Journal Nursing Care and Biomolecular
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HUBUNGAN KIE TENTANG COVID-19 DENGAN PERUBAHAN TINGKAT KECEMASAN PASIEN RAWAT INAP KELAS 3 RUMAH SAKIT GRAHA MEDIKA
Get PDF Introduction: The Covid-19 pandemic (Coronavirus Disease-2019) has become an event that threatens public health and has been declared a health emergency. The Covid-19 pandemic had a significant impact on patients resulting in psychological disorders including anxiety, communication of information and education to patients can reduce the level of change in anxiety in patients, as shown by a preliminary study, 85% of patients experienced severe anxiety. The purpose of this study was to analyze the effect of IEC on Covid-19 on changes in patient anxiety levels. Method: In this study, using a crossectional. The instrument of this research used a questionnaire. Respondents studied were 30 respondents. The research instrument used a questionnaire by using accidental sampling technique. Then tested with the Wilcoxon Signed Ranks Test statistical test Result: The results of the Wilcoxon Signed Ranks Test analysis test with an Asym.Sig value (p value < 0.05) of 0.000. This shows that there is an This shows that there is a relationship between KIE regarding Covid-19 and changes in the anxiety level of class 3 inpatients at Graha Medika Hospital. Discussion: Researchers hope for respondents to remain positive in implementing the Covid-19 prevention protocol, so that anxiety does not arise when undergoing treatment at the hospital, besides that it is hoped that they will continue to carry out health protocols in daily life.
Keywords: Health Education, Anxiety, Covid-19 Protocol Introduction: The Covid-19 pandemic (Coronavirus Disease-2019) has become an event that threatens public health and has been declared a health emergency. The Covid-19 pandemic had a significant impact on patients resulting in psychological disorders including anxiety, communication of information and education to patients can reduce the level of change in anxiety in patients, as shown by a preliminary study, 85% of patients experienced severe anxiety. The purpose of this study was to analyze the effect of IEC on Covid-19 on changes in patient anxiety levels. Method: In this study, using a crossectional. The instrument of this research used a questionnaire. Respondents studied were 30 respondents. The research instrument used a questionnaire by using accidental sampling technique. Then tested with the Wilcoxon Signed Ranks Test statistical test Result: The results of the Wilcoxon Signed Ranks Test analysis test with an Asym.Sig value (p value < 0.05) of 0.000. This shows that there is an This shows that there is a relationship between KIE regarding Covid-19 and changes in the anxiety level of class 3 inpatients at Graha Medika Hospital. Discussion: Researchers hope for respondents to remain positive in implementing the Covid-19 prevention protocol, so that anxiety does not arise when undergoing treatment at the hospital, besides that it is hoped that they will continue to carry out health protocols in daily life.
Keywords: Health Education, Anxiety, Covid-19 Protoco
PENGARUH EFFLEURAGE MASSAGE TERHADAP AFTER PAINS PADA IBU POSTPARTUM DI PMB MAMIK YULAIKAH BULULAWANG
Get PDFThe postpartum period (puerperium) begins after the birth of the placenta and ends until the uterus returns to its pre-pregnancy state. Pain after childbirth (Afterpains) is caused by sequential uterine contractions and relaxation that occur continuously. This pain is more common in women with high parity and in breastfeeding women. Effleurage massage is a massage technique that is used to help speed up the recovery process by using the touch of the hand to create a relaxing effect. The aim of this study was to determine the effect of effleurage massage on afterpains. The research method uses the One Group Pretest-Posttest. The sample in this study were 15 multigravid postpartum mothers who met the inclusion criteria. The sampling technique uses Consecutive Sampling. The results showed that (33.3%) respondents experienced severe pain analyzed using Wilcoxson with a P-value sign of 0.001 <α (0.05), which means that there is an effect of effleurage massage on afterpains in post partum mothers. It was concluded that there was an effect of effleurage massage on breastfeeding afterpains in post partum mothers at PMB Mamik Yulaikah Bululawang. Suggestions for Post Partum mothers are expected to increase knowledge in an effort to reduce afterpains
Keywords: Afterpains, Effleurage Massage, Postpartum MotherAziiz, Anastaya. 2023. Pengaruh Effleurage Massage Terhadap After Pains Pada Ibu Postpartum Hari Pertama Di Pmb Mamik Yulaikah Bululawang. Skripsi. Program Studi Sarjana Kebidanan Institut Teknologi Sains dan Kebidanan Rs dr Soepraoen Malang. Pembimbing I Sulistiyah, S,SiT., M.Kes. Ina Indriati, SST., M.Kes.
