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Pengaruh Pursed Lips Breathing Terhadap Kapasitas Vital Paru Pada Lansia Dengan PPOK di Puskesmas Kota Banjarmasin Jamini, Theresia; Chrismilasari, Lucia Andi
Jurnal Penelitian UPR Vol. 4 No. 1 (2024): Jurnal Penelitian UPR: Kaharati
Publisher : LPPM Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52850/jptupr.v4i1.13700

Abstract

Kapasitas vital paru berkurang akibat menurunnya fungsi paru dan serabut otot yang mempertahankan pipa kecil dalam paru-paru supaya tetap terbuka mengalami penurunan elastisitasnya, Lansia dengan bertambahnya usia terjadi penurunan fungsi ini dan akan lebih berat jika lansia tersebut memiliki kebiasaan merokok dan tidak biasa melakukan kegiatan berolahraga, Hal ini akan mempengaruhi  kapasitas vital  paru. Apabila  suplai oksigen yang masuk keparu berkurang maka metabolisme dalam tubuh pun kurang maksimal sehingga akan menimbulkan penurunan kesehatan. Pursed Lips Breathing adalah salah satu bentuk latihan napas yang mampu memperbaiki, pola, frekuensi dan ventilasi alveoli untuk pertukaran gas tanpa terjadi peningkatan kerja dari pernafasan. Tujuan dari penelitian ini adalah mengetahui pengaruh Pursed Lips Breathing terhadap kapasitas vital paru pada lansia dengan PPOK. Design penelitian ini adalah pre experiment one group pre dan posttest design menggunakan 10 responden. Instrument penelitian menggunakan lembar observasi. Data dianalisa menggunakan uji wilcoxon Dimana didapatkan hasil p value 0,008 (p= < 0,05) nilai rerata standar deviasi pre intervensi 12.65 dan post intervensi 16.00. Penelitian ini menunjukan adanya pengaruh Pursed Lips Brathing terhadap kapasitas vital paru lansia dengan PPOK. Hasil penelitian ini terbukti bahwa Pursed Lips Breathing dilaksanakan secara rutin maka dapat meningkatkan kapasitas paru oleh sebab itu diharapkan agar lansia mampu melakukan Pursed Lips Breathing secara teratur untuk menjaga Kesehatan fisik dengan mempertahankan dan terus meningkatkan nilai kapasitas vital paru.
Edukasi Kesehatan dengan Model SECI Berbasis Augmanted Reality Terhadap Self-Care Management dan Kepatuhan Cairan pada Pasien Gagal Ginjal Kronis dengan Hemodialisis Jamini, Theresia; Chrismilasari, Lucia Andi; Negara, Candra Kusuma; Prawira, Ricky
Journal of Telenursing (JOTING) Vol. 7 No. 4 (2025): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/9vv6cw80

Abstract

This study aims to analyze the effect of health education using the SECI model based on Augmented Reality (AR) on self-care management and fluid adherence in patients with chronic kidney disease undergoing hemodialysis. The method was a quasi-experimental study with a pretest-posttest approach and a control group design. The results showed a significant increase in self-care management and fluid adherence scores in the intervention group compared to the control group (p < 0.05). In conclusion, education based on the SECI model and Augmented Reality has been proven effective in improving self-management skills and fluid adherence in hemodialysis patients and positively impacting their overall quality of life.   Keywords: Augmented Reality, Health Education, Chronic Kidney Disease, Hemodialysis, Fluid Adherence, SECI Model, Self-Care Management
Gambaran Pelaksanaan Timbang Terima oleh Perawat Di Ruang Rawat Inap RSUD Jaraga Sasameh Buntok C Nursery, Septi Machelia; Chrismilasari, Lucia Andi; Oktaviana, Felly
Khatulistiwa Nursing Journal Vol. 3 No. 2 (2021): July 2021
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v3i2.98

