Jurnal Ilmu Keperawatan Medikal Bedah (p-ISSN 2338-2058 | e-ISSN 2621-2986 ) is an open-access journal which published by Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah. The articles of this journal are published twice a year every six month, that is in May and November (2 issues per year), and developed by the Persatuan Perawat Nasional Indonesia Jawa Tengah. The focus and scopes of the journal are adult nursing and medical-surgical nursing. This journal has been accredited by the National Journal Accreditation (ARJUNA) Managed by the Ministry of Research, Technology, and Higher Education, Republic Indonesia with Fifth Grade (Peringkat 5, Sinta 5), according to the decree Accreditation Certificate.
Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah
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THE EFFECTIVENESS OF ACUPRESSURE AT THE LR3, KI3, SP6, ST36, AND SP10 POINT ON ANKLE BRACHIAL INDEX IN PATIENTS WITH DIABETES MELLITUS
Background: Type II Diabetes Mellitus (DM) is a chronic metabolic disease that can cause long-term complications, incluiding peripheral artery disease, which can be detected through the Ankle Brachial Index (ABI) examination. Non-pharmacological management, such as acupressure and warm water immersion, serves as a potential complementary therapy to improve ABI scores. Objective: This study determined the difference in ABI values after administering acupressure and warm water immersion therapies to type II DM patients. Method: The researches used a quasi-experimental design with a pretest-posttest approach and two intervention groups: acupressure and warm water immersion. A total of 76 respondents participated. The researches analyzed the data using the paired t-test and independent samples t-test. Results: The paired t-test results showed a significant increase in ABI values after both acupressure (p = 0.001) and warm water immersion (p = 0.000). The independent samples t-test results indicated no significant difference existed between the two. Conclusion: These interventions can serve as alternative non-pharmacological therapies to improve peripheral blood circulation in DM patients.
Copyright (c) 2026 Muhammad Anis Taslim, Dhanang Efendi, Madyo Adrianto
THE EFFECT OF HEALTH EDUCATION ABOUT VULVA HYGIENE ON KNOWLEDGE OF PREVENTION OF URINARY TRACT INFECTION IN FEMALE STUDENTS
The number of urinary tract sufferers is increasing, prevention of urinary tract infections can be held with vulva hygiene. The purpose of this study was to determine the effect of health education on vulva hygiene on knowledge of prevention of urinary tract infections (UTI) in class VIII female students at Ash Shiddiqiyyah Integrated Islamic Junior High School. The method used is quantitative research using experimental research design, with one group pretest-posttest design. Total sampling amounted to 39 respondents. The results of this study with data analysis conducted using the Wilxocon Test, there were pre-test results before health education about vulva hyginene regarding knowledge of prevention of urinary tract infections. The conclusion that Ha is accepted means that there is an effect of health education about vulva hygiene on knowledge of preventing urinary tract infections (UTI) in class VIII students at Ash Shiddiqiyyah Integrated Islamic Junior High School. Suggestions from this study are expected that the community can increase knowledge about vulva hygiene for the prevention of urinary tract infections
THE CORELATION BETWEEN STRESS AND COFFEE CONSUMPTION ON GASTRITIS IN THE HEALTH CENTER WORKING AREA PONDOK BENDA, BANTEN
Indonesian health profile data in 2022 revealed that there were 30,154 cases of gastritis and included in the top ten diseases among sick people in Indonesian hospitals. Predisposing factors in the occurrence of gastritis are respondent characteristics, stress, and coffee consumption patterns. This study is a quantitative study that uses primary data (questionnaires) and uses cross-sectional research methods. The aim of this study is knowing the relationship between the stress and coffee consumption to gastritis. The sampling technique in this study used Purposive Sampling with a total sample size of 172 early adults in the Pondok Benda Health Center working area. The results of this study found that there was a relationship between stress and the incidence of gastritis (p-value = 0.037, < 0.05) and there was a relationship between coffee consumption and the incidence of gastritis (p-value = 0.024, < 0.05). Conclusion in this study is there was a relationship between stress and coffee consumption patterns to the incidence of gastritis.
Copyright (c) 2026 Akub Selvia, Agustina Chriswinda Bura Mare
CHEST PAIN IN ACUTE CORONARY SYNDROME: CASE STUDY
Acute Coronary Syndrome (ACS) is a global problem and the largest contributor to mortality in the world. The risk of death from ACS increases significantly with aging and delayed management. Complication of ACS that can cause death is Ventricular Septum Rupture (VSR). One of the nursing approaches is the Myra E Levine energy conservation approach which aims to increase the patient's energy conservation. The purpose of this case study is to analyze using Levine's conservation theory on Mrs. MM with a medical diagnosis of ST Elevation Miocard Infact (STEMI) in a comprehensive intensive room. The case study writing method uses a single case design method. The results of the application of case studies with this energy conservation approach obtained tripocognsosis of conservation integrity including decreased cardiac output, impaired gas exchange, risk of infection, impaired electrolyte balance, instability of blood glucose levels and impaired spontaneous ventilation, while for energy conservation integrity is pain and decreased activity tolerance. Interventions focused on acute cardiac care and respiration monitoring. The results of this case study analyzed the nursing diagnosis obtained from the patient. The application of nursing care with Levine's conservation approach can be carried out in various nursing settings both in the critical and terminal phases.
