Journal Nursing Care and Biomolecular
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ANALISIS PENGARUH MOTIVASI INTERNAL TERHADAP FASE PRA-BENCANA DI DUSUN WONOSARI DAN SUKOSARI, DESA PANDANSARI, KEC. PONCOKUSUMO KAB. MALANG
Get PDFIntroduction: Community resiliency is one of important factor in order to encounter disaster and accelerate recovery phase after a disaster occur. To enhance this resilience, various efforts can be done during pre-disaster phase. However, without intense internal motivation, this efforts were useless. The aim of this research was to find out the internal motivation which has a dominant influence on the pre-disaster phase. Method: This research was a non-experimental with cross-sectional design. Data was collected in one time for each respondent using a questionnaire. Partial Least Square test were done to found out the most influential components in internal motivation and pre-disaster phase and the relational strength between those two variables Result and Analysis: Internal motivation affected pre-disaster phase, it was shown by t score 2,508. Variables which contributed predominantly to internal motivation was knowledge which was indicated by a t value of 2.074. Whereas the pre-disaster phase which contributed predominantly was Expedient hazard Mitigation which was indicated by t value of 21,346. Discussion: It can be concluded that the provision of sustainable knowledge to the population can improve the population ability to recognize vulnerabilities in their location and create a better mitigation system. Nurses can improve the community ability in mitigation through the continuous delivery of knowledge about disasters and first aid in a sustainable emergency. Mitigation was not confined only for environment, it also concluded community resources mitigation as well. Economic mitigation was the prior consideration thought by the community, especially for those who had middle-low income
Pengaruh Kehamilan Terhadap Frekuensi Kekambuhan Asma Pada Ibu Hamil Trimester I, II Dan III Dengan Riwayat Asma Di Kota Malang
Get PDFDi Indonesia prevalensi asma berkisar diantara 5% - 6% dari populasi penduduk di Indonesia, dengan prevalensi asma pada kehamilan berkisar diantara 3,7% - 4%. Defisiensi imun seluler dapat ditemukan pada kehamilan. Pada pregnant ashmatic baik dengan peningkatan IgE maupun tidak ada perubahan memiliki kecenderungan terjadinya eksaserbasi asma yang semakin memburuk selama kehamilan. Tujuan penelitian ini membuktikan pengaruh kehamilan terhadap frekuensi kekambuhan asma pada ibu hamil trimester I, II dan III dengan riwayat asma di kota Malang. Penelitian ini menggunakan desain komparatif. Populasi dalam penelitian ini semua hamil dengan asma, sampel dipilih sesuai dengan kriteria inklusi, pengambilan sampel dilakukan dengan metode accidental sampling. Pada hasil Friedman Test didapatkan nilai p=0.03 dengan α=0,05 maka hal ini menunjukkan bahwa terdapat perbedaan frekuensi kekambuhan asma yang signifikan antara ibu hamil trimester I, II dan III. Nilai korelasi r = 0, 1 menunjukkan kekuatan korelasi sangat lemah, dan korelasi positif. R2 = 3,6% menunjukkan kehamilan memiliki pengaruh 3,6% pada frekuensi kambuhan asma pada kehamilan. Perubahan fisik, emosional dan biokimia selama kehamilan menyebabkan kambuhan asma pada kehamilan, terutama stress pada trimester ketiga. Perubahan imunitas pada kehamilan, terutama penurunan imunitas yang dimediasi sel, diduga sebagai predisposisi infeksi pada orang dengan asma dan dapat menyebabkan pemburukan asma. Kesimpulan dari penelitian ini adalah terdapat perbedaan frekuensi kambuhan asma pada kehamilan antara trimester I, II dan III, dimana frekuensi kekambuhan yang tertinggi terjadi saat trimester ketiga. Saran dari penelitian ini adalah pemantauan ketat dan penanganan yang benar pada ibu hamil penderita asma dengan melakukan Ante Natal Care (ANC) secara teratur
HUBUNGAN NYERI JAHITAN PERINEUM DENGAN DEFEKASI PERTAMA KALI PADA IBU NIFAS HARI KE 2-3 DI BPM “SR†MALANG (THE CORRELATION BETWEEN PERINEUM PAIN STITCHES AND FIRST DEFECATION IN DAY 1-2 OF PUEPERAL MATHERNAL AT BPM “SR†MALANG)
