholawat dan salam marilah kita sampaikan pada
The effect of prone position for increasing oxygenation in patients with COVID-19: A systematic r... more The effect of prone position for increasing oxygenation in patients with COVID-19: A systematic review Background: Prone position is known to reduce mortality in intubated non-COVID-19 patients with moderate to severe acute respiratory distress (ARDS). Purpose : To determine the effect of prone position for increasing oxygenation in patients with COVID-19 by a systematic review Method: Criteria of patients with COVID-19 and pneumonia but not with severe respiratory distress (ARDS) increasing oxygen saturation, preventing the use of HFNC breathing apparatus, and preventing the need for intubation. Search systematically from 5 database s medical (PubMed, Proquest, Embase, Medline, Cinhal ) and 1 manual (Google) performed until 12 October 2020, from 5 databases and 1 manual (Google) found 5 articles that met the inclusion criteria, and 122 patients were included for the final analysis. Results: The severity of disease and the need for intubation decreased by 65,6% in patients. The pr...
Diabetes Mellitus self care is a daily action that must be done by people with diabetes independe... more Diabetes Mellitus self care is a daily action that must be done by people with diabetes independently. Self care activities are carried out to control blood glucose. The factors that influence diabetes mellitus self care are age, gender, education, duration of diabetes, knowledge, self efficacy, family support, motivation and health care provider communication. The study aims to identify the dominant factors associated to self care in people with diabetes in the Working Area of the Tirawuta Public Health Center. The research method used was analytical survey design with cross sectional approach. The sampling technique used purposive sampling technique, with sample size of 88 respondents. Data were analyzed using Chi-square test and logistic regression test. The result showed that there was relationship between knowledge, self efficacy, family support, motivation and providing information and education with self care (p <0.05). The most dominant factor related to self care was mot...
Effectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes me... more Effectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes mellitus Background : Buerger Allen Exercise is a specific exercise intended to improve circulation to the feet and leg using gravitational changes to influence the distribution of body fluids to alternately help emptying and fulfilling the blood columns, and by using muscle contraction through active movement of the ankle to improve circulation of peripheral blood vessel by driving blood and blood vessel. Ankle Brachial Index (ABI) is one of the indicators to assess changes in peripheral vascularization. Purpose: To know the effectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes mellitus Method: A quasi-experimental by pre- and post-test with controlled group, involving 28 participants divided by two group; interventional group and controlled group. The sampling technique is a non-probability sampling. Results : Shows by t-test and GLM-RM finds o...
Background: COPD is one of the chronic diseases that can cause fatigue, depression and respirator... more Background: COPD is one of the chronic diseases that can cause fatigue, depression and respiratory system disorders. Efforts to overcome anxiety and depression in similar chronic diseases to reduce fatigue one of them is by using the Progressive Muscle Relaxation (PMR) method. Another effort to increase oxygen supply to the alveoli is through breathing exercises that one of them with Pursed Lips Breathing (PLB). Objective: To analyze the progressive muscle relaxation relationship with purshed lips breathing against Depression Score, Fatigue Score and respiratory function in COPD patient. Research Design: Quantitative research, with experimental design through the pretest-posttest randomized control group design approach. In the experimental study, random assignments were allocated to the groups in which the researchers conducted a comparison between the intervention group and the control group. Sampling technique by way of sampling Consercutive. Data collection using FACIT-T, the BD...
Hypertension is a condition where a person has an increase in blood pressure above normal caused ... more Hypertension is a condition where a person has an increase in blood pressure above normal caused by various conditions. Not all hypertension sufferers have difficulty sleeping, but in general patients who are hospitalized have difficulty sleeping, due to other factors. If the sleep quality of a hypertensive patient is disturbed, it can cause an increased pacemaker which is at risk of complications. Wudu is one of the alternatives for hypertensive patients who experience sleep quality disturbances. Wudu is a part of therapy that can affect the neurological system because it has benefits in providing a cold sensation, giving a sense of calm or relaxation. The purpose of this study was to determine the effect of ablution on sleep quality in hypertensive patients who were hospitalized, after performing ablution therapy before going to bed at dr. Chasbullah Abdul Madjid Bekasi City. The type of this study was quasi experiment with pre and post group design. The sample in this study were ...
