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ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI DISUSE ATROFI OTOT PLANTAR FLEKSOR(M. GASTROCNEMIUS DAN M. SOLEUS) PADA PASIEN FRAKTUR FEMUR
Cusmarih 1;
rini nurdini
JURNAL KESEHATAN BHAKTI HUSADA Vol 4 No 1 (2018): JURNAL KESEHATAN BHAKTI HUSADA
Publisher : UP3M AKPER-AKBID BHAKTI HUSADA CIKARANG
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Disuse atrofi merupakan jenis atrofi otot atau pengecilan otot yang mengacu pada penurunan dalam ukuran otot dalam tubuh.Berdasarkan dari hasil pengamatan bahwadisuse atrofi sering terjadi akibat tidak menggunakan otot atau pemutusan sinyal saraf ke otot. Kondisi ini sering terjadi setelah periode immobilisasipasca prosedur pembedahan besar, orang-orang dengan kaki di gips/traksi terpasang ORIF atau OREF.Oleh karena itu kurangnya menggunakan otot dan dampak yang diakibatkan oleh hal tersebut adalah pasien mengalami kelemahan yang pada akhirnya pasien tidak bisa untuk melakukan aktifitasnya sehari-hari.Penelitian ini menggunakan desain penelitian analitik komparatif dengan pendekatan cross-sectional pada pasien paska operasi fraktur femur sebanyak 66 pasien di Indonesia. Hasil penelitian menunjukan bahwa faktor yang mempengaruhi terjadinya disuse atrofiadalahnyeridengan nilai p= 0,045 sedangkan untuk variabel yang lain pada pemodelan akhir dari multivariate adalah pengetahuan ROM dengan p=0,052, imobilisasi dngan p=0,052 dan motivasi dengan p=0,002. Berdasarkan hasil penelitian bahwa nyeri merupakan faktor yang paling mempengaruhi untuk terjadinya disuse atrofi pada pasien paska operasi fraktur femur.
PENGARUH LATIHAN RANGE OF MOTION ( ROM ) TERHADAP TINGKAT KEMANDIRIAN PASIEN STROK NON HEMORAGIK (SNH) STADIUM RECOVERY DI RSUD dr CHASBULLAH AM KOTA BEKASI
rini nurdini
JURNAL KESEHATAN BHAKTI HUSADA Vol 3 No 2 (2017): JURNAL KESEHATAN BHAKTI HUSADA
Publisher : UP3M AKPER-AKBID BHAKTI HUSADA CIKARANG
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Strok non hemoragik (SNH) menurut WHO adalah sindrom klinis dari gangguan pembuluh darah otak dan menjadi penyebab kematian nomor tiga setelah penyakit jantung dan keganasan. Salah satu gejala yang timbul pada pasien SNH adalah hemiparese yang dapat menggangu pasien dalam memenuhi kebutuhan sehari-hari. Penelitian ini bertujuan untuk mengindentifikasi pengaruh latihan ROM terhadap tingkat kemandirian pasien stroke stadium recovery di RSUD dr Chasbullah AM kota Bekasi. Penelitian ini menggunakan metode quasieksperimental yaitu dengan menggunakan pendekatan pre test – posttest with control group design dengan jumlah responden 16 untuk kelompok intervensi dan 16 untuk kelompok kontrol, pengambilan sampel dengan menggunakan accidental sampling. Hasil uji statistik ada perbedaan tingkat kemandirian pasien SNH sebelum dan sesudah dilakukan ROM pada kelompok intervensi dan kelompok kontrol dengan p = 0,001 (<0,05). Dari penelitian ini disarankan agar menerapkan program latihan ROM sesuai dengan standar pada pasien SNH.