Abstract

Pendahuluan : Timbang terima merupakan suatu cara dalam menyampaikan sesuatu (laporan) yang berkaitan dengan keadaan klien, waktu dimana terjadi perpindahan atau transfer tanggungjawab tentang pasien dari perawat yang satu ke perawat yang lain.Hasil studi pendahuluan menunjukkan dari 10 perawat yang diwawancara adalah 8 perawat tidak melaksanaan bedside handover dan timbang terima sesuai dengan SOP dengan alasan lupa dengan SOP timbang terima, tidak pernah membaca SOP, sedangkan 2 perawat telah melaksanakan timbang terima sesuai dengan SOP yang telah ditentukan. Hal tersebut dapat berdampak terjadinya penurunan kualitas pelayanan keperawatan rumah sakit seperti resiko terjadinya kejadian tidak diharapkan (KTD). Adapun tujuan dari penelitian ini adalah mengetahui gambaran pelaksanaan timbang terima oleh perawat di ruang rawat inap RSUD Jaraga Sasameh. Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif dengan menggunakan rancangan penelitian deskriptif dan teknik observasi dalam pengumpulan data. Sampel dalam penelitian ini berjumlah 50 orang perawat pelaksana. Jumlah sampel diambil dengan tehnik simple random sampling dan cluster sampling. Analisis data melalui analisa univariat dengan menggunakan tabel distribusi frekuensi. Hasil: Hasil observasi I dan II yaitu berkategori cukup sebanyak 44 responden (88 Persen) dan baik 6 responden (12 Persen) dan Observasi III yang berkategori kurang 2 (4 Persen), cukup 43 (86 Persen), dan baik 5 (10 Persen). Observasi dilakukansebanyak 3 kali untuk satu responden dengan rata-rata waktu yang diperlukan satu kali observasi adalah 5 sampai 7  menit. Kesimpulan: Sebagian besar perawat RSUD Jaraga Sasameh telah melakukan proses timbang terima dengan cukup baik. Hasil observasi I, II, dan III menunjukkan bahwa timbang terima dilakukan dengan cukup baik sebanyak lebih dari 80Persen. Rekomendasi : Perawat dapat meningkatkan pengetahuan dan jenjang pendidikan dari DIII Keperawatan ke jenjang pendidikan yang lebih tinggi yaitu Ners, agar lebih memahami dan dapat mengaplikasikan ilmu yang didapat khususnya aplikasi proses timbang terima asuhan keperawatan di ruang rawat inap.
Gambaran Kepatuhan Perawat dalam Komunikasi Efektif SBAR-Tulbakon Di Ruang Rawat Inap RSUD Tamiang Layang C Nursery, Septi Machelia; Chrismilasari, Lucia Andi; Taria, Taria
Khatulistiwa Nursing Journal Vol. 3 No. 2 (2021): July 2021
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v3i2.99

Abstract

Pendahuluan : Perawat dan dokter dalam melakukan komunikasi interdisipliner dapat menggunakan metode komunikasi Situation, Background, Assessment, Recommendation (SBAR) dan tulis, baca, konfirmasi (Tulbakon). Kegiatan Komunikasi SBAR – Tulbakon selama ini belum terlaksana secara optimal dan belum sesuai Standar Operasional Prosedur (SOP) sehingga terjadi kesalahan diagnosa awal dan terapi yang diberikan. Adapun tujuan penelitian ini adalah mengetahui gambaran kepatuhan perawat dalam komunikasi efektif SBAR-Tulbakon di ruang rawat inap RSUD Tamiang Layang. Metode : Jenis penelitian kuantitatif dengan menggunakan rancangan penelitian deskriptif kuantitatif. Populasi adalah seluruh perawat pelaksana di Ruang rawat Inap RSUD Tamiang Layang 75 orang. Sampel berjumlah 43 dengan teknik pengambilan simple random sampling. Analisis data melalui analisa univariat dengan menggunakan tabel distribusi frekuensi. Hasil : Perawat di ruang rawat inap RSUD Tamiang Layang sebagian besar patuh dalam melakukan komunikasi efektif SBAR-Tulbakon berjumlah 26 orang (60,5 Persen). Kesimpulan :   Perawat lebih banyak yang patuh dalam melakukan komunikasi efektif SBAR-Tulbakon. Bagi RSUD Tamiang Layang dapat membuat program atau pelatihan perawat untuk meningkatkan kemampuan untuk melakukan komunikasi efektif SBAR-Tulbakon dan kembali mensosialisasikan pelaksanaan komunikasi SBARTulbakon yang sesuai dengan SPO rumah sakit. Rekomendasi : Adanya pelatihan perawat untuk meningkatkan kemampuan berkomunikasi efektif SBAR-Tulbakon dan kembali mensosialisasikan pelaksanaan komunikasi SBAR-Tulbakon, selain itu pihak menajemen rumah sakit juga dapat menyediakan poster atau leaflet yang berisi informasi mengenai prosedur melakukan komunikasi SBAR-Tulbakon sesuai dengan SOP yang telah ditetapkan rumah sakit.
BURGER ALLEN EXERCISE AGAINST THE CIRCULATION OF THE LOWER EXTREMITIES IN DIABETIC ULCER PATIENTS Afida, Anna Martiana; Negara, Candra Kusuma; Chrismilasari, Lucia Andi
Jurnal EduHealth Vol. 13 No. 01 (2022): Jurnal EduHealth, April - September 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.664 KB)

