Jurnal Online Universitas Muhammadiyah Surabaya
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Pengaruh Senam Hamil, Pemberian Modul Senam Hamil dan Cara Tidur yang Baik Terhadap Durasi Tidur pada Ibu Hamil Trimester III di Puskesmas Saumlaki
Get PDFThe increasing age of pregnancy accompanied by anatomical changes causes complaints of sleep disturbances due to discomfort such as back pain, frequent urination, fetal movements, fatigue, and difficulty initiating sleep. Prenatal exercises help the body produce more endorphins, providing calmness, managing stress, and regulating sleep positions to make sleep more comfortable. The research aims to analyze the influence of prenatal exercises, the provision of modules, and good sleeping positions on the duration of sleep for pregnant women in the third trimester at the Saumlaki Health Center. The research design is Quasi-Experimental with a pretest-posttest control design, sampling 30 respondents in each group, using the Mann Whitney test. The results show that the average duration of sleep for pregnant women given modules, prenatal exercises, and good sleeping positions (8.80 hours), with a higher mean rank (39.67) compared to pregnant women who walk in the morning and sleep normally (21.33). It is concluded that there is an influence of prenatal exercises, the provision of modules, and good sleeping positions on the duration of sleep for pregnant women. Sleep disturbances during pregnancy should not be taken lightly because if left untreated, they pose risks to both the mother and the fetus
Implementasi Perawatan Spiritual Pada Pasien Kanker Kolorektal Di Ruang Rawat Inap: Laporan Kasus
Get PDFBackground: Colorectal cancer is the second leading cause of cancer-related deaths worldwide and has a negative impact on the quality of life of cancer sufferers. In cancer patients, meeting spiritual needs is very important. Fulfilling spiritual needs is related to the quality of life of cancer patients. Objective: To describe how to providing spiritual care for patients with colorectal cancer. Method: This research uses descriptive research with a case report approach. The subjects in this study were patients with a medical diagnosis of colorectal cancer. The intervention provided is in the form of providing spiritual needs. This research has implemented research with human subjects to maintain the ethics of the research carried out. Results: There was an increase in the client's spiritual aspect after the intervention. Additionally, providing for spiritual needs has a positive impact on clients. Discussion: Providing spiritual care has an impact on the client's calm, the client's self-acceptance, the client's eating and life goals, then the client's condition towards the end and the client's hopes for his illness. Conclusion: Providing spiritual care has benefits in improving the quality of life of cancer sufferers. Nurses are expected to be able to provide spiritual care to patients in accordance with the patient's religion by facilitating patients in carrying out their worshipLatar Belakang: Kanker kolorektal merupakan penyebab utama kematian terkait kanker kedua di seluruh dunia serta berdampak buruk terhadap kualitas hidup penderita kanker. Pada pasien kanker, pemenuhan kebutuhan spiritual sangatlah penting. Pemenuhuan kebutuhan spiritual memiliki hubungan dengan kualitas hidup pasien kanker. Tujuan: Untuk menggambarkan bagaimana implementasi perawatan spiritual pada pasien dengan kanker kolorektal. Metode: Penelitian ini menggunakan jenis penelitian deskriptif dengan pendekatan laporan kasus. Subjek dalam penelitian ini adalah pasien dengan diagnosa medis kanker kolorektal. Intervensi yang diberikan yaitu berupa pemenuhan kebutuhan spiritual. Penelitian ini telah menerapkan human subject research untuk menjaga etika penelitian yang dilakukan. Hasil: Terdapat peningkatan pada aspek spiritualitas klien setelah dilakukan intervensi. Selain itu, pemenuhan kebutuhan spiritual berdampak positif terhadap klien. Pembahasan: Pemberian perawatan spiritual berdampak terhadap ketenangan klien, penerimaan diri klien, makan dan tujuan hidup klien, lalu mengenai kondisi menjelang akhir klien serta harapan klien terhadap penyakitnya. Kesimpulan: Pemberian perawatan spiritual pada klien memiliki manfaat dalam peningkatan kualitas hidup penderita kanker. Perawat diharapkan dapat melakukan perawatan spiritual kepada pasien sesuai dengan agamanya dengan cara memfasilitasi pasien dalam melakukan ibadahnya
Prevalence and Related Psychological Aspects of Frailty in Hemodialysis Patients
Get PDFObjective: This study aimed to ascertain the prevalence of frailty and associated psychological factors among hemodialysis patients.