Masa nifas (puerperium) dimulai setelah plasenta lahir dan berakhir sampai alat-alat kandungan kembali seperti sebelum hamil. Nyeri setelah melahirkan (Afterpains) disebabkan oleh kontraksi dan releksasi uterus berurutan yang terjadi secara terus-menerus. Nyeri ini lebih umum terjadi pada wanita dengan paritas tinggi dan pada wanita menyusui. Effleurage massage merupakan teknik pemijatan yang dilakukan untuk membantu mempercepat proses pemulihan dengan menggunakan sentuhan tangan untuk menimbulkan efek relaksasi. Tujuan dari penelitian ini untk mengetahui pengaruh effleurage massage terhadap afterpains. Metode penelitian menggunakan One Group Pretest-Posttest. Sampel pada penelitian ini yaitu 15 ibu nifas multigravida yang memenuhi kriteria inklusi. Teknik pengambilan sampel menggunakan Consecutive Sampling. Hasil penelitian menunjukkan bahwa (33,3%) responden mengalami nyeri berat dianaliis menggunakan Wilcoxson dengan hasil P-value sign sebesar 0,001 < α (0,05) yang artinya ada pengaruh effleurage massage terhadap afterpains pada ibu Post Partum. Disimpulkan terdapat Pengaruh effleurage massage terhadap afterpains ASI pada ibu Post Partum di PMB Mamik Yulaikah Bululawang. Saran bagi ibu Post Partum diharapkan dapat menambah pengetahuan dalam upaya mengurangi afterpains.
Kata kunci: Afterpains, Effleurage Massage, Ibu nifa
HUBUNGAN TINGKAT KECEMASAN DENGAN ADAPTASI LINGKUNGAN ASRAMA KEPERAWATAN UNIVERSITAS TRIBHUWANA TUNGGADEWI
Get PDF Introduction: The dormitory environment causes students to need the ability to adapt or coping mechanisms that make someone able to get to know a new environment so as not to cause excessive anxiety in students. The purpose of this study was to determine the relationship between anxiety level and environment adaptation of the nursing students at the Nursing Dormitory of Tribhuwana Tunggadewi University. Methods: The research design used a correlative design with a cross sectional approach. The population in the study was all new students of the nursing program who live at dormitory Tribhuwana Tunggadewi University as many as 72 people based on data on the number of students of the Class of 2023, and the sampling technique used simple random sampling so that a sample of 61 people was obtained. The research instrument used questionnaire sheets. Hypothesis testing using Chi square. Results: The results showed that the level of anxiety was mostly categorized as moderate anxiety, which was 35 people (57.4%), the environmental adaptation at dormitory was mostly categorized as maladaptive at 33 people (54.1%), and the results of hypothesis testing obtained a significant value of 0.001 (p value ≤ 0.05) which means that the data was declared significant and H1 was accepted, meaning that there was a relationship between the level of anxiety and the environmental adaptation dormitory in new students of nursing program of Tribhuwana Tunggadewi University. Discussion: Further research needs to add several other factors that have not been studied by researchers at this time such as external factors (physical trauma, loss and socioeconomic), physiological, psychological, developmental and maturity factors, and alsocultural and religious factors.
Keywords: environmental, adaptation dormitory; Anxiety Introduction: The dormitory environment causes students to need the ability to adapt or coping mechanisms that make someone able to get to know a new environment so as not to cause excessive anxiety in students. The purpose of this study was to determine the relationship between anxiety level and environment adaptation of the nursing students at the Nursing Dormitory of Tribhuwana Tunggadewi University. Methods: The research design used a correlative design with a cross sectional approach. The population in the study was all new students of the nursing program who live at dormitory Tribhuwana Tunggadewi University as many as 72 people based on data on the number of students of the Class of 2023, and the sampling technique used simple random sampling so that a sample of 61 people was obtained. The research instrument used questionnaire sheets. Hypothesis testing using Chi square. Results: The results showed that the level of anxiety was mostly categorized as moderate anxiety, which was 35 people (57.4%), the environmental adaptation at dormitory was mostly categorized as maladaptive at 33 people (54.1%), and the results of hypothesis testing obtained a significant value of 0.001 (p value ≤ 0.05) which means that the data was declared significant and H1 was accepted, meaning that there was a relationship between the level of anxiety and the environmental adaptation dormitory in new students of nursing program of Tribhuwana Tunggadewi University. Discussion: Further research needs to add several other factors that have not been studied by researchers at this time such as external factors (physical trauma, loss and socioeconomic), physiological, psychological, developmental and maturity factors, and alsocultural and religious factors.
