18 research outputs found
ASUHAN KEPERAWATAN PADA IBU POST SECTIO CAESAREA (SC) HARI KE-0 DENGAN FOKUS STUDI PENGELOLAAN GANGGUAN MOBILITAS FISIK
No full textABSTRAK Asuhan Keperawatan Pada Ibu Post Sectio Caesarea Dengan Fokus Studi Pengelolaan Gangguan Mobilitas FisikDewi Restika Rini *Yuni Astuti, S.Kep, Ners, M.Kes**Tutik Setyowati, S.Kep, Ners, M.Kes****Mahasiswa Program Studi D III Keperawatan BloraProgram Studi D III Keperawatan Blora XV+ 111 + 1 tabel + 1 gambar + 5 lampiran.Latar belakang, Sectio Caesarea pada umumnya dilakukan apabila terdapat indikasi medis tertentu, sebagai tindakan mengakhiri kehamilan dan komplikasi. Masalah yang sering dialami pasien post SC adalah gangguan mobilitas fisik salah satunya yaitu cara melakukan teknik mobilisasi dini dan range of montion pasif sesuai tahapannya. Tujuan, mampu melakukan dan mendokumentasikan asuhan keperawatan pada ibu post sectio caesarea dengan pengelolaan gangguan mobilitas fisik. Metode, penelitian kualitatif dalam bentuk studi kasus, penulis mendiskripsikan dengan cara menganalisa pelaksanaan asuhan keperawatan pada ibu dengan pengelolaan gangguan mobilitas fisik. Penelitian menggunakan 2 pasien dengan indikasi oligohidramnion dan dirawat di RSUD Sunan Kalijaga Demak dan RSUD Soetidjono Blora. Pengambilan data dilakukan selama 2 minggu pada bulan April saat praktik klinik maternitas.Hasil, pengkajian dilakukan secara anamnesa pada 2 pasien sehingga muncul masalah pengelolaan gangguan mobilitas fisik. Intervensi masalah tersebut menggunakan lima intervensi dan implementasi dilakukan selama tiga hari sesuai dengan tujuan yang sudah dibuat penulis, setelah itu evaluasi melakukan evaluasi dengan hasil masalah teratasi. Kesimpulan, pasien yang mengalami dalam pengelolaan ganggaun mobilitas fisik dapat diberikan asuhan keperawatan dengan cara melatih pasien melakukan teknik mobilisasi dini dan range of montion pasif.Kata kunci : Post Sectio Caesarea, Pengetahuan, Cara melakukan mobilisasi dini dan rom pasifABSTRACTNursing Care for Post Sectio Caesarean Mothers With Focus on Study of Management of Physical Mobility DisordersDewi Restika Rini * Yuni Astuti, S.Kep, Ners, M.Kes ** Tutik Setyowati, S.Kep, Ners, M.Kes ****D Nursing Blora Study Program Students*** Lecturer of Study Program D III of Blora NursingXV + 111 + 1 table + 1 picture + 5 attachments. Background, Caesarean Sectio is generally performed when there are certain medical indications, as an act of ending pregnancy and complications. The problem that is often experienced by post SC patients is impaired physical mobility, one of which is how to do early mobilization techniques and passive range of montion according to the stages. The aim is to be able to perform and document nursing care in post-sectio caesarean mothers by managing physical mobility disorders. Methods, qualitative research in the form of case studies, the authors describe by analyzing the implementation of nursing care to mothers with the management of physical mobility disorders. The study used two patients with oligohydramnios indication and were treated at Sunan Kalijaga Demak Regional Hospital and Soetidjono Blora Regional Hospital. Data was collected for 2 weeks in April during maternity clinic practice.As a result, the study was conducted anamnesically on 2 patients so that problems arose in managing physical mobility. Intervention of the problem uses five interventions and implementation is carried out for three days in accordance with the objectives that have been made by the author, after that the evaluation evaluates with the results of the problem resolved.Conclusion, patients who experience physical mobility management can be given nursing care by training patients to do early mobilization techniques and passive range of montion.Keywords : Post Sectio Caesarea, Knowledge, How to do early mobilization and passive RO
COVID-19 PANDEMIC: MANAGEMENT OF COVID-19 TO BECOME ENDEMIC