Get PDFNyeri adalah pengalaman sensori dan emosional yang tidak menyenangkan akibat kerusakan jaringan yang aktual dan potensial. Rasa nyeri merupakan mekanisme pertahanan tubuh, timbul bila ada jaringan rusak dan hal ini akan menyebabkan individu bereaksi dengan memindahkan stimulus nyeri. Secara umum nyeri digambarkan sebagai keadaan yang tidak nyaman, akibat dari ruda paksa pada jaringan. Rasa nyeri sering dirasakan oleh ibu nifas yang memiliki jahitan. Episiotomi adalah suatu tindakan insisi pada perineum yang menyebabkan terpotongnya selaput lendir vagina, cincin selaput dara, jaringan pada septum rektovagina, otot-otot dan fasia perineum dan kulit sebelah depan perineum. Sehingga ibu bisa mengalami nyeri luka pada jalan lahir ibu. Defekasi pada ibu nifas harus ada dalam 3 hari postpartum. Bila ada obstipasi dan timbul koprostase hingga skibala (feses yang mengeras) tertimbun di rektum, mungkin akan terjadi febris. Penelitian ini bertujuan untuk mencari hubungan antara nyeri jahitan perineum dengan defekasi pertama kali pada ibu nifas di BPM “SRâ€.Desain penelitian yang digunakan adalah analitik korelasi dengan pendekatan Cross Sectional. Populasi penelitian ini seluruh ibu nifas yang mempunyai jahitan perineum yang berjumlah 25 ibu nifas dan sampel yang digunakan sebanyak 25 ibu nifas dengan teknik pengambilan sampel total sampling. Instrumen yang digunakan adalah wawancara.Hasil analisa dengan uji Fisher,diperoleh nilai signifikansi yang diperoleh lebih kecil dari α = 5% (0,001 < 0,050) sehingga diputuskan H0 ditolak dan H1 diterima. Disimpulkan bahwa terdapat hubungan yang signifikan antara nyeri jahitan perineum dengan defekasi pertama kali pada ibu nifas hari ke- 2 dan 3. Dengan mengetahui adanya hubungan antara nyeri jahitan perineum dengan defekasi pertama kali, maka hal ini dapat dijadikan sumber informasi bagi petugas kesehatan untuk meningkatkan pelayanan kepada masyarakat khususnya asuhan kebidanan pada masa nifas. Dengan demikian hal ini dapat menjadi salah satu upaya dalam memberikan asuhan kebidanan pada ibu nifas yang mengalami nyeri.Â
PENGARUH HUMAN SKILL TERHADAP KINERJA STAF PENUNJANG MEDIS (INFLUENCE OF HUMAN SKILL TOWARD JOB PERFORMANCE OF MEDICAL SUPPORT STAFF)
No full textMedical supporter staff’s performance in Islamic Hospital of Siti Aisyah Madiun in 2016 most got enough value. Counted 45 staffs got enough value with percentage of 61,64% from 73 staffs. Ability of Human Resources represent one of factor which influencing performance to reach the target of hospital, besides technical ability, ability comprehend others in an organization of vital importance. Human Skill represent ability in have well interaction with working team. This research aim was to know influence of human skill to medical supporter staff performance of Islamic Hospital of Siti Aisyah Madiun in 2017.This research used analytic survey with approach of crossectional. Population in this research were all of medical supporter staff in Islamic Hospital of Siti Aisyah Madiun counted 73 people. Sample in this research was medical supporter staff counted 42 people. Sampling technique use Purposive Sampling. Data taken by using questionnaire and analyzed by using test of Kendall' Tau_b (τ).Result of this research there was influence of human skill with medical supporter staff performance with value of p-value 0,000 <α (0,05) with coefficient correlation 0,612. That can concluded that there was influence of human skill to performance with strong influence level
PENINGKATAN KETERAMPILAN PRIMIGRAVIDA DALAM MERAWAT BAYI DENGAN PENERAPAN KOMBINASI METODE BUZZ GROUP DAN MODELLING