THE EFFECTIVENESS OF FIRST TREATMENT OF ANKLE INJURIES WITH PRICE ON THE LEVEL OF KNOWLEDGE OF PENCAK SILAT ATHLETES IN SURAKARTA
Background: Pencak silat is an exercise that is generally carried out to improve physical, technical and mental skills as well as the ability to injure in sports. The increase in injury incidence in Indonesia in 2018 was 9.2% and in Surakarta by 30.8%. One non-pharmacological treatment for early treatment when an ankle sprain occurs is to use the Protect, Rest, Ice, Compression, Elevation (PRICE) technique. Objective: To determine the effectiveness of early treatment of ankle injuries with PRICE on the level of knowledge of pencak silat athletes in Surakarta. Method: This research used a quasi-experimental design with one group pretest-posttest. With a total of 31 respondents and a questionnaire from Fajar Robin Pinanditto. The analysis test uses the Wilcoxon Signed Rank Test. Results: This research shows that the majority of athletes aged 13 years are 9 people (29.0%), 19 people are female (61.3%), and 17 people have junior high school education (54.8%). Initial treatment training for ankle injuries with PRICE is effective on the level of knowledge of pencak silat athletes in Surakarta with Asymp scores. signature. (2-tailed) 0.000. Conclusion: Training on the first treatment of ankle injuries with PRICE is effective on the level of knowledge of pencak silat players in Surakarta.
Copyright (c) 2026 Anni Sekar Taji, Yuli Widyastuti, Cemy Nur Fitria
The Effect of Group-Based Hope Intervention on Happiness of Patients with End-Stage Renal Disease Undergoing Hemodialysis
Background: People undergoing hemodialysis may impact on physical or psychological patients. Feelings of happiness affect the immune system in the body, fight stress, improve sleep comfort and creativity. Purpose: The purpose of this study was to determine the effect of group-based hope intervention on the happiness of patients with end-stage renal disease undergoing hemodialysis. Methods: Quasi experimental research design was used in this study and involved a total of 40 patients in the control group and 40 patients in the intervention group, who met the inclusion and exclusion criteria. The samples were recruited randomly using paper containing odd and even numbers. The inclusion criteria were end stage renal disease patients undergoing routine hemodialysis twice a week for ≥3 months, aged ≥18th and ≤65th years old, graduating from junior high school, and patients who are participants of the National Health Insurance. The exclusion criteria were patients with hospitalization and experience decreased consciousness. Hope intervention is given 2 times a week for 4 weeks with a duration of 30-45 minutes each meeting in the group consisting of 8-12 patients. The control group was given standard hospital intervention with consultation. Data were collected using the Oxford Happiness Questionnaire. Data analysis used the Wilcoxon Signed Rank Test and the Mann Whitney Test. Results: The results showed that after the intervention, the mean level of happiness in the intervention group increased from 2.93±0.888 to 4.10±0.709, and in the control group, the mean increased from 3.25±0.707 to 3.25±0.707. After the implementation of hope intervention and peer support, there was a significant difference in the level of happiness between the intervention group and the control group (p<0.001). Conclusion: The increase in happiness in end-stage kidney disease patients undergoing hemodialysis was due to increased expectations and support from peers in the group.
Copyright (c) 2024 nining astuti, Dewi Anggraheni Susana Kusuma
THE RELATIONSHIP BETWEEN THE LEVEL OF KNOWLEDGE AND THE ATTITUDE OF DIABETES MELLITUS PATIENTS ABOUT MOIST WOUND HEALING AT RUMAT CLINIC JAKARTA.
Diabetes mellitus is a condition of metabolic disorders characterized by an increase or condition where blood sugar levels increase or excessive which is a decrease in insulin production or insulin percentage. The purpose of this study was to determine the relationship between the level of knowledge and the attitude of diabetes mellitus patients about moist wound healing at Rumat Clinic Jakarta. This type of research uses quantitative methods with an analytical observational type of research, namely research without intervention. This study used a Cross-Sectional research design". With the aim to see the relationship between the level of knowledge and the attitude of diabetes mellitus patients about moist wound healing at Rumat Clinic Jakarta.Research with a total of 80 subjects obtained. Based on the results of the Chi-Square test shows that the p-value (<0.001 < a 0.05). This proves that there is a relationship between the level of knowledge and the attitude of diabetes mellitus patients about moist wound healing at Rumat Clinic Jakarta.
Effect of Online Health Promotion on Tuberculosis Patients' Knowledge and Satisfaction in Salatiga
Health promotion in Tuberculosis (TB) patients is crucial so that patients know about TB treatment, side effects, and prevention of transmission. This information prevents the spread of disease and the risk of patients stopping a medication. Health promotion is usually done directly to the patient when the patient carries out health checks. However, during this pandemic, the health promotion process did not go well. In this situation, tuberculosis patient care takes advantage of existing communication technology advances to maintain service quality and prevent an increase in tuberculosis deaths in the future. The purpose of this study was to find out about the knowledge of TB patients and determine patient satisfaction in getting information through online health promotion using video conferencing via social media WhatsApp. The method used is Pre-Experiment with pre-test and post-test designs. The sampling technique in this study is total sampling. The data analysis technique uses the t-test to analyze the effect of the independent and dependent variables. Data collection used a questionnaire, namely written questions in the form of multiple choices and a checklist to determine patient knowledge about tuberculosis treatment and patient satisfaction after being given online health promotion. Based on the research results and conclusions, it can be concluded that there is an effect of online health promotion on the knowledge and satisfaction of TB patients at BKPM Salatiga. The results of the knowledge variable show that there are differences in the value of knowledge. The knowledge value during the Pre-test was 38.036 and the Post-test with a value of 55.430 after being given health promotion, which means that TB patients understand the health promotion given. The results of the variables knowledge and satisfaction show that the average value of knowledge after being given an intervention is 9.333 and the value of respondents' satisfaction in using online health promotion media after being given health promotion is 20.667 with a significant value <0.05 meaning that social media has a significant relationship with TB prevention efforts.
