Journal Healthcare Education

GAMBARAN JUMLAH LIMFOSIT PADA PENDERITA HIV YANG MENJALANI TERAPI ARV DI WILAYAH PUSKESMAS MALAWEI KOTA SORONG

Andirwana Andirwana — 2025-01-20

Human Immunodeficiency Virus (HIV) is a virus that attacks T lymphocyte cells and weakens the human immune system. The objective of this study was to describe the lymphocyte count in HIV patients undergoing Antiretroviral Therapy (ART). This research is a descriptive quantitative study with data collection techniques involving Thin Blood Smear examinations. The study was conducted at the Maklawei Health Center Laboratory and the TLM Laboratory of STIKES Papua using a cross-sectional design based on microscopic methods, involving 30 respondents out of a population of 78, selected using random sampling. The respondents were HIV patients actively undergoing ART at the Malawei Health Center in Sorong City. The results showed that among the 30 HIV respondents actively undergoing ART in the working area of the Malawei Health Center, Sorong City, 83.3% (25 respondents) had lymphocyte counts within the normal range (> 20%-40%), while 16.7% (5 respondents) had lymphocyte counts below the normal range (< 20%). In conclusion, this study illustrates that 9 males and 16 females had normal lymphocyte counts, while 1 male and 4 females had lymphocyte counts below normal. This indicates that ART successfully helps maintain the immune system. The government and related parties must ensure the availability of ART to improve health and reduce the risk of infections in HIV patients.

EFEKTIVITAS TERAPI MELUKIS DAN MENGGAMBAR PADA PASIEN SKIZOFRENIA

Winda Ratna Wulan — 2025-01-01

The World Health Organization states that there are approximately 23 million people with schizophrenia worldwide. The positive and negative symptoms experienced by patients with schizophrenia can significantly affect their ability to engage in activities, build relationships, and live independently. Art therapy, as part of a therapeutic modality, serves as a therapeutic intervention and can be used as a tool to provide psychological insights and promote emotional maturity. Painting or drawing can visualize symbols that emerge from the subconscious as expressions of the patients.The research method involved electronic searches using databases such as PubMed Health, ScienceDirect, and CrossRef, with the keyword "art therapy." The search for journals was further narrowed by adding keywords such as "psychiatric, schizophrenia, drawing, and painting," with a publication range between 2013 and 2018, and utilizing research methods including randomized control trials and quasi-experimental studies. The results of the research indicate that the management of art therapy through painting and drawing in patients with schizophrenia can enhance motivation, improve interpersonal relationships, increase medication adherence, improve sleep patterns, reduce both positive and negative symptoms, and decrease levels of anxiety, depression, and anger. Based on a literature review of four journals, it was found that painting therapy is effective in improving the condition of patients with schizophrenia.

LITERATURE REVIEW: PENGARUH SLEEP HYGIENE PRACTICE TERHADAP PENINGKATAN KUALITAS TIDUR PADA LANSIA

Asih Purwandari Wahyoe Puspita — 2025-01-25

Introduction: Elderly people often experience sleep disorders that affect their physical and mental well-being. This decline in sleep quality is a common problem as we age. Sleep hygiene, as a non-pharmacological approach, focuses on behavioral and environmental changes to improve sleep quality. Aim: to conduct a systematic review to examine the effect of sleep hygiene activities on sleep quality in the elderly. Methods: The search was conducted using several databases including Google Scholar, Research Gate, Pubmed, and Science Direct from the past 4 years, namely 2020 to 2024. The keywords used were "Sleep hygiene", "Sleep Quality / Kualitas Tidur", "Elderly / Lansia", "Eldelry AND sleep hygiene AND improving sleep quality" and a search for Indonesian language articles with the keywords "Lansia AND sleep hygiene AND improving sleep quality" so that 10 articles were obtained for review. Of the 10 articles that met the inclusion criteria, all articles used different sampling methods and techniques. Most studies use probability sampling techniques. The research instrument used in 10 articles and journals to measure sleep quality mostly uses PSQI or Pittsburgh sleep quality index. Results: reviewed from the study of ten articles showed that sleep hygiene significantly improves sleep quality in the elderly. The presence of significant changes in various aspects of sleep quality (sleep efficiency, sleep time, use of sleeping pills, and sleep disturbances) indicates that sleep hygiene can be an effective strategy to overcome sleep problems in the elderly group. The decrease in the prevalence of sleep disorders after the intervention also strengthens the evidence that sleep hygiene has a positive effect. Conclusion: Sleep hygiene has been shown to be an effective approach to improving the sleep quality of older adults. Educational interventions on sleep hygiene can have a positive impact on the sleep patterns of the elderly, thereby improving their overall quality of life. Therefore, the implementation of sleep hygiene needs to be further enforced especially among the elderly to overcome the problem of sleep disorders that often occur.