Methods: A cross-sectional study was conducted employing a convenience sample of CKD patients undergoing hemodialysis at a Jakarta hospital. A total of 151 participants were included in this study. Instruments included demographic and clinical characteristics. The Tilburg Frailty Indicator (TFI) assessed frailty, while the Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) evaluated psychological status. Data analysis encompassed univariate descriptive statistics, t-test, and Pearson correlation to identify the relationship among variables. A multivariate regression analysis studied frailty index associations with demographic, clinical, and psychological factors.
Results: Results: This study indicates that the prevalence of frailty, assessed by the Tilburg Frailty Index (TFI), is 53.6%, primarily evident in the physical aspect. Positive correlations are found between frailty and age, unemployment, higher CCI, and a history of diabetes. Anxiety is correlated with female gender and a history of diabetes, while depression correlates with age, female gender, higher CCI, and a history of diabetes.
Conclusion: The study highlights the complexity of frailty among hemodialysis patients. Significant correlations emerged, associating frailty with factors such as age, unemployment, comorbidity, and a history of diabetes. Frailty was linked to psychological aspects, specifically anxiety and depression. Tailored interventions are recommended, focusing on early identification, psychological support, and a holistic care approach. Educational initiatives for healthcare providers are crucial to enhance awareness and improve the quality of care for this vulnerable population, leading to better health outcomes
Case Study: Intervensi Mengunyah Permen Karet Terhadap Penurunan Rasa Haus Pasien CHF
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Heart failure is 85% of the causes of death in cardiovascular disease. There were 13 cases of CHF during the last 3 months in the RSKD ICCU. CHF patients often experience fluid overload which requires fluid restriction, causing thirst. One alternative to reduce thirst is by chewing gum. The aim is to analyze CHF patients with Chewing Gum Intervention to Reduce Thirst in the ICCU RSUD Dr.Kanujoso Djatiwibowo Balikpapan.
Methods :
The method used was descriptive analysis with a sample of 2 patients. Before the intervention was given, a TDS pre-test, then the intervention was given to chew gum for 10 minutes 6 times/3 days and a post-test.
Results :
In both patients, hypervolemia was found with symptoms, patient 1 complained of shortness of breath, thirst, edema of legs, ascites, while patient 2 complained of shortness of breath, cough, thirst, cardiomegaly accompanied by pulmonary edema. From the results it was found that the chewing gum intervention was able to reduce thirst with TDS in case 1 decreasing the score from 23 to 15 with a difference of 8, while in case 2 the score decreased from 19 to 14 with a difference of 5.
Conclusion :
There is an effect of chewing gum intervention on reducing thirst in CHF patients in the ICCU RSUD Dr. Hospital. Kanujoso Djatiwibowo Balikpapan. It is hoped that it can be a source of information, knowledge development and therapy in reducing thirst.Objektif :
Gagal jantung merupakan 85% penyebab kematian pada penyakit kardiovaskular. Terdapat 13 kasus CHF selama 3 bulan terakhir di RSKD ICCU. Pasien CHF seringkali mengalami kelebihan cairan sehingga memerlukan pembatasan cairan sehingga menimbulkan rasa haus. Salah satu alternatif untuk mengurangi rasa haus adalah dengan mengunyah permen karet. Tujuan penelitian ini adalah untuk menganalisis pasien CHF dengan Intervensi Permen Karet untuk Mengurangi Rasa Haus di ICCU RSUD Dr.Kanujoso Djatiwibowo Balikpapan.
Metode :
Metode yang digunakan adalah analisis deskriptif dengan sampel sebanyak 2 pasien. Sebelum diberikan intervensi terlebih dahulu dilakukan pre test TDS, selanjutnya diberikan intervensi mengunyah permen karet selama 10 menit sebanyak 6 kali/3 hari dan dilakukan post test.
