Berita Ilmu Keperawatan
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Effectiveness of Progressive Mobilization on Functional and Hemodynamic Status in Bedrest Patients in the ICU: Randomized Controlled Trial
Get PDFPatients with health problems who undergo bed rest for a long time can experience various health problems. Problems that can be felt by patients on functional and hemodynamic status. This study aims to identify the effectiveness of progressive mobilization on functional status and hemodynamics in bed rest patients. The research method used a qualitative design with a randomized controlled trial method. The number of samples in this study was 70 people for each group. The sample in this study was taken by simple random sampling method with a total of 70 people in the control group and 70 people in the intervention group. Bivariate statistical test used Friedman and Mann Whitney test, while multivariate test used logistic regression. The results of this study showed that there was a significant effect of progressive mobilization on functional and hemodynamic status (p0.05). The conclusion of this study is that progressive mobilization is effective on the functional and hemodynamic status of the patient so that it can be applied in the ICU of the hospital as a nursing interventio
The Efficacy of Murottal and Prayer as Therapy for The Management of Elderly's Anxiety and Sleep Disturbances
No full textAging is a natural process characterised by predictable physical and behavioral alterations that all people experience as they progress through their lives. Anxiety and sleep disorders are two issues that plague the elderly. The elderly typically complain about sleeping issues as a result of various chronic diseases. Frequent night awakenings might lead to an increase in the amount of time spent sleeping during the day. The aim of this study was to see how efficient murottal and prayer are at reducing anxiety and sleep problems in the elderly. This study employs an experimental design with a before and post approach, as well as a control group. This study collect 60 samples from elderly people in Pamijen Village. They were split into two groups: 30 elderly in the murottal group and 30 elderly in the prayer group. A questionnaire was used to assess anxiety and sleep pattern disturbances before and after treatment. Simple random sampling was used as the sampling technique. The paired t-test was used to analyse the dataStatistical tests of differences in sleep patterns before and after treatment in the murottal and pray groups were p = 0.00, statistical tests of anxiety scores before and after listening to prayer were p = 0.869, and statistical tests of differences in sleep patterns before and after treatment in the murottal and pray groups were p = 0.00. Murottal therapy has been shown to be effective in reducing anxiety and sleep disturbance
Evidence-based Practice and Information and Communication Technology: Stakeholders’ Insights
Get PDFStakeholders’ role to support evidence-based practice (EBP) and enhancing the use of information and communication technology (ICT) for EBP is essential. However, how EBP is supported and how ICT is utilized in health care providers is unknown. Aim: This study aims to explore stakeholders’ insights regarding the implementation of EBP and the use of ICT. A qualitative study with semi-structured face-to-face interview was used to obtain the aim. Using purposive sampling, eleven management representatives from public and private hospitals, clinics, and health office in Depok city, Indonesia were asked about EBP and ICT. Data were recorded, transcribed, and analyzed thematically. Five themes emerged from this study. EBP services availability and accessibility showed ICT sources were adequate, but still need improvement in the library and Education and Training Department (ETD); Healthcare workforce represented doctors and nurses who hardly generate research although permitted by the stakeholders; Health information system such as clinical cases forums in hospitals was established, but current evidence was rarely discussed; Funding for research and training related to EBP were not allocated; Leadership and governance showed there were limited policies on EBP and clinical instructors available in hospitals but generally work on supporting training and student practices. Although EBP implementation needs improvement, the stakeholders in this study mostly support EBP and enable ICT for EBP purposes. Advocacy on policy and resource arrangements is urged to support information initiatives
