sri suparti | Ump Purwokerto (original) (raw)

Papers by sri suparti

IJNP (Indonesian Journal of Nursing Practices)

Background: Early Clinical Exposure is a learning approach that integrates classroom learning wit... more Background: Early Clinical Exposure is a learning approach that integrates classroom learning with the clinical practice at the students' academic stage. Based on an interview with 3rd-semester Nursing Students, the results showed that they had low self-efficacy and readiness towards early clinical exposure. Objective: This study aims to evaluate self-efficacy and readiness towards early clinical exposure among nursing students of Universitas Muhammadiyah Purwokerto (UMP). The study design was a cross-sectional study involving 218 undergraduate students at a private Islamic university in their third semester. Methods: Data were collected using an online questionnaire of Google Form developed by the researcher, and the questions were valid and reliable based on a reliability test. The sampling method in this study was the total sampling technique. There were 50 questions of the item in the questionnaire and 6 items for demographic data. Result: The majority of pupils showed stron...

Latar Belakang: Pasien Cronic Kidney Disease (CKD) atau penyakit ginjal kronik tahap (akhir) memb... more Latar Belakang: Pasien Cronic Kidney Disease (CKD) atau penyakit ginjal kronik tahap (akhir) membutuhkan terapi hemodialisis untuk kelangsungan hidupnya. Kondisi ini bisa berdampak pada kualitas hidupnya. Faktor –faktor yang berpengaruh pada kualitas hidup meliputi faktor demografi pasien, frekuensi dan lama menjalani hemodialisis serta adekuasi hemodialisis. Tujuan:Untuk mengetahui perbedaan kualitas hidup pasien Gagal Ginjal Kronik ditinjau dari pendidikan frekuensi dan lama menjalani hemodialisis di RS. Goeteng Taroenadibrata Purbalingga. Metode:Jenis penelitian ini merupakan penelitian komparatif. Dengan menggunakan pendekatan cross sectional. Sampel penelitian adalah semua pasien CKD yang menjalani Hemodialisis dengan teknik total sampling. Analisis dengan menggunakan uji Mann-Whitney Hasil:Tidak ada perbedaan antara kualitas hidup responden berpendidikan tinggi dan responden berpendidikan rendah dengan nilai p= 0,736 atau P>0,05. Tidak ada perbedaan antara kualitas hidup re...

Keselamatan pasien ( patient safety ) adalah suatu sistem dimana rumah sakit membuat asuhan pasie... more Keselamatan pasien ( patient safety ) adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman, mencegah terjadinya cidera yang disebabkan oleh kesalahan akibat melaksanakan suatu tindakan atau tidak mengambil tindakan yang seharusnya diambil. Praktisi klinis termasuk didalamnya adalah mahasiswa praktikan yang berada di Rumah Sakit ikut bertanggung jawab dalam pelaksanaan dan mewujudkan pasien safety . Tujuan penelitian adalah untuk mengetahui perbedaan pengaruh pemberian materi pasien safety pada tingkat pengetahuan mahasiswa. Jenis penelitian ini menggunakan desain pra eksperimental dengan rancangan One g r oup p re - t es t and p ost-test d es ain dengan menggunakan total sampling (59 responden). Analisis data dengan menggunakan uji t- paired . Hasil penelitian menunjukkan terdapat perbedaan rerata tingkat pengetahuan yang bermakna sebelum dan sesudah penyampaian materi pasien safety dengan p: 0,001(p<0,05) dengan nilai IK 95 % adalah antara 6,18-8,631. Pih...

Latar Belakang: ASI eksklusif adalah pemberian Air Susu Ibu (ASI) sedini mungkin setelah persalin... more Latar Belakang: ASI eksklusif adalah pemberian Air Susu Ibu (ASI) sedini mungkin setelah persalinan, diberikan tanpa jadwal dan tidak diberi makanan lain, walaupun air putih sampai bayi berumur 6 bulan. Fenomena yang ditemukan di lapangan bahwa produksi dan ejeksi ASI yang sedikit pada hari-hari pertama setelah melahirkan menjadi kendala dalam pemberian ASI secara dini. Produksi ASI yang sedikit dapat disebabkan oleh kurangnya rangsangan hormon prolaktin dan oksitosin. Kondisi tersebut dialami juga oleh ibu yang melahirkan dengan Sectio Caesaria. Ibu yang mengalami Sectio Caesaria seringkali mengalami masalah dalam menyusui karena kurangnya produksi ASI dan keterlambatan menyusui. Tujuan penelitian: mengetahui pengaruh kombinasi breast care dan teknik marmet terhadap produksi ASI post Sectio Caesaria di Ruang Flamboyan RSUD Prof. Dr. Margono Soekarjo Purwokerto. Metode Penelitian: Penelitian ini menggunakan desain Quasy Exsperimental dengan rancangan Post test only design with contr...

Asfiksia merupakan resiko tinggi pada bayi baru lahir yang dapat menyebabkan kematian atau sakit ... more Asfiksia merupakan resiko tinggi pada bayi baru lahir yang dapat menyebabkan kematian atau sakit berat. Bayi asfiksia dikelola dengan terapi oksigen untuk menghindari distress pernapasan. Analisis derajat distres pernapasan dapat menggunakan Downes score. Dikatakan baik bila jumlah nilai Downes score semakin kecil atau nol. Tujuan penelitian ini untuk mengetahui efektifitas terapi oksigen terhadap Downes score pada pasien asfiksia neonatus. Jenis penelitian kuantitatif dengan observasi analitik dan pendekatan prospektif. Jumlah sampel sebanyak 25 responden dengan teknik accidental sampling. Instrumen penelitian yang digunakan adalah lembar observasi Downes score. Data dikumpulkan dari bayi asfiksia sedang hingga berat, dengan menilai Downes score pra dan pasca terapi oksigen dan dianlisis dengan uji Wilcoxon test. Hasil penelitian menunjukkan jenis asfiksia terbanyak adalah asfiksia sedang (88%) dengan terapi oksigen nasal kanul 64%. Rata rata dan standar deviasi Downe Score pra t...

