Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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Kesediaan Vaksinasi HPV pada Remaja Putri Ditinjau dari Faktor Orang Tua
Get PDFInfeksi HPV dan pre kanker serviks (sel-sel abnormal pada leher rahim yang dapat menyebabkan kanker) telah menurun secara signifikan sejak vaksin HPV digunakan.Cakupan vaksinasi HPV masih rendah di Indonesia.Orang tua adalah pemegang tanggung jawab dan kewajiban utama di dalam penjaminan pemenuhan hak dasar anak untuk mendapatkan vaksinasi. Tujuan penelitian adalah untuk mengetahui faktor yang berhubungan (sikap, kepercayaan, dukungan orang tua) dengan kesediaan vaksinasi pada remaja putri. Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di SD Muhammadiyah Macanan, Ngemplak dan SMPN 1 Berbah, Sleman pada Mei-Juli 2019. Jumlah sampel 127 remaja putri beserta orang tuanya dipilih dengan accidental sampling. Instrumen kuesioner dan telah dilakukan uji validitas. Analisis bivariat dengan uji chi square (dukungan instrumen, emosional, kepercayaan orang tua) dan uji fisher exact (dukungan informasi dan sikap). Hasil penelitian menunjukkan 92,9% orang tua tidak memberikan dukungan informasi, 85% tidak memberikan dukungan instrumen, 75,6% memberikan dukungan emosional kepada putrinya terkait vaksinasi. Faktor yang berhubungan dengan kesediaan vaksinasi adalah dukungan instrumen (p-value = 0,048). Faktor yang menjadi pertimbangan terbanyak orang tua untuk mengijinkan anaknya di vaksinasi adalah keamanan vaksin (81,1%). Kesimpulan: Ada hubungan dukungan instrumen orang tua dengan kesediaan vaksinasi HPV pada remaja putri. HPV infections and cervical precancers (abnormal cells on the cervix that can lead to cancer) have dropped significantly since HPV vaccine has been in use. HPV vaccination coverage is still low in Indonesia. Parents are the main responsibility and obligation in guaranteeing the fulfillment of the child's basic rights to get a vaccination. The purpose of this study was to determine the related factors (attitudes, beliefs, parental support) with the willingness to participate in HPV vaccination among adolescent girls. This type of the study was analytic survey with cross sectional approach. The study was conducted at SD Muhammadiyah Macanan, Ngemplak and SMPN 1 Berbah, Sleman in May-July 2019. The sample was 127 adolescent girl and their parents selected by accidental sampling. The instrument used questionnaire and already undergone validity test. The bivariate analysis used chi square test (instrument and emotional support, parental trust) and fisher exact test (information support and attitude). The results showed 92.9% of parents did not provide information support, 85% did not provide instrument support, 75.6% provided emotional support to their daughters related to vaccination. Factors related to the willingness of vaccinations were instrument support (p-value = 0.048). The factor that was considered by most parents to allow their children to be vaccinated was vaccine safety (81.1%). Conclusion: There was a correlation between parental instrument support and HPV vaccination willingness of adolescent girls
Relationship of Nurse Caring Behaviour with Patient Satisfaction at the Emergency Department of Catholic Hospital of Budi Rahayu Blitar
Get PDFOne indicator of hospital services is patient satisfaction related to nurses caring behaviour. The caring behaviour of nurses who provide nursing services in the Emergency Department is expected to increase the satisfaction of nursing services. The purpose of this study was to study the relationship between nurses caring behaviour with patient satisfaction receiving nursing services at the Emergency Department of Catholic Hospital of Budi Rahayu Blitar. The research design was cross sectional. Sample sizes were 80 patients who received nursing services at the Emergency Department were selected by purposive sampling. The study variables were nurse caring behaviour and patient satisfaction. Data were collected using a questionnaire. Analysis using the Spearman rank test. The analysis results obtained p = 0.000 and r = 0.618, which means there is a strong positive relationship between nurses caring behaviour with patient satisfaction. Suggestion, nurses maintain and even increase caring behaviour, especially communication skills in the orientation phase
Aloe Vera Extract 75% Effective in Providing Xerosis Repair In Chronic Kidney Failure Patient’s
