Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan
Lentera: Jurnal Ilmiah Kesehatan dan Keperawatan (e-ISSN: 2809-2929, p-ISSN: 2541-4119) is a peer-reviewed journal published by Faculty of Health, Muhammadiyah University of Sukabumi. Since its first issued in 2016, Lentera has been publishing scientific articles consistently research articles. Lentera publishes the new editions every July and December. Lentera is indexed by Google Scholar, Crossref, Garuda (Garba Rujukan Digital), Dimensions
Fakultas Kesehatan Universitas Muhammadiyah Sukabumi
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN PEMBERIAN OBAT KELASI BESI PADA ANAK DI RUANG THALASEMIA RSUD SAYANG CIANJUR
Thalasemia adalah gangguan penyakit darah yang disebabkan dari genetik dimana kemampuan tubuh dalam menghasilkan hemoglobin terganggu. Penelitian ini bertujuan untuk mengetahui Hubungan Dukungan Keluarga Dengan Kepatuhan Pemberian Obat Kelasi Besi Pada Anak di Ruang Thalasemia RSUD Sayang Cianjur. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross sectional dan korelasional. Jumlah sampel penelitian sebanyak 115 responden, Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki dukungan sebanyak 63.5% dan sebagian besar responden memiliki kepatuhan tinggi yaitu sebanyak 25%, Hasil uji bivariat menunjukkan terdapat hubungan antara pedukungan keluarga dengan kepatuhan pemberian obat kelasi besi katarak karena nilai p-value kurang dari 0.05. yaitu sebesar 0.04. Hasil penelitian ini menunjukan bahwa terdapat hubungan dukungan keluarga dengan kepatuhan pemberian obat kelasi besi pada anak di ruang thalasemia rsud sayang cianjur. Hasil penelitian ini menunjukan bahwa dukungan keluarga memiliki hubungan dengan tingkat kepatuhan pasien saat terhadap pengobatan thalasemi.
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HUBUNGAN KOMUNIKASI TERAPEUTIK PERAWAT DENGAN TINGKAT KECEMASAN KELUARGA PASIEN YANG DIRAWAT DI RUANG INTENSIVE CARE UNIT (ICU) UOBK RSUD JAMPANGKULON PROVINSI JAWA BARAT
Komunikasi terapeutik yang baik antara perawat dengan keluarga pasien maka dapat menimbulkan rasa nyaman, aman, dan rasa percaya kepada keluarga sehingga perawat dapat memberikan asuhan keperawatan yang lebih berkualitas kepada pasien. Kehadiran dan kepedulian keluarga, komunikasi yang bermakna dan kolaborasi dengan tim perawatan dapat membantu pasien selama perawatan di ICU. Oleh karena itu perawat memiliki tanggung jawab penting untuk mengatasi kebutuhan dan keprihatinan anggota keluarga selama di ICU. Penelitian ini bertujuan untuk mengetahui komunikasi terapeutik perawat dengan tingkat kecemasan keluarga pasien di ruang Intensive Care Unit. Metode Peneilitian ini menggunakan cross sectional. Penelitian ini menggunakan kuisioner dibagikan kepada keluarga pasien. Dapat disimpulkan bahwa ada hubungan yang signifikan antara komunikasi terapeutik perawat dengan tingkat kecemasan keluarga pasien yang dirawat di Ruang Intensive Care Unit.
HUBUNGAN TINGKAT PENGETAHUAN TENTANG BUNDLE VENTILATOR ASSOCIATED PNEUMONIA TERHADAP PERILAKU PERAWAT DALAM PENCEGAHAN VENTILATOR ASSOCIATED PNEUMONIA (VAP) DI ICU RSUD JAMPANGKULON
Based on the RSUD Jampangkulon Medical Records, the number of ICU patients in January-October 2023 was 226 people with information about using ventilators. The number of days on ventilators in September was 20 patients with 4 cases of VAP, while in October 2023 there were 30 patients on ventilators with 7 cases of VAP. For cases with VAP, only 11 cases of VAP were obtained with culture results for A. Baumannii, Streptococcus, Pseudomonas Aeruginosa, Escherichia Coli. The general objective of this research is to determine the relationship between the level of knowledge about the VAP Bundle and the behavior of nurses in preventing VAP in the ICU at Jampangkulon Regional Hospital. This research method uses correlative analytics using a cross sectional design. Cross sectional design is a study that studies the relationship between risk factors (independent) and effect factors (dependent). A total of 17 people were taken with total sampling. The measuring instrument was a questionnaire and analyzed using Chi-square. Results: This research shows that nurses have good knowledge and good behavior. The results of the correlation coefficient test in this study showed that the value r=0.757 can be interpreted as p<0.05, so it can be concluded that there is a significant relationship between the level of knowledge and the behavior of nurses in preventing VAP. The conclusion of this research is that nurses with good knowledge are more numerous than fairly good knowledge as much as 41.2%. There were more nurses with good behavior than those with bad behavior, namely 64.7%. So, there is a relationship between the level of knowledge about the VAP bundle and VAP prevention behavior with a value of 0.757 is lower than 0,05.