Tersedak merupakan kejadian yang dapat dicegah dan penyebab morbiditas dan mortalitas pada kelomp... more Tersedak merupakan kejadian yang dapat dicegah dan penyebab morbiditas dan mortalitas pada kelompok anak. Tersedak adalah kondisi kegawatdaruratan pada anak yang harus ditangani dengan cepat karena dapat menyebabkan kekurangan oksigen (hipoksia). Keterlambatan dalam penanganan tersedak pada anak menyebabkan kematian. Kegiatan ini merupakan upaya upaya promotif dan preventif dalam menurunkan angka kejadian meninggal dan kasus kegawatdaruratan tersedak pada anak. Tujuan kegiatan adalah untuk meningkatkan kemampuan pemahaman ibu-ibu kader aisyiyah terakit pengetahuan dan penanganan kegawatdaruratan tersedak pada anak. Program Ipteks bagi masyarakat ini dilakukan dengan metode ceramah, diskusi dan simulasi/demonstrasi terkait kegawatdauratan tersedak dan penangannanya. Alat ukur atau evaluasi keberhasilan program dilihat dari peningkatan pengetahuan pre dan post test edukasi dan pelatiahan. Sekaligus peserta dapat mempraktikan tindakan pencegahan dan penanganan kegawatdaruratan tersedak...

Fatigue adalah keluhan umum pasien hemodialisis, prevalensi fatigue sekitar 44,7- 97% dari ring... more Fatigue adalah keluhan umum pasien hemodialisis, prevalensi fatigue sekitar 44,7- 97% dari ringan sampai berat. Fatigue dapat disebabkan oleh faktor fisiologis, akumulasi sampah metabolik, konsumsi energi berlebihan, kehilangan nafsu makan, inaktifitas fisik, distress emosional, usia, pekerjaan, pendidikan, jenis kelamin, durasi dialisis, dan anemia. Fatigue dapat menyebabkan penurunan fungsi fisik dan kemampuan aktivitas sehari-hari, kualitas hidup yang lebih buruk, serta mengurangi kelangsungan hidup. Tujuan penelitian ini untuk mengetahui faktor yang mempengaruhi dan tingkat fatigue pasien Gagal Ginjal Terminal yang menjalani hemodialisis. Metode penelitian menggunakan penelitian deskriptif analitik dengan pendekatan cross sectional, dan teknik total sampling yaitu 103 responden. Instrumen menggunakan kuesioner Piper Fatigue Scale (PFS-12) dan analisis mengunakan uji Chi Square. Hasil penelitian sebagian besar responden mengalami tingkat fatigue sedang (67%) diikuti fatigue ri...

Open Access Macedonian Journal of Medical Sciences, 2021

BACKGROUND: Sleep is a human physiological need that must be fulfilled. Sleep disturbance is gene... more BACKGROUND: Sleep is a human physiological need that must be fulfilled. Sleep disturbance is generally experienced by hospitalized patients and measured by sleep quality. Sleep disturbance can adversely affect hemodynamic parameters, physiological, and psychological outcome that contribute to the healing of patients. However, few literatures discussing the hemodynamic changes based on the patients’ sleep quality. AIM: The study aimed to describe the hemodynamic changes before, during, and after sleeping phases METHODS: This is an observational analytic quantitative study conducted between February and March 2019 and involved 45 patients. The samples were the conscious patients, aged between 18 and 60 years old (adult) and had been hospitalized for more than 2 days. The Richards-Campbell Sleep Questionnaire was utilized to measure the patients sleep quality, while hemodynamic values were observed by patients’ bedside monitor before, during and after sleep. Data analysis used the Frie...

Anxiety and depression are psychological conditions that hemodialysis patients often suffer. Unre... more Anxiety and depression are psychological conditions that hemodialysis patients often suffer. Unresolved anxiety can cause depression. The research aims to determine the description of anxiety and depression in chronic renal disease (CKD) patients who undergo hemodialysis (HD) therapy in the initial phase. The study was a quantitative descriptive with a survey approach involving 43 HD patients for less than eight months. The research instrument implemented was the Hospital Anxiety and Depression Scale (HADS) questionnaire. The data were analyzed using descriptive analysis by presenting frequency and category distributions. The results discovered that 29 (62.8%) respondents suffered from anxiety; mild (32.6%), moderate (25.6%), and severe category (4.7%). Furthermore, 16 respondents (37.2%) experience depression; mild (20.9%), moderate (40.0.6%), and severe (2.3%) categories. Anxiety and depression are common symptoms among male and female respondents with direct vascular access, resp...

Bacground: In general, patients treated in the Intensive Care Unit (ICU) require the installation... more Bacground: In general, patients treated in the Intensive Care Unit (ICU) require the installation of endotracheal tubes (ETT) and ventilators. Suction is an intervention to prevent airway obstruction and maintain airway patency. If ETT suction procedure in terms of regulation and suction duration is not applied correctly, critically ill patients would suffer from haemodynamic problem. Objective:The purpose of this study was to determine the effect of negative suction pressure on hemodynamic indices of patients. Methods:This research is a quantitative study using the quasy experimental method with a pre and post test design without a control group involving 40 respondents taken by accidental sampling technique with repeated measurements. Patient observation sheets, medical records, and treatment records were used to collect the data. Inclusion criteria were adult patients ≥15 years old with ETT and ventilator while the exclusion criteria was the patients with a diagnosis of pneumonia...

