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Related Factors To End Of Life Care By Nurse In Intensive Care Unit Tahir, Rusna; Mediani, Henny Suzana; Emaliyawati, Etika; S, Iqra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1395.518 KB) | DOI: 10.30604/jika.v6iS1.768

Abstract

Backgorund :The mortality rate of patients who were admitted in the intensive care unit has been increased. Therefore, end of life care is needed. Goals of end of life care is to helpthe patients would die with dignity and to help the familycould receive bereavement. End of life care is related with internal and external factors.Aims :This study aims to analyze the factors that related to end of life care.Methods :Thisstudy was a quantitative research withanalytic-correlation design. The samples were 62 critical care nurse, which obtained by total sampling. This study was conducted in ICU of Kendari Hospital Southeast Sulawesi. Data collection used questionnaire thenanalyzed with bivariate throughSpearman’s Rho and multivariate through logistic regresion.Results :The implementation of end of life care in ICU of Kendari Hospitalwas optimal (74%, median = 55), which was related to several factors such as knowledge (p = 0,000), moral distress (p = 0,002), patient and family characteristics = 0.009), organizational structure and culture (p = 0,000). Knowledge was the most related factor in improving the quality of end of life care (OR = 45,542) with probality 97%.Conclusion :Optimalization of end of life care is related with the personal (internal) of the nurse factors, patient and family, and organizational structure and culture. Implication :Related factors to end of life care will enrich the thought that delivered nursing care, nurse need to align knowledge with professionalism, leaving the pressures and dilemmas due to moral stress, as well foster a deep understanding of the nature of spirituality and culture sensitivity when accompanying dying patients, grows awareness that the best preferences of critical patient care are onesbenefit the patients and familys.
Pelaksanaan Asuhan Keperawatan di Ruang  Isolasi COVID-19:  Kajian Mixed Methode Muhsinah, Sitti; Rini, Dewi Sartiya; Tahir, Rusna
Health Information : Jurnal Penelitian Vol 15 No 2 (2023): Mei-Agustus
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v15i2.1001

Abstract

Perawat adalah garda terdepan dalam penanganan COVID-19. Melaksanakan asuhan keperawatan kepada pasien COVID-19 di ruang isolasi merupakan suatu tantangan bagi perawat. Tujuan penelitian ini adalah menganalisis pelaksanaan asuhan keperawatan pada pasien COVID-19 di ruang isolasi RSUD Kota Kendari. Studi ini menggunakan pendekatan mixed methode, desain concurrent triangulation dengan jumlah 17 partisipan yang bertugas di ruang Isolasi COVID-19. Pelaksanaan pengkajian memiliki skor terendah yaitu 57,5 dengan indeks 67.6 %, penegakan diagnosa keperawatan memiliki skor 74 dengan indeks 87,1 %, rencana keperawatan memiliki skor 75 dengan indeks 88,2 %, skor implementasi 72,5 dengan indeks 85,3 %, dan evaluasi keperawatan dengan skor 75 dan indeks 88,2 %. Terdapat perbedaan signifikan antara skor pelaksanaan pengkajian dengan umur (p= 0,034) dan jabatan perawat (p=0,009). Dalam penelitian ini diperoleh 9 tema yaitu pengkajian keperawatan tidak maksimal, pengkajian fokus pada keluhan, diagnosa keperawatan sama dengan yang direkam medis, diagnosa utama, intervensi kolaborasi, intervensi berkesinambungan, implementasi kurang kooperatif, implementasi kurang maksimal dan evaluasi keperawatan berkesinambungan.
Aplikasi e-PTM sebagai Media Skrining Faktor Risiko Penyakit Tidak Menular Pada Remaja Misbah, Sitti Rachmi; Tahir, Rusna; Sulupadang, Prishilla
Health Information : Jurnal Penelitian Vol 15 No 3 (2023): September-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v15i3.1143

Abstract

Penyakit Tidak Menular (PTM) adalah salah satu masalah kesehatan dari 8 jenis masalah  kesehatan yang dialami oleh remaja,  dan ada empat penyakit yang utama yaitu penyakit kardiovaskuler, kanker, diabetes dan penyakit pernafasan kronis yang menjadi penyebab 70 % kematian terbanyak di Indonesia. Penyebab utama PTM pada remaja adalah pola hidup yang tidak sehat, yaitu konsumsi makanan yang tidak seimbang, tidak beraktivitas fisik, merokok, dan mengonsumsi alkohol.Tujuan penelitian ini adalah sebagai upaya pencegahan dan pengendalian penyakit tidak menular pada remaja dengan skrining menggunakan aplikasi e-PTM. Metode penelitian ini berupa penelitian Research and Development, dengan mengembangkan  aplikasi e-PTM sebagai aplikasi untuk skrining PTM pada remaja. Hasil penelitian berupa aplikasi e-PTM telah diuji cobakan pada 30 remaja di Desa Poni Poniki Kecamatan Motui Kabupaten Konawe Utara. Skrining dapat dilakukan oleh remaja secara mandiri dengan mengakses website menggunakan computer, tablet atau smartphone. Keseluruhan hasil skrining dapat terlihat pada sistem aplikasi e-PTM yang hanya dapat diakses oleh admin dalam hal ini peneliti, keseluruhan data hasil skrining tersedia dalam bentuk PDF dan excel dan ditampilkan dalam bentuk grafik.  Kesimpulan bahwa remaja dapat melakukan skrining secara mandiri dan mengetahui hasil apakah berisiko atau tidak beriso terhadap penyakit tidak menular.
Pelatihan Penggunaan 3S (SDKI, SLKI, SIKI) dalam Asuhan Keperawatan di Puskesmas Motui Muhsinah, Sitti; Rini, Dewi Sartiya; Tahir, Rusna
Jurnal Inovasi, Pemberdayaan dan Pengabdian Masyarakat Vol 5 No 1 (2025): Januari-Juni
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/jippm.v5i1.1315

