Jurnal Perawat Indonesia (e-ISSN 2548-7051) published by the Persatuan Perawat Nasional Indonesia (PPNI) in Central Java. The Jurnal Perawat Indonesia accepts articles in the nursing field, including child nursing; maternity nursing; medical-surgical nursing; critical nursing; emergency nursing; psychiatric nursing; community nursing; gerontic nursing; family nursing; and leadership and nursing management (See Focus and Scope). We accept original research, review, case study, and editorial articles. The editor accepts the article has not been published in other media with the writing format as listed on the page manuscript writing guidelines (see Author Guidelines & Manuscript Template). This journal has been accredited by the National Journal Accreditation (ARJUNA) Managed by the Ministry of Research, Technology, and Higher Education, Republic Indonesia with First Grade (Peringkat 3, Sinta 3) since the year 2017 to 2021 according to decree No. 10/E/KPT/2019 & Accreditation Certificate. Abstracting and Indexing Â Â Â Â Â Â
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INTERVENSI HOLISTIK SEBAGAI PSIKOEDUKASI PASIEN GINEKOLOGI POST OPERASI YANG MENJALANI KEMOTERAPI: LITERATURE REVIEW
Jumlah perempuan penyintas kanker reproduksi dan ginekologi yang melakukan kemoterapi semakin meningkat. Pasien ginekologi memiliki cara mengatasi keluhan terutama pasca pengobatan dengan unik dan mudah. Tujuan literatur ini bertujuan untuk mengidentifikasi intervensi keperawatan holistik yang berhubungan dengan aspek psikoedukasi pada pasien ginekologi post operasi yang menjalani kemoterapi. Artikel dari 5 database meliputi Google schoolar, Science Direct, Scopus, Pubmed dari tahun 2015-2025, usia 20-45 tahun dengan penyakit ginekologi post operasi serta menjalani kemoterapi. Penilaian resiko bias menggunakan Joanna Briggs Institute (JBI). Dari 240 artikel, terdapat 15 artikel yang ditinjau dalam literatur review ini. Berdasarkan hasil penelitian, terdapat penyintas kanker reproduksi dan kanker atau gangguan ginekologi (ovarium, serviks, , dan payudara), serta keseluruhan menjalani kemoterapi. Keluhan yang ditimbulkan akibat pengobatan kemoterapi mengakibatkan tantangan dan dilema bagi pasien, dimana pasien dituntut harus mampu mengobtrol dna juga menerapkan intervensi yang tepat selain menggunakan terapi farmakologi. Intervensi holistik memasukkan unsur mind, body dan soul ke dalam setiap gerakan, tehnik, dan positive mind ke dalam diri pasien. Tenaga kesehatan saat ini harus mampu juga memberikan pendidikan kesehatan berbasis holistik komprehensif untuk mendukung semangat juang pasien penyintas kanker reproduksi dan ginekologi Keywords: Holistik, intervensi, ginekologi, post operasi, kemoterapi
Keywords: Holistic, intervention, gynecology, post-operative, chemotherapy
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THE USE FAMILIAR AUDITORY SENSORY TRAINING (FAST) TO LEVEL CONSCIOUSNESS AND PAIN SCALE IN POST OP CRANIOTOMY DECOMPRESSION PATIENTS : CASE STUDY
Abstrak Prosedur kraniektomi dekompresi merupakan salah satu penatalaksanaan cedera kepala untuk menurunkan tekanan intrakranial. Tindakan ini dapat menimbulkan komplikasi salah satunya berdampak pada penurunan kesadaran dan nyeri. Pemberian intervensi Familier auditory sensoric training (FAST) dapat dijadikan sebagai salah satu intervensi yang dapat meningkatkan kesadaran dan menurunkan skala nyeri pada pasien post op kraniektomi. Tujuan penelitian ini adalah mengetahui efektivitas pemberian intervensi FAST untuk meningkatkan kesadaran dan menurunkan skala nyeri pada pasien post op kraniektomi dekompresi hari ke 4 di RSUD dr. Soebandi Jember. Metode yang digunakan dalam penelitian ini adalah metode case report. Intervensi dilakukan selama enam hari pada pasien post op kraniektomi dekompresi hari ke 4. Pengumpulan data tingkat kesadaran menggunakan nilai Glasgow Coma Scale (GCS) dan pengukuran skala nyeri menggunakan Behaviour Pain Scale (BPS). Hasil penelitian menunjukan terdapat perubahan pada tingkat kesadaran dari nilai awal GCS 3 (Coma) menjadi GCS 6 (Supor) dan penurunan skala nyeri dari nilai awal 6 (nyeri) menjadi 5 (tidak nyeri) pada pasien post op craniotomy dekompresi hari ke 4. Pemberian intervensi FAST pada pasien post op craniotomy hari ke 4 yang dilakukan selama 6 hari dan durasi pemberian selama 10 menit terbukti efektif unuk meningkatkan kesadaran dan menurunkan skala nyeri. Keywords: Familiar Auditory Sensory Training, Tingkat Kesadaran, Skala Nyeri Abstract Decompression craniectomy procedure is one of the management of head injuries to decrease intracranial pressure. This procedure can cause complications, one of which has an impact on decreased level of consciousness and pain. Familiar auditory sensory training (FAST) intervention can be used as one intervention that can improvement level of Jurnal Perawat Indonesia, Volume 9 No 1, Hal 1898-1904, Mei 2025 e-ISSN 2548-7051 Persatuan Perawat Nasional Indonesia Jawa Tengah p-ISSN 2714-6502 1899 consciousness and reduce pain scale in post op craniotomy patients. The purpose of this study was to determine the effectiveness of FAST intervention to improvement level of consciousness and reduce pain scale in day 4 post op craniotomy decompression patients at RSUD dr. Soebandi Jember. The method used in this study is case report. The intervention conducted for six days in patients post craniotomy decompression. Level of consciusness was measured using Glasglow Coma Scale (GCS) and pain scale using Behaviour Pain Scale (BPS). The results showed improvement level of consciousness from GCS 3 (Coma) to GCS 6 (Suppor) and a decrease in the pain scale from 6 (indicate an unacceptable amount of pain) to 5 (mild pain). Therefore FAST is proven and useful to improvement level of consciousness and reduce pain post op craniotomy decompression. Keywords: Familiar auditory sensory Training, Level of consciousness, Pain Scale
RELATIONSHIP BETWEEN BODY MASS INDEX AND BLOOD GLUCOSE WITH GLOMERULAR FILTRATION RATE IN DIABETES MELLITUS PATIENTS AT RSI- SULTAN AGUNG SEMARANG
ABSTRACT Background: Diabetes mellitus is a condition where the body's glucose metabolism is disrupted. Hormonal issues lead to a variety of metabolic illnesses, which in turn produce abnormal insulin levels and other chronic complications. One of the triggers for diabetes mellitus is body mass index, blood glucose. DM sufferers can affect kidney function which results in the accumulation of blood creatinine and urea levels which can cause kidney failure. Glomerular filtration rate as the best index to assess kidney function parameters. Method: quantitative approach combined with a cross-sectional investigation. Purposive sampling was used to choose a sample of 82 individuals. The Spearman rank test was used to statistically process the data. Results: the average glomerular filtration rate value was 42.24 ml/min/1.73 m2 (SD±23,478). Conclusion: A weak correlation (r) of -0.386 and a p value <0.05, or 0.000, indicate a link between body mass index and glomerular filtration rate. Because of the negative association, the glomerular filtration rate value decreases as the body mass index value increases. The association between random blood glucose and glomerular filtration rate in individuals with diabetes mellitus, on the other hand, is 0.000 with a moderate correlation value (r) of -0.490 and a p value <0.05. Because of the negative association, the filtration rate value decreases as blood glucose levels rise. Keywords: body mass index, blood glucose, glomerular filtration rate
THE INFLUENCE OF NUTRITION EDUCATION ON MOTHERS' SELF-EFFICACY IN FEEDING CHILDREN
Abstract The nutritional intake in children is often not met due to several factors, one of which is the lack of self-efficacy of mothers in feeding their children. The results of a documentary study from the nutritional status report of the RW 4 Bulusan posyandu showed that 7.3% of children suffered from malnutrition. Parents stated that they did not have sufficient self-efficacy in providing the right food for their children, as in the practice of feeding, mothers tend to only prepare food that their children like. The purpose of this study was to determine the effect of nutrition education on the self-efficacy of mothers in feeding their children in RW 4 Bulusan, working area of Bulusan Health Center. The research method used was a quantitative method with a quasi-experimental research design (one group pre-test and post-test without control). The sample consisted of 32 respondents, taken by purposive sampling with inclusion and exclusion criteria. Data collection used a questionnaire on the self-efficacy of mothers in feeding. Data analysis was performed using a paired sample t-test. The results of the study showed that there was an effect of nutrition education on the self-efficacy of mothers in feeding their children, with a p-value <α (p-value = 0.000, α = 0.05). In conclusion, nutrition education is recommended to increase the self-efficacy of mothers in feeding their children.