Abstract

One of the effects of diabetes brought on by poor venous and arterial blood circulation is diabetic foot injury (LKD). Buerger Allen exercise is one modality of therapy that uses active postural movements to enhance blood flow in the lower extremities venous and arterial blood vessels. The brachial index ankle (ABI) technique was used to evaluate improved foot circulation. This study sought to assess the impact of Buerger Allen exercise on LKD patients' lower circulatory extremities. A quasi-experiment with a pretest and post-test without a control strategy was used as the research design. 43 respondents made up the 43 samples for this study, which were collected using successive sampling methods. Using bivariate data analysis, Wilcoxon tests were utilized to compare values before and after the Buerger Allen exercise. The findings demonstrated a statistically significant relationship between the average ABI in LKD patients before and after 0.85 (P-value = 0.000). The Buerger Allen exercise intervention is performed twice daily for three weeks. Positional changes and gravitational force variations can assist in emptying and filling blood vessels. At the same time, contraction of the gastrocnemius muscle and the plantar muscles as a muscle pump activates the ship and prevents backflow. Regular exercise can widen collateral circulation channels, boosting the supply of oxygen to peripheral tissues and the distribution of nutrients. Exercise helps increase circulation, according to studies by Buerger Allen. Therefore it can be suggested in the future that nurses teach patients with lower extremity circulatory disorders in LKD patients.
The "DIARII" Program To Improve Patient Independence In The Management Of Hypertension In Banjarmasin In 2022 Er Unja , Ermeisi; Chrismilasari, Lucia Andi; Rachman, Aulia
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.634 KB)

Abstract

According to Banjarmasin City Health Office data, hypertension is still ranked among the top 10 non-communicable diseases. The increase in hypertension can be associated with unhealthy lifestyle changes. One way to make it easier for patients to control themselves, especially blood pressure control and adherence to self-management, is through health promotion programs. Therefore, researchers are interested in conducting heat promotion efforts with the "DIARII" program for the prevention and control of hypertension patients in Banjarmasin. The purpose of this study was to determine the effect of implementing the "DIARII" program in increasing the ability of patients and families to control hypertension independently. The research design used in this study was Quasi-Experimental Design with a Control Group Pre-Post Test Design. The population and samples used were 60 people with hypertension aged 26-65 in Banjarmasin. The research was conducted in several places in the city of Banjarmasin. This research has been deemed ethical by the Research Ethics Commission of the University of Muhammadiyah Banjarmasin, with the number 283/UMB/KE/IX/2022. The results showed that the value of the Wilcoxon test for family independence in the intervention group showed the importance of Sig. p Value 0.317 > 0.05 means no significant difference after the intervention. So it can be concluded that implementing the DIARII program affects the patient's ability to manage hypertension. Health promotion education interventions were found to improve the quality of life and the ability of sufferers to understand any health information they received.
The Influence Of Family Support In The Management Of Hypertension Patients Chrismilasari, Lucia Andi; Er Unja, Ermeisi; Chrisnawati, Chrisnawati; Rachman, Aulia
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.796 KB)

