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Application of Slimber Ice Therapy to Reduce Thirst in Chronic Kidney Failure Patients Undergoing Hemodialysis at Charitas Hospital Palembang
No full textBackground : Chronic Kidney Disease patients undergoing hemodialysis need to manage fluid restrictions which cause thirst, characterized by a dry mouth, making the patient uncomfortable and causing the patient to consume a lot of excess fluid which causes hypervolemia, thus worsening the patient's condition. The intervention of sucking ice cubes or slimmer ice can help reduce thirst and provide a fresh taste sensation in the mouth and throat and help patients manage fluids.
Purpose : Providing nursing care to Chronic Kidney Failure patients undergoing hemodialysis by implementing slimber ice intervention to reduce thirst.
Methods : This case study uses a descriptive method with a nursing process approach carried out on 3 respondents aged 19-56 years using a One Group Pretest Posttest research design and measured using the Visual Analog Scale (VAS) instrument before and after being given slimber ice therapy and analyzed by calculating the average value.
Result : The results showed that the age of the respondents was 19-56 years, gender was 1 respondent female, 2 respondents were male, after being given slimber ice therapy to 3 respondents 2 times when the patient was undergoing hemodialysis therapy, it was found that the average thirst score decreased from a VAS score of 5.1 (moderate thirst) before therapy to a score of 1.2 (light thirst) after therapy was given.
Suggestion: It is hoped that the results of this case study can be applied to reduce thirst and fluid restrictions in CKD patients undergoing hemodialysis
PENGALAMAN PERAWAT DALAM MERAWAT PASIEN KRITIS DI RUANG INTENSIVE CARE UNIT
No full textBackground: Critical care is provided to manage severe and unstable conditions
such as respiratory failure, septic shock, loss of consciousness, stroke, and kidney
failure, requiring close observation and appropriate actions by professional
healthcare providers. The Intensive Care Unit (ICU) is a unit dedicated to
intensive care and strict monitoring. Nurses working in the Intensive Care Unit
need to have undergone specific training to meet basic human needs. Nurses play
a crucial role in the care process and must be effective communicators, not only
with patients but also with their families, ensuring that relatives who are not
present during the patient's stay in the Intensive Care Unit do not feel anxious
and understand the patient's condition.
Objective: This research aims to explore the experiences of nurses in caring for
critical patients in the Intensive Care Unit.
Methods: This study used a qualitative research design with a phenomenological
approach. The study involved 5 participants selected using purposive sampling
criteria. Data analysis was conducted using Colaizzi’s method.
Results: The study identified 4 themes: challenges of working in the ICU,
teamwork in ICU care, nurses' emotional responses, and the role of nurses in
supporting families.
Recommendation: Nurses should enhance their knowledge and skills, as well as
develop empathy and patience, especially when supporting the families of patients
treated in the Intensive Care Unit.
Keywords: Intensive Care Unit; septic shock; stroke; kidney failur
HUBUNGAN DUKUNGAN KELUARGA DAN MEKANISME KOPING DENGAN TINGKAT KECEMASAN PADA PASIEN YANG MENJALANI HEMODIALISIS
No full textBackground: Hemodialysis is a renal replacement therapy for patients with end-stage renal disease, aimed at reducing toxin levels in the body due to uremic syndrome in chronic kidney failure patients. Complications often arising from hemodialysis include hypotension and muscle cramps, which can induce both physiological and psychological stress in patients. Anxiety is a common psychological impact experienced by patients undergoing hemodialysis. Family support and coping mechanisms are significant factors that influence patient anxiety.
Objective: This study aims to investigate the relationship between family support and coping mechanisms with anxiety levels in patients undergoing hemodialysis.
Research Method: This research employed a quantitative analytical survey design using a cross-sectional approach and Kendall-tau test. A sample of 56 respondents was selected using purposive sampling techniques. The variables measured in this study were family support, coping mecanisms and anxiety levels.
Results: Univariate analysis revealed that 44 respondents (78.6%) reported good family support, while 28 respondents (50.0%) exhibited adaptive coping mechanisms. Furthermore, 20 respondents (35.7%) experienced mild anxiety levels. Bivariate results indicated that there was no significant relationship between family support and anxiety levels with a p-value of 0.519 (p > 0.05), reflecting a very low correlation (0.079) with a positive relationship direction. Additionally, there was no significant relationship between coping mechanisms and anxiety levels, with a p-value of 0.049 (p > 0.05), demonstrating a moderate correlation (-0.244) with a negative relationship direction.
Conclusion: The coping mechanisms utilized by patients influence the anxiety levels of patients undergoing hemodialysis.