PENGARUH TERAPI BERMAIN ULAR TANGGA TERHADAP KECEMASAN HOSPITALISASI ANAK USIA PRA SEKOLAH 3–6 TAHUN DI RUANG ANAK RSUD PALABUHAN RATU
Hospitalization of preschool-aged children is a condition that requires children to stay in hospital, undergo treatment and care for planned reasons or emergency situations. Hospitalization that is not handled properly can cause persistent anxiety, and if this anxiety is not addressed, it can result in mental health problems. One non-pharmacological therapy to overcome the problem of hospitalization is play therapy. This study aims to determine the effect of snakes and ladders play therapy on the anxiety of hospitalization of pre-school aged children in the children's room at Palabuhan Ratu Regional Hospital. The research method used was a pre-experimental method without a control group and the design of this research was to use only one group with a pretest and posttest. The results of the research showed that 7.8% of respondents experienced mild anxiety before snakes and ladders play therapy and 92.2% experienced moderate anxiety. Anxiety after snakes and ladders play therapy, a small percentage of respondents experienced moderate anxiety of 7.8% and mild anxiety of 92.2%. The results of the Wilcoxon signed ranks test show a significance value of 0.000, smaller than 0.05, so it can be concluded that Ha is accepted, meaning that there is a significant influence between snakes and ladders play therapy intervention before being carried out in reducing anxiety in pre-school children aged 3 - 6 years. It is hoped that the results of the research will increase nurses' knowledge about the importance of play therapy, one of which is playing snakes and ladders as an intervention in providing nursing care to help reduce children's anxiety, especially preschool aged children who are undergoing treatment
THE PENGARUH TERAPI MUROTAL AL-QURAN TERHADAP TINGKAT KECEMASAN PASIEN PREOPERASI KATARAK DI RSUD PALABUHAN RATU
Cataract is a clouding of the lens of the eye that can cause vision problems. Cataracts can be treated with surgery to remove the damaged lens and replace it with a new light-proof lens. Surgical procedures are a stressor for individuals and increase anxiety. Several approaches to intervening in patients with anxiety problems are pharmacological and non-pharmacological. There are many types and types of non-pharmacological approaches in accordance with the role and function of nurses, one of which is murottal therapy. Al Qur'an murottal therapy or Al Qur'an therapy is a distraction technique that can be used to overcome anxiety in patients. This study aims to determine the effect of Al-Quran murotal therapy on the anxiety level of pre-cataract surgery patients at Palabuhan Ratu Regional Hospital. The research method used was a pre-experimental method without a control group and the design of this research was to use only one group with a pretest and posttest. The results of the study showed that anxiety before undergoing Al-Qur'an murotal therapy was that a small percentage of respondents experienced mild anxiety at 5% and moderate anxiety at 93%. Anxiety after Al-Qur'an murotal therapy was that 100% of patients who would undergo pre-operation cataracts after being given Al-Qur'an murotal therapy did not feel anxiety. Then, the results of the Wilcoxon test showed that there was an influence of Al-Qur'an murotal therapy on the anxiety of pre-cataract surgery patients at Palabuhan Ratu Regional Hospital with a p value of 0.001. It is hoped that the results of the research can be input for nurses at the Palabuhan Ratu Regional Hospital, especially in the operating room, so that they can create an official SOP regarding finger grip relaxation, to be used as an alternative nursing action in dealing with anxiety
HUBUNGAN CARING PERAWAT DENGAN TINGKAT KECEMASAN KELUARGA PASIEN DI RUANG INTENSIVE CARE UNIT (ICU) : LITERATUR REVIEW
Nurses who have a caring attitude have an impact on increasing confidence which has an impact on patient and family satisfaction in the condition of patients who are being treated in the ICU room, the family remains in a controlled mood so that caring is effective in reducing family anxiety. The purpose of this literature study can explain the relationship between nurses' caring behavior and the level of anxiety of patients and families in the ICU room. The method used was in the form of a literature study or literature review with a procedure for searching and selecting articles based on meta analysis (PRISMA) so that 16 selected articles were obtained that were worthy of analysis. The databases used in this study are Google Scholar, Pubmed and SCIENCE DIRECT with a publication span of the last 5 years, namely from 2019 to 2024 with fulltext article types. The results of the review of the 16 articles reviewed stated that the results of the statistical analysis test found that there was a correlation between the respondent's perception of nurse caring and the level of anxiety felt by the patient's family with a p-value of 0.05. The conclusion of this literature review is that there is a relationship between nurse caring and the level of anxiety of patients' families in the ICU room
Kombinasi Sinar Inframerah, Cadexomer Iodine Powder, dan Zinc Cream Pada Diabetic Foot Ulcer (DFU): Sebuah Case Report
The management of Diabetic Foot Ulcer (DFU) infections has undergone many developments. Some of therapies used, namely infrared, cadexomer iodine, and zinc cream as single therapies that have been proven effective. However, the combinations of these therapy is not yet known whether it’s more effective or not than single or double therapy. It’s important to know the outcome of combination of these therapys on the wound healing process. This case report was applied to DM Type 2 patient with DFU score 47 from Bates-Jansen Wound Assessment Tool (BJWAT) and hyperglycemic condition (355 mg/dL). Wound treatment was carried out using the TIME Concept and applying 3M principles which were repeated in 4 home visits for 11 days. The result showed wound improvement as indicated by decrease in BJWAT score from 47 to 38. The improvement in this case was supported by the strength of each therapy which is combined in the wound healing process compared to single or double therapy. The client's wound care has the potential to address bacterial colonization and prevent biofilm formation, maintain wound moisture, and autolysis of necrotic tissue in a faster time. However, there are several complicating factors of client’s wound healing process, namely hyperglycemia, non-adherence of insulin injection, infection, hypertension, and hyperurisemia. The combination of these three therapies was shown to wound healing in terms of wound depth, type and amount of necrotic tissue, peripheral edema, granulation, and epithelialization and accelerate wound repair compared to single or double combinations.
