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Pemberdayaan Perawat Mencegah Rehospitalisasi pada Balita dengan Pneumonia Melalui Pendekatan Astania (Asuhan Mandiri Keluarga dengan Balita Pneumonia) Purwati, Nyimas Heny; Awaliah, Awaliah; Misparsih, Misparsih; Fadhillah, Harif; Purwani, Emy; Sarini, Sarini; Amalia, Hayuni
Jurnal Pengabdian Masyarakat Indonesia Maju Vol 4 No 02 (2023): Jurnal Pengabdian Masyarakat Indonesia Maju Volume 04 Nomer 02 Tahun 2023
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jpmim.v4i02.2465

Abstract

Pneumonia merupakan salah satu masalah kesehatan dan penyumbang terbesar penyebab kematian balita di dunia serta penyebab kematian balita pertama di Indonesia. kemiskinan dan rendahnya status pendidikan dan ekonomi menjadi salah satu faktor socio-determinant yang berkaitan dengan angka kesakitan dan kematian akibat pneumonia di Indonesia. Selain itu faktor lain yang berperan adalah rendahnya kesadaran masyarakat dan meningkatnya populasi di daerah kumuh (slum dwellers) serta sulitnya akses ke fasilitas kesehatan. Rumah Sakit Islam Jakarta Cempaka Putih (RSIJCP) merupakan RS tipe B dengan kapasitas 277 tempat tidur, memiliki satu ruang rawat anak yang terdiri dari 15 tempat tidur, dengan jumlah pasien dalam satu tahun terakhir 1.424 anak dan pneumonia merupakan 10 penyakit terbanyak pada balita yang dirawat dan 14 anak dengan pneumonia dengan angka kekambuhan 50%. Tujuan dari pengabdian kepada masyarakat ini adalah untuk meningkatkan pengetahuan dan kemampuan perawat dalam pemberian asuhan keperawatan pada balita dengan pneumonia melalui peran sebagai health educator dalam meningkatkan kemampuan keluarga merawat anak dengan pneumonia dan mencegah terjadinya rehospitalisasi/kekambuhan pada anak melalui penerapan model ASTANIA (Asuhan Mandiri Keluarga dengan Balita Pneumonia). Metode pada pengabdian kepada masyarakat ini adalah pemberdayaan perawat guna peningkatan kemampuan dalam melaksanakan peran sebagai health educator, dan pelatihan perawat tentang pneumonia dengan menggunakan media audiovisual. Hasil pengabdian kepada masyarakat menunjukkan terjadinya peningkatan pengetahuan perawat sebelum dan setelah dilakukan pelatihan tentang pneumonia serta dihasilkannya media edukasi berbasis audiovisual dengan haki.
SOCIAL DETERMINANT OF COVID-19 RISKS AMONG CHILDREN IN JAKARTA, INDONESIA Purwati, Nyimas Heny; Awaliah, Awaliah; Imroatun, Tri
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 8, No 2 (2023): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v8i2.599

Abstract

Pandemics have historically disproportionately impacted the poor and disadvantaged. Poverty, the external environment, and race or ethnicity can all significantly impact COVID-19 consequences. Those barriers, called social determinants of health (SDOH), are significant for many people's health. This study aimed to investigate the social determinants of COVID-19 risk among children in Jakarta, Indonesia. We recruited parents whose children were between 6 and 12 and were admitted to a general public hospital in Jakarta, Indonesia. Logistic regression was used to examine the relationship between socioeconomic status and COVID-19 risk. This analysis includes 200 parents of children aged 6 to 12 years old (60%) retrospectively recruited. About half of the parents had undertaken primary education level. No significant correlation was found between parent education level, occupation, and monthly income with COVID-19 risk among children. The number of house occupants more than two was positively associated with a higher risk of COVID-19 in children. In conclusion, poor housing conditions increase the probability of COVID-19 infection in Indonesian children. This implies that parental reinforcement of anti-household transmission strategies is necessary.
The Effectiveness of the PrimaKu Application on Parents Behavior in Monitoring the Growth of Toddlers Sahariah, Sahariah; Purwati, Nyimas Heny; Apriliawati, Anita
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 04 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i04.2698

