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Studi Komparatif Pemberian Susu Formula dan ASI Ekslusif Terhadap Kejadian ISPA Bayi Umur 0-6 Bulan Narmawan, Narmawan; Pangestika, Yuni Widya; Tahiruddin, Tahiruddin
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/nursing.v7i2.3129

Abstract

Acute respiratory infections (ARI) are a disease that can cause death in infants in developing countries including Indonesia. Exclusive breastfeeding and formula milk and environment are factors that influence the incidence of ARI. This study aims for determine differences in infants aged 0-6 months in Lameuru public health center. The study uses a comparative descriptive method with a retrospective study approach. Until in this study were all infants aged 0-6 months. The total sample of 116 babies. The data used are secondary data take from medical records using observation sheets. Data analysis using chi square test. The results of this study showed that babies who were given formula milk experienced more ARI namely 30,2% while babies who did not experience ARI were given 34,5% exclusive breast milk. There is a difference between formula feeding and exclusive breastfeeding for the incidence of ARI p= 0,003 (p<0,005). It was concluded that there was difference between formula feeding and exclusive breastfeeding for the incidence of ARI in infants aged 0-6 months at the Lameuru public health center. It is recommended for nursing mothers to continue breastfeeding with exclusive breast milk to their babies until the age of 6 months.
Pengaruh Senam Prolanis Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi di Wilayah Pesisir Puskesmas Soropia Inriani Inriani; Narmawan Narmawan; Ellyani Abadi
Health Information : Jurnal Penelitian Vol 13 No 1 (2021): Januari-Juni
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v13i1.232

Abstract

Hipertensi atau tekanan darah tinggi adalah suatu peningkatan abnormal tekanan darah dalam pembuluh darah arteri. Prolanis merupakan program pemerintah yang ditujukan kepada penderita penyakit kronis seperti hipertensi agar mampu mengontrol tekanan darahnya. Penelitian ini bertujuan untuk mengetahui pengaruh senam prolanis terhadap penurunan tekanan darah pada penderita hipertensi di Wilayah Pesisir Puskesmas Soropia. Penelitian menggunakan metode Pre experimental dengan one group pre-test post-test. Populasi dalam penelitian ini adalah seluruh pasien hipertensi yang mengikuti senam Prolanis berjumlah 30 orang dengan jumlah sampel 30 orang yang dimabil secara Total Sampling. Variabel penelitian bebas penelitian adalah senam prolanis dan variabel terikat adalah tekanan darah. Analisis statistik menggunakan uji wilcoxon. Hasil penelitian menunjukkan bahwa pretest diperoleh rata-rata tekanan darah sistole adalah 160.10 mmHg dan diastole adalah 94.50 mmHg dan posttest rata-ratatekanan darah sistole adalah 151.47 mmHg dan diastole adalah 87.07 mmHg. Analisis uji wilcoxon menunjukkan bahwa untuk tekanan darah sistol diperoleh nilai p 0.001 < 0.05 dan tekanan darah diastole diperoleh nilai p value 0.001 < 0.05. Simpulan bahwa terdapat pengaruh senam Prolanis terhadap penurunan tekanan darah pada penderita hipertensi di wilayah pesisir Puskesmas Soropia
Letter to Editor : Perawatan Kaki Diabetes Merupakan Langkah Utama Untuk Mencegah Luka Kaki Diabetes Narmawan Narmawan
Jurnal Keperawatan Vol 3 No 01 (2019): JURNAL KEPERAWATAN : JURNAL PENELITIAN DISIPLIN ILMU KEPERAWATAN
Publisher : STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.915 KB) | DOI: 10.46233/jk.v3i01.27