Faktor Diabetes Terhadap Terjadinya Disfungsi Ereksi
Latar Belakang : Diabetes mellitus atau sering disebut dengan DM dapat diartikan sebagai kelompok penyakit metabolic yang dimana terjadinya peningkatan kadar gula darah atau hiperglikemia sehingga dapat mengakibatkan peningkatan risiko kerusakan pada mikrovaskular. Diabetes mellitus merupakan penyakit kronis yang dapat menyebabkan berbagai kelainan medis, psikologis dan salah satunya yaitu kejadian disfungsi seksual pada pria apabila tidak dikelola dengan baik. Disfungsi ereksi merupakan salah satu komplikasi yang dapat berasal dari penyakit diabetes mellitus. Disfungsi ereksi atau impotensi merupakan ketidakmampuan yang persisten pada pria dalam mencapai atau mempertahankan fungsi ereksi untuk aktivitas seksual yang memuaskan Tujuan : Literature ini dilakukan untuk mengetahui faktor diabetes terhadap terjadinya disfungsi ereksi pada sistem reproduksi pria. Metode : literatur review. Literature review merupakan aktivitas penelusuran dan penelitian yang didapatkan dari membaca berbagai buku, jurnal, dan terbitan lain, yang berkaitan dengan topik penelitian yang dibahas, yang bertujuan sebagai contect review, dalam penulisan yang sedang dilakukan melalui kajian literature ini peneliti dapat menyatakan secara eksplisit. Hasil : Dari 9 jurnal artikel menggambarkan bahwa adanya faktor diabetes terhadap terjadinya disfungsi ereksi pada sistem reproduksi pria. Kesimpulan : Berdasarkan beberapa penelitian faktor yang dapat mempengaruhi terjadinya disfungsi ereksi pada penderita diabetes yaitu factors usia, lamanya mengidap diabetes, pasien dengan diabetes tipe 2, dan juga adanya faktor organik yang dipicu oleh DM.
Program Perawat KE-HATI (Perawat bersama Keluarga Sehat Mandiri): Edukasi Homecare melalui Pendekatan Family Center Nursing pada Perawat di Puskesmas Kabupaten Cianjur
Pada pelayanan homecare di tingkat puskesmas, perawat perkesmas memegang peran penting dalam pemberian asuhan keperawatan keluarga di dalamnya. Jumlah kunjungan pasien yang banyak disertai durasi jam operasional puskesmas yang tidak sebanding dengan jumlah perawat yang bertugas menjadi penyebab rendahnya cakupan intervensi berupa asuhan keperawatan keperawatan keluarga. Tujuan dari penelitian ini adalah untuk meningkatkan pengetahuan perawat puskesmas di Cianjur dalam memberikan pelayanan kunjungan rumah berupa homecare berbasis Family Center Nursing (FCN) sebagai bagian dari pelayanan luar gedung puskesmas sehingga kemandirian kesehatan masyarakat Cianjur dapat terwujud. Metode penelitian yang digunakan di dalam penelitian ini yaitu one group pretest-posttest design. Partisipan dipilih dengan metode purposive sampling pada perawat di Kabupaten Cianjur dengan kriteria inklusi yang telah ditetapkan. Jumlah partisipan adalah 91 orang. Partisipan mengalami peningkatan pengetahuan signifikan terhadap pelayanan homecare berbasis FCN (pvalue 0,000) dengan rata-rata peningkatan pengetahuan sebesar 3,1 poin. Peningkatan pengetahuan partisipan menunjukkan bahwa edukasi pelayanan homecare dengan pendekatan FCN merupakan pilihan efektif sebagai upaya mencapai kemandirian kesehatan keluarga di puskesmas Kabupaten Cianjur. Hasil penelitian ini diharapkan dapat menjadi referensi pengembangan asuhan keperawatan ke keluarga berupa homecare dengan pendekatan FCN di puskesmas.
family center nursing; homecare; keluarga; perawat; puskesmas
Pembentukan Gaya Hidup Pada Penderita Hipertensi ( Self Care Management ) Sesuai Dengan Penerapan Teori Dorothea E. Orem
Hypertension is the condition when the blood pressure against the artery wall is too high. Hypertensive disease usually requires self-care management to form independence toward lifestyle changes for sufferers. Self-care management is an optimal action to maintain health that is carried out independently by a person to meet the needs of life to improve and regulate the function of the individual. In the application of self-care management Dorothea E. Orem has a significant effect in controlling blood pressure. The establishment of nursing care within a certain terrorist framework is important in terms of contributing to improving the quality of service. The purpose of this case study is to build the independence of hypertensive patients by applying Orem's self-care management theory, the case involves a 44-year-old adult woman who suffers from hypertension due to an unhealthy lifestyle. Dorothea E. Orem's theory is important in improving the quality of health in hypertension cases.
Pengaruh Air Rebusan Daun Salam Terhadap Pasien Penderita Hipertensi
Hypertension is an increase in systolic blood pressure of more than 140 mmHg and 90mmHg diastolic. Hypertension is often referred to as the "silent killer" because it rarely shows signs and if it is suffered for a long time, it can cause various complications. Hypertension requires appropriate treatment, both from a pharmacological and non-pharmacological. The literature search used a strategy with keywords the effect of bay leaf boiled water on patients with hypertension. From 10 articles it is described that there is a relationship between the effect of bay leaf boiled water on patients with hypertension by drinking it every day. Based on the results of the study that the use of non-pharmacological therapy by giving bay leaf boiled water to hypertensive patients is considered effective for lowering blood pressure. Bay leaves are proven to have various pharmacological activities as antifungal, antibacterial, anti-inflammatory, antioxidant, anti cholesterol, antidiabetic, antimalarial, anti-hyperuricemia antidiarrheal.