Hasil :
Pada kedua pasien ditemukan gejala hipervolemia, pasien 1 mengeluh sesak nafas, haus, edema tungkai, asites, sedangkan pasien 2 mengeluh sesak nafas, batuk, haus, kardiomegali disertai edema paru. Dari hasil diperoleh intervensi permen karet mampu mengurangi rasa haus dengan TDS pada kasus 1 mengalami penurunan skor dari 23 menjadi 15 dengan selisih 8, sedangkan pada kasus 2 skor menurun dari 19 menjadi 14 dengan selisih 5 .
Kesimpulan :
Terdapat pengaruh intervensi mengunyah permen karet terhadap penurunan rasa haus pada pasien CHF di ICCU RSUD RSUD Dr. Kanujoso Djatiwibowo Balikpapan. Diharapkan dapat menjadi sumber informasi, pengembangan pengetahuan dan terapi dalam mengurangi rasa haus
Stres Kerja Perawat dan Distres psikologis : Cross sectional study
No full textPerawat merupakan profesi yang mengalami stres psikologis tinggi di tempat kerja.Stres psikologis dapat memicu ketidakseimbangan homeostasis tubuh. Penelitian bertujuan menganalisa korelasi stress kerja dengan distres psikologis perawat. Metode penelitian kuantitatif corelational, sampel menggunakan convenience sampling. Instrumen menggunakan Expanded Nursing Stress Scale (ENSS) dan General Health Quastionaire (GHQ 12) versi bahasa Indonesia. Analisa data menggunakan Kendall’s Tau. Hasil 46,7 % perawat mengalami stres kerja dan 37,7% perawat mengalami distres psikologis. Hasil terdapat korelasi positif antara stres kerja dan distres psikologis perawat (Pvalue 0.000; Coeficient Corrrelation (r) = 0,274). Kesimpulan adanya korelasi stres kerja dengan distres psikologis perawat menunjukkan pentingnya menyiapkan tenaga perawat sesuai kebutuhan untuk menurunkan stres kerja, memberikan pelatihan bagi perawat guna meningkatkan keterampilan, dapat melakukan koping yang efektif dan menjaga pola hidup sehat untuk mencegah distres psikologis
Penerapan Pemberian Kompres Jahe Untuk Menurunkan Nyeri Punggung Bawah Pada Ibu Hamil Trimester III Di Ruang Poli Rsud M.M Dunda Limboto
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Ayu Wulandari Daud,S.Kep, Penerapan Pemberian Kompres Jahe Untuk Menurunkan Nyeri Punggung Bawah Pada Ibu Hamil Trimester III Di Ruang Poli Rsud M.M Dunda Limboto. Di bimbing oleh Ns.Ani Retni,M.Kep.
Penyebab nyeri punggung pada ibu hamil dikarenakan semakin besarnya kandungan di dalam perut yang mengakibatkan titik tengah gravitasi ibu berubah didepan, sehingga saat ibu berdiri tulang punggung bagian bawah melengkung ke bawah. Perubahan postur tubuh pada kehamilan trimester III, karena menyesuaikan dengan perubahan pusat gaya berat. Nyeri punggung yang tidak diberikan penanganan dapat mengakibatkan perburukan kualitas hidup ibu hamil dalam beraktivitas sehari-hari akan terhambat (imobilisasi) karena ada rasa tidak nyaman pada punggung. Ketidaknyamanan yang dirasakan ibu akan membuat tubuh beradaptasi, apabila tubuh tidak mampu beradaptasi maka akan menimbulkan suatu masalah. Penelitian ini bertujuan Untuk mengetahui penerapan pemberian kompres jahe untuk menurunkan nyeri punggung bawah pada ibu hamil trimester III di ruang poli RSUD M.M Dunda Limboto. penelitian ini menggunakan penelitian kuantitatif dengan menggunakan desain pra- eksperimental dengan pendekatan one-group pra-post test design. Sampel dalam penelitian ini adalah 15 responden, teknik pengumpulan data yakni menggunakan lembar observasi, dan Pengukuran Skala Nyeri Menggunakan Numeric Rating Scale (NRS). Berdasarkan hasil uji statistik menggunakan uji Wilcoxon didapatkan nilai signifikan atau nilai Pvalue yaitu 0,000 yang berarti 0,000<0.05 sehingga dapat disimpulkan bahwa Ha diterima yang artinya penerapan pemberian kompres jahe untuk menurunkan nyeri punggung bawah pada ibu hamil trimester III di ruangan poli RSUD MM.Dunda Limboto.