Studi Kasus Asuhan Keperawatan Pada Pasien Post Transurethral Resection Of The Prostate (Turp) Dengan Masalah Risiko Perdarahan Di RSUD Dr. Chasbullah Abdul Madjid Kota Bekasi
Liska Novianty;
Rini Nurdini
JURNAL KESEHATAN BHAKTI HUSADA Vol 5 No 2 (2019): JURNAL KESEHATAN BHAKTI HUSADA
Publisher : UP3M AKPER-AKBID BHAKTI HUSADA CIKARANG
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DOI: 10.37848/jurnal.v5i2.72
Background: This scientific paper is motivated by the high numbers that indicate the prevalence ofBPH in 2013 in Indonesia 9.2 million cases of BPH. Whereas in 2019 the incidence of TURP in BPHpatients in Dr. Chasbullah Abdul Majid Regional Hospital in Bekasi City amounted to 56 people inthe period January-May. Bleeding complications can occur, both during and after surgery whichgenerally requires transfusion measures of about 4% of patients undergoing TURP. The author's aimis to gain tangible experience in providing nursing care to post-TURP patients with bleeding riskproblems. TURP is a surgical removal of prostate tissue through the urethra using a resectoscope,after TURP surgery requires CBI (Continuous Bladder Irrigation) monitoring to monitor forbleeding,Research methods: The research method used was a case study, the research subjects used 2 postturp clients with bleeding risk problems, the instruments used were assessment sheets, implementationsheets and evaluations. The analysis technique is used by means of observation by researchers anddocumentation studies that produce data for further interpretation by researchers compared toexisting theories as material to provide recommendations for these interventionsResults: In both patients the risk of bleeding did not occur, all of which occurred in both patientsaccording to the theory.
Determinan Kejadian Overload pada Klien Gagal Ginjal Kronik dengan Hemodialisa RS Universitas Kristen Indonesia
Achmad Fauzi;
Rini Nurdini;
Chusnul Chotimal;
Abdul Khamid
JURNAL KESEHATAN BHAKTI HUSADA Vol 6 No 2 (2020): JURNAL KESEHATAN BHAKTI HUSADA
Publisher : UP3M AKPER-AKBID BHAKTI HUSADA CIKARANG
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Latar Belakang : Pasien gagal ginjal yang berada pada stadium akhir memerlukan terapi penggantian fungsi ginjal untuk mempertahankan kelangsungan hidupnya seperti transplantasi ginjal, hemodialisis dan terapi Continuous Ambulatory Peritoneal Dialysis (CAPD). Kegagalan fungsi ginjal dapat menyebabkan komplikasi overload. Untuk menghindari komplikasi dari kelebihan beban, tindakan pencegahan yang baik harus dilakukan, yaitu kepatuhan untuk membatasi cairan. Kepatuhan harus didasarkan pada tingkat pengetahuan individu itu sendiri. Semakin tinggi tingkat pengetahuan semakin terbuka dengan melakukan kepatuhan pembatasan cairan pada gagal ginjal kronik dengan hemodialisa. Tujuan Utama : Mengetahui Determinan Kejadian Overload Pada Gagal Ginjal Kronik dengan Hemodialisa di RS Universitas Kristen Indonesia Tahun 2019. Metode Penelitian : Metode Analisis, sampel dalam penelitian ini adalah seluruh pasien gagal ginjal kronik yang melakukan hemodialisa rutin di RS Hemodialisa UKI pada bulan Februari 2019 dan instrumen yang digunakan dalam penelitian ini menggunakan kuesioner sebanyak 56 responden. Jadi metode pengambilan sampel dalam penelitian ini adalah incidental sampling. Hasil : Dari hasil uji Chi Squere peneliti memperoleh p-value < 0,05 artinya ada hubungan antara umur, jenis kelamin, jenis kelamin, pendidikan, lama hemodialisa, pengetahuan dan kepatuhan terhadap overload. Saran : Diharapkan petugas kesehatan di ruang HD RS Universitas Kristen memberikan pengetahuan kepada klien dan keluarga melalui penyuluhan dan edukasi rutin tentang gagal ginjal overload dan resiko jika tidak mematuhi pembatasan cairan. Jika klien memiliki pengetahuan tentang kelebihan beban, kepatuhan cairan akan lebih besar.
