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Monitoring and Evaluation of the Use of Personal Protective Equipment (Ppe) Among Nurses in Post Pandemic Educational Hospitals Lilis Setyowati; Marzicha Amalia Sumardiko; Erma Wahyu Mashfufa; Ollyvia Freeska Dwi Marta; Nur Aini; Sunardi
Indonesian Journal of Advanced Research Vol. 3 No. 4 (2024): April 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ijar.v3i4.8968

Abstract

Use personal protective equipment (PPE) to prevent the chain of disease transmission, especially Covid-19. This study aims to monitor and evaluate the use of PPE among nurses who work in inpatient and emergency rooms at teaching hospitals in Malang. This research uses a cross-sectional comparative analysis approach. Data were collected using hospital SOP observation sheets by the Minister of Health Regulation 27 of 2017. Using a purposive sampling technique, the sample size was 82 nurses, divided into inpatient and emergency rooms. Data analysis uses descriptive and Chi-square to analyze differences in work area use of PPE (α= 0.05). The study's results showed differences in compliance and level of risk of exposure for nurses in using PPE in emergency departments and inpatient rooms (p-value=0.009). Emergency department nurses use PPE more often according to SOP, which has a higher exposure risk than inpatient nurses.
Association Between Restless Legs Syndrome and Quality of Life Indicators Among Elderly Filyandini, Savina; Marta, Ollyvia Freeska Dwi; Mashfufa, Erma Wahyu; Aini, Nur; Ariani, Tutu April
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6540

Abstract

Restless Legs Syndrome (RLS) is a common but often undiagnosed neurological disorder, characterized by an urge to move the legs accompanied by uncomfortable sensations, especially during rest at night. This condition is common in the elderly, disrupts sleep, and negatively impacts mood, energy, and quality of life, especially in nursing home residents. This study investigated the relationship between Restless Legs Syndrome (RLS) and quality of life in the elderly living in nursing homes. The research design was cross-sectional, with a consecutive sampling technique. The independent variable in this study was the severity of RLS measured using the IRLSSG questionnaire. Higher scores of IRLSSG and SF-36 indicated severe RLS and better QoL. Data analysis was conducted using the Spearman correlation test to assess the relationship between RLS and quality of life. The sample used in this study was 70 participants, calculated using G power software. The results showed that the average age of the participants was 75.41 years, with the majority of participants being women. Most participants experience mild RLS (67.14%). Statistical tests showed a significant negative association between RLS and QoL, specifically in the bodily pain (BP) domain, with a p-value of 0.04 and r= - 0.2465, which means increasing RLS will increase BP. Participants experienced mild pain, while 24.29% reported moderate pain, and 8.57% experienced severe pain. Statistical tests showed p value of 0.05, which indicates a significant relationship between the severity of RLS and quality of life. RLS has a significant impact on the quality of life in the elderly. Therefore, healthcare providers need to recognize and manage RLS symptoms to improve the overall well-being of this population. For further research, researchers need to consider additional factors such as comorbidities and social support, and implement interventions to reduce RLS symptoms.
Prevalensi Kengantukan Berlebih di Siang Hari (Excessive Daytime Sleepiness) pada Lansia Marta, Ollyvia Freeska Dwi; Mustapa, Hadi; Aini, Nur; Mashfufa, Erma Wahyu; Ariani, Tutu April
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.43849

Abstract

Kebiasaan tidur yang tidak baik dan gangguan tidur dapat meningkatkan resiko terjadinya berbagai macam penyakit dan kematian. Angka kejadian kengantukan berlebihan di siang hari (excessive daytime sleepiness) yang tinggi dan korelasinya bervariasi pada lansia terutama yang tinggal di lingkungan komunitas. Tujuan penelitian ini adalah untuk mengidentifikasi prevalensi kengantukan berlebih di siang hari pada lansia dan faktor yang mempengaruhinya. Design penelitian adalah cross-sectional study, dan sampel diambil dengan teknik consecutive sampling. Data demografi terkait usia, jenis kelamin, lama tinggal di panti, konsumsi kafein, indeks massa tubuh, dan riwayat penyakit. Untuk mengukur kengantukan berlebih pada lansia, peneliti menggunakan the Epworth Sleepiness Scale (ESS). Penelitian ini melibatkan 70 lansia dari panti wreda di Malang, Jawa Timur. Rata-rata usia responden adalah 75.41±9.50 tahun, dengan mayoritas responden adalah berjenis kelamin perempuan sebanyak 78,57%. Responden memiliki lama tinggal di panti selama rata-rata 3.03±3.37 tahun. Indeks Massa Tubuh (IMT) lansia adalah 21.8±4.2 kg/m2 dan berada pada kategori normal. Sebanyak 54,29% lansia memiliki berbagai macam riwayat penyakit seperti hipertensi, diabetes mellitus, dll. Prevalensi kejadian kengantukan berlebih pada lansia adalah sebesar 5.71% sedangkan mayoritas lansia tidak mengalami kengantukan berlebih di siang hari (66%). Kantuk berlebih pada lansia perlu ditangani dengan berbagai macam strategi penanganan yang konprehensif dan sangat penting untuk meningkatkan kualitas hidup lansia.
Optimization Of Arjowinangun Cadre Of Integrated Health Service Erma Wahyu Mashfufa; Lilis Setyowati; Ollyvia Freeska Dwi Matra; Nur Aini
Jurnal Pengabdian Pancasila (JPP) Vol. 3 No. 1 (2024): March 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/jpp.v3i1.8576

