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Qualitative Analysis of Factors Influencing Compliance with Medication in Pregnant Women and Suffering Families Tuberculosis: Application of Theory Health Belief Model Ratnasari, Dewi; Sahrudi, Sahrudi
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2702

Abstract

Tuberculosis (TB) has contributed 25% of the total number of deaths. It is estimated that 98% of deaths due to TB occur in developing countries. So the success of treating TB really depends on the patient's compliance with taking medication, especially in groups at risk of contracting TB such as pregnant women. Compliance is greatly influenced by various factors and is very dependent on behavior. One of the most popular theories in explaining behavior is the health belief model. The aimed of this research is to explore the factors influencing compliance with medication in pregnant women with tuberculosis using theory of health belief model. This research is a qualitative analysis using a health belief model approach. This research will be conducted in the work area of the Cimarga Community Health Center in December 2023. Data collection was carried out using in-depth interviews with researchers using the triangulation method. There were 4 main informants, 2 triangulators, and 4 supporting informants. The approach used is perception of vulnerability, severity and perception of benefits The result of this research are: (1) perceived susceptibility shows that the majority of respondents who adhere to taking medication are aware that this disease is serious and after they are infected, this makes them afraid that people around them such as parents and fetuses will also be infected. (2) Perceived benefits can be measured in the context of TB treatment behavior in pregnant women by asking about improvements in symptoms and perceived changes in physical condition during the treatment process. (3) The perception of severity begins to be felt when the disease begins to cause symptoms and family members become infected quickly. Moreover, those infected are mothers who are pregnant.
Gambaran Tingkat Kecemasan Pasien di Instalasi Gawat Darurat RSUD Kabupaten Bekasi Muldiansyah, Faisal; Sahrudi, Sahrudi
MAHESA : Malahayati Health Student Journal Vol 5, No 2 (2025): Volume 5 Nomor 2 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i2.16707

Abstract

ABSTRACT Anxiety is a feeling that arises when someone is in a situation that can threaten their life. Fear and anxiety are emotions felt by patients in health facilities. Anxiety appears vaguely without a clear cause and can make someone feel uncomfortable with the surrounding environment. Anxiety can also be a signal for someone to prepare themselves to face a situation. Anxiety is characterized by feelings of tension, worry and fear, and physiological changes can occur. Emergency care makes patients afraid and anxious in facing treatment. Providing life-saving measures can cause anxiety because it can threaten the integrity of the soul. Anxiety is a form of non-specific reaction that causes discomfort and is life-threatening. The purpose of this study was to identify and determine the factors that influence the level of anxiety of patients in the Emergency Room of the Bekasi Regency Hospital. This research method uses a primary data collection method obtained from a questionnaire measuring instrument for the level of anxiety of patients in the Emergency Room of the Bekasi Regency Hospital using the Zung Self Rating Anxiety Scale (ZSRAS) questionnaire. This study is descriptive non-experimental using a cross-sectional approach, namely research that emphasizes the time of observation research only once at one time. The level of anxiety is divided into 5 levels, namely no anxiety, mild anxiety, moderate anxiety, and severe anxiety. The sample used was patients who visited and were in the Emergency Room of Bekasi Regency Hospital, namely 42 patients. The results of the study using gamma and lambda statistical tests showed that the majority of patients in the Emergency Room of Bekasi Regency Hospital experienced moderate levels of anxiety as many as 23 patients (54.8%). The results of the study found a relationship between age and anxiety levels p value = 0.000 (<0.05), gender p value = 0.000 (<0.05), last education p value = 0.000 (<0.05), type of work p value = 0.000 (<0.05), type of financing p value = 0.001 (<0.05), type of visit p value = 0.000 (<0.05), there was no relationship between religion and anxiety levels p value = 0.852 (>0.05). Conclusion: There is a significant relationship between age, gender, last education, type of work, type of financing, type of visit with anxiety level, there is no relationship between religion and anxiety level and there is a majority of patients in the Emergency Room of Bekasi Regency Hospital experiencing moderate anxiety level. Keywords: Anxiety, Emergency Room  ABSTRAK Cemas merupakan suatu perasaan yang muncul saat seseorang berada dalam keadaan yang dapat mengancam keadaan jiwa. Takut dan cemas sebagai emosi yang dirasakan oleh pasien di sarana kesehatan. Kecemasan muncul secara samar tanpa penyebab yang jelas dan dapat membuat seseorang merasa tidak nyaman terhadap keadaan lingkungan sekitarnya. Kecemasan juga dapat menjadi sinyal kepada seseorang untuk mempersiapkan dirinya dalam menghadapi suatu keadaan. Kecemasan ditandai dengan adannya perasaan tegang, khawatir dan ketakutan, serta dapat terjadi perubahan fisiologis. Perawatan gawat darurat membuat pasien takut dan cemas dalam menghadapi tindakan perawatan. Memberikan tindakan penyelamatan jiwa dapat menyebabkan kecemasan karena dapat mengancam integritas jiwa. Cemas merupakan bentuk reaksi yang tidak spesifik yang menimbulkan rasa tidak nyaman dan mengancam jiwa. Tujuan Penelitian ini yaitu untuk mengidentifikasi dan mengetahui faktor-faktor yang mempengaruh tingkat kecemasan pasien di Instalasi Gawat Darurat RSUD Kabupaten Bekasi. Metode penelitian ini menggunakan metode pengumpulan data primer yang didapatkan dari alat ukur kuesioner tingkat kecemasan pasien di Instalasi Gawat Darurat RSUD Kabupaten Bekasi dengan menggunakan kuesioner Zung Self Rating Anxiety Scale (ZSRAS) penelitian ini bersifat deskriptif non eksperimental dengan menggunakan pendekatan cross sectional yaitu penelitian dengan menekankan waktu penelitian observasi hanya satu kali pada satu saat. Tingkat kecemasan dibagi menjadi 5 tingkatan, yaitu tidak ada kecemasan, kecemasan ringan, kecemasan sedang, dan kecemasan berat. Sampel yang digunakan yaitu pasien yang berkunjung dan berada di Instalasi Gawat Darurat RSUD Kabupaten Bekasi yakni sebanyak 42 pasien. Hasil penelitian menggunakan uji statistik gamma dan lambda menujukan mayoritas pasien di Instalasi Gawat Darurat RSUD Kabupaten Bekasi mengalami tingkat kecemasan sedang sebanyak 23 pasien (54,8%). Hasil penelitian ditemukan ada hubungan antara usia dengan tingkat kecemasan p value=0,000 (<0,05), jenis kelamin p value=0,000 (<0,05), Pendidikan terakhir p value=0,000 (<0,05), jenis pekerjaan p value=0,000 (<0,05), jenis pembiayaan p value=0,001 (<0,05), jenis kunjungan p value=0,000 (<0,05), tidak ada hubungan antara agama dengan tingkat kecemasan p value=0,852 (>0,05). Kesimpulan terdapat hubungan signifikan antara usia, jenis kelamin, pendidikan terakhir, jenis pekerjaan, jenis pembiayaan, jenis kunjugan dengan tingkat kecemasan, tidak terdapat hubungan antara agama dengan tingkat kecemasan dan terdapat mayoritas pasien di Instalasi Gawat Darurat RSUD Kabupaten Bekasi mengalami tingkat kecemasan sedang. Kata Kunci: Kecemasan, Instalasi Gawat Darurat
THE EXISTENCE OF BASYARNAS IN THE JUSTICE SYSTEM IN INDONESIA Sahrudi, Sahrudi; Syahrul Ansari, Teuku; Koswara, Indra; Hadipura, Margo
UNES Law Review Vol. 5 No. 4 (2023)
Publisher : Universitas Ekasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31933/unesrev.v5i4.693

