46 research outputs found
PENGALAMAN SEKSUAL PASANGAN PENDERITA HIV DALAM MEMPERTAHANKAN STATUS HIV NEGATIF DI RSPI PROF. Dr. SULIANTI SAROSO
No full text Abstrak HIV/AIDS masih menjadi masalah di Indonesia dengan faktor risiko tertinggi penularan melalui hubungan heteroseksual. Meskipun hubungan heteroseksual merupakan faktor penyebab utama penularan HIV, masih ada pasangan ODHA HIV Positif- HIV negatif dapat hidup dengan normal tanpa tertular HIV meski bertahun – tahun tetap melakukan hubungan seksual. Pasangan ini disebut serodiskordan. Studi fenomenologi ini dilakukan untuk mengeksplorasi berbagai pengalaman seksual serodiskordan dalam mempertahankan status HIV negatif di RSPI Prof. Dr. Sulianti Saroso. Sebanyak 6 serodiskordan berpartisipasi dalam studi ini. Data dikumpulkan dengan wawancara mendalam. Empat tema utama teridentifikasi dalam studi ini : (1) Pengetahuan tentang HIV/AIDS, cara penularan dan penyebab suami terinfeksi, (2) Kebutuhan seksual, (3) Pencegahan penularan HIV, (4) Pandangan tentang seksualitas. Pengetahuan yang baik mengenai pencegahan penularan HIV sangat berdampak pada kemampuan serodiskordan dalam mempertahankan status HIV negatifnya selama ini dengan cara penggunaan kontrasepsi dan memberikan dukungan dalam kepatuhan mengkonsumsi ARV. Diperlukan edukasi dan konseling yang berkelanjutan pada serodiskordan dalam meningkatkan pengetahuannya mengenai HIV/AIDS sehingga dapat mengurangi terjadinya kasus baru HIV. AbstractHIV/AIDS is still a problem in Indonesia with the highest risk factors for transmission through heterosexual relations. Although heterosexual intercourse is the main cause of HIV transmission factors, there are still a couple people living with HIV can live normally without being infected with HIV even though many – year fixed sexual intercourse. The couple called serodiscordant. Phenomenology study was conducted to explore various sexual experience serodiscordant in maintaining negative HIV status at RSPI, Prof. Dr. Sulianti Saroso. As many as 6 serodiscordant participated in this study. Data collected by in-depth interviews. The four main themes identified in this study: (1) knowledge of HIV/AIDS, transmission method and causes the infected husband, (2) sexual Needs, (3) the prevention of HIV transmission, (4) views about sexuality. A good knowledge about the prevention of HIV serodiscordant ability badly in maintaining its negative HIV status during this time by means of the use of contraceptives and provide support in compliance to consume ARVS. Required education and ongoing counseling on improving his knowledge in serodiscordant about HIV/AIDS so as to reduce the occurrence of new cases of HIV
The relationship between illness perceptions, self-management, and quality of life in adult with type 2 diabetes mellitus
No full textBackground: Few studies have examined the association between illness perception, self-management, and quality of life in adults with type 2 Diabetes Mellitus (DM), especially in resource-limited countries such as Indonesia.
Purpose: This study aimed to evaluate the relationship between illness perception, self-management, and quality of life in adult with type 2 DM in Indonesia.
Methods: The inclusion criteria were adult aged over 18 years old and diagnosed with type 2 DM. Convenience sampling was used in this study. A total of 351 patients with type 2 DM was recruited (response rate= 97.50%). This study used the following instrument: World Health Organization Quality of Life-BREF (WHOQOL-BREF), The Brief Illness Perception Questionnaire (B-IPQ), and Diabetes Self-Management Questionnaire (DSMQ). A Hierarchical regression models were constructed by using the score of overall QOL and those for each domain as the dependent variables.
Results: The mean age was 54 (SD=8.14) years old and the mean time living with type 2 DM was 92 (SD=82.88) months. Higher illness perception score was significantly associated with lower physical health scores (β = -.395, SE = .096), psychological health (β = -.365, SE = .110), social relationships (β = -.363, SE = .138), and environment health (β = -.367, SE = .105).