Abstract

Cadre of Integrated Health Service are a community forum consisting of mothers working in the health sector to assist the Puskesmas screening program, reducing morbidity and mortality. The findings after FDG found that health training had never been carried out. This program aims to upgrade the knowledge and skills of Posyanda cadres to assist with puskesmas program tasks. Programs community service increase science and technology in the community with various programs: 1. Increasing the posyandu program for toddlers and older people to be more innovative, 2. Training and assistance with Basic Live Support (BLS) and emergency first aid (PPGD), 3 education on infectious diseases and how to handle them independently, 4 uses of natural ingredients to improve children's nutrition. Mentoring and training were carried out for four days. After the implementation of community service activities had a positive impact, Cadre of Integrated Health Service were able to help Community Health Center officers carry out screening to detect Non -communicable diseases.
Efektivitas terapi rendam kaki air hangat terhadap tekanan darah pada pasien hipertensi: A cast report Pratama, Julian Syaputra; Mashfufa, Erma Wahyu
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 7 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i7.1922

Abstract

Background: Hypertension is the third leading cause of death after stroke and tuberculosis, accounting for 6.7% of deaths across all ages in Indonesia. Hypertension is known as the silent killer because its symptoms are often asymptomatic. Hypertension can be managed pharmacologically and non-pharmacologically. Non-pharmacological management includes healthy lifestyle changes such as a low-salt diet, exercise, and smoking cessation, as well as warm water immersion therapy at 39-40°C. Purpose: To determine the effectiveness of foot immersion therapy in lowering blood pressure in hypertensive patients. Method: This case study of nursing care was conducted at Malang City Hospital. The subject of this study was a patient referred to as Mr. A. The intervention was administered for three days, involving foot immersion therapy using warm water at 39-40°C. Results: After three consecutive days of foot immersion therapy, Mr. A's blood pressure decreased. Mr. A's blood pressure decreased to 147/88 mmHg from 158/100 mmHg on the first day. Conclusion: Foot soak therapy is effective in reducing Mr. A's blood pressure.   Keywords: Foot Soak Therapy; Hypertension; Non-Pharmacological.   Pendahuluan: Hipertensi merupakan penyebab kematian nomor tiga setelah stroke dan tuberkulosis, yakni mencapai 6.7% dari populasi kematian pada semua umur di Indonesia. Hipertensi disebut sebagai pembunuh senyap karena gejalanya sering tanpa keluhan. Penatalaksanaan hipertensi dapat dilakukan secara farmakologis maupun non farmakologis. Penatalaksanaan non farmakologis diantaranya dengan mengubah gaya hidup sehat seperti diet rendah garam, olahraga dan tidak merokok, dan terapi rendam air hangat dengan temperature 39-40oC. Tujuan: Untuk mengetahui efektivitas terapi rendam kaki dalam menurunkan tingkat tekanan darah pada pasien hipertensi. Metode: Penelitian studi kasus asuhan keperawatan yang dilakukan di RS Kota Malang. Subjek penelitian ini adalah satu orang yang disebut sebagai Tn. A. Intervensi dilakukan selama tiga hari dengan pemberian terapi rendam kaki menggunakan air hangat dengan temperatur 39-40oC. Hasil: Setelah tiga hari berturut-turut diberikan intervensi berupa terapi rendam kaki, tekanan darah Tn. A menurun menjadi 147/88 mmHg dari yang sebelumnya pada hari pertama sebesar 158/100 mmHg. Simpulan: Ada efektifitas pemberian terapi rendam kaki terhadap tekanan darah Tn. A.   Kata Kunci: Hipertensi; Non Farmakologis; Terapi Rendam Kaki.
Integrated Worksheets sebagai Media Pembelajaran Inovatif untuk Meningkatkan Kompetensi Keperawatan Dasar pada Mahasiswa Profesi Ners Nur Aini; Erma Wahyu Mashfufah
Journal of Ners and Midwifery Vol 5 No 3 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i3.ART.p263-267