Abstract

Proses keperawatan adalah metode yang sistematis dalam memberikan asuhan keperawatan yang berfokus pada induvidu, keluarga dan masyarakat. Pemberian asuhan keperawatan harus terdokumentasi dengan baik. Persatuan Perawat Nasional Indonesia (PPNI) telah menerbitkan secara resmi Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI) dan Standar Intervensi Keperawatan Indonesia (SIKI). Buku 3S (SDKI, SLKI dan SIKI) dapat digunakan oleh perawat di Puskesmas dalam menjalankan tugasnya. Kegiatan ini bertujuan untuk meningkatkan pengetahuan perawat tentang 3S (SDKI, SLKI dan SIKI) melalui sosialisasi pelatihan. Metode yang digunakan dalam kegiatan yaitu pre dan post test tanpa kelompok kontrol. Teknik pengambilan sampling dengan total sampling 20 perawat. Instrumen yang digunakan menggunakan kuisioner tingkat pengetahuan tentang 3S (SDKI, SLKI, SIKI). Hasil kegiatan ini didapatkan pengetahuan perawat sebelum pelatihan dengan pengetahuan kurang 35 %, pengetahuan cukup 60 %, dan pengetahuan baik 5 %. Setelah pelatihan pengetahuan perawat meningkat menjadi baik (100%).
dukasi dan Skrining Resiko Penularan TB Paru pada Anak di wilayah Pesisir: Edukasi dan Skrining Resiko Penularan TB Paru pada Anak di wilayah Pesisir Rini, Dewi Sartiya; Tahir, Rusna; Sulupadang, Prishilla
Jurnal Inovasi, Pemberdayaan dan Pengabdian Masyarakat Vol 5 No 1 (2025): Januari-Juni
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/jippm.v5i1.1638

Abstract

Salah satu penyebab penularan TB pada anak juga disebabkan karena keterlambatan diagnostik dan juga kesulitan mendiagnosis TB. Melakukan skrining pada anak yang mempunyai kontak dengan TB Paru penting sebagai deteksi awal infeksi TB Anak. Oleh karena itu, kegiatan pengabdian masyarakat ini bertujuan melakukan edukasi dan skrining risiko penularan TB pada anak di wilayah pesisir. Kegiatan ini melibatkan aparat desa, puskesmas dan anggota masyarakat yang sedang menjalani atau terdeteksi positif TB paru. Dari hasil evaluasi kegiatan diketahui bahwa rerata terjadi peningkatan tingkat pengetahuan tentang TB paru  (80%) dan ditemukan 7 orang peserta berisiko tinggi menularkan TB pada anak dari 25 orang peserta pengabdian masyarakat. Diharapkan instrument skrining ini dapat digunakan oleh tenaga kesehatan di puskesmas dalam melakukan deteksi dini risiko penularan TB paru pada anak yang serumah dengan penderita atau riwayat TB paru.
A SCREENING OF KNOWLEDGE AND EDUCATION ON THE SIGNS AND SYMPTOMS OF CARDIAC ARREST AMONG THE GENERAL PUBLIC IN COASTAL AREAS: SKRINING PENGETAHUAN SERTA EDUKASI TANDA DAN GEJALA HENTI JANTUNG PADA MASYARAKAT AWAM DI WILAYAH PESISIR Sulupadang, Prishilla; Tahir, Rusna; Rini, Dewi Sartiya
Jurnal Inovasi, Pemberdayaan dan Pengabdian Masyarakat Vol 5 No 2 (2025): Juli-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/jippm.v5i2.1716