Diabetes melitus merupakan penyakit kronis yang disandang seumur hidup dan jika gula darah tidak ... more Diabetes melitus merupakan penyakit kronis yang disandang seumur hidup dan jika gula darah tidak terkontrol akan menimbulkan berbagai komplikasi fisik hingga psikologi seperti depresi. Penyandang DM tipe 2 mempunyai resiko mengalami depresi 15% dibandingkan orang tanpa DM, Katon, WJ (2008). Penerimaan terhadap kondisi yang dialami akan meningkatkan keyakinan seseorang dalam melakukan perawatan dirinya atau dikenal self efficacy . Pencapaian pada Spiritual Well Being untuk meningkatkan kesehatan biologis, psikologis dan kesehatan sosial dilakukan melalui pemenuhan kebutuhan spiritual atau spiritual care . Penelitian ini bertujuan mengidentifikasi pengaruh spiritual care terhadap self efficacy pada pasien dengan Diabetes Melitus tipe 2. Metode penelitian menggunakan quasi eksperimen pre post test dengan kelompok kontrol . Jumlah sample dalam penelitian ini 16 responden pada setiap kelompok yang diambil menggunakan consecutive sampling . Hasil penelitian menunjukan peningkatan skore s...
Penyimpangan tumbuh kembang pada anak prasekolah sering tidak diketahui oleh orang tua. Anak yang... more Penyimpangan tumbuh kembang pada anak prasekolah sering tidak diketahui oleh orang tua. Anak yang mengalami penyimpangan tumbuh kembang seringkali hanya dikenal sebagai bentuk kenakalan, sehingga perlakuan, pembinaan dan penyelesaiannya tidak sesuai dengan yang dibutuhkan. Penyebab masalah ini adalah orang tua tidak mengetahui tentang bentuk penyimpangan tumbuh kembang dan dampaknya, oleh Karenaitu perlu dilakukan screening pertumbuhan dan perkembangan. Tujuan pengabdian masarakat ini adalah melaksanakan early diagnosis serta memberikan pengetahuan kepada orang tua tentang stimulasi, deteksi dan intervensi dini tumbuh kembang. Pelaksanaan pengabdian kepada masyarakat berupa screening pertumbuhan dan perkembangan terhadap 38 anak usia kurang dari enam tahun dengan menggunakan format SDIDTK (Stimulasi, Deteksi dan Intervensi Dini tumbuh kembang Anak) yang terdiri dari KPSP (Kuesioner Pra Skrining Perkembangan), TDD (Test Daya Dengar), TDL (Tes Daya Lihat), KMPE (Kuesioner Masalah Peri...
ABSTRAKPasien diabetes mellitus harus memiliki efikasi diri yang artinya tanggung jawab yang besa... more ABSTRAKPasien diabetes mellitus harus memiliki efikasi diri yang artinya tanggung jawab yang besar untuk mengaturdirinya sendiri dalam meningkatkan derajat kesehatannya. Tujuan penelitian ini adalah untuk mengetahuipengaruh Pengaruh Self–Efficacy Enhancing Intervention Program (SEEIP) Terhadap Efikasi Diri Pada PasienDiabetes Melitus Tipe 2. Jenis penelitian ini adalah quasi eksperimental design menggunakan pendekatan pretestposttest nonequivalent control grup design. Dalam penelitian ini sampel yang dipilih memenuhi syarat kriteriainklusi yang telah ditetapkan oleh peneliti yaitu sebanyak 34 responden, 17 responden untuk kelompok intervensidan 17 responden untuk kelompok kontrol. Hasil penelitian menunjukkan bahwa hasil uji statistik t independenada perbedaan efikasi diri pada kelompok intervensi dan kelompok kontrol setelah dilakukan program intervensipeningkatan efikasi diri (p value=0,006) dengan nilai α=0,05. Kesimpulan dalam penelitian ini adalah efikasi dirisetelah program in...
Penelitian ini bertujuan untuk mengidentifikasi adanya pengaruh pemberian hiperoksigenasi 1 menit... more Penelitian ini bertujuan untuk mengidentifikasi adanya pengaruh pemberian hiperoksigenasi 1 menit pada proses suctioning terhadap saturasi oksigen pasien dengan ventilator mekanik. Desain penelitian quasi eksperimen pre-post test dengan control group design. Sampel dalam penelitian ini sebanyak 34 responden yang terpasang ventilator mekanik. Analisis menggunakan uji wilcoxon. Hasil penelitian menunjukkan saturasi oksigen intervensi I sebelum hiperoksigenasi median 97 min-mak 95-99, setelah dilakukan hiperoksigenasi median 99 min-mak 98-100 dengan p value 0,05. Sedangkan pada kelompok intervensi II sebelum hiperoksigenasi median 97 min-mak 95-100, setelah hiperoksigenasi median 99 min-mak 95-100, dengan p value 0,05. Kesimpulan terdapat perbedaan saturasi oksigen yang signifikan sebelum dan setelah pemberian hiperoksigenasi 1 menit.