Terapi Dekapan dapat Menurunkan Kecemasan Anak saat Pemberian Terapi Intravena
Get PDFPenyebab cemas pada anak saat hospitaliasi adalah prosedur keperawatan yang mengakibatkan nyeri salah satunya adalah terapi intravena. Kehadiran orang tua sangat diperlukan selama prosedur terapi intravena melalui terapi dekapan. Terapi dekapan sangat sederhana mudah dilakukan oleh orang tua selama perawat melakukan tindakan kepada anak. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi dekapan terhadap tingkat kecemasan anak saat pemberian terapi intravena. Penelitian ini merupakan penelitian quasy-experimental dengan pendekatan case control. Responden dalam penelitan ini adalah anak usia 3-6 tahun sebanyak 36 anak yang terbagi menjadi 18 kelompok kasus (terapi dekapan) dan 18 kelompok kontrol (posisi supinasi). Teknik pengambilan sampel dilakukan secara acak sederhana. Pengukuran tingkat kecemasan dilakukan pada saat terapi intravena menggunakan Children Fear’s Score (CFS). Hasil penelitian adalah anak yang tidak diberi terapi dekapan, saat terapi intravena sebagian besar memiliki tingkat kecemasan skala 3 dengan kategori takut, yaitu terdapat 2 kerutan didahi (22,2 %). Anak yang diberikan terapi dekapan, saat terapi intravena sebagian besar memiliki tingkat kecamasan skala 1 dengan kategori sedikit takut sebanyak (27,8 %). Kesimpulan yang dapat diambil adalah terdapat pengaruh antara terapi dekapan terhadap tingkat kecemasan anak saat pemberian terapi intravena dengan nilai p=0,00
Pengaruh Rendam Kaki Air Hangat Terhadap Kualitas Tidur Pada Lansia: Literature Review
No full textABSTRAKLansia merupakan tahap akhir dari siklus hidup manusia, yaitu bagian dari proses kehidupan yang tidak dapat dihindari dan akan di alami oleh setiap individu. Pada proses penuaan akan terjadi penurunan, kemunduran dan perubahan fungsi baik fungsi biologis dan fisiologis, sosial, psikologis meliputi depresi, cemas, tidak konsentrasi, koping tidak efektif. Lansia sebagian besar berisiko tinggi mengalami gangguan tidur yang disebabkan oleh berbagai faktor. Salah satu gangguan tidur pada lansia yaitu, Insomnia/kesulitan tidur. Salah satu terapi non farmakologi untuk pemenuhan kebutuhan tidur ialah rendam kaki menggunakan air hangat atau hydrotherapy. Tujuan: untuk mengetahui pengaruh rendam kaki air hangat terhadap kualitas tidur pada lanisa secara kajian literatur. Metodelogi: pencarian artikel menggunkan Google Schoolar, PubMed, Medline database untuk menentukan artikel sesuai dengan kriteria inklusi dan eklusi kemudian dilakukan review. Hasil: Hasil penelitian menunjukan bahwa rendam kaki air hangat memiliki pengaruh yang signifikan terhadap kualitas tidur pada lansia. Hal ini bisa dibuktikan Setelah dilakukan intervensi menunjukkan bahwa mayoritas responden mempunyai total tidur 5-7 jam, waktu untuk tidur lebih cepat, frekuensi terbangun dimalam hari berkurang, tidur nyenyak dan responden mengatakan puas dalam tidurnya. Kesimpulan: terapi rendam kaki air hangat baikdilakukan dengan adanya campuran seperti aromaterapi lavender ataupun larutan garam masing-masing jenis tersebut dapat membantu meningkatkan kualitas tidur pada lansia. Kata Kunci: Rendam Kaki, Air Hangat, Kualitas Tidur, Lansi
Kajian Literatur: Peran Orang Tua yang Bekerja dengan Perkembangan Sosial Anak Usia Prasekolah
Get PDFAbstrak: Usia prasekolah merupakan masa dimana anak mulai bersosialisasi, hal ini membutuhkan peran orang tua dalam membimbing, menyayangi, mengajarkan dan mengasuh anak. Orang tua yang bekerja memiliki waktu yang kurang dalam menjalankan perannya. Literatur ini bertujuan untuk mengetahui bagiamana hubungan peran orang tua yang bekerja dengan perkembangan sosial anak usia sekolah. Metode yang digunakan yaitu penelusuran artikel penelitian ini melalui Google Scholar, ProQuest, EBSCO, dan Springer menggunakan kata kunci dan kriteria inklusi dalam jangka waktu artikel dari tahun 2015-2020. Hasilnya yaitu setelah penyaringan diapatkan 20 jurnal yang berhubungan dan hasil matriks sintesis dikelompokkan menjadi 3 kategori yaitu input, proses, dan output. Dalam literatur ini terdapat 5 penelitian tentang kelekatan orang tua, 13 penelitian tentang pola asuh dan 3 penelitian tentang status sosial ekonomi. Orang tua yang bekerja berperan dalam menjalin kelekatan, memberikan pengasuhan positif dan meningkatkan status sosial ekonomi untuk meningkatkan