No full textCovid-19 merupakan pandemic global yang mengancam jiwa manusia dan merupakan bencana yang mendesak untuk segera ditangani. Manajemen penanggulangan pandemic covid penting dilaksanakan secara ketat agar pandemic covid-19 dapat segera teratasi dan menjadi sebatas endemic di populasi. Manajemen penanggulangan dapat dapat dilakukan dengan menerapkan beragam langkah baik dalam aspek pencegahan, perlindungan serta pengobatan yang mana wajib diterapkan untuk menuntaskan masalah wabah covid19 ini. Aspek pencegahan meliputi jarak sosial, mengurangi mobilitas, menjauhi kerumunan, senantiasa mencuci tangan, menggunakan masker, isolasi, dan karantina; aspek perlindungan meliputi vaksin dan pembentukan kekebalan komunitas serta penguatan sistem imunitas tubuh; Aspek pengobatan yakni dengan patuh konsumsi antivirus spectrum luas dan multivitamin. Selain itu, penguatan health education dalam berbagai lapisan masyarakat penting di lakukan untuk meningkatkan pengetahuan dan kesadaran masyarakat tentang wabah covid-19 ini
EVALUASI RAGAM METODE PERAWATAN LUKA PADA PASIEN DENGAN ULKUS DIABETES: LITERATURE REVIEW
No full textDiabetic ulcers are open sores on the skin surface due to complications of macroangiopathy. The global prevalence of diabetic ulcer complications varies from 3% in the Oceania region to 13% in Northern America, with a global average of 6.4%. Currently, the science of nursing is increasing. Evidence of developments in nursing is the development of various methods of treating diabetes ulcers, namely modern dressings, ozone therapy, and negative pressure wound therapy (NPWT). The aim of this study was to evaluate the currently more effective wound care methods for healing diabetic ulcers. This study used a systematic literature review design. Articles were collected through the PubMed and Google Scholar databases using the keywords diabetic ulcer, modern dressing, ozone therapy, negative pressure wound therapy (NPWT), and wound healing. The criteria for the articles used were original research, which the research design used was prospective, double-blind randomized comparative clinical trial, one group pre-test post-test, cross-sectional, single-blind randomized clinical trial, observational, experimental, retrospective were those published from 2016 to 2020. Researchers found 80,408 journals that match these keywords, then obtained 9 journals that match the inclusion criteria for review. The results of the literature review showed that NPWT was more effective in treating diabetic ulcers than modern dressings and ozone therapy. The conclusion is that negative pressure wound therapy (NPWT) is more effective because it is wounded heal faster, can minimize pain, and the length of stay in the hospital decreases
Pengalaman, Dampak, Dan Strategi Untuk Mengatasi Moral Distress Perawat : Systematic Review
Get PDFObjective: Moral distress is a problem that is often overlooked in the nursing profession which is a painful psychological imbalance that results from knowing ethically appropriate actions, but cannot do it. The purpose of this systematic review is to thoroughly investigate the experience of nurses' moral distress and the range of impacts that they cause and the strategies for overcoming moral distress to nurses.Method: Literature search on electronic databases from journals that have been published through ProQuest, PubMed, ScienceDirect, and Google Scholar from January 1, 2010, to September 1, 2019.Results: The intensity and frequency of moral distress experienced by nurses tend to vary. This result is due to differences in individual characteristics as well as workplace characteristics, duties, and responsibilities. The impact caused by moral distress very much includes the deterioration of the physical and mental health of nurses, provision of care, job satisfaction, and unsustainable care, poor communication, limited patient advocacy, lack of care, decreased job satisfaction, burnout and increased nursing turnover. Strategies that can be done to overcome the problem of moral distress are the application of adaptation models and individual approaches and collaborative approaches by providing ethical education to nurses and professionals in hospitals.Conclusion: Moral distress has many negative effects on both the nurse, patient and the quality of nursing care. Various strategies can be applied to overcome the problems of moral distress experienced by nurses, namely the adoption of adaptation models and individual approaches and collaborative approaches by providing ethical education to nurses and professionals in hospitals.Keywords: Moral distress, moral conflict, moral problems, nurses
Efek Intervensi Perilaku Terhadap Manajemen Diri Penderita Diabetes Melitus Tipe 2: Sistematik Review
