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"Pendahuluan: Xerostomia adalah stimulus utama yang menyebabkan ketidakpatuhan pembatasan cairan pada pasien yang menjalani hemodialisis. Auricular acupressure merupakan salah satu terapi untuk mengatasi xerostomia. Tujuan: Studi ini bertujuan untuk mengetahui pengaruh auricular acupressureterhadap xerostomia. Metode: Desain penelitian dalam penelitian ini adalah quasy experiment pretest-postest with control group design, dengan jumlah responden 40 orang yang dibagi menjadi kelompok intervensi (n=20) dan kelompok kontrol (n=20). Analisis data menggunakan paired dan independent t-test. Hasil: Hasil analisis pada kelompok intervensi menunjukkan ada perbedaan signifikan skor rerata xerostomia sebelum dan sesudah perlakuan (sesi HD ke-1 VS sesi HD ke-2 VS sesi HD ke-3) dengan nilai P value < 0,05. Terdapat perbedaan signifikan rerate skor xerostomia posttest antara kelompok intervensi dan kontrol dengan nilai P value 0.000. Kesimpulan: Auricular acupressure memberikan pengaruh terhadap xerostomia, sehingga dapat dikembangkan sebagai intervensi untuk mengatasi xerostomia pada pasien gagal ginjal terminal yang menjalani hemodialisis.

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ntroduction: Xerostomia is the main stimulus that often causes the problem of non-compliance with fluid restrictions in patients undergoing hemodialysis. Auricular acupressure (AA) is one of the alternative therapies to treat xerostomia. This study aims to analyze the effect of auricular acupressure on xerostomia in end-stage renal failure patients undergoing hemodialysis. Method: The research design used a quasi-experimental pre-test post-test with control group design, recruited 40 respondents of end-stage renal failure patients undergoing hemodialysis who were divided equally into the intervention group (n=20) and the control group (n=20). The analysis used paired and independent t-test. Results: There was a significant difference in the mean score of xerostomia before and after treatment (1st HD session VS 2nd HD session VS 3rd HD session) with a P value <0.05. The result of the difference in xerostomia scores post-test between both groups showed a significant difference in the mean score of xerostomia with P value = 0.000. Conclusion: Auricular acupressure effects on reducing xerostomia. Thus, auricular acupressure can be recommended as a nursing intervention in reducing xerostomia in end-stage renal failure patients undergoing hemodialysis."

"Perawatan pasien gagal ginjal yang menjalani hemodialysis berfokus pada peningkatan kualitas hidup yang disertai dengan berbagai keluhan fisik seperti fatigue, pruritus dan gangguan tidur. Sensasi pruritus merupakan salah satu gejala umum yang memberatkan pasien dengan GGT, mempengaruhi hingga 46% pasien yang menjalani hemodialysis (HD). Intervensi keperawatan mandiri untuk menurukan sensasi pruritus salah satunya adalah acuprerssure. Tujuan Evidance Based Nursing (EBN) untuk mengidentifikasi efektifitas acupressure dalam menurunkan sensasi pruritus pada pasien yang menjalani HD. EBN ini menggunakan metode quasi eksperimen dengan melibatkan 7 pasien yang menjalani HD. Hasil uji analisis menggunakan data VAS sensasi pruritus pre dan post acupressure pada acupoint LI-11 selama 6 menit pada 8 sesi HD. Penurunan nilai VAS sensasi pruritus didapat perbedaan rerata sebesar 2.586 ±1.446. Acupressure dapat dijadikan intervensi keperawatan untuk menurunkan sensasi pruritus

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Treatment for patients of End Stage Renal Disease (ESRD) undergoing hemodialysis was focused on improving quality of life. Patients were accompanied by various physical complaints such as fatigue, pruritus and sleep disorders. Pruritus sensation is one of the common symptom that aggravate patient’s condition. That symptom was affecting up to 46% of patients undergoing hemodialysis (HD). Nursing intervention to reduce pruritic sensation is acupressure. The purpose of Evidence Based Nursing (EBN) is to identify the effectiveness of acupressure in reducing pruritus sensation in patients undergoing HD. This EBN used a quasi-experimental method involve 7 patients who undergoing HD. The analysis result has been tested with VAS data on pruritus sensation pre and post acupressure on acupoint LI-11 for 6 minutes at 8 HD sessions. The decrease in VAS value of pruritic sensation was obtained by mean difference of 2,586 ± 1,446. Acupressure can be used as nursing intervention to reduce pruritus sensation."