Conclusion: The findings indicated that poorer illness perceptions are associated with a lower quality of life. The findings establish a foundation for future interventions aimed at altering illness perceptions in order to promote self-care and improved quality of life in people with diabetes
Analisa Faktor Waktu Pulih Sadar Pasien Post Laparatomi Anestesi Umum
No full textThis study aims to analyze the dominant factors associated with the time to recover consciousness of patients with laparotomy, general anesthesia in the Recovery Room of Bhayangkara Hospital Tk I Jakarta. The research method used is analytical research with a cross-sectional approach. The results showed a relationship between age and recovery time after general anesthesia post-laparotomy (p = 0.028). There was a difference between the sexes and the time to recover consciousness of the laparotomy patients with general anesthesia (p = 0.04). There was a difference between ASA and recovery time of conscious laparotomy patients with general anesthesia (p = 0.01). There was a correlation between BMI and awake in patients with available anesthesia laparotomy (p = 0.0005). There was no relationship between body temperature, fasting time, and duration of operation with p values (0.59, 0.6, and 0.94), respectively. In conclusion, the dominant factor that affects the recovery time of consciousness in post-laparotomy general anesthesia patients is body temperature, namely hypothermia.
Keywords: Anesthesia, Laparotomy, Conscious Recovery, Thermoregulatio
Slow deep breathing exercise untuk mengurangi nyeri selama pelepasan water seal-drainage (WSD) pada pasien pneumothorax
No full textBackground: Health problems are one of the big problems that result in an increase in the death rate in the world. One of them is a case of pneumothorax, especially spontaneous pneumothorax. Pneumothorax is defined as the presence of air in the chest cavity and specifically in the pleural cavity. WSD is a special tube that is inserted into the pleural cavity using a trocar or surgical clamp. Insertion of a WSD is a painful and frustrating experience for the patient. Studies show that patients who undergo installation experience pain ranging from moderate to severe. Slow deep breathing can stimulate autonomic nervous responses through the release of endorphin neurotransmitters which have an effect on reducing sympathetic nerve responses which function to increase body activity and increase parasympathetic responses to reduce body activity. Non-pharmacological slow deep breathing exercise therapy can be given in 5 to 10 minutes per day. Providing slow deep breathing relaxation therapy for 15 minutes can reduce the intensity of pain.Purpose: To know effectiveness EBNP Slow Deep Breathing Exercise (SDBRE) to reduce pain during and during the release of Water Sealed Drainage (WSD)Method: Quantitative research using quasi-experimental with a repeated-measures design on respiratory disorder intervention patients who had water sealed drainage (WSD) installed at the Persahabatan General Hospital, East Jakarta in May - June 2023 with a sample size of 20 participants. The instruments in this research are educational media in the form of leaflets and learning videos about the slow deep breathing exercise intervention and the pre and post assessment instruments for EBNP implementation, namely the Visual Analogue Scale (VAS), which is to measure participants' pain levels before (pre) intervention and after (post) slow intervention deep breathing exercise.Results: Shows that the intervention and control groups have differences in the mean pain levels. In the intervention group it was 2,366 while in the control group it was 3,100, so the mean difference between the two groups was 0.734, which means there is a large difference between the two groups. This is caused by the treatment given. The p-value is 0.001 < 0.005, so according to the basis of decision making in the test it can be concluded that Ho is rejected, which means that there is an effect of giving slow deep breathing exercise intervention which can affect pain.Conclusion: Independent nursing intervention in the form of deep and slow breathing exercises for patients with respiratory disorders who have installed water sealed drainage (WSD) at Persahabatan General Hospital has a significant effect in reducing pain.Keywords: Pain Intensity, Pneumothorax; Relaxation Therapy; Water Sealed Drainage (WSD).Pendahuluan: Masalah kesehatan merupakan salah satu permasalahan besar yang mengakibatkan terjadinya peningkatan angka kematian di dunia. Salah satunya ialah kasus pneumothorax terutama pneumothorax spontan. Pneumothorax diartikan sebagai adanya udara di rongga dada dan secara spesifik berada pada rongga pleura. WSD adalah pipa khusus yang dimasukkan ke rongga pleura dengan perantaraan trokar atau klem penjepit bedah. Pemasangan WSD merupakan hal yang menyakitkan dan pengalaman yang membuat frustasi bagi pasien. Studi menunjukkan bahwa pasien yang menjalani pemasangan mengalami nyeri mulai dari