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Quality of Life and Associated Factors in Indonesian Diabetic Patients with Foot Ulcers Sari, Yunita; Purnawan, Iwan; Taufik, Agis; Sumeru, Annas
Nurse Media Journal of Nursing Vol 8, No 1 (2018): (JUNE 2018)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.511 KB) | DOI: 10.14710/nmjn.v8i1.16815

Abstract

Background: Diabetic foot ulcer will cause a reduction in quality of life (QOL), high care burden, and even mortality. An assessment of QOL and associated factors in patients with diabetic foot ulcer is important to provide evidence for establishing a care plan program for such patients. However, up to the present, there is no evidence of a published study that investigates the QOL and its associated factors in patients with diabetic foot ulcer in Indonesia.Purpose: The purpose of this study was to investigate the QOL in patients with diabetic foot ulcer in each domain and investigate the factors associated with this condition.Methods: The design of this study was a cross-sectional study. The total sample for this study was 55 patients. The QOL data were collected using a Diabetic Foot Ulcer Scale questionnaire. Statistical analyses were conducted using Mann-Whitney U-test and Kruskal-Wallis test.Results: The result showed that the QOL in the domains of emotions, positive compliance, family life, and friend were high, while the QOL in the domains of daily activities, physical health, leisure, finances, positive attitude, and treatment ranged from low to average. Significant differences were found between income (p=0.004), grade of the wound (p=0.047), number of wounds (p=0.029), and blood glucose (p=0.013) with QOL of patients. Other variables did not have a significant relationship with QOL, but marital status had a significant correlation with the domain of leisure (p=0.004) and duration of the ulcer had a significant correlation with the domain of emotions (p=0.001)Conclusion: There is a correlation between income, grade of the wound, the number of wounds, and blood glucose with QOL of patients with a diabetic foot ulcer. This study recommends to take into account economic status, grade and number of wound, and blood glucose level in order to improve the QOL of patients for an effective patient care plan.
THE USE OF SELF-MONITORING URINE CHART (PURI) IN OLDER ADULTS TO PREVENT DEHYDRATION: A LITERATURE REVIEW Sumeru, Annas; Mustikasari, Dian
Journal of Bionursing Vol 2, No 1 (2020)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (343.349 KB) | DOI: 10.20884/bion.v2i1.38

Abstract

Introduction: adequate daily water intake help reduce dehydration. The most vulnerable age group from dehydration are newborn and older adults. One and most easy to use by the older adults in detecting hydration status is using urine colour chart. The colour of the urine in the chart describes the different condition of body fluid.Objective: This study purposes to review some works of literature on the use of Self Urine Assessment (PURI) on older adults to Prevent Dehydration.Method:  Journal article search was using multiple electronic databases as Pubmed, Google Scholar, and Science Direct from 2015 to 2019. Keyword used were ?self-monitoring hydration?, ?urine colour assessment?, and ?older adults? to obtain four articles for review.Results: The previous study shows that the usual clinical hydration diagnostic measurement can?t be used to detect dehydration accurately.Discussion: Self-monitoring hydration by using the urine chart still be the fastest, cheap yet fast to help older adults monitoring hydration status.
PENGARUH STRATEGI KOPING TERHADAP TINGKAT KECEMASAN MAHASISWA NERS DI ERA PANDEMI COVID-19 Sumeru, Annas; Mulyaningrat, Wahyudi
Jurnal Perawat Indonesia Vol. 6 No. 2 (2022): August 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.887 KB) | DOI: 10.32584/jpi.v6i2.1489