Meningkatkan Hasil Belajar Keperawatan Dasar Melalui Metode Pembelajaran Problem Base Learning (PBL) Mahasiswa Tingkat I Akper Bhakti Husada Cikarang Tahun 2018/2019
Lina Marlina;
Rini Nurdini
JURNAL KESEHATAN BHAKTI HUSADA Vol 5 No 2 (2019): JURNAL KESEHATAN BHAKTI HUSADA
Publisher : UP3M AKPER-AKBID BHAKTI HUSADA CIKARANG
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DOI: 10.37848/jurnal.v5i2.69
Background: Learning outcomes for basic nursing courses for two years at Akper Bhakti HusadaCikarang still do not meet the minimum graduation limit for TA. 2016/2017 as many as 13% of thetotal 59 students and for TA. 2017/2018 as many as 23% of 70 students, while the minimum targetfor graduation is 80%. So we need an effective learning method that can improve student learningoutcomes in basic nursing courses. Problem Based Learning (PBL) we can say as a learning modelthat prepares students to think critically and analytically, and seeks and uses appropriate learningresources to deal with an existing problem. The tutorial (tutoring) is academic assistance or tutoringby tutor to students (tutee) to help smooth the independent learning process of individual students orgroups related to teaching materialMethod: This research is a classroom action research in the form of a descriptive level for first-levelstudents for basic nursing courses.Results: The average value of the process scores for students scenario 1, 2 and 3 have exceeded thevalue of the graduation limit or expected value. Pre-test scores for each scenario have not reachedthe expected value, still below 68. The average post-test scores of students have been more than theexpected value.Conclusion: Tutorial methods can improve their ability to create alternatives and solve problems. Itis recommended that the tutorial method can be applied to other subjects besides basic nursing. Theselection of respondents / students studied must be chosen that has a level of intelligence or abilitythat is not much different.
Pelatihan Bantuan Hidup Dasar bagi Pelajar SMA N I Bojongmangu Cikarang Bekasi
Rini Nurdini;
Lusi Noviyanti;
Ummu Habibah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 11 (2022): Volume 5 No 11 November 2022
Publisher : Universitas Malahayati Lampung
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DOI: 10.33024/jkpm.v5i11.7439
ABSTRAK Keterlambatan korban gawat darurat dalam penanganan dapat berakibat kecacatan fisik atau bahkan sampai kematian. Lebih sering korban kegawatan ditemukan oleh masyarakat awam yang belum terpapar dengan baik tentang teknik dan cara pertolongan yang benar. Hasil penelitian Rawindi dkk pada tahun 2016 tentang Hubungan Pengetahuan Masyarakat Awam dengan Tindakan Awal Gawat Darurat Kecelakaan Lalu Lintas membuktikan bahwa hampir separuh (46,7%) responden memiliki pengetahuan kurang tentang tindakan awal gawat darurat, lebih dari separuh (56,7%) responden melakukan tindakan awal gawat darurat dengan kurang baik. Pengetahuan dan latihan dalam menangani korban kegawatdaruratan dengan pertolongan bantuan hidup dasar.Pelaksanaan kegiatan diawali dengan mengidentifikasi kebutuhan pelatihan yang berada di area Cikarang. Kegiatan ini melibatkan tim medikal bedah dan komunitas serta mahasiswa tingkat II dan tingkat III. Para narasumber adalah para dosen, para mahasiswa melakukan simulasi dan menjadi fasilitator. Materi bantuan hidup dasar diberikan dan kemudian dilakukan simulasi dihadapan pada para peserta. Redemonstrasi dilakukan perwakilan dari peserta terhadap simulasi yang telah dilakukan. Pre dan post test juga dilakukan menggunakan google form. Pelaksanaan kegiatan pengabdian masyarakat tentang pelatihan bantuan hidup dasar pada pelajar SMAN I Bojongmangu oleh 29 orang kelas XI. Data deskritif distribusi jenis kelamin peserta pelatihan terdiri dari 20 pelajar putri dan 9 pelajar putra. Hasil Pre test tertinggi dengan nilai 50 dan hasil post test tertinggi dengan nilai 100 poin. Rata-rata pengetahuan pre test peserta pelatihan adalah 2.52 dengan median 3.00 dengan standar deviasi 0.087 dan nilai post test rata-rata pengetahuan 5.79 dengan standar deviasi 2.000 dan median 6.00. Terjadi peningkatan pengetahuan para pelajar SMA 1 Bojongmangu setelah diberikan pelatihan bantuan hidup dasar dengan nilai tertinggi dua kali lipat kenaikan. Kata Kunci: Pelatihan, Bantuan Hidup Dasar, Pelajar ABSTRACT The delay of emergency victims in handling can result in physical disability or even death. More often emergency victims are found by ordinary people who have not been properly exposed to the correct techniques and methods of help. The results of research by Rawindi et al in 2016 on the Relationship of Public Knowledge with Traffic Accident Emergency Actions prove that almost half (46.7%) of respondents have less knowledge about emergency early action, more than half (56.7%) respondents did the initial emergency action poorly. The