Copyright (c) 2024 Fiane de Fretes, Mita Prahesti
Effect of Diabetes Self-Management Education (DSME) Method on Self-Care Behavior in Type 2 Diabetes Mellitus Patients
Introduction:Diabetes Self Management Education (DSME) is education that is able to increase patient knowledge regarding strategies related to how to implement care independently. With increasing patient knowledge, it will have an impact on patient self-care, especially Type 2 DM patients. Objective:the purpose of this study was to determine the effect of the Diabetes Self-Management Education (DSME) method on self-care behavior in Type 2 Diabetes Mellitus patients. Method:This type of research is a quasi experiment with a pre and posttest non equivalent control group approach. The sample in this study was 16 samples obtained by purposive sampling technique and divided into 2 groups. The instrument measures Self Care using the SDSCA questionnaire. Data were analyzed by paired t test and independent t test with 95% CI. This research was conducted on June 1-24, 2022. Result and discussion:The results showed that the p value of the paired t test in the intervention group was 0.002 and 0.001 in the control group, while the p value of the independent t test was 0.047 (p value Ë‚ 0.05). It is expected that Type 2 DM patients will implement the DSME program which is useful for preventing complications and can improve self care behavior. Conclusion:the results of the DSME assessment in type 2 diabetes mellitus patients using the summary of diabetes self care activity (SDSCA) questionnaire measuring tool proved that patients in the intervention group experienced an increase in knowledge of 75%.
Copyright (c) 2024 Nurfazilah, Riyan Mulfianda, Syarifah Masthura
THE EFFECT OF PROGRESSIVE MOBILIZATION ON THE INCIDENT OF DECUBITUS IN ICU PATIENTS
Introduction: Critical patients who are treated in the ICU are in a long time both sitting and lying positions with limited movement so that it will put the patient at risk of developing decubitus. The role of the nurse in the prevention of decubitus is skin care which includes hygiene care and topical administration, mechanical prevention and surface support. The American Association of Critical Care Nurses (AACN) introduced several pressure sore (decubitus) management techniques, one of which is progressive mobilization intervention. Objective: This study aims to determine the effect of progressive mobilization on the risk of developing decubitus in ICU patients. Method: This research is an analytical study with a Quasy Experimental design with one group pre test – post test design. The instrument used is the Braden Scale which is used to measure pressure sores. Progressive mobilization intervention was carried out for 3 days and then the post-intervention value was measured. Results: The majority of the Braden scale values before the intervention were Very High Decubitus Risk (60%) and after the intervention the majority were High Decubitus Risk (60%). The effect test using the Wilcoxon test was used to obtain the result of p = 0.002 (p <0.005), which means that there is an effect of progressive mobilization interventions. Conclusion: There is an effect of progressive mobilization interventions on reducing the risk of decubitus.
CORRELATION FAMILY SUPPORT WITH CONTROL COMPLIANCE IN STROKE PATIENTS
Stroke is the leading cause of long-term adult disability and the number five cause of death. Stroke cannot be completely cured, but when handled properly it can minimize disability, reducing dependence on activities. The involvement of the family in the program at home will provide excellent benefits. The purpose of this study was to determine the relationship of family support to control adherence in stroke patients. This research uses a quantitative approach with a cross-sectional research design. This research was conducted at the Regular Polyclinic of PON Jakarta Hospital in 2022. The total population in this study was 1267 patients with a total sample of 101 and accidental sampling techniques. The tools used in this study were questionnaires and observation sheets. The data analysis used is univariate and bivariate analysis with chi square test. The results showed that most respondents had good family support as many as 62 (61.4%) respondents and had a control compliance rate in the compliance category as many as 75 (74.3%) respondents. The chi square test results show that the p value is 0.001 (p ≤ 0.05), then H0 is rejected and Ha is accepted. An OR value of 4.5 which means good family support is 4.5 times more likely to have better control compliance. It can be concluded that there is a relationship of family support with control compliance in stroke patients. It is hoped that families can realize the importance of family support to increase patient motivation for control.
Copyright (c) 2023 Santa Maria, Agung Setiyadi, Intan Parulian
THE RELATIONSHIP BETWEEN SPIRITUAL ABILITY AND ANXIETY LEVEL IN PREOPERATIVE PATIENTS
Anxiety problems of patients who will undergo surgery such as fear of pain after surgery, fear of physical changes, becoming ugly and not functioning normally. Spiritual needs are basic needs needed by every human being. If someone is sick, then the relationship with God is even closer, considering that someone in a sick condition becomes weak in every way, no one is able to revive him from healing, except the Creator. This study aims to determine the relationship between spiritual abilities and anxiety levels in preoperative patients in the surgical room at the general hospital Tgk. Chik Ditiro Sigli. The type of research used in this study was analytic with a cross-sectional approach, the sampling technique in this study was accidental sampling with 67 respondents. Based on the results of the study it can be concluded that the majority of respondents had moderate spiritual abilities, namely as many as 34 respondents (50.7%), the majority of respondents had severe preoperative anxiety, namely as many as 53 respondents (79.1%) and there was a relationship between spiritual abilities and anxiety level in preoperative patients, (P-Value = 0.041 ≤ 0.05). Conclusion There is a significant relationship between the patient's spiritual ability and the level of anxiety in preoperative patients. It is suggested to the employees in the operating room to provide information and input for health workers as to the need for preoperative patient education.