STUDI RETROSPEKTIF: ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN INFEKSI DAERAH OPERASI PADA PASIEN DENGAN PEMBEDAHAN SECTIO CAESAREA
ABSTRAK Latar belakang: Infeksi Daerah Operasi (IDO) pada pembedahan Sectio Caesarea (SC) dapat menghambat proses nifas ibu dan masa menyusui bayi. Lama rawat, biaya perawatan pasien bahkan tingkat mortalitas ibu dapat meningkat. RSUD Bali Mandara adalah salah satu rumah sakit milik Provinsi Bali yang menjadi rujukan RS tipe B menunjukkan prevalensi IDO sebesar 3,2% pada tahun 2020. Sedangkan standar nasional yang ditetapkan menurut Peraturan Menteri Kesehatan no.27 tahun 2017 adalah 2%. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi kejadian IDO pada pembedahan SC. Metodelogi: Data secara kuantitatif dikumpulkan melalui rekam medis pasien yang menjalani pembedahan SC mulai tahun 2019-2021 di RSUD Bali Mandara. Teknik pengambilan data dengan total sampling didapatkan sebanyak 836 orang dengan 9 orang mengalami IDO. Analisis data penelitian ini menggunakan uji Chi Square dan multivariat regresi logistik berganda. Hasil: Berdasarkan hasil analisis bivariat dan multivariat, faktor intrinsik yaitu usia, paritas ibu, penyakit penyerta ibu (anemia, Diabetes Melitus) serta faktor ekstrinsik yaitu durasi operasi dan jumlah tim operasi tidak mempengaruhi kejadian IDO, karena nilai pvalue > 0,05. Kesimpulan: Penelitian ini menunjukkan bahwa faktor-faktor dalam penelitian ini tidak mempengaruhi kejadian IDO pada pembedahan SC. Rekomendasi terhadap rumah sakit agar senantiasa menerapkan pelaporan surveilans IDO untuk menganalisis kembali factor yang signifikan empengaruhi IDO dalam rangka pencegahan komplikasi dari IDO. Perlu adanya penelitian lebih lanjut dalam mengidentifikasi faktor penyebab IDO sebagai evidence-based practice dalam menentukan arah kebijakan rumah sakit. Kata kunci: Infeksi Daerah Operasi, Sectio Caesarea, pembedahan
PENGARUH PROMOSI KESEHATAN TERHADAP P E N I N G K A T A N PENGETAHUAN KUALITAS TIDUR PADA LANSIA HIPERTENSI DI POSYANDU BINTANG WILAYAH KERJA PUSKESMAS LEMPAKE SAMARINDA
Background: Aging is often associated with hypertension, which increased from 4.5% in 1971 to 10.7% in 2020 in Indonesia. Sleep disturbances are common among the elderly and can negatively impact health. This study evaluates the effect of health promotion on knowledge of sleep quality in elderly individuals with hypertension at Posyandu Lansia Bintang, employing video-based education to enhance understanding of the relationship between sleep patterns and hypertension. Objective: To determine health promotion's impact on sleep quality knowledge in elderly individuals with hypertension. Method: This study utilized a quantitative approach with a pre-experimental design using a One Group Pretest-Posttest method. Measurements were conducted before and after the health promotion intervention focused on knowledge of sleep quality. Results: The study analyzed the characteristics of 38 elderly individuals with hypertension and the impact of health promotion on their knowledge of sleep quality. Most respondents were 60-74 years old (78.9%) and female (76.3%). Before the promotion, 100% had moderate knowledge; after the intervention, the percentage of those with good knowledge increased to 76.3% (p < 0.05). These findings highlight the importance of education on sleep quality for the health of elderly individuals with hypertension. Conclusion: The study at Posyandu Lansia Bintang, Puskesmas Lempake Samarinda, examined the influence of health promotion on the knowledge of elderly individuals with hypertension regarding sleep quality. Key findings indicate that most respondents were 60-74 years old (78.9%) and female (76.3%); 47.4% had no formal education. Poor sleep quality was prevalent, and there was a high prevalence of hypertension among the elderly. A significant relationship was found between sleep quality and blood pressure (p-value 0.001).
GAMBARAN KELENGKAPAN PENDOKUMENTASIAN CATATAN PERKEMBANGAN PASIEN TERINTEGRASI (CPPT) OLEH PERAWAT
Background: Cyberbullying is bullying conducted through social media. It’s usually experienced by early adults (18-25 years old) who are active in using the internet. Cyberbullying can change their well-being, specially psychological well-being. The aims of study is to identify relationship between cyberbullying and psychological well-being in early adults in Tangerang Regency. Methodology: This quantitative study used cross-sectional approach. The sample was calculated using Slovin formula and obtained 217 respondents which use convenience sampling technique. This study used two instruments which is Cyberbullying and Online Aggression Survey Instrument and Psychological Well-being Scale questionnaires. The instruments in the study used valid and reliable Cyberbullying and Online Aggression Survey Instrument and Psychological Well-being Scale questionnaires. Data collection was carried out from February 2023 to April 2023 using an online questionnaire. The data obtained were analyzed using univariate analysis and bivariate analysis with the Gamma correlation statistical test. The results showed that the level of cyber bullying in early adults in Tangerang Regency was in the low category 64.5%, medium 29.5% and high 6%, then the level of psychological well-being was in the low category 28.6%, medium 22.1% and high 49.3%. There is a significant relationship (p<0.001) between cyberbullying and psychological well-being in early adulthood in Tangerang Regency. Suggestion: Collaboration between nurse educators and community nurses utilizing technological advances and social media is needed to increase socialization about cyberbullying prevention and management for victims that are easily accessible to the community. Support from the government is needed so that this health promotion innovation can reach all regions in Indonesia. Â Keywords: Cyberbullying, psychological well-being, early adulthood.
HUBUNGAN KEYAKINAN DIRI DENGAN NYERI TENSION TYPE HEADACHE PADA PASIEN HIPERTENSI DI PUSKESMAS PALARAN
Hypertension is a major risk factor contributing to mortality in Indonesia, while tension type headache (TTH) is commonly found in hypertensive patients. One of the factors believed to influence the intensity of TTH pain is self-efficacy, which refers to an individual's belief in their ability to manage their health condition. This study aims to analyze the relationship between self-efficacy and TTH pain in hypertensive patients at Puskesmas Palaran, Samarinda. The study used a quantitative approach with a cross-sectional design, involving 170 hypertensive patients selected through purposive sampling. Data were collected using questionnaires, which included the self-efficacy scale and the TTH pain scale, and analyzed using Pearson correlation with a significance level of 0.05. The results showed a significant negative correlation between self-efficacy and TTH pain (p-value = 0.001; p < 0.05) with a correlation coefficient of -0.383. This indicates that the higher the level of self-efficacy in hypertensive patients, the lower the level of TTH pain experienced. Based on these findings, it is recommended to develop interventions focused on increasing self-efficacy in hypertensive patients. Health education programs aimed at enhancing patients' confidence in managing their hypertension could potentially reduce TTH symptoms and improve the patients' quality of life.
