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KESEHATAN JIWA PEDEKATAN HOLISTIK DALAM ASUHAN KEPERAWATAN
Get PDFPuji syukur kami panjatkan kehadirat Allah SWT, Tuhan Yang Maha Esa, atas berkat rahmad
taufi q dan hidayahnya penulis mampu menyelesaikan buku “Kesehatan Jiwa; Pendekatan
Holistik dalam Asuhan Keperawatan” ini dengan baik. Buku ini diselesaikan untuk memperkaya
rujukan masyarakat dalam menjaga dan meningkatkan kesehatan jiwa. Ternyata masalah kesehatan
jiwa bukan hanya masalah pasien, tenaga kesehatan di rumah sakit jiwa tetapi keluarga, kelompok,
masyarakat bahkan masing-masing individu. Gangguan jiwa tidak hanya berbentuk gangguan jiwa
berat (kelompok psikosis) tetapi juga masalah psiko-sosial, dan ternyata kontribusinya terhadap
penyakit fi sik sangat tinggi. Kesehatan jiwa sangat diperlukan bagi hajat hidup orang banyak khususnya
untuk keberlangsungan hidup bermasyarakat. Jiwa adalah unsur manusia yang bersifat non materi,
tetapi fungsi dan manifestasinya sangat terkait pada materi. Oleh karena itu, kita dapat mempelajari
dan mengembangkan kesehatan jiwa melalui fungsinya dan membuktikan kesehatan jiwa melalui
manifestasinya dalam kehidupan sehari-hari.
Kesehatan jiwa adalah kondisi dimana seorang individu dapat berkembang secara fi sik, mental,
spiritual, dan sosial sehingga individu tersebut menyadari kemampuan sendiri, dapat mengatasi
tekanan, dapat bekerja secara produktif, dan mampu memberikan kontribusi untuk komunitasnya.
Kenyataanya, hasil riset kesehatan dasar Kementerian Kesehatan RI tahun 2013 menunjukkan 0,17%
penduduk Indonesia mengalami gangguan jiwa berat, 14,3% nya pernah dipasung. Selain itu 6%
penduduk Indonesia mengalami gangguan mental emosional yang mengakibatkan kualitas hidup
terganggu, kualitas kerja terganggu dan produktift as terganggu. Oleh karena itu diperlukan upaya
peningkatan kesehatan jiwa secara komprehensif oleh semua tenaga kesehatan dengan seluruh stake
holder. Upaya Kesehatan Jiwa adalah setiap kegiatan untuk mewujudkan derajat kesehatan jiwa yang
optimal bagi setiap individu, keluarga, dan masyarakat dengan pendekatan promotif, preventif, kuratif,
dan rehabilitatif yang diselenggarakan secara menyeluruh, terpadu, dan berkesinambungan ole
Analysis of Factors on Reward System in the Hospital
Get PDFIntroduction: Hospitals, as an institution providing health services, are required to provide quality services.
Excellent service must be owned by health workers, including nurses. One strategy used to improve health
services in a hospital is a reward system and this is effected by the organisational factors of nurses in the hospital.
Objective: This study aimed to identify factors in the reward system in a hospital.
Method: This study used a cross-sectional design. The sampling method used simple random sampling with
as many as 237 nurses. The independent variables were demographic factors (education, length of working,
rotation, workplace and position of work). The dependent variables were intrinsic and extrinsic rewards.
The data were collected using an instrument test and observation sheet that were tested for validity and
reliability. The analysis used multivariate-test (MANOVA) level α≤0.05.
Results: The results showed that there was an effect of education on intrinsic reward (p = 0.001), duration of
work on intrinsic reward (p = 0.006), position of work on intrinsic reward (p = 0.004), education on extrinsic
reward (p = 0.028), duration of work on extrinsic reward (p = 0.001) and position of work on extrinsic reward (p =0.000). Conclusion: Education, duration and position of work can improve the reward system of nurses. Therefore,
these factors can be the motivation of nurses to deliver excellent service
Parent’s Experience of the Grief-Loss Process with Children with Leukemia
Get PDFLeukemia brings in changes in a child’s psychology that results in losses for the parents. The purpose of this research was to draw out and interpret the loss and grief process of parents whose children are suffering from leukemia. This research applied a phenomenological qualitative research design. The informants were parents whose children were suffering from leukemia. The instrument of this research was the researcher. The data gathering technique used consisted of in-depth interviews. This research was located in the Bona room of Dr. Soetomo General Hospital in Surabaya. We analyzed the data through triangulation and the sources used were reference materials. The result showed that the parents were shocked and in a state of disbelief at first, even going so far as to reject what had happened. The parents blamed themselves and were angry at everyone. Words cannot express their deep grief, and they tried to accompany their children every moment possible. The parents whose children were suffering from leukemia encountered loss and were going through a grieving process. The nurses were given the suggestion of giving the parents a chance to express their grief.
