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Suarni, Lisa
Politeknik Kesehatan Tanjung Karang
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Faktor yang Berpengaruh pada Perilaku Seksual Remaja di Perkotaan dan Pedesaan Suarni, Lisa; Fitarina, Fitarina; Aliyanto, Warjidin
Jurnal Kesehatan Vol 11, No 3 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i3.2345

Abstract

The effect of free sex on reproductive health is very real, namely the transmission of sexually transmitted infections (STIs) with all its consequences, a pregnancy outside of marriage and consequently an increase in the incidence of abortion, the psychological pressure to depression. It can be seen that the increasing incidence of STIs, abortion, and depression rates in society is increasing. The research objective was to determine the factors related to Adolescent Sexual Behavior in North Lampung. This study used an explanatory research design with a cross-sectional approach. A sample of 500 people, with a proportion of 250 samples from urban and 250 rural adolescents. The variables related to adolescent sexual behavior in rural areas were the variable of religiosity with a p-value of 0,00, knowledge with a p-value of 0,00, sexual attitudes with a p-value of 0,00, sexual activity with a p-value of 0.06, social support. with a p-value of 0,00 and in urban areas the related variables were self-esteem with a p-value of 0,10, religiosity with a p-value of 0,00, social activity with a p-value of 0,12, health service attitudes with a p-value 0,00, sexual attitude with a p-value of 0,00, sexual activity with a p-value of 0,00, self-confidence with a p-value of 0,24. Multivariate analysis found that the most dominant factor associated with sexual behavior is sexual attitudes with an OR=28,748. Religiosity, sexual activity, sexual attitudes affect sexual behavior in rural and urban areas. Sexual attitudes are the most dominant factor affecting adolescent sexual behavior in rural and urban areas.
Pengembangan Telehealth “SIPISPeKa” sebagai Solusi Mensukseskan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) Aliyanto, Warjidin; Suarni, Lisa; Sono, Sono; Hajar, Alex Iskandar
Jurnal Kesehatan Vol 12, No 1 (2021): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v12i1.2553

Abstract

There is a phenomenon in Indonesia that shows that the use of telehealth is not optimal in hypertension management in Indonesian health services which has an impact on cost efficiency both for the government and patients in the community. Based on this, researchers are interested in researching the use of telehealth in PISPK-based homecare services in health services in Indonesia. The purpose of this study was to assess the quality of Telehealth Applications in the Program Indonesia Sehat Pendekatan Keluarga (PISPK). The research design was the development of a telehealth prototype named SIPISPeKa which was by the needs of the Community Health centers in providing health services for families in the category of troubled families in the PISPK assessment. Research respondents are families with the unhealthy category in the Healthy Family Index in Tanjung Aman Village, Kotabumi Selatan District was 147 respondents. Processing and data analysis in this study using univariate analysis using frequency distribution. SIPISPeKa as a telehealth/telehealth media is declared worthy of being assessed from 4 aspects of assessment, namely: telehealth media principles, governance, web-based communication media, and relevance to the PISPK program. Assessors' comments and suggestions for SIPISPeKa include the need to improve the SIPISPeKa application to make it friendlier, easier to use and more able to replace the presence of health workers in families with low IKS scores.
Efektifitas Smartbook Perawatan Paska Seksio bagi Kualitas Pelayanan Keperawatan Lisa Suarni; Fitarina Fitarina; Sono Sono
Jurnal Kesehatan Vol 9, No 2 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.856 KB) | DOI: 10.26630/jk.v9i2.902

Abstract

There are 5 highest causes of maternal mortality which include bleeding, hypertension in pregnancy, infection, prolonged labor, and abortion. One of the prevention and management efforts is to provide immediate and efficient help through hospital services (Ministry of Health, 2014). This research has aims to find the quality of nursing services on patients after cesarean surgery using the SmartBook. Methods: This is Quasi-Experiment that provides treatment with the SmartBook for 4 days in the hospital and assessed nursing services quality. Samples were taken using accidental and random sampling (20 for the intervention group and 21 for the control group). Data was collected using observation sheet and questionnaire, then analyzed with a t-test. Result: There are four variables of nursing service quality (p-value<0.05) indicating significant difference: patient safety, self-care, anxiety, and knowledge of discharge planning, while 2 others (comfort and satisfaction) are not (p-value>0.05). Application of the SmartBook for women following cesarean surgery improves nursing service quality. We suggest further research on nurse and midwife perception about the use of the SmartBook as media of care, both about its use and how far can improve job satisfaction of nurse/midwife.
Efektifitas The 6 Steps Reasoning Diagnosis Method dan Intan,s Clinical Reasoning Model (ICRM) dalam Penentuan Standar Asuhan Keperawatan (SAK) pada Setting Keperawatan Maternitas Lisa Suarni
Jurnal Kesehatan Vol 8, No 3 (2017): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.469 KB) | DOI: 10.26630/jk.v8i3.539