Get PDFBehavioral intervention sangat penting dilakukan dalam manajemen diri penderita Diabetes Melitus tipe 2 sebagai intervensi dalam upaya meningkatkan status kesehatan. Manajemen diri merupakan hal penting untuk mempertahankan kontrol gula darah sehingga komplikasi pada penderita DM tipe 2 dapat dicegah. Tujuan: Mengetahui bentuk intervensi perilaku untuk mengukur outcome dari manejemen diri penderita DM tipe 2. Metode:  Electronic database dari jurnal yang telah dipublikasi melalui Google Schoolar, ProQuest, PubMed., dan ScienceDirect. Hasil review dari 8 jurnal yang telah dipilih menyatakan bahwa behavioral intervention memberi pengaruh terhadap manajemen diri penderita DM tipe 2 dalam kontrol glikemik. Instrumen penelitian yang digunakan untuk mengukur behavioral intervention pada penelitian kuantitaif yakni kuesioner, melakukan observasi perubahan perilaku, sedangkan pada penelitian kualitatif menggali informasi dengan indepth interview. Hasil: Efek behavioral intervention yang meliputi pemberian edukasi dan self efficacy dapat memfasilitasi peningkatan pengetahuan, pencegahan komplikasi dan meningkatkan kualitas hidup pasien DM tipe 2. Simpulan: efek behavioral intervention sangat efektif dalam meningkatkan manajemen diri penderita DM tipe 2, namun pelaksanaan intervensi perlu dimodifikasi agar didapatkan hasil yang lebih maksimal, salah satunya dengan pemanfaatan terknologi berbasis komunitas.Kata kunci: behavioural intervention, diabetes melitus tipe 2, manajemen dir
Literature review: evaluasi metode diabetes self management education (DSME): metode berbasis aplikasi dan Web pada penderita diabetes melitus tipe 2
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Glycemic Control in Patients with Type 2 Diabetes Mellitus: Descriptive Survey in Makassar City Hospitals
No full textAims: This study aims to determine the frequency distribution based on the respondent\u27s glycemic control in the hospitals in Makassar City
Methdos: This research is a non-experimental quantitative research using descriptive method. This research was conducted in hospitals in Makassar City, South Sulawesi (RSUD Kota Makassar, Bhayangkara Hospital Makassar, Pelamonia Hospital Makassar, Labuang Baji Hospital, RSUD Haji Makassar, and Ibnu Sina Hospital Makassar). The total of samples in this study amounted to 291 patients with diabetes mellitus using purposive sampling.
Results: Based on the results of the our study, it was found that there were 161 (55.3%) people with diabetes mellitus with less glycemic control and 130 (44.7%) people with diabetes mellitus with good glycemic control.
Conclusions: In the management of diabetes management with monitoring blood sugar levels is very important. Thus, good glycemic control will be declined diabetes complications. Consequently, it is highly recommended for people with diabetes mellitus to reduce the complications of Type 2 DM by complying with glycemic control
CLINICAL NURSES’ MORAL COURAGE IN TENURE OF NURSES: AN ANALITYC SURVEY
Get PDFBackground: The complexity of services that nurses must provide nowadays encourages nurses to develop their moral courage. A review of the literature reveals that no studies have been conducted to evaluate the association between clinical nurse tenure and their level of moral courage.
Objectives: this study is to assess correlation between the tenure of nurses and the level of moral courage.
Methods: analytic survey research at 5 hospitals in Makassar, including private and government hospitals with a total sample of 405 nurses. The sampling technique used multistage random sampling. The variables measured were tenure of nurses and the level of moral courage of nurses. The Professional Moral Courage Questionnaire is used for the variable moral courage (Cronbach 'alpha: 0.756). Data analysis using Mann Whitney test.
Results: The majority of nurses with long and new tenure had moderate moral courage (new tenure 79 nurses; length tenure 238 nurses), and there was no significant difference in the moral courage level of nurses with long and new tenure (p=0.294).
Conclusion: Considering the findings that nurse tenure has no effect on moral courage, nursing managers can consistently boost nurses' moral courage through external stimuli. A nurse who cannot face various ethical dilemmas in providing daily nursing care can result in moral distress
Literature review: metode pencegahan dan perawatan diabetic foot ulcer pada pasien diabetes mellitus
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