Jurnal Ilmu Keperawatan Medikal Bedah http://journal.ppnijateng.org/index.php/jikmb <p>Jurnal Ilmu Keperawatan Medikal Bedah (<a href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1367212301&amp;1&amp;&amp;" target="_blank">p-ISSN 2338-2058</a> | <a href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1521018483&amp;1&amp;&amp;" target="_blank">e-ISSN 2621-2986</a> ) is an open access journal which publishes the <span> </span><a href="https://ppnijateng.org/" target="_blank">Persatuan Perawat Nasional Indonesia (PPNI</a><span>) Jawa Tengah</span>. The articles of this journal are published every six months, that is on May and November (2 issues per year), and developed by the Persatuan Perawat Nasional Indonesia Jawa Tengah. The focus and scopes of the journal include adult nursing or medical surgical nursing.</p><p>This journal has been accredited by National Journal Accreditation (ARJUNA) Managed by Ministry of Research, Technology, and Higher Education, Republic Indonesia with Fourth Grade (<a href="http://sinta.ristekbrin.go.id/journals/detail?id=6384" target="_blank">Peringkat 4, Sinta 4</a>), according to the decree <a href="https://drive.google.com/file/d/11XxKwQc5Q74asI-F7cz0TdNO0Y8WyBQb/view?usp=sharing" target="_blank">Accreditation Certificate</a>.</p><p>Abstracting and Indexing</p><p><a href="https://scholar.google.co.id/scholar?hl=id&amp;as_sdt=0%2C5&amp;q=Jurnal+ilmu+keperawatan+medikal+bedah&amp;btnG=" target="_blank"><img src="/public/site/images/arief_yanto/scholar2.png" alt="" /></a><a href="https://index.pkp.sfu.ca/index.php/browse/index/3955" target="_blank"> <img src="/public/site/images/arief_yanto/pkp.png" alt="" /></a> <a href="https://www.base-search.net/Search/Results?lookfor=jurnal+ilmu+keperawatan+medikal+bedah&amp;name=&amp;oaboost=1&amp;newsearch=1&amp;refid=dcbasen" target="_blank"><img src="/public/site/images/arief_yanto/base2.png" alt="" /></a><a href="https://journals.indexcopernicus.com/search/form?search=Jurnal%20Ilmu%20Keperawatan%20Medikal%20Bedah" target="_blank"> <img src="/public/site/images/arief_yanto/ici.png" alt="" /></a> <a href="https://search.crossref.org/?q=jurnal%20ilmu%20keperawatan%20medikal%20bedah" target="_blank"><img src="https://jurnal.unimus.ac.id/public/site/images/ariefyanto/crossref.jpg" alt="" /></a> <a href="http://garuda.ristekbrin.go.id/journal/view/14944" target="_blank"><img src="/public/site/images/arief_yanto/garuda5.png" alt="" /></a><a href="https://app.dimensions.ai/discover/publication?search_mode=content&amp;and_facet_source_title=jour.1364837" target="_blank"><img src="/public/site/images/adminjournal/dimensions.png" alt="" /></a><a href="http://sinta.ristekbrin.go.id/journals/detail?id=6384" target="_blank"><img src="/public/site/images/arief_yanto/indexing_mki.png" alt="" /></a> </p> Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah en-US Jurnal Ilmu Keperawatan Medikal Bedah 2338-2058 <p>Authors who publish with this journal agree to the following terms:</p><div class="freebirdFormviewerViewItemsSectionheaderDescriptionText">The journal allow the authors to hold the copyright without restrictions and allow the authors to retain publishing rights without restrictions.</div><p>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</p><p>Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</p><p>Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).</p><p><a href="http://creativecommons.org/licenses/by/4.0/" rel="license"><img src="https://i.creativecommons.org/l/by/4.0/88x31.png" alt="Creative Commons License" /></a><br />This work is licensed under a <a href="http://creativecommons.org/licenses/by/4.0/" rel="license">Creative Commons Attribution 4.0 International License</a>.</p> EFEKTIVITAS PERILAKU CERDIK DAN PATUH CEGAH STROKE BERULANG http://journal.ppnijateng.org/index.php/jikmb/article/view/779 <p><em>The impact of recurrent stroke is heavier than the first attack because it increases mortality and disability which adds to the economic burden, decreases the quality of life of post-stroke patients. Lifestyle changes that cause recurrent stroke have an impact on reducing human resource productivity. The government program through GERMAS, namely CERDIK and PATUH programs was modified by researchers to prevent recurrent strokes by behaving in a healthy </em><em>behavior</em><em> used online and offline booklet media. This study aims to determine the effectiveness of providing health education on the CERDIK and