Recommendations: It is suggested that all patients develop effective coping mechanisms to lower their anxiety levels
Pengaruh Visibility, Credibility, Attraction dan Power Dari Nikita Mirzani Sebagai Brand Ambassador Terhadap Keputusan Pembelian Produk Skincare Bening's Clinic Di E-Commerce
No full textThis study aims to determine the effect of visibility, credibility, attractiveness and strength of Nikita Mirzani as the Brand ambassador of Bening Clinic on the purchasing decision of Bening Clinic skin care products on e-commerce. The sample in this study amounted to 118 respondents using the purposive sampling method. Data analysis techniques used in this study include descriptive statistics, validity tests, reliability tests, classical assumption tests, multiple linear analysis, and hypothesis tests consisting of t-statistical tests, F tests and coefficients of determination. The results obtained in this study indicate that the variables of visibility, credibility, attraction and power have a positive and significant influence on the purchasing decision of Bening’s Clinic skin care products on e-commerce
Pengaruh Profitabilitas dan Levetage Terhadap Luas Pengungkapan Corporate Social Responsibility (CSR)
No full textPenelitian ini menganalisis pengaruh profitabilitas dan leverage terhadap luas pengungkapan Corporate Social Responsibility (CSR) pada perusahaan pertambangan di BEI periode 2021-2023. Profitabilitas diukur dengan ROA, leverage dengan DER, dan pengungkapan CSR berdasarkan indeks CSR. Menggunakan regresi linier berganda, hasil penelitian menunjukkan profitabilitas tidak berpengaruh signifikan, sementara leverage berpengaruh negatif terhadap pengungkapan CSR. Ini mengindikasikan faktor lain mungkin lebih berperan dalam kebijakan pengungkapan CSR di sektor pertambangan.
Kata kunci: profitabilitas, leverage, CSR, sektor pertambangan
Peningkatan Saturasi Oksigen Pada Pasien Congestive Heart Failure Dengan Pemberian Posisi Semi Fowler di Rawat Inap RSUD Siti Fatimah Prov. Sumatera Selatan.
No full textCongestive Heart Failure (CHF) is a chronic condition that causes impaired
heart function in pumping blood, which can reduce oxygen levels in the body. The
increasing incidence of CHF in Indonesia requires appropriate treatment to
improve patient health status. One of the evidence-based practice (EBP)
interventions that can be applied is the provision of a semi-Fowler position to
increase oxygen saturation in CHF patients. This study aims to determine the
effectiveness of providing a semi-Fowler position in increasing oxygen saturation
in CHF patients undergoing treatment in the inpatient room of Siti Fatimah
Hospital, South Sumatra Province. This study uses a qualitative approach with a
descriptive case study method on three CHF patients who meet the inclusion and
exclusion criteria. Data were collected through interviews, observations, and
oxygen saturation measurements using an oximeter before and after the semi-
Fowler position intervention for three days. The results showed an increase in
oxygen saturation after the application of the semi-Fowler position in all
respondents. In Mr. M, there was an increase in average oxygen saturation of 6%, in Mr. N by 3.3%, and in Mrs. N by 4.7%. This indicates that the application of the semi-Fowler position contributes to improving oxygenation in CHF patients.
Providing a semi-Fowler position has been proven effective in increasing oxygen
saturation in CHF patients. This intervention can be used as one of the strategies in nursing care to improve the health status of CHF patients in the inpatient room
Studi Teknologi Pengelolaan Sampah
No full textArti sampah dalam konteks industri yaitu sampah merujuk pada semua jenis limbah yang dihasilkan sebagai hasil dari proses produksi, operasi, dan kegiatan bisnis lainnya. Sampah industri mencakup berbagai jenis material yang tidak lagi berguna, bernilai ekonomis, atau tidak diinginkan dalam konteks operasional. Pengelolaan sampah industri memerlukan pendekatan khusus karena berbagai jenis limbah yang dihasilkan dan potensi dampak lingkungan serta kesehatan yang bisa ditimbulkan, hal itu yang menjadi latar belakang penelitian ini. Ada beberapa langkah yang biasa dilakukan dalam pengelolaan sampah industri: (a) Reduksi (b) Daur ulang (c) Pengolahan (d) Pembuangan – safe dissposal (e) Pemantauan dan kepatuhan. Banyak teknologi pengolahan limbah yang digunakan tergantung jenis limbah yang dihasilkan, namun yang sudah dikenal masyarakat merupakan teknologi pengolahan limbah yang tidak begitu kompleks prosesnya. Seberapa jauh masyarakat mengetahui teknologi pengelolahan limbah dan penerapannya perlu dilakukan penelitian lebih lanjut. Assesment teknologi pengelolaan sampah