Get PDFIntroduction: First pregnancy is a critical period for mother life. Primigravida needs sufficient information on baby delivery preparation and baby care skill. This study aims at know the effect of combination buzz group and modelling methods on primigravida skill in taking care of baby. Method:  Research design is true experiment using randomized subject, pre-test and post-test control group design. It was conducted at community health care of Poka Rumah Tiga Ambon. The samples of 24 respondents divided into two groups namely experimental and control group. Checklist containing items on bathing the baby, putting on diapers, umbilical cord care and technique of breastfeeding, are used to assess primigravida skill. The data obtained are then analysed using Paired t-test and Mann-Whitney U Test with α=0,05. Result and analysis : The finding shows that there is a significant difference in terms of primigravida skill from thosein before and after the use of combination method of buzz group and modelling (p=0,000). The average score difference was 46,271 (SD=3,758). In addition there was a significant difference between the experimental and control group (p=0,000). Discussion: The method involving pregnant mother in the form of buzz group and modelling an appropriate option for health practitioner in improving the health of mother and baby
KEBUTUHAN PERAWAT DALAM MEMBERIKAN ASUHAN KEPERAWATAN PALIATIF PADA ANAK: LITERATURE REVIEW
Get PDFProviding palliative nursing care to children with terminal illnesses, as well as children in dying conditions is a challenge for the nurses themselves. Nurses must be able to provide optimal pediatric palliative care. The purpose of this literature review is to identify what are the needs of nurses in providing pediatric palliative care. The search strategy is conducted through the Proquest, EBSCO, and Science Direct databases. The keywords used are nurse, needs, palliative care, end of life care, terminal care, children, and pediatric. Inclusion criteria are English-language articles published in 2008-2018. The study was criticized by using the Critical Appraisal Tool from JBI and for mixed method studies using Mixed Methods Appraisal Tool Version 2018. Eight studies met the criteria for review. The results of the review showed that in providing pediatric palliative care nurses need adequate support in dealing with stress and fatigue and require specific education and training related to pain management and end of life communication to improve nurses' abilities and competencies in providing pediatric palliative care.Therefore, it is important for the hospital to facilitate nurses in attending education and training related to pediatric palliative care so that nurses can optimally provide palliative care to children in an effort to improve the quality of life for children and their families.Â
FAKTOR–FAKTOR PREDISPOSISI YANG MEMPENGARUHI PEMBENTUKAN TEMPERAMEN BAYI USIA 2 – 3 BULAN
Get PDFIn infancy, temperament is a major influence on reaction and adaptation to a particular environment. Adaptable infants show positive reactions to the stimuli that they received. The aim of this research is to know the predisposing factors that influence the formation of baby temperament of 2-3 months. Methods the study used analytical research with a retrospective approach. Bivariate analysis using Pearson Moment Product Correlation, multivariate analysis using linear regression. The results obtained by Multiple R 0.512 express the degree of closeness of the relationship of predisposing factors to the temperament of infants aged 2-3 months, as well as a strong relationship between these predisposing factors with the baby temperament of 2-3 months of age. On the value of determination coefficient shows for 0.262 states the magnitude of the influence of these predisposing factors to the temperament of infants aged 2-3 months. This means that 26.2% of the diversity of baby temperaments aged 2-3 months is influenced by the presence of these predisposing factors. Therefore, in order to produce quality generation and able to adapt well to the environment, is very necessary formation of baby temperament since still fetus
Pelatihan komunikasi efektif kepada petugas dapat menurunkan keluhan tambahan biaya naik kelas rawat inap pada pasien BPJS/JKN (Studi kasus di RS.X Malang)