PATUH lifestyle to prevent recurrent stroke in post-stroke patients. This research design was quasi-experiment pre and post-test without control. Sampling was done using the non-probability sampling technique by accidental sampling. The sample in this study amounted to 20 respondents. The questionnaire used was the questionnaire on the health behavior of CERDIK and PATUH to prevent recurrent strokes and the risk form for stroke events. The statistic test used Wilcoxon with the value of p=0.0</em><em>0</em><em>2 (p &lt; 0.05) which means there is an effect of education on the behavior of stroke sufferers in preventing recurrent stroke. Then the risk of stroke event with the value of p=0.0</em><em>0</em><em>1 (p &lt; α) which means there is an effect of education on preventing the risk of recurrent stroke. Therefore, it is hoped that post-stroke patients can be given health education on the CERDIK and PATUH behavior to prevent recurrent strokes.</em></p> Fransiska Anita Ekawati Rahayu Sapang Yunita Carolina Anita Sampe Felisima Ganut Copyright (c) 2021 Fransiska Anita Ekawati Rahayu Sapang 2021-06-02 2021-06-02 4 1 1 12 10.32584/jikmb.v4i1.779 EFEKTIVITAS MIRROR THERAPY TERHADAP PENINGKATAN KEKUATAN OTOT PADA PASIEN POST STROKE: LITERATUR REVIEW http://journal.ppnijateng.org/index.php/jikmb/article/view/713 <p>Stroke menyebbkan deficit neurologis yang dapat menurunkan fungsi muskoloskeletal. <em>Mirror Therapy</em> berperan pada penggunaan ilusi optic cermin yang memberikan stimulasi visual pada otak sehingga dapat mempengaruhi peningkatan otot terhadap fungsi motorik ekstremitas. Oleh karena itu. <em>literature review</em> ini bertujuan untuk menentukan efektivitas <em>mirror therapy</em> pada peningkatan kekuatan otot pasien post stroke. <strong>Metode</strong> pada penyusunan <em>Literature review</em> menggunakan PRISMA <em>checklist</em> dan PICOS dalam penyeleksian menentukan kriteria inklusi. Data sekunder yang didapatkan berasal dari jurnal bereputasi baik nasional maupun internasional dengan bahasan yang sudah ditentukan. Cara pengumpulan data dengan enam database elektronik: EBSCO, Springer, PubMed, Science Direct serta Taylor&amp;Francis. Ditemukan 1.278 artikel, Setelah disaring dari tahun 2016-2020. Artikel menjadi 1.270 dengan bahasa inklusi. kemudian, diperiksa duplikasi, terdapat 42 artikel dieksklusi. Menyeleksi dengan judul dan abstrak berjumlah 942 artikel tidak sesuai area studi. artikel berjumlah 268 bukan fulltext. Total artikel yang dapat di<em>review </em>berjumlah 20 artikel. <strong>Hasilnya</strong>, <em>mirror therapy</em> efektif diberikan pada semua pasien jenis stroke dengan hemiparesis. Mirror therapy efektif dilaksanakan selama 15-60 menit sehari, frekuensi 3-5 hari perminggu 2 hingga 12 minggu dengan syarat kekuatan otot minimal 2 dan ambulasi antara 3-5. <em>Mirror therapy</em> juga dapat mempengaruhi penurunan rasa nyeri ekstremitas pada pasien.<strong></strong></p><p><em><br /></em></p><p><em>Stroke is a neurological deficit that can decrease the function of the musculoskeletal. Mirror therapy, as a role in the use of visual optic illusion, gives the visual brain stimulation and can influence muscle growth in motor functions of extremes. The literature review is intended to determine the effectiveness of mirror therapy in patients' increased muscle strength. </em><em>The methods used PRISMA checklist, and PICOS in alignment identified the criteria of inclusion. Data collection with six electronic databases: EBSCO, Springer, Pubmed, Science Direct, And Taylor&amp;Francis. Found 1,278 articles, passed through 2016-2020. The report came to 1,270 with inclusions. Then, duplicated, there are 42 separate articles excommunicated. Screening on title and abstract totaling 942 articles out of context. Article number 268 instead of the full text. A total of 20 items could be reviewed.</em><em> </em><em>The result, effective mirror therapy is administered to all types of patients with hemiparasitic. Mirror therapy performed 15-60 minutes a day, frequency 3-5 days a week 2-12 weeks with a minimum muscle strength two, and ambulation between 3-5. Mirror therapy can also affect the patient's loss of limb pain.