Jurnal Keperawatan dan Kesehatan

ANALISIS MANAJEMEN PELATIHAN DI RUMAH SAKIT

Fairuz Zahra Ikhsan — 2024-10-30

Training management is crucial to ensure that the training process runs smoothly and meets both organizational and employee goals. At Hermina Hospital Bogor, 22.5% of employees have not met the minimum required training hours. The training process faces challenges, including limited space, incomplete attendance, and scheduling issues. This study aimed to analyze the gaps in training at Hermina Hospital Bogor, using both quantitative and qualitative methods from March to May 2023. Qualitative data were gathered through interviews with three key informants, selected via purposive sampling, and observations of the training process. Quantitative data were obtained from implementation surveys and pre-post tests for the Isolation Awareness training, involving 31 participants. Qualitative analysis used content analysis, while the Wilcoxon test was applied for quantitative data. The training process includes needs assessment, planning, implementation, and evaluation. Training needs are identified through gap analysis, covering issues raised in morning meetings, unit evaluation results, and proposals from stakeholders, competencies performance gaps. Implementation challenges include rescheduling and participant absence. Online training faces additional barriers, such as a lack of computers and poor internet connectivity. Improvements in training management can be achieved by developing training facilities, enhancing online tools and e-learning modules, and increasing participant involvement through the Documentation System application.

AKTIVITAS FISIK DAN PENINGKATAN BASAL METABOLISME RATE PADA PASIEN DIABETES MELITUS

Dini Anggita — 2024-10-30

Diabetes mellitus basically occurs due to insulin intolerance which causes high blood glucose and if not controlled can cause complications and even death. One of the efforts to overcome Diabetes Mellitus is to change lifestyle by increasing physical activity. This study aimed to determine the relationship between physical activity and an increase in basal metabolic rate in diabetes mellitus patients in the working area of UPT Puskesmas Perumnas 2. This research was quantitative research with cross-sectional. Using the Pearson correlation test. Basal Metabolism Rate is measured using formula provisions and physical activity scores using the GPAQ questionnaire sheet. with a total of 100 respondents obtained using a purposive sampling technique. The research results showed Hypothesis testing uses the Pearson correlation statistical test with a p-value of 0.000 which was less than <0.05, so it can be concluded that Ho is rejected, meaning that there is a relationship between physical activity and an increase in basal metabolic rate in diabetes mellitus patients. This research shows that there is a relationship between physical activity and an increase in basal metabolic rate in diabetes mellitus patients in the working area of the UPT Puskesmas Perumnas 2.

PENGETAHUAN REMAJA PUTRI TENTANG KANKER PAYUDARA

Arilia Usianti — 2024-10-30

The most common cancer case in Indonesia is breast cancer, with 58,256 cases or 16.7% of the total 348,809 cancer cases. Lack of education about breast cancer since adolescence to prevent breast cancer is one of the factors causing the high incidence of breast cancer. This study aimed to determine the knowledge of teenage girls about breast cancer at SMP Negeri 02 Mandor. This research employs a descriptive-quantitative design. The sample is determined using the stratified random sampling method followed by a simple random sampling method with a total of 116 respondents. Data collection was conducted by a questionnaire divided into respondent characteristics and knowledge about breast cancer. The data analysis technique involves frequency distribution and percentage. The univariate analysis results indicated that the majority of respondents were 13 years old, numbering 52 individuals (44,8%), there were 59 individuals (50,9%) in grade 8,63 individuals (54,3%) had never received information about breast cancer, and 116 individuals (100%) had no family history of breast cancer. There were 65 individuals (56,0%) with a poor knowledge category.