purpose of this activity is to provide knowledge and training in dealing with emergency victims with basic life support. Implementation of activities begins with identifying training needs in the Cikarang area. This activity involved medical and surgical teams and the community as well as second and third level students. The resource persons are lecturers, students performed simulations and become facilitators. Basic life support materials were given and then a simulation was performed in front of the participants. The demonstration was carried out by representatives of the participants on the simulations that had been carried out. Pre and post tests are also carried out using google form. Implementation of community service activities regarding basic life support training for students of SMAN I Bojongmangu by 29 class XI students. The descriptive data on the sex distribution of the training participants consisted of 20 female students and 9 male students. The highest pre test results with a value of 50 and the highest post test results with a value of 100 points. The average pre-test knowledge of the trainees was 2.52 with a median of 3.00 with a standard deviation of 0.087 and the average post-test value of knowledge was 5.79 with a standard deviation of 2,000 and a median of 6.00. There was an increase in the knowledge of Bojongmangu 1 High School students after being given basic life support training with the highest score doubled. Keywords : Training, Basic Life Support, Student
Pelatihan Pengenalan First Aid dan Bantuan Hidup Dasar untuk Para Kader di Desa Karangmulya, Kecamatan Bojongmangu
Rini Nurdini;
Ummu Habibah;
Lusi Noviyanti
Abdimas Universal Vol. 6 No. 1 (2024): April
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Balikpapan (LPPM UNIBA)
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DOI: 10.36277/abdimasuniversal.v6i1.380
First Aid in Accidents was a temporary relief and treatment effort for accident victims before receiving more complete assistance from health workers. This cannot be done if the community as the front guard does not have the understanding and skills in initial treatment. First aid was important for accident victims to avoid death or disability. Knowledge of Basic Life Support (BLS) was very necessary to handle these cases. This activity aims to increased knowledge and skills in providing Basic Life Support (BLS) for Health Cadres in Karangmulya village. The method used is training for cadres. The results of the t-test showed that the average pre-test knowledge of the training participants was 4.91 with a median of 4.5 for the pre-test, a standard deviation of 1.130 and an average post-test knowledge score of 6.67 with a standard deviation of 0.89 and a median of 7.00. It can be concluded that there was an increase in knowledge after training with an average difference of 2 scores. This data also shows that cadres are an asset as ordinary people are quick to receive information and learning for emergencies. It is hoped that this activity will be carried out periodically.
The Relationship between Nurse Workload and Attitudes in Fulfilling Spiritual Needs in Hospital Inpatient Rooms Bhakti Husada Cikarang
Farozi Farozi;
Septiwiyarsi Septiwiyarsi;
Rini Nurdini;
Syarifudin Syarifudin
Journal of Educational Innovation and Public Health Vol. 2 No. 3 (2024): Juli : Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen
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DOI: 10.55606/innovation.v2i3.3111
Nurses are professional health workers who, in carrying out their duties and responsibilities, are required to be able to fulfill their spiritual needs while working. This is because health services are a basic human need that is provided through health services not only in the form of physical aspects , but also psychological aspects. High spirituality will have an impact on intrapersonal, interpersonal and transpersonal relationships in overcoming various life problems. This research aims to determine the relationship between nurse workload and attitudes towards fulfilling spiritual needs in hospital inpatient rooms. Bhakti Husada Cikarang. The research design used cross sectional . The population is inpatient nurses who work in health services, namely at the Bhakti Husada Cikarang Hospital. The total population in this study was 84 nurses . The sampling technique used was accidental sampling , totaling 47 respondents. The statistical test used is the Chi Square test. The research results showed that the majority of respondents had a moderate workload, 27 people (57.4%) and 33 people (70.2%) had their spiritual needs met. The statistical test results obtained a p value of 0.89, meaning there is no relationship between nurses' workload and the fulfillment of spiritual needs. It is hoped that nurses will always improve their professionalism in carrying out nursing care.