skala sedang sampai berat. Slow deep breathing dapat merangsang respon saraf otonom melalui pelepasan neurotransmiter endorfin yang berpengaruh terhadap penurunan respon saraf simpatis yang berfungsi meningkatkan aktivitas tubuh dan meningkatkan respon parasimpatis untuk menurunkan aktivitas tubuh. Terapi non farmakologi slow deep breathing exercise dapat diberikan dalam waktu 5 sampai 10 menit perhari. Pemberian terapi relaksasi nafas dalam lambat selama 15 menit dapat menurunkan intensitas nyeri.Tujuan: Untuk mengetahui efektivitas Slow Deep Breathing Exercise (SDBRE) untuk mengurangi nyeri selama dan saat pelepasan Water Sealed Drainage (WSD)Metode: Penelitian kuantitatif menggunakan quasi-experimental dengan desain repeated-measures pada pasien intervensi gangguan respirasi yang terpasang water sealed drainage (WSD) di Rumah Sakit Umum Persahabatan Jakarta Timur pada bulan Mei - Juni 2023 dengan jumlah sampel 20 partisipan. Instrumen dalam penelitian ini yaitu media edukasi berupa leaflet dan video pembelajaran intervensi slow deep breathing exercise dan instrumen penilaian pre dan post pelaksanaan EBNP yaitu Visual Analogue Scale (VAS) yaitu untuk mengukur tingkat nyeri partisipan sebelum (pre) intervensi dan setelah (post) intervensi slow deep breathing exercise.Hasil: Menunjukkan kelompok intervensi dan kontrol terdapat selisih nilai rerata tingkat nyeri. Pada kelompok intervensi 2.366 sedangkan pada kelompok kontrol 3.100, sehingga nilai beda mean kedua kelompok 0.734 yang artinya terdapat selisih yang jauh antara kedua kelompok. Hal ini disebabkan oleh sebuah perlakuan yang diberikan. Nilai p-value sebesar 0.001 < 0.005, maka sesuai dasar pengambilan keputusan dalam uji dapat disimpulkan Ho ditolak yang artinya terdapat pengaruh pemberian intervensi slow deep breathing exercise dapat mempengaruhi nyeri.Simpulan: Intervensi keperawatan mandiri berupa latihan nafas dalam dan lambat pada pasien gangguan respirasi yang terpasang water sealed drainage (WSD) di Rumah Sakit Umum Persahabatan mempunyai pengaruh yang signifikan dalam menurunkan nyeri
Pengalaman Seksual Pasangan Penderita HIV dalam Mempertahankan Status HIV Negatif di Rspi Prof. Dr. Sulianti Saroso
No full textHIV/AIDS is still a problem in Indonesia with the highest risk factors for transmission through heterosexual relations. Although heterosexual intercourse is the main cause of HIV transmission factors, there are still a couple people living with HIV can live normally without being infected with HIV even though many – year fixed sexual intercourse. The couple called serodiscordant. Phenomenology study was conducted to explore various sexual experience serodiscordant in maintaining negative HIV status at RSPI, Prof. Dr. Sulianti Saroso. As many as 6 serodiscordant participated in this study. Data collected by in-depth interviews. The four main themes identified in this study: (1) knowledge of HIV/AIDS, transmission method and causes the infected husband, (2) sexual Needs, (3) the prevention of HIV transmission, (4) views about sexuality. A good knowledge about the prevention of HIV serodiscordant ability badly in maintaining its negative HIV status during this time by means of the use of contraceptives and provide support in compliance to consume ARVS. Required education and ongoing counseling on improving his knowledge in serodiscordant about HIV/AIDS so as to reduce the occurrence of new cases of HIV
Pengaruh Swiss Ball Exercise Terhadap Tingkat Nyeri Pada Pasien Low Back Pain
No full textLow Back Pain (LBP) merupakan rasa nyeri yang di rasakan pada daerah punggung bagian bawah yang di sebabkan oleh berbagai penyakit serta aktifitas tubuh yang kurang baik. Swiss Ball Exercise adalah latihan dengan menggunakan media berupa bola swiss yang ditujukan untuk mengurangi nyeri bagian punggung belakang, dengan meningkatkan kekuatan otot-otot abdomen, otot glutea, dan otot ekstensor punggung. Tujuan penelitian ini adalah untuk mengetahui adanya pengaruh swiss ball exercise terhadap tingkat nyeri di Puskesmas Pamengkang Cirebon. Desain Penelitian quasi eksperimen pre and post test with control group, dengan menguunakan tehnik simple random sampling, total sampel 38 pasien yang terdiri dari 19 responden kelompok intervensi dan 19 responden kelompok kontrol yang menderita low back pain. Hasil uji GLM-MR adanya penurunan tingkat nyeri setelah dilakukan swiss ball exercise sebanyak 3 kali dalam satu minggu selama satu bulan dengan tren penurunan nyeri terjadi pada minggu ke 3 (P=value 0,000, α=0,05). Rata-rata penurunan tingkat nyeri kelompok intervensi sebesar 4,474 lebih kecil dibanding kelompok kontrol sebesar 5,053. Peneliti memberikan saran agar swiss ball exercise dapat diterapkan sebagai salah satu intervensi mandiri perawat dalam meningkatkan sistem peredaran darah, memperkuat otot-otot lumbosacral dan otot-otot punggung. Penelitian lebih lanjut perlu menambahkan waktu penelitian menjadi dua bulan, untuk dapat menilai titik optimum waktu pelaksanaan swiss ball exercise sebagai intervensi keperawatan.