Abstract

Salah satu metode pembelajaran dalam praktik profesi ners departemen keperawatan dasar profesi (KDP) adalah pre dan post conference, dimana mahasiswa harus membuat laporan pendahuluan (LP) dan menguasai materi tersebut. Permasalahan yang terjadi dan dikeluhkan oleh pembimbing adalah mahasiswa hanya sekedar menulis laporan tanpa memahami isinya sehingga saat bimbingan kemampuan kognitif mereka kurang. Oleh karena itu, peneliti membuat inovasi membuat Worksheets sebagai media pembelajaran inovatif untuk meningkatkan kompetensi keperawatan dasar pada mahasiswa profesi ners. Metode : Jenis penelitian adalah penelitian tindak kelas atau CAR (classroom action research). terdiri dari 4 tahapan yaitu : 1). Perencanaan, dilakukan penyusunan worksheet. 2) Pelaksanaan, yaitu penerapan worksheet, 3). Pengamatan, mengamati hasil penerapan worksheet terhadap kemampuan mahasiswa 4). Refleksi, merefleksi diri berdasarkan hasil observasi dan diskusi. Penelitian dilakukan pada mahasiswa praktik profesi Ners sejumlah 37 mahasiswa pada bulan Maret - Oktober 2018. Hasil : Mayoritas mahasiswa setuju dengan penggunaan worksheet, dan prosentase hasil kelulusan ujian final exam sebesar 84%. Diskusi : Worksheet membuat mahasiswa lebih mudah memahami materi keperawatan dasar, karena mahasiswa harus mengerjakan soal-soal sehingga membuat pemahaman mereka lebih baik. Penerapan worksheet perlu dicoba diterapkan pada mata kuliah lain, serta perlu dicoba model atau metode pembelajaran yang lain dalam praktik profesi ners, sehingga kompetensi mahasiswa meningkat.
Student Perceptions of Skills Training Program as a Mean of Preparation for Nurse Profession Program Erma Wahyu Mashfufa; Lilis Setyowati
Journal of Ners and Midwifery Vol 9 No 1 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i1.ART.p001-004

Abstract

The nursing profession must be pursued through higher education. Practice vehicles, such as hospitals require students to pass a skills test before they can practice. The Nursing Study Program, FIKES UMM, has implemented a matriculation program for students who will join the Nursing Profession. This activity has been carried out for a long time and has undergone several method changes to produce more effective outputs. However, there has never been an evaluation of how successful and valuable this program is for students. This type of research is a descriptive study because the researcher only observed Student' Perceptions Skills Training Programs in Preparing to Participate in Nursing Professional Education. The population in this study were all students of professional practice Nurses wave 20, a total of 50 respondents were taken by total sampling technique. The Dundee Ready Education Environment Measure (DREEM) questionnaire is appropriate for measuring the learning environment. Data analysis was carried out descriptively with percentages, tables, mean, and standard deviation. The result has shown that a score the DREEM questionnaire  200 value indicates that there is a positive perception of the matriculation learning environment that has been carried out in preparation for entering professional practice, including the expertise of the teacher/facilitator. Students' perceptions of the matriculation program for the preparation of professional education are positive. On the other hand, to improve student skills to be more optimal, it is necessary to enhance the skills of facilitators and more supportive facilities and infrastructure
Nutritional Status Correlated with Frailty Among Elderly Ucik Yusinta Dewi; Erma Wahyu Mashfufa; Nur Aini; Ollyvia Freeska Dwi Martha; Tutu April Ariani; Muhammad Haikal; Yeni Kartika Sari
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i1.ART.p071-079

Abstract

Nutritional status is a critical issue for older adults and is closely linked to various health problems. Insufficient or excessive dietary intake can impair the body’s ability to manage physical disorders and diseases, leading to increased weakness in this population. This research aimed to analyze the correlation between nutritional status and frailty in the elderly. This research utilized a cross-sectional design, employing consecutive sampling to gather data from 65 patients in four nursing homes. Participants were elderly individuals over 45 years old, residing in nursing homes, cooperatives, and willing to participate. Sample size determination was performed using G*power 3.1.9.7 software, with a medium effect size of 0.41, a p-value of 0.05, and a power of 0.90. Non-parametric tests were used for data analysis, employing the MNA-SF and Frailty Index Questionnaire-40 (FI-40) instruments. The average age of participants was 75.92 (+9.45) years, with the majority of the sample being elderly, and women constituted 80% of all participants. There was a significant correlation between nutritional status and frailty (p=0.005 <0.05), with a moderate negative relationship (r=-0.344). This research concluded that the better the nutritional status, the lower the frailty level. This research indicated that better nutritional status was linked to reduced frailty in the elderly, highlighting the need for healthcare teams to implement strategies that enhance patient adherence in managing factors that negatively affect nutrition.