Analisis Asuhan Keperawatan Pada Pasien Dengan Gangguan Sistem Pencernaan : Post Operasi Appendectomy Dengan Masalah Keperawatan Nyeri Akut Di RSUD Kabupaten Bekasi
NURDINI, RINI;
Listia, Desti
Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan Vol. 6 No. 1 (2023): LENTERA: Jurnal Ilmiah Kesehatan dan Keperawatan
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sukabumi
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DOI: 10.37150/jl.v6i1.1773
According to data released by the Ministry of Health of the Republic of Indonesia regarding the incidence of appendicitis in Indonesia in 2016, the number of patients with appendicitis in Indonesia reached 591,819 people and increased in 2017 by 596,132 people (Soewito, 2017). The incidence of appendicitis in 2018 reached 7 of the world's population. In 2018 the incidence of appendicitis in most parts of Indonesia is still high. In Indonesia, the number of patients suffering from appendicitis is about 7% of the total population or about 179,000 people (Depkes, 2018). The author's goal is to be able to provide nursing care for post-operative appendectomy patients with acute pain nursing problems. Appendicitis is a painful swelling of the appendix with the management of appendectomy, namely surgery to remove the appendix, surgery is indicated when the diagnosis of appendicitis has been established. The research method used is a case study. Samples were taken according to the inclusion criteria of patients with post-appendectomy digestive system disorders with acute pain problems. The care was carried out for 3 days at the Bekasi District Hospital. Data was collected by: interviews, observations, physical examinations, and documentation studies. Data were analyzed narratively based on a comparison of two patients. Patient data 1 and 2 have been supportive to raise the problem of acute pain and its implementation has been implemented and there are no obstacles.
The effect of autogenic relaxation techniques on reducing blood pressure in hypertension patients at Bhakti Husada Cikarang Hospital
Nurdini, Rini;
Habibah, Ummu
Journal of Midwifery and Nursing Vol. 6 No. 1 (2024): January: Health Science
Publisher : Institute Of Computer Science (IOCS)
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DOI: 10.35335/jmn.v6i1.4700
Hypertension was a health problem in all parts of the world and was one of the main risk factors for cardiovascular disease. Data from the National Health Indicator Survey (Sirkesnas) showed an increase in the prevalence of hypertension in Indonesia in the population aged 18 years and over by 32.4% (Riskesdas, 2018). Patients with hypertension cannot only depend on medication, but there must be many nursing actions that can enable patients to be independent in overcoming their problems. One thing that can be done is relaxation techniques. The aim of this study was to determine the effect of blood pressure on patients with hypertension at Bhakti Husada Hospital, Cikarang. This research used a quasi-experimental design, Pretest-Posttest one Group design. The samples taken were all patients treated at Bhakti Husada Hospital with hypertension. The results of data analysis showed that those aged 40-60 years dominated with a percentage of 60.9%, women with 78.3%, secondary education (SMP, SMA) 56.5% and long history of hypertension when treated, dominated by 0-5 years with a percentage of 60.9%. In this study, it was found that blood pressure decreased after autogenic relaxation training by 60.9%. This research also obtained results that there was a significant effect of autogenic relaxation treatment on reducing blood pressure with a p value of 0.000. Suggestions for nurses to utilize non-pharmacological treatment in the form of autogenic relaxation exercises which can be taught to patients and patients can do it independently without having to rely on heart medication.