Diabetes Mellitus is a chronic disease requiring treatment in glycemic control. Controlling glyce... more Diabetes Mellitus is a chronic disease requiring treatment in glycemic control. Controlling glycemic can be carried out by a kind of assistance performed by using Telenursing. The purpose of this research is to determine the impact of telenursing assistance on the glycemic levels of type II DM clients at Puskesmas Kampung Baru Luwuk in Banggai. The research design applied is quasi-experimental pre and post test without control group design with 14 type II DM clients as the sample. The result shows there is a difference in average fasting glycemic levels in Type II DM clients prior to the intervention, which is 230,64 mg/dl, and following to the intervention, the result is 127,81 mg/dl thus found a reduction in glycemic level by 102,83 mg/dl. By the statistical test result using Pair T Test, the value (p value of 0.000) was obtained. Therefore, it can be analyzed that telenursing assistance takes effect on lowering fasting glycemic of type II DM clients. The result shows that communi...
Heart failure can cause various complications if not treated seriously, such as pulmonary edema, ... more Heart failure can cause various complications if not treated seriously, such as pulmonary edema, impaired kidney function, and ascites. This can cause the length of stay of patients to increase. This study used a quast experimental post test control group design. The aim of this research is to find out strategies to reduce the length of stay of patients with heart failure. The number of respondents in this study were 100 patients, each of which was 50 people per group. Based on the results of the Chi-square test of applying the strategy with length of stay seen from the continuity correction, the p-value is 0.000. The p-value implies that the implementation of the strategy has a significant effect on the length of stay in heart failure patients. In addition to the p-value, an OR value of 7.534 was also obtained, which means that the implementation of the strategy has the opportunity to reduce the length of stay by 7.534 times compared to those who do not apply the strategy of decrea...
Diabetic foot ulcers are one of the complications of diabetes mellitus that are often suffered by... more Diabetic foot ulcers are one of the complications of diabetes mellitus that are often suffered by patients with a history of diabetes mellitus in addition to complications in the form of retinopathy. The purpose of this study was to collect appropriate types of therapy for wound care in diabetic foot ulcer patients. This study uses a systematic review approach. Article search was limited to inclusion criteria and exclusion criteria. The inclusion criteria in this study were diabetic patients with diabetic foot ulcers. The conclusion in this study is that honey is very effective for wound healing in diabetic foot ulcer patients, although there are several methods that are quite effective besides honey, namely the Vacuum Closing package (negative pressure wound care). Honey has been shown to reduce wound size and heal wounds
JHeS (Journal of Health Studies)
Penyakitajantung koronerabisa diaatasi denganatindakan operasi Coronay Artery bypass Grafting (CA... more Penyakitajantung koronerabisa diaatasi denganatindakan operasi Coronay Artery bypass Grafting (CABG). Setelah ekstubasi, untuk mencegah hipoksemia segera diterapi oksigen sesuai dengan kondisi pasien terutama pada 24 jam pertama. Penelitian ini untuk mengetahui efektifitas pemberian terapi oksigen binasal kanul dengan sungkup muka sederhana. Desainapenelitianaquasi eksperimen preadan postatwo group dengan populasi pasien CABGadi ICU bedahaRumah Sakit Jantungadan PembuluhaDarah HarapanaKita. Terdiri dari 32 responden dengan teknik simple random sampling, 16 responden dilakukan intervensi terapi oksigen binasal kanul dan 16 responden dengan sungkup muka sederhana. Hasil uji Mann Whitney kenaikan rata-rata saturasi oksigen setelah intervensi binasal kanul dengan sungkup muka sederhana diperoleh pavalue 0,591 alpha (0,05).
International Journal of Indonesian National Nurses Association (IJINNA), Feb 1, 2018
The increasing population of diabetic patients leads to the increasing number of diabetic foot ul... more The increasing population of diabetic patients leads to the increasing number of diabetic foot ulcer (DFU) cases. To avoid the expansion of the infection, the wound cleansing is conducted through the irrigation and pressure methods. The aim of this research was to identify the effectiveness of wound cleansing using 0.9% normal saline technique with the pressure of 15 Psi in reducing the number of bacteria. This research used the randomized control trial method with a double blind design which had been approved by the ethnical committee of Muhammadiyah University of Jakarta with the ethnical committee number 261/PMK-UMJ/IV/2017. There were as many as 31 samples in each group collected through consecutive sampling technique with randomization. It had been found that there was a signifi cant difference in the number of bacteria before and after wound cleansing. Thus, it could be concluded that from the statistical test and clinical test, wound cleansing with normal 0.9% saline technique with the pressure of 15 Psi could decrease the number of bacteria in diabetic foot ulcers. Wound cleansing with 0.9% normal saline irrigation technique pressurized at 15 Psi was recommended as a safe wound cleansing method for diabetic foot ulcers.
Indonesian Journal of Nursing Practices, 2017
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Papers by Fitrian Rayasari