2021 International Conference on Computer & Information Sciences (ICCOINS)

Gamification understood as the use of game design elements in the other contexts for the purpose ... more Gamification understood as the use of game design elements in the other contexts for the purpose of engagement has become a hot topic in years. The role of gamification in promoting learner’ learning has been investigated empirically by many scholars. To date, mixed results about the effectiveness of gamification have been reported, and researchers frequently argue that the inappropriateness of certain techniques may have contributed to these mixed findings, especially toward disaster subject. Relatively little research that stated gamification in the disaster is an effective approach to learn the subject. Moreover, disasters and emergencies have been increasing all over the world. Disaster mitigation measures are those that eliminate or reduce the impacts and risks of hazards through proactive measures taken before an emergency or disaster occurs. Today, with technological advancement, acquiring knowledge and its application is regarded as the only effective way to prevent disasters or reducing its effects. The research also aimed to review the importance of gamification integration to support the existing education and the effect of different methods of education on disaster mitigation among Indonesia community. In this regard, having the gamification to disaster educational is possible for people to acquire and increase the level of knowledge, which in return, increases the motivation and engagement of the learner. The results showed that gamification integration positively affects learner’ learning compare to existing traditional classroom method.

Proceedings Series on Health & Medical Sciences

Nausea and vomiting should be further checked and prevented, because these conditions can be a ca... more Nausea and vomiting should be further checked and prevented, because these conditions can be a cause or complication during hemodialysis patients. Electrolyte and water imbalance (dehydration) can be considered as the main complication of nausea and vomiting itself. The aim of this study was to determine the factors that influence the severity of nausea and vomiting in patients undergoing hemodialysis. This type of research is quantitative with analytic descriptive method, with an approach using a retrospective cohort research design. The sampling technique in this study was a total sampling technique with a total sample of 57 patients. The research instrument used questionnaires and observations, data analysis using the Chi Square test and simple logistic regression analysis. The location of the study was the hemodialysis therapy site at the Islamic Hospital in Purwokerto in January-February 2020. The results showed that most of the respondents with the severity of nausea and vomit...

Proceedings Series on Health & Medical Sciences

Therapeutic communication in intensive rooms was a therapeutic communication initiated by nurses ... more Therapeutic communication in intensive rooms was a therapeutic communication initiated by nurses to patients with intensive conditions whichrequired critical thinking, fast and precise measures in coping with each patient's needs. To figure out the nurses’ perceptions of the application of therapeutic communication in Intensive room.The study was qualitative phenomenological study, involving eight intensive care nurses participants from IGD, HCU, ICU and NICU. The inclusion criteria were nurses who had worked at least 1 year in the intensive unit, with a minimum education level of bachelor in nursing, through in-depth interviews. The data were analyzed using the Colaizzi method. There were 4 themes identified in the nurses’ perception of the application of therapeutic communication: communication to help the healing process, adaptation and information, stages, technical and benefits of communication. The communication which had not been widely explored wasthe one to help the pat...

Herb-Medicine Journal

Pasien kritis yang terpasang endotracheal tube (ETT) dan ventilasi mekanik di Intensive Care Unit... more Pasien kritis yang terpasang endotracheal tube (ETT) dan ventilasi mekanik di Intensive Care Unit (ICU) membutuhkan tindakan suction untuk membersihkan dan mempertahankan kepatenan jalan nafas. Suction ETT selain manfaatnya juga bisa menyebabkan dampak negatif seperti penurunan saturasi oksigen, trauma, hipoksemia, bronkospasme, kecemasan bahkan menstimulasi peningkatan tekanan intravaskular. Tujuan penelitian ini adalah menganlisis pengaruh variasi tekanan negatif suction terhadap nilai saturasi oksigen pasien yang terpasang ventilator di ICU. Jenis penelitian adalah experimen semu (quasi experiment), dengana desain two group pretest-postest, total sampel adalah 37 yang diambil dengan teknik consecutive sampling. Kriteria inklusi pasien dewasa ≥ 15 tahun, terpasang ETT dan ventilator. Adapun kriteria eksklusi adalah pasien hanya mendapatkan suction 1 kali, dalam kondisi t-piece, diagnosis pneumonia dan observasi tidak lengkap.Variabel bebas adalah tekanan negatif suction dan variab...

JRST (Jurnal Riset Sains dan Teknologi)

Bencana merupakan peristiwa atau rangkaian peristiwa yang mengancam dan mengganggu kehidupan dan ... more Bencana merupakan peristiwa atau rangkaian peristiwa yang mengancam dan mengganggu kehidupan dan penghidupan masyarakat. Anak-anak merupakan kelompok rentan terhadap bencana, menyadari adanya resiko bencana, penting ditumbuhkan kesadaran dan pengurangan resiko bencana. Pengurangan resiko bencana dapat dilakukan melalui edukasi mitigasi bencana gunung meletus di sekolah dasar. Tujuan penelitian ini untuk mengetahui pengaruh edukasi game puzzle kebencanaan terhadap pengetahuan mitigasi bencana gunung meletus Di SD Negeri Karangsalam. Penelitian ini menggunakan metode kuantitatif dengan desain quasi eksperimental dengan pendekatan pretest-posttest control group design. Populasi dalam penelitian ini adalah seluruh siswa kelas 5 SD Negeri Karangsalam, kelas 5A sebagai kelas eksperimen kelas 5B sebagai kelas kontrol. Jumlah sampel 43 responden dengan teknik total sampling. Instrument pengambilan data menggunakan lembar kuesioner, analisa data menggunakan uji Wilcoxon, uji beda Maan-Whitne...

INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC)

Introduction: Temperature, humidity, and noise are factors that affect sleep quality. The objecti... more Introduction: Temperature, humidity, and noise are factors that affect sleep quality. The objective of the research is to determine the effect of humidity, temperature, and room noise on sleep quality of (Intensive Care Unit) ICU patients. Methods: A quantitative research with the cross-sectional approach, involving 84 patients taken by consecutive sampling, with the inclusion criteria of at least having already spent more than two days in ICU, having age between 20-70 years, and being conscious and cooperative. The patients were observed using observation sheets and The Richards-Campbell Sleep Questionnaire (RCSQ). A thermohygrometer and sound level meter for noise recording were used to measure the temperature and humidity. Simple linear regression was used to analyze the data. Results: It was found out that the average sleep quality of patients in the intensive room was 28.51, which categorized as poor sleep quality; the mean humidity in ICU was 56.98; the room temperature was 26...