"Akupresur merupakan salah satu terapi komplementer pada pasien yang mengalami mual muntah akut akibat kemoterapi. Tujuan riset ini untuk membuktikan pengaruh akupresur terhadap mual muntah akut pada pasien kanker di dua RS di Jakarta. Penelitian ini merupakan randomized clinical trial dengan metode single blind. Pengambilan sampel dengan cara consecutive sampling dan penentuan kelompok intervensi dan kontrol dengan randomisasi alokasi subjek sederhana. Sampel penelitian berjumlah 44 responden, terdiri dari 22 responden sebagai kelompok intervensi yang dilakukan terapi akupresur sebanyak tiga kali sehari, dan 22 responden sebagai kelompok kontrol. Pengujian perbedaan penurunan rerata skor mual, muntah, dan mual muntah pada kelompok intervensi dan kelompok kontrol menggunakan uji T test. Hasil penelitian menunjukkan penurunan rerata mual muntah akut setelah akupresur pada kelompok intervensi signifikan lebih besar dibanding dengan kelompok kontrol (p= 0,000; α= 0,05). Akupresur secara signifikan dapat menurunkan mual muntah akut akibat kemoterapi pada pasien kanker yang dilakukan akupresur dibandingkan dengan kelompok kontrol. Akupresur direkomendasikan dapat diterapkan sebagai bagian dari intervensi keperawatan dalam pemberian asuhan keperawatan pada pasien yang mengalami mual muntah akut akibat kemoterapi.

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Acupressure is one of the complementary theraphies for patients with acute chemotherapy-induced nausea and vomiting (CINV). The objective of the study was to prove the effect of acupressure to acute CINV on patients with cancer at two hospitals in Jakarta. The research used randomized clinical trial with single blind method. A consecutive sampling was used as the sample collection method and simple randomization allocation subject was used to identify samples in the intervention or control group. The number of samples was 44 respondents, consisted of 22 subjects who were given an acupressure theraphy, three times a day; and the remaining was the control group. A t-test was used to examine the differences of the mean nausea and vomiting scores between the intervention and control groups. The result indicated that there is a signifant decrease of the mean acute nausea and vomiting scores after acupressure between the two groups (p= 0.000; α= 0.05). It was concluded that the acupressure can significantly decrease acute CINV on patients with cancer in the intervention group if compared with control group. Based on the findings, recommendation is directed to hospital management especially nursing management to apply acupressure as a nursing intervention to patients with acute CINV."

"[ABSTRAKNyeri dan kecemasan merupakan hal yang normal ketika ibu menghadapipersalinan, namun jika mengalami nyeri dan kecemasan yang berlebihan akanmenimbulkan komplikasi selama proses persalinan. Penelitian ini bertujuan untukmengetahui pengaruh paket Touching, Massage, Acupressure (T.M.A) olehkeluarga terhadap nyeri persalinan dan proses persalinan. Penelitian inimerupakan operasional research. Sampel dalam penelitian ini 94 ibu hamil yangdibagi menjadi dua kelompok yaitu 47 orang sebagai kelompok intervensi dan 47kelompok kontrol yang diambil dengan teknik consecutive sampling.Pengumpulan data menggunakan kuesioner FPRS, FAS, lembar observasi prosespersalinan dan wawancara. Hasil wawancara keluarga mengatakan bahwapengetahuan keluarga bertambah dan adanya manfaat setelah penerapan paketT.M.A. Hasil uji statistik dengan menggunakan Chi Square menunjukan bahwaada perbedaan yang bermakna pada proses persalinan (power, p=0,028);passanger p=0,006; passageway p=0,048; position p=0,048; psikologis p=0,000)dan nyeri persalinan (p=0,003) antara kedua kelompok intervensi dan kontrol. Halini menunjukan bahwa pendampingan keluarga dengan menggunakan paketT.M.A berpengaruh terhadap proses persalinan dan nyeri persalinan. Paket T.M.Adiharapkan menjadi intervensi non farmakologis dalam keperawatan untukmenurunkan nyeri dan kecemasan pada ibu bersalin.

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ABSTRACTPain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal., Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.]"