Keywords: experiences, parent, grief-loss, children with leukemi
Factors Affecting the Nurse’s Caring Behaviors in Surabaya Jemursari Islamic Hospital
Get PDFCaring is a central nursing practice. However, many nurses are still found to have less care for their patients’ condition. Some of them are still inhospitable, harsh and less sensitive to the patient’s condition. This study aimed to analyze the factors affecting the nurse’s caring behavior in hospital. The design of this study was descriptive and observational, done using the cross-sectional approach. This study involved the population of all nurses working in the medical and surgical rooms of Surabaya Jemursari Islamic Hospital, totaling 44 nurses. The sample of 40 respondents was chosen using the simple random sampling technique. The independent variable was the nurse’s individual characteristics: age, sex, level of education and emotional intelligence. The dependent variable was the nurse’s caring behavior. A questionnaire was used to collect the data which was analyzed using the Chi-square Test. The nurse’s individual characteristics, namely age, sex, and level of education, did not affect the nurse’s caring behaviors (ρ ≥ α: 0.05), whereas emotional intelligence affected the nurse’s caring behaviors (ρ = 0.00 ≤ α). The factor affecting the nurse’s caring behavior was emotional intelligence. Therefore, hospitals need to provide nurses with training for better self-management and caring behavior.
Keywords: caring, emotional intelligence, empathy, self-management, self-contro
Spiritual Intervention and Thermal Stimulation in Pregnant Women with Back Pain
Get PDFBack pain is one complaint that is often experienced by pregnant women. This complaint increases with increasing maternal age. The purpose of this study is to determine the effectiveness of spiritual intervention and thermal stimulation of back pain in pregnant women. The method uses a quantitative with quasi-experiment pre-post test design with control on 40 people; subjects were taken by purposive sampling. Interventions in group 1 listened to Qur’anic murottal Ar Rahman surah and were given warm compresses, while in group 2, Qur’anic murottal was the subject’s favourite surah and were given warm compresses for 20 minutes. The data was analysed using the Wilcoxon and Man Whitney tests. The Wilcoxon test in group 1 showed that there was an effect of listening to murottal Alqur’an Ar-Rahman surah and warm compresses to decrease back pain, with p value 0.000. In group 2, there was an influence of listening to murottal Alqur’an favourite surah and warm compresses to decrease back pain, with p value 0.000. The Mann Whitney test from both groups showed no significant difference in decreasing back pain in groups 1 and 2 with p value 1.000.
Conclusion: There is a significant reduction in pain before and after intervention.
Keywords: Spiritual Intervention, Thermal Stimulation, Pregnant Women, Back Pain
Feeding Patterns of Children with Stunting Based on WHO (World Health Organization) Determinant Factors of Behaviours Approach
Get PDFThe stunting of children is a problem that is happening in Indonesia. Stunting can be caused by several factors, one of which is the feeding pattern of the child applied by the mother. The purpose of this study was to analyse the factors related to feeding patterns on children with stunting. This research design used a cross sectional study. There were 136 respondents (mother and toddlers) in this study who were chosen by simple random sampling. The independent variables were knowledge, attitude, personal reference, and income, while the dependent variable was feeding patterns. The data were collected by Infant and Young Child Feeding (IYCF) questionnaire then analysed by using ordinal regression. The result showed that there were relationships between health workers and posyandu cadres (p=0.001), and income (p=0.00) with feeding patterns. It can be concluded that the feeding patterns in children with stunting could be influenced by health workers, posyandu cadres and parent’s income. Income was the most influential factor with the pattern of feeding (estimated 15.4). This was because the higher the income, the greater the variety of food items that could be purchased by the mother. Personal references were used to enhance preventive and promotive efforts to provide health education to the mother.
Keywords: stunting, feeding pattern, behaviour, childre
Factors that Affect the Mother in the Control of Their Child’s Fever
Get PDFA fever is one of the signs and symptoms of disease that often occurs in childhood. Fever in children makes the mother frightened when facing her child’s health problems. The mothers assume that every child will develop a seizure fever. The purpose of this study was to find out the factors that influence the mothers when handling fever in the one of First Level Health Facilities in Jogoloyo, Sumobito and Jombang.
The research design was cross-sectional. The population of mothers with toddlers totaled 420 respondents. The sample of 210 respondents was gathered using a simple random sampling technique. The independent variables were factors that influenced the mothers in managing fever in toddlers and the dependent variable was the frequency of fever.
The results of the research show that 67% of the mother’s had good knowledge, the frequency of children with a fever was 45% and the mother’s who received advice from health workers was 87.3%. Good experiences from their family/friends made up 37.5%. Significant bivariate analysis was conducted on knowledge, the frequency of pain, advice from the health workers and their family/other people’s experiences with a p value < 0.05.
Advice from health workers consisted of health education about how to handle fever in children. This can increase the mother’s handling of feverish children, therefore structured education is very beneficial for the mother.
Keywords: maternal factors, fever management, toddle
The ST-36 Acupressure Increased Gut Motility To Sectio Caesarea Patients with Subarachnoid Block Anesthesia
Get PDFPostoperative patients with Subarachnoid Block anesthesia will experience paralytic ileus. Various efforts to overcome this have been carried out, including early mobilization, chewing gum, warm compresses, and acupuncture. The actions taken have not yet shown maximum results. This study aimed to analyze the effect of ST-36 acupressure on gut motility and flatus time in postoperative patients with Subarachnoid Block anesthesia. This research used Quasi-Experiment with pretest-posttest group design. Population in this research was post operation patient with Subarachnoid Block anesthesia in Sidoarjo Hospital. A sample of 14 respondents in control group and 14 respondents in experimental group were obtained using purposive sampling technique. Data retrieval was done by criteria using lidodex 100mg/2ml anesthetic or 5% lidocain + adrenaline. Data were analyzed using independent t test. The result showed that there was difference average frequency of gut motility between control group and experimental group after given intervention ST-36 acupressure (p=0.013). The time of flatus showed that there were no significant differences in the two groups (p = 0.262). It can be concluded that ST-36 acupressure can increase gut motility, whereas it did not affect flatus time
Development of a self-efficacy model in junior and senior high school students based on religiosity and family determinants: a cross sectional approach
Get PDFObjectives: Self-efficacy is the belief a person has regarding his success in completing a task. A high level of self-efficacy can affect one’s thoughts and motivation to complete tasks well. Conversely, someone with low
self-efficacy has a tendency to avoid difficult tasks. Self-efficacy can play a role in success in the future. This study aimed to develop a self-efficacy model for junior and senior high school students based on religious and family determinants. Method: This study used a cross-sectional design and simple sampling technique. The calculation result in�volved 158 samples. The independent variables were religious and family determinants. The dependent vari�able was self-efficacy. The data were collected using a questionnaire that was tested for validity and reliability. The analysis used a multiple linear regression test with a significance level of α ≤ 0.05. Results: The results showed self-efficacy was effectively determined by religion, communication, bonding and parenting factors. Overall, religion had the greatest role in influencing self-efficacy. Bonding and communica�tion had an indirect effect on self-efficacy through parenting factors mediators. Conclusion: Parenting factors influence self-efficacy indirectly through bonding and communication; however, parenting factors cannot be ignored. Religion was the biggest determinant of self-efficacy and capital of good self-control and strong conviction in completing tasks and achieving goals
Modul Relaksasi Religius Do’a Sebagai Metode Mengatasi Gangguan Tidur Pada Pasien Hemodialisis
Get PDFModul Relaksasi religius do’a adalah penggabungan teknik relaksasi dengan memasukkan faktor keyakinan. Unsur religius dapat berupa doa, dzikir yang dipercaya menghadirkan Allah dan menghibur serta menguatkan orang-orang dalam situsi spesifi