JOB STRESS AND TURNOVER INTENTIONS OF NURSES AT A HOSPITAL IN EAST JAVA
Nurses who work to provide nursing care to patients experience various stressors and stress is known to be an important predictor of nurses' turnover intentions. The aim of this study was to determine the relationship between job stress and turnover intention of nurses in hospitals in East Java. Research design uses correlation analytics with a cross-sectional study. The samples in this study were nurses in various hospitals in East Java. The sampling technique used in this research was purposive sampling. The sample consisted of 190 respondents. Data collection using a questionnaire consisted of a questionnaire for job stress and a questionnaire for turnover intentions. Statistical test using chi square. This study showed that of the 53.7% of respondents with high job stress who had the intention to move, there were 71 respondents (37.4%). The higher the job stress, the higher the turnover intention. The results of statistical tests show that there is a relationship between job stress and turnover intention with p = 0.047. One of the causes of intention to move is job stress. job stress is felt by nurses as pressure when completing a task. so they may choose or have the intention to leave the workplace.
EFEKTIVITAS BERKUMUR LARUTAN MADU DAN EKSTRAK KURMA AJWA TERHADAP KEBERSIHAN GIGI DAN MULUT PADA ANAK PRASEKOLAH DI PAUD ANAK SHOLIH PONDOK PESANTREN NURUL JADID
Preschool children aged 3 to 6 years. Dental and oral hygiene where the teeth are in the oral cavity in a clean condition. Dental and oral hygiene can be avoided in various ways, one of which is natural mouthwash such as honey solution and ajwa date extract because it has antibacterial properties. This study aims to determine the effectiveness of gargling honey solution and ajwa date extract on dental and oral hygiene in preschool children at the PAUD Anak Sholih Pondok Pesantren Nurul Jadid The study design used quasi-experimental using Pretest-posttest Nonequivalent Control Group. Population 60 people using Total Sampling technique. Data analysis using Wilcoxon test and Mann Whitney test. Analysis of dental and oral hygiene data of preschool children before and after gargling honey solution results P-value 0.000, or P <0.05. Ajwa date extract results P-value 0.001, or P <0.05. control group P-value 0.180, or P <0.05. Which means there is a difference in the intervention group compared to the control group. Meanwhile, the Mann Whitney statistical test showed no significant difference between the two intervention groups with a value of p = 0.336 (p> 0.05). Honey solution and ajwa date extract are both effective in improving dental and oral hygiene.
HUBUNGAN PERUNDUNGAN SIBER DENGAN KESEJAHTERAAN PSIKOLOGIS PADA DEWASA AWAL DI KABUPATEN TANGERANG
Abstract Background: Cyberbullying is bullying conducted through social media. It’s usually experienced by early adults (18-25 years old) who are active in using the internet. Cyberbullying can change their well-being, specially psychological well-being. The aims of study is to identify relationship between cyberbullying and psychological well-being in early adults in Tangerang Regency. Methodology: This quantitative study used cross-sectional approach. The sample was calculated using Slovin formula and obtained 217 respondents which use convenience sampling technique. This study used two instruments which is Cyberbullying and Online Aggression Survey Instrument and Psychological Well-being Scale questionnaires. The instruments in the study used valid and reliable Cyberbullying and Online Aggression Survey Instrument and Psychological Well-being Scale questionnaires. Data collection was carried out from February 2023 to April 2023 using an online questionnaire. The data obtained were analyzed using univariate analysis and bivariate analysis with the Gamma correlation statistical test. The results showed that the level of cyber bullying in early adults in Tangerang Regency was in the low category 64.5%, medium 29.5% and high 6%, then the level of psychological well-being was in the low category 28.6%, medium 22.1% and high 49.3%. There is a significant relationship (p<0.001) between cyberbullying and psychological well-being in early adulthood in Tangerang Regency. Suggestion: Collaboration between nurse educators and community nurses utilizing technological advances and social media is needed to increase socialization about cyberbullying prevention and management for victims that are easily accessible to the community. Support from the government is needed so that this health promotion innovation can reach all regions in Indonesia. Keywords: Cyberbullying, psychological well-being, early adulthood.
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PROFIL KARAKTERISTIK KEJADIAN IKUTAN PASCA IMUNISASI (KIPI) VAKSIN CORONA VIRUS JENIS SINOVAC PADA PERAWAT KLINISI : CROSS-SECTIONAL STUDY
Background: Nurses have an important role in treating patients affected by the corona virus. One of the efforts to prevent transmission is the provision of vaccination. Reactions that appear after vaccination is a natural thing. AEFI or Post-Immunization Adverse Events are generally temporary. Objective: To describe the characteristics of adverse events after immunization with the moderna type of covid-19 vaccine for nurses at the Santo Vincentius Hospital, Singkawang, West Kalimantan. Methods: This research uses quantitative descriptive with cross-sectional method. This research was conducted online through the google-form application by nurse respondents in their respective work areas. Data collection using purposive sampling technique with the number of respondents as many as 50 nurses. Results: The study found that 80% of nurses who received the Sinovac vaccine experienced AEFI. The symptoms that appear are dominated by soreness in the left arm of the injection site as much as 80% and fever as much as 70%. Conclusion: The characteristics of the emergence of AEFI in nurses who received the Sinovac type of Corona virus vaccination in this study were based on age, gender, disease history, number of AEFI incidents, types of AEFI symptoms, and duration of AEFI symptoms that appeared. Nurses already have knowledge in dealing with emerging AEFIs. Â
MORTALITY RISK IN INFARCTION STROKE PATIENTS BASED ON INFARCTION LOCATION, BLOOD PROFILE AND HISTORY OF HEART DISEASE: COMPARATIVE STUDY IN REGIONAL HOSPITALS IN CENTRAL JAVA AND THE SPECIAL REGION OF YOGYAKARTA
Abstract Background: Stroke case identification was developed to recognize the signs of stroke and recognize the risk of mortality in infarction stroke patients. Biomarker examination is directed at looking for markers of brain tissue damage, markers of vascular endothelial inflammation and coagulation or thrombosis factors. Objective: To determine differences in the risk of infarction stroke mortality. Research methodology: Mixed method explanation sequential method design. Research at one regional hospital in Central Java and one regional hospital in the Special Region of Yogyakarta. The sample size was 120 respondents divided into case and control groups. The results showed that the characteristics of respondents in both RSUDs were the same (> 60 years, male, history of cardiovascular disease, history of recurrent stroke, most locations in the parietal area). Routine blood profile (hemoglobin, leukocyte count, platelet count) showed no difference. Inflammatory markers seen as neutrophil lymphocyte ratio (NLR) were not different. Analysis of factors triggering mortality in the two hospitals from leukocyte counts (p value 0.02 and 0.035 with OR 1.818 and 2). The risk of mortality in Central Java Regional Hospital was from NLR (p value 0.033 with OR 1.316) and in DIY Regional Hospital from cardiovascular history (p value 0.00 with OR 15). Conclusion: The characteristics of stroke infarction patients in the two hospitals are not different. Leukocyte count is the same risk factor for mortality in both hospitals and cardiovascular history and NLR count are different risk factors for mortality. Keywords: Blood profile, Heart disease, Infarction stroke, Infarction Location, Mortality,
FAKTOR-FAKTOR YANG MEMPENGARUHI KOMPLIKASI KEHAMILAN DIUSIA MUDA
Pregnancy is the intrauterine fetus's growth and development from conception until the onset of labor. Pregnancy at the age of teenagers is very risky for complications compared to pregnancy at the age of 20 years and over. The purpose of this study was to determine the factors that influence pregnancy complications at a young age in the working area of the Jember Mumbulsari Public Health Center. This study uses a quantitative method with a cross-sectional approach. The sample in this study used a total sampling of 40 samples with the instrument used is a questionnaire. The independent variables in this study include gravida factors, history of Antenatal Care (ANC), and nutrition, while the dependent variable is pregnancy complications at a young age. This research was conducted in June 2022 in the working area of the Jember Mumbulsari Public Health Center. The analytical test used was the Chi-Square test. The results of the Chi-Square test on gravida show a p-value of 0.013, which means p<0.05, so it can be concluded that Ha is accepted and H0 is rejected. So, there is a relationship between gravida and pregnancy complications at a young age. A relationship between gravida and pregnancy complications at a young age can be caused by the formation of blocking antibodies against placental antigens that have not been perfect. Hence, the possibility of complications is very high. Health knowledge about complications of pregnancy at a young age and the dangers of getting pregnant at a young age must be known after marriage, especially for women under 20 years.