Abstract

Kematian oleh karena diabetes secara global di tahun 2016 sekitar 1,6 juta 1. Studi menunjukkan prevalensi Diabetes Melitus (DM) tipe 2 lebih banyak (8,5%) dan DM tipe 1 (7,6%) 2. Kaki diabetes merupakan bagian komplikasi kronik DM tipe 2 yang cukup berbahaya dengan gejala khas neuropati, iskemia dan infeksi 3–5. Diperkirakan 15% pasien diabetes memiliki kaki diabetes 6. Komplikasi kaki merupakan komplikasi yang berbahaya sebab berpotensi untuk hilangnya anggota badan atau amputasi 7–9. Kejadian amputasi secara global diperkirakan ada setiap 30 detik 10. Kasus diabetes di Indonesia berdasarkan Laporan dari RSCM tahun 2011 bahwa komplikasi neuropati berada diurutan tertinggi yaitu 54% 11,12. Studi sebelumnya komplikasi utama DM di Indonesia neuropati menunjukkan persentase tertinggi (13%-78%) disusul komplikasi mikrovaskuler (16%-53%) dan luka kaki diabetes (7,3%-24%) 13. Munculnya luka kaki disertai infeksi akan meningkatkan kemungkinan amputasi ektremitas 14. Kematian oleh karena amputasi ektremitas bagian bawah diperkirakan 1,5 juta 15. Kejadian ulserasi kaki diawali dengan gejala neuropati perifer yang merupakan tanda khas dari kaki diabetik. Untuk mendeteksi hal ini diperlukan pendidikan terhadap deteksi dini kaki berisiko dengan tujuan untuk mencegah ulserasi kaki dan amputasi 4,16–18. Hal lain yang terpenting terkait untuk meminimalkan komplikasi luka kaki adalah melalui perawatan kaki 4,19,20. Perawatan kaki utama dapat dilakukan melalui periksa kaki setiap hari, cuci kaki dengan air hangat, gunakan alas kaki yang sesuai, potong kuku dengan lurus 21–23. Suatu studi pada penderita diabetes faktor risiko untuk luka 55,4% dan luka kaki sekitar 12% dengan pemicunya oleh karena pemeriksaan kaki setiap hari dan penggunaan sepatu 24. Berdasarkan standar nasional untuk manajemen diri penderita diabetes dapat dilakukan melalui perawatan kaki untuk mencegah komplikasi kronik 25. Sehingga penting bagi penderita diabetes untuk melakukan perawatan kaki secara rutin.
HUBUNGAN KUALITAS TIDUR TERHADAP KADAR GLUKOSA DARAH PASIEN DIABETES MELLITUS TIPE 2 Lispin Lispin; Tahiruddin Tahiruddin; Narmawan Narmawan
Jurnal Keperawatan Vol 4 No 03 (2021): JURNAL KEPERAWATAN : JURNAL PENELITIAN DISIPLIN ILMU KEPERAWATAN
Publisher : STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46233/jk.v4i03.410

Abstract

Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia due to abnormal insulin secretion, insulin action, or both. Type 2 DM can not be cured, but can be controlled by controlling blood glucose. People with type 2 diabetes experience clinical and psychological symptoms that cause sleep disorders. The occurrence of sleep disorders will have an impact on increasing the frequency of awakening and difficulty falling asleep again. This sleep dissatisfaction ultimately results in a decrease in sleep quality. The purpose of this study was to determine the relationship of sleep quality on blood glucose levels of type II diabetes mellitus patients in Kendari City Hospital. The design of this study was cross sectional study design. The study was conducted from 15 to 30 October 2019. The population of this study were all patients with type II DM who were treated at the Kendari City Hospital in January-June 2019 with a total of 67 people with a total sample of 41 people taken by simple random sampling technique. The inclusion criteria in this study were patients treated at Kendari City Hospital and patients suffering from Type II DM. The results of this study showed that the majority of respondents had poor sleep quality of 25 people (61.0%), the majority of respondents were normal blood sugar levels of 21 people (51.2%) and there was a relationship between sleep quality and blood glucose levels in Kendari City Hospital with a value of p = 0,011 < 0,05. The conclusion of the study is the relationship between sleep quality and blood glucose levels in the Kendari City Hospital. Suggestions from related parties to increase knowledge and skills about the quality of sleep and care of DM patients so that they can provide professional services to patients, especially DM patients in Kendari City Hospital
Pandangan Suku Mornene Terhadap Asi Ekslusif Di Desa Balo Kecamatan Kabaena Timur Kabupaten Bombana Wirahmi Yulfitrah; Muhaimin Saranani; Narmawan Narmawan
Jurnal Keperawatan Vol 4 No 02 (2020): JURNAL KEPERAWATAN : JURNAL PENELITIAN DISIPLIN ILMU KEPERAWATAN
Publisher : STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46233/jk.v4i02.439