Keywords: environmental, adaptation dormitory; Anxiet
HUBUNGAN TEKNIK MENYUSUI YANG BENAR DENGAN KEJADIAN PUTING LECET PADA IBU NIFAS DI PMB ERLYN FERRYAWATI KABUPATEN LUMAJANG: HUBUNGAN TEKNIK MENYUSUI YANG BENAR DENGAN KEJADIAN PUTING LECET PADA IBU NIFAS DI PMB ERLYN FERRYAWATI KABUPATEN LUMAJANG
No full textIntroduction: A problem that often occurs in breastfeeding mothers is incorrect breastfeeding technique which results in cracked nipple, where the baby does not suckle all the way to the areola. Cracked nipple are one of the problems in breastfeeding caused by trauma to the nipples during breastfeeding. Objective: This study aims to determine the relationship between correct breastfeeding technique and the incidence of cracked nipple in postpartum mothers 3-10 day at PMB Erlyn Ferryawati, Lumajang District. Method: This research used is analytical survey with a cross-sectional approach. The population of this study were all postpartum mothers who breastfed for 3-10 days at PMB Erlyn Ferryawati, Lumajang District for the period January-March 2024 with a sample size of 30 respondents uses purposive sampling. The research instrument used a checklist sheets and observation sheets. Statistical tests were analyzed with chi-square test. Results and Analysis: Most postpartum mothers' breastfeeding techniques for 3-10 days are in the appropriate category, and do not experience cracked nipple. The Chi-Square test results obtained p-value 0.011< 0.05, so it can be concluded that there is a relationship between correct breastfeeding techniques and the incidence of cracked nipple in postpartum mothers 3-10 day at PMB Erlyn Ferryawati, Lumajang District. Discussion: It is hoped that health workers can improve counseling and education programs on correct breastfeeding techniques to prevent cracked nipple.
Keyword: Breastfeeding Technique, Cracked Nipple, Postpartum MotherPendahuluan: Permasalahan yang sering terjadi pada ibu menyusui adalah teknik menyusui yang salah sehingga mengakibatkan puting pecah-pecah, dimana bayi tidak menyusu sampai ke areola. Puting pecah-pecah merupakan salah satu masalah dalam menyusui yang disebabkan oleh adanya trauma pada puting susu saat menyusui. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan teknik menyusui yang benar dengan kejadian puting pecah-pecah pada ibu nifas 3-10 hari di PMB Erlyn Ferryawati Kabupaten Lumajang. Metode: Penelitian yang digunakan adalah survei analitik dengan pendekatan cross-sectional. Populasi penelitian ini adalah seluruh ibu nifas yang menyusui selama 3-10 hari di PMB Erlyn Ferryawati Kabupaten Lumajang periode Januari-Maret 2024 dengan jumlah sampel sebanyak 30 responden dengan menggunakan purposive sampling. Instrumen penelitian menggunakan lembar checklist dan lembar observasi. Uji statistik dianalisis dengan uji chi-square. Hasil dan Analisis : Sebagian besar teknik menyusui ibu nifas selama 3-10 hari berada pada kategori sesuai, dan tidak mengalami puting pecah-pecah. Hasil uji Chi-Square diperoleh p-value 0,011< 0,05 sehingga dapat disimpulkan ada hubungan teknik menyusui yang benar dengan kejadian puting pecah-pecah pada ibu nifas 3-10 hari di PMB Erlyn Ferryawati Kabupaten Lumajang. Diskusi: Diharapkan kepada tenaga kesehatan dapat meningkatkan program penyuluhan dan edukasi mengenai teknik menyusui yang benar untuk mencegah puting pecah-pecah.Kata Kunci: Teknik Menyusui, Puting Retak, Ibu Nifa
THE PENGARUH AKUPRESUR TERHADAP PENGELUARAN ASI PADA IBU POSTPARTUM: PENGARUH AKUPRESUR TERHADAP PENGELUARAN ASI PADA IBU POSTPARTUM
No full textintroduction: Breast milk is the best nutrition for babies, becouse its natural nature and complete composition and is suitable for babies. In addition, acupressure can also accelerate breast milk. This study aims to determine the effect of acupressure on breast milk production in postpartum mothers. Method: This study used a pre-experimental research design, Static-Group Comparison research method. As an independent variable is acupressure and the dependent variable is breast milk production. The research population was 21 people and to determine the sample using a non-probability sampling approach, namely purposive sampling. The total number of samples was 14 which were divided into two groups, namely the case group (7 respondents) and the control