Get PDFThe prevalence of chronic kidney disease in Indonesia is increasing, especially in Saiful Anwar Hospital Malang, because the patients must undergo hemodyalisis therapy. Hemodialysis therapy has an effect to induce xerosis. Untreated xerosis will cause pruritus. Therefore this condition needs to use moisturizer to prevent pruritus like aloe vera extract. The purpose of this research was to determine the effect of using aloe vera extract on the treatment of the skin of patients with chronic kidney failure. The research method was true experimental research and used simple random sampling technique to recruit 25 respondents. Aloe vera extract was used by rubbing it onto the skin with xerosis and assessment was conducted in the first, second and third week. The analysis of this research used the Kruskal-Wallis test and Linear Regression. The result of different test was p = 0.001 or α <0.01 showed that there was significant differences between groups of independent variables. The R ^ 2 value was 69% , it mean that aloe vera extract had an effect as much as 69% of improvement in skin conditions of xerosis patients and 31 % was influenced by other factors besides extract aloe vera. The results showed that aloe vera extract with 75% concentration gave the most effective treatment for xerosis patients. Therefore, aloe vera could be a therapy for xerosis as a management of independent nursing care with nursing problems of skin integrity disorders
Kepatuhan Ibu Hamil mengkonsumsi Tablet FE di Kota Tanjungpinang tahun 2017
Get PDFSejumlah 40% kematian pada ibu hamil berhubungan dengan anemia. Pemerintah Indonesia sudah melakukan upaya penanggulangan anemia, diantaranya dengan memberikan tablet Fe . Ibu Hamil yang mendapatkan tablet Fe pada tahun 2016 di Kota Tanjungpinang adalah 89,8%. Kejadian Anemia pada ibu hamil di Kota Tanjungpinang pada tahun 2016 adalah sebesar 12,21%. Tujuan penelitian adalah untuk mengetahui faktor –faktor yang berhubungan dengan kepatuhan ibu hamil mengkonsumsi tablet Fe. Desain penelitian adalah deskriptif analitik cross sectional dengan analisis data chi square. Penelitian ini dilakukan di Kota Tanjungpinang pada bulan Juli sampai dengan Oktober 2017. Populasi dalam penelitian ini adalah semua ibu hamil yang mengkonsumsi tablet Fe di Kota Tanjungpinang. Jumlah Sampel dalam penelitian ini adalah 56 responden dengan teknik Non Probability Sampling-Purpossive Sampling Type. Pengumpulan data melalui kuesioner. Hasil penelitian factor yang berhubungan dengan kepatuhan ibu hamil mengkonsumsi tablet Fe adalah pengetahuan (p=0,025), dan pendidikan (p =0,007). Diharapkan menambah bahan bacaan dan media pendidikan kesehatan tentang anemia dan tablet Fe untuk meningkatkan pengetahuan ibu hamil serta memberikan pendidikan kesehatan cara mengkonsumsi tablet Fe dan efek samping tablet Fe ada ibu hamil. 40% of deaths in pregnant women associated with anemia. The Indonesian government has made efforts to overcome anemia, such as give Fe tablets . Pregnant women who received Fe tablets in 2016 in Tanjung Pinang City were 89.8%. The incidence of anemia in pregnant women in Tanjung Pinang City in 2016 was 12.21%. The purpose of this study was to determine the factors associated with compliance of pregnant women consuming Fe tablets. Descriptive analytic cross sectional study design with chi square data analysis. This research was conducted in the City of Tanjungpinang in July to October 2017. The population in this study were all pregnant women who consuming Fe tablets in Tanjung Pinang City. The number of samples in this study were 56 respondents used Non Probability Sampling-Purpossive Sampling Type.Data collection through questionnaires. The results of research related to pregnant women consuming Fe tabets are knowledge (p=0,025) and education (p =0,007). It is Expected to add reading material and health education media about anemia and Fe tablets to increase the knowledge of pregnant women and provide health education on how to consume Fe tablets and the side effects of Fe tablets for pregnant women
Program Retensi Perawat untuk Mengurangi Turnover Perawat Non PNS di Rumah Sakit X
Get PDFRumah sakit harus mampu mempertahankan pegawai, terutama tenaga kesehatan seperti perawat, hal ini dilakukan agar rumah sakit dapat mempertahankan eksistensinya. Angka turnover yang tinggi merupakan sebuah ancaman bagi rumah sakit, oleh karena itu dibutuhkan program retensi pegawai untuk mempertahankan pegawai dari turnover intention. Penelitian ini bertujuan untuk mengetahui gambaran proses pengembangan perawat non PNS di Rumah Sakit X. Penelitian ini menggunakan metode kualitatif dengan jenis penelitian deskriptif. Data diperoleh melalui wawancara terhadap perawat PNS, perawat non PNS, perawat yang telah resign, dan pihak manajemen Rumah Sakit X. Hasil penelitian ini menunjukkan bahwa Rumah Sakit X telah melaksanakan program retensi