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HUBUNGAN PERILAKU CARING DENGAN KUALITAS ASUHAN KEPERAWATAN PADA PASIEN GAGAL JANTUNG Sebayang, Septian
Jurnal Ilmiah Keperawatan Vol 2 No 2 (2019): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Gagal jantung masih menjadi permasalahan dunia karena tingginya angka morbiditas, mortalitas, hospitalisasi, dan disabilitas. Keperawatan adalah suatu bidang profesional yang dapat menjadi perkembangan konsep caring. Tujuan penelitian ini adalah menguji hubungan perilaku caring dengan kualitas asuhan keperawatan pada pasien gagal jantung. Desain penelitian ini adalah deskriptif korelasi. Total sampel pasien dalam penelitian ini adalah 64 pasien gagal jantung, Penelitian dilakukan di Rumah Sakit Umum Pusat H. Adam Malik, Medan. Pengambilan sampel dengan menggunakan teknik purposive sampling. Pengumpulan data dengan menggunakan kuesioner, analisa data dengan menggunakan Pearson ‘r. Hasil mean perilaku caring yang diukur dengan CBI sebesar 4.33 dan kualitas asuhan keperawatan yang diukur dengan GNCS sebesar 3.73. Hasil Pearson ‘r pada perilaku caring dengan kualitas asuhan keperawatan menunjukkan r= 0.29, dengan nilai p=0.01. Penelitian ini menunjukkan ada hubungan perilaku caring dengan kualitas asuhan keperawatan pada pasien gagal jantung. Hasil penelitian ini merekomendasikan kepada perawat dapat meningkatkan kualitas asuhan keperawatan dengan berperilakucaring tersebut.
Hemodynamic Picture After Spinal Anesthesia Sectio Caesarea Fredy, Fredy Marta; Triyudono, Danang; Sebayang, Septian; Suandika, Made
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.95

Abstract

Background: Sectio caesarea is a surgical procedure through an abdominal and uterine wall incision to remove the fetus, placenta and amniotic fluid. SC action with spinal anesthesia has an impact on body hemodynamics, such as changes in blood pressure, changes in pulse rate and changes in MAP.  Purpose: The purpose of this research is to document the vital signs of patients undergoing post-spinal anesthesia for sectio secaria surgery at Sriwijaya Hospital Palembang. Methods: Research of this kind is known as descriptive research. This research used a purposeful sampling strategy to select 93 individuals who had spinal anesthesia for a caesarean delivery. Results: The frequency and percentages of blood pressure, pulse, and MAP of pregnant women having spinal acupuncture with anesthesia were determined by univariate data analysis. The majority of the 93 participants who had spinal anesthesia for caesarean section surgery had hypertension (60.2% of the total), asthma (72%) in 67 participants, systolic blood pressure below 90 mmHg in 45 participants (48.38%), and diastolic blood pressure below 60 mmHg in 46.2%.  There were 52 cases of tachycardia (55.9% of the total), 33 cases of abnormal heartbeats (35.5% of the total), and 8 cases of brachycardias (8.6% of the total). In terms of population, 80 individuals (86.02%) reported normal levels, whereas 13 (13.98%) reported high levels. Conclusion: The majority of participants who had spinal anesthesia for section caesarian surgery reported abnormal MAP readings, pulse tachycardia, and hypotension.
Description of Pain Levels in Postoperative Sectio Caesarea Patients Using, The ERACS Method Wahyudi, Wahyudi Saputra; Triyudono, Danang; Sebayang, Septian
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.96

Abstract

Background: Postoperative pain management is an essential component of patient care after cesarean section (C-section) because inadequate pain management can negatively affect maternal recovery as well as the psychological well-being of mothers and overall surgical outcomes. Enhanced Recovery After Cesarean Section (ERACS) has been introduced to enhance the care patients receive in the perioperative period concerning reduced pain, improvement in recovery, and decreased opioid dependence. Despite growing adoption, very few studies have reported on the ability of the method to manage post-C-section pain. Purpose: To evaluate the pain experience of postoperative C-section patients managed with the ERACS method in Bunda Medika Jakabaring Hospital. Methods: A cross-sectional descriptive quantitative study was conducted among 66 Cesarean delivery patients treated by the ERACS method from July 20 to August 20, 2024. The purposive sampling method was used to select the subjects, and the pain levels were measured by using the Numerical Rating Scale (NRS). Pain levels were categorized as no pain (0), mild pain (1-3), moderate pain (4-6), or severe pain (7-8). Results: Of the patients, 16 (24.2%) had no pain; 43 (65.2%), had mild pain; 5 (7.6%), were moderate; and 2 (3.0%) had severe pain. Most of the patients (65.2%) noted only mild pain, indicating that ERACS contributes significantly to reducing postoperative pain. Conclusion: These findings indicate that the ERACS method greatly contributes toward minimizing postoperative pain in C-section patients, thus endorsing its use in the clinical setting. Further studies should also consider larger sample sizes and comparative analyses to substantiate these findings and look into other advantages of ERACS in enhancing
The Relationship Between Fasting Duration and The Incidence of Post Operative Nausea and Vomiting in Spinal Anesthesia Patients Husnul Khotimah Muliono, Siti; Susanto, Amin; Sebayang, Septian
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.83