Abstract

Nurses doing their task and function need to have a standard to be able to be controlled, to be paid, to be taught, to be applied, and to be a hospital legal decision, thus the arrangement of the standard should be adjusted according to patient and hospital condition. The nursing care standard arrangement with ISDA and ICRM approach will be tested in this study. This study aimed to identify nursing diagnosis with The 6 steps of diagnostic reasoning method, to identify NIC, NOC and to test effectivity of the arranged nursing care standard. Methods: Stage I: identify nursing diagnosis in the six most prevalent cases patients in the ward using the six steps. Stage II: according to the nursing diagnosis that has been identified researcher decides NIC choice using Intan’s Clinical Reasoning Model (ICRM), then selected NOC and NIC be tested its effectivity using t-test analysis. Stage I result shows that using the 6 steps of diagnostic reasoning method in section caesarean patients researcher identifies 13 diagnoses, 9 diagnoses in spontaneous birthing, 7 diagnoses in antepartum hemorrhage, 2 diagnoses in postpartum hemorrhage, 7 diagnoses in preeclampsia/ eclampsia, 4 diagnoses in early amniotic membrane rupture, 36 (94.4%) NOCs identification and 28 (93.3%) NICs are applicative. Meanwhile, on stage II which is to test the nursing care standard effectivity, 16 nursing care standard are effective with p-value<0.05.
Perbandingan Penyembuhan Ulkus Diabetik dengan Menggunakan Minyak Kelapa Murni, Madu, dan Produk Farmasi Lisa Suarni; Fitarina Fitarina
Jurnal Kesehatan Vol 10, No 2 (2019): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.143 KB) | DOI: 10.26630/jk.v10i2.1238

Abstract

The incidence rate of Diabetes in Indonesia is increasing every year. In as much as 8.7% of Diabetes sufferer, they suffer from diabetic ulcer, and 1,5% undergo body amputation. This condition reveals that the problem needs special attention to treatment. Some researches show benefit and effectivity of wound care with honey and virgin coconut oil (VCO) at some nursing clinics. Nurses and patients have a complaint on the high cost of pharmacy product for wound care available in the market. This research aims to compare 3 types of preparation for diabetic ulcer care. Those are VCO, honey, and pharmacy product, which the last is for group control. This research uses experimental quasi method to compare wound healing in 3 groups using 3 types of solution: honey, VCO, and pharmacy product. It involves samples, 11 respondents for VCO group, 10 respondents for the honey group, and 10 respondents for pharmacy product which serves as a control group. Analysis using dependent t-test proves that there is a score difference between wound care before and after treatment using all types of preparation. Analysis using independent t-test show that there is no difference in wound healing between using VCO and using pharmacy product, also, there is a difference among honey, VCO, and pharmacy product. This research recommends VCO preparation, which has benefit nearly equal to pharmacy product to be an alternative in wound care for rural residents with middle and lower-income.
RANCANG BANGUN SISTEM PAKAR PROSES PEMBELAJARAN KEPERAWATAN BERBASIS WEB Aristoteles Aristoteles; Lisa Suarni; Dwi Sakethi; Rico Andrian; Dedy Miswar; Rika Ningtias Azhari
Jurnal Teknoinfo Vol 17, No 1 (2023): Vol 17, No 1 (2023): JANUARI
Publisher : Universitas Teknokrat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33365/jti.v17i1.2166

Abstract

Proses pembelajaran keperawatan di Indonesia masih menganut sistem konvensional, yaitu pembelajaran melalui di kelas.  Kendala yang dihadapi adalah pembelajaran tidak sistematis dan terukur. Solusi yang diberikan pada penelitian ini adalah proses pembelajaran melalui aplikasi berbasis sistem pakar untuk mengukur kemampuan mahasiswa dalam menangani permasalah-permasalahan pada kasus ilmu keperawatan. Tujuan penelitian ini adalah membuat rancang bangun sistem pakar proses pembelajaran keperawatan dengan metode Forward Chaining pada 116 data gejala, 22 data diagnosa, 60 data intervensi, 8 data tipe dan 864 data uraian. Pengujian menggunakan black-box testing. Hasil penelitian adalah terbentuknya aplikasi sistem pakar yang diterapkan pada mahasiswa keperawatan Poltekkes Tanjung Karang dengan tingkat kepuasan “sangat baik”.
Faktor-faktor yang Berhubungan dengan Kinerja Perawat Pelaksana di Rumah Sakit Daerah HM Ryacudu Kotabumi Tahun 2011 Sono Sono; Lisa Suarni
Jurnal Kesehatan Metro Sai Wawai Vol 5, No 1 (2012): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkm.v5i1.1410