"ABSTRAKPenurunan sensitivitas kaki dan ankle brachial index (ABI) merupakankomplikasi yang sering terjadi pada Diabetisi. Terapi akupresur bermanfaat dalam menstimulasi aliran energi dalam tubuh sehingga memperbaiki aliran sirkulasi tubuh. Penelitian ini bertujuan untuk mengetahui pengaruh akupresur terhadap sensitivitas kaki dan ABI Diabetisi. Desain penelitian ini adalah quasi eksperimen dengan pendekatan pre-posttest design pada 64 responden (kelompok intervensi = 31 orang, kelompok non intervensi = 33 orang). Kelompok intervensi diberikan terapi akupresur selama 7 sesi, 2 hari sekali selama 10 menit. Hasil penelitian menunjukkan adanya pengaruh akupresur terhadap sensitivitas kaki (p=0,001) dan ABI (p=0,001). Akupresur dapat dijadikan salah satu alternatif terapi yang dapat diterapkan perawat di masyarakat untuk mencegah terjadinya komplikasi lanjut Diabetisi sebagai kelompok rentan.

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ABSTRACTDecreased of foot sensitivity and ankle brachial index (ABI) is a complication that often occurs in Diabetes. Acupressure therapy stimulating the flow of energy in the body so that the body's circulatory flow touch ups. This study aimed to determine the effect of acupressure to foot sensitivity and ABI in Diabetes Mellitus patients. This study designed was quasi-experimental with pre-posttest design at 64 responden (intervention group = 31, non-intervention group = 33). The intervention group received acupressure therapy for 7 sessions, each 2 days for 10 minutes. The results showed the effect of acupressure on foot sensitivity (p = 0.001) and ABI (p = 0.001). Acupressure can be used as an alternative therapy that can be applied by nurses in the community to prevent complications in people with diabetes as a vulnerable group."

"Pasien kanker yang sedang menjalani pengobatan berupa kemoterapi sering sekali mengalami nyeri dan kecemasan. Penelitian ini bertujuan untuk mengidentifikasi pengaruh akupresur terhadap nyeri dan kecemasan akibat kemoterapi pada pasien kanker payudara di RSUD Jend. Ahmad Yani Kota Metro Lampung. Penelitian ini menggunakan desain Randomized Controlled Trial (RCT) dengan randomisasi alokasi yang menggunakan cara randomisasi blok. Sampel dalam penelitian ini berjumlah 48 responden yang dibagi menjadi 24 responden kelompok intervensi yang mendapatkan perlakuan akupresur pada titik LI4, LR3, PC6 dan ST 36. Selanjutnya 24 responden kelompok kontrol yang mendapatkan perlakuan akupresur pada titik placebo. Semua kelompok tetap mendapatkan terapi standar. Hasil penelitian menunjukkan penurunan rata-rata nyeri dan kecemasan setelah akupresur pada kelompok intervensi lebih tinggi secara bermakna dibandingkan kelompok kontrol (p value 0,001). Penelitian ini merekomendasikan bahwa akupresur merupakan salah satu terapi komplementer yang dapat diterapkan untuk membantu menangani permasalahan nyeri dan kecemasan.

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Cancer patients who are undergoing chemotherapy often experience pain and anxiety. This study aims to identify the effect of acupressure on pain and anxiety due to chemotherapy in breast cancer patients at RSUD Jend. Ahmad Yani, Metro City, Lampung. This study used a Randomized Controlled Trial (RCT) design with randomized allocation using block randomization. The sample in this study is 48 respondents who were divided into two groups, group one 24 respondents in the intervention who received acupressure treatment at the LI4, LR3, PC6 and ST 36 points, and another 24 respondents in the control group received acupressure treatment at the placebo point. All groups continued to receive standard therapy. The results showed that the average reduction in pain and anxiety after acupressure in the intervention group was significantly higher than the control group (p value 0.001). This study recommends that the complementary therapies: acupressure can be applied to decrease pain and anxiety level"

"ABSTRAKAkupresur merupakan salah satu terapi komplementer pada anak yang mengalamimual muntah lambat akibat kemoterapi. Mual muntah merupakan efek sampingyang dapat menimbulkan stres pada anak dan keluarga. Penelitian ini bertujuanuntuk mengidentifikasi pengaruh terapi akupresur terhadap mual muntah lambatakibat kemoterapi pada anak usia sekolah yang menderita kanker di RS KankerDharmais Jakarta. Desain penelitian adalah kuasi eksperimen dengan pre-postwithout control design berupa pemberian akupresur pada titik P6 dan St36sebanyak 2 kali selama 3 menit setiap 6 jam sekali pada hari kedua setelahkemoterapi. Pengambilan sampel dengan cara consecutive sampling, 20responden anak usia sekolah dipilih sebagai responden. Hasil penelitianmenunjukkan penurunan rerata mual muntah setelah akupresur (p value=0,000).Kesimpulan akupresur dapat menurunkan mual muntah lambat akibat kemoterapipada anak usia sekolah yang menderita kanker. Rekomendasi penelitianakupresur dapat diterapkan sebagai terapi non farmakologi untuk mengurangimual muntah lambat akibat kemoterapi pada anak.