Abstract

Background: Child development is an important factor. The success of each phase affects the child's ability in the next phase. The low level of knowledge, attitudes and actions of parents about growth, and development disorders can cause deviations in growth, development, and mental and emotional disorders. Objectives: This study aims to determine the effectiveness of the PrimaKu application on the behavior (knowledge, attitudes, and actions) of parents in monitoring the growth and development of toddlers in the Panincong Health Center Work Area, Soppeng Regency. Methods: The research design used a quasi-experimental design with a nonequivalent control group pre and post-test design. The sample consisted of 36 respondents who were divided into the intervention and control groups. Data were analyzed using T-test. Results: The results showed that there was an effect of the PrimaKu application on the knowledge (p-value = 0.0001), attitudes (p-value = 0.0001) and actions (p value = 0.0001) of parents in monitoring the growth and development of toddlers, there was an average difference knowledge (p-value = 0.007 ), attitudes (p-value = 0.007) and actions (p-value = 0.028) of parents in the intervention group and control group (p-value = 0.0001). Conclusion: Parents should be able to use the PrimaKu application to improve behavior (knowledge, attitudes, and actions) in monitoring the growth and development of toddlers.
The Effect of Oxygen Inhalation Therapy on Hemodynamics (Heart Rate and Respiratory Rate) in Toddlers With Pneumonia Imroatun, Tri; Purwati, Nyimas Heny; Apriliawati, Anita; Sutini, Titin
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 03 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 03 September
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i03.2703

Abstract

Background: Pneumonia causes the lung tissue to become inflamed, the alveoli are filled with pus and fluid causes difficulty in oxygen absorption resulting in difficulty breathing. Children with pneumonia cause the ability of the lungs to expand to decrease so that the body reacts by breathing quickly so that hypoxia does not occur. Objectives: The purpose of this study was to determine the effect of inhalation therapy using oxygen on hemodynamics (Heart Rate and Respiratory Rate) in children under five with pneumonia. Methods: The design of this study was a quasy experiment with the control group and the intervention group, the number of respondents in this study was 32 respondents who were divided into two groups, the sampling used was a simple random sampling method. Results: The results showed that the mean heart rate value of the intervention group compared to the control group was 131.29;135.04, in addition to that the mean respiratory rate value of the intervention group and control group was 32.01;34.20. from the results of the bivariate analysis it was found that there was an influence before and after in the control group and the intervention group with p-value=0.000. Conclusion: the conclusion in this study is So, from the results of this study, researchers argue, in providing respiratory rate stability to pediatric patients with respiratory tract disorders such as pneumonia, both therapies can be given, both inhalation therapy with oxygen, and inhalation therapy using compressors.
The Relationship Between Parental Mediation, Family Functioning, and Parental Digital Literacy with Children's Gadget Use Sarini, Sarini; Lismayanti, Desty; Purwati, Nyimas Heny; Apriliawati, Anita
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 02 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 02 Juni 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i02.3484

Abstract

Background: Excessive use of gadgets among children has negative impacts, such as reduced social interaction, learning disorders, sleep disturbances, vision problems, and radiation risks. Parental mediation strategies and digital literacy can help prevent excessive gadget use in children. Objective: This study aims to determine the relationship between parental mediation, family functioning, and parental digital literacy with gadget use among school-aged children. Methods: The research design employed a descriptive analytic approach with a cross-sectional method. The study sample consisted of school-aged children from elementary schools in Karawang District, selected using purposive sampling with a total of 149 respondents. Data analysis was conducted using the chi-square test followed by multiple logistic regression with a significance level of < 0.05. Results: The study results showed that, in the bivariate analysis, there was a relationship between parental mediation, family functioning, and parental digital literacy with gadget use among children (p-value < 0.05). The multiple logistic regression test results indicated that the variable most associated with gadget use among children was parental mediation. Conclusion: This study is expected to serve as a reference for nurses to assist parents in applying parental mediation techniques and enhancing digital literacy socialization to prevent excessive gadget use in children.
Remote Learning for Nursing Education in Indonesia during The Covid-19 Pandemic: Efforts and Recommendations Haryanti, Fitri; Nuraini, Tuti; Sukartini, Tintin; Hidayati, Wahyu; Nursalam, Nursalam; Arofiati, Fitri; Purwati, Nyimas Heny; Nursanti, Irna; Prabawati, Dewi; Trisyani, Yanny; Hadi, Muhammad
Jurnal Keperawatan Soedirman Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.486 KB) | DOI: 10.20884/1.jks.2022.17.1.5297

