ASSYIFA : Jurnal Ilmu Kesehatan

PERBEDAAN TINGKAT NYERI PADA PASIEN KRITIS DI ICU YANG TERPASANG VENTILATOR MEKANIK PADA PASIEN DENGAN GANGGUAN NEUROLOGI SEBAGAI PENYAKIT DASARNYA: LITERATURE REVIEW

Diah Pujiastuti — 2026-07-20

Critically ill patients with neurological disorders who are on mechanical ventilation face unique challenges in pain assessment and management due to limitations in verbal communication and changes in level of consciousness. This literature review to identify and analyze differences in pain levels among critically ill ICU patients on mechanical ventilation, particularly those with underlying neurological disorders, through a systematic review. The literature review utilized the PubMed, CINAHL, and Google Scholar databases for articles published between 2020 and 2025. Keywords used: pain assessment, critically ill patients, mechanical ventilation, neurological disorders, ICU. Studies indicate that patients with neurological disorders exhibit different pain behaviors (atypical behaviors) compared to general ICU patients. CPOT and BPS have been shown to be valid for pain assessment in this population. Patients with traumatic brain injury exhibit atypical behaviors such as tears, facial flushing, and yawning. The prevalence of moderate to severe pain reaches 40–70% in patients on mechanical ventilation. There are significant differences in pain manifestations and assessment between neurological and non-neurological patients in the ICU who are on mechanical ventilation. Assessment instruments specifically adapted for the neurological population, such as the CPOT, are needed to improve the accuracy of pain detection.

ASUHAN KEPERAWATAN PADA PASIEN FRAKTUR EKSTREMITAS MELALUI PENERAPAN ROM PASIF DALAM MENINGKATKAN FUNGSI MOBILITAS

Elsha Estetica Senora Br Tambunan — 2026-07-20

Extremity fractures can lead to impaired mobility, pain, and complications due to immobilization. Passive Range of Motion exercise is an essential nursing intervention to maintain joint function and prevent complications. This study aimed to describe the implementation of nursing care through passive Range of Motion in patients with femur fracture and distal fracture. The method used was a qualitative case study involving two patients hospitalized in a surgical unit with a two-day observation period. Data were collected through assessment, clinical observation, and evaluation of muscle strength, joint range of motion, pain level, and patient independence. The results showed that there was no significant improvement in mobility within two days; however, pain remained tolerable and no complications such as circulatory impairment or joint stiffness were observed. Passive Range of Motion provided preventive benefits by maintaining joint flexibility and peripheral circulation. In conclusion, this intervention is effective in preventing complications during the early phase of fracture, although it does not significantly improve mobility in a short period.

EFEKTIVITAS INTERVENSI PANGAN FUNGSIONAL BERBASIS PUDING BUAH LONTAR (BORASSUS FLABELLIFER) DAN EKSTRAK DAUN KELOR TERHADAP PENINGKATAN KADAR HEMOGLOBIN IBU HAMIL

Khusnul Khotimah — 2026-07-20

Anemia in pregnancy remains a major public health problem in developing countries. Iron supplementation programs are widely implemented; however, their effectiveness is often limited by low compliance. Therefore, alternative interventions based on functional foods that are more acceptable and sustainable are needed. This study aimed to evaluate the effectiveness of palm fruit pudding (Borassus flabellifer) fortified with Moringa leaf extract (Moringa oleifera) in improving hemoglobin levels among pregnant women. A quasi-experimental study with a pretest-posttest control group design was conducted involving 30 pregnant women in their second and third trimesters, divided into an intervention group (n=15) and a control group (n=15). The intervention group received fortified pudding for 30 days, while the control group received nutritional education and iron supplementation. Data were analyzed using paired t-test, independent t-test with a significance level of p < 0.05. The results showed that both groups experienced an increase in hemoglobin levels; however, the increase was greater in the intervention group compared to the control group. The mean hemoglobin change in the intervention group was 1.32 ± 0.13 g/dL, while in the control group it was 0.95 ± 0.19 g/dL, with a statistically significant difference (p < 0.001). It can be concluded that palm fruit pudding fortified with Moringa leaf extract is effective in increasing hemoglobin levels in pregnant women and has potential as a local functional food-based intervention for anemia prevention.

STUDI LITERATUR : PENERAPAN AKUPRESUR TERHADAP INTENSITAS NYERI PERSALINAN KALA I

I Gusti Ayu Agung Sartika — 2026-07-22

Labor pain is a physiological condition experienced by almost all women during childbirth. Managing labor pain is a fundamental goal of intrapartum care, and non-pharmacological approaches-such as acupressure-are utilized for this purpose. Acupressure is a simple, side-effect-free, non-pharmacological method that can serve as an alternative for reducing labor pain. Research Objective: To determine the effect of acupressure on reducing the intensity of labor pain during the first stage of labor. This study employed a literature review method; the article selection process followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, comprising four stages: identification, screening, eligibility assessment, and inclusion. Articles were obtained by searching the Google Scholar database using a combination of keywords: acupressure, pain, and first-stage labor. Subsequently, duplicate articles were removed, screening was conducted based on titles and abstracts, and eligibility was assessed through full-text review. Articles meeting the inclusion criteria were then evaluated for methodological quality using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Articles that passed the quality assessment were included in the final synthesis to analyze the effect of acupressure techniques on reducing labor pain intensity during the first stage of labor. Based on the literature review results, it can be concluded that acupressure techniques are effective in reducing the intensity of labor pain during the first stage of labor.