pegawai, namun belum bisa menurunkan angka turnover perawat non PNS. Sistem remunerasi yang merupakan program retensi pegawai perlu ditinjau ulang, karena dengan adanya sistem remunerasi, turnover perawat non PNS semakin meningkat. Turnover perawat non PNS di Rumah Sakit X disebabkan oleh kepastian karier dan kesejahteraan pegawai yang kurang. Program retensi pegawai di Rumah Sakit X harus fokus pada faktor penyebab turnover perawat non PNS, agar program retensi pegawai dapat dirancang dengan baik. Pihak manajemen Rumah Sakit X harus melakukan analisa yang tepat dan melihat berbagai dampak yang akan muncul dari penerapan program retensi pegawai tersebut. A hospital must be able to retain employees, especially health workers such as nurses, this is done so that the hospital can maintain its existence. High turnover is a threat to the hospital. Therefore, employee retention programs are needed to keep employees from turnover intentions. This study aims to determine the description of the process of developing non-civil servant nurses in Hospital X. This study uses qualitative methods with a descriptive research type. Data obtained through interviews with civil servant nurses, non-civil servant nurses, nurses who have resigned, and the management of Hospital X. The results of this study indicate that Hospital X has implemented an employee retention program, but has not been able to reduce the turnover rate of non-civil servant nurses. The remuneration system which is an employee retention program needs to be reviewed because, with the remuneration system, the turnover of non-civil servant nurses is increasing. The turnover of non-civil servant nurses at Hospital X was caused by career certainty and lack of employee welfare. The employee retention program at Hospital X must focus on the factors that cause the turnover of non-civil servant nurses so that the employee retention program can be well designed. The management of Hospital X must conduct appropriate analysis and see the various impacts that will arise from the application of the employee retention program
Factor Associated with Diabetes Burnout Syndrome Among Type 2 Diabetes Mellitus
Get PDFDiabetes mellitus is a metabolic disease that is often found in Indonesia and the number of sufferers is increasing every time. Management of therapy patients with type 2 diabetes mellitus consists of five steps that require compliance and discipline to maintain stable blood sugar levels. This condition causes burnout by diabetes mellitus patients. The purpose of this study was to identify factors associated with diabetes mellitus among type 2 Diabetes mellitus. This study used a correlational design with a cross-sectional approach with a sample size of 89 respondents who were taken by purposive sampling. Based on the results of the study it was found that most Diabetes mellitus patients were 56-60 years old, female, and the education background was junior high school level. The level of income of majority of the respondents was under 1 million rupiahs and suffered from Diabetes mellitus for 1-10 years. The result found almost the entire entire patient consumed diabetes drugs. Most of the respondents had a severe category in diabetes burnout syndrome. The research found that there was a correlation between age, gender educational background, level of income, duration suffering DM, consumption of diabetes drugs with diabetes burnout syndrome among type 2 Diabetes Mellitus. Health workers must provide education about the importance of preventing the incidence of burnout syndrome and taking therapeutic management for patients who already had diabetes burnout syndrome
Pengaruh Acupresure terhadap Kecukupan ASI pada Ibu Post Partum SC hari ke 7
Get PDFIbu post partum dengan Sectio secaria biasanya mengalami penurunan volume ASI sehingga tidak mencukupi kebutuhan nutrisi pada bayi. Oleh karena itu, untuk memenuhi kecukupan ASI pada bayi maka menggunakan terapi acupresure pada titik ST16, ST 17 dan ST 18 sehingga dapat menstimulasi hipofisis untuk mengeluarkan hormon prolaktin dan oksitosin. Metode penelitian yang digunakan menggunakan menggunakan pre eksperiment dengan pendekatan pre-post group design. . Sampel dalam penelitian ini berjumlah 20 ibu post partum SC, tehnik sampling yaitu tottaly sampling. Hasil penelitian membuktikan bahwa terjadi kenaikan rata-rata pada sebelum dan sesudah intervensi sebesar 310,00 poin. hasil uji Paired sample t-test didapatkan nilai ï² < ï¡ berarti terdapat perbedaan yang signifikan kecukupan ASI sebelum perlakuan dan sesudah perlakuan. Akupresur dapat merangsang acupoints dapat membantu mengatur proses involusi uteri dan pengeluaran ASI dan