Abstract

The COVID-19 pandemic had an impact on nursing students’ academic and clinical performance. Nursing institutions have provided remote learning to continue the learning process. However, students have met several obstacles that caused a decrease in the quality of learning. Remote learning for education requires the support of information and communication technology. However, studies related to how the COVID-19 pandemic affected nursing education in Indonesia are still rarely done. Accordingly, this study was conducted to evaluate the implementation of remote learning for nursing education during the COVID-19 pandemic. A cross-sectional study was conducted with 331 members of the Association of Indonesian Nurse Education Center (AINEC). The instrument used was the Guidelines of Filling Out Remote Learning. The results showed that 51% of the study programs implemented remote learning, while 69% of the regulations for remote learning were created by rectors. The most common teaching materials were visual, text, and audio-visual content. These materials were distributed through WhatsApp Group, Learning Management System (LMS), and video conference. To support the process of remote learning, nursing institutions need to improve information technology staff and cooperate agreement with other institutions. Overall, the remote learning process needs to be further improved to increase the students’ learning quality.
The Relationship Between Anemia and Nutritional Status with the Occurrence of Fatigue in Children with Cancer Undergoing Chemotherapy at Dharmais Cancer Hospital in Jakarta Purwati, Nyimas Heny; Natashia, Dhea; Wahyuni, Emmy Putri; Dais, Exsos Grend; Lusty, Junita; Ruriwinita, Ruriwinita; Sofyan, Evi; Fitriana, Anantusia; Karwati, Eti; Fitriyati, Fitriyati; Mursiah, Mursiah
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.v7i2.20191

Abstract

Background: The challenge of fatigue significantly affects children undergoing cancer treatment, impacting their overall well-being and quality of life. Unlike their healthy counterparts, pediatric cancer patients grapple with the demanding impacts of chemotherapy, leading to anemia and nutritional deficiencies that exacerbate fatigue. Beyond fatigue, chemotherapy alters appetite, nutrient utilization, and mental function. Fatigue's multidimensional impact, marked by reduced energy and increased need for rest, can detrimentally affect the quality of life for pediatric patients. Understanding these challenges is essential for devising tailored strategies that comprehensively address the unique needs of children undergoing cancer treatment, enhancing their overall well-being and quality of life.Objective: This research aims were to determine the relationship between anemia and nutritional status with the occurrence of fatigue in children with cancer undergoing chemotherapy at Dharmais Cancer Hospital in Jakarta.Methods: An analytical cross-sectional study conducted in August 2022 included a sample of 24 children selected through accidental sampling. Demographic and disease characteristics, such as age, gender, cancer type, cancer stage, and treatment duration, were collected through a questionnaire. Anemia was determined by hemoglobin levels (12 mg/dl), and nutritional status was assessed using Body Mass Index. Fatigue was measured with tailored instruments for different age groups: the Parent Fatigue Scale (PFS) for children under 7 years and the Child Fatigue Scale (CFS) for those aged 7 years and older. Statistical analyses included univariate assessment, bivariate analysis with the chi-square test, and logistic regression.Results: Demographic analysis revealed a predominantly male sample (70.8%) with a significant adolescent presence (41.7%) and a prevalence of leukemia (37.5%). Most participants were in early cancer stages (58.3%), undergoing treatment for over a year (62.5%). Anemia was common (54.2%), and 58.3% were underweight. High fatigue prevalence was observed (62.5%). Chi-square analysis found no significant gender or cancer stage differences in fatigue. Age and treatment duration showed no significant associations with fatigue. Logistic regression revealed a significant association between anemia and fatigue in the first model (p = 0.022, Exp. B = 0.104). The second model, incorporating nutritional status, showed a non-significant relationship with anemia but a notable association with normal nutritional status and fatigue (p = 0.022, Exp. 0.059). This underscores the crucial role of nutritional interventions in mitigating fatigue.Conclusion: This study highlights a significant relationship between anemia and nutritional status with fatigue in children undergoing chemotherapy. These findings underscore the importance of considering anemia and nutritional interventions when providing care to pediatric cancer patients undergoing chemotherapy. Nurses play a vital role in addressing these concerns and enhancing the overall well-being of children with cancer.
DUKUNGAN KELUARGA DAN KUALITAS HIDUP PASIEN REMAJA DENGAN THALASSEMIA BETA MAYOR Putri, Amelia Eka; Purwati, Nyimas Heny
Indonesian Journal of Nursing Sciences and Practice Vol 2, No 2 (2019)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v2i2.43-50