AKTIVITAS FISIK DAN PERUBAHAN SIKLUS MENSTRUASI

Mutiara Suryani Eduarna — 2024-10-30

The menstrual cycle is one aspect of assessing female reproductive function, changes in the menstrual cycle can occur in women in their 20s due to irregular ovulation phases, changes in the menstrual cycle are influenced by several factors, one of which is physical activity. Physical activity of Nursing Study Program students at Tanjungpura University Pontianak varies from studying in class, laboratory, clinical practice in hospitals, other activities such as exercising. The purpose of this study was to determine the correlation between physical activity and changes in the menstrual cycle. This study is a quantitative study with a cross sectional approach on 100 respondents with total sampling technique, and data collection using IPAQ questionnaire and menstrual cycle questionnaire. Data analysis used frequency distribution and chi-square test. Physical activity of female students was mostly in the high category as many as 76 respondents (76.0%) of 100 respondents, the menstrual cycle of female students was mostly irregular as many as 80 respondents (80.0%) of 100 respondents. The results of the chi-square test showed that there was no correlation between physical activity and changes in the menstrual cycle in nursing students of Tanjungpura University Pontianak, with a p-value of 0.292 (p-value> 0.05), the correlation coefficient was positive with a value of 0.105. There is no correlation between physical activity and changes in the menstrual cycle of nursing students of Tanjungpura University Pontianak.

TINGKAT PENGETAHUAN SISWA TENTANG TINDAKAN PERTOLONGAN PERTAMA PADA KECELAKAAN

Abang Muhammad Hafidz Rachmadiwansyah — 2024-10-30

Emergency situations require immediate action, as indicated by data from the 2018 Basic Health Research (Riskesdas) showing a significant increase in injury rates in Indonesia, including West Kalimantan. Injuries are most common among individuals aged 15-24, with various types such as abrasions, cuts, sprains, and fractures. This research aimed to investigate students' knowledge of first aid measures at Mujahidin High School in Pontianak, with the hope of improving their understanding and preparedness in handling accidents in the school environment effectively. This study used a quantitative descriptive-analytic method with stratified random sampling, involving 245 students from grades X and XI. Data were collected through a questionnaire about first aid actions. The results showed that 47% of respondents had adequate first aid knowledge, 46% had good knowledge, and 7% had poor knowledge. In conclusion, the majority of students at SMA Mujahidin Pontianak have adequate knowledge of first aid.

GAMBARAN PERILAKU CUCI TANGAN DAN PENGGUNAAN APD PERAWAT TENTANG RISIKO PENYEBARAN INFEKSI NASOKOMIAL

Ceria Permata Sari — 2024-10-30

Abstract

Background: Hospital is one of the health services demanded according to standards by the community. But hospitals also have a high risk of infection, both due to treatment and medication. Of the many health workers, nurses are one who plays a role in the quality of service. In improving quality, nurses' behavior needs to be considered as a form of hospital prevention against infection. Measures that can prevent infection by washing hands and using PPE properly. Objective: Knowing the description of hand washing behavior and the use of nurses' personal protective equipment about the risk of spreading nasocomial infections. Method: Descriptive research using quantitative descriptive methods with total sampling techniques and using univariate test analysis. The subjects of this study were 67 respondents. Data collection was carried out by observation method regarding hand washing behavior and the use of nurses' personal protective equipment in hospitals.Results: The results of the study of 59 respondents studied found that 30 nurses behaved obediently (50.8%) while nurses who did not comply with the moment of hand washing amounted to 29 people (49.2%). With respondents who had a handwashing step behavior adhering to six steps amounted to 31 people (52.5%), while nurses who did not comply with six steps of hand washing amounted to 28 people (47.5%). While respondents who had compliant behavior in the use of PPE amounted to 34 people (57.6%), while nurses who did not comply in the use of PPE amounted to 25 people (42.4%). Conclusion: Inpatient nurses in hospitals have the majority of behaviors that comply with hand washing and the use of PPE (personal protective equipment)

Keyword: Personal Protective Equipment; Hand Washing; Nasocomial Infection; Behavior