Kata kunci: Swiss ball exercise; tingkat nyer
Pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah bagi penyandang diabetes melitus
No full textEffectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes mellitusBackground: Buerger Allen Exercise is a specific exercise intended to improve circulation to the feet and leg using gravitational changes to influence the distribution of body fluids to alternately help emptying and fulfilling the blood columns, and by using muscle contraction through active movement of the ankle to improve circulation of peripheral blood vessel by driving blood and blood vessel. Ankle Brachial Index (ABI) is one of the indicators to assess changes in peripheral vascularization.Purpose: To know the effectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes mellitusMethod: A quasi-experimental by pre- and post-test with controlled group, involving 28 participants divided by two group; interventional group and controlled group. The sampling technique is a non-probability sampling.Results: Shows by t-test and GLM-RM finds out that there are significant differences in the improvements of ABI average scores between interventional and controlled groups after Buerger Allen Exercise is conducted to the right leg with (p-value= 0.001; α = 0.05 ) and to the left leg with (p-value= 0.002; α = 0.05). While, GLM-RM in the research is still not able to determine the optimal point of time in practicing Buerger Allen Exercise.Conclusion: The effectiveness of Buerger Allen Exercise on lower limb circulation and suggestion that Buerger Allen Exercise can be applied as one of the nurse self-intervention to improve peripheral vascularization to patients with diabetes mellitusKeywords : Buerger Allen Exercise; Lower limb circulation; patients; diabetes mellitusPendahuluan: Buerger Allen Exercise adalah latihan khusus yang ditujukan untuk meningkatkan sirkulasi ke kaki dengan menggunakan perubahan gravitasi mempengaruhi distribusi cairan dalam tubuh dengan membantu secara bergantian untuk mengosongkan dan mengisi kolom darah, dan menggunakan kontraksi otot melalui gerakan aktif dari pergelangan kaki untuk meningkatkan sirkulasi pembuluh darah perifer dengan menggerakan darah dan pembuluh darah. Ankle Brachial Index (ABI) merupakan salah satu indikator untuk menilai perubahan vaskularisasi perifer.Tujuan: Untuk mengetahui pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah bagi penyandang diabetes melitusMetode : Menggunakan desain kuasi eksperimen pre post tes dengan kelompok kontrol, melibatkan 28 partisipan yang dibagi dalam dua kelompok; kelompok intervensi dan kelompok kontrol. Tehnik pengambilan sampel dengan non probability sampling. Penelitian ini menggunakan t-tes dan GLM-RM.Hasil : Uji t-tes didapatkan perbedaan yang signifikan rata-rata skor peningkatan ABI antara kelompok intervensi dan kontrol setelah dilakukan Buerger Allen Exercise pada kaki kanan dengan (p-value= 0,001; α = 0,05 ) dan pada kaki kiri dengan (p-value= 0,002; α = 0,05 ). Sedangkan dengan GLM-RM pada penelitian ini belum dapat menentukan titik optimum waktu pelaksanaan Buerger Allen Exercise.Simpulan: Adanya pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah dan disarankan agar Buerger Allen Exercise dapat diterapkan sebagai salah satu intervensi mandiri perawat dalam meningkatkan vaskularisasi perifer bagi penyandang diabetes melitu
Efektivitas edukasi berbasis self-efficacy terhadap peningkatan pengetahuan dan perawatan kaki diabetes mellitus tipe 2
No full textBackground: Type 2 diabetes mellitus (DM) is a chronic disease that can cause serious complications, one of which is diabetic foot ulcers. Lack of knowledge and practice of proper foot care increases the risk of ulcers leading to amputation. Therefore, an educational strategy is needed that not only provides information, but also increases the patient's confidence in performing foot care independently.