</em></p><p> </p><p> </p> Arista Maisyaroh Kharisma Nur Azizah Achlis Abdillah Rizeki Dwi Fibriansari Copyright (c) 2021 arista - maisyaroh, Kharisma Nur Azizah, Achlis - Abdillah, Rizeki Dwi Fibriansari 2021-06-02 2021-06-02 4 1 13 24 10.32584/jikmb.v4i1.713 ANALISIS HUBUNGAN FAKTOR DEMOGRAFI, FAKTOR PENYAKIT, DAN FAKTOR PSIKOLOGIS DENGAN MAKNA SPIRITUAL PENGALAMAN SAKIT http://journal.ppnijateng.org/index.php/jikmb/article/view/723 <p><strong>ABSTRACT</strong></p> <p><em>The prevalence of HIV/AIDS is increasing in almost all over the world, the most incidence is in productive age. High community stigma and discrimination, has a negative impact on people living with HIV/AIDS (PLWHA) and the wider life. <strong>Objective:</strong> Identify the relationship between demographic factors (age, gender, latest education, occupation, religion, economic status, marital status), disease factors (initial diagnosis, opportunistic infections, medication adherence), and psychological factors (anxiety and depression) with meaning, spiritual experience of illness in PLHIV in East Jakarta. This study used a cross sectional study design with consecutive sampling involving 225 respondents at the Bhayangkara Hospital Level I R. Said Sukanto, Jakarta. The independent t test obtained the age factor with a p value of 0.043, meaning that there was a relationship between age and the spiritual meaning of the experience of illness. Chi square test on the factors of gender, recent education, employment, religion, economic status, marital status, early diagnosis, opportunistic infections, adherence to taking medication, anxiety and depression obtained p value&gt; 0.05 means that there is no relationship between these factors and meaning, spiritual experience of illness. Opportunistic infection is a dominant factor related to the spiritual meaning of the experience of illness. There is a relationship between age and the spiritual meaning of the experience of illness, and opportunistic infections are the dominant factor related to the spiritual meaning of the experience of pain. Suggestion: It is necessary to do further research based on initial diagnosis or duration of HIV infection.</em></p> Nurhayati Nurhayati Rohman Azzam Mustikasari Mustikasari Copyright (c) 2021 Nurhayati Nurhayati 2021-06-02 2021-06-02 4 1 25 41 10.32584/jikmb.v4i1.723 PENGARUH PAPARAN CAHAYA TERANG TERHADAP KONDISI FISIOLOGIS PASIEN YANG DIRAWAT DI RUANG ICU http://journal.ppnijateng.org/index.php/jikmb/article/view/670 <p><strong>Background:</strong> Patients in the ICU are exposed to 24 hours of light exposure to abnormally low light levels during the day and constant light disturbances throughout the night. Prolonged abnormal light exposure can impact the circadian rhythm, which may indirectly affect the patient's physiological condition. <strong>Objectives: </strong>This literature review aims to determine the effect of light exposure on the physiological condition of patients in the ICU, including heart rate, mean arterial pressure (MAP), body temperature and sleep quality and offer possible alternative options. <strong>Methods:</strong> Qualitative synthesis by collecting research articles for the last five years from Google Scholar, Science Direct, Scopus, Medline, CINAHL, PubMed, and ProQuest. <strong>Results:</strong> There were 5 international journals with experimental and observational research designs. Abnormal light exposure in the ICU has an effect on increasing the heart rate and decreasing the quality of sleep of the patient. <strong>Conclusion:</strong> Compared to a decrease in nighttime light levels, an increase in artificial light during the day may be more promising to support the improvement of the patient's physiological condition.</p> Nabilla Oktaviani Nurlitasari Dian Hudiyawati Copyright (c) 2021 Nabilla Oktaviani Nurlitasari, Dian Hudiyawati 2021-06-02 2021-06-02 4 1 42 53 10.32584/jikmb.v4i1.670 STUDI FENOMENOLOGI PENGALAMAN PERAWAT DALAM MERAWAT PASIEN SUSPECT COVID-19 http://journal.ppnijateng.org/index.php/jikmb/article/view/617 <p>Wabah <em>C</em><em>ovid-19</em> saat ini menjadi pandemi global di seluruh penjuru dunia. Perawat merupakan pekerjaan yang paling sering terpapar penyakit dan infeksi. Tenaga keperawatan adalah salah satu tenaga pelayanan kesehatan yang paling sering berinteraksi selama 24 jam berada disamping pasien. Ketakutan dan kecemasan perawat dapat mempengaruhi kemauan dan ketulusan dalam bekerja. Penelitian ini bertujuan untuk mengeksplorasi pengalaman perawat dalam merawat pasien suspect <em>Covid-19</em>. Penelitian ini menggunakan rancangan <em>(des</em><em>i</em><em>gn)</em> penelitian kualitatif dengan pendekatan fenomenologi. Pengumpulan data dengan cara <em>indepth interview</em>. Partisipan adalah perawat yang bertugas di ruang isolasi <em>Covid-19</em> berjumlah 6 orang pastisipan. Pengambilan sampel dilakukan dengan cara <em>purposive sampling. </em>Instrumen penelitian menggunakan pedoman wawancara dan alat perekam berupa handphone. Analisis dilakukan dengan metode <em>Colaizzi.