http://localhost:8080/xmlui/handle/123456789/11506 2026-04-18T15:11:04Z 2026-04-18T15:11:04Z Eka Fitriana, Erlis Haryanto, Haryanto Supriadi, Supriadi Hastuti, Lidia Surtikanti, Surtikanti http://localhost:8080/xmlui/handle/123456789/12329 2025-07-28T03:09:32Z 2025-01-01T00:00:00Z

Title: Development and Preliminary Validation of NIHSS-SDKI and CNS-SDKI Tools for Nursing Diagnosis in Stroke Care Authors: Eka Fitriana, Erlis; Haryanto, Haryanto; Supriadi, Supriadi; Hastuti, Lidia; Surtikanti, Surtikanti Abstract: Introduction: Accurate assessment of stroke severity is a critical component of nursing care. The NIHSS and CNS are standardized neurological instruments commonly used to evaluate stroke severity. Integrating NIHSS and CNS with the Indonesian nursing diagnosis standard (SDKI) offers practical benefits for nurses, as SDKI is tailored to the conditions of patients in Indonesia. Objective : The objective of this study is to evaluate the effectiveness of combining NIHSS and CNS severity assessments with SDKI in improving the accuracy of nursing diagnoses and determining stroke severity in patients. Methods: The research design used was Randomized Controlled Trial (RCT), single blind. The sample consisted of 55 stroke patients admitted to the neurological care unit using probability sampling technique with a simple random sampling approach, where sampling was carried out in accordance with predetermined inclusion criteria: non hemorrhagic stroke patients, respondents' age > 18 years, and willing to become research subjects. Assessment of severity was carried out using the NIHSS and CNS instruments, which were combined with the SDKI to determine nursing diagnoses. Assessment was carried out for 5 days of patient care. Results: Mann-Whitney test analysis in the NIHSS group and CNS group showed a p-value> (0.05), meaning that there was no difference between the application of NIHSS and CNS assessment on determining the degree of severity and the number of nursing diagnoses in stroke patients. Conclusions: This study shows that both NIHSS-SDKI and CNS-SDKI are effective in detecting changes in the clinical condition of stroke patients from day one to day five

2025-01-01T00:00:00Z Darmawati, Irma Ariyani Dewi, Gita Sumartini, Sri http://localhost:8080/xmlui/handle/123456789/11660 2025-07-14T05:10:52Z 2024-01-01T00:00:00Z

Title: Therapeutic Benefits of Foot Spa for Elderly with Myalgia: A Case Study Authors: Darmawati, Irma; Ariyani Dewi, Gita; Sumartini, Sri Abstract: Introduction: Myalgia is defined as pain caused by repeated muscle contractions, resulting in muscle inflammation. One of the symptoms of myalgia is the occurrence of pain in the muscles. A non-pharmacological intervention to address myalgia is foot spa therapy. Foot spa therapy involves soaking the feet in warm water with Epsom salt followed by a massage to improve blood circulation and reduce myalgia. Objective: The purpose of this case study is to demonstrate the application of foot spa therapy for elderly individuals with myalgia. Methods: This study used a case study method with two subjects experiencing myalgia. The intervention consisted of foot spa therapy conducted six times over two weeks. Each foot spa session included soaking the feet in warm water for 15 minutes, followed by a 20-minute foot massage. Pain levels were assessed using the Numeric Rating Scale (NRS). Results: The study found that foot spa therapy effectively reduced pain levels from moderate pain (scale 6-5) to mild pain (scale 3-2). Conclusion: Foot spa therapy is effective in reducing myalgia with moderate pain levels. The warm water used in the foot spa contains Epsom salt, which is rich in magnesium sulfate. This mineral is effectively absorbed through the skin, stabilizing muscle contractions by fulfilling the body's mineral requirements. Additionally, the massage component of the foot spa stimulates the release of endorphins, promoting relaxation of muscles and soft tissues in the body

2024-01-01T00:00:00Z Irman, Irman Zakiyah Hanim, Risyda http://localhost:8080/xmlui/handle/123456789/11659 2025-07-14T05:08:47Z 2024-01-01T00:00:00Z

Title: Malnutrition Risk Screening In HIV/AIDS Patients Using Modified SGA-HIV: A Scoping Review Authors: Irman, Irman; Zakiyah Hanim, Risyda Abstract: Introduction: Human immunodeficiency virus (HIV) is a condition that targets the immune system. Individuals with HIV are at risk of malnutrition when their CD4 counts drop below 200. Purpose: This study seeks to explore the efficacy of Modified SGA-HIV in assessing the risk of malnutrition in HIV/AIDS patients. Methods: A comprehensive search was conducted across multiple databases, including ScienceDirect (346), EBSCO-host (47), ClinicalKey Nursing (11), PubMed (98), and Google Scholar (284) covering the period from 2018 to 2024. The Joanna Briggs Institute (JBI) Critical Appraisal was used to assess and analyze the methodological quality of the articles. Findings: The initial database search using PRISMA Literature Review yielded 786 articles, which were refined to exclude duplicates (665), screen for relevance based on title/abstract (98), and finally assess the eligibility of full-text articles (n = 27), resulting in the identification of four (4) relevant articles. Conclusion: The analysis of these four articles supports the effectiveness of Modified SGA-HIV in screening for malnutrition risk in HIV/AIDS patients.

2024-01-01T00:00:00Z Virgona Bangun, Argi Dwi Nanda Sulistyani Putri, Syanita Arfha Aminullah, Muthia http://localhost:8080/xmlui/handle/123456789/11658 2025-07-14T05:07:12Z 2024-01-01T00:00:00Z

Title: Dynamics of Health Decisions in Elderly with Multimorbidity: Findings from a Qualitative Approach Authors: Virgona Bangun, Argi; Dwi Nanda Sulistyani Putri, Syanita; Arfha Aminullah, Muthia Abstract: Introduction: Understanding health decision-making among elderly individuals with multimorbidity is essential for improving their care, especially in the context of polypharmacy. As the number of older adults with multiple chronic conditions increases, it becomes crucial to explore how they navigate complex healthcare choices that affect their well-being and quality of life. Objective: This qualitative study aimed to explore the decision-making processes of elderly individuals with multimorbidity undergoing polypharmacy. Method: Nine elderly individuals with multimorbidity from the Citeureup Cimahi Health Center were purposively sampled for in-depth interviews and field notes. Data were analyzed thematically using Colaizzi’s method. Result: The analysis identified five key themes: (1) decision-making dynamics, (2) navigating health opportunities, (3) adaptation and self-management, (4) support systems and communication, and (5) contextual influences. Conclusion: The study highlights the complex factors influencing health decisions among elderly individuals with multimorbidity, including aging, illness, financial barriers, and the need for more comprehensive healthcare. It underscores the importance of respecting autonomy and creating a healthcare system that prioritizes comfort, dignity, and quality of life.

2024-01-01T00:00:00Z