ANALISIS KESESUAIAN INSTRUMEN PENGKAJIAN KESEHATAN MULUT ORAL HEALTH ASSESMENT TOOL (OHAT) DAN ORAL ASSESMENT SCALE (OAS) PADA PASIEN CRITICAL CARE

Yanu Ayu — 2025-01-12

Oral hygiene is very important to prevent infection in patients in the ICU, especially those using ventilators. The mouth's natural cleansing mechanism can be disrupted, increasing the risk of ventilator-associated pneumonia (VAP) due to microorganisms that develop in the oropharynx and spread to the airways within 48 hours. "This study aims to compare the Oral Health Assessment Instrument (OHAT) and Oral Assessment Scale (OAS) scores in assessing the oral health condition of ICU & HCU patients at Atama Jaya Hospital, North Jakarta." With a quantitative research design and comparative analytical observational approach, the sample consisted of 27 patients selected according to the inclusion criteria. Data were collected using OHAT and OAS, and analyzed using the Mann Whitney statistical test. The results showed that there was a significant difference between OHAT and OAS in assessing patients' oral health (p=0.000). The OAS demonstrated a higher median score, reflecting higher sensitivity in detecting variations in oral health and providing a more inclusive assessment than the OHAT. Conclusion: OAS is better at identifying significant oral health problems.

INTERVENSI KEGAWATDARURATAN PSIKIATRI PADA SKIZOFRENIA: SYSTEMATIC LITERATURE REVIEW

Andria Pragholapati — 2025-01-22

Schizophrenia is a serious mental disorder that affects around 1% of the world's population. Some patients with schizophrenia experience psychiatric emergencies that require prompt and appropriate intervention to reduce the risk of complications and promote a good outcome. This systematic literature review aims to describe of emergency psychiatric interventions in schizophrenia. The results of the review show that appropriate and prompt intervention are very important in reducing the risk of complications and improving good outcomes in schizophrenic patients who experience psychiatric emergencies. Some effective interventions include administering antipsychotic drugs, inhaled loxapine and providing non-pharmacological interventions, namely verbal de-escalation. However, more research is needed to clarify the benefits and effectiveness of each of these interventions. Suggestions that can be given are increasing public awareness about the symptoms of schizophrenia and what to do in an emergency situation, special training for medical personnel and emergency workers, as well as further research on emergency psychiatric interventions in schizophrenia.

ASUHAN KEPERAWATAN JIWA PADA PASIEN DENGAN CORE PROBLEM ISOLASI SOSIAL DI RS X

Anisa Sekar Kiranti — 2025-03-01

Mental illness is a condition in which a person's mental functioning is altered, resulting in decreased mental performance and creating distress for the individual or hindering the performance of their social roles. Individuals suffering from mental illness generally experience difficulties in building relationships with those around them. Clients often tend to stay away from their social environment, making it difficult for them to interact with others. This condition is known as social isolation. Social isolation is a state where a person feels alone, which is perceived to be caused by others and seen as a negative and threatening situation. The consequences of social isolation can include social withdrawal, irritability, unpredictable behavior, hallucinations, as well as lack of attention to oneself. The purpose of this case study is to identify the success of providing social isolation implementation strategies. The method used was a case study involving the nursing process including assessment, data analysis, nursing diagnosis, intervention planning, implementation, evaluation, and observation. This case study was conducted for 10 days of monitoring. Interventions in this study were carried out through direct demonstration. The results of the intervention carried out on the patient showed a decrease in symptoms of social isolation in the individual.