Abstrak

Latar Belakang : Pelayanan kesehatan yang diberikan oleh rumah sakit harus mematuhi standar yang diharapkan oleh Masyarakat.. Namun fasilitas kesehatan tersebut juga memiliki resiko tinggi terhadap infeksi, baik karena perawatan maupun pengobatan. Dari banyaknya petugas kesehatan, perawat ialah salah satu yang berperan dalam mutu pelayanan. Dalam meningkatkan mutu, perilaku perawat perlu diperhatikan sebagai bentuk dari pencegahan rumah sakit terhadap infeksi. Tindakan yang dapat mencegah terjadinya infeksi dengan cuci tangan serta penggunaan APD dengan benar. Tujuan : Mengetahui Gambaran Perilaku Cuci Tangan dan Penggunaan Alat pelindung diri Perawat Tentang Risiko Penyebaran Infeksi Nasokomial. Metode : Studi deskriptif dilakukan dengan metode deskriptif kuantitatif, teknik total sampling, serta analisis uji univariat pada 67 responden. Pengambilan data dilakukan dengan metode observasi mengenai perilaku cuci tangan dan penggunaan Alat pelindung diri perawat di Rumah sakit.Hasil : Hasil penelitian dari 59 responden yang diteliti didapatkan 30 orang perawat berperilaku patuh (50.8%) sedangkan perawat yang tidak patuh terhadap momen cuci tangan berjumlah 29 orang (49.2%). Dengan responden yang memiliki perilaku langkah cuci tangan patuh terhadap enam langkah berjumlah 31 orang (52.5%), sedangkan perawat yang tidak patuh terhadap enam langkah cuci tangan berjumlah 28 orang (47.5%). Sedangkan responden yang memiliki perilaku patuh dalam penggunaan APD berjumlah 34 orang (57.6%), sedangkan perawat yang tidak patuh dalam penggunaan APD berjumlah 25 orang (42.4%). Kesimpulan : Perawat rawat inap yang ada di Rumah Sakit memiliki perilaku mayoritas patuh terhadap cuci tangan maupun penggunaan APD (alat pelindung diri)

Kata kunci: Alat Pelindung Diri; Cuci Tangan;Infeksi Nasokomial;Perilaku;

TERAPI INHALASI SEDERHANA MENGGUNAKAN MINYAK KAYU PUTIH PADA PASIEN ISPA

Heltty Heltty — 2024-10-30

ARIs is an infectious disease of the upper or lower respiratory tract that can cause a variety of illnesses ranging from mild infections to severe, life-threatening illnesses, depending on the causative pathogen. Deaths due to ARIs were 10 to 50 times more common in developing countries than in developed countries. The aim of this research was to find out whether simple inhalation therapy using eucalyptus oil can prevent acute respiratory infections. In this research, researchers used descriptive methods. The descriptive method is a method for describing the current situation of objects and based on phenomena and as it is without manipulation and the researcher analyzes the phenomenon. This research used a case study method and carries out a series of one group pretest-posttest designs. The results showed differences before and after administering simple inhalation therapy using eucalyptus oil and there were significant differences in people's understanding and knowledge regarding acute respiratory infections after carrying out the pre-test and post-test. The conclusion of this study was that giving simple inhalation therapy using eucalyptus oil can prevent symptoms of acute respiratory infections.

ACTIVITY OF DAILY LIVING DAN KUALITAS HIDUP PASIEN PASCA STROKE ISKEMIK

Mather Mather — 2024-10-30

Ischemic stroke, also referred to as non-hemorrhagic stroke, results in the death of brain tissue due to impaired blood flow, primarily caused by blockages in the cerebral or cervical arteries and, less commonly, in the cerebral veins. This condition profoundly affects various aspects of an individual's life, including physical, emotional, psychological, cognitive, and social well-being. Following a stroke, many individuals experience reduced independence and mobility, which significantly detracts from their quality of life. Often, they face self-care deficits and require assistance to gradually regain the ability to perform activities of daily living (ADL) independently. This study aims to elucidate the strong relationship between ADL independence and the quality of life of post-ischemic stroke patients at Abdul Aziz Hospital in Singkawang City. Employing an analytic observational design with a cross-sectional approach, the research involved a sample of 60 respondents selected from the Neurology Polyclinic at RSUD dr. Abdul Aziz through purposive sampling. Data analysis was conducted using the Spearman Rank test with a 95% confidence level. The results indicate a significant relationship between ADL independence and the quality of life of these patients, as demonstrated by a p-value of 0.000 (p < α) and a correlation strength of 0.514, categorized as moderate (0.40 – 0.599). These findings highlight that the level of independence in activities of daily living is intrinsically linked to the quality of life for post-ischemic stroke patients.