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ABSTRACTAcupressure is one of the complementary therapy on children who experiencedelayed chemotherapy-induced nausea and vomiting (CINV). Nausea vomiting isan effect that cause stress in children and their family. The purpose of thisresearch was to identify the effect of acupressure to delayed chemotherapyinducednausea and vomiting in school age who suffered from cancer at KankerDharmais Hospital Jakarta. The study design was quasi eksperiment with pre-posttest without control design form of acupressure point P6 and St36 2 times for 3minutes every 6 hours. Sample by consecutive sampling, 20 respondents agechildren selected for the study. Further, result also showed that there is asignificant decreases of the mean delayed nausea and vomiting scores afteracupressure. The conclusion was that the acupressure can decrease delayed CINVin school age who suffered from cancer. Acupressure research recommendationscan be applied as a non-pharmacological therapy to reduce nausea and vomitingcaused by chemotherapy than in children."

"Akupresur merupakan salah satu terapi komplementer pada pasien yang mengalami mual muntah akut akibat kemoterapi. Tindakan tersebut dapat menurunkan mual muntah akut akibat kemoterapi. Tujuan riset ini untuk mengidentifikasi pengaruh akupresur terhadap mual muntah akut pada pasien kanker di RSUPN Cipto Mangunkusumo dan RSUP Fatmawati Jakarta. Penelitian ini merupakan randomized clinical trial dengan metode single blind. Pengambilan sampel dengan cara concecutive sampling dan penentuan kelompok intervensi dan kontrol dengan randomisasi alokasi subjek sederhana. Sampel penelitian berjumlah 44 orang responden, terdiri dari 22 responden sebagai kelompok intervensi yang dilakukan terapi akupresur sebanyak tiga kali sehari, dan 22 responden sebagai kelompok kontrol. Pengujian perbedaan penurunan rata-rata skor mual, muntah dan mual muntah pada kelompok intervensi dan kelompok kontrol menggunakan uji T test. Hasil penelitian menunjukkan penurunan rata- rata mual muntah setelah akupresur pada kelompok intervensi signifikan lebih besar dibanding dengan kelompok kontrol (p value=0,000). Kesimpulan secara signifikan akupresur dapat menurunkan mual muntah akut akibat kemoterapi pada pasien kanker di RSUPN Cipto Mangunkusumo dan RSUP Fatmawati Jakarta. Disarankan akupresur supaya diterapkan sebagai bagian dari intervensi keperawatan dalam pemberian asuhan keperawatan pada pasien yang mengalami mual muntah akut akibat kemoterapi.

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Acupressure is one of the complementary theraphies of patients with acute chemotherapy-induced nausea and vomiting (CINV). The objective the study was to identify the effect of acupressure to acute CINV on patients with cancer at RSUPN Cipto Mangunkusumo and RSUP Fatmawati in Jakarta. This research was a randomized clinical trial with single blind method. A concecutive sampling was used as the sample collection method and simple randomization allocation subject was used to identify sample in intervention or control group. The number of samples was 44 respondents, consisted of twenty two subjects who were given an acupressure theraphy at acupressure point P6 and St36, three times a day; and the remaining was as the control group. A t-test was employed to examine the differences of the mean nausea scores and vomiting scores. Also, to examine the nausea and vomiting scores between the intervention and the control groups. Further, result also showed that there is a signifant decrease of the mean acute nausea and vomiting scores after acupressure between the two groups (p value=0,000). The conclusion was that the acupressure can decrease acute CINV on patients with cancer significantly at RSUPN Cipto Mangunkusumo and RSUP Fatmawati in Jakarta. Based on the findings, recommendation is directed to the hospital management especially nursing management to apply acupressure as a nursing intervention to patients with acute CINV due to chemotherapy. "