HUBUNGAN ACADEMIC BURNOUT DENGAN ACADEMIC PROCRASTINATION PADA MAHASISWA
Abstrak Tingginya beban mahasiswa selama perkuliahan biasanya akan diikuti dengan rasa jenuh dan kurangnya antusiasme dalam belajar ataupun dalam menyelesaikan tugas. Rasa jenuh yang dirasakan oleh mahasiswa ini disebut academic burnout. Academic burnout yang dirasakan oleh mahasiswa ini akhirnya dapat menyebabkan terjadinya penundaan dalam menyelesaikan tugas dalam perkuliahan yang disebut dengan academic procrastination. Tujuan penelitian ini adalah untuk menghubungi hubungan academic burnout dengan academic procrastination pada mahasiswa. Penelitian ini adalah penelitian analitik korelasional dengan pendekatan cross sectional. Jumlah sampel dalam penelitian ini adalah sebanyak 139 responden yang dipilih menggunakan teknik total sampling. Hasil penelitian menunjukkan hamper setengah responden dengan tingkat academic burnout sedang memiliki academic procrastination sedang yaitu sebanyak 52 responden (37,4%). Berdasarkan hasil uji statistika didapatkan bahwa nilai p diperoleh 0,012 dengan kesimpulan terdapat hubungan academic burnout dengan academic procrastination pada mahasiswa. Kekuatan hubungan yang academic burnout dengan academic procrastination pada mahasiswa bersifat sangat lemah, dibuktikan dengan nilai koefisien korelasi 0,212. Bagi mahasiswa, manajemen waktu dalam menyelesaikan tugas perkuliahan sangat diperlukan untuk mencegah terjadinya academic burnout dan academic procrastination. Kata kunci : Academic burnout, academic procrastination, mahasiswa Abstract The high burden of students during lectures will usually be followed by a feeling of boredom and a lack of enthusiasm in learning or in completing assignments. This feeling felt by students is called academic burnout. Academic burnout that is felt by students can eventually lead to delays in completing assignments in lectures which is called academic procrastination. The purpose of this study is to examine the correlation between academic burnout and academic procrastination in college students. This research is a correlational analytic study with a cross sectional approach. The sample consisted of 139 respondents who were selected using the total sampling technique. The results showed that almost half of the respondents with moderate academic burnout level had moderate academic procrastination, namely as many as 52 respondents (37.4%). Based on the statistical test results, it was found that the p value was 0.012 with the conclusion that there is a relationship between academic burnout and academic procrastination in students. The strength of the relationship between academic burnout and academic procrastination in students is very weak, as evidenced by the correlation coefficient of 0.212. For students, time management in completing lecture assignments is very necessary to prevent academic burnout and academicprocrastination. Keywords: Academic burnout, academic procrastination, student
THE DIFFERENCES IN PHYSICAL, PSYCHOLOGICAL AND SOCIOECONOMIC CONDITIONS IN MDR-TB AND NON-MDR-TB PATIENTS IN THE AREA OF PUSKESMAS SUMBANG I-II AND BATURRADEN I-II
Abstract Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. TB patients are required to take Anti-Tuberculosis Drugs (ATD) regularly. Inadequate treatment can lead to drug resistance, specifically to first-line drugs Rifampicin and Isoniazid, known as Multi-Drug Resistant Tuberculosis (MDR-TB). TB disease and its treatment can lead to various disruptions in the patient's physical, psychological, and socioeconomic conditions. The study aimed to determine the differences in physical, psychological, and socioeconomic conditions between MDR-TB and Non-MDR-TB patients in the areas of Puskesmas (Primary Health Centers) Sumbang I-II and Baturraden I-II. This research employed a comparative quantitative design. The sample consisted of TB patients undergoing treatment in the Sumbang and Baturraden areas in 2023, totalling 68 respondents using the total sampling method. The study was conducted in May-June using the DASS-42 questionnaire, family income questionnaire, and height and weight measurements. The research results were analyzed using the Mann-Whitney U test. The majority of respondents, both MDR and Non-MDR, were aged 26-45, male, employed as farmers, and completed middle school education. The analysis yielded a p-value of 0.026 for physical condition and 0.040 for psychological condition, indicating differences between MDR-TB and Non-MDR-TB groups. However, the p-value for the socioeconomic condition was 0.153, indicating no difference between the MDR-TB and Non-MDR-TB groups. MDR-TB and Non-MDR-TB patients have differences in physical and psychological conditions. There is no difference in socioeconomic conditions between MDR-TB and Non-MDR-TB patients. Â Keywords: TB, TB MDR, Physical, Psychological, Socioeconomic
PENINGKATAN KUALITAS TIDUR PADA PASIEN CONGESTIVE HEART FAILURE (CHF) DENGAN TERAPI HEAD UP SLEEP SEMI FOWLER 45
Abstrak Heart Failure merupakan kondisi dimana jantung tidak mampu untuk memompa darah dalam jumlah yang cukup untuk memenuhi kebutuhan jaringan terhadap nutrien dan oksigen. Pasien Heart Failure sering terbangun pada malam hari karena sesak napas yang menyebabkan kualitas tidur menurun. Posisi tidur semi fowler 45° merupakan tindakan yang dipercaya dapat menekan sesak napas, sehingga pasien dapat tidur lebih nyaman dan tidak terbangun pada malam hari. Penelitian ini bertujuan untuk mengetahui Pengaruh Posisi Tidur Semi Fowler 45° Terhadap Kualitas Tidur Pada Pasien Congestive Heart Failure (CHF) di Rumah Sakit TK.II Dustira Kota Cimahi. Desain penelitian yang digunakan, yaitu Quasy experimental dengan sampel sebanyak 30 pasien yang diambil dengan teknik Purposive Sampling dan dibagi menjadi kelompok perlakuan dan kontrol. Pasien kelompok perlakuan diberikan posisi tidur semi fowler 45° yang diamati dalam 3 hari sedangkan kelompok kontrol tidak diberikan posisi tidur semi fowler 45° dan hanya posisi miring kanan diawal saja. Instrument yang digunakan adalah kuesioner Pitsburgh Sleep Quality Index (PSQI). Hasil analisa univariat didapatkan sebelum intervensi semua pasien CHF sebanyak 15 orang (100%) mengalami kualitas tidur buruk dengan skor ≥5 per setiap kelompoknya. Setelah diberikan intervensi yang mengalami kualitas tidur buruk pada kelompok perlakuan adalah 6 orang (40%) dan kontrol adalah 11 orang (73.3%). Hasil Analisa Bivariat menggunakan Uji Pair T-Test menunjukan nilai significance 0.001 artinya adanya pengaruh posisi tidur semi fowler 45° terhadap kualitas tidur pada pasien CHF di Rumah Sakit TK.II Dustira Kota Cimahi. Juga hasil Uji Independent T-Test menunjukan nilai significance yaitu 0.012 artinya terdapat perbedaan antara nilai kualitas tidur kelompok kontrol dan perlakuan. Disarankan agar posisi semi fowler 45° dapat dipertimbangkan menjadi intervensi mandiri untuk perawat dalam menangani masalah tidur pada pasien CHF. Kata Kunci: Heart Failure , Posisi Tidur Semi Fowler 45°, Kualitas Tidur
KOMBINASI SENAM HIPERTENSI DAN TERAPI MUSIK SUARA ALAM MAMPU MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI
Hypertension is a health problem that is quite dangerous in the world, because it is a major risk factor for cardiovascular disease. Hypertension can be treated with nonpharmacological therapies, such as hypertension exercise and natural music therapy. The purpose of this study was to determine the effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure in hypertension sufferers in the working area of the Modo Health Center. The research design used a pre-experimental one group pre-post test design on 52 hypertensive patients who were selected using a consecutive sampling technique from a total population of 109. The intervention was in the form of giving a combination of hypertension exercise and natural sound music for 10-15 minutes according to the SOP for hypertension exercise and natural sound music. After that, it was analyzed using paired t-test. The results showed that the average blood pressure before treatment was 168.77/95.12 mmHg. After being given treatment the average blood pressure was 156.69/85.88 mmHg. The results of the pre-post systolic and pre-diastolic statistical tests obtained a significance value of p=0.000 (p<0.005), which means that there is an effect of a combination of hypertension exercise and natural sound music therapy on reducing blood pressure. The mechanism for reducing blood pressure after exercise is because exercise can relax blood vessels, so that by dilating blood vessels blood pressure will decrease. Providing natural sound music therapy can cause relaxation of arteriolar smooth muscles which play an important role in maintaining blood pressure. It is hoped that the combination of hypertension exercise and natural sound music therapy can be applied as an intervention at the Prolanis Health Center in Modo. Keywords: hypertension, gymnastics, music therapy.