Abstract

ABSTRAKThalassemia merupakan suatu kelainan darah yang diturunkan melalui keluarga. Hasil gangguan berupa penghancuran sel-sel darah merah yang berlebihan, yang mengarah ke anemia. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kualitas hidup pada remaja thalassemia beta mayor di RS. Hermina Kemayoran Jakarta Pusat Tahun 2019. Metode : Jenis penelitian yang digunakan yaitu deskriptif korelasi dengan desain cross sectional. Populasi dalam penelitian ini adalah remaja dengan thalassemia beta mayor yang berjumlah 70 remaja, dimana sampel yang diambil berjumlah 60 responden. Analisa data yang digunakan yaitu Univariat dan Bivariat dengan uji Chi square. Hasil : Dari hasil penelitian didapatkan bahwa ada hubungan antara dukungan keluarga dengan kualitas hidup pada remaja thalassemia beta mayor dengan p value 0,033 (< 0,05). Saran : Diharapkan untuk meningkatkan kembali program kesehatan atau konseling tentang dukungan keluarga dengan kualitas hidup pada remaja thalassemia beta mayor. Kata kunci: Thalassemia, dukungan keluarga, kualitas hidup.ABSTRACTThalassemia is a blood disorder which passed down through the family. The results of interference in the form of the destruction of the red blood cells to excessive, which leads to anemia. This study aims to determine the correlation between family support and quality of life among teenagers with thalassemia beta major at the RS. Hermina Kemayoran Central Jakarta In 2019. Methods : the research Type used is descriptive correlation with cross sectional design. The population in this study is teenagers with thalassemia beta major that amounted to 70 teenagers, where the sample was taken totaling to 60 respondents. Data analysis used are Univariate and Bivariate with Chi square test. Results : the result showed that there is a correlation between family support and quality of life among teenagers with thalassemia beta major with a p value 0,033 (< 0,05). Advice : it is Expected to improve the back health program or counseling about family support and quality of life among teenagers with thalassemia beta major. Keywords: Thalassemia, family support, quality of life. 
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN MINUM OBAT ARV PADA ANAK USIA SEKOLAH DENGAN HIV Anggareani, Aniek; Purwati, Nyimas Heny
Indonesian Journal of Nursing Sciences and Practice Vol 4, No 2 (2021)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v4i2.57-62