PENERAPAN PENERAPAN TEORI VIRGINIA HENDERSON PADA PASIEN GASTROESOPHAGEAL REFLUX DISEASE
Gastroesophageal Reflux Disease (GERD) merupakan suatu gangguan di dalam tubuh yang menyebabkan isi lambung mengalami refluks secara berulang ke dalam esofagus, dan menimbulkan gejala khas. Penelitian ini bertujuan untuk memberikan pengetahuan dan memperdalam tentang penerapan teori Virginia Henderson dalam asuhan keperawatan pada Tn. J dan Ny. S yang mengalami GERD. Metode yang digunakan yaitu studi literature, sampel yang diamibil sebanyak 2 orang responden yaitu klien GERD. Data penelitian ini diambil dengan menggunakan wawancara dan observasi langsung kepada pasien. Hasil penelitian menunjukkan bahwa penerapan teori Virginia Henderson dalam praktik dan asuhan keperawatan dapat membantu dan mengembalikan kemandirian pasien dengan cara menerapkan 14 kebutuhan dasar manusia. Sehingga dapat disimpulkan teori Virginia Henderson sangat penting untuk diterapkan dalam asuhan keperawatan untuk meningkatkan kesehatan dan kenyamanan pasien dengan kasus Gastroesophageal Reflux Disease (GERD).
Telemidicine Untuk Pelayanan Kepada Keluarga
Pendahuluan Telemedicine adalah penggunaan teknologi komunikasi dan informasi untuk memberikan bantuan medis dengan jarak jauh ketika jarak menjadi kendala bagi konsultan. Telemedicine sangatlah penting bagi keluarga karena dengan adanya telemedicine dapat memudahkan keluarga untuk melakukan pelayanan kesehatan dalam jarak jauh. Dengan adanya telemedicine keluarga bisa memanfaatkan teknologi digital untuk mempermudah proses pengobatan melalui pesan atau telepon. Tujuan riview literatur ini untuk mengetahui bagai mana manfaat teknologi informasi dibidang kesehatan yaitu telemedicine untuk pelayanan keluarga. Metode ini menggunakan metode tinjauan pustaka yang diperoleh berdasarkan penelusuran kepustakaan yang dilaksanakan dengan cara membaca berbagai jurnal, buku, dan artikel lain yang berkaitan dengan pokok pembahasan dengan jumlah artikel yang diriview sebanyak 10. H asil literatur riview menyimpulkan bahwa telemedicine adalah pilihan lain dari pelayanan Kesehatan yang mudah dan praktis untuk keluarga karena tidak harus datang ke tempat pelayanan dan hadir secara fisik.
Faktor-Faktor Penyebab Ternyadinya Diabetes Melitus Pada Anak Pra Sekolah Di Wilyah Puskesmas Cianjur Kota
Diabetes Melitus (DM) pada anak usia pra-sekolah, walaupun merupakan kondisi langka, memberikan dampak signifikan terhadap kesehatan dan kualitas hidup anak-anak. Diagnosa DM pada tahap ini sering mengalami keterlambatan karena gejala yang tidak spesifik dan sulit diungkapkan oleh anak. Pengelolaan DM pada anak pra-sekolah memerlukan kolaborasi erat antara orang tua, dokter, perawat, dan ahli gizi, yang melibatkan pemantauan glukosa darah secara teratur. Faktor penyebab DM melibatkan peran genetik sebagai predisposisi, dengan faktor lingkungan, termasuk pola makan, dapat memicu reaksi autoimun yang merusak sel beta pankreas yang bertanggung jawab untuk menghasilkan insulin. Penelitian ini memiliki tujuan utama untuk mengidentifikasi faktor-faktor penyebab DM pada anak pra-sekolah, dengan penekanan pada peran genetik dan lingkungan. Melalui metodologi analisis regresi logistik, variabel lingkungan, seperti tingkat stres, paparan polusi udara, dan akses terhadap makanan sehat, dievaluasi untuk menentukan signifikansinya. Metode pengambilan sampel menggunakan purposive sampling. Hasil dari analisis regresi logistik menunjukkan bahwa Faktor Lingkungan memiliki signifikansi yang tinggi dalam memprediksi kemungkinan terjadinya Diabetes Melitus pada anak-anak pra-sekolah. Variabel Pola Makan menunjukkan tingkat signifikansi yang hampir mencapai batas, sementara variabel lainnya tidak terbukti signifikan. Keseluruhan, model regresi logistik ini secara konsisten sesuai dengan data dan memiliki kekuatan prediktif yang baik.Berdasarkan temuan ini, saran diberikan untuk meningkatkan pemantauan lingkungan anak pra-sekolah, termasuk tingkat stres, paparan polusi udara, dan akses terhadap makanan sehat. Upaya pencegahan dan deteksi dini perlu diperkuat, dengan penekanan pada edukasi orang tua mengenai pola makan sehat dan manajemen stres guna mengurangi risiko perkembangan DM pada anak pra-sekolah.