Get PDFRS. X (Islamic Hospital) Malang has been cooperating with BPJS Kesehatan (National Health Care Security)  since 2014. During the period of January to September 2017 there are 100-110 complaints from patients regarding the additional cost of BPJS who are upgrading classes. One of the reason is the lack of understanding of patients toward information provided by officers of IDP inpatient room. The objective of this study was to determine the difference before and after the training of effective communication of patients’ complaints. Research with fake experimental methods by comparing before and after training of IDP inpatient room officers. The number of respondents was total number of BPJS inpatients who were upgrading class in a month, in September as many as 24 respondents and in October was 61 respondents. Samples were taken purposively, and data were collected through questionnaires administered to patients underwent hospitalization during the periods of September and October 2017, as well as communication observations toward officers. Data analysis was descriptive of the difference of officers’ effective communication indicator and patient complaint between before and after training. The results of the research showed that there were differences in patient complaints regarding the additional cost of upgrading, from 46% before training to 5% after the training. The conclusion of the research was the effective communication of the officer might decreased BPJS Kesehatan patients’ complaints regarding the additional cost of upgrading the treatment class
EFFECT OF GRANTING LIFE REVIEW THERAPY TO DEPRESSION LEVEL ON LANSIA IN PANTI WERDHA MOJOPAHIT MOJOKERTO
Get PDFDepression is a form of mental disturbance in the nature of feelings (affective, mood) characterized by moodiness, sadness, lethargy, loss of passion, no spirit, and feeling helpless, useless, and desperate.           This research uses Quasy Experiment method with Pretest Postest control group design. With the sample number of 20 respondents (2 groups) using Purposive Sampling technique. The data were collected by questionnaire method and then tabulated by using frequency distribution and test using Wilcoxon test with significance level α = 0.05           The results of the study in the treatment group showed the depression level before the treatment of respondents who suffered severe depression 10 people (100%). After treatment of respondents who were depressed moderate 5 people (50%) and mild depression 5%. Based on Wilcoxon test in treatment group is found P = 0,042 (<0,05) and Mann-Whitney test in post is found P = 0,008 (<0,05). This shows that the value of P <0.05. So there is a difference between the control group and the treatment.           The conclusion that can be taken from this research is there is a significant influence of Life Review Therapy on the level of depression in elderly. From these results, with the provision of Life Review Therapy can be used to reduce the level of depression
PENGARUH TERAPI RELAKSASI SPIRITUAL TERHADAP TINGKAT STRES PASIEN GAGAL GINJAL KRONIS YANG MENJALANI HEMODIALISIS
Get PDFIntroduction: The stress experienced by patients with chronic renal failure who undergo hemodialysis may aggravate a person's condition such as disobedience to diet and fluid modification and treatment if not treated properly. Spiritual relaxation was a method of lowered stress, one's effort to achieve relaxed state through spiritual religious beliefs. The purpose of the study, looking at the effect of spiritual relaxation on stress levels in patients with chronic renal failure who underwent hemodialysis. Method: Pre experimental method one group pre and posttest design with 10 respondents sample through technique of proposive sampling. The independent variable was spiritual relaxation and the dependent variable of stress level. The stress level was measured by HSS Instrument (hemodialysis stress scale) and spiritual relaxation used Standard Operating Procedures. Spiritual relaxation performed once per week for 1 month. it analyzed by Wilcoxon test with α = 0,05. The result was a significant difference between stress level before and after intervention p = 0,004 (p<α) it means there was influenced. Result and analysis: Spiritual relaxation balanced the sympathetic and parasympathetic nerves when relaxed conditions were effective in reduced stress and maintained the psychological health of patients with chronic renal failure. Discussion: Spiritual relaxation can be used as an alternative to nursing actions and examine hormonal changes in stress reductio