perkembangan sosial anak. Kata Kunci: Orang Tua Bekerja; Perkembangan Sosial Abstract: Preschool age is a time when the child starts socializing, it requires the role of parents in guiding, loving, teaching and parenting. Working parents have less time in their roles. The purpose of this literature is to know how the relation between the role of parents working with the social development of preschool. The method used the search for this research article through Google Scholar, ProQuest, EBSCO, and Springer uses keywords and inclusion criteria within the period of the article from 2015-2020. The result is there are 20 journals which related and results of matrix synthesis into 3 categories: input, process, and output. There are 5 studies on parent attachment, 13 studies on parenting and 3 studies on socioeconomic status. The role of working parents is building the attachment, providing good parenting and improving the socio-economic status to improve children’s social development. Keywords: Working Parents; Social Developmen
Faktor-faktor yang Menyebabkan Hipotensi Intradialisis : Literature Review
Get PDFIntroduction: Chronic kidney disease is a progressive and irreversible disorder of kidney function where the body experiences fail to maintain metabolism, fluid and electrolyte balance, and causing uremia. Hemodialysis is done to eliminate the symptoms, namely controlling uremia, excess fluid and electrolyte imbalances that occur in patients with chronic kidney disease. In addition to the benefits of hemodialysis, it is also have many of complications, one of the most common complications is intradialysis hypotension (IDH), cases of intradialysis hypotension reach 20% to 30% in the hemodialysis session. The method used is a literature review study by comparing some literature from search sites accredited journals such as Scientdirect, the National Center for Biotechnology Information and Google Scholar with the keywords Hypotension Intradyalitic Factor in the period 2015-2020. Research result :. Intradialysis hypotension (IDH) occurs due to mulifactorial both non-technical factors and hemodialysis technical factors. Non-technical factors consist of gender, age, history of hypertension, heart disease, anemia and patient's hemodialysis duration. Technical factors consist of ultrafiltration rate, dialysate liquid temperature, and dialysate fluid concentration. Conclusion: Intradialysis hypotension occurs because it is preceded by mulftifactorial factors, IDH occurs due to reduced aggressive blood circulation volume during the hemodialysis sessio
Gambaran Kualitas Hidup Pada Aspek Hubungan Sosial Penderita Hipertensi Di Wilayah Puskesmas Pajang Surakarta
Get PDFBackground: hypertension is an illness that is chronic but it often does not prescribe characteristic symptom. Health pertaining to life style often is one factor for someone hypertension disease. The 140 mmHg in systolic and the diastolic fixed or lower than the 90 mmHg. The aspect of the quality of life of social relationships that not capable of interact, good to the family, friend, couple, the son of even the surrounding community will increase the risk of hypertension. In general would hold up progress on a decrease in the quality of life of. Research objectives: research aims to understand the quality of life of social relationship in patients hypertension in the Puskesmas Pajang Surakarta. Benefits: can know whether in the region of Puskesmas Pajang Surakarta. The image of improving the quality of social relationships is good, enough or is weak. Research methodology: Descriptive quantitative research to obtain a simple life the quality of life of social relationships in sufferer hypertension in the Puskemas Pajang Surakarta. The sample is elderly disease sufferers are hypertension is the Puskesmas Pajang Surakarta and were selected based on criteria sample. A measuring instrument used for measuring the quality of social relationships using 5 WHOQOL-BREF the questionnaire who are domain 3 on the quality of social relations and other 2 studies about the quality of life of thoroughly and health have generally. The results of the study: statistical analysis obtained the results, from 48 respondents there ere 25 respondents (52,1%) having the quality of life of social relationship good, respondents who have the quality of relationships social enough of 22 respondents (45,8%) and respondents who have the quality of life of social relationships less of 1 respondents (2,1%). A conclusion: it should also be noted it is anticipated that analysis of the research done by the city government concludes that the aspect of the quality of life of the social relationship on sufferer hypertension in the region of the Puskesmas Pajang Surakarta yields here of either