Abstract

Mahasiswa profesi ners jurusan keperawatan Unsoed dihadapkan pada situasi yang dilematis yaitu apabila pembelajaran sepenuhnya secara daring maka tidak mendapatkan keterampilan klinik, namun dengan praktik di rumah sakit memiliki risiko terpapar Covid-19. Ketidakpastian di masa pandemi menyebabkan kecemasan termasuk bagi mahasiwa profesi ners. Studi tentang strategi koping dan kecemasan diperlukan untuk mengetahui bagaimana gambaran dan hubungan kedua variabel tersebut pada mahasiswa profesi ners. Melalui penelitian ini dengan desain penelitian explanatory mixed method  maka diketahui data kuantitatif, selanjutnya dari data kuantitatif yang diperoleh dilakukan dilanjutkan dengan pengumpulan data kualitatif didapatkan pemahaman yang mendalam. Hasil pada penelitian ini menunjukkan tidak ada hubungan dari kedua variabel dengan nilai α > 0,05. Berdasarkan uji kualitatif diperoleh lima buah tema yaitu: 1) Profesi ners sebagai kesempatan belajar dan mendapatkan pengalaman klinik, 2) Ketidakpastian merupakan hal yang meningkatkan kecemasan, 3) Motivasi diri dan support system (teman dan keluarga) yang baik menurunkan kecemasan, 4) APD dan protokol kesehatan selalu melindungi diri dari Covid-19, dan 5) Penularan Covid-19 pada perawat terjadi di luar rumah sakit. Keputusan dalam menurunkan mahasiswa profesi ners ke lahan praktik perlu persiapan yang matang dan kejelasan karena hal tersebut paling dirasakan oleh mahasiswa berimplikasi terhadap meningkatnya kecemasan. Dukungan support sysyem yang baik juga perlu baik dari dalam diri mahasiswa maupun lingkungan termasuk pembimbing klinik dan akademik. Key words : coping strategy, anxiety, nursing student, Covid-19
Deteksi Dini dan Pencegahan Kerusakan Ginjal Melalui Pemeriksaan Tekanan Darah dan Glukosa Darah Secara Rutin Pada Kader Kesehatan Purwokerto Sumeru, Annas; Sari, Yunita; Anam, Akhyarul
Jurnal of Community Health Development Vol 2 No 2 (2021): Journal Of Community Health Development terbitan bulan Juli 2021
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (733.224 KB) | DOI: 10.20884/1.jchd.2021.2.2.3370

Abstract

Kidney disease is a disease that is feared by many people because the kidneys fail to function to remove metabolic waste. There are 15 health cadres in Sokanegara sub-district, some of which are new cadres who are being trained to replace the old cadres. Through this science and technology application program, it is hoped that health cadres will gain knowledge and skills about early detection and efforts to prevent kidney failure. This science and technology application program is carried out through needs-based health education through extension methods, discussions, and demonstrations on preventing kidney damage. Extension activities increase the knowledge of health posyandu cadres, the knowledge score is measured before and after the provision of education, the average pre-test score for the knowledge of health cadres obtained is 63.3, while the average post-test score for the knowledge of health cadres is 82. The results of the paired t test analysis showed that the value (p = 0.00). The results of the analysis indicate that there is a significant relationship or difference between the scores of knowledge scores of health cadres in Sokanegara sub-district, East Purwokerto sub-district on the understanding of early detection and prevention of kidney failure before and after education. The PKM program for implementing science and technology has been running smoothly and has produced services in the form of providing counseling by experts in the health sector on early detection and prevention of kidney failure, modules, and published texts.
UPAYA PENCEGAHAN PENULARAN COVID-19 DI PESANTREN BAITUL QURAN KARANGSALAM KIDUL KABUPATEN BANYUMAS MELALUI PEMBENTUKAN KADER SANTRI Isworo, Atyanti; Sari, Yunita; Anam, Akhyarul; Sumeru, Annas
Jurnal of Community Health Development Vol 3 No 1 (2022): Journal Of Community Health Development terbitan bulan Januari 2022
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (714.674 KB) | DOI: 10.20884/1.jchd.2022.3.1.4799