Copyright (c) 2023 Asri Bashir, Muhammad Ikhsan, Karina Karina
PENGALAMAN PERAWAT MERAWAT PASIEN COVID-19 : TINJAUAN LITERATUR
Pendahuluan : COVID-19 menyebabkan perawat mengalami tekanan mental seperti ketakutan, kecemasan, dan kelemahan fisik saat merawat pasien COVID-19. Perawat yang berada digaris depan dalam memerangi penyakit COVID-19 dapat memberikan pengalaman berharga, namun pengalaman tersebut dapat dipengaruhi oleh tiap persepsi individu yang berbeda. Pembagian tugas dan tingkat pengalaman diantara anggota tim juga dapat berbeda. COVID-19 adalah penyakit baru, kemungkinan sistem medis dan budaya di berbagai negara berbeda-beda, sehingga kami ingin melihat pengalaman mereka selama merawat pasien COVID-19 melalui tinjauan literatur. Metode: pencarian literatur pada Pubmed menggunakan kata kunci “nursing experienceâ€ AND “COVID-19â€ AND “study phenomenologyâ€. Kriteria inklusi antara lain full text, berbahasa Inggris, studi kualitatif, Tahun terbit 2020, teks penuh serta melaporkan pengalaman merawat COVID-19 yang dituangkan dalam tema. Peneliti mengekstrak data dengan melihat judul penelitian, metode yang digunakan, sampel serta hasil penelitian. Sebanyak 5 artikel dipilih kemudian dianalisis. Hasil: Hasil penelitian didapatkan bahwa pengalaman perawat dalam merawat pasien COVID-19 berbeda-beda sesuai persepsi dan pengalaman masing-masing. Rasa Takut dan cemas akan terkontainasi hal yang paling banyak muncul diungkapkan. Disisi lain, menjadi perawat adalah sebuah tugas mulia mengembangkan profesionalisme perawat. Simpulan: Pengalaman merawat COVID-19 adalah pekerjaan mulia. Dukungan keluarga maupun pemerintah sangat penting mengatasi wabah ini. Vaksinasi COVID-19 harus gencar digiatkan. Keywords: nursing experience; COVID-19; study phenomenology
Copyright (c) 2023 Dwi Febryanto, Hubertus Agung Pambudi
THE THE INFLUENCE OF PSYCHOEDUCATION ON ANXIETY LEVELS TB PATIENTS IN THE BUKETAN ROOM AT BENDAN HOSPITAL OF PEKALONGAN CITY
Tuberculosis (TB) is a public health problem in the world, although many countries have implemented various efforts to control and prevent it. TB is an infectious disease caused by Mycobacterium tuberculosis (MTbc), they can attack the lungs (pulmonary TB) and other organs (extrapulmonary TB), Tuberculosis is transmitted through the air in the form of droplets (sputum splashes), so it can disrupt public health and cause morbidity/morbidity and death/mortality. This study aims to determine the effect of psychoeducational therapy on anxiety levels in TB patients. This type of research is a quasi-experimental design with a control group pre-test - post-test design. The sample size in this study were 22 TB clients, each in the intervention group and the control group, which were taken using a non-probability sampling technique. The study used the HARS (Hamilton Anxiety Rating Scale) instrument. Intervention given psychoeducational therapy for 5 sessions for 5 weeks with 45-60 minutes visually and evaluating at the end of each activity. The data analysis used was the Wilcoxon test and the Mann Whitney test. The study showed that there was an effect of the intervention of providing psychoeducational therapy on reducing the anxiety of TB patients with p = 0.000 and 0.001 (p <0.05). Psychoeducational therapy carried out in 5 sessions for 5 weeks in 40-60 minutes can have an effect on reducing the anxiety of tuberculosis patients.
Copyright (c) 2023 Deni Kinasih, Wahyu Kartiko Nugroho, Faiz Hidayat Syahputra
FACTOR ASSOCIATED WITH CONTROL COMPLIANCE IN HYPERTENSION PATIENTS
Hypertension is a non-communicable disease that has a fairly high incidence. The World Health Organization (WHO) in 2019 reported 1.13 billion people in the world had hypertension. While the Basic Health Research (2018) reports that hypertension in Indonesia based on a doctor's diagnosis in the population shows that there are 63,309,620 Indonesians who suffer from hypertension. Hypertension is an important public health challenge in adulthood worldwide. However, in developing countries, appropriate treatment is often still not optimal. Adherence to antihypertensive medication can have a major effect on blood pressure control. The purpose of this study was to determine the factors associated with adherence to hypertension control. This research method uses correlational descriptive with a retrospective research design. Collecting data using secondary data from patient medical records with a sample of 201 respondents (purposive sampling). The analysis technique used binary logistic regression test at a 95% confidence level. Factors related to hypertension control compliance are age (2.4%), education (3.5%), occupation (11.7% contribution) and the most dominant factor related to hypertension control compliance is occupation with 11.7% contribution.