EVALUASI FAKTOR YANG BERHUBUNGAN DENGAN HIPERTENSI PADA LANSIA

Agus Citra Darmawan — 2024-10-30

Knowing what factors influence the incidence of hypertension in the elderly is a very important effort. This observational analytical research with a cross-sectional approach aims to determine the relationship between age, gender, family history, smoking habits, exercise habits, coffee drinking habits, excessive salt consumption, type A personality, obesity, stress levels and identify the most important factors. dominantly influences the incidence of hypertension in the elderly. The research subjects were 91 respondents. Hypertension was categorized using JCN, obesity using BMI, stress using the Holmes scale and personality type using the Rosenman Scale. Interview guidelines were used to collect data on age, gender, family history, smoking habits, exercise habits, coffee drinking habits, excessive salt consumption, personality type, obesity, and stress levels. Factors that influence hypertension in the elderly include; age, family history, obesity and stress. Age in this study is the factor that has (OR=53.94) the most influence on the incidence of hypertension in the elderly.

KENDALIKAN TEKANAN DARAH PADA LANSIA DENGAN TERAPI KOMPLEMENTER

Dewi Nur Sukma Purqoti — 2024-10-30

Non-Communicable Diseases (NCDs) often referred to as NCDs have become a considerable public health problem in Indonesia, this is marked by a shift in epidemiological disease patterns from infectious diseases to NCDs which globally continues to increase, one of which is hypertension. The purpose of this study is to determine the effect of complementary therapy on lowering blood pressure in the elderly with hypertension. This research method is pre-experimental with a one-group pre-post test design. The population in this study is 152 people with a sample of 18 respondents, Sampling with non-probability sampling techniques, The instrument that will be used in this study is a data processing questionnaire using the wilcoxon test. The results showed that the Sig (2-tailed) value for systolic blood pressure before and after the administration of complementary therapy was 0.000 < 0.05 its means that Ha is accepted and Ho is rejected. In conclusion, there is an effect of providing complementary therapy on reducing blood pressure in the elderly with hypertension

KECEMASAN PADA PASIEN DENGAN LUKA KAKI DIABETIK

Hanafi Hanafi — 2024-10-30

The prevalence of diabetes continues to increase from year to year in 2021. There were 90 million cases and 5.5% are predicted to have diabetic foot ulcers, and it is predicted that it will increase by 68% in 2045 with 152 million patients. This study was conducted to determine whether there was a relationship between duration of diabetes and age on the level of anxiety in patients with diabetic foot ulcers at the Kitamura clinic in Pontianak. This type of research is descriptive analytic with a cross sectional approach. The sample used in this study were 60 respondents with diabetic foot ulcers who received treatment at the Kitamura Pancasila Pontianak Clinic, the instruments used in this study were the Anxiety Inventory (S-AI) Form questionnaire to measure anxiety levels and observation sheets for respondent demographic data. The results of the Spearman Ranks test obtained with the results of significance (2-tailed) or p value = 0.005 there is a relationship between the length of time suffering from DM with anxiety levels in diabetic foot ulcers patients and there is no relationship between age and anxiety levels in diabetic foot ulcers patients with p-value 0.064. Conclusion, there was no relationship between age and anxiety level and there was a relationship between duration of DM and anxiety level in patients with DM.

