Intervensi Untuk Mengatasi Mual AntisipatoriPada Pasien Kanker Yang Menjalani KemoterapiLitelatur ReviewDadi Hamdani.1 Anggorowati.2 Awal Prasetyo.31 Departemen Ilmu Keperawatan, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia2 Departemen Ilmu Keperawatan, Fakultas Kedokteran Universitas Diponegoro, Semarang, Indonesia3 Departemen Ilmu Kedokteran, Fakultas Kedokteran Universitas Diponegoro, Semarang, IndonesiaEmail: dadi_ham@yahoo.co.id AbstrakLatar Belakang: Gejala mual muntah merupakan salah satu efek samping yang berat akibat pemberian obat kanker yang membuat stres pasien. Akibatnya, 27% pasien memilih menghentikan siklus terapi sehingga berpengaruh terhadap harapan hidupnya. Tujuan Utama : Menjelaskan berbagai intervensi untuk mengatasi mual antisipatori yang dialami pasien kanker yang menjalani kemoterapi. Metodologi : Basis data elektronik diidentifikasi dari EBSCO, Springer PubMed, Science Direct dan ProQuest dengan kata kunci: intervensi, mual, muntah, antisipatori, kanker dan kemoterapi. Kriteria inklusi dalam penelitian ini adalah artikel diterbitkan pada tahun 2009 – 2019, tersedia dalam teks lengkap, artikel menggunakan bahasa Inggris, dengan subyek manusia, desain RCT. Artikel terjaring adalah 7 artikel penelitian eksperimental yang kemudian dianalisis menggunakan PRISMA tanpa meta-analisis. Hasil : Sebanyak 7 artikel membahas tentang intervensi untuk menurunkan mual antisipatori terhadap pasien kanker yang menjalani kemoterapi. Semua penelitian pada kelompok intervensi memiliki efek positif dalam mengurangi mual dan muntah secara bermakna dengan nilai signifikansi: Satu artikel behavioral treatment (p<0,05), satu artikel Program yoga (p<0.01), dua artikel progressive muscle relaxation (p<0,05), satu artikel akupresur (p<0,05), dua artikel hipnoterapi (p<0,05). Kesimpulan : Intervensi hipnoterapi, progressive muscle relaxation, yoga, akupresur dan behavioral treatment merupakan teknik mengurangi mual antisipatori yang dialami oleh pasien kanker yang menjalani kemoterapi.Kata Kunci: intervensi; mual antisipatori; kanker; kemoterapi. Interventions To Reduce Anticipatory NauseaIn Cancer Patients Undergoing ChemotherapyAbstractBackground: Symptoms of nausea vomiting are one of the severe side effects due to the administration of cancer drugs that stress patients. As a result, 27% of patients choose to stop the therapy cycle so that it affects their life expectancy. Main Purpose: Describe various interventions to reduce the successful anticipatory nausea of cancer patients who support chemotherapy. Methodology: Basic electronic transmission data from EBSCO, Springer PubMed, Science Direct and ProQuest with keywords: intervention, nausea, vomiting, anticipatory, cancer and chemotherapy. The inclusion criteria in this study were articles published in 2009 - 2019, available in full text, articles using English, with human subjects, RCT designs. Netted articles were 7 experimental research articles which were then analyzed using PRISMA without meta-analysis. Results: A total of 7 articles discussed interventions to reduce anticipatory nausea for cancer patients who supported chemotherapy. Some studies in the intervention group have a positive effect in reducing nausea and vomiting. One behavioral care article (p<0,05), one yoga program article (p<0.01), two progressive muscle relaxation articles (p<0,05), one acupressure article (p<0,05), two hypnotherapy articles (p<0,05). Conclusion: Interventions in hypnotherapy, progressive muscle relaxation, yoga, acupressure and behavioral treatment are sexual anticipatory reduction techniques involving cancer patients who experience chemotherapy.Keywords: intervention; anticipatory nausea; cancer; chemotherapy.