Indonesian Journal for Health Sciences

Hypertension is a chronic disease incurable but can be controlled. Hypertension in the elderly in... more Hypertension is a chronic disease incurable but can be controlled. Hypertension in the elderly increases around the world including indonesia, along with aging and the process of degenerative.Urgency screening activities among elderly needs to be done to detect early hypertension in elderly. This research aims to describe Screening Hypertension in Elderly. This study uses descriptive analytic, crosssectional approach. Sample of 36 elderly with accidental sampling. The research instruments used in used a questionnaire screening risk hypertension and measurement of blood pressure by using sphygnomanometer. Data analysis used Chi Square statistical test with a significance level of < 0.05. From the results show respondents at risk of suffering from hypertension were 107 (52.2%) no-risk hypertensive and as many as 98 (47.8) at risk of developing hypertension. There was no relationship between marital status, age, and sex, with the risk of hypertension with p value 0.530, 0.434 and 0.508. Hypertension Screening can be done as early detection to determine the patient's health status in the elderly. Abstrak : Hipertensi adalah kondisi penyakit kronis yang tidak dapat disembuhkan namun dapat dikendalikan. Kejadian hipertensi pada lansia meningkat di seluruh dunia termasuk Indonesia, seiring dengan bertambahnya usia dan proses degeneratif. Urgensi kegiatan skrining di kalangan lanjut usia (lansia) sangat perlu dilakukan untuk mendeteksi secara dini kejadian hipertensi pada lansia. Tujuan penelitian adalah untuk mengetahui gambaran screening hipertensi pada lansia. Desain penelitian menggunakan deskriptif analitik dengan pendekatan studi crossectional, yang melibatkan 205 lansia dengan teknik acidental sampling. Instrumen penelitian menggunakan kuesioner skrining risiko hipertensi dan hasil pengukuran tekanan darah dengan menggunakan sphygnomanometer. Uji statistik Chi Square digunakan untuk menganalisis hasil dengan taraf signifikasi < 0,05. Hasil penelitian menunjukkan responden yang berisiko menderita hipertensi sebanyak 107 (52,2%) tidak berisko menderita hipertensi dan sebanyak 98 (47,8%) berisiko menderita hipertensi. Tidak terdapat korelasi antara usia, jenis kelamin, status perkawinan dengan risiko terjadinya hipertensi yang diikuti nilai p value berurutan 0,530, 0,434 dan 0,508. Screening Hipertensi dapat dilakukan sebagai deteksi dini untuk mengetahui status kesehatan pasien pada lansia.

Journal of Health Studies

The purpose of this study to determine the relationship of fatigue with depression. This descrip... more The purpose of this study to determine the relationship of fatigue with depression. This descriptive correlative analytic research with 78 samples. The questionnaire used was Functional Assessment of Chronic Illness Therapy-G and Zung Self-rating Depression Scale. The mean fatigue score was 24.21 and 44.50 for depression. Pearson correlation result showed r=0.646 (p<0.05). Logistic regression analysis showed R=4.18%, which means depression predicted about 40% by fatigue, and 60% influenced by other variables. There is a strong relationship between fatigue and depression. Management of depression and fatigue should be standard in patient care.

Jurnal Keperawatan Padjadjaran

Fatigue and inadequacy dialysis are common problem in hemodialysis patients. The dialysis inadequ... more Fatigue and inadequacy dialysis are common problem in hemodialysis patients. The dialysis inadequacy can cause an increased progression of impaired renal function, as well as the increased morbidity and mortality, and declining productivity of hemodialysis patients. Fatigue prevalence ranged from 44,7- 97% from mild to severe. Fatigue is a common complaint of hemodialysis patients that can lower physical function and life quality. To determine the correlation between adequacy and the fatigue level of the patients with End Stage Renal Disease (ESRD) undergoing hemodialysis. This study used a descriptive analytic and cross sectional approach involving 75 respondents and the FACIT-G Questionnaire was used to collect the data. The inclusion criteria are male and female patients aged 18 -70, undergoing hemodialysis for more than 3 months with a frequency of 2 times at least 4 hours, composmentis patients. The adequacy hemodialysis was assessed using the Kt/V formula. All data were collec...

Annals of Tropical Medicine and Public Health

Background: Intradialytic complications are commonly experienced in hemodialysis patients. Haemod... more Background: Intradialytic complications are commonly experienced in hemodialysis patients. Haemodialysis patients usually gain weight between two dialysis time (interdialytic weight gain=IDWG). Patients who experience an increase in IDWG are associated with the incidence of intradialytic complications, such as hypotension, muscle cramps, hypertension, chest pain, headache, fever, nausea and vomiting. Objectives: To analyze the correlation between intradialytic complications and IDWG. Methods: This study used an observational analysis method with a cross-sectional design. Sample were recruited by using simple random sampling as and there were 56 samples on inclusion criteria. Data were analysed using Pearson product moment with significance level α≤0.05. Research ethics was obtained from Margono Soekarjo Hospital Results : The results showed that highest IDWG is 6.58% and the lowest is 0.62%, Complications most experienced intradialytic hypertension (85.7%), followed by muscle cramps (55.4%), nausea (51.8%), headache (46.4%), chest pain (12.5%), fever (8.9%) and hypotension (5.4 %).There was correlation between interdialytic weight gain (IDWG) and intradialysis complications (p=0.00 and r=0.443). Conclusion: It concluded that there was correlation between IDWG and intradialytic complications in patients undergoing a hemodialysis treatment at RSUD Prof. Dr Margono Soekarjo Purwokerto.