INVESTIGASI KADAR HEMOGLOBIN PASIEN CANCER PAYUDARA PRE DAN POST KEMOTERAPI

Angela Dwi Pitri — 2024-10-30

Anemia refers to a decrease in serum hemoglobin concentration to pathological levels where hemoglobin level in women is <12 g/dl and in men <14 g/dl. More than 40% of cancer patients undergoing chemotherapy are subjected to anemia. As chemotherapy drugs are unable to distinguish between normal and neoplastic cells, their destructive nature results in a reduced number of red blood cells through the hemolysis process. The principles of chemotherapy are required to maintain a number of normal cells to avoid unintended side effects. This study aimed to investigate the hemoglobin levels before and after chemotherapy. The method of this study was qualitative, using a case study approach. The study sample consisted of three individuals, and the hemoglobin levels were assessed using the EasyTouch hemoglobinometer. The data were processed using Colaizzi’s analysis method: reading, meaning formulation, and theming. The results of this study were presented in three themes: (1) anemia occurred due to oxidative stress, (2) a decrease in the number of red blood cells caused by lysis; and (3) PRC transfusion as a way to overcome anemia. It can be concluded that a decrease in the number of red blood cells is inevitable. Therefore, patients are advised to get sufficient rest, increase their intake of nutritious food, and consume iron vitamins.

OBAT KUMUR EKSTRAK ETANOL KULIT BATANG KAYU MANIS (CINNAMOMUM VERUM J.PRESL) SEBAGAI PENGHAMBATAN PERTUMBUHAN BAKTERI STREPTOCOCCUS MUTANS

Dani Yatul Umayah — 2024-10-30

Bad breath is caused by volatile sulfur compounds (VSCs) produced by the anaerobic bacteria Streptococcus mutans through the decomposition of food waste. This problem can be overcome with antibacterial mouthwash. Cinnamon contains essential oils, phenols, flavonoids, saponins and terpenoids, which have antibacterial properties. This study aimed to formulate a mouthwash from ethanol extract of cinnamon and evaluate its physical properties, stability, and inhibitory power against Streptococcus mutans using the Kirby-Bauer method. This research was experimental by making mouthwash using cinnamon extract with concentrations of 10% (FI), 12.5% (FII), and 15% (FIII). The results of the research showed that the mouthwash preparations were brick red in color with different intensities, all preparations were homogeneous, had a pH according to standards except for FII and all preparations did not meet the required viscosity values. The stability test showed that the preparation was stable in storage except for the viscosity parameter FIII. The results of the antibacterial activity test showed that the inhibitory power of FI, FII, FIII against Streptococcus mutans bacteria was 7.33 mm, 8.50 mm, 9.33 mm respectively. The inhibitory power of FII and FIII was better than the positive control, namely total care-antibacterial mouthwash (8.33 mm).

POLA KONSUMSI DAN STATUS NUTRISI PADA REMAJA

Nirmala K.S — 2024-10-30

Various health problems in adolescents are related to meeting balanced nutritional needs. For both boys and girls, nutritional problems that often occur in other teenagers include underweight, overweight/obesity, and anemia. This study identified the food consumption patterns of male and female students and their nutritional status using a cross-sectional design. The sample calculation used total sampling and obtained 33 students. The collection technique is carried out using the convenience method. The instrument used was the Student Consumption Patterns questionnaire and the data was analyzed using chi-square. The research results showed that 57.6% had poor consumption patterns. A nutritional monitoring program for adolescents is needed which includes maintaining nutritional status, consumption patterns and risk factors related to nutrition. Persuasive health education is needed by utilizing electronic media which is currently widely accessed, especially by teenagers.

PENGETAHUAN DAN PERILAKU TENTANG PEMELIHARAAN KESEHATAN GIGI MULUT

Mutiara Permata Bunda — 2024-10-30

Dental problems are a problem that is very prone to be obtained for children especially during their growth period. Oral health maintenance must be carried out early on at elementary school age considering that oral and dental diseases are ranked in the top ten most common diseases and are spread in various regions. Based on the phenomenon obtained at MI Ma'arif NU Karang Turi, there are 3 students who often experience oral health problems such as mouth ulcers, cavities and bleeding gums. Meanwhile, the other 2 students did not experience oral health problems which could result in disrupted activities and learning at school. The purpose of this study was to determine the level of knowledge and behavior about oral health maintenance in fifth grade students of MI Ma'arif NU Karang Turi. The instrument in this study was a knowledge and behavior level questionnaire. This research method uses quantitative research design. The sample in this study were 35 students. The sampling technique in this study used total sampling. The results of the description of the level of knowledge and behavior show that as many as 18 respondents with a percentage (51.4%) have a good level of knowledge. While as many as 19 with a percentage of respondents (54.3%) had poor behavior. Recommendations that can be given in this study are to make a consistent schedule or routine, for example after finishing dinner, then brush your teeth before bed.