</em> Dari hasil penelitian teridentifikasi empat tema utama : 1) Kecemasan perawat. 2) Loyalitas perawat. 3) Perasaan perawat. 4) Upaya mengurangi risiko tertular. Hasil penelitian menunjukan bahwa perawat selama merawat <em>suspect</em> <em>Covid-19</em> masih diliputi kecemasan. Untuk itu diperlukan adanya dukungan sosial, bimbingan rohani dan spiritualitas serta pelatihan-pelatihan mengenai <em>Covid-19</em>.</p> <p> </p> <p><em>The Covid-19 outbreak is now a global pandemic throughout the world. Nurses are the jobs most often exposed to diseases and infections. Nursing staff is one of the health care workers who most frequently interact for 24 hours beside the patient. Nurse fear and anxiety can affect willingness and sincerity at work. This study aims to explore the experience of nurses in treating patients suspect Covid-19. This study uses a qualitative research design with a phenomenological approach. Data collection by indepth interview. Participants were nurses on duty in the Covid-19 isolation room totaling 6 participants. Sampling is done by purposive sampling. The research instrument used interview guidelines and recording devices in the form of mobile phones. The analysis was carried out using the Colaizzi method. From the results of the study identified four main themes: 1) Nurse anxiety. 2) Nurse loyalty. 3) Nurse's feelings. 4) Efforts to reduce the risk of contracting. The results showed that nurses while caring for suspect Covid-19 were still overcome by anxiety. For this reason, social support, spiritual and spiritual guidance and training on Covid-19 are needed.</em><em><br /></em></p> May Dwi Yuri Santoso Sunarto Supanti Copyright (c) 2021 may dwi yuri santoso 2021-06-02 2021-06-02 4 1 54 68 10.32584/jikmb.v4i1.617 ANALISIS KOMPETENSI RESPON BENCANA PADA PERAWAT DI PUSKESMAS KABUPATEN BIREUEN, ACEH http://journal.ppnijateng.org/index.php/jikmb/article/view/893 <p>Indonesia adalah negara dengan tingkat kerentanan secara geologis dan berisiko tinggi terhadap ancaman tsunami, gempa bumi, erupsi gunung berapi, dan longsor. Tingginya frekuensi kejadian bencana di Indonesia, dan juga provinsi Aceh membutuhkan respon bencana yang efektif dari penyedia pelayanan kesehatan seperti perawat. Puskesmas sebagai pusat kesehatan primer harus dapat merespon secara efektif pada kondisi terjadinya kegawatdaruratan atau bencana. Perawat sebagai garda terdepan penyedia pelayanan kesehatan harus memiliki kompetensi yang adekuat dalam merespon kejadian bencana. Kompetensi perawat pada respon bencana meliputi pelayanan pada masyarakat, pelayanan pada individu dan keluarga, pelayanan pada gangguan psikologis, dan pelayanan pada kelompok rentan. Tujuan penelitian ini untuk menilai kompetensi respon bencana pada perawat pada dua Puskesmas di Kabupaten Bireuen, Aceh. Jenis penelitian adalah studi deskriptif<em> </em>dengan desain <em>cross sectional study</em>. Populasi dari penelitian ini adalah seluruh perawat pada dua Puskemas tersebut. Sampel penelitian berjumlah 42 orang yang ditetapkan berdasarkan metode <em>total </em><em>sampling. </em>Alat pengumpulan data adalah kuesioner dalam bentuk skala <em>dichotomous</em> terdiri 43 item pertanyaan, dan dinyatakan lulus uji vailidatas dan reliabilitas instrumen. Data penelitian dianalisis menggunakan analisis univariat. Hasil penelitian secara umum menunjukkan kompetensi perawat pada dua Puskesmas tersebut pada kategori baik (92,86%), terdiri dari pelayanan pada masyarakat kategori cukup (42,86), pelayanan pada individu dan keluarga kategori baik (80,95%), pelayanan masalah psikologis kategori baik (97,62%), dan pelayanan pada kelompok rentan pada ketegori baik (61,90%). Direkomendasikan kepada perawat di Puskesmas agar meningkatkan kompetensi respon bencana khususnya pelayanan pada kelompok rentan seperti dengan kecacatan fisik dan mental, lansia, wanita hamil, anak-anak, dan tahanan dengan mengikuti program pelatihan kebencanaan dan kegawatdaruratan untuk penanganan masalah spesifik pada kelompok tersebut.</p> Cut Husna Ardela Putri Azhari Ahyana Copyright (c) 2021 Cut Husna, Ardela Putri Azhari, Ahyana Ahyana 2021-06-02 2021-06-02 4 1 69 84 10.32584/jikmb.v4i1.893