Copyright (c) 2022 Martono Martono, Rendi Editya Darmawan, Nur Hening Nita Purwitasari
THE RELATIONSHIP OF PHYSICAL ACTIVITY WITH BLOOD GLUCOSE LEVELS IN PATIENTS WITH TYPE II DIABETES MELLITUS IN THE HOSPITAL GENERAL MITRA MEDIKA MEDAN IN 2021
Type II diabetes mellitus has become one of the health problems of almost all walks of life in the world. One of the factors influencing the development of type II DM is that modern lifestyle behavior is characterized by a lack of physical activity in a sedentary time. The lack of knowledge and awareness of Type II DM patients about the importance of physical activity is what can cause the condition of sugar levels in the blood to go out of control. The purpose of this research is to find out the relationship between activity and blood glucose levels in type II diabetes mellitus patients at Mitra Medika General Hospital Medan in 2021. The research design used in this study used an analytical survey method with a cross-sectional approach. The population in this study were patients with type II diabetes mellitus totaling 235 respondents. The sampling used was consecutive sampling, where all subjects who came and met the selection criteria were included in this study until the required number of subjects were met, namely 51 respondents. Based on the results of the chi- square test showing a p-value value (0.002 < α 0.05), this proves that there is a relationship between physical activity and blood glucose levels in type II diabetes millitus patients at Mitra Medika Hospital Medan in 2021. There is a relationship between physical activity and blood glucose levels in type II diabetes millitus patients at Mitra Medika General Hospital in 2021. It is recommended to patients with type II diabetes millitus to improve and increase physical activity in order to maintain the patient's blood glucose levels. Key words: Blood Sugar Levels, Physical Activity, Type II Diabetes Mellitus
Copyright (c) 2023 Afina Muharani Syaftriani
THE FACTORS AFFECTING INCREASED BLOOD PRESSURE IN HYPERTENSION PATIENTS IN THE ERA OF THE COVID-19 PANDEMIC IN PATAI GEMI VILLAGE 2022
Background: Hypertension is a non-communicable disease that is still a health problem in Indonesia. Hypertension is one of the comorbidities that increase the risk of contracting Covid-19 disease. Hypertension is a condition of abnormally high blood pressure that is showed by systolic blood pressure of more than 140 mmHg and diastolic was more than 90 mmHg. Objective: This study aimed to determine the influence factors on the occurrence of blood pressure increase in patients with hypertension in the COVID-19 pandemic era at Pantai Gemi Village. Methods: This is quantitative research with a descriptive correlation design and uses a cross-sectional approach. The sample used in this study was 79 respondents who suffered from hypertension taken by total sampling technique. The instrument of this study was by questionnaire about factors related to the incidence of hypertension. The analytical method using Kendall tau. Results: There was a relationship between the consumption of salty food 0.000, family history of 0.002, saturated fat consumption of 0.001, exercise habits of 0.003, and the most dominant factors influencing the incidence of hypertension in Pantai Gemi Village showed a significant value of 0.000 and a t-value of 4.887. Conclusion: It can be concluded that there is a relationship between food consumption such as saturated food with family history and there is no relationship between genders, body mass index (BMI) with the occurrence of hypertension at Pantai Gemi Village. Keywords: Hypertension Incidence, Salty Food, Saturated Fat, and Family History
Copyright (c) 2022 dedi dedi, Haryanto Haryanto, Syahrizal Syahrizal
THE PSYCHOLOGICAL RESPONS OF THE CRITICAL CARE NURSES IN CARING COVID-19 PATIENTS
Unstable and critical conditions of Covid-19 patients require intensive care in the Intensive Care Unit (ICU) Covid-19 isolation room. The patients require intensive actions and continuous monitoring resulting in an increase in the workload of ICU nurses. ICU nurses should also wear third level Personal Protective Equipment (PPE) while dealing with Covid-19 patients. The number of patients and nurses who died has become one of the stressors for ICU nurses. ICU nurses also feel anxious and afraid of being infected, feel worried about the effectiveness of PPE, and the risk of transmission to family members at home. This condition leads to stress, depression and affects the quality of service. Therefore, this study aims to know the psychological respons of the critical care nurses in caring Covid-19 patients. This study used descriptive survey with the sample size of 181 respondents. The respondents were members of the Central Java-Indonesian Critical Care Nurses Association recruited by some inclusion and exclusion criteria. Depression, Anxiety, and Stress Scale 42 (DASS 42) was used as an instrument to collect the data. The data were analyzed in frequency and percentage. The results showed that the majority of respondents did not experience anxiety (58%), stress (82.3%), and depression (72.9%) although there were still severe and very severe anxiety levels (11.6%), a severe stress level (2.8%), and a severe depression level (1.7%) experienced by the respondents respectively. Nurses who are anxious, stressed or depressed should obtain serious attention from the nurses, the hospital and the government. Therefore, the psychological management of nurses can be improved to prevent unwanted problems such as ongoing depression or burnout syndrome.
Copyright (c) 2023 Dody Setyawan, Reni Sulung Utami, Nana Rochana, Ahmat Pujianto, Failasuf Wibisono, Ardiyanto, Imam Subiyono, Sarinti, Philip Purworahyono
THE ANXIETY LEVEL ON PEOPLE WITH CHRONIC ILLNESS: DIABETES MELLITUS (DM), HYPERTENSION, CHRONIC KIDNEY DISEASES (CKD), CANCER AND HEART DISEASES IN TUGUREJO HOSPITAL SEMARANG ANXIETY LEVEL ON PEOPLE WITH CHRONIC ILLNESS: DIABETES MELLITUS (DM), HYPERTENSION, CHRONIC KIDNEY DISEASES (CKD), CANCER AND HEART DISEASES IN TUGUREJO HOSPITAL SEMARANG
Pendahuluan: permasalahan yang sering dialami oleh perawat dalam memberikan pelayanan dan perawatan pada pasien penderita penyakit kronis yaitu mengenai penyembuhan yang kurang sempurna dan terjadi di semua sistem organ yang menyebabkan kecemasan. Tujuan: untuk mengetahui gambaran tingkat kecemasan penyakit kronis (Diabetes Miletus (DM), hipertensi, Chronic Kidney Disease (CKD), kanker dan penyakit jantung) di RSUD Tugurejo Semarang. Metode: penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional dengan sampel 200 pasien yang menderita 5 jenis penyakit kronis (DM, hipertensi, CKD, kanker, dan penyakit jantung) di RSUD Tugurejo Semarang dengan 40 sampel masing-masing penyakit yang terpenuhi. kriteria inklusi. Pengukuran kecemasan menggunakan metode Zung-Self Rating Anxiety Scale (SAS). Sedangkan analisis data menggunakan analisis univariat yang diuji secara deskriptif untuk mengetahui gambaran kecemasan pada pasien kronis. Hasil dan Pembahasan: hasil penelitian menunjukkan bahwa sebagian besar pasien mengalami kecemasan berat dimana pasien kanker mengalami tingkat kecemasan berat yang paling tinggi yaitu sebesar 87,5% dibandingkan dengan jenis penyakit lainnya. Kecemasan berat muncul karena masalah biologis akibat pemulihan yang tidak tuntas dan mengancam kematian pasien, selain itu masalah keuangan untuk mendapatkan pelayanan kesehatan menjadi pemicu kecemasan. Kesimpulan: hasil penilaian kecemasan pasien penderita 5 jenis penyakit kronis dengan menggunakan alat ukur Zung-Self Rating Anxiety Scale (SAS) membuktikan bahwa pasien mengalami kecemasan berat dimana penderita penyakit kanker mengalami tingkat kecemasan berat paling tinggi sebanyak 87,5%.