Abstract

Background: Anesthesia, a critical pain management tool during surgeries and procedures, necessitates pre-operative fasting to mitigate the risk of post-operative nausea and vomiting (PONV). The fasting period restricts both solid and liquid intake. Purpose: This study aims to explore the correlation between fasting duration and the incidence of PONV in patients undergoing spinal anesthesia at Dr. Soedirman Regional Hospital, Kebumen. Method: Employing an analytical observational design with quantitative methods, this research included 70 participants selected through cross-sectional sampling. Data collection utilized the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) scale for observation. Findings: The study revealed that the majority of respondents (54.3%) adhered to an adequate fasting duration of 6-8 hours. Among these, 89.5% (34 respondents) did not experience PONV. Conversely, an inadequate fasting period (>8 hours) was associated with a higher incidence of PONV, observed in 38.6% (27 respondents), while only 3.7% (1 respondent) did not experience PONV. The correlation analysis yielded a significant relationship with a coefficient of 0.502. Conclusion: There is a significant correlation between fasting duration and the incidence of PONV in patients receiving spinal anesthesia at Dr. Soedirman Regional Hospital, Kebumen. Adequate pre-operative fasting (6-8 hours) is associated with a lower incidence of PONV, emphasizing the importance of adherence to recommended fasting guidelines to minimize post-operative complications
Strategi Efektif Penjaringan dan Penyaringan Perangkat Desa (P3D) di Kecamatan Lumbir: Kolaborasi Akademisi dan Masyarakat Al-Hakim, Rosyid; Ardianto, Rian; Suryani, Riska; Jayusman, Hadi; Nisa, Khoirun; Samodra, Galih; Melani, Reina; Sebayang, Septian; Pangestu, Agung
Jurnal Arba - Multidisiplin Pengabdian Masyarakat Vol. 2 No. 1 (2025): Februari
Publisher : Jurnal Arba - Multidisiplin Pengabdian Masyarakat

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Abstract

Program Penjaringan dan Penyaringan Perangkat Desa (P3D) di dua desa yang berada di Kec. Lumbir bertujuan untuk meningkatkan transparansi dan kualitas seleksi perangkat desa melalui inovasi berbasis teknologi. Program ini melibatkan 46 pendaftar, 21 anggota tim panitia, serta dukungan dari pemerintah desa, kecamatan, dan unsur keamanan. Inovasi utama dalam program ini adalah penerapan sistem Computer Based Test (CBT) dengan fitur live scoring, yang mencakup tiga aspek penilaian: ujian tulis (40%), praktik pengoperasian komputer (30%), dan wawancara kompetensi (30%). Hasil program menunjukkan tingkat keberhasilan sebesar 90%, yang mencerminkan efektivitas metode seleksi yang diterapkan. Kolaborasi multi-stakeholder dan penggunaan fasilitas laboratorium komputer universitas menjadi faktor kunci keberhasilan program ini. Namun, beberapa tantangan seperti adaptasi peserta terhadap sistem CBT dan koordinasi antar pemangku kepentingan berhasil diatasi melalui pelatihan dan penguatan komunikasi digital. Program ini menghasilkan template sistem seleksi digital yang dapat di replikasi di desa lain, peningkatan kapasitas panitia lokal, dan dokumentasi SOP (Standard Operational Procedure) yang terstandar. Rekomendasi untuk pengembangan program meliputi peningkatan kapasitas SDM (Sumber Daya Manusia), pengembangan sistem evaluasi, dan replikasi program di desa lain. Program ini diharapkan menjadi model inovatif dalam rekrutmen perangkat desa yang lebih transparan dan profesional.