Abstract

In legal matters, there are two attempts to resolve disputes between parties, one of which is by using a sharia-based dispute resolution system. Settlement of sharia-based disputes includes non-litigation (outside court) and/or litigation in court). Sharia disputes in court (Litigation) are requested through religious courts, and dispute resolution outside the court (Non Litigation) through sharia Arbitration bodies. In Indonesia, the institution that resolves sharia arbitration disputes is called BASYARNAS (National Sharia Arbitration Board), and the procedures for settlement are not much different from arbitration procedures in general. The legal basis for the settlement of sharia arbitration disputes is regulated in Law No. 30 of 1999 concerning Arbitration and Alternative Dispute Resolution and furthermore regarding the execution of sharia arbitral awards is regulated in Supreme Court Circular Letter No. 08 of 2008. This research uses a qualitative method with a normative approach and uses a library research collection method, as well as analyzing documents, data, information related to BASYARNAS. The results of research on the existence of BASYARNAS still depend on the district court.
The Efficacy of Warm and Cold Compresses in Reducing Body Temperature among Hyperthermic Sepsis Patients Lukito, Kurniawan Raharjo; Sahrudi, Sahrudi; Widiantari, Aninda Dinar; Murtiani, Farida
Jurnal Pendidikan Keperawatan Indonesia Vol 10, No 1 (2024): Volume 10, Nomor 1, Juni 2024
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v10i1.67349

Abstract

Introduction: Clinical manifestations in sepsis patients include high fever (hyperthermia). Interventions to reduce fever can be done through non-pharmacological therapy, including cold and warm compresses. Objective: This study was determine the effectiveness of warm and cold compresses on temperature changes in hyperthermic patients in the ICU. Methods: This study was a quantitative study with a quasi-experimental pre-post design with a control group. The study was conducted at Sulianti Saroso Infectious Disease Hospital (SSIDH). The sample consisted of sixty (60) patients diagnosed with sepsis in the ICU, with thirty (30) patients receiving warm compress intervention and thirty (30) patients receiving cold compress intervention. The intervention involved a compressing procedure according to the hospital's SOP. Results: In the warm compress intervention group, the average body temperature before intervention was 38.740C; after intervention, it was 36.760C. In the cold compress intervention group, the body temperature before intervention was 38.590C; after intervention, it was 36.750C. There was a difference in body temperature before and after intervention for both warm and cold compresses (p-value=0.0001) but the changes in the two interventions were not statistically different (p-value=0.437). Conclusion: Both compresses are effective in reducing the body temperature of sepsis patients experiencing hyperthermia. The results of this study can be used as input for nursing interventions in ICU patients with hyperthermia problems with non-pharmacological interventions through warm compresses and cold compresses.