group (7 respondents). Data collection was carried out by measuring breast milk before and after acupressure treatment in the case group. Result and analysis: The results of the study showed a change in the case group, the release of breast milk in 7 respondents (100%), before the treatment it was found that the respondents in the case group did not release breast milk. Based on the statistical test with the Two Sample T test, a significant difference was obtained where the calculated t was 4.012> t table 2.178, which means that there is an effect of acupressure on the release of breast milk in Postpartum mothers. Discussion: Acupressure can balance Qi energy in the body using points according to acupuncture points. With this balance of Qi energy, the flow of energy in the body is smooth and there is no spleen deficiency so that milk production is adequate. acupressure has an effect on prolactin secretion, which can increase breast milk production.
Keyword: Pengeluaran ASI, Akupresur, ibu postpartumintroduction: Breast milk is the best nutrition for babies, becouse its natural nature and complete composition and is suitable for babies. In addition, acupressure can also accelerate breast milk. This study aims to determine the effect of acupressure on breast milk production in postpartum mothers. Method: This study used a pre-experimental research design, Static-Group Comparison research method. As an independent variable is acupressure and the dependent variable is breast milk production. The research population was 21 people and to determine the sample using a non-probability sampling approach, namely purposive sampling. The total number of samples was 14 which were divided into two groups, namely the case group (7 respondents) and the control group (7 respondents). Data collection was carried out by measuring breast milk before and after acupressure treatment in the case group. Result and analysis: The results of the study showed a change in the case group, the release of breast milk in 7 respondents (100%), before the treatment it was found that the respondents in the case group did not release breast milk. Based on the statistical test with the Two Sample T test, a significant difference was obtained where the calculated t was 4.012> t table 2.178, which means that there is an effect of acupressure on the release of breast milk in Postpartum mothers. Discussion: Acupressure can balance Qi energy in the body using points according to acupuncture points. With this balance of Qi energy, the flow of energy in the body is smooth and there is no spleen deficiency so that milk production is adequate. acupressure has an effect on prolactin secretion, which can increase breast milk production.
Keyword: Pengeluaran ASI, Akupresur, ibu postpartu
GAMBARAN TANDA-TANDA VITAL PASIEN KANKER PARU SEBELUM DAN SESUDAH MENJALANI KEMOTERAPI
Get PDFIntroduction: Lung cancer is a malignant tumor originating from the bronchial epithelium. The management of lung cancer with available treatment modalities includes surgery, radiation, and chemotherapy. Chemotherapy involves the administration of antineoplastic preparations that can kill cancer cells. Chemotherapy can cause changes in vital signs. The purpose of this study is to determine the description of vital signs in lung cancer patients undergoing chemotherapy. Method: This research is a quantitative observational study with a descriptive cross-sectional approach. The population was 61 with a sample of 42 respondents. The sampling technique used was Consecutive Sampling. The research instruments used were vital signs observation sheets, sphygmomanometer, thermometer, and a calibrated watch. Result: The description of vital signs in lung cancer patients before and after undergoing chemotherapy is as follows: before chemotherapy, the average systolic blood pressure was 128 mmHg, diastolic blood pressure 86.14 mmHg, pulse rate 88 x/minute, respiratory rate 22 x/minute, body temperature was 36.4ºC. After chemotherapy, the average systolic blood pressure was 130 mmHg, diastolic blood pressure 87.92 mmHg, pulse rate 89 x/minute, respiratory rate 22 x/minute, body temperature 36.4ºC. Discussion: The vital signs of lung cancer patients before and after undergoing chemotherapy increased due to physical and emotional stress.