Kata Kunci: Penerapan, Pemberian Kompres Jahe, Nyeri, Ibu Hamil, Timester II
Gambaran Pelaksanaan 5 Tugas Kesehatan Keluarga dalam Merawat Lansia dengan Penyakit Gout Arthritis di Desa Talumelito
Get PDFBackground: Problems that often occur in families in caring for gout patients are the family's lack of knowledge about gout and lack of ability to maintain a gout arthritis diet, so to overcome these problems the role of the family is needed in carrying out the five family health tasks in maintaining gout arthritis, the family plays a role in looking after a sick family member, the family needs to be supported by a nurse.
Objective: This research is to describe the implementation of 5 family health tasks in treating gouty arthritis in Talumelito Village.
Method: The research is quantitative research using a descriptive design with a cross sectional approach.
Result: The results of the research showed that before the intervention was given regarding the implementation of the five family health tasks, the three families did not carry out family health tasks well, whereas after the educational intervention was carried out regarding the implementation of the five family health tasks, it was found that 15 families already knew the symptoms and causes of gouty arthritis from one to the other. 15 families also know what diet to follow to prevent recurrence of gouty arthritis, and families use health facilities to check the health of elderly people who suffer from hypertension.
Conclusion:nThis research is expected to be used as a basis for further research with different methods so that the results obtained more optimal
Hubungan Dukungan Keluarga Dengan Kepatuhan Minum Obat Pada Pasien Hipertensi Di Puskesmas Sawahan Kabupaten Nganjuk
Get PDFThe absence of symptoms causes hypertensive patients to tend to ignore and not control hypertension. The family becomes a support system in the lives of hypertension patients who require long-term and continuous care. The aim of the research was to determine the relationship between family support and medication adherence in hypertensive patients at Puskesmas Sawahan Kabupaten Nganjuk. This research design uses correlational analytics with an observational approach. This research was conducted at Puskesmas Sawahan Kabupaten Nganjuk. The sampling technique uses purposive sampling technique. The instrument in this study used a questionnaire containing questions about family support and Morisky medication adherence (MMAS). The sample was selected by consecutive sampling and 30 respondents were obtained. The research results showed that almost half had good family support (46.7%) and most were compliant with taking medication (63.3%). Based on the Spearman's Rho Test statistical test, it shows that the ρ value = 0.002 < α (0.05), which means Ha is accepted so it can be concluded, there is a relationship between family support and adherence to taking medication for hypertension at Puskesmas Sawahan Kabupaten Nganjuk.
Tidak adanya gejala menyebabkan pasien hipertensi cenderung membiarkan dan tidak mengontrol hipertensi. Keluarga menjadi support system dalam kehidupan pasien hipertensi yang membutuhkan perawatan dengan waktu yang lama dan terus-menerus. Tujuan penelitian untuk mengetahui hubungan dukungan keluarga dengan kepatuhan minum obat pada pasien hipertensi di Puskesmas Sawahan Kabupaten Nganjuk. Desain penelitian ini menggunakan analitik korelasional dengan pendekatan observasional. Penelitian ini dilakukan di Puskesmas Sawahan Kabupaten Nganjuk. Teknik sampling menggunakan teknik purposive sampling. Instrumen pada penelitian ini menggunakan kuesioner yang berisikan pertanyaan tentang dukungan keluarga dan kepatuhan obat morisky (MMAS). Sampel dipilih secara consecutive sampling dan diperoleh 30 responden. Hasil penelitian didapatkan hampir setengahnya dukungan keluarga baik (46.7%) dimana sebagian besar patuh minum obat (63.3%). Berdasarkan uji statistik Spearman's Rho Test menunjukkan nilai ρ value = 0.002 < α (0.05) yang artinya Ha diterima sehingga dapat disimpulkan, ada hubungan dukungan keluarga dengan kepatuhan minum obat pada hipertensi di Puskesmas Sawahan Kabupaten Nganjuk
Pengaruh Pemberian Lensa Kontak Lunak Torik Daily Wear Pada Astigmatisme Myopia Compositus
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Objective: This study aims to determine the factors influencing toric contact lens users' choice of toric contact lenses. The influencing factors include base curve, diameter, colour, moisture content, wearing period and price.