PENGARUH POSISI DUDUK TERHADAP PERTUKARAN GAS DAN MEKANIKA PERNAPASAN PADA PASIEN ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) YANG TERPASANG VENTILASI MEKANIS
Abstrak ARDS adalah kondisi yang mengancam jiwa yang ditandai dengan buruknya oksigenasi dan kekakuan di paru-paru. Tujuan dari penelitian ini adalah untuk menilai pengaruh posisi duduk terhadap pertukaran gas dan mekanisme pernapasan setelah perubahan dari posisi terlentang ke posisi duduk pada pasien ARDS yang diberi ventilasi mekanis. Penelitian ini merupakan penelitian pre-eksperimen dengan desain pre and post test tanpa kontrol. Dua belas subjek penelitian direkrut. Pengaruh posisi duduk dianalisis dengan membandingkan pertukaran gas dan mekanisme pernafasan antara posisi duduk terlentang dan 70º. Uji Paired t-test digunakan untuk menganalisis perubahan nilai pertukaran gas [PaO2, PaCO2, PaO2/FiO2 (PF rasio), dan AaDO2] dan uji Repeated Measures Anova digunakan untuk menganalisis perubahan mekanika pernafasan (static lungcompliance/Cstat). dan resistensi saluran napas/ Ri). Hasil penelitian menunjukkan nilai rasio PF pada posisi terlentang rata-rata sebesar 196.99 (SD=105.44) dan posisi duduk sebesar 258.09 (SD=137.92) dengan nilai p sebesar 0.038; nilai rata-rata AaDO2 pada posisi terlentang sebesar 266.85 (SD=159.90) dan pada posisi duduk 189.41 (SD=113.63) dengan nilai p sebesar 0.047; perubahan nilai komplians statik paru (Cstat) dari posisi terlentang ke posisi duduk pada menit ke 30, 45 dan 60 diperoleh nilai p sebesar 1,000; Perubahan nilai resistensi saluran nafas (Ri) dari posisi terlentang ke posisi duduk pada menit ke 30, 45 dan 60 diperoleh nilai p sebesar 0,012; 0,008; dan 0,010. Posisi duduk 70° adalah teknik sederhana dan dapat ditoleransi dengan baik yang meningkatkan fungsi pertukaran gas dan mekanisme pernapasan pada pasien ARDS. Efek menguntungkan ini mungkin disebabkan oleh mekanisme fisiologis yang kompleks dimana perekrutan alveolar tampaknya menjadi komponen penting. Investigasi lebih lanjut diperlukan untuk mengkonfirmasi temuan ini. Kata Kunci: Sindrom gangguan pernafasan akut, ventilasi mekanis, posisi duduk, pertukaran gas, mekanik pernafasan Abstract ARDS is a life-threatening condition characterized by poor oxygenation and stiffness in the lungs. The aim of this study was to assess the effect of the sitting position on gas exchange and respiratory mechanics after changing from the supine position to the sitting position in ARDS patients who were mechanically ventilated. This research is a pre-experiment research with a pre and post test design without control. Twelve research subjects were recruited. The effect of sitting position was analyzed by comparing gas exchange and respiratory mechanics between supine and 70º sitting positions. The Paired t-test was used to analyze changes in gas exchange values [PaO2, PaCO2, PaO2/FiO2 (PF ratio), and AaDO2] and the Repeated Jurnal Perawat Indonesia, Volume 8 No 1, Hal 1604-1617, Mei 2024 e-ISSN2 548-7051 Persatuan Perawat Nasional Indonesia Jawa Tengah p-ISSN 2714-6502 1605 Measures Anova test was used to analyze changes in respiratory mechanics (static lung compliance/Cstat and airway resistance/ Ri). The results show that the PF ratio value in the supine position is an average of 196.99 (SD=105.44) and the sitting position is 258.09 (SD=137.92) with a p value of 0.038; the average AaDO2 value in the supine position was 266.85 (SD=159.90) and in the sitting position 189.41 (SD=113.63) with a p value of 0.047; changes in lung static compliance (Cstat) values from the supine position to the sitting position at 30, 45 and 60 minutes obtained a p value of 1.000; The change in airway resistance (Ri) value from the supine position to the sitting position at 30, 45 and 60 minutes obtained a p value of 0.012; 0.008; and 0.010. The 70° sitting position is a simple and well-tolerated technique that improves gas exchange function and respiratory mechanics in ARDS patients. These beneficial effects may be due to complex physiological mechanisms of which alveolar recruitment appears to be an important component. Further investigation is needed to confirm these findings. Keywords: Acute respiratory distress syndrome, mechanical ventilation, sitting position, gas exchange, respiratory mechanics
THE EFFECT OF EUCALYPTUS PATCH ON AIRWAY CLEARANCE OF ACCUTE RESPIRATORY INFECTION IN GARMENT EMPLOYEES
Acute respiratory infection (ARI) is a disease of the upper or lower respiratory tract with common symptoms, namely coughing, feeling uncomfortable in the nasal passages, mild fever, excess mucus, nasal congestion, runny nose, sneezing and causing problems with ineffective airway clearance. Giving eucalyptus oil in the form of a eucalyptus patch is a practical new breakthrough and is expected to be able to overcome the problem of airway clearance. This study aims to determine the effect of the eucalyptus patch on the airway clearance of ARI sufferers. This type of experimental research uses a one group pretest posttest design approach. The population was employees of PT Morich who were diagnosed with ISPA with a total sample of 15 people selected by consecutive sampling. The results of the study obtained a sig (2-tailed) value with a result of 0.001 which means the eucalyptus patch has an effect on airway clearance in patients with ISPA.