Keywords: Vital Signs, Lung Cancer, ChemotherapyIntroduction: Lung cancer is a malignant tumor originating from the bronchial epithelium. The management of lung cancer with available treatment modalities includes surgery, radiation, and chemotherapy. Chemotherapy involves the administration of antineoplastic preparations that can kill cancer cells. Chemotherapy can cause changes in vital signs. The purpose of this study is to determine the description of vital signs in lung cancer patients undergoing chemotherapy. Method: This research is a quantitative observational study with a descriptive cross-sectional approach. The population was 61 with a sample of 42 respondents. The sampling technique used was Consecutive Sampling. The research instruments used were vital signs observation sheets, sphygmomanometer, thermometer, and a calibrated watch. Result: The description of vital signs in lung cancer patients before and after undergoing chemotherapy is as follows: before chemotherapy, the average systolic blood pressure was 128 mmHg, diastolic blood pressure 86.14 mmHg, pulse rate 88 x/minute, respiratory rate 22 x/minute, body temperature was 36.4ºC. After chemotherapy, the average systolic blood pressure was 130 mmHg, diastolic blood pressure 87.92 mmHg, pulse rate 89 x/minute, respiratory rate 22 x/minute, body temperature 36.4ºC. Discussion: The vital signs of lung cancer patients before and after undergoing chemotherapy increased due to physical and emotional stress.
Keywords: Vital Signs, Lung Cancer, Chemotherap
PENGARUH AROMATERAPI ESSENSIAL OIL BERGAMOT TERHADAP TEKANAN DARAH, NADI, PERNAPASAN, SUHU PASIEN KANKER PAYUDARA DI RSUD DR.MOEWARDI SURAKARTA
Get PDF Introduction: One of the treatments for breast cancer is chemotherapy. The effects of chemotherapy cause patients to experience worry, anxiety, fear, and pain during therapy. This affects the patient's vital signs, causing them to increase. The management of aromatherapy using bergamot essential oil can release endorphins and serotonin, which can reduce anxiety levels and improve vital signs. The purpose of this study is to determine the effect of bergamot essential oil aromatherapy on blood pressure, pulse, respiration, and temperature of breast cancer patients at RSUD dr. Moewardi. Method: Uses a quantitative approach with a Quasi-Experimental method and a pre and post without control design. The study population was 1,329 in the last 3 months. The sampling technique used purposive sampling with 67 respondents. The research instruments used were observation sheets, digital sphygmomanometer, thermometer, watch, aromatherapy administration SOP, gloves, diffuser, 3 drops of bergamot essential oil, and 40 ml of aqua water, administered for 15 minutes. Result and analysis: The results showed blood pressure value of 0.000, pulse value of 0.000, respiration value of 0.000, body temperature value of 0.000, concluding a p-value of 0.000<0.05, which means H0 is rejected and Ha is accepted. This indicates that there is an effect of bergamot essential oil aromatherapy on blood pressure, pulse, respiration, and temperature of breast cancer patients at RSUD dr. Moewardi. Discussion: Aromatherapy can improve vital signs because it works directly on tryptophan and can help with the relaxation response.
Keywords: Essential Oil Bergamot, Blood Pressure, Pulse, Respiration, Temperature, Breast Cancer Introduction: One of the treatments for breast cancer is chemotherapy. The effects of chemotherapy cause patients to experience worry, anxiety, fear, and pain during therapy. This affects the patient's vital signs, causing them to increase. The management of aromatherapy using bergamot essential oil can release endorphins and serotonin, which can reduce anxiety levels and improve vital signs. The purpose of this study is to determine the effect of bergamot essential oil aromatherapy on blood pressure, pulse, respiration, and temperature of breast cancer patients at RSUD dr. Moewardi. Method: Uses a quantitative approach with a Quasi-Experimental method and a pre and post without control design. The study population was 1,329 in the last 3 months. The sampling technique used purposive sampling with 67 respondents. The research instruments used were observation sheets, digital sphygmomanometer, thermometer, watch, aromatherapy administration SOP, gloves, diffuser, 3 drops of bergamot essential oil, and 40 ml of aqua water, administered for 15 minutes. Result and analysis: The results showed blood pressure value of 0.000, pulse value of 0.000, respiration value of 0.000, body temperature value of 0.000, concluding a p-value of 0.000<0.05, which means H0 is rejected and Ha is accepted. This indicates that there is an effect of bergamot essential oil aromatherapy on blood pressure, pulse, respiration, and temperature of breast cancer patients at RSUD dr. Moewardi. Discussion: Aromatherapy can improve vital signs because it works directly on tryptophan and can help with the relaxation response.