Literature Review: Senam Kegel Terhadap Inkontinensia Urine Pada Lanjut Usia
Physiological changes include the nervous system, hearing, vision, cardiovascular, body temperature regulation, breathing, endocrine system, skin system, urinary tract system, musculoskeletal, and mental changes in the elderly, especially personality changes, and changes in memory. and intelligence, Lifestyle changes are psychosocial changes. Method using a literature study with a narrative method from research results published in 2018-2023. The search used the Kegel exercise keyword strategy at BAK frequency on Google Scholar and PubMed with the criteria used, namely articles that discuss incontinence and Kegel exercises which can be used as an alternative therapy for constipation, availability of full text, sample, year of publication in the last 5 years. From 10 articles it was described that Kegel exercises were proven to be effective as an alternative therapy for patients with constipation.
Rheumatism is a disease that attacks the immune system which can cause inflammation of the joints. Due to the pain, rheumatism sufferers are often reluctant to carry out activities, which can interfere with their daily activities. Rheumatism cannot be left alone because rheumatism is a chronic and progressive disease. The aim of this literature review is to determine the effect of back massage therapy on rheumatic pain. This method uses a literature review method obtained based on a literature search carried out by reading various journals, books and other articles related to the subject with a total of 10 journals reviewed. The results of the literature review conclude that back massage is very effective for relieving pain in rheumatism.
Literatur Riview: Pengaruh Relaksasi Nafas Dalam (Deep Breathing) Dalam Menurunkan Tekanan Darah Terhadap Pasien Hipertensi
Pendahuluan: Hipertensi didefinisikan sebagai peningkatan tekanan darah di atas normal, dengan tekanan sistolik 140 mmHg dan tekanan diastolik lebih dari 90 mmHg. Yang juga dikenal dengan sebutan penyakit pembunuh diam-diam, yang mengakibatkan 7,5 juta kematian di dunia. Teknik relaksasi pernafasan dalam dapat digunakan untuk menurunkan hipertensi. Penelitian ini berupaya untuk memastikan apakah relaksasi pernafasan dalam dapat menurunkan tekanan darah pada penderita hipertensi. Metode: literatur review berdasarkan temuan penelitian yang diterbitkan antara tahun 2018 dan 2022 digunakan dalam penelitian ini. Dengan database yang digunakan Google Cendekia dengan kata kunci "Pernapasan Dalam dan Hipertensi", sebuah strategi untuk mencari literatur diterapkan. Parameter pencarian meliputi judul artikel yang membahas hubungan hipertensi, ketersediaan teks lengkap, sampel, dan tahun publikasi dalam lima tahun terakhir. Hasil: Dari 10 artikel menggambarkan bahwa terdapat pengaruh yang signifikan antara sebelum dan sesudah dilakukan teknik tersebut. Kesimpulan: dalam tindakan relaksasi pernafasan dalam sebaiknya dilakukan secara kontinu dan sesuai standar yang berlaku. Faktor yang mempengaruhi ketidakefetifan relaksasi nafas dalam diantaranya pola hidup yang tidak sehat, mengonsumsi makanan berlemak, mengonsumsi garam berlebihan, usia, hormon estrogen, dan jenis kelamin.
Hipertensi, Deep Breathing, Relaksasi Nafas Dalam
GAMBARAN TINGKAT STRESS DAN STRESSOR PADA MAHASISWA KESEHATAN TAHUN PERTAMA DALAM PEMBELAJARAN DARING SELAMA PANDEMI COVID-19: SEBUAH NARRATIVE REVIEW
Adanya pandemi Covid-19 membuat sebagian besar mahasiswa melakukan aktivitas di rumah dan melakukan pembelajaran secara daring. Mahasiswa pada tingkat pertama, merupakan kelompok khusus yang sedang dalam masa transisi paling signifikan. Hal tersebut ternyata bisa memicu adanya stres yang diakibatkan oleh berbagai stressor. Tujuan penelitian ini untuk mengetahui bagaimana gambaran tingkat stres dan stressor pada mahasiswa jurusan kesehatan tahun pertama dalam pembelajaran daring selama pandemi Covid-19. Metode yang digunakan dalam penulisan adalah studi narrative review dengan pencarian data menggunakan tiga database yakni PubMed, Cinahl dan Sciencedirect pada kurun waktu publikasi dari tahun 2020 sampai 2021. Kata kunci yang digunakan yaitu nursing students, medical students, covid-19, stress levels, dan stressors. Hasil penelitian ini meliputi tujuh artikel yang direview yang keseluruhannya merupakan cross-sectional study. Dari hasil review didapatkan bahwa tingkat stres mahasiswa tahun pertama dalam pembelajaran daring selama pandemic Covid-19 berada pada tingkatan sedang dan jenis stressornya yakni stressor akademik. Tingginya tingkat stres yang dialami mahasiswa tahun pertama disebabkan karena berubahnya cara pembelajaran yang mengakibatkan penundaan pada beberapa kegiatan akademik dan pembelajaran dilakukan secara online. Munculnya perubahan ini membuat mahasiswa dituntut untuk segera menyesuaikan diri, sehingga menciptakan suatu beban studi yang justru akan memicu peningkatan stres pada individu. Pada penelitian selanjutnya diharapkan untuk mencari tahu lebih lanjut mengenai gambaran umum bagaimana cara mahasiswa dalam menghadapi stress serta efektifitas dari cara penanganan tertentu (coping stress) terhadap tingkat stres pada mahasiswa.
