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KEPATUHAN MINUM OBAT DAN DUKUNGAN KELUARGA TERHADAP KEKAMBUHAN PASIEN SKIZOFRENIA Yuniar, Dian; Pertami, Sumirah Budi
Media Informasi Vol 12, No 2 (2016): BULETIN MEDIA INFORMASI
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.552 KB)

Abstract

Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan minum obat dan dukungan keluarga terhadap kambuh dan tidak kambuh pada pasien rawat jalan skizofrenia . Penelitian ini adalah penelitian analitik pendekatan cross sectional dilaksanakan di Ruang Rawat Jalan dan Unit Gawat Darurat Rumah Sakit Jiwa Provinsi Sulawesi Tenggara Kota Kendari. Jumlah responden 73 dari 311 penderita skizofrenia, diambil dengan metode aksidental sampling data diolah secara univariat dan bivariat  berdasarkan hasil Uji chi Square variabel kepatuhan minum obat diperoleh nilai p = 0,001 dan dukungan keluarga p = 0,003 artinya Kepatuhan minum obat, dukungan keluarga, berhubungan terhadap kambuh dan tidak kambuh pada pasien rawat jalan skizofrenia. kesimpulan penelitian bahwa pendekatan psikososial dalam menangani kekambuhan pada pasien rawat jalan skizofrenia, seperti terapi keluarga, psikoterapi individual, pelatihan keterampilan sosial dan perlakuan komunitas disarankan untuk menurunkan angka kekambuhan pasien skizofrenia.
HIV SCREENING TEST IN A NEWLY DIAGNOSED TB PATIENT: A CASE STUDY Ira Rahmawati; Sumirah Budi Pertami
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 4 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.009 KB) | DOI: 10.35654/ijnhs.v2i4.294

Abstract

Human immunodeficiency virus (HIV) is the most significant risk factor for having tuberculosis (TB) diseases as people with HIV are 20 times more likely to develop TB disease compared to non-HIV individuals. This paper discusses the case of Lucas (pseudonym), who presented to the emergency department (ED) with history of chronic diarrhoea and symptoms suggesting TB diseases. Lucas was then found to have an active TB infection and According to the guidance on provider-initiated HIV testing and counselling in health facilities, HIV screening should performed or offered to newly diagnosed TB patients. However, Lucas was not offered to do HIV testing, which may possibly cause inadequate TB therapy that he received. This paper further discusses the pathophysiology of HIV and TB coinfection, followed by a discussion of the nursing assessment and management as well as the medical management in the ED. Then, HIV related stigma will be discussed, as it can be a barrier for introducing HIV testing in TB patients.
Pengaruh Elevasi Kepala 30 Derajat terhadap Saturasi Oksigen dan Kualitas Tidur Pasien Strok Sumirah Budi Pertami; Siti Munawaroh; Ni Wayan Dwi Rosmala
Health Information : Jurnal