Abstract

Background: The family is the primary support system for the elderly in maintaining their health, especially for the elderly with hypertension, in preventing complications such as heart failure and stroke. The role of the family in elderly care is to look after or care for the elderly. The existence of family support will provide strength and create an atmosphere of belonging to each other in these family members in meeting the needs of family development. This research was conducted to see how family support for the management of hypertension patients in the city of Banjarmasin. Method: This study uses quantitative research methods with correlation analysis. Data collection tools are in the form of observation sheets and questionnaires. The research time is June 2022 to October 2022. The sample used in this study was 80 people using a purposive sampling technique. Data analysis was performed using the Chi-Square test at ɑ = 0.05. The results showed that 52.5% had good family support, 30% had sufficient knowledge about hypertension, 53.7% had a positive attitude towards treating hypertension, and 51.3% of sufferers were in the category of adherence to medication and controlling medication blood pressure. Result: The results of the chi-square test analysis on family support for knowledge about hypertension showed a p-value of 0.038, for family support for attitudes of hypertensive sufferers showed a p-value of 0.068, and for family support for patient adherence to taking medication and blood pressure control showed a p-value of 0.034. Suppose at a significant level < 0.05, there is a relationship between family support, patient knowledge about hypertension, and patient adherence to t. As for the patient's attitude towards hypertension treatment, the p-value > 0.05 means there is no relationship between family support and the attitude of hypertension sufferers. Conclusion: Family support is needed by elderly patients in hypertension management, especially medication adherence and routine blood pressure control. Health workers, especially nurses, are expected to be able to participate in efforts to empower families to improve healthcare efforts, especially elderly patients with hypertension.
Self-efficacy and support from family self-care for individuals with high blood pressure Chrismilasari, Lucia Andi; Nursery, Septi Machelia Champaca; Candra Kusuma Negara
Jurnal EduHealth Vol. 15 No. 01 (2024): Jurnal eduHealt, Edition January - March, 2024
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hypertension is an abnormal and ongoing rise in blood pressure recorded more than once. The purpose of this study is to ascertain how family support and self-efficacy in managing one's hypertension relate to one another. This study used a cross-sectional research design with 245 participants. According to the study, those with high self-efficacy also typically had effective self-management (64.2 %). Regarding poor self-management, the dominant group is less adept at it (57.2 %). The dominant person in the excellent family support variable exhibits good self-management (61.1 %). Less family support results in poorer self-management for the dominating group (57.1 %). According to the chi-square test results, self-efficacy (p-value=0.006) and family support (p-value=0.001) are connected to self-management. In conclusion, patients with hypertension tend to control their condition better themselves if they have strong self-efficacy and family support.
ANALISIS PENGARUH JENJANG KARIR DAN KARAKTERISTIK PERAWAT TERHADAP PENERAPAN PRINSIP 6 BENAR PEMBERIAN OBAT SECARA INTRAVENA DI RUANG INAP RUMAH SAKIT SWASTA KOTA BANJARMASIN Nursery, Septi Machelia Champaca; Chrismilasari, Lucia Andi
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol. 9 No. 1 (2024): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : STIKES Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v9i1.506

Abstract

Mistakes made when administering intravenous drugs to patients can jeopardize their safety. According to the PMKP report, there were three cases of medication administration errors in one private hospital in Banjarmasin City in 2018, four cases in 2019, two cases in 2020, and one in 2021. This study aimed to see how nurses' characteristics and career paths affect the application of the six correct principles of intravenous drug administration. This study was conducted using a cross-sectional research model. Thirty-five samples were taken through simple and cluster random sampling techniques. Observation sheets were used to collect data. For multivariate data analysis, frequency distribution and multiple linear regression were used. The results showed that nurses applied the six correct principles of intravenous drug administration in the excellent category as many as 23 respondents (65.7%), and the results of multiple linear regression tests obtained the results of a significant influence between career level variables on the application of the six correct principles of intravenous drug administration with a p-value of 0.033 (>0.05). This p-value indicates that the relationship between career level and applying the six correct principles of intravenous drug administration is statistically significant. At the same time, there was no significant influence between nurse characteristics, including age variables, gender, and education level, where the p-value successively on the age variable was 9.437, 0.605, 0.742, where the value was >0.05. The modeling results on each variable, namely career level and nurse characteristics, were simultaneously influenced by 0.481 (48%) in applying the six correct principles of intravenous drug administration. This means that career level and nurse characteristics explain 48% of the variation in applying these principles. Nurses have a graded career path from PK I to PK V, with higher levels of experience and knowledge that contribute to the application of nursing care. Nurses are also expected to have various characteristics that enable them to carry out and cooperate in the implementation of the six correct principles of intravenous drug administration, especially double-checking, asking for allergies to drugs, patient complaints before and after drug administration, checking drug expiration dates, patient identity, recording patient complaints, and patient reasons for refusing drugs. Keywords: career path, nurse characteristics, application of the six correct principles of intravenous drug administration