Abstract

Kinerja perawat merupakan unjuk kerja yang ditampilkan oleh setiap perawat saat memberikan layanan keperawatan kepada pasien baik langsung maupun tidak langsung. Penampilan hasil kerja tidak terbatas pada personel pemangku jabatan fungsional tetapi juga struktural. Rumah Sakit Daerah HM Ryacudu sebagai organisasi pelayanan kesehatan, wajib memberikan layanan terbaik bagi masyarakat, sehingga kepuasan pemakai jasa dapat terpenuhi dengan baik. Seringkali rumah sakit mendapat komplain masyarakat terkait dengan layanan yang diberikan. Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan kinerja perawat. Hipotesis dalam penelitian ini adalah ada hubungan antara persepsi, desain pekerjaan, sarana prasarana, kebijakan motivasi dan gaji dengan kinerja perawat pelaksana di RSD HM Ryacudu Kotabumi. Metode yang digunakan adalah deskriptif analitik dengan teknik pengambilan data cross sectional, dengan jumlah sampel sebanyak 110 perawat pelaksana. Hasil analisis secara bivariat, dengan menunjukkan bahwa desain pekerjaan, sarana dan prasarana, kebijakan, supervisi dan gaji berhubungan dengan kinerja. Penelitian ini peneliti memberikan rekomendasi agar pihak manajemen rumah sakit senantiasa memberikan perhatian yang lebih terutama pada aspek psikologis perawat dan aspek organisasi seperti, memberikan pekerjaan yang lebih variatif (rooling pegawai), kebijakan yang lebih akomodatif, gaji serta supervisi yang terprogram.
Pendampingan Masyarakat Dalam Upaya Berhenti Merokok (UBM) di Desa Sindang Sari dan Rejo Sari Kecamatan Kotabumi Tengah Lampung Utara Fitarina Fitarina; Lisa Suarni; Deni Metri; Warjidin Aliyanto; Pranajaya Pranajaya
Jurnal Pengabdian Kesehatan Beguai Jejama Vol 1, No 1 (2020): Jurnal Pengabdian Kesehatan Beguai Jejama Volume 1 Nomor 1 April 2020
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jpk.v1i1.19

Abstract

Riskesdas 2018 terdapat Kenaikan prevalensi penyakit tidak menular dan perilaku merokok pada remaja yakni dari 7,2 menjadi  9,1 %.  Hasil pendataan PIS PK tahun 2018 terdapat  masalah Kesehatan di Kabupaten Lampung Utarra  antara lain Tingginya angka penderita TB Paru yang berobat tidak sesuai standar (76,19%),  dan Tingginya angka perokok (67,5%), khusus untuk wilayah PKM Kotabumi I  63,2 % anggota keluarga merokok. Telah dilakukan intervensi kepada masyarakat di lingkungan (LK) 3 kelurahan Kotabumi Tengah, dan 3 orang di LK 2 Kelurahan Sindang Sari, menghasilkan komitmen warga untuk berupaya berhenti merokok, hanya 40% peserta diskusi/sarasehan yang berkomitmen untuk berhenti merokok. Kegiatan pengabdian masyarakat ini dimaksudkan untuk mengoptimalkan kelompok upaya berhenti merokok yang telah dirintis di LK 3 Kelurahan Rejosari dan LK 2 Kelurahan Sindang Sari serta membuat rintisan kelompok Upaya Berhenti Merokok. Pelaksanaan kegiatan Upaya berhenti merokok dengan tahapan kegiatan berupa Penyuluhan, Diskusi Kelompok FGD dan  Membangun Komitmen dengan masyarakat, Membentuk kelompok UBM, dan Tindak lanjut. Komitmen yang didapatkan dari kelompok perokok dan non perokok adalah Tidak menyediakan asbak rokok di rumah, Memasang stiker kawasan dilarang merokok di setiap rumah, Tidak menyediakan rokok pada acara-acara yasinan dan acara pertemuan-pertemuan lainnya, Tidak merokok dalam rumah, Berhenti merokok dimulai dari diri sendiri, Dukungan keluarga untuk berhenti merokok. Luaran yang didapat adalah  terbangunnya  peer group sekaligus pionir yang mampu menggerakkan dan memiliki daya tular yang positif UBM di Kabupaten Lampung Utara. Perlu dukungan dari tokoh agama karena kegiatan ini dilaksanakan bersamaan dengan kegiatan keagamaan dan Perlunya dukungan dari anggota keluarga kelompok merokok yang ingin berhenti berokok serta Peningkatan kapasitas tenaga kesehatan melalui pelatihan.
Telehealth “SIPISPeKa_G2” sebagai Tindak Lanjut Program Indonesia Sehat Berbasis Keluarga Suarni, Lisa; Aliyanto, Warjidin; Sono, Sono
Jurnal Kesehatan Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i2.3764