IJNP (Indonesian Journal of Nursing Practices)

Background: Early Clinical Exposure is a learning approach that integrates classroom learning wit... more Background: Early Clinical Exposure is a learning approach that integrates classroom learning with the clinical practice at the students' academic stage. Based on an interview with 3rd-semester Nursing Students, the results showed that they had low self-efficacy and readiness towards early clinical exposure. Objective: This study aims to evaluate self-efficacy and readiness towards early clinical exposure among nursing students of Universitas Muhammadiyah Purwokerto (UMP). The study design was a cross-sectional study involving 218 undergraduate students at a private Islamic university in their third semester. Methods: Data were collected using an online questionnaire of Google Form developed by the researcher, and the questions were valid and reliable based on a reliability test. The sampling method in this study was the total sampling technique. There were 50 questions of the item in the questionnaire and 6 items for demographic data. Result: The majority of pupils showed stron...

Latar Belakang: Pasien Cronic Kidney Disease (CKD) atau penyakit ginjal kronik tahap (akhir) memb... more Latar Belakang: Pasien Cronic Kidney Disease (CKD) atau penyakit ginjal kronik tahap (akhir) membutuhkan terapi hemodialisis untuk kelangsungan hidupnya. Kondisi ini bisa berdampak pada kualitas hidupnya. Faktor –faktor yang berpengaruh pada kualitas hidup meliputi faktor demografi pasien, frekuensi dan lama menjalani hemodialisis serta adekuasi hemodialisis. Tujuan:Untuk mengetahui perbedaan kualitas hidup pasien Gagal Ginjal Kronik ditinjau dari pendidikan frekuensi dan lama menjalani hemodialisis di RS. Goeteng Taroenadibrata Purbalingga. Metode:Jenis penelitian ini merupakan penelitian komparatif. Dengan menggunakan pendekatan cross sectional. Sampel penelitian adalah semua pasien CKD yang menjalani Hemodialisis dengan teknik total sampling. Analisis dengan menggunakan uji Mann-Whitney Hasil:Tidak ada perbedaan antara kualitas hidup responden berpendidikan tinggi dan responden berpendidikan rendah dengan nilai p= 0,736 atau P>0,05. Tidak ada perbedaan antara kualitas hidup re...

Keselamatan pasien ( patient safety ) adalah suatu sistem dimana rumah sakit membuat asuhan pasie... more Keselamatan pasien ( patient safety ) adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman, mencegah terjadinya cidera yang disebabkan oleh kesalahan akibat melaksanakan suatu tindakan atau tidak mengambil tindakan yang seharusnya diambil. Praktisi klinis termasuk didalamnya adalah mahasiswa praktikan yang berada di Rumah Sakit ikut bertanggung jawab dalam pelaksanaan dan mewujudkan pasien safety . Tujuan penelitian adalah untuk mengetahui perbedaan pengaruh pemberian materi pasien safety pada tingkat pengetahuan mahasiswa. Jenis penelitian ini menggunakan desain pra eksperimental dengan rancangan One g r oup p re - t es t and p ost-test d es ain dengan menggunakan total sampling (59 responden). Analisis data dengan menggunakan uji t- paired . Hasil penelitian menunjukkan terdapat perbedaan rerata tingkat pengetahuan yang bermakna sebelum dan sesudah penyampaian materi pasien safety dengan p: 0,001(p<0,05) dengan nilai IK 95 % adalah antara 6,18-8,631. Pih...

Latar Belakang: ASI eksklusif adalah pemberian Air Susu Ibu (ASI) sedini mungkin setelah persalin... more Latar Belakang: ASI eksklusif adalah pemberian Air Susu Ibu (ASI) sedini mungkin setelah persalinan, diberikan tanpa jadwal dan tidak diberi makanan lain, walaupun air putih sampai bayi berumur 6 bulan. Fenomena yang ditemukan di lapangan bahwa produksi dan ejeksi ASI yang sedikit pada hari-hari pertama setelah melahirkan menjadi kendala dalam pemberian ASI secara dini. Produksi ASI yang sedikit dapat disebabkan oleh kurangnya rangsangan hormon prolaktin dan oksitosin. Kondisi tersebut dialami juga oleh ibu yang melahirkan dengan Sectio Caesaria. Ibu yang mengalami Sectio Caesaria seringkali mengalami masalah dalam menyusui karena kurangnya produksi ASI dan keterlambatan menyusui. Tujuan penelitian: mengetahui pengaruh kombinasi breast care dan teknik marmet terhadap produksi ASI post Sectio Caesaria di Ruang Flamboyan RSUD Prof. Dr. Margono Soekarjo Purwokerto. Metode Penelitian: Penelitian ini menggunakan desain Quasy Exsperimental dengan rancangan Post test only design with contr...

Asfiksia merupakan resiko tinggi pada bayi baru lahir yang dapat menyebabkan kematian atau sakit ... more Asfiksia merupakan resiko tinggi pada bayi baru lahir yang dapat menyebabkan kematian atau sakit berat. Bayi asfiksia dikelola dengan terapi oksigen untuk menghindari distress pernapasan. Analisis derajat distres pernapasan dapat menggunakan Downes score. Dikatakan baik bila jumlah nilai Downes score semakin kecil atau nol. Tujuan penelitian ini untuk mengetahui efektifitas terapi oksigen terhadap Downes score pada pasien asfiksia neonatus. Jenis penelitian kuantitatif dengan observasi analitik dan pendekatan prospektif. Jumlah sampel sebanyak 25 responden dengan teknik accidental sampling. Instrumen penelitian yang digunakan adalah lembar observasi Downes score. Data dikumpulkan dari bayi asfiksia sedang hingga berat, dengan menilai Downes score pra dan pasca terapi oksigen dan dianlisis dengan uji Wilcoxon test. Hasil penelitian menunjukkan jenis asfiksia terbanyak adalah asfiksia sedang (88%) dengan terapi oksigen nasal kanul 64%. Rata rata dan standar deviasi Downe Score pra t...