Abstract

Air Susu Ibu (ASI) adalah makanan terbaik bagi bayi sampai usia 6 bulan. World Health Organisation (WHO) mengeluarkan rekomendasi tentang pemberian ASI Ekslusif (bayi hanya diberikan ASI tanpa cairan atau makanan lain, kecuali suplemen vitamin, mineral dan atau obat-obatan untuk keperluan medis) sampai bayi barusia 6 bulan, dan dilanjutkan pemberian ASI sampai dua tahun pertama kehidupan. Desain penelitian ini adalah kualitatif dengan pendekatan fenomenologi. Sampel dalam penelitian adalah 7 orang partisipan ibu menyusui yang ada di Desa Balo. Hasil penelitian gambaran pengetahuan ibu menyusui tentang ASI Ekslusif pada suku Mornene di Desa Balo Kecamatan Kabaaena Timur Kabupaten Bombana. Menunjukan 2 tema yaitu pengetahuan tentang ASI Ekslusif dan pengetahuan tentang manfaat ASI Eklsusif, tema pengetahuan tentang ASI Eklslusif dengan 6 kategori yaitu ASI Ekslusif, Usia pemberian ASI Ekslusif, Hari keberapa mengandung kolustrum, kandungan kolustrum, dan kolustrum untuk apa, sedangkan tema pengetahuan tentang alasan menyusui ada 3 kategori yaitu pemberian kolustrum, yang terjadi jika bayi diberikan ASI dan Manfaat ASI bagi ibu. Hasil penelitian gambaran keyakinan dan kepercayaan tentang ASI Ekslusif pada suku mornene di Desa Balo Kecamatan Kabaena Timur Kabupaten Bombana. Menunjukan 2 tema yaitu tema Keyakinan tentang ASI EKslusif dan tema Keyakinan tentang Budaya tentang ASI Ekslusif. tema Keyakinan tentang ASI EKslusif ada 3 kategori yaitu manfaat menyusui bagi ibu, makanan pendamping ASI dan manfaat ASI bagi Bayi. Tema Keyakinan tentang Budaya tentang ASI Ekslusif Apakah ASI bertentangan dengan agama, apakah ASI bertentangan dengan Budaya dan makanan pantangan. Saran bagi pihak Desa Balo dapat meningkatkan pengetahuan tentang ASI Ekslusif ibu menyusui suku Mornene dengan melakukan penyuluhan tentang ASI EKslusif kepada ibu menyusui di desa Balo. Bagi ibu menyusui suku Mornene di desa Balo agar selalu menyusui bayi secara Eklusif dan juga memperhatikan makanan yang akan dimakan oleh ibu menyusui. Bagi peneliti selanjutnya, agar dapat melakukan penelitian kuantitatif sehingga dapat menganalisis secara statistisk faktor pengetahuan tentang ASI Ekslusif dan juga tentang perubahan perilaku menyusui pada suku pendatang yang tinggal didaerah tersebut .
Hubungan Pengalaman dan Lama Rawat dengan Kecemasan pada Anak yang Menjalani Hospitalisasi di Ruang Rawat Inap RS Benyamin Guluh Kolaka: Relationship between Experience and Length of Stay with Anxiety in Children Undergoing Hospitalization in the Inpatient Room at Benyamin Guluh Kolaka Hospital Reski Ika Patantan; I Wayan Romantika; Narmawan Narmawan; Amzal Mortin Andas
Jurnal Surya Medika (JSM) Vol. 8 No. 3 (2022): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v8i3.4520

Abstract

Hospitalization that occurs in children is an experience that interferes with children's lives which can also cause anxiety in children. Stress due to hospitalization will cause feelings of discomfort that can interfere with the treatment process. This study aims to determine the relationship between the treatment experience and the length of stay with anxiety in hospitalized children. This study used a cross-sectional study design with a total sample of 44 pediatric patients aged 3-6 years who were taken by purposive sampling. The research data were analyzed using Fisher's exact statistical test. The results showed no relationship between the treatment experience, p-value = 0.702, and the anxiety of children undergoing hospitalization. There is a relationship between the length of stay, p-value = 0.045, with anxiety in children undergoing hospitalization.
Pengembangan Instrumen Perilaku Berhenti Merokok: Model Theory of Planned Behavior Narmawan; Narmi
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 9 No 3 (2021): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.428 KB)

Abstract

Tembakau dalam rokok termasuk obat legal yang dapat menyebabkan kematian bagi yang mengonsumsinya.Sampai saat ini merokok dapat menyebapkan berbagai komplikasi yang berdampak pada kesehatan sepertikanker dan penyakit jantung. Teori perilaku seperti halnya TPB (Theory of Planned Behavior) merupakan salahsatu teori keperawatan berbasis perilaku yang memungkinkan terjadinya perubahan perilaku untukmeminimalkan dampak dari merokok. Dan sampai saat ini belum ada instrumen terstandar yang mengukurperilaku merokok seseorang aplikasi dari TPB. Oleh krena itu, studi ini akan mengembangkan instrumenperilaku merokok model TPB. Penelitian ini merupakan penelitian non eksperimen secara cross sectionalmelalui uji validitas dan reliabilitas yang dilakukan dalam 4 tahap : review literature, pengembangan instrumen,Content Validity Indeks dan Internal consistency reliability. Uji reliabilitas dilakukan pada 93 resonden yangdiambil secara accidental sampling dengan kriteria pria perokok usia 15 s.d 60 tahun, tidak ada riwayatpenyakit kerena rokok, bersedia menjadi partisipan serta mampu membaca dan menulis. Analisis Internalconsistency reliability melalui nilai Cronbach’s Alpha. Hasil penelitian bahwa sebanyak 40 item instrumenyang telah dikembangkan, dengan rata-rata nilai I-CVI dari 4 orang pakar adalah 0.75-1.0. Sedangkan nilaiCronbach’s Alpha rata-rata mencapai 0.870. Instrumen perilaku merokok yang mengukur komponen TPB yangtelah dikembangkan adalah valid dan reliabel.
Perbedaan Tanda Vital Sebagai Respon Kecemasan Pada Pasien Preoperatif Irwanto; Narmawan; Indriastuti, Diah
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 1 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (774.611 KB)