Abstract

Penanganan pandemi covid-19 ini, salah satunya adalah penerapan protokol kesehatan seperti penggunaan masker, cuci tangan dengan sabun dan jaga jarak. Protokol kesehatan ini diterapkan di semua lini masyarakat, termasuk pula di pondok pesantren. Pola kehidupan pondok pesantren yang sifatnya komunal dan berkerumun, memiliki potensi dalam penularan Covid-19. Melemahnya penerapan protokol kesehatan Covid-19 di Pondok Pesantren dapat meningkatkan potensi penyebaran Covid-19, seperti penggunaan masker yang tidak benar, tidak menjaga jarak, tidak cuci tangan dengan sabun, dan lainnya. Untuk itu perlu dilakukan upaya untuk mengedukasi santri supaya tetap patuh pada protokol kesehatan Covid-19. Sebagai bentuk salah satu tri dharma perguruan tinggi, dilakukan kegiatan pengabdian kepada masyarakat seperti melatih kader santri tanggap Covid-19 dan memasang media visual terkait upaya pencegahan Covid-19 di lingkungan pondok pesantren. Sebagai target / tujuan dari kegiatan ini adalah santri di Pesantren Baitul Quran, Desa Karangsalam Kidul, Kecamatan Kedungbanteng, Kab. Banyumas. Kegiatan pengabdian ini sesuai dengan visi UNSOED, “diakui dunia sebagai pusat pengembangan sumber daya perdesaan dan kearifan lokal”, dimana pesantren juga merupakan salah satu wujud kearifan lokal. Metode pelatihan kader santri ini dengan diskusi dan role-play. Hasil menunjukkan terjadi peningkatan pengetahuan dan ketrampilan dari kader santri tentang covid-19. Lebih lanjut, tim pengabdi juga menghasilkan video dan poster tentang covid-19.
Cegah Skabies dengan Peran Kader Kesehatan Santri di Pondok Pesantren Baitul Quran Karangsalam Kidul Anam, Akhyarul; Sari, Yunita; Sumeru, Annas; Pratama, Koernia Nanda; Choiruna, Hasby Pri
Darma Sabha Cendekia Vol 5 No 1 (2023): Darma Sabha Cendekia: Juni 2023
Publisher : Jurusan Ilmu Ekonomi dan Studi Pembangunan | Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32424/dsc.v5i1.9414

Abstract

Skabies banyak ditemukan di penghunian kontak interpersonal seperti asrama atau pesantren. Aktivitas santri yang berada di lingkungan yang sama dan kepadatan penghuninya berdampak pada tingkat kebersihan dan kesehatan diri yang kurang diperhatikan. Kontak antar santri baik secara langsung maupun tidak langsung memiliki resiko penularan yang cukup tinggi. Pencegahan penularan skabies harus diatasi secara total meliputi aspek santri, lingkungan, dan juga pengasuh. Solusi yang dapat dilakukan antara lain pelatihan kader kesehatan santri dari sebayanya
Factors Associated with Post-Non Hemorrhagic Stroke Depression: a cross-sectional study Putri, Nirmala Rumaja; Upoyo, Arif Setyo; Sumeru, Annas
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.17945

Abstract

Background: Post-stroke patient depression can result in delays in stroke recovery and healing. The degree of severity of stroke will cause neurological deficits which can become stressors that will affect individual coping mechanisms.Objective: This research aims to analyze factors associated with non-hemorrhagic post-stroke depression.Methods: Analytical observational with a cross-sectional approach. The research was conducted at the Neurology Clinic of RSUD dr. R. Goeteng Taroenadibrata Purbalingga. The population is 435 post-stroke non-hemorrhagic patients. The sample is 104 respondents with the sampling technique used consecutive sampling. The instruments used were the Brief COPE, NIHSS, and PHQ-9. Bivariate analysis used the Kendall-Tau correlation test.Results: The majority of respondents were elderly, male, primary school education level/equivalent, married, live with husband/wife and children, left hemisphere lesion location, had stroke duration 2 years, did not experience recurrent strokes, hypertension, had problem-focused coping and mild stroke severity with varying degrees of depression. Age, gender, marital status, living together, location of the lesion, duration of stroke, stroke frequency, comorbidities and coping mechanisms were not significantly related (p0.05) while education level and stroke severity was significantly associated with post-stroke depression (p0,05).Conclusions: There is a significant relationship between education level and severity of stroke with post-stroke depression. Nurses can also motivate patients to always take medication regularly, increase patient knowledge about stroke and depression, or implement non-pharmacological therapy such as Range of Motion (ROM) so that they can help reduce the severity of a stroke and prevent or reduce the occurrence of depression after non-hemorrhagic stroke.
Hubungan Pembelajaran Daring terhadap Keluhan Musculoskeletal Disorders (MSDs) pada Mahasiswa Keperawatan Nursiam, Putri Sallamah; Sumeru, Annas; Alvian, Galih Noor
Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.5.2.2022.157-168