Tersedak merupakan kejadian yang dapat dicegah dan penyebab morbiditas dan mortalitas pada kelomp... more Tersedak merupakan kejadian yang dapat dicegah dan penyebab morbiditas dan mortalitas pada kelompok anak. Tersedak adalah kondisi kegawatdaruratan pada anak yang harus ditangani dengan cepat karena dapat menyebabkan kekurangan oksigen (hipoksia). Keterlambatan dalam penanganan tersedak pada anak menyebabkan kematian. Kegiatan ini merupakan upaya upaya promotif dan preventif dalam menurunkan angka kejadian meninggal dan kasus kegawatdaruratan tersedak pada anak. Tujuan kegiatan adalah untuk meningkatkan kemampuan pemahaman ibu-ibu kader aisyiyah terakit pengetahuan dan penanganan kegawatdaruratan tersedak pada anak. Program Ipteks bagi masyarakat ini dilakukan dengan metode ceramah, diskusi dan simulasi/demonstrasi terkait kegawatdauratan tersedak dan penangannanya. Alat ukur atau evaluasi keberhasilan program dilihat dari peningkatan pengetahuan pre dan post test edukasi dan pelatiahan. Sekaligus peserta dapat mempraktikan tindakan pencegahan dan penanganan kegawatdaruratan tersedak...

Fatigue adalah keluhan umum pasien hemodialisis, prevalensi fatigue sekitar 44,7- 97% dari ring... more Fatigue adalah keluhan umum pasien hemodialisis, prevalensi fatigue sekitar 44,7- 97% dari ringan sampai berat. Fatigue dapat disebabkan oleh faktor fisiologis, akumulasi sampah metabolik, konsumsi energi berlebihan, kehilangan nafsu makan, inaktifitas fisik, distress emosional, usia, pekerjaan, pendidikan, jenis kelamin, durasi dialisis, dan anemia. Fatigue dapat menyebabkan penurunan fungsi fisik dan kemampuan aktivitas sehari-hari, kualitas hidup yang lebih buruk, serta mengurangi kelangsungan hidup. Tujuan penelitian ini untuk mengetahui faktor yang mempengaruhi dan tingkat fatigue pasien Gagal Ginjal Terminal yang menjalani hemodialisis. Metode penelitian menggunakan penelitian deskriptif analitik dengan pendekatan cross sectional, dan teknik total sampling yaitu 103 responden. Instrumen menggunakan kuesioner Piper Fatigue Scale (PFS-12) dan analisis mengunakan uji Chi Square. Hasil penelitian sebagian besar responden mengalami tingkat fatigue sedang (67%) diikuti fatigue ri...

Open Access Macedonian Journal of Medical Sciences, 2021

BACKGROUND: Sleep is a human physiological need that must be fulfilled. Sleep disturbance is gene... more BACKGROUND: Sleep is a human physiological need that must be fulfilled. Sleep disturbance is generally experienced by hospitalized patients and measured by sleep quality. Sleep disturbance can adversely affect hemodynamic parameters, physiological, and psychological outcome that contribute to the healing of patients. However, few literatures discussing the hemodynamic changes based on the patients’ sleep quality. AIM: The study aimed to describe the hemodynamic changes before, during, and after sleeping phases METHODS: This is an observational analytic quantitative study conducted between February and March 2019 and involved 45 patients. The samples were the conscious patients, aged between 18 and 60 years old (adult) and had been hospitalized for more than 2 days. The Richards-Campbell Sleep Questionnaire was utilized to measure the patients sleep quality, while hemodynamic values were observed by patients’ bedside monitor before, during and after sleep. Data analysis used the Frie...

Anxiety and depression are psychological conditions that hemodialysis patients often suffer. Unre... more Anxiety and depression are psychological conditions that hemodialysis patients often suffer. Unresolved anxiety can cause depression. The research aims to determine the description of anxiety and depression in chronic renal disease (CKD) patients who undergo hemodialysis (HD) therapy in the initial phase. The study was a quantitative descriptive with a survey approach involving 43 HD patients for less than eight months. The research instrument implemented was the Hospital Anxiety and Depression Scale (HADS) questionnaire. The data were analyzed using descriptive analysis by presenting frequency and category distributions. The results discovered that 29 (62.8%) respondents suffered from anxiety; mild (32.6%), moderate (25.6%), and severe category (4.7%). Furthermore, 16 respondents (37.2%) experience depression; mild (20.9%), moderate (40.0.6%), and severe (2.3%) categories. Anxiety and depression are common symptoms among male and female respondents with direct vascular access, resp...

Bacground: In general, patients treated in the Intensive Care Unit (ICU) require the installation... more Bacground: In general, patients treated in the Intensive Care Unit (ICU) require the installation of endotracheal tubes (ETT) and ventilators. Suction is an intervention to prevent airway obstruction and maintain airway patency. If ETT suction procedure in terms of regulation and suction duration is not applied correctly, critically ill patients would suffer from haemodynamic problem. Objective:The purpose of this study was to determine the effect of negative suction pressure on hemodynamic indices of patients. Methods:This research is a quantitative study using the quasy experimental method with a pre and post test design without a control group involving 40 respondents taken by accidental sampling technique with repeated measurements. Patient observation sheets, medical records, and treatment records were used to collect the data. Inclusion criteria were adult patients ≥15 years old with ETT and ventilator while the exclusion criteria was the patients with a diagnosis of pneumonia...