mengembalikan keseimbangan selama masa post partum. Post partum mothers with Sectio secaria usually experience a decrease in the volume of milk so that it is not sufficient for the baby's nutritional needs. Therefore, to meet the adequacy of breast milk in infants using acupressure therapy at points ST16, ST 17 and ST 18 so that it can stimulate the pituitary to secrete the hormones prolactin and oxytocin. The research method used uses pre-experiment with a pre-post group design approach. . The sample in this study amounted to 20 post partum SC mothers, the sampling technique is tottaly sampling. The results of the study prove that there was an average increase before and after the intervention of 310.00 points. Paired sample t-test results obtained value ï²<ï¡ means there is a significant difference in the adequacy of breast milk before treatment and after treatment. Acupressure can stimulate acupoints can help regulate uterine involution and milk removal and restore balance during the post partum period
Pengaruh Posisi Tubuh terhadap Tekanan Darah pada Lansia Penderita Hipertensi di Wilayah RW 06 Kelurahan Bongkaran Sejahtera Kecamatan Pabean Cantian Surabaya
Get PDFSalah satu gangguan kesehatan yang banyak dialami oleh lansia adalah pada sistem kardiovaskuler yaitu hipertensi. Pada berbagai posisi akan menghasilkan tekanan darah yang bervariasi. Penelitian ini bertujuan untuk mengetahui hasil pengukuran tekanan darah pada lansia yang menderita hipertensi antara posisi duduk dan posisi berdiri. Penelitian ini dilaksanakan di RW 06 Kelurahan Bongkaran Sejahtera Kecamatan Pabean Cantian Surabaya pada 27 Januari 2018. Metode pada penelitian yaitu pra eksperimental dengan tipe one group pre post test design dengan pendekatan cross sectional. Sampel penelitian ditentukan secara total sampling yang berjumlah 50 orang. Data dianalisa menggunakan uji Wilcoxon Signed Ranks Test. Hasil penelitian menunjukan terdapat pengaruh posisi tubuh terhadap tekanan darah. Hasil penelitian yang diperoleh sebagai berikut: tekanan darah yang diukur pada saat duduk sebesar 29 orang (58%) dikategorikan Hipertensi Derajat 1, sedangkan posisi berdiri sebesar 20 orang (34%) dikategorikan Hipertensi Derajat 2. Hasil uji Wilcoxon Signed Ranks Test menunjukkan bahwa terdapat perbedaan yang bermakna antara posisi duduk dan posisi berdiri dengan nilai p = 0,000 < α =0,05. Kecepatan denyut jantung akan meningkat pada posisi duduk karena jantung memompa darah akan lebih keras sehingga melawan gaya gravitasi. Hal ini membuat tekanan darah cenderung stabil.. Pengukuran tekanan darah dapat dilakukan pada posisi tubuh yang lain dengan perbedaan waktu istirahat, dan berikan interval waktu dalam melakukan pengukuran tekanan darah. One of the many health problems experienced by the elderly is the cardiovascular system, that is hypertension. Blood pressure varies in a wide range of circumstances, one of which is the change in position. The purpose of this research is to know the results of the measurement of the blood pressure between sitting position and standing position on the elderly who suffer from hypertension. This research was carried out in the prosperous Village 06 RW Bongkaran Sejahtera Kecamatan Pabean Cantian Surabaya on 27 January 2018. Research on the methods of experimental type with pre eksperiment one group pre post test design with cross sectional approach. Sample determined in simple random sampling of 50 people. The data were analyzed using the Wilcoxon Signed Ranks test. The results showed there are. influence of the position of the body against blood pressure. The research results obtained the following data: blood pressure sitting of 29 people (58%) categorized Hypertension Degrees 1, while a sitting position by 20 people (34%) categorized Hypertension Degrees 2. Test results Wilcoxon Signed Ranks Test showed that there were significant differences between the positions of sitting and standing position with a value of p = 0.000<α = 0.05. Seated position makes blood pressure tend to be stable. Working the heart in a sitting position, in pumping blood will be harder because it opposes the gravitational force so that the heart rate increases. Blood pressure measurement can be done a variety of positions, the time difference break, as well as to provide an interval of time in doing the measurement of blood pressure
Implementasi Kegiatan Pendidik Sebaya dan Konselor Sebaya dalam Upaya Pencegahan Triad KRR di Pusat Informasi dan Konseling Remaja