Abstract

Background: Most cardiac arrests occur outside of hospitals. Cardiac arrest occurs when the heart suddenly and unexpectedly stops pumping, and hypertension is one of the causes. It is essential to have sufficient knowledge about the various adverse effects that can be caused by hypertension, often referred to as the “silent killer” because it often does not show symptoms but can have serious consequences if not managed properly, one of which is the risk of sudden cardiac arrest. The purpose of this knowledge screening is to [FW1] increase public awareness of the signs and symptoms of cardiac arrest as a preventive measure and to improve the quality of life of the community. The methods used include effective communication through pre- and post-knowledge screening, as well as education through counseling [FW2] [FW3] and demonstrations. The results of the knowledge screening from 25 respondents showed that the pre-test knowledge of the Bajo Indah village community regarding the signs and symptoms of cardiac arrest was still insufficient, with 16 respondents (64%) scoring below average. However, after receiving education, the post-test scores showed an increase in knowledge, with 22 respondents (88%) scoring above average. Conclusion: The implementation of this activity was able to increase the knowledge of the public in Bajo Indah Village regarding the signs and symptoms of cardiac arrest, which will serve as the basis for preventive efforts against cardiac arrest and improve the quality of life of the community.
Kombinasi Relaksasi Otot Progresif dan Latihan Autogenik terhadap Kecemasan Keluarga Pasien yang Menjalani Perawatan Intensif: Penelitian Kuasi Eksperimen dengan Kelompok Terkontrol Tahir, Rusna; Sartiya Rini, Dewi; Muhsinah, Sitti; Iqra S, Iqra S
Health Information : Jurnal Penelitian Vol 14 No 1 (2022): Januari-Juni
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v14i1.481

Abstract

Patients undergoing intensive care can be perceived by their accompanying families as a condition of helplessness and life threatening, thus providing an anxious psychological response for the family. Progressive muscle training and autogenic relaxation as complementary therapies in previous studies can be used to help reduce anxiety. This study aims to determine the effect of a combination of progressive muscle training and autogenic relaxation on family anxiety, with a quasi-experimental design, pre-test and post-test with the control group. The instrument to measure family anxiety was using the STAI (State Trait Anxiety Inventory) questionnaire. The total sample was 60 respondents who were determined based on the non-probability sampling technique with the consecutive sampling method. There were 30 respondents in each intervention group and control group. The results showed that the combination of progressive muscle training and autogenic relaxation had an effect on decreasing family anxiety, and statistically the difference between the average anxiety in the intervention group and the control group was 14.5 with a P value of 0.000. Further research is needed to determine the standard of complementary therapy in combination with progressive muscle training and autogenic relaxation.
Related Factors, Causes and Stress Respons of Hypertension Patients in Coastal Communities: Mixed Method Atoy, Lena; Tahir, Rusna; Rini, Dewi Sartiya; Pertami, Sumirah Budi
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.3060

Abstract

Hypertension is a non-communicable disease (NCD) that is now a health problem that is difficult to control in number and is the cause of high mortality and morbidity rates globally. In addition to the prevalence of events that are increasing over time, hypertension is also known to be dangerous because it is a risk for other chronic diseases such as heart disease and stoke disease. This study aims to analyze the incidence and related factors of hypertension in coastal communities in Motui District, North Konawe Regency, Southeast Sulawesi Province. The research design uses a mix of quantitative and qualitative methods. Quantitative methods use cross-sectional while quantitative methods by determining themes. The sample in the study was 60 people with hypertension. Sampling technique with non probability sampling with consecutive sampling method. The results showed that 44 people (73.3%) experienced severe stress and 16 people (26.7%) experienced moderate stress. Some factors that cause stressful events are gender (p = 0.002), and occupation (p = 0.000). The cause of stress experienced is due to the heavy workload, economic difficulties and personal problems. While the response of hypertension patients who experience stress is anger, anxiety and pressure and crying. The conclusion of this study is that people with hypertension experience severe stress caused by workload, economic and personal problems.
Edukasi Metode Peer Group tentang HIV/AIDS terhadap Pengetahuan dan Perilaku Seksual Remaja Sartiya Rini, Dewi; Muhsinah, Sitti; Tahir, Rusna
JURNAL KESEHATAN PRIMER Vol 7 No 2 (2022): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v7i2.849

Abstract

Background: Several big cities in Indonesia stated that almost 50% of teenagers had premarital sex. And what is most astonishing is the widespread circulation of sex videos of teenagers wearing school uniforms on the internet. This phenomenon is motivated by the nature of adolescents who tend to want to try all things that are new and challenging. The high presentation of risky behaviour by adolescents needs to be a serious concern for all groups, considering that the transmission of HIV AIDS occurs mainly through sexual intercourse. This study was to see the effect of peer group education on HIV/AIDS on the knowledge and sexual behaviour of adolescents at SMAN 10 Kendari. Methods: This study used a quasi-experimental design with a pre-post test with a control group approach with 60 respondents. Results: There was a significant difference between the mean knowledge scores of the control and intervention groups before and after the intervention with p-value = 0.006, and adolescent sexual behaviour also showed effective results with p-value = 0.046. Conclusion: The peer education method affects knowledge and sexual behaviour, so this method can be used to educate adolescents so that the flow of information delivery is better.