2021 International Conference on Computer & Information Sciences (ICCOINS)

Gamification understood as the use of game design elements in the other contexts for the purpose ... more Gamification understood as the use of game design elements in the other contexts for the purpose of engagement has become a hot topic in years. The role of gamification in promoting learner’ learning has been investigated empirically by many scholars. To date, mixed results about the effectiveness of gamification have been reported, and researchers frequently argue that the inappropriateness of certain techniques may have contributed to these mixed findings, especially toward disaster subject. Relatively little research that stated gamification in the disaster is an effective approach to learn the subject. Moreover, disasters and emergencies have been increasing all over the world. Disaster mitigation measures are those that eliminate or reduce the impacts and risks of hazards through proactive measures taken before an emergency or disaster occurs. Today, with technological advancement, acquiring knowledge and its application is regarded as the only effective way to prevent disasters or reducing its effects. The research also aimed to review the importance of gamification integration to support the existing education and the effect of different methods of education on disaster mitigation among Indonesia community. In this regard, having the gamification to disaster educational is possible for people to acquire and increase the level of knowledge, which in return, increases the motivation and engagement of the learner. The results showed that gamification integration positively affects learner’ learning compare to existing traditional classroom method.

Proceedings Series on Health & Medical Sciences

Nausea and vomiting should be further checked and prevented, because these conditions can be a ca... more Nausea and vomiting should be further checked and prevented, because these conditions can be a cause or complication during hemodialysis patients. Electrolyte and water imbalance (dehydration) can be considered as the main complication of nausea and vomiting itself. The aim of this study was to determine the factors that influence the severity of nausea and vomiting in patients undergoing hemodialysis. This type of research is quantitative with analytic descriptive method, with an approach using a retrospective cohort research design. The sampling technique in this study was a total sampling technique with a total sample of 57 patients. The research instrument used questionnaires and observations, data analysis using the Chi Square test and simple logistic regression analysis. The location of the study was the hemodialysis therapy site at the Islamic Hospital in Purwokerto in January-February 2020. The results showed that most of the respondents with the severity of nausea and vomit...

Proceedings Series on Health & Medical Sciences

Therapeutic communication in intensive rooms was a therapeutic communication initiated by nurses ... more Therapeutic communication in intensive rooms was a therapeutic communication initiated by nurses to patients with intensive conditions whichrequired critical thinking, fast and precise measures in coping with each patient's needs. To figure out the nurses’ perceptions of the application of therapeutic communication in Intensive room.The study was qualitative phenomenological study, involving eight intensive care nurses participants from IGD, HCU, ICU and NICU. The inclusion criteria were nurses who had worked at least 1 year in the intensive unit, with a minimum education level of bachelor in nursing, through in-depth interviews. The data were analyzed using the Colaizzi method. There were 4 themes identified in the nurses’ perception of the application of therapeutic communication: communication to help the healing process, adaptation and information, stages, technical and benefits of communication. The communication which had not been widely explored wasthe one to help the pat...

Herb-Medicine Journal

Pasien kritis yang terpasang endotracheal tube (ETT) dan ventilasi mekanik di Intensive Care Unit... more Pasien kritis yang terpasang endotracheal tube (ETT) dan ventilasi mekanik di Intensive Care Unit (ICU) membutuhkan tindakan suction untuk membersihkan dan mempertahankan kepatenan jalan nafas. Suction ETT selain manfaatnya juga bisa menyebabkan dampak negatif seperti penurunan saturasi oksigen, trauma, hipoksemia, bronkospasme, kecemasan bahkan menstimulasi peningkatan tekanan intravaskular. Tujuan penelitian ini adalah menganlisis pengaruh variasi tekanan negatif suction terhadap nilai saturasi oksigen pasien yang terpasang ventilator di ICU. Jenis penelitian adalah experimen semu (quasi experiment), dengana desain two group pretest-postest, total sampel adalah 37 yang diambil dengan teknik consecutive sampling. Kriteria inklusi pasien dewasa ≥ 15 tahun, terpasang ETT dan ventilator. Adapun kriteria eksklusi adalah pasien hanya mendapatkan suction 1 kali, dalam kondisi t-piece, diagnosis pneumonia dan observasi tidak lengkap.Variabel bebas adalah tekanan negatif suction dan variab...

JRST (Jurnal Riset Sains dan Teknologi)

Bencana merupakan peristiwa atau rangkaian peristiwa yang mengancam dan mengganggu kehidupan dan ... more Bencana merupakan peristiwa atau rangkaian peristiwa yang mengancam dan mengganggu kehidupan dan penghidupan masyarakat. Anak-anak merupakan kelompok rentan terhadap bencana, menyadari adanya resiko bencana, penting ditumbuhkan kesadaran dan pengurangan resiko bencana. Pengurangan resiko bencana dapat dilakukan melalui edukasi mitigasi bencana gunung meletus di sekolah dasar. Tujuan penelitian ini untuk mengetahui pengaruh edukasi game puzzle kebencanaan terhadap pengetahuan mitigasi bencana gunung meletus Di SD Negeri Karangsalam. Penelitian ini menggunakan metode kuantitatif dengan desain quasi eksperimental dengan pendekatan pretest-posttest control group design. Populasi dalam penelitian ini adalah seluruh siswa kelas 5 SD Negeri Karangsalam, kelas 5A sebagai kelas eksperimen kelas 5B sebagai kelas kontrol. Jumlah sampel 43 responden dengan teknik total sampling. Instrument pengambilan data menggunakan lembar kuesioner, analisa data menggunakan uji Wilcoxon, uji beda Maan-Whitne...

INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC)

Introduction: Temperature, humidity, and noise are factors that affect sleep quality. The objecti... more Introduction: Temperature, humidity, and noise are factors that affect sleep quality. The objective of the research is to determine the effect of humidity, temperature, and room noise on sleep quality of (Intensive Care Unit) ICU patients. Methods: A quantitative research with the cross-sectional approach, involving 84 patients taken by consecutive sampling, with the inclusion criteria of at least having already spent more than two days in ICU, having age between 20-70 years, and being conscious and cooperative. The patients were observed using observation sheets and The Richards-Campbell Sleep Questionnaire (RCSQ). A thermohygrometer and sound level meter for noise recording were used to measure the temperature and humidity. Simple linear regression was used to analyze the data. Results: It was found out that the average sleep quality of patients in the intensive room was 28.51, which categorized as poor sleep quality; the mean humidity in ICU was 56.98; the room temperature was 26...