Get PDFIntroduction : Perilaku remaja banyak yang berubah seiring dengan perkembangan teknologi. Dalam kondisi semacam ini remaja membutuhkan informasi mengenai kesehatan reproduksi, aktifitas yang bermanfaat dan menjadi kreatif. PIK Remaja BPMP & KB Kabupaten Sumenep merupakan tempat remaja mendapatkan informasi yang benar, tepat dan objektif tentang TRIAD KRR dengan informasi yang positif dan tempat peningkatan life skill yang bermanfaat bagi kehidupannya. Tujuan dari penelitian ini adalah menggambarkan pelaksanaan kegiatan Pendidik Sebaya dan Konselor Sebaya dalam upaya pencegahan TRIAD KRR di PIK Remaja dan faktor penyebab serta pendukungnya. Metode : Penelitian ini menggunakan pendekatan kualitatif deskriptif yang prosesnya dimulai dari pengumpulan data dan diakhiri dengan penarikan kesimpulan. Subjek utama penelitian ini adalah Lima orang Pendidik Sebaya dan Lima orang Konselor Sebaya yang dipilih secara purposive sampling. Dengan pengumpulan data subjek utama dengan indepth interview Subjek triangulasi adalah sepuluh teman dekat subjek utama dengan teknik Focus Group Discussion, Ketua dan Pembina PIK Remaja BPMP & KB Kabupaten Sumenep dengan indepth interview. Teori perilaku dari Lawrence Green digunakan sebagai kerangka konsep dalam penelitian dengan analisis data secara induktif. Hasil : Hasil penelitian ini dapat disimpulkan bahwa pelaksanaan kegiatan Pendidik Sebaya dan Konselor Sebaya dalam upaya pencegahan TRIAD KRR sudah baik. Hal ini terjadi karena pengetahuan, persepsi, motivasi, pemberian materi, pengaruh teman dekat, dukungan keluarga dan supervisi Pembina yang baik. Adolescent behavior has changed much in line with technological developments. Under these conditions young people need information about reproductive health, activities that are beneficial and be creative. CICA RISMA is where adolescents get the right information, accurate and objective information about TRIAD ARH with a positive and a life skill enhancement for the benefit of life. The purpose of this study is to describe the implementation of Peer Educators and Peer Counsellors in the prevention TRIAD ARH in CICA RISMA as well as supporting factors. This study uses a descriptive qualitative approach of data collection process began and ended with inferences. The main subject of this study is Five Peer Educators and Peer Counsellors Five persons selected by purposive sampling. With the main subject of data collection by indepth interview . Triangulation subject is a close friend of ten major subject with Focus Group Discussion techniques, the Leader and Supervisor CICA with indepth interview with. Behavioral theory of Lawrence Green is used as a conceptual framework in research with inductive data analysis. The results of this study can be concluded that the implementation of Peer Educators and Peer Counsellors in the prevention TRIAD ARH is good. This happens because the knowledge, perception, motivation, provision of materials, the influence of a close friend, family support and supervision of a good coach
Factors Influence Risk of Dementia in Elderly
Get PDFThe population of elderly globally is predicted continue to increase. The number of dementia cases in Indonesia reaches 1 million cases with an increase in the average life expectancy of Indonesians. WHO estimated that by 2050 cases of dementia will increase drastically, from currently around 36 million to more than 115 million. In 2011 the number of dementia cases in Indonesia showed 1 million people which will increase due to high average life expectancy continue to increase. This caused in the quality of life for the sufferer decrease which potentially became a big problem especially for developing countries that were not ready to handle large amounts of the need for treatment. Factors influence the risk of dementia were divided into 3 domain factors cardiovascular risk factors, lifestyle risk factors and other risks. The purpose of this research  analyzed factors that affect the risk of dementia among elderly in the elderly Posyandu, Tajinan Puskesmas work area Malang District. This research was cross sectional research methods. The sample Unit in this research was elderly who actively join elderly Posyandu in Tajinan Puskesmas, Malang District. Sample count 30 using proportionate stratified random sampling technique The Data analysis used SPSS software with logistics regression analysis tests. The results of this research showed that respondents who had high blood pressure had a chance of 23.9 times higher risk of cognitive problem compared to respondents who had normal blood pressure. This research also employed research articles, reports on research and teaching materials as the reference. The research recommends for elderly to maintain their health status especially blood pressure and emotions to prevent the occurrence of cognitive function/dementia