Copyright (c) 2022 Siti Nur Hasanah, Afifah Zulfa Rosyida
THE EFFECTIVENESS OF TELENURSING SI KASIH (SISTEM INFORMASI KONDISI PASIEN HARIAN) ON ANXIETY OF THE FAMILY OF ISOLATED COVID-19 PATIENTS
This study was held to see the effect of Sikasih Telenursing on the anxiety of the patient's family in the Covid 19 isolation room. Sikasih (sistem informasi kondisi pasien harian) is one of the telenursing services that provides information on the patient's condition. This study uses a quantitative approach with a quasi-experimental research design in one group (one-group pre-post test design without control). The population of this study was the family of patients who were treated in the COVID-19 isolation room, the sample used was 18 respondents. The instrument for measuring anxiety is the Zung Self-Rating Anxiety Scale. The results of data analysis showed that telenursing sikasih (sistem informasi kondisi pasien harian) Â was effective in reducing the anxiety of the patient's family, with p value (0.014) on the third day and p value (0.020) on the fifth day.
Copyright (c) 2022 eviwindha suara, Zuhrotun Aliyah
OVERVIEW OF NURSE'S KNOWLEDGE ABOUT DISCHARGE PLANNING OF COVID 19 PATIENTS
March 2, 2022, there were 437 million people with confirmed COVID 19, Indonesia, positive confirmed cases of Covid 19 reached 5,589,176 cases, with 539,214 of them requiring hospitalization. Discharge planning is carried out by nurses in a structured manner starting from the assessment when the patient enters the hospital until the patient goes home. Lack of understanding and knowledge about the mechanism for implementing discharge planning causes nurses to tend not to carry out discharge planning to patients. This study was conducted to describe nurses' knowledge about COVID 19 discharge planning. The type of research used was non-experimental quantitative, while the design used was descriptive research. The population in this study were nurses in the Covid 19 room at the Tugurejo Hospital, Semarang, with a total of 55 nurses. Sampling technique used was non-probability sampling with total sampling. The data collection process was carried out using questionnaires filled out by respondents. The results showed that nurses with good knowledge amounted to 47.3%, moderate knowledge 41.8% and less knowledge amounted to 10.9%. Key word : Nurse, knowledge, discharge planning, Covid 19
Copyright (c) 2023 Gabriella Adientya, eviwindha suara
THE CORRELATION BETWEEN THE NUMBER OF VACCINES RECEIVED AND THE DEGREE OF SYMPTOMS COVID-19 PATIENTS IN THE EMERGENCY DEPARTMENT
Covid-19 patients who came to the emergency department in February 2022 are still relatively high with various degrees of symptoms from mild to severe. The condition of Covid-19 patients who came to the emergency department, some of them have already received the first dose of the vaccine to third dose (boster). However, there are also some of them have not been vaccinated at all. The purpose of this research is to know the correlation between the number of vaccines received and the degree of symptoms covid-19 patients in the emergency department. The method was quantitative research with retrospective design of cross sectional approach study. The data was taken from the Electronic Medical Record (RME) with a sample of patients who came to the emergency department in February 2022 with the age of more than 18 years old and positive antigen or PCR swab results. Research data collection was conducted in August 2022. The Research used RME to see the number of vaccines received by patients and the Guidelines of the Republic Indonesia Health’s Minister to determine the degree of symptoms Covid-19. The results showed that there was a correlation between the number of vaccines received and the degree of symptoms covid-19 patients (p value: 0,003 (<0,05)). Completeness the number of vaccine doses received can reduce the severity of Covid-19 symptoms, because it can increase immunity and provide a stronger immune response. Therefore, it is hoped that the public can follow the complete vaccination program suggested by the Government. Keywords: Degree of Symptoms Covid-19, Emergency Department, Number of Vaccines Doses
Copyright (c) 2022 Hilmia Maulina Hamida, Dody Setyawan
A CASE REPORT OF PERIOPERATIVE NURSING: BODY TEMPERATURE MANAGEMENT IN SURGERY PATIENT OF MITRAL VALVE REPAIR WITH CARDIOPULMONARY BYPASS
Mitral valve repair (MVr) procedure with Cardiopulmonary Bypass (CPB) can be used for repairing the regurgitation. Management of body temperature should be started as soon as possible during MVr surgery with CPB to reduce the risk complication during intraoperative and postoperative. The purpose of this study was to describe body temperature management during MVr surgery with CPB. The method of this study was a descriptive case study with observasional approach wherein started from preoperative to postoperative in Surgical Central Department Prof. dr. IGNG Ngoerah Hospital. The study showed that body temperature management during surgery with CPB consist of the cooling and rewarming process. In this case study, management of body temperature was used during CPB, such as applied surgical heater/cooler blankets, heat exchanger on CPB machine, and irrigation of cold and warm fluid. The body temperature management was done to achieve the condition of moderate hypothermia (260-310C) and reaches the target temperature when rewarming in temperature 340-350C, however, it was not more than 360C. Perioperative nurses play a vital role in assisting surgical procedure, especially for maintaining body temperature based on standard temperature among patients undergoing MVr surgery with CPB.