PERAN TUNGAU DEBU RUMAH SEBAGAI ALERGEN PEMICU ASMA ATOPIK PADA PASIEN DI LAYANAN PRIMER

Reqgi First Trasia — 2026-07-22

Atopic asthma is a form of asthma closely associated with immune responses to environmental allergens. Exposure to indoor allergens, such as house dust mites, mold, and pet dander, contributes to chronic airway inflammation and poor asthma control. This systematic review aimed to identify, select, and synthesize scientific evidence regarding the association between indoor environmental allergen exposure, particularly house dust mites, and asthma control in atopic patients. A systematic literature search was conducted through PubMed, Scopus, and Google Scholar databases, covering publications from 2015 to 2026. The keywords used included “house dust mite”, “Dermatophagoides”, “indoor allergens”, “environmental allergen exposure”, “atopic asthma”, “allergic asthma”, and “asthma control”, along with Indonesian terms such as “tungau debu rumah”, “alergen lingkungan rumah”, “asma atopik”, and “kontrol asma”. The initial search identified 128 articles. After removing duplicates and screening titles, abstracts, full texts, and eligibility criteria, 32 articles were included and analyzed in this review. The findings consistently demonstrated that exposure to indoor environmental allergens, particularly house dust mites (Dermatophagoides sp.), mold, and pet dander, was associated with poorer asthma control in atopic patients. Comprehensive allergen exposure reduction interventions showed meaningful clinical benefits. Therefore, indoor environmental assessment and allergen control education should be integrated into asthma management in primary healthcare settings.

STUDI LITERATUR : BIRTH BALL UNTUK INTENSITAS NYERI PERSALINAN KALA 1

Ni Wayan Lasihati — 2026-07-22

Labor pain arises from uterine contractions that push the baby's head, causing cervical dilation and effacement. If not managed effectively, labor pain can lead to complications such as prolonged labor. One therapeutic intervention for first-stage labor pain is the use of a birth ball-an inflatable rubber ball designed to help reduce labor pain. Research Objective: To examine the application of birth balls regarding pain intensity during the first stage of labor. This study employed a literature review method; the article selection process followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, comprising four stages: identification, screening, eligibility assessment, and inclusion. Articles were obtained by searching the Google Scholar database using the keywords "birth ball," "pain," and "labor." Subsequently, duplicate articles were removed, screening was conducted based on titles and abstracts, and eligibility was assessed through full-text review. Articles meeting the inclusion criteria were then evaluated for methodological quality using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Articles that passed the quality assessment were included in the final synthesis to analyze the effect of birth ball use on reducing pain intensity during the first stage of labor. Based on the literature review results, it can be concluded that birth balls are effective in reducing pain intensity during the first stage of labor.

STRATEGI MODIFIKASI LINGKUNGAN DALAM UPAYA MEMINIMALKAN RISIKO JATUH PADA LANSIA DI UPT PSTW JEMBER

Nayla Justichi — 2026-07-22

Older adults are at high risk of falls due to declining physical function and balance caused by intrinsic and extrinsic factors. Unsafe environmental conditions are among the major contributors to fall incidents. This study aimed to describe environmental modification strategies to minimize fall risk among older adults at UPT PSTW Jember. A descriptive case study was conducted on a 77-year-old female older adult with a high risk of falling. Data were collected through observation using the Home Safety Self-Assessment Tool (HSSAT), interviews, documentation, and field notes during four visits. Following environmental modifications, including the installation of handrails, use of anti-slip mats, facility arrangement, and safety education, the HSSAT score increased from 6 to 9. The participant also reported feeling safer during daily activities. Simple environmental modifications are effective in reducing fall risk among older adults and can be applied as a fall prevention strategy in nursing homes and home settings.

PENGARUH EDUKASI FARMASI TERHADAP TINGKAT PENGETAHUAN PASIEN TENTANG OBAT SENDI DI APOTEK ESA GEMILANG KOTA PALOPO

Ricky Aditya Syam — 2026-07-22

The background of this problem is the high incidence rate of joint disorders and the low understanding of patients towards treatments that risk triggering fatal complications. Therefore, the purpose of this study is to evaluate the influence of pharmaceutical education on patients' level of knowledge about joint medicine. This research was carried out in May–June 2025. This research method uses a pre-experimental quantitative approach with a pretest and posttest design of one group. Samples were taken through the saturated sampling technique, involving 42 patients at the Esa Gemilang Pharmacy, Palopo City. Data was collected using a standardized questionnaire and analyzed through the Paired Samples t-test. The results of the study showed a statistically significant increase in knowledge. Before the intervention, as many as 57.1 percent of patients had low knowledge, but after being given two-way participatory education based on visual media, 85.7 percent of patients managed to achieve a high level of knowledge with a significance value of 0.000 and an average difference of -2.452. In conclusion, pharmaceutical education interventions are significantly effective in improving patient health literacy. The researcher suggested that pharmacy services integrate interactive communication approaches and understanding screening as routine operational standards to optimize clinical outcomes.