Pengaruh Terapi Musik Instrumental Terhadap Tekanan Darah Pada Lansia Hipertensi
Get PDFBackground : Hypertensian can occur anyone, both men and women at any age. The elderly are at high risk of developing age-related degenerative diseases such as hypertension, one way to lower blood pressure in hypertensive sufferers using music therapy instrumental . The Aim :To Find out the effect of music therapy instrumental on blood pressure in elderly of hypertension at Panti Wredha Budhi Dharma Umbulharjo Yogyakarta. Methods :This research uses the pra ekperiment with One Group Pretest-Postest. The study population amounted to 52 elderly people , there are 30 samples elderly people by sampling methods using purposive sampling method. The research the method of data analysis uses Wilcoxon. Results : After performing music therapy instrumental showed blood pressure there are 28 people down (normal) and 2 fixed (high). The results ofthe Wilcoxon test, Z count value of -6.174 with p value 0,000 α = 0,05. Conclusion :There is a effect of music therapy instrumental on blood pressure in elderly of hypertension at Panti Wredha Budhi Dharma Umbulharjo Yogyakarta
Efektivitas Relaksasi Benson Terhadap Kecemasan Pasien Yang Menjalani Hemodialisa
Get PDFPendahuluan: Penyakit gagal ginjal merupakan gangguan fungsi ginjal yang terjadi saat tubuh tidak bisa mempertahankan metabolisme, keseimbangan cairan serta elektrolit sehingga menyebabkan terjadinya retensi urea dan sampah nitrogen dalam darah. Hemodialisa menjadi pilihan terapi untuk mengatasi gagal ginjal kronik. Hemodialisa dilakukan dengan alat khusus untuk mempertahankan fungsi ginjal dengan menyeimbangkan kadar elektrolit dan keseimbangan cairan tubuh. Hemodialisa yang dilakukan dalam waktu lama dapat menyebabkan gangguan pada aspek biologis maupun aspek psikologis bagi pasien hemodialisa. Sebanyak 48,6 % pasien hemodialisa mengalami gangguan kecemasan. Salah satu non-farmakologi terapi untuk mengurangi kecemasan yaitu relaksasi benson yang dilakukan selama 15-20 menit setiap pagi dan sore hari. Tujuan dari penelitian untuk mengetahui efektivitas relaksasi benson terhadap kecemasan pada pasien yang menjalani hemodialisa. Metode yang digunakan untuk penelitian ini adalah studi literature review dengan membandingkan beberapa literature dari penelusuran situs jurnal seperti Sciendirect, PubMed, Elsevier dan Google Schoolar Hasil Penelitian menunjukkan relaksasi benson yang dilakukan sehari 2 kali selama 15-20 menit efektif untuk mengatasi masalah kecemasan pada pasien yang melakukan hemodialiasa. Kesimpulan: relakasi benson efektif dan bekerja dengan baik dalam menurunkan kadar kecemasan pada pasien hemodialisa Kata Kunci : gagal ginjal kronik, Hemodialisa, Cemas, Relaksasi Benson. Abstract: Introduction: Kidney failure is a disorder of kidney function that occurs when the body cannot maintain metabolism, fluid and electrolyte balance, causing retention of urea and nitrogen waste in the blood. Hemodialysis is a therapeutic option for treating chronic renal failure. Hemodialysis is performed with special tools to maintain kidney function by balancing electrolyte levels and body fluid balance. Hemodialysis that is carried out for a long time can cause disturbances in biological and psychological aspects for hemodialysis patients. As many as 48.6% of hemodialysis patients experienced anxiety disorders. One of the non-pharmacological therapies to reduce anxiety is benson relaxation which is done for 15-20 minutes every morning and evening. The aim of this study was to determine the effectiveness of Benson relaxation on anxiety in patients undergoing hemodialysis. The method used for this research is a literature review study by comparing some literature from searching journal sites such as Sciendirect, PubMed, Elsevier and Google Schoolar. The results showed that Benson relaxation which is carried out twice a day for 15-20 minutes is effective in overcoming anxiety problems in patients with do regular hemodialysis. Conclusion: Benson Relaxation is effective and works well in reducing anxiety levels in hemodialysis patients Keywords: chronic renal failure, hemodialysis, anxiety, Benson Relaxatio