Karakteristik Perawat Sebagai Pendidik Klinik Keperawatan (Clinical Instructor) dalam Proses Pembelajaran Klinik
ABSTRAK Latar belakang. Pembelajaran klinik atau lapangan adalah kegiatan pembelajaran yang diselenggarakan di lingkungan klinik termasuk di dalamnya adalah rumah sakit, klinik, rumah bersalin, puskesmas dan masyarakat. Pendidikan keperawatan sangat berkaitan erat antara pembelajaran di kelas dan pembelajaran di klinik, karena pembelajaran di klinik merupakan elemen yang sangat penting dalam pendidikan keperawatan. Pembelajaran klinik memfasilitasi peserta didik agar terpapar oleh berbagai macam aspek social, kultural, biologis, psikologis dan mental dalam merawat pasien. Pendidik klinik mempunyai tanggung jawab penting dalam memberikan motivasi untuk meningkatkan percaya diri mahasiswa. Tujuan. Memperoleh gambaran demografi pendidik klinik keperawatan dan memperoleh gambaran kepuasan pendidik klinik sebagai pendidik klinik keperawatan secara secara subjektif. Metodologi. Penelitian ini menggunakan metode penelitian deskriptif yang akan memberikan gambaran secara akurat mengenai karakteristik demografi pendidik klinik keperawatan dan tingkat kepuasannya sebagai pendidik klinik keperawatan. Subjek penelitian adalah pendidik klinik atau dalam keperawatan lebih dikenal dengan clinical instructor (CI) yang pernah atau sedang melaksanakan proses bimbingan klinik baik di rumah sakit ataupun di puskesmas dengan teknik total sampling yaitu sebanyak 60 responden. Hasil penelitian. Terdapat karakteristik clinical instructor yang bervariasi jumlah terbanyak adalah perempuan pada rentang usia >40- 50 tahun, mempunyai latar belakang pendidikan rata-rata S1 Keperawatan+Ners dengan pengalaman kerja pada rentang >5-10 tahun. Skala kepuasan pada rentang tinggi sehingga dapat disimpulkan mempunyai kepuasan yang tinggi pula. Kesimpulan. Mengingat pentingnya peran Clinical Instructor maka sangat perlu untuk diperhatikan kualifikasi clinical instructor yang terstandar. Dalam hal ini perlu di buat standar misalnya mengacu pada pendidikan di luar negeri bahwa clinical instructor harus ditentukan kualifikasi pendidikan, kemudian pengalaman bekerja sesuai dengan keahlian yang dimilikinya, dan mempunyai kemampuan untuk mengajar Kata kunci: Pendidik klinik; Clinical instructor; pembelajaran klinik ABSTRACT Background. Clinical or field learning is a learning activity that is held in the clinic environment including hospitals, clinics, maternity homes, health centres and community. Nursing education is closely linked to classroom learning and clinical learning, as clinical learning is a very important element of nursing education. Clinical learning facilitates learners to be exposed to a wide range of social, cultural, biological, psychological and mental aspects of caring for patients. Clinic educators play an important role in motivating students to increase their confidence. Purpose. Obtain a demographic picture of a nursing clinic educator and gain a subjective view of the clinical educator as a nursing clinic educator. Methodology. This study uses a descriptive research method that will provide an accurate picture of the demographic characteristics of a nursing clinic educator and its level of satisfaction as a nursing clinic educator. The research subjects were clinical educators or in nursing better known to clinical instructors (CI) who have been or are currently conducting clinical guidance in the hospital or the health centres with a total sampling technique of 60 respondents. The results of the research. There are clinical characteristics of the most varied instructors are women in the age range> 40-50, with a mean educational background of Bachelor of Nursing with work experience in the range> 5-10 years. Satisfaction scales at high ranges can be concluded to have high satisfaction. Conclusion. Given the importance of the Clinical Instructor's role then it is important to note that the clinical instructor's qualifications are up to date. In this case, it is necessary to set standards such as referring to overseas education that the clinical instructor should be determined by educational qualification, then experience working b his / her expertise, and ability to teach Keywords: Clinical educator; Clinical instructor; Clinical learning
Analisis Asuhan Keperawatan Pada Pasien Dengan Gangguan Sistem Pencernaan
According to data released by the Ministry of Health of the Republic of Indonesia regarding the incidence of appendicitis in Indonesia in 2016, the number of patients with appendicitis in Indonesia reached 591,819 people and increased in 2017 by 596,132 people (Soewito, 2017). The incidence of appendicitis in 2018 reached 7 of the world's population. In 2018 the incidence of appendicitis in most parts of Indonesia is still high. In Indonesia, the number of patients suffering from appendicitis is about 7% of the total population or about 179,000 people (Depkes, 2018). The author's goal is to be able to provide nursing care for post-operative appendectomy patients with acute pain nursing problems. Appendicitis is a painful swelling of the appendix with the management of appendectomy, namely surgery to remove the appendix, surgery is indicated when the diagnosis of appendicitis has been established. The research method used is a case study. Samples were taken according to the inclusion criteria of patients with post-appendectomy digestive system disorders with acute pain problems. The care was carried out for 3 days at the Bekasi District Hospital. Data was collected by: interviews, observations, physical examinations, and documentation studies. Data were analyzed narratively based on a comparison of two patients. Patient data 1 and 2 have been supportive to raise the problem of acute pain and its implementation has been implemented and there are no obstacles.
Kajian Literatur : Persalinan Sectio Caesarean Metode Enhanced Recovery After Surgery Menurunkan Lama Hari Rawat
SC delivery is carried out by incision on the abdominal wall and uterus. The ERAS (Enhanced Recovery After Surgery) method is a new technique in anesthesia with evidence-based perioperative care principles, a multidisciplinary approach and carried out in a team, continuous audits are carried out and continue to be developed. This study aims to conduct a study on the implementation of the ERAS method in reducing the length of stay. The method used in this study is a literature review by collecting data through literature information in the form of journals obtained from electronic tracing. There are 4 articles to be reviewed. From the results of the study, it was found that the implementation of ERAS during health services in the hospital provided effective interventions that occurred before, during and after surgery. The application of ERAS can reduce the length of stay without compromising the quality of service. The decrease in the length of stay is a parameter that is widely studied in the implementation of ERAS. So it can be concluded that patients who undergo surgery with the ERAS method get a better quality of service and one of the research parameters that significantly decreases is the length of stay.
Pemahaman Penggunaan Aplikasi Konsultasi Online dengan Kapatuhan Menjalani Pengobatan Penderita Diabetes Mellitus
Diabetes mellitus is disorder insulin secretion or resistance chronic so led to an increase blood glucose levels. The disease management is closely affected by compliance to the treatment of medication. The purpose of this research to know the understanding diabetic mellitus in used online consultation application with compliance to the treatment of medication. This research used crossectional design to 30 diabetes mellitus people in Kalimas Surabaya, with simple random sampling. The Chi Square result showed 0,00 (<0,05), that was a significant relation between Understanding used Online Consultation Application with compliance to the treatment of medication. The understanding is capability somebodu to understand and explain material known properly. The understanding on advis doctor and the effects of treatment is the key to success to run treatment in diabetes mellitus. Therefore this research was expected to increase awareness of diabetes mellitus and motivation to improve undergo treatment and controlled their blood glucose levels, and can become the basic of further research.
Hubungan Self Efficacy dengan Kualitas Hidup Penderita Gagal Ginjal Kronik di Ruang Hemodialisa Rumah Sakit Bhayangkara Setukpa Lemdikpol Kota Sukabumi
Chronic Kidney Disease (CKD) is a dangerous non-communicable disease, one of the therapies used is hemodialysis. As the duration of hemodialysis can affect the patient's quality of life. The purpose of this study was to determine the relationship between self-efficacy and quality of life in patients with chronic kidney disease. Chronic kidney disease is defined as a condition where the kidney function is not good, there is an accumulation of metabolic waste products and fluids in the body which results in impaired body function. One of the factors that affect the quality of life is self efficacy. This research uses correlational research with cross sectional approach. The population is 30 people with a sample size of 30 people. The sampling method is using Total Sampling. Statistical analysis using Fisher's exact. The results showed that self-efficacy was good at 60% and good quality of life was 66.7%. There is a relationship between self-efficacy and quality of life in patients with chronic kidney failure because it has a p-value of 0.009. The conclusion of the study is that there is a relationship between self-efficacy and the Quality of Life of Patients with Chronic Kidney Disease in the Hemodialysis Room, Bhayangkara Setukpa Hospital, Lemdikpol, Sukabumi City. It is hoped that the relevant agencies will continue to improve health counseling services about self-efficacy to further improve the quality of life and can minimize the possibility of chronic kidney disease.
Hubungan Dukungan Keluarga dan Sikap Ibu dengan Kelengkapan Imunisasi Masa Pandemic Covid-19 di Desa Warnasari
Immunization is the process by which a person is made immune to an infectious disease, usually by administering a vaccine. Family support is support given by family members so that individuals who are given support feel that they are cared for, valued, and get help from meaningful people and have strong family ties with other family members. Attitude is a person's closed response to a particular stimulus or object. The purpose of this study was to determine the relationship between family support and mother's attitude with the completeness of immunization during the COVID-19 pandemic. The design of this research is correlational using a cross sectional approach. The study population was all mothers who had children aged 10-12 months with a sample of 52 people with a total sampling technique. Data analysis using univariate analysis with median, frequency distribution and percentage of each category, bivariate analysis using chi square test. Analysis of the hypothesis test with a P-value of family support and immunization completeness 0.003 and immunization support and mother's attitude 0.008 which shows that there is a relationship between family support and mother's attitude with immunization completeness during the covid-19 pandemic. It was concluded that most mothers who had children aged 10-12 months had supportive family support, positive maternal attitudes and complete immunization completeness and there was a relationship between family support and maternal attitudes with immunization completeness during the COVID-19 pandemic.
Literature Review: Pengaruh Kompres Hangat Terhadap Nyeri Dismenorea Pada Remaja
Teenager will experience hormonal changes the body related to the maturity the reproductive organs, namely the first menstrual period is menarche. Warm compresses have effect on reducing dysmenorrhea pain, this is because the warm feeling can reduce muscle spasms, stimulate nerve fibers that close, has vasodilating effect on blood vessels, dilates blood vessels and improves blood circulation in tissues, reduces the effect muscle tension, reduces pain intensity and provides warm and comfortable feeling. To identify the effect warm compresses on dysmenorrhea pain in adolescents. The method used this research is literature review. Using the Google Scholar data base source, the keywords warm compresses, dysmenorrhea pain, teenagers. Maximum time for publishing articles is 10 years (2012-2022). It was found that 3 articles were taken according the inclusion criteria. It was found that the characteristics the selected respondents were among adolescents including the age 15-25 years, the dysmenorrhea pain scale before was mild to severe pain and after warm compresses it became painless to mild pain. Identification dysmenorrhea in adolescents, namely primary dysmenorrhea. The results analysis from three journal articles show that warm compresses have effect on reducing dysmenorrhea pain among adolescents. Conclusion, warm compresses have effect on reducing dysmenorrhea among adolescents.
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Pemberian Terapi Relaksasi Nafas Dalam Terhadap Kondisi Ansietas Pasien Dengan Hipertensi
The elderly are a vulnerable group who often experience anxiety. Anxiety experienced by the elderly is caused by the presence of several health problems that accompany one of them is hypertension. Anxiety in the elderly with hypertension is associated with complications that may occur, such as heart failure, stroke, myocardial infarction to death. The purpose of this study was to describe the nursing care process for hypertensive patients with anxiety using deep breathing therapy interventions. The research design uses a descriptive method with a case study approach in hypertensive elderly who experience anxiety. Data obtained by conducting interviews, observation and physical examination. Giving deep breathing intervention for 3 visits showed that the anxiety problem was partially resolved. This condition can be seen from the decrease in the level of anxiety, the patient looks more relaxed and does not show any anxiety. The results of the case studies are expected to be a motivation in the management of anxiety in hypertensive patients so as to prevent further complications. And can be used as a reference for providing further interventions to be modified with other interventions in the management of anxiety.
Literature Review : Pengaruh Terapi Relaksasi Otot Progresif Terhadap Tingkat Kecemasan Pada Pasien Hipertensi
Background : Anxiety is one of the most common psychiatric diseases in adults and is a public health problem that occurs in many countries. Anxiety is characterized by a person's feeling of fear of the emergence of a problem that exists in people with hypertension. So far, anxiety management can be done by a nurse using pharmacological and non-pharmacological methods. Pharmacologically with anti-anxiety drugs while the non-pharmacological method is by using progressive muscle relaxation techniques. Objective: To identify the effect of progressive muscle relaxation therapy on anxiety levels in hypertensive patients. Methods: The method used in this study is a literature review using the Google Scholar, PubMed, and Garuda portal data base sources with the keywords progressive muscle relaxation, anxiety, and hypertension with a maximum time span of 10 years for publishing articles (2012-2022). Results: There were 387 articles and 3 articles were found according to the inclusion criteria. The results of the analysis of the three articles show that the implementation of progressive muscle relaxation techniques has similarities in the implementation procedure, which involves the facial muscles to the feet using 15 movement guidelines for progressive muscle relaxation techniques. The implementation of progressive muscle relaxation can help a person feel relaxed when experiencing anxiety. Conclusion: Progressive muscle relaxation techniques have an effect on reducing anxiety levels in hypertensive patients.
Hubungan Pengetahuan dan Sikap Perawat dengan Penerapan Patient Safety pada Masa Pandemi Covid-19 di Ruang IGD RSUD X
Patient safety is a system that aims to provide care for patients safely as an effort to prevent unwanted events. Written reports of patient safety incidents that occur in Indonesia are categorized by the number of cases based on the result of the incident, KNC 38%, KTC 31% and KTD 31%. The purpose of the study was the relationship between knowledge and attitudes of nurses with the application of patient safety during the COVID-19 pandemic in the emergency room of RSUD X. This type of research used an analytical observational study with a cross sectional approach. The population in this study were all 39 nurses in the emergency room and a total sample of 39 nurses using a total sampling technique. Data analysis using Chi square test. The results of the analysis obtained knowledge (p = 0.007) and attitudes (p = 0.022) related to the application of patient safety during the Covid-19 pandemic in the ER Room of RSUD X. From the explanation above, it is expected that all nurses should implement patient safety when examining patients.
Pengaruh Senam Kaki Diabetes Mellitus terhadap Kadar Gula Darah Penderita DM Tipe 2 di Wilayah Kerja Puskesmas Ciemas
Diabetes Mellitus is a non-communicable metabolic disorder that affects several millions of people worldwide. One of the ways to manage type 2 DM is physical exercise. Physical exercise that can be done is foot exercises. The purpose of this study was to determine the effect of foot exercise on changes in blood sugar levels in patients with type 2 diabetes. This type of research was a quasi-experimental with a total sample of 18 people. The sampling technique used was purposive sampling. The instruments used are SOP and glukotest. Hypothesis testing using Paired sample t-test. The results of the study obtained a p-value of 0.000 which indicates that there is an effect of foot exercise on changes in blood sugar levels in patients with type 2 diabetes. The mean pre-test value is 218.22 and the post-test is 202.82 with a difference of 15.28. In conclusion, there is an effect of foot exercise on changes in blood sugar levels in patients with type 2 diabetes. It is hoped that this foot exercise can be used as non-pharmacological therapy for patients with type 2 diabetes, especially in lowering blood sugar levels.
Tingkat Pengetahuan Perawat tentang Lima Momen Kebersihan Tangan
Hand hygiene is one of the most important steps to prevent infection in health services and the nurses have a big role in preventing infection because they interact with patients for 24 hours. One of the factors that influence the application of the five moments of hand hygiene is the knowledge of nurses. The objective of this research was to determine the level of knowledge of nurses about five moments of hand hygiene. The research design was quantitative using descriptive method. The samples in this research were 35 nurses which were taken through total sampling technique. The measuring instrument was a questionnaire which consisted of 20 questions. The results of the research showed that the respondents who had knowledge of the five moments of hand hygiene in the high category was 16 respondents (45.7%), the range of age of 26-35 years was 16 respondents (45.7%), female sex was 27 respondents (77.1%), Associate degree of Nursing program was 30 respondents (85.7%) with a length of work for 1-5 years was 15 respondents (42.9%). It can be concluded that respondents who have knowledge about five moments of hand hygiene is in the high category. From the results of this research, it is expected that respondents can continue to improve their knowledge and compliance in carrying out the five moments of hand hygiene, especially in the second and fifth moments through training.