HUBUNGAN PENGETAHUAN DENGAN SIKAP PERAWAT TERHADAP PERAWATAN MENJELANG AJAL PADA PASIEN PALIATIF DI RUANG ICU
Perawatan menjelang ajal merupakan bagian dari konsep perawatan paliatif yang bertujuan membantu setiap penderita penyakit kronis untuk hidup sebaik mungkin sampai mereka mati dalam keadaan yang baik dan damai. Diperlukan pengetahuan dan sikap yang baik dari perawat dalam memberikan perawatan menjelang ajal pada pasien paliatif. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dengan sikap perawat terhadap perawatan menjelang ajal pada pasien paliatif di ruang ICU RSUD dr Soediran Mangun Sumarso Wonogiri. Jenis penelitian deskripsi kolerasi dan pendekatan cross sectional. Sampel penelitian adalah 40 perawat ICU. Teknik pengambilan sampel menggunakan total sampel. Instrumen penelitian menggunakan kuesioner pengetahuan dari Palliative Care quiz for Nurses (PCQN) dan kuesioner sikap menggunakan Frommelt Attitude Toward Care of the Daying Form B (FATCOD-B. Analisis data dengan uji Chi Square. Didapatkan hasil bahwa 13 responden (32,5%) dengan pengetahuan baik, 17 responden (42,5%) pengetahuan cukup dan 10 responden (25%) pengetahuan kurang. Terdapat 21 responden mempunyai sikap positif (52,5%) dan 19 responden (47,5%) mempunyai sikap negatif. Hasil uji Chi Square diperoleh nilai ï£2= 10,625 dengan signifikansi p = 0,005. Ada hubungan pengetahuan dengan sikap perawat terhadap perawatan menjelang ajal pada pasien paliatif di ruang ICU RSUD dr Soediran Mangun Sumarso Wonogiri. Kata Kunci: pengetahuan, sikap, perawatan menjelang ajal, pasien paliatif, perawat Abstract Dying care is a concept of palliative care that aims to help every patient with chronic illness to live as well as possible until they die in a good and peaceful way. Nurses' knowledge and a good attitude are needed in providing palliative patient of dying care. The research is to determine the correlation between knowledge and nurses' attitudes toward dying care for palliative patients in the ICU of RSUD Dr Soediran Mangun Sumarso Wonogiri. It was quantitative research with correlation description research methods and a cross-sectional approach. The research sample was 40 ICU nurses. The sampling technique used was the total sample. The research instrument used a knowledge questionnaire from the Palliative Care Quiz for Nurses (PCQN) and an attitude questionnaire used the Frommelt Attitude Toward Care of the Daying Form B (FATCOD-B). Data analysis used the Chi-Square test. There were 13 respondents (32.5%) with good knowledge, 17 respondents (42.5%) with sufficient knowledge and 10 respondents (25%) with less knowledge. 21 respondents had a positive attitude (52.5%) and 19 respondents (47.5%) had a negative attitude. The Chi-Square test results obtained a value of 2 = 10.625 with a significance of p = 0.005. Conclusion: There is a correlation between nurses' knowledge and attitudes towards dying care for palliative patients in the ICU room of RSUD Dr Soediran Mangun Sumarso Wonogiri. Keywords: knowledge, attitude, care towards death, palliative patient, nurse
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PENGARUH ELECTRONIC TRIAGE DALAM PENGAMBILAN KEPUTUSAN PERAWAT PADA PELAYANAN PASIEN DI INSTALASI GAWAT DARURAT : LITERATURE REVIEW
Pendahuluan : Kemajuan teknologi telah memberikan dampak signifikan terhadap semua aspek kehidupan, termasuk pelayanan kesehatan. Instalasi Gawat Darurat (IGD) sebagai bagian dari fasilitas pelayanan kesehatan rumah sakit perlu menerapkan rekam medis elektronik, salah satunya Electronic Triage (E-Triage). Tujuan : memberikan gambaran pengaruh penggunaan E-Triage dengan keputusan perawat dalam pelayanan pasien di Instalasi Gawat Darurat. Metode: Literature review dilakukan dengan melakukan pencarian pada google scholar dan jurnal pada perpustakaan Universitas Indonesia yang terbit 5 tahun terakhir. Pembahasan : Triase yang akurat dipengaruhi oleh reliabilitas, validitas, keahlian dan keterampilan perawat dalam memberikan keputusan. Oleh karena itu, diperlukan teknologi yang mendukung proses triase seperti E-Triage dan Decision Support System (DSS) yang terintegrasi dalam rekam medis elektronik atau Electronic Health Record (EHR) di rumah sakit. Kesimpulan : Triase pada pelayanan gawat darurat merupakan bagian tak terpisahkan yang memerlukan kecepatan, ketepatan dan tingkat akurasi yang tinggi dalam pemberian keputusan. Implikasi yang diharapkan adalah peningkatan kompetensi perawat dalam penggunaan teknologi dalam pelaksanakan triase. Keyword : electronic triage, electronic health record, pengambilan keputusan Introduction: Technological advances have had a significant impact on all aspects of life, including health services. The Emergency Room (IGD) as part of the hospital health service facility needs to implement electronic medical records, one of which is Electronic Triage (E-Triage). Objective: to provide an overview of the influence of using E-Triage on nurses' decisions in caring for patients in the Emergency Department. Method: Literature review was carried out by searching on Google Scholar and journals in the University of Indonesia library published in the last 5 years. Discussion: Accurate triage is influenced by reliability, validity, expertise and skills of nurses in making decisions. Therefore, technology is needed that supports the triage process, such as E-Triage and Decision Support Systems (DSS) which are integrated in electronic medical records or Electronic Health Records (EHR) in hospitals. Conclusion: Triage in emergency services is an inseparable part that requires speed, precision and a high level of accuracy in making decisions. The expected implication is an increase in nurses' competence in using technology in carrying out triage. Keyword : electronic triage, electronic health record, decision making
GENDER AND DURATION OF GADGET USE IN INCIDENCE OF SPEECH DELAY
Language is a system of signs or rules used by children to communicate and adapt to their environment, with the aim of exchanging ideas, thoughts and emotions. It is not uncommon during this developmental period to find children's growth and developmental disparities, one of which is speech delay. One of the factors that influence this is the gender and the use of gadgets. This study uses correlational analysis method with an expost facto approach to 70 respondents, data collection is done by questionnaire, and accidental sampling technique. The independent variables in this study are gender and duration of gadget use for the dependent variable in this study is speech delay. Statistical analysis in this study used pearson Chi square and Spearman rank. The results of the statistical test for gender variable with speech delay using Pearson Chi square obtained a p-value of (0.001) <α, which means that there is a significant relationship between gender variable and speech delay, while for the variable duration of gadget use with speech delay Using Spearman Rank, a p-value of (0.03) <α means that there is a relationship between the variable duration of gadget use and speech delay. Based on the results of the study, it was found that there was a relationship between gender and duration of gadgets using with the incidence of speech delay.
THE EFFECT OF USING SCREEN TIME ON SPEECH DELAY IN UNDER-FIVES:A LITERATURE REVIEW
Screen time is the exposure time to digital media such as television, video games, and other technologies that use digital screens. During the COVID-19 pandemic, screen time in toddlers has increased so much that it affects the process of toddler development. One of the social development disorders due to screen time is speech delay. Speech delay is a delay in speech ability that is not appropriate for the age of a toddler. This study aims to identify the effect of screen time on speech delay in toddlers based on a literature review. The method used is thematic analysis: a simplified approach by searching articles using the EBSCO, CORE, PubMed, and PMC databases. Articles were selected using the PRISMA flow chart and the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies to analyse the quality of the articles. Researchers use the boolean operators "AND" and "OR" with the keywords effect, speech delay, screen time, and toddler. The results of the literature review found three themes that explain the effect of using screen time on speech delay in toddlers, namely the duration of using screen time in toddlers, the negative impact of screen time on toddlers, and the risk of speech delay from using screen time in toddlers. The conclusion of this literature review is that screen time influences speech delays in toddlers. The use of screen time that is greater than the AAP (American Academy of Pediatrics) recommendation has a higher risk of experiencing speech delay.
PENGARUH TERAPI PSIKOEDUKASI DENGAN MENGGUNAKAN VIDEO TERHADAP KECEMASAN PADA PASIEN GAGAL GINJAL KRONIS YANG MENJALANI HEODIALISIS
Penyakit Ginjal Kronik (PGK) merupakan kelainan fungsi ginjal yang progresif dan ireversibel dimana kemampuan tubuh gagal mempertahankan metabolisme dan keseimbangan cairan dan elektrolit sehingga menyebabkan uremia, gagal ginjal kronik yang tidak dapat disembuhkan dan memerlukan terapi pengganti seumur hidup yaitu hemodialisis. Hemodialisis seringkali memberikan dampak terhadap permasalahan fisik dan psikis, 46% pasien yang menjalani hemodialisis mengalami permasalahan psikologis yaitu sebagian besar mengalami kecemasan. Mengenali dan mengobati gejala kecemasan akan membantu meningkatkan kualitas hidup dari sudut pandang psikologis. Intervensi untuk menurunkan tingkat kecemasan sudah banyak dilakukan, namun perlu adanya intervensi dengan pendekatan psikologis yang mendidik secara mudah dengan menggunakan teknologi saat ini yaitu video, sehingga peneliti merasa perlu untuk melakukan penelitian tentang bagaimana psikoedukasi menggunakan video terhadap tingkat kecemasan pada suatu penyakit. pasien. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi psikoedukasi menggunakan video terhadap kecemasan pada pasien gagal ginjal kronik yang menjalani hemodialisis. Metode penelitian ini menggunakan desain quasi eksperimen dengan desain pre-post test with control group design. Untuk mengetahui pengaruh terapi psikoedukasi menggunakan video pada pasien gagal ginjal kronik yang menjalani hemodialisis yaitu menggunakan perhitungan Wilcoxon dengan hasil perhitungan uji beda sebelum dan sesudah intervensi dengan (Z- Score = -3.3704, P-Value = 0.00), yang berarti hasil uji Wilcoxon < 0.05 maka dapat disimpulkan ada pengaruh terapi psikoedukasi menggunakan video terhadap tingkat kecemasan pada pasien kronis. pasien gagal ginjal yang menjalani hemodialisis. Kata Kunci: Psikoedukasi, Penyakit Ginjal Kronik, Tingkat Kecemasan. Chronic Kidney Disease (CKD) is a progressive and irreversible kidney function disorder in which the body's ability fails to maintain metabolism and fluid and electrolyte balance, causing uremia, chronic kidney failure which cannot be cured and requires lifelong replacement therapy, namely hemodialysis. Hemodialysis often has an impact on physical and psychological problems, 46% of patients undergoing hemodialysis experience psychological problems, namely most of them experience anxiety. Recognizing and treating anxiety symptoms will help improve quality of life from a psychological perspective. There have been many interventions to reduce anxiety levels, but there is a need for interventions with a psychological approach that educates easily by using current technology, namely video, so researchers feel the need to conduct research on how psychoeducation using videos on anxiety levels in disease patients. The purpose of this study the effect of psychoeducational therapy using video on anxiety in chronic kidney failure patients undergoing hemodialysis. This research method uses a quasi-experimental design with a pre-post test with control group design.. To find out the effect of psychoeducational therapy using video in patients with chronic kidney failure undergoing hemodialysis, namely using the Wilcoxon calculation with the results of the difference test before and after the intervention with (Z-Score = -3.3704, P-Value = 0.00), which means that the Wilcoxon test results < 0.05, it can be concluded is an effect of psychoeducational therapy using video on anxiety levels in chronic kidney failure patients undergoing hemodialysis. Keywords: Psychoeducation, Chronic Kidney Disease, Anxiety Level.