Abstract

Preoperative patients who will undergo the first surgery will feel anxious which results in the body'sresponse in the form of increased blood pressure, pulse and breathing. If it's excessive, the work of the heartincluding in body's oxygen requirements will increase. This study aims to determine the differences in vitalsigns as an anxiety response in preoperative patients. This study is a comparative descriptive study of 44preoperative patients. Subjects were withdrawn from the population by accidental sampling, then measuredblood pressure, pulse and breathing twice, the day before surgery, and five minutes before anesthesia.Wilcoxom test results show the value of ρ <α (ρ <0.05) which means there are differences in blood pressure(Sistol-Diastole), pulse frequency, and respiration before surgery and five minutes before anesthesia.Theconclusion that there are differences in vital signs in preoperative patients as an anxiety response to the daybefore surgery and five minutes before anesthesia.Recommendations need to increase awareness,understanding, insight related quality of nursing care in applying nursing care and education of thepsychological patient's preoperative.
Hubungan Pola Asuh Orang Tua dan Sosial Kultural dengan Kejadian Diare pada Balita (0-5 Tahun) Nuridayanti; Narmawan; Risnawati
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 1 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.733 KB)

Abstract

Diarrhea is endemic as a disease which causes death on infants. Bad child parenting and socio cultural tend to bepredisposition factor causes diarrhea. This study aims to obtain the correlation between child parenting, sociocultural, and the occurrence of diarrhea. This study aims to determine the relationship between parenting parentsand socio-cultural with the incidence of diarrhea in infants. This study is a descriptive analysis cross sectionalapproach. Sample 71 toddlers using purposive sampling technique with criteria for mothers of toddlers aged 0-5years who visited in the UPTD and were willing to become respondents. The data were obtained using a parentingquestionnaire and socio-cultural validity and reliability, the data analyzed using the chi-square test. The results ofthe analysis of the for parenting parents with the incidence of diarrhea p value =0,000 and socio-cultural with theincidence of diarrhea p value= 0,000 which means there is a relationship between parenting parents and socioculural with the incidence of diarrhea. The conclusion is that there is a significant relationship between parentingand socio-cultural parenting with the incidence of diarrhea in infants. Good parenting and culture from parents cansupport health for children under five.
Factors Associated With the Incidence of Hypertension on Elderly In Kandai Public Health Center, Kendari Muhammad Ilham; Narmawan Narmawan; Tahiruddin Tahiruddin
KLASICS Vol 1 No 1 (2021): KLASICS : Kendari Journal of Maritime and Holistic Nursing
Publisher : LPPM STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (900.434 KB) | DOI: 10.46233/klasics.v1i1.469

Abstract

Abstract. Hypertension is a circulatory system disorder that causes an increase in blood pressure above normal. The tendency of people to live a dynamic lifestyle, consume instant food, consume high-fat food, smoke, and consume alcoholic beverages is very influential on health. This study aimed to determine the factors associated with the incidence of hypertension in the elderly at the Kandai Health Center in Kendari. The design used in this study was a descriptive-analytic study with a cross-sectional design. This study was carried out at the Kandai Health Center in Kendari for 47 respondents taken by accidental sampling. Analysis of the data used in this research was Chi-Square Test analysis. The results showed there was an association between smoking habits and the incidence of hypertension in the elderly (p = 0.011 <0.05), there was an association between salt consumption and the incidence of hypertension in the elderly (p = 0.014 <0.05) and there was an association between alcohol consumption and the incidence of hypertension in the elderly ( p = 0.020 <from α = 0.05). Conclusions in this study are smoking habits, salt consumption and alcohol consumption associated with the incidence of elderly hypertension. Suggestions in this study are for the parties of the Kandai Health Center, Kendari to improve services to the elderly through posbindu so that they can be controlled from non-communicable diseases suffered by the elderly.