INTENSITAS PENGGUNAAN MEDIA SOSIAL DAN PERSEPSI REMAJA TENTANG CITRA TUBUH IDEAL

Laely Alfiani Roudhatul Khasanah — 2024-10-30

The intensity of social media (Instagram) usage is how long and how often someone accesses it. The duration of accessing Instagram often triggers perceptions about ideal body image in society. The purpose of this study to analyze the effect of the intensity of Instagram social media usage on adolescents' perceptions about ideal body image at SMA Negeri 4 Purwokerto. The research method used is a non-experimental quantitative research type with a cross-sectional approach. The sample consisted of 124 students. The research instruments included a questionnaire that measured the intensity of Instagram usage using a scale adapted from previous researchers and the perception of ideal body image using the Multidimensional Body Self-Relations Questionnaire (MBSRQ) measuring instrument. The test results using SPSS version 25, the characteristics of the respondents were mostly female (72.6%), the intensity of Instagram usage and adolescents' perceptions about body image were in the moderate category, 73.4% and 60.5%, respectively. The results of the Spearman rank test showed a p value of 0.004 (<0.05) so that H1 was accepted and H2 was rejected. Thus, there is an influence between the intensity of Instagram use and ideal body image with a significance value of 0.004 <0.05, so it can be concluded that the two variables are correlated with a correlation coefficient value of 0.259, which means that the level of relationship between the two variables is in a very weak relationship.

EKSTRAK JAHE DAN KOMBINASI EKSTRAK JAHE DENGAN NERVE GLIDING EXERCISE UNTUK MENURUNKAN NYERI PERGELANGAN TANGAN

Prit Fiastiningrum — 2024-10-30

Wrist pain is a condition where an individual experiences discomfort in the wrist, which both traumatic and non-traumatic factors can cause. Non-traumatic wrist pain often results from inflammation in the tissues around the carpal tunnel, leading to its narrowing. This condition is commonly seen in activities that involve prolonged and repetitive hand movements, such as in batik artisans. This study aimed to determine the effect of ginger extract and the combination of ginger extract with nerve gliding exercise on wrist pain in batik artisans in Papringan Village, Banyumas. This study employed a pre-experimental design with a two-group pretest-posttest approach. The population consisted of batik artisans in Papringan Village, with a sample size of 20 individuals selected using a total sampling technique. Data analysis included both univariate and bivariate analyses. The study found a significant effect of ginger extract and the combination of ginger extract with nerve gliding exercise on reducing wrist pain. Wrist pain experienced a reduction and had a substantial effect, as evidenced by a high correlation coefficient.

BERSUCI DAN BERIBADAH SHALAT BAGI PASIEN LUKA BAKAR

Fathul Khair — 2024-11-09

This study aims to examine procedures for purifying and performing prayers for patients with severe burns, who often have physical limitations so they cannot perform worship using conventional methods. Using a qualitative descriptive approach with content analysis techniques and library research, this research provided a guidance for patients with severe burns in worship. The research results show three main points: first, the condition of patients with severe burns occurs as an emergency or near emergency, where patients are not advised to come into contact with air or make many movements. Second, patients in this condition are allowed to replace ablution with tayammum as a way of purifying themselves. Third, considering their physical limitations, patients are allowed to pray with adapted movements, for example praying in a sitting, lying position, or whatever is possible. This research is important to ensure that patients with severe burns can still carry out their worship according to Islamic regulations, even in limited physical conditions.