KOMBINASI CONTRAST BATH DAN RANGE OF MOTION MAMPU PENURUNAN SKALA NYERI PADA PENDERITA OSTEOARTHIRITIS
Osteoarthritis merupakan suatu gangguan kesehatan degenerative dimana terjadi kekakuan dan peradangan pada persendian yang ditandai dengan kerusakan rawansendi sehingga dapat menyebabkan nyeri pada sendi leher, tangan, punggung, dan yang paling sering adalah pada lutut. Tujuan penelitian untuk mengetahui pengaruh kombinasi contrast bath dan range of motion terhadap penurunan skala nyeri pada penderita osteoarthritis di Desa Kaligerman Kecamatan Karanggeneng Kabupaten Lamongan. Desain penelitian menggunakan pre-ekspiremental (one group pre-post-test), menggunakan teknik consecutive sampling dengan 31 responden. Variabel independen penelitian adalah contrast bath dan range of motion dengan variabel dependen skala nyeri. Instrumen yang digunakan yaitu lembar observasi, SOP contrast bath dan range of motion. Hasil penelitian menunjukkan perbedaan rata- rata skala nyeri sebelum diberi intervensi 4,03 dan sesudah diberi intervensi 2,65. Uji statistik wilcoxon pre-post skala nyeri dengan nilai signifikan p=0.001 (p<0.005)terdapat pengaruh kombinasi contrast bath dan range of motion terhadap penurunan skala nyeri pada penderita osteoarthritis di Desa Kaligerman KecamatanKaranggeneng Kabupaten Lamongan. Pemberian terapi diharapkan dapat meningkatkan derajat kesehatan masyarakat dan menjadi terapi alternatif non medis dalam menurunkan skala nyeri. Kata Kunci : Osteoarthritis, Skala Nyeri, Range Of Motion, Contrast Bath. ABSTRACT Osteoarthritis is a degenerative health disorder in which there is stiffness and inflammation in the joints which is characterized by damage to the joint cartilage which can cause pain in the joints of the neck, hands, back, and most often the knees. The aim of the study was to determine the effect of a combination of contrast bathsand range of motion on reducing pain scale in osteoarthritis patients in KaligermanVillage, Karanggeneng District, Lamongan Regency. The research design used a pre-experimental (one group pre-post-test), using a consecutive sampling technique with 31 respondents. The independent variables ofthe study are bath contrast and range of motion with the dependent variable pain scale. The instruments used were observation sheets, SOP contrast bath and range of motion. The results showed that the average difference in pain scale before beinggiven an intervention was 4.03 and after being given an intervention, it was 2.65. The Wilcoxon pre-post pain scale statistical test with a significant value of p=0.001 (p<0.005) had the effect of a combination of contrast bath and range of motion on reducing the pain scale in patients with osteoarthritis in Kaligerman Village, Karanggeneng District, Lamongan Regency. The provision of therapy is expected to increase the degree of public health and become an alternative non-medical therapyin reducing the pain scale. Keywords : Osteoarthriti, Pain Scale, Range Of Motion, Contrast Bath
DUKUNGAN SOSIAL, SIKAP MINDFULNESS, DAN STRESS PENGASUHAN, DENGAN RELASI IBU – ANAK PADA PERAWAT DENGAN PERAN GANDA
Perawat menjadi garda terdepan dalam proses penanganan COVID-19 dengan berbagai tantangan, baik di ranah domestik (keluarga) maupun profesional (di dunia kerja), khususnya bagi perawat perempuan. Peran ganda ini tentunya memberikan dampak psikologis bagi perawat dalam menjalankan peran profesionalnya sebagai perawat dan ibu di rumah. Hal inilah yang menjadi fokus kajian dalam penelitian ini dengan tujuan untuk mengetahui model yang menunjukkan pola hubungan antara dukungan sosial, mindfulness, dan parenting stress dengan hubungan ibu-anak pada perawat dengan peran ganda. Metode yang digunakan dalam penelitian ini adalah kuantitatif dengan pendekatan cross-sectional. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah purposive sampling yaitu populasi perawat wanita yang mempunyai peran ganda sebagai ibu di Indonesia. Sampel yang digunakan adalah 189 perawat yang bekerja di Kabupaten & Kota Madiun. Pengumpulan data dilakukan melalui kuesioner yang disebarkan secara online kepada responden. Hasil penelitian ini menunjukkan bahwa model persamaan struktural yang dibangun melalui variabel dukungan sosial, mindfulness, dan parenting stress terhadap hubungan ibu-anak menunjukkan model yang fit untuk menjelaskan hubungan antar variabel yang diteliti. Jadi dapat disimpulkan bahwa variabel dukungan sosial, mindfulness, dan parenting stress turut memberikan pengaruh terhadap hubungan ibu-anak pada tingkat kontribusi tertentu. Semakin baik dukungan sosial pada ibu dengan peran ganda maka akan semakin rendah pula stres pengasuhan yang dialami seorang ibu. Hal ini berkontribusi dalam meningkatkan mindfulness seorang ibu dalam mengasuh anak. Apabila sikap mindfulness ibu dalam menjalankan pola asuh yang baik maka akan menunjang terjalinnya hubungan ibu dan anak yang positif. Kata Kunci: model persamaan struktural, perawat, peran ganda. Nurses are at the forefront of the process of handling COVID-19 with various challenges, both in the domestic (family) and professional (at work) spheres, especially for female nurses. This dual role certainly has some psychological impact on nurses in carrying out their professional roles as a nurse and a mother at home. This is the focus of the study in this study with the aim of knowing a model that shows a pattern of relationship between social support, mindfulness, and parenting stress with the mother-child relationship in nurses with multiple roles. The method used in this study is quantitative with a cross-sectional approach. The sampling technique used in this study was the purposive sampling of the population of female nurses Jurnal Perawat Indonesia, Volume 7 No 2, Hal 1531-1548, November 2023 e-ISSN2 548-7051 Persatuan Perawat Nasional Indonesia Jawa Tengah p-ISSN 2714-6502 1532 who have a dual role as mothers in Indonesia. The sample used was 189 nurses working in Madiun Regency & City. Data collection was carried out through questionnaires distributed online to respondents. The results of this study indicate that the structural equation model built through the variables of social support, mindfulness, and parenting stress on the mother- child relationship indicates a fit model to explain the relationship between the variables studied. So it can be concluded that the variables of social support, mindfulness, and parenting stress contribute to influencing the mother-child relationship at a certain level of contribution. The better the social support for a mother with multiple roles, the lower the parenting stress experienced by a mother. This contributes to increasing a mother's mindfulness in parenting. If the mother's mindfulness attitude is good in carrying out parenting, it will support the establishment of a positive mother-child relationship. Keywords: structural equation model, nurses, double roles.