Abstract

Human Immunodeficiency Virus (HIV) merupakan virus yang menyerang sistem kekebalan tubuh manusia. Kondisi HIV yang dialami anak usia sekolah membuat mereka rentan mengalami perilaku berisiko, yang dapat mampengaruhi penyebaran penyakit. HIV tidak ada obatnya namun dapat di tekan reflikasi virus dengan pengobatan ARV. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan minum obat ARV pada anak usia sekolah dengan HIV. Penelitian ini merupakan penelitian kuantitatif dengan metode analitik korelatif yang menggunakan pendekatan design cross sectional. Teknik pengambilan sampel dalam penelitian ini adalah total sampling dengan jumlah sampel sebanyak 20 responden. Sampel yang digunakan anak usia sekolah yang meminum obat ARV. Kepatuhan minum obat di ukur dengan menggunakan kartu berobat. Hasil penelitian ini menunjukan tidak ada hubungan antara kepatuhan minum obat dengan efek samping obat (P value=0,052). Sedangkan pada variabel dukungan keluarga didapatkan P Value=0.008 yang artinya ada hubungan yang antara kepatuhan minum obat dengan dukungan keluarga. Pada variable motivasi didapatkan nilai p Value= 0.010 yang artinya ada hubungan antara kepatuhan minum obat dengan motivasi. Kesimpulan dari penelitian ini adalah ada 2 faktor yang berhubungan yaitu dukungan keluarga dan motivasi sedangkan faktor yang tidak ada hubungan ketidakpatuhan minum ARV yaitu efek samping obat.
The Relationship Between Anemia and Nutritional Status with the Occurrence of Fatigue in Children with Cancer Undergoing Chemotherapy at Dharmais Cancer Hospital in Jakarta Purwati, Nyimas Heny; Natashia, Dhea; Wahyuni, Emmy Putri; Dais, Exsos Grend; Lusty, Junita; Ruriwinita, Ruriwinita; Sofyan, Evi; Fitriana, Anantusia; Karwati, Eti; Fitriyati, Fitriyati; Mursiah, Mursiah
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.v7i2.20191

Abstract

Background: The challenge of fatigue significantly affects children undergoing cancer treatment, impacting their overall well-being and quality of life. Unlike their healthy counterparts, pediatric cancer patients grapple with the demanding impacts of chemotherapy, leading to anemia and nutritional deficiencies that exacerbate fatigue. Beyond fatigue, chemotherapy alters appetite, nutrient utilization, and mental function. Fatigue's multidimensional impact, marked by reduced energy and increased need for rest, can detrimentally affect the quality of life for pediatric patients. Understanding these challenges is essential for devising tailored strategies that comprehensively address the unique needs of children undergoing cancer treatment, enhancing their overall well-being and quality of life.Objective: This research aims were to determine the relationship between anemia and nutritional status with the occurrence of fatigue in children with cancer undergoing chemotherapy at Dharmais Cancer Hospital in Jakarta.Methods: An analytical cross-sectional study conducted in August 2022 included a sample of 24 children selected through accidental sampling. Demographic and disease characteristics, such as age, gender, cancer type, cancer stage, and treatment duration, were collected through a questionnaire. Anemia was determined by hemoglobin levels (<12 mg/dl), and nutritional status was assessed using Body Mass Index. Fatigue was measured with tailored instruments for different age groups: the Parent Fatigue Scale (PFS) for children under 7 years and the Child Fatigue Scale (CFS) for those aged 7 years and older. Statistical analyses included univariate assessment, bivariate analysis with the chi-square test, and logistic regression.Results: Demographic analysis revealed a predominantly male sample (70.8%) with a significant adolescent presence (41.7%) and a prevalence of leukemia (37.5%). Most participants were in early cancer stages (58.3%), undergoing treatment for over a year (62.5%). Anemia was common (54.2%), and 58.3% were underweight. High fatigue prevalence was observed (62.5%). Chi-square analysis found no significant gender or cancer stage differences in fatigue. Age and treatment duration showed no significant associations with fatigue. Logistic regression revealed a significant association between anemia and fatigue in the first model (p = 0.022, Exp. B = 0.104). The second model, incorporating nutritional status, showed a non-significant relationship with anemia but a notable association with normal nutritional status and fatigue (p = 0.022, Exp. 0.059). This underscores the crucial role of nutritional interventions in mitigating fatigue.Conclusion: This study highlights a significant relationship between anemia and nutritional status with fatigue in children undergoing chemotherapy. These findings underscore the importance of considering anemia and nutritional interventions when providing care to pediatric cancer patients undergoing chemotherapy. Nurses play a vital role in addressing these concerns and enhancing the overall well-being of children with cancer.