Methods: The method used in this scientific paper is a correlational method by correlating the journals found related to the formulation of even research. Knowing how many factors influence the selection of toric contact lenses, especially in patients with compositus myopia astigmatism.
Results: Based on the results of the literature review data analysis from five libraries, the factors that influence consumers in choosing contact lenses, in general, are colour, moisture content, humidity, diameter size, service life, affordable price, and highly competitive price.
Conclusion: Based on the results of the Literature Review from 5 libraries obtained, it can be concluded that several factors influence consumers to choose toric soft contact lenses including toric contact lens material, base curve, colour, moisture content, humidity, diameter size, service life, and affordable prices
Manajemen Airway, Breathing, Circulation (ABC) dan Dampaknya terhadap Early Warning Score (EWS) dalam Layanan Gawat Darurat: Mengevaluasi Efektivitas Intervensi Fundamental dalam Meningkatkan Hasil Pasien dan Pengambilan Keputusan Klinis
No full textObjective: to determine the implementation of Airway, Breathing, and Circulation (ABC) management interventions and their impact on the Early Warning Score (EWS) in the Emergency Installation of the Haji Hospital, East Java Province.
Methods: Quantitative research design: pretest experimental one group pretest and posttest design. The population was patients aged ≥13 years with ABC disorders. The sample size was 80 people, according to the inclusion and exclusion criteria, by taking non-probability sampling with the consecutive sampling technique. Statistical tests using the Wilcoxon test.
Results: The results of the study using the Wilcoxon test obtained an Asymp.sig value (2-tailed) = 0.000 or ρ value ≤ 0.05, indicating that airway, breathing, and circulation (ABC) management has an impact on better changes in early warning score (EWS)
Conclusion: EWS is a systematic process to evaluate and measure early risk used to take preventive measures in emergencies that aim to minimize poor prognosis in the body system. The Airways, Breathing, and Circulation (ABC) method can be done for handling emergency conditions
Keywords: Early warning Score(EWS), Manajemen Airway, Breathing dan Circulation(ABC)
Tujuan: untuk mengetahui pelaksanaan intervensi manajemen Airway, Breathing, and Circulation (ABC) dan dampaknya terhadap Early Warning Score (EWS) di Instalasi Gawat Darurat RS Haji Provinsi Jawa Timur.
Metode: Desain penelitian kuantitatif: pretest experimental one group pretest and posttest design. Populasi adalah pasien berusia ≥13 tahun dengan gangguan ABC. Besar sampel 80 orang, sesuai dengan kriteria inklusi dan eksklusi, dengan pengambilan sampel non-probability sampling dengan teknik sixth sampling. Uji statistik menggunakan uji Wilcoxon.
Hasil: Hasil penelitian menggunakan uji Wilcoxon diperoleh nilai Asymp.sig (2-tailed) = 0,000 atau nilai ρ ≤ 0,05, yang menunjukkan bahwa manajemen airway, breathing, and circulation (ABC) memberikan dampak terhadap perubahan early warning score (EWS) yang lebih baik.
Kesimpulan: EWS merupakan suatu proses sistematis untuk mengevaluasi dan mengukur risiko dini yang digunakan untuk mengambil tindakan pencegahan pada keadaan darurat yang bertujuan untuk meminimalkan prognosis yang buruk pada sistem tubuh. Metode Airways, Breathing, and Circulation (ABC) dapat dilakukan untuk penanganan kondisi darurat.
Kata kunci: Early warning Score(EWS), Manajemen Airway, Breathing dan Circulation(ABC