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Introduction: The implementation of online learning cannot be separated from the use of electronic devices (mobile phones, tablets or laptops) and internet connections. The duration and position of the student body during online learning are often not ergonomic, so there is a risk of Musculoskeletal Disorders (MSDs) complaints.The study to measure the effect of online learning to MSDs’ complaints yet performed, specifically in nursing. This study aims to analyze the relationship between the duration and body position of using a laptop/smartphone during online learning at Nursing Department in Unsoed. Methods: This research is a quantitative research with a cross sectional design. Subject was selected by using probability sampling technique with stratified random sampling of 129 respondents. The instrument used was a questionnaire on body position using a laptop, body position using a smartphone, and perceived MSDs complaints which were modifications of a similar research. Data was analyzed by somers’d test.Results: The results found there are significant relation between the duration of using a laptop/smartphone during online learning to MSDs complaints (p=0,001), body position using laptop during online learning to MSDs complaints (p=0,000), and body position using smartphone when online learning to MSDs complaints. (p=0,005).Discussion: There are significant relation between duration, body position using laptops, body position using smartphones with MSDs complaints at Nursing Department in Unsoed.
Factors Associated with Post-Non Hemorrhagic Stroke Depression: a cross-sectional study Putri, Nirmala Rumaja; Upoyo, Arif Setyo; Sumeru, Annas
IJNP (Indonesian Journal of Nursing Practices) Vol. 7 No. 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.17945

Abstract

Background: Post-stroke patient depression can result in delays in stroke recovery and healing. The degree of severity of stroke will cause neurological deficits which can become stressors that will affect individual coping mechanisms.Objective: This research aims to analyze factors associated with non-hemorrhagic post-stroke depression.Methods: Analytical observational with a cross-sectional approach. The research was conducted at the Neurology Clinic of RSUD dr. R. Goeteng Taroenadibrata Purbalingga. The population is 435 post-stroke non-hemorrhagic patients. The sample is 104 respondents with the sampling technique used consecutive sampling. The instruments used were the Brief COPE, NIHSS, and PHQ-9. Bivariate analysis used the Kendall-Tau correlation test.Results: The majority of respondents were elderly, male, primary school education level/equivalent, married, live with husband/wife and children, left hemisphere lesion location, had stroke duration >2 years, did not experience recurrent strokes, hypertension, had problem-focused coping and mild stroke severity with varying degrees of depression. Age, gender, marital status, living together, location of the lesion, duration of stroke, stroke frequency, comorbidities and coping mechanisms were not significantly related (p>0.05) while education level and stroke severity was significantly associated with post-stroke depression (p<0,05).Conclusions: There is a significant relationship between education level and severity of stroke with post-stroke depression. Nurses can also motivate patients to always take medication regularly, increase patient knowledge about stroke and depression, or implement non-pharmacological therapy such as Range of Motion (ROM) so that they can help reduce the severity of a stroke and prevent or reduce the occurrence of depression after non-hemorrhagic stroke.
Experience of Overcome Nausea and Vomiting in Dengue Fever: A Phenomenology Study Sumeru, Annas; Sari, Yunita; Taufik, Agis; Mustikasari, Dian
Journal of Bionursing Vol 6 No 3 (2024): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2024.6.3.14887

Abstract

In a tropical country like Indonesia, renowned for its two seasons (rainy and dry season), a transitional period is observed between these seasons, aptly referred to as the transition season. During this transitional phase, the Aedes mosquito rapidly breeds, laying its eggs. Sunlight enhances this process, warming the air and puddles, thereby contributing to the hatching of eggs and potentially causing an endemic outbreak of dengue fever. This study aims to explore the experiences of individuals in overcoming nausea and vomiting during dengue fever. Employing a phenomenological qualitative research design, the research involves 7 participants selected through purposive sampling. The research process includes bracketing, intuition, analysis, and the generation of descriptions and interpretations. Bracketing is undertaken to ensure that the information gathered is genuinely natural and derived from participants' direct expressions regarding their experiences in handling nausea and vomiting during dengue fever. In the intuition stage, the researcher strives to recognize and understand the phenomenon under study. The data is analyzed using qualitative content analysis with the Collaizi approach, involving stages such as reading and re-reading collected data, selecting keywords through coding, categorizing identified keywords, grouping meanings into themes, creating a provisional narrative, validating the narrative with participants, and finally, presenting the validated narrative as the final study output. The research reveals several findings: Nausea and feeling unwell are likened to catching a cold; nausea intensifies in response to specific smells or food aromas; respondents can only consume small portions; and notably, respondents alleviate sickness by drinking warm water. During dengue, feelings of weakness compel participants to maintain an intense but small food intake to sustain energy. Nausea and vomiting experiences are not uniformly perceived as uncomfortable by respondents, and when contemplating the use of warm water to relieve nausea, considerations must be made regarding its safety and potential unknown side effects.