Abstract

Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) telah dimulai tahun 2015, yang diharapkan pencapaiannya tahun 2019. Program ini merupakan program pendataan indeks setiap keluarga dengan 12 indikator dan selanjutnya dilakukan intervensi bagi keluarga bermasalah sesuai dengan indikator permasalahannya. Persoalan yang muncul dari program ini adalah capaian pendataan yang masih kurang dari target dan adanya ketimpangan cakupan pendataan dan pemberian intervensi pada pelaksanaan PIS-PK mulai dari awal perencanaan hingga pelaksanaan. Oleh karenanya aplikasi Telehealth SIPISPeKa_G2 merupakan salah satu solusi untuk memperkecil ketimpangan tersebut. Aplikasi SIPISPeKa_G2 merupakan aplikasi berbasis android yang dirancang untuk pendataan indeks keluarga sehat (IKS) secara mandiri (Self Assesment) dan merupakan media komunikasi tindak lanjut terhadap permasalahan hasil pendataan bagi keluarga yang bermasalah. Desain penelitian adalah quasi eksperiman, uji coba SIPISPeKa_2. Pengambilan sampel dengan metode non probability sampling, sebagai kriteria inklusi adalah Keluarga dengan nilai IKS rendah, dan dapat mengoperasikan android, besar sampel 132. Analisis data untuk menilai kelayakan aplikasi telehealth dan dengan menggunakan T-Test Sampel Dependent. Hasil analisis univariat menyatakan bahwa SIPISPeKa_G2 layak digunakan, dan hasil analisis bivariat menunjukkan bahwa tidak ada perbedaan nilai IKS antara yang menggunakan SIPISPeKa_G2 dengan hasil survey langsung. Hal ini membuktikan bahwa SIPISPeKa_G2 dapat menjadi alternatif self assessment IKS dan sebagai media komunikasi untuk tindak lanjut intervensi bagi keluarga dengan IKS rendah.
Implementation of Minimum Antenatal Care Service Standards in North Lampung Regency Suarni, Lisa; Kodri, Kodri; Aliyanto, Warjidin; Primadila, Hasti; Wahyudi, Fajar Desma
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4440

Abstract

Maternal Mortality Rate (MMR) in North Lampung is high. Coverage of antenatal care visits in 2021 (88.7%) has yet to reach the target (100%), even though the number of midwives and integrated health post (Posyandu) services increases every year. The Minimum Service Standard report also indicates that the budget for maternal care services is around 17% of the total budget allocation. This study aims to provide an overview of the implementation of the 10 Antenatal Care (ANC) services in North Lampung. The research design employs a quantitative method with a documentation study using Maternal and Child Health (MCH) books and questionnaires to measure midwives' knowledge in North Lampung. The sample size was determined using the open-source calculator SSPropor (OpenEpi, version 3), resulting in 595 collected samples for this study. Data were analyzed using univariate and bivariate analyses. None (0%) of the pregnant women received all 10 ANC services. Almost all pregnant women (>90%) received blood pressure examinations, counseling, and referral services. Meanwhile, the ANC service received least frequently (<50%) was the provision of Iron and Folic Acid (IFA) tablets. There is a significant difference in the mean coverage based on the three clusters, and there is a weak relationship between Midwives' Knowledge and the implementation of 10 ANC services. Recommendations: There is a need for programs to comprehensively improve knowledge about ANC standards among health workers and volunteers. Discipline in recording needs to be enhanced. Further qualitative studies are required to gain a broader perspective.
Co-Authors Aliyanto, Warjidin Andrian, Rico Aristoteles, Aristoteles Dedy Miswar Deni Metri Dwi Sakethi Dwi Sakethi, Dwi Fitarina Fitarina Fitarina Fitarina, Fitarina Hajar, Alex Iskandar Irawati, Anie Rose Kodri Kodri, Kodri Kusuma, Abie Perdana Mei Ahyanti Nurkhoiriyah, Yustin Pranajaya Pranajaya Primadila, Hasti R. Pranajaya Rika Ningtias Azhari Sono Sono Sono Sono Sono Sono Sono, Sono Wahyudi, Fajar Desma Warjidin Aliyanto Warjidin Aliyanto