ini, saat ini sangat dibutuhkan dalam melakukan trasisis energi sejak digaungkan dalam G20 terkait dengan isu energi dan perubahan iklim serta mendukung pencapaian visi indonesia emas dengan net zero carbon emision. Sosialisasi dari teknologi ini dan implementasinya masih banyak perlu dilakukan. Belum permasalahan budaya pilih, pilah sampah yang terinternalisasi di masyarakat. Teknologi pengelolahan sampah ini bisa mengatasi beberapa kendala yang berhubungan dengan pencemaran lingkungan/polusi dan penurunan efek rumah kaca. Metode yang akan digunakan dalam pencapaian tujuan tersebut yaitu pertama mereview literatur tentang identifikasi sumber sampah dan teknologi yang tersedia untuk pengelolaannya, baik yang sudah matang atau yang masih dalam pengembangan. Sumber sampah di Kota Palembang berasal dari Rumah Tangga, Perkantoran, Perniagaan, Pasar, Faslitas Publik, Kawasan. Kebijakan pengelolaan sampah di Kota Palembang terletak di Peraturan Pemerintah: Undang-Undang dan PerPres, PerMen, Perda. Teknologi pengelolahan sampah yang tersedia untuk pengolahan sampah di kota Palembang masih belum terintegrasi dan beroperasi secara open dumping. Faktor-faktor penghambat penerapan Teknologi Pengolahan Sampah di Kota Palembang ada 5 aspek yang perlu diperhatikan, dan Sistem pengelolaan sampah di Indonesia agar dapat terintegrasi dengan baik. Teknologi (prinsip-prinsip, metode-metode dan manajemen sampah) seperti zero waste management dan integrated waste management. Dengan implementasi teknologi dan prinsip manajemen sampah yang tepat, Kota Palembang memiliki potensi besar untuk menjadi kota dengan pengelolaan sampah yang berkelanjutan dan ramah lingkungan. Dukungan masyarakat, pemerintah, dan sektor swasta menjadi kunci utama keberhasilannya.
Kata kunci: Manajemen Sampah, G20, Net Zero Carbon Emisio
PENGARUH CAPITAL EXPENDITURE, LIQUID ASSET SUBSTITUTE, SHORT-TERM DEBT, DAN PROFITABILITY TERHADAP CASH HOLDING PADA PERUSAHAAN FOOD AND BEVERAGE
No full textThis study aims to test and analyze the effect of capital expenditure, liquid asset substitute, short-term debt and profitability on cash holding in Food and Beverage companies. The population in this study are food and beverage companies listed on the Indonesia Stock Exchange (IDX). Sampling in this study used a purposive sampling technique with a total of 27 companies, so 135 research samples were obtained. The data collection technique used was by using financial reports published by the company. Then in this study the data analysis technique used was multiple linear regression analysis. The results obtained in this study indicate that the variables capital expenditure, liquid asset substitute and short-term debt have a significant negative effect on cash holding, while profitability has a significant positive effect on cash holding
Peran Good Corporate Governance Dalam Memoderasi Pengaruh Intellectual Capital Terhadap Kinerja Perusahaan
No full textThe study aims to determine the role of Good Corporate Governance in moderating the Intellectual Capital impact on company performance. This type of study is a quantitative study using secondary data of data on the company's financial statements and annual reports. The population in this study is the technology and infrastructure sector listed in the Indonesia Stock Exchange (IDX) 2020-2023. In this study sampling was taken using a flux sample with samples obtained as many as 236 samples. The data analysis techniques used are predicregression analysis to analyze the role of Good Corporate Governance as moderate variables in the Intellectual Capital's performance. The findings suggest that Intellectual Capital has no significant impact on corporate performance and Good Corporate Governance unable to modernize Intellectual Capital relationships with corporate performance
Pengaruh Persepsi Kemudahan Penggunaan dan Persepsi Kegunaan terhadap Kepuasan Pelanggan dalam menggunakan aplikasi Mcdonald’s
No full textThis study aims to test and analyze the effect of perceived ease of use and perceived usefulness on customer satisfaction in using the McDonald's application. The research involved 104 respondents selected through a purposive sampling method. Data analysis techniques included descriptive statistics, validity and reliability tests, classical assumption tests, multiple linear regression analysis, and hypothesis testing, including the t-test, F-test, and coefficient of determination analysis. The findings reveal that perceived ease of use has a positive and significant influence on customer satisfaction in using the McDonald's application. Similarly, perceived usefulness also positively and significantly affects customer satisfaction in using the McDonald's application