Background: Head injury is a serious problem that can lead to death and even death. Handling of head injuries starts from protecting the brain with blood flow to the brain so that hypoxia or brain ischemia does not occur. Hemodynamics is the result of measuring systolic and diastolic blood pressure, pulse rate, and respiratory rate. Objectives: This literature review aims to find out what interventions can be done when there is an increase in hemodynamic status in head injury patients Methods: This database search was conducted by searching on google scholars with the keywords head injury, hemodynamics. The inclusion criteria of this literature review are articles that were researched within the last 5 years with the year published 2015-2020, full text, using the Indonesian language, the article that used is the article. Results: Interventions that can be done when there is an increase in hemodynamic status in head injury patients are giving oxygen and increasing 30o, giving oxygen through a simple mask and head position 30o, giving head-up position 30o compared to 15o position, giving nasal prong oxygenation therapy and murotal therapy Al-Qur'an for 30 minutes 3 times/day. Conclusion: All interventions resulting from this literature review were in the form of giving oxygen and increasing the head 30o, giving oxygen through a simple mask and head position 30o, giving the head position 30o compared to 15o position, giving nasal branch oxygenation therapy, and murotal Al-Qur'an therapy for 30 minutes 3 times/day.

End-stage kidney disease (ESRD) has an impact on the sufferer's physical, psychological, social, and spiritual well-being. These problems can reduce the quality of life of ESRD patients undergoing hemodialysis. This requires the patient to be fully involved, both in management and therapeutic decision-making, symptom management, and self-care. This literature review aims to describe various programs to improve the self-management skills of ESRD patients undergoing hemodialysis. The articles used in this literature review are sourced from the CINAHL, MEDLINE, and Google Scholar electronic databases with the keywords self-management, self-care, adherence, ESRD, and hemodialysis with inclusion criteria: published in 2015-2020, full text, using English or Indonesian, and experimental studies conducted on hemodialysis patients. Eight articles were obtained discussing programs that can be used to improve self-management of ESRD patients undergoing hemodialysis, including education and counseling programs, self-management programs, self-efficacy training, self-monitoring programs, and social support. The differences between each program include the time and technical implementation, while the similarities are that each program cannot be separated from education for providing health information to patients. Providing structured education and involving social support can be used as a program to improve self-management in ESRD patients undergoing hemodialysis.

Introduction: The development and support of digital technology have provided new opportunities to provide learning in the form of interesting educational games for early childhood. Because children are closely related to games, digital educational games are a strategic step to provide new experiences in learning, especially to improve children's memory and fine motor skills. Purpose: The purpose of this community service is to carry out play therapy using card media with Augmented Reality which children have never done before. Methods: Play therapy activities focused on school-age children are carried out by lecturers and a group of students from the D3 Nursing Study Program STIKes Muhammadiyah Ciamis. The method in play therapy activities uses simulation methods and direct practice in games using Augmented Reality card media. Location This service was held at SDN 1 Kalipucang Pangandaran with 20 students participating. Results: This community service activity can illustrate how play therapy improves fine motor skills and memory in early childhood by using the Augmented Reality card approach that is displayed on the cellphone screen and changes from a 2-dimensional image to a 3-dimensional image. The children became very enthusiastic and became very curious about what kind of images would appear from the Augmented Reality cards they held. The overall age of children is (6-13 years) and in this game, they have memory and fine motor skills that are quite good according to their developmental age. Conclusion: During the play therapy activities, it was successful and it was concluded that children were able to remember and know what type of cards and objects or creatures they were exploring with the help of a smartphone screen.

Objective: To present care with lemon aromatherapy intervention as an effort to overcome nausea and vomiting in gastritis patients. Methods: The method used is descriptive and uses nursing care that refers to the IDHS and SIKI books. The subject of this study was 1 patient with a nursing diagnosis of nausea and vomiting in gastritis patients who were treated in the Dahlia Room, Banjar City Hospital. Data collection includes interviews, observations, physical examinations and documentation. Results: The results of the case studies conducted showed a change after the non-pharmacological technique of lemon aromatherapy was proven by the final results, namely the evaluation carried out by the patient not feeling nauseated, the INVR scale 3. Conclusion: The conclusion from the results of the lemon aromatherapy intervention was considered effective for reducing nausea and vomiting with a decreased INVR scale. with the results of the final evaluation of the INVR 3 scale, the client said that nausea was reduced.