Keywords: Essential Oil Bergamot, Blood Pressure, Pulse, Respiration, Temperature, Breast Cance
EFEKTIFITAS PERBEDAAN KONSUMSI BLACK GARLIC TUNGGAL DAN MAJEMUK TERHADAP PENURUNAN TEKANAN DARAH PASIEN HIPERTENSI
Get PDFOne of the management of hypertension is complementary therapy using natural ingredients. Black garlic is a complementary therapy made from natural ingredients by processing fermented garlic. The purpose of this study was to analyze the effectiveness of differences in the consumption of single and double black garlic in reducing blood pressure in hypertensive patients, using a quasi-experimental research method with a non-randomized pre-test post-test control group design. There were 2 groups in the study, namely the group of respondents who were given single black garlic therapy (group 1) and the group of respondents who were given compound black garlic therapy (group 2). The research was conducted from April to June 2022 in Sumber Gesing Kulon Gedangan, Malang Regency. The population in this study were hypertension sufferers in Sumber Gesing Kulon Gedangan Hamlet. The sampling technique used consecutive sampling with a total sample of 40 samples. Data analysis used the independent t test with the result that there were differences in systolic and diastolic blood pressure between the black garlic treatment for the single onion variant and the compound shallot variant with a ρ value for systolic blood pressure 0.001 < 0.05, and a ρ value for diastolic blood pressure 0.003 < 0. 05
MOTIVASI PERAWAT DALAM STUDI LANJUT KE PENDIDIKAN PROFESI NERS
Get PDF Introduction: Continuing further studies from diploma to bachelor's level is a form of improving one's qualifications. Increasing students' self-qualifications can be achieved because of the motivation to learn from within themselves (internally) and outside themselves (externally) from students. Nurses' self-motivation is influenced by several factors including family support, superior support, and nurse interest. The aim of the research is to determine the motivation factors of nurses towards further studies in the nursing profession. Method: This research uses descriptive research with a cross sectional design. The population in the study were all nurses who were continuing their professional studies as a nurse. The total sample was 58 respondents and the technique used was total sampling. Data collection tools use questionnaires of family support, superior support, student interest and self-motivation. Bivariate analysis uses the Sperm Rank test because the data is not normally distributed. Result: The results of the analysis show that there is no relationship between family support and nurses' motivation to continue further studies (p-value > 0.05). Meanwhile, there is a significant relationship between superior support factors, nurse interest and nurse motivation in continuing further studies (p-value < 0.05). Factors that influence nurses' motivation in further studies are support from superiors and interest from nurses. Discussion: Based on these results, it is necessary to provide superior support and openness to the advanced study management system for nurses, so as to further motivate nurses to improve their self-quality through higher education.
Keywords: further studies, nurse motivation, family support, superior support Introduction: Continuing further studies from diploma to bachelor's level is a form of improving one's qualifications. Increasing students' self-qualifications can be achieved because of the motivation to learn from within themselves (internally) and outside themselves (externally) from students. Nurses' self-motivation is influenced by several factors including family support, superior support, and nurse interest. The aim of the research is to determine the motivation factors of nurses towards further studies in the nursing profession. Method: This research uses descriptive research with a cross sectional design. The population in the study were all nurses who were continuing their professional studies as a nurse. The total sample was 58 respondents and the technique used was total sampling. Data collection tools use questionnaires of family support, superior support, student interest and self-motivation. Bivariate analysis uses the Sperm Rank test because the data is not normally distributed. Result: The results of the analysis show that there is no relationship between family support and nurses' motivation to continue further studies (p-value > 0.05). Meanwhile, there is a significant relationship between superior support factors, nurse interest and nurse motivation in continuing further studies (p-value < 0.05). Factors that influence nurses' motivation in further studies are support from superiors and interest from nurses. Discussion: Based on these results, it is necessary to provide superior support and openness to the advanced study management system for nurses, so as to further motivate nurses to improve their self-quality through higher education.