HUBUNGAN DUKUNGAN KELUARGA EMOSIONAL DENGAN KEPATUHAN PASIEN GAGAL GINJAL KRONIK DALAM MENJALANI TERAPI HEMODIALISA DI RSUD KARAWANG TAHUN 2023
Kepatuhan berobat pada klien gagal ginjal merupakan hal yang penting untuk membantu klien itu sendiri, karena jika klien tidak menjalani pengobatan hemodialisis maka akan terjadi penimbunan zat-zat tidak aman hasil metabolisme di dalam darah sehingga membuat klien merasa tersiksa di sekujur tubuhnya. Mengetahui hubungan dukungan keluarga dengan kepatuhan pasien gagal ginjal kronik yang menjalani hemodialisis. Jenis penelitian kuantitatif dengan metode cross sectional. Populasinya adalah seluruh pasien hemodialisa yang berjumlah 46 responden. teknik pengambilan sampel menggunakan total sampling. Dengan taraf signifikan 95% atau nilai α 5% (0,05) diperoleh p value (0,000) < nilai α (0,05) sehingga dapat disimpulkan dari hasil tersebut H0 ditolak artinya ada hubungan antara dukungan emosional keluarga dan kepatuhan pada pasien gagal ginjal kronik Menjalani Terapi Hemodialisis di RSUD Karawang Tahun 2023. Terdapat hubungan antara dukungan emosional keluarga dengan kepatuhan pasien gagal ginjal kronik dalam menjalani terapi hemodialisis. Kata Kunci: gagal ginjal kronis, terapi hemodialisis, dukungan keluarga. Compliance with treatment of clients with kidney failure is an important issue to help the client himself, because if the client does not take hemodialysis treatment, there will be an aggregation of unsafe substances from metabolism in the blood which makes the client feel tormented throughout the body. Knowing the relationship between family support and adherence of chronic kidney failure patients undergoing hemodialysi. type of quantitative research with cross sectional method. the population is all hemodialysis patients with a total of 46 respondents. sampling technique using total sampling. With a significant level of 95% or an α value of 5% (0.05) obtained a p value (0.000) < α value (0.05) so that it can be concluded from these results H0 is rejected meaning there is a relationship between emotional family support and adherence in patients with chronic kidney failure Undergoing Hemodialysis Therapy at the Karawang Hospital in 2023. There is a relationship between emotional family support and adherence of chronic kidney failure patients in undergoing hemodialysis therapy. Keywords: chronic kidney failure, hemodialysis therapy, family support.
HUBUNGAN BURNOUT DENGAN KINERJA PERAWAT DI RSJD DR RM SOEDJARWADI PROVINSI JAWA TENGAH
Perawat sebagai petugas medis harus mementingkan kesembuhan pasien sehingga memiliki beban kerja yang berat. Beban kerja tinggi pada perawat bisa mempertinggi risiko kelelahan fisik dan mental serta rentan mengalami burnout. Data WHO Eropa menunjukkan sekitar 30 perawat yang disurvei mengatakan mereka merasa bosan atau lelah dalam bekerja. Di Inggris, sekitar 42 perawat mengatakan mereka kelelahan, di Yunani, sekitar 44 perawat mengatakan mereka merasa tidak puas dengan pekerjaan mereka dan ingin bekerja. selesai bekerja. Penelitian ini bertujuan untuk mengetahui hubungan burnout dengan kinerja perawat di RSJD Dr RM Soedjarwadi Provinsi Jawa Tengah. Metode penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross sectional. Populasi penelitian ini seluruh perawat rawat inap di RSJD Dr RM Soedjarwadi Provinsi Jawa Tengah, perolehan sampel sebanyak 53 responden dengan teknik pengambilan sampel yaitu proportional stratified random sampling. Instrumen pengumpulan data menggunakan kuesioner Maslach Burnout Inventory (MBI). Uji statistik bivariat menggunakan Kendall Tau. Hasil penelitian ini diperoleh karakteristik responden rata- rata usia 41,91 tahun dan masa kerja perawat 17,70 tahun, paling banyak responden laki-laki (50,9%) dan pendidikan DIII Keperawatan (64,2%), burnout pada perawat mayoritas rendah (98,1%), kinerja perawat mayoritas adalah baik (88,7%), hasil analisis bivariate diperoleh p value 0,005 (p < 0,05). Kata Kunci : Burnout, Kinerja, Perawat Abstract Nurses as medical officers must prioritize patient recovery so they have a heavy workload. A high workload on nurses can increase the risk of physical and mental fatigue and make them susceptible to burnout. WHO Europe data shows that around 30 nurses surveyed said they felt bored or tired at work. In the UK, around 42 nurses said they were burnt out, in Greece, around 44 nurses said they felt dissatisfied with their work and wanted to work. finished work. This study aims to determine the relationship between burnout and the performance of nurses at RSJD Dr RM Soedjarwadi, Central Java Province. The research method used is descriptive correlational with a cross sectional approach. The population of this study were all inpatient nurses at RSJD Dr RM Soedjarwadi, Central Java Province. A sample of 53 respondents was obtained using a sampling technique, namely proportional stratified random sampling. The data collection instrument used the Maslach Burnout Inventory (MBI) questionnaire. Bivariate statistical tests use Kendall Tau. The results of this study showed that the characteristics of respondents were an average age of 41.91 years and a nurse's work experience of 17.70 years, most respondents were male (50.9%) and had a DIII degree in Nursing (64.2%), the majority of nurses had burnout. low (98.1%), the majority of nurses' performance was good (88.7%), the results of bivariate analysis obtained a p value of 0.005 (p < 0.05). Keywords: Burnout, Performance, Nurse
LITERATURE REVIEW: PENGARUH SOCIAL SUPPORT TERHADAP KEPATUHAN MINUM OBAT ANTI TUBERKULOSIS PADA PASIEN TUBERKULOSIS (TBC) PARU
Abstrak Penanggulangan TBC secara nasional menggunakan Obat Anti Tuberkulosis (OAT) yang diberikan kepada penderita dalam jangka 6-8 bulan pengobatan. Keberhasilan program pengobatan TBC sangat dipengaruhi oleh kepatuhan minum obat yang lengkap sampai selesai. Tingginya angka kejadian TBC salah satunya dipengaruhi oleh ketidakpatuhan dalam pengobatan. Tujuan penelitian ini adalah untuk mengetahui pengaruh social support terhadap kepatuhan minum obat anti tuberkulosis. Metode literature review (LR) dimana data yang digunakan adalah database pencarian menggunakan MEDLINE (PubMed), Google Scholar, Science Direct, dan Wiley. Laporan yang diterbitkan dari 2012- 2021 yang berfokus pada social support terhadap kepatuhan minum obat anti tuberkulosis. Hasil penelitian ini berdasarkan analisis jurnal, terdapat implikasi keperawatan yang dibandingkan dari 8 jurnal, ditemukan bahwa metode peningkatan kepatuhan minum obat anti tuberkulsois dengan teknik social support berpengaruh dalam meningkatkan kepatuhan minum obat anti tuberkulosis. Kesimpulan yaitu metode social support terbukti berpengaruh dalam upaya peningkatan kepatuhan minum obat tuberkulosis karena dalam minum obat tuberkulosis dibutuhkan waktu 6- 7 bulan secara continue. Peneliti menyarankan agar petugas kesehatan, keluarga dan penderita bekerja sama dalam mewujudkan kepatuhan minum obat anti tuberkuloasis dengan menggunakan metode Social Support. Kata Kunci: Kepatuhan Minum Obat, Social Support, Tuberkulosis. Abstract National TB control uses Anti Tuberculosis Drugs (OAT) given to patients within 6-8 months of treatment. The success of the TB treatment program is strongly influenced by complete medication adherence to completion. The high incidence of TB is influenced by non-adherence in treatment. The purpose of this study was to determine the effect of social support on adherence to taking anti-tuberculosis drugs. Literature review (LR) method where the data used is a search database using MEDLINE (PubMed), Google Scholar, Science Direct, and Wiley. A report published from 2012-2021 that focuses on social support for adherence to taking anti-tuberculosis drugs. The results based on the analysis of journals, there are nursing implications compared from 8 journals, it was found that the method of increasing adherence to taking anti-tuberculosis drugs with social support techniques had an effect on increasing adherence to taking anti-tuberculosis drugs. The conclution of The social support method has been proven to have an effect in increasing adherence to tuberculosis medication because it takes 6-7 months to take tuberculosis medication continuously. Researchers suggest that health workers, families and patients work together in realizing adherence to taking anti-tuberculosis drugs using the Social Support method. Keywords: Adherence or Social Support or Tuberculosis