Indonesian Journal for Health Sciences

Hypertension is a chronic disease incurable but can be controlled. Hypertension in the elderly in... more Hypertension is a chronic disease incurable but can be controlled. Hypertension in the elderly increases around the world including indonesia, along with aging and the process of degenerative.Urgency screening activities among elderly needs to be done to detect early hypertension in elderly. This research aims to describe Screening Hypertension in Elderly. This study uses descriptive analytic, crosssectional approach. Sample of 36 elderly with accidental sampling. The research instruments used in used a questionnaire screening risk hypertension and measurement of blood pressure by using sphygnomanometer. Data analysis used Chi Square statistical test with a significance level of < 0.05. From the results show respondents at risk of suffering from hypertension were 107 (52.2%) no-risk hypertensive and as many as 98 (47.8) at risk of developing hypertension. There was no relationship between marital status, age, and sex, with the risk of hypertension with p value 0.530, 0.434 and 0.508. Hypertension Screening can be done as early detection to determine the patient's health status in the elderly. Abstrak : Hipertensi adalah kondisi penyakit kronis yang tidak dapat disembuhkan namun dapat dikendalikan. Kejadian hipertensi pada lansia meningkat di seluruh dunia termasuk Indonesia, seiring dengan bertambahnya usia dan proses degeneratif. Urgensi kegiatan skrining di kalangan lanjut usia (lansia) sangat perlu dilakukan untuk mendeteksi secara dini kejadian hipertensi pada lansia. Tujuan penelitian adalah untuk mengetahui gambaran screening hipertensi pada lansia. Desain penelitian menggunakan deskriptif analitik dengan pendekatan studi crossectional, yang melibatkan 205 lansia dengan teknik acidental sampling. Instrumen penelitian menggunakan kuesioner skrining risiko hipertensi dan hasil pengukuran tekanan darah dengan menggunakan sphygnomanometer. Uji statistik Chi Square digunakan untuk menganalisis hasil dengan taraf signifikasi < 0,05. Hasil penelitian menunjukkan responden yang berisiko menderita hipertensi sebanyak 107 (52,2%) tidak berisko menderita hipertensi dan sebanyak 98 (47,8%) berisiko menderita hipertensi. Tidak terdapat korelasi antara usia, jenis kelamin, status perkawinan dengan risiko terjadinya hipertensi yang diikuti nilai p value berurutan 0,530, 0,434 dan 0,508. Screening Hipertensi dapat dilakukan sebagai deteksi dini untuk mengetahui status kesehatan pasien pada lansia.

Journal of Health Studies

The purpose of this study to determine the relationship of fatigue with depression. This descrip... more The purpose of this study to determine the relationship of fatigue with depression. This descriptive correlative analytic research with 78 samples. The questionnaire used was Functional Assessment of Chronic Illness Therapy-G and Zung Self-rating Depression Scale. The mean fatigue score was 24.21 and 44.50 for depression. Pearson correlation result showed r=0.646 (p<0.05). Logistic regression analysis showed R=4.18%, which means depression predicted about 40% by fatigue, and 60% influenced by other variables. There is a strong relationship between fatigue and depression. Management of depression and fatigue should be standard in patient care.

Jurnal Keperawatan Padjadjaran

Fatigue and inadequacy dialysis are common problem in hemodialysis patients. The dialysis inadequ... more Fatigue and inadequacy dialysis are common problem in hemodialysis patients. The dialysis inadequacy can cause an increased progression of impaired renal function, as well as the increased morbidity and mortality, and declining productivity of hemodialysis patients. Fatigue prevalence ranged from 44,7- 97% from mild to severe. Fatigue is a common complaint of hemodialysis patients that can lower physical function and life quality. To determine the correlation between adequacy and the fatigue level of the patients with End Stage Renal Disease (ESRD) undergoing hemodialysis. This study used a descriptive analytic and cross sectional approach involving 75 respondents and the FACIT-G Questionnaire was used to collect the data. The inclusion criteria are male and female patients aged 18 -70, undergoing hemodialysis for more than 3 months with a frequency of 2 times at least 4 hours, composmentis patients. The adequacy hemodialysis was assessed using the Kt/V formula. All data were collec...

Annals of Tropical Medicine and Public Health

Background: Intradialytic complications are commonly experienced in hemodialysis patients. Haemod... more Background: Intradialytic complications are commonly experienced in hemodialysis patients. Haemodialysis patients usually gain weight between two dialysis time (interdialytic weight gain=IDWG). Patients who experience an increase in IDWG are associated with the incidence of intradialytic complications, such as hypotension, muscle cramps, hypertension, chest pain, headache, fever, nausea and vomiting. Objectives: To analyze the correlation between intradialytic complications and IDWG. Methods: This study used an observational analysis method with a cross-sectional design. Sample were recruited by using simple random sampling as and there were 56 samples on inclusion criteria. Data were analysed using Pearson product moment with significance level α≤0.05. Research ethics was obtained from Margono Soekarjo Hospital Results : The results showed that highest IDWG is 6.58% and the lowest is 0.62%, Complications most experienced intradialytic hypertension (85.7%), followed by muscle cramps (55.4%), nausea (51.8%), headache (46.4%), chest pain (12.5%), fever (8.9%) and hypotension (5.4 %).There was correlation between interdialytic weight gain (IDWG) and intradialysis complications (p=0.00 and r=0.443). Conclusion: It concluded that there was correlation between IDWG and intradialytic complications in patients undergoing a hemodialysis treatment at RSUD Prof. Dr Margono Soekarjo Purwokerto.