Keywords: further studies, nurse motivation, family support, superior suppor
The Application of Effluarge Massage To Reduce The Amount Of Gastric Residue With Problems Risk Of Gastrointestinal Motility Dysfunction In Cerebro Vascular Accident (CVA) In Icu Room Dr. Dr. (H.C) Ir. Sukarno Bangka Belitung Islands Province: The Application of Effluarge Massage To Reduce The Amount Of Gastric Residue With Problems Risk Of Gastrointestinal Motility Dysfunction In Cerebro Vascular Accident (CVA) In Icu Room Dr. Dr. (H.C) Ir. Sukarno Bangka Belitung Islands Province
No full textCerebro Vascular Accident (CVA) with critical condition with level of consciousness 3-7 will experience dysphagia. CVA patients with attributable dysphagia only one disturbance nerve cranial , nerve hypoglossus can cause paralysis meaningful parts from mechanism swallow . To meet the nutritional needs of patients who experience dysphagia, an NG tube ( nasogastric tube) will be used to support nutrition. The use of an NGT feeding tube for 48 hours will have side effects in the form of a decrease in gastric peristalsis which causes a delay in digesting food which results in gastric emptying with symptoms of an increase in the amount of residual gastric residue. One of the interventions that can be given is the efflurge massage technique . The purpose of this case study is to describe the effectiveness of effluarge massage to reduce the amount of gastric residue with the risk problem of gastrointestinal motility dysfunction in crebro vascular acid (CVA). Method study This is descriptive in form approach case ( case study research ) with apply intervention nursing based on proof practice . The results of the case study showed that for 3 days giving effluarge massage therapy could reduce the amount of gastric residue which could reduce the risk of gastrointestinal motility dysfunction. The conclusion obtained is that the application of efflurge massage is safe to reduce the amount of gastric residue in patients with crebro vascular accident with gastrointestinal motility risk problems and is effective in reducing the amount of residue without the use of priokinetic type drugs.
Keywords: Cerebro Vascular Accident (CVA) , dysphagia, massage effluarge gastric residual amount, level of consciousness 3-7Cerebro Vasculer Accident (CVA) dengan kondisi kritis dengan tingkat kesadaran 3-7 akan mengalamai disfagia. Pasien CVA dengan disfagia disebabkan salah satunya gangguan saraf kranialis, nervus hipoglosus yang bisa menyebabkan paralisis bagian-bagian yang bermakna dari mekanisme menelan. Untuk memenuhi kebutuhan nutrisi pasien yang mengalami disfagi akan dilakukan pemakian selang NGT (nasogastric tube) untuk mendukung pemberian nutrisi. Pengunaan selang makan NGT selama 48 jam akan memberikan efek samping berupa penurunan gerakan peristaltik lambung yang menyebabkan tertundanya mencerna makanan yang berdampak pada pengosongan lambung dengan gejala peningkatan jumlah sisa residu lambung. Salah satu intervensi yang dapat diberikan yaitu teknik pijat effluarge. Tujuan studi kasus ini untuk mengetahui gambaran ke efektifan pijat effluarge untuk menurunkan jumlah residu lambung dengan masalah resiko disfungsi motilitas gastrointestinal pada crebro vasculer acident (CVA). Metode penelitian ini adalah deskriptif dalam bentuk pendekatan kasus (case study research) dengan menerapkan intervensi keperawatan berdasarkan bukti praktik. Hasil studi kasus menunjukan selama 3 hari pemberian terapi pemijatan effluarge dapat menurunkan jumlah residu lambung yang dapat menguranggi resiko disfungsi motilitas gastrointestinal. Kesimpulan yang didapatkan bahwa penerapan pemijatan effluarge aman untuk menurunkan jumlah residu lambung pada pasien crebro vackuler accident dengan masalah resiko disfungsi motilitas gastrointestinal dapat diterapkan serta efektif untuk menurunkan jumlah residu tanpa penggunaan obat obatan berjenis priokineti