Copyright (c) 2023 Sekar Sari, Nyoman Agus Jagat Raya
THE RELATIONSHIP OF KNOWLEDGE ABOUT STROKE AND HEALTHY BEHAVIOR IN HYPERTENSION PATIENTS AT KARANGJAMBU HEALTH CENTER
Hypertension or high blood pressure is a condition where the systolic blood pressure has increased above 140 mmHg and the diastolic blood pressure is above 90 mmHg with measurement twice in a calm body condition within a span of five minutes. One of the complications of hypertension that poses a threat is stroke. Attempts that can be done to reduce the rates of death and disability due to stroke, namely preventions by increasing knowledge of stroke and implementing healthy behavior for people with hypertension. This study was aimed to determine the relationship of knowledge about stroke with healthy behavior in patients with hypertension at Karangjambu Health Center. This study used quantitative methods with descriptive correlation design and used a cross sectional approach. The sampling technique used nonprobability accidental sampling with 66 respondents. Data were collected using the SRQ questionnaire for knowledge of stroke and HPLP II for the healthy behavior. Univariate analysis used descriptive correlation and bivariate analysis used the spearman rank test. Statistical test results obtained p value 0.001. It is concluded that there is a relationship between knowledge of stroke and healthy behavior in patients with hypertension at Karangjambu Health Center. The better the respondent's knowledge, the better the healthy behavior that is applied, thus the results of this study are important for Health Center officers in attempts to prevent stroke complications in patients with hypertension. Â
Copyright (c) 2022 Septavianada Jihan Azhar, Adiratna Sekar Siwi, Septian Mixrova Sebayang
THE RELATIONSHIP BETWEEN FEAR OF COVID-19 AND ADHERENCE FOR PEOPLE WITH END STAGE RENAL DISEASES WITH HEMODIALYSIS
Patients with End-Stage Renal Disease (ESRD) are highly vulnerable with the multiple comorbidities that make them susceptible to adverse outcomes with COVID-19. Over 2 million people worldwide receive maintenance hemodialysis (HD) at outpatient centers. In Indonesia, people have to come to dialysis centre at hospital for maintenance dialysis although in pandemic. Governments have been trying to fight the outbreak, by enacting various restrictions to maintain social distancing and effectively preventing the spread of infection among HD centre, healthcare personnel, and patients is essential to ensure the continued delivery of dialysis to ESRD patients but this condition affect in mental health people with hemodialysis such as fear of covid-19. The present study aimed to understand the relationship between fear of covid-19 and adherence people with hemodialysis to maintaining hemodialysis at hospital. The study group of the research consisted of 60 patients with hemodialysis were selected by the purposive sampling method. The research method is the correlational survey model. Data was obtained using the Demographic Information Form, fear of covid-19 scale and The End Stage Renal Disease Adherence Questionnaire (ESRD-AQ). Group comparison analysis revealed that women experienced higher levels of fear of the coronavirus. While those with postgraduate education reported significantly lower levels of fear of the coronavirus than those with other education levels. Fear of the coronavirus did not differ according to the age range, income level, and marital status of the participants. According to the results of the correlation analysis, a positive correlation between the fear of coronavirus and adherence people with hemodialysis to take medication at hospital was found.
Copyright (c) 2022 Nining Puji Astuti, Arief Shofyan Baidhowy, Erlangga Galih Zulva Nugroho https://creativecommons.org/licenses/by/4.0
STRATEGI PENINGKATAN MANAJEMEN DIRI PASIEN PENYAKIT GINJAL TAHAP AKHIR YANG MENJALANI HEMODIALISIS
End-stage kidney disease (ESRD) has an impact on the sufferer's physical, psychological, social, and spiritual well-being. These problems can reduce the quality of life of ESRD patients undergoing hemodialysis. This requires the patient to be fully involved, both in management and therapeutic decision-making, symptom management, and self-care. This literature review aims to describe various programs to improve the self-management skills of ESRD patients undergoing hemodialysis. The articles used in this literature review are sourced from the CINAHL, MEDLINE, and Google Scholar electronic databases with the keywords self-management, self-care, adherence, ESRD, and hemodialysis with inclusion criteria: published in 2015-2020, full text, using English or Indonesian, and experimental studies conducted on hemodialysis patients. Eight articles were obtained discussing programs that can be used to improve self-management of ESRD patients undergoing hemodialysis, including education and counseling programs, self-management programs, self-efficacy training, self-monitoring programs, and social support. The differences between each program include the time and technical implementation, while the similarities are that each program cannot be separated from education for providing health information to patients. Providing structured education and involving social support can be used as a program to improve self-management in ESRD patients undergoing hemodialysis.