Purpose: To determine the effect of self-efficacy-based education on improving the knowledge and practice of foot care of type 2 DM patients.
Method: A quasi-experimental with a pre-test and post-test with control group approach. The sample of this study were all patients with diabetes mellitus in the Panongan health center working area with a total sample of 42 respondents, divided into the intervention group (self-efficacy-based education) and the control group (education with leaflets). The research instruments used diabetic foot care knowladge, footcare confidence scale, and foot care behavior scale. Data analysis using paired t-test and independent t-test.
Results: A significant increase in knowledge (P=0.001), self-efficacy (P=0.000), and foot care behavior (P=0.001) in the intervention group compared to the control group.
Conclusion Self-efficacy-based education is effective in improving knowledge and foot care of patients with type 2 diabetes.
Keywords: Diabetes Mellitus; Diabetic Foot; Health Education; Self Efficacy.
Pendahuluan: Diabetes Mellitus (DM) tipe 2 merupakan penyakit kronis yang dapat menyebabkan komplikasi serius, salah satunya adalah ulkus kaki diabetik. Kurangnya pengetahuan dan praktik perawatan kaki yang tepat meningkatkan risiko terjadinya ulkus yang berujung pada amputasi. Oleh karena itu, diperlukan strategi edukasi yang tidak hanya memberikan informasi, tetapi juga meningkatkan kepercayaan diri pasien dalam melakukan perawatan kaki secara mandiri.
Tujuan: Untuk mengetahui pengaruh edukasi berbasis self-efficacy terhadap peningkatan pengetahuan dan praktik perawatan kaki pasien DM tipe 2.
Metode: Quasi-experimental dengan pendekatan pre-test and post-test with control group. Sampel penelitian ini adalah seluruh pasien diabetes mellitus di wilayah kerja puskesmas Panongan dengan jumlah sampel 42 responden, dibagi dalam kelompok intervensi (edukasi berbasis self-efficacy) dan kelompok kontrol (edukasib dengan leflet). Instrumen penelitian menggunakan diabetic foot care knowladge, footcare confidence scale, dan foot care behavioor scale dan lembar observasi. analisis data menggunakan uji paired t-test dan independent t-test.
Hasil: Peningkatan signifikan pada pengetahuan (p=0.001), self-efficacy (p=0.000), dan perilaku perawatan kaki (p=0.001) pada kelompok intervensi dibanding kontrol.
Simpulan Edukasi berbasis self-efficacy efektif dalam meningkatkan pengetahuan dan perawatan kaki pasien DM tipe 2.
Kata Kunci: Diabetes Mellitus; Edukasi Kesehatan; Kaki Diabetik; Self Efficacy
THE EFFECT OF GROUP EDUCATION USING ONLINE MEDIA ON SELF CARE ON OBESITY STUDENTS AT THE FACULTY OF NURSING MUHAMMADIYAH UNIVERSITY JAKARTA 2021
No full textIntroduction: Obesity in young adults can cause various health problems, including in the long term it will cause complications of diseases such as hypertension, diabetes mellitus and death at a young age. Self care in obesity is a management consisting of diet processing, physical activity, modification of life attitude (behavior therapy) and medical therapy. Peer group education is a method that helps increase understanding and self-care for obese students. The purpose of this study was to determine the peer group education method to increase self-care of obese students.
Method: The research design used was a quasi-experimental pre and post test, with a dependent t-test. Collecting data using the Diabetes Self Management Questionnaire (DMSQ). Sample of 30 respondents.
Results: The results of this study obtained that there was an effect of peer group education on increasing the self-care value of obese students (p-value = 0.00).
Conclusion: Suggestions from this study are self-care is one of the efforts that can be used to overcome the problem of obesity at a young age. Educational institutions can implement self-care through healthy exercise programs every morning or health education programs in health services
PENGALAMAN SEKSUAL PASANGAN PENDERITA HIV DALAM MEMPERTAHANKAN STATUS HIV NEGATIF DI RSPI PROF. Dr. SULIANTI SAROSO
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