Persatuan Perawat Nasional Indonesia: PPNI Jawa Tengah Journal
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EFEKTIVITAS PERAWATAN LUKA MODERN DENGAN TEKNIK BALUTAN MOIST WOUND HEALING PADA PENYEMBUHAN ULKUS DIABETIKUM DI KLINIK RUMAT JAKARTA.: EFEKTIVITAS PERAWATAN LUKA MODERN DENGAN TEKNIK BALUTAN MOIST WOUND HEALING PADA PENYEMBUHAN ULKUS DIABETIKUM DI KLINIK RUMAT JAKARTA.
No full textDiabetes Mellitus often becomes a serious health problem in various developing and developed countries in the world. Most people with diabetes mellitus are at risk of developing diabetic ulcers. If not treated quickly it can develop into an infection. The newest wound healing methods currently have an important role in treating diabetic ulcers, one of which is Modern Dressing with Moist Wound Healing. The aim of this research is to identify the effectiveness of modern wound care using moist wound healing dressing techniques in healing diabetic ulcers at the Rumat clinic in Jakarta. The research design used in this study used a quasi-experimental design with a cross-sectional method approach. The population in this study were all patients who underwent wound care at the Rumat Jakarta clinic. The sampling used was accidental sampling, which took cases or respondents who happened to be present or available in a place according to the research context, namely 30 respondents. Based on the results of the Paired T-Test and Independent T-Test, the p-value was obtained (0.000 < α 0.05), this proves that there is the effectiveness of modern wound care using the Moist Wound Healing dressing technique in healing diabetic ulcers in home clinics in Jakarta. Meanwhile, in the control group, after carrying out bivariate analysis using statistical tests, a significance value of p value α = 0.080 (p > 0.05) was obtained. Thus, it can be said that there is no effectiveness of modern wound care using moist wound healing dressing techniques in healing diabetic ulcers at the Rumat Clinic in Jakarta. It is hoped that the Jakarta Rumat Clinic can improve the quality and quality of modern wound care services using moist wound healing dressing techniques for diabetic ulcer sufferers.Diabetes Melitus sering menjadi masalah kesehatan yang serius di berbagai negara berkembang dan negara maju di dunia. Sebagian besar penderita Diabetes Melitus memiliki risiko dalam menghadapi ulkus diabetikum. Jika tidak ditangani dengan cepat maka dapat berkembang menjadi infeksi. Metode penyembuhan luka terbaru saat ini memiliki peranan penting dalam perawatan ulkus diabetikum salah satunya Modern Dressing dengan Moist Wound Healing. Tujuan penelitian ini adalah untuk mengidentifikasi efektivitas perawatan luka modern dengan menggunakan teknik balutan moist wound healing pada penyembuhan ulkus diabetikum di klinik Rumat Jakarta. Desain penelitian yang digunakan dalam penelitian ini menggunakan desain quasy eksperiment dengan pendekatan metode cross sectional. Populasi dalam penelitian ini adalah semua pasien yang melakukan perawatan luka di klinik Rumat Jakarta. Pengambilan sampel yang digunakan adalah accidental sampling, dimana mengambil kasus atau responden yang secara kebetulan ada atau tersedia di suatu tempat sesuai dengan konteks penelitian yaitu 30 responden. Berdasarkan hasil uji Paired T-Tes dan Independet T-Test diperoleh nilai p-value (0,000 < α 0,05) hal ini membuktikan terdapat efektivitas perawatan luka modern dengan teknik balutan Moist Wound Healing pada penyembuhan ulkus diabetikum di klinik rumat Jakarta. Sedangkan pada kelompok kontrol setelah dilakukan analisis bivariat menggunakan uji statistic diperoleh nilai signifikasi p value α = 0.080 (p > 0.05). Dengan demikian dapat dikatakan bahwa tidak terdapat efektivitas perawatan luka modern dengan teknik balutan moist wound healing pada penyembuhan ulkus diabetikum di Klinik Rumat Jakarta. Diharapkan Klinik Rumat Jakarta dapat meningkatkan kualitas dan mutu pelayanan perawatan luka modern dengan teknik balutan moist wound healing pada penderita ulkus diabetikum
TERAPI ORIENTASI REALITAS PADA PASIEN DENGAN WAHAM KEBESARAN DI KLINIK REHABILITASI JIWA: CLINICAL CASE REPORT
No full textTerapi orientasi realitas berperan dalam mendorong penderita waham kembali pada kenyataan dengan tidak membenarkan ataupun menentang waham yang dimilikinya. Pasien berusia 41 tahun dengan diagnosa medis bipolar disorder di Klinik Rehabilitasi Jiwa daerah Kabupaten Garut, diketahui memiliki waham kebesaran yang ditandai dengan keyakinan bahwa dirinya merupakan seorang keturunan keraton yang memiliki kerabat dari Timur Tengah. Penelitian ini bertujuan untuk menggambarkan pemberian asuhan keperawatan jiwa melalui terapi orientasi realitas pada pasien bipolar disorder dengan waham kebesaran. Penelitian ini menggunakan metode clinical case report. Intervensi terapi orientasi realitas dilaksanakan selama lima hari implementasi dan satu hari evaluasi dengan durasi intervensi 1 x 15 – 30 menit per hari. Hasil evaluasi menunjukkan pasien telah menyadari gangguan proses pikir dalam dirinya, namun menilik dari respon agresivitas dan intensitas waham pada pasien yang tidak stabil selama pelaksanaan implementasi, maka masalah pada pasien belum dapat dinyatakan selesai sepenuhnya. Diharapkan, terapi orientasi realitas dapat dilanjutkan oleh perawat klinik disertai dengan optimalisasi pemberian dukungan keluarga dan tindakan perawatan kolaborati
Peran Perawat Dalam Membangun Insight Pada Pasien Skizofrenia Dengan Halusinasi Sebagai Upaya Untuk Mencegah Kekambuhan : A Case Report
No full textPendahuluan : Insight yang buruk pada pasien dengan Skizofrenia berkaitan erat dengan munculnya relaps atau kekambuhan. Penataan ulang perawatan klinis dan peran tim tenaga kesehatan untuk menjadi lebih baik akan bernanfaat untuk pasien dengan insight yang buruk. Maka dari itu, tujuan dari studi kasus ini untuk menganalisis peran perawat dalam membangun insight pasien Skizofrenia untuk mencegah kekambuhan. Case report : Seorang laki-laki berusia 31 tahun dengan Skizofrenia mengalami gejala halusinasi pendengaran dan penglihatan mengalami relaps dengan faktor utama adanya insight yang buruk. Pembahasan : Peran perawat sesuai core theory diantaranya mendampingi pasien, memantau kepatuhan pengobatan, membantu merefleksikan diri, memberikan intervensi berbasis evidence, kolaborasi interdisiplin dan melakukan psikoedukasi. Namun tidak seluruh peran tersebut dilakukan oleh perawat di lapangan diantaranya memberikan intervensi berbasis evidence, dan tidak optimal dalam membantu merefleksikan diri serta mendampingi pasien. Kesimpulan : Pada dasarnya peran perawat di lapangan secara keseluruhan belum optimal dengan kendala utama perawat belum memahami pentingnya aspek insight dalam mencegah kekambuhan
The The Effect of Health Education Using the "Module on Mental Health for Children and Adolescents" Media on Mental Health Knowledge of Health Cadres in Suro Village: Pengaruh Pendidikan Kesehatan Dengan Media “Modul Sehat Jiwa Anak Dan Remaja†Terhadap Pengetahuan Kesehatan Jiwa Pada Kader Kesehatan Di Desa Suro
No full textBackground: Detection of mental health in children and adolescents is essential for the next stage of growth and development, this is done to prevent and minimize disturbances so that when children and adolescents face problems, they can survive.
Purpose: The study aimed to determine the effect of health education using “Module on Mental Health for Children and Adolescents†media on the mental health knowledge of Health Cadres In Suro Village.
Methods: This study used a pre-experimental design, one group pretest, and a posttest involving 40 health cadres in Suro Village in 2022. The total sampling technique was used because the population was less than 100. Data were collected using mental health knowledge questionnaires tested for validity and reliability by researchers. Univariate analysis was used to describe the characteristics of health cadres, and knowledge of cadres before and after health education. In contrast, bivariate analysis was conducted to determine health education’s effect on increasing knowledge of health cadres using the mental health module. Data were then analyzed using SPSS version 26 for windows.
Results: The results showed that the majority of cadres were 25-36 years (37.5%), the last education was junior high school (47,5%), they were housewives (70%), and the length of service as cadres was 1-10 years (60%). The Wilcoxon test results obtained a p-value of 0.000<0.05, meaning that there was a significant change in the level of knowledge after health education was carried out.
Conclusion: “Module on Mental Health for Children and Adolescents†can be used to increase mental health knowledge among Health Cadres.
 
THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND STRESS LEVELS IN SINGLE PARENTS: HUBUNGAN DUKUNGAN SOSIAL DENGAN TINGKAT STRESS PADA SINGLE PARENTS
No full textStress is often experienced by Single Parents today, as for some factors that affect stress, namely economic factors, social environment, workload, and lack of social support. economic factors, social environment, workload and lack of social support. The purpose of the study was to determine the relationship between social support and stress levels in Single Parents in Kemlagi Gede Village, Turi District, Lamongan Regency.
The research design uses an analytical correlation method with a cross sectional approach to 49 Single Parents in Kemlagi Gede Village, Turi District, Lamongan Regency. The sampling technique used to analyze is simple random sampling. This research instrument uses a questionnaire which is done offline.
The results showed a relationship between social support and stress levels in single parents in Kemlagi Gede Village, Turi District, Lamongan Regency. Analysis using the Sperman rank test (rank) (a-≤0.05) obtained a value of sr = -0.424 which means there is a relationship between social support and stress levels in single parents in Kemlagi Gede Village, Turi District, Lamongan Regency.
Good social support can reduce stress levels so it is hoped that social support can be used regularly by the community in order to reduce stress levels in single parents in Kemlagi Gede Village, Turi District, Lamongan Regency.
Keywords: Social Support, Stress Level, Single Parents
PENGALAMAN TENAGA KESEHATAN DALAM MERAWAT IBU HAMIL DENGAN PREEKLAMSIA DI KABUPATEN JEMBER
No full textPreeclampsia is a pathologic condition occurred in pregnancy commonly characterized by blood pressure elevation, proteinuria, and peripheral edema. Preeclampsia is a serious condition and potentially could be fatal to mother and fetal condition without proper and prompt management. The aim of this study is to explore healthcare provider experience in the management of preeclampsia among pregnant women in Jember Regency, East Java. This study was conducted using qualitative method with phenomenology approach to explore healthcare providers’ experience. Participants in this study consisted from 10 healthcare providers which work at the local public health center’s maternal and children health unit. Data related to healthcare providers’ experiences were collected and explored using qualitative interview and analyzed using Collaizi method. Data analysis results showed that there were several factors which support and inhibit healthcare provider efforts to prevent and manage preeclampsia. These findings highlight the obstacle and phenomena experienced by healthcare providers in the field, which could be used to evaluate and improve current strategies used in prevention and management of preeclampsia
OVERVIEW OF NURSE\u27S KNOWLEDGE ABOUT DISCHARGE PLANNING OF COVID 19 PATIENTS
No full textMarch 2, 2022, there were 437 million people with confirmed COVID 19, Indonesia, positive confirmed cases of Covid 19 reached 5,589,176 cases, with 539,214 of them requiring hospitalization. Discharge planning is carried out by nurses in a structured manner starting from the assessment when the patient enters the hospital until the patient goes home. Lack of understanding and knowledge about the mechanism for implementing discharge planning causes nurses to tend not to carry out discharge planning to patients.
This study was conducted to describe nurses\u27 knowledge about COVID 19 discharge planning. The type of research used was non-experimental quantitative, while the design used was descriptive research. The population in this study were nurses in the Covid 19 room at the Tugurejo Hospital, Semarang, with a total of 55 nurses. Sampling technique used was non-probability sampling with total sampling. The data collection process was carried out using questionnaires filled out by respondents.
The results showed that nurses with good knowledge amounted to 47.3%, moderate knowledge 41.8% and less knowledge amounted to 10.9%.
Key word : Nurse, knowledge, discharge planning, Covid 1
Effect of Diabetes Self-Management Education (DSME) Method on Self-Care Behavior in Type 2 Diabetes Mellitus Patients
No full textIntroduction:Diabetes Self Management Education (DSME) is education that is able to increase patient knowledge regarding strategies related to how to implement care independently. With increasing patient knowledge, it will have an impact on patient self-care, especially Type 2 DM patients.Objective:the purpose of this study was to determine the effect of the Diabetes Self-Management Education (DSME) method on self-care behavior in Type 2 Diabetes Mellitus patients.Method:This type of research is a quasi experiment with a pre and posttest non equivalent control group approach. The sample in this study was 16 samples obtained by purposive sampling technique and divided into 2 groups. The instrument measures Self Care using the SDSCA questionnaire. Data were analyzed by paired t test and independent t test with 95% CI. This research was conducted on June 1-24, 2022.Result and discussion:The results showed that the p value of the paired t test in the intervention group was 0.002 and 0.001 in the control group, while the p value of the independent t test was 0.047 (p value Ë‚ 0.05). It is expected that Type 2 DM patients will implement the DSME program which is useful for preventing complications and can improve self care behavior.Conclusion:the results of the DSME assessment in type 2 diabetes mellitus patients using the summary of diabetes self care activity (SDSCA) questionnaire measuring tool proved that patients in the intervention group experienced an increase in knowledge of 75%
STUDI KUALITATIF PERAN IBU DALAM TOILET TRAINING PADA MASA PANDEMI COVID-19 DI POSYANDU ANGGREK DUSUN BONTITAN SENDANGAGUNG MINGGIR SLEMAN YOGYAKARTA
No full textBackground:. Mothers play an important role in the success of toilet training for children, especially during Covid-19 pandemic. Phenomenon at the research site, there were some children aged 2-4 years old using diapers from morning to night and having a habit of defecating at any place. There were some parents who did not know about toilet training.
Objective: This research aims to know the role of mothers in toilet training during Covid-19 pandemic at Posyandu Anggrek, Bontitan, Sendangagung Minggir, Sleman, Yogyakarta.
Method: It was qualitative design with phenomenological approach. The population was 34 mothers. The sampling technique was purposive sampling with 6 participants. Data analysis used qualitative analysis.
Result: The results revealed six main themes: 1) The role of mothers in minimizing the use of diapers. 2) How to do to toilet training. 3) Collaboration with other family members. 4) Observing children\u27s readiness. 5) Motivator in toilet training. 6) Recognizing toilet training obstacle.
Conclusion: The readiness of mothers and children as well as support by other family members can increase the success of toilet training, especially during Covid 19 pandemic.
Suggestion: Further researchers are recommended to conduct research on relationship between mothers’ role and experiences in toilet training for children.
Keywords: Toilet Training – Mother\u27s Role
xv + 70 pages + 2 tables + 2 schemas + 14 appendices
Bibliography: 36, 2013 – 202
Hubungan Pengetahuan Perawat dengan Pencegahan Risiko Jatuh
No full textRisiko jatuh merupakan suatu kejadian yang rentan terjadi pada pasien di rumah sakit yang disebabkan karena faktor ekstrinsik seperti lingkungan dan faktor instrinsik seperti kondisi fisiologis pasien. Dampak dari jatuh yaitu cedera yang dialami 30% sampai 51% pada pasien di rumah sakit. Penerapan pencegahan risiko jatuh dalam situasi klinis didasarkan pada faktor personal yaitu pengetahuan perawat. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan perawat dengan pencegahan risiko jatuh. Desain penelitian adalah cross sectional dengan teknik pengambilan sampel stratified random sampling yang dilakukan pada 77 responden perawat pelaksana di ruang rawat inap. Instrumen yang digunakan berupa kuesioner. Hasil penelitian ini menunjukkan p-value = 0,000 dengan batas kemaknaan (α<0,05), sehingga dapat disimpulkan bahwa terdapat hubungan antara pengetahuan perawat dengan pencegahan risiko jatuh. Perlu adanya sosialisasi maupun pelatihan yang dilakukan untuk perawat di ruang rawat inap terkait dengan keselamatan pasien khususnya risiko jatuh yang sesuai standar prosedur operasional rumah sakit agar perawat dapat mengakses informasi terbaru mengenai keselamatan pasie