Copyright (c) 2022 Fida' Husain, Ida Nur Imamah, Dadi Hamdani https://creativecommons.org/licenses/by/4.0
FAKTOR LINGKUNGAN YANG BERKORELASI DENGAN KUALITAS TIDUR PASIEN KRITIS DI RUANG PERAWATAN INTENSIF (INTENSIVE CARE UNIT/ICU)
Rest and sleep are basic requirements needed by all people. Everyone needs a good quality of rest and sleep to be able to repair or restore the body and maintain the health, including critically ill patients in Intensive Care Unit. Rest and sleep are influenced by several factors such as the disease process, environmental, psychological stress, and medications. However environmental factors are factors that can be modified directly in order to meet this requirement. The purpose of this study is to determine the relationship between environmental factors and the quality of sleep in critically ill patients in the Intensive Care Unit of Semarang. This type of research was quantitative descriptive with correlational design. The data collection method was cross sectional. The samples in this study included 60 people. The results showed that the mean of environmental factors and sleep quality were 88,28 ± 29,76 dan 13,50 ± 4,9 respectively.There was a relationship between environmental factors and the quality of sleep critically ill patients in the ICU with p-value 0.009 (p-value <0.05). The better the environmental factors that are in the ICU the better the sleep quality of critical patients. It is suggested that the hospitals could manage the most disturbing noise caused by other patients to improve the quality of these critically ill patients.
Copyright (c) 2022 Erlangga Galih Zulva Nugroho, Heryanto Adi Nugroho, Nana Rochana, Abdurrahman Abdurrahman, Afdhal Afdhal https://creativecommons.org/licenses/by/4.0
KORELASI FATIGUE DENGAN DEMOGRAFI, SKALA PERFORMA DAN INDEK MASA TUBUH PADA PASIEN KANKER DEWASA
In Indonesia, the association between fatigue and predictors of fatigue has nearly never been studied, particularly in adult cancer patients. This research is part of a larger research project to predict the prevalence of fatigue in adult people with cancer. The objective of this study was to determine the relationship between fatigue, respondent characteristics, and the performance scale among adult cancer patients in one-day care units. This study is a quantitative correlation investigation using a cross-sectional design with correlation and t-tests. Sixty-seven participants were selected from the medical records of adult cancer patients who met the criteria. Research findings indicated that there was no correlation between age, gender, type of cancer, ECOG (Eastern Cooperative Oncology Group) Performance Scale, and body mass index on the incidence of fatigue in adult cancer patients (Pvalue = 0.684; 0.977; 0.38; 0.224; 0.284), although there was a significant correlation between a previous fatigue and the occurrence of recent fatigue (Pvalue = 0.000). This study may be utilized as a basis for future studies on adult cancer patients experiencing fatigue in hospital settings.
Copyright (c) 2022 Achmad Fauji, Sara Tania, Ade Suryani, Retno Purwanti https://creativecommons.org/licenses/by/4.0
HUBUNGAN ANTARA PENGETAHUAN DENGAN PENCEGAHAN TUBERKULOSIS PARU OLEH KELUARGA DI SUMBA BARAT
Family is one of the support systems to deliver health care during Tb Treatment. Families are involved as a Pengawas Minum Obat (PMO), accompany patients during medical check up, financial support, fulfill nutritional needs, and prevent bacterial transmission among family members. Preventing behaviour of Tuberculosis including maintaining personal hygiene, maintaining the environment, and Bacillus Calmette-Guerin (BCG) Immunization. The involvement of the family is proposing to decrease the decline of Tb incidence. However, there are eight (8) patients who do not comply with Tb treatment in 2018, increasing from the previous year. The aim of this research is to find a relationship among family knowledge about Tb with preventing Tb in West Sumba. The sampling method is using purposive sampling technique to 100 people in pre-research term, then the obtained data will be analyzed using Completely Randomized Design (CRD), and the conclusion will be drawn with 5% of meaningfulness interval. Validity and reliability of the questionnaire will be tested through SPSS Statistic version 25 software. This study that analyzed by Completely Randomized Design (CRD), shows that respondents had known the information related to pulmonary tuberculosis seen from the Fcount is greater than the Ftable with significant levels of 5% and 1%, while on the prevention of transmission of pulmonary tuberculosis didn’t show its relationship as seen from the Fcount is smaller than the Ftable with significant levels of 5% and 1%. Hence, from this study it can be concluded that even respondents had known the information related to pulmonary tuberculosis, but families in West Sumba had not done prevention towards pulmonary tuberculosis transmission.
Copyright (c) 2022 Fiane de Fretes, David Kondi
GAMBARAN SURGICAL APGAR SCORE (SAS) PERIOPERATIF PADA PASIEN LAPARATOMI DI RUANG INSTALASI BEDAH SENTRAL RUMAH SAKIT UMUM DAERAH AJIBARANG
Post-laparotomy complications include bleeding, severe pain, and even death. This can be reduced by effective perioperative management. One of them is by applying the Surgical Apgar Score (SAS) which contains hemodynamic information and intraoperative blood loss. The aim of the study was to determine perioperative SAS in laparotomy patients. Using a cross-sectional descriptive research design, this study took 21 respondents with quota sampling technique. The research instrument uses the SAS assessment sheet with data analysis using a frequency distribution. The results showed that most of the sample characteristics were late elderly (> 55 years) (28.6%) with female gender (66.7%). More than half of the sample (76.2%) had an SAS score in the moderate risk category. While the highest rates of morbidity and mortality (7/21) at 12.2% and 1.9%. The most SAS scores in laparotomy patients were in the moderate risk category.
Copyright (c) 2022 Edi Wibowo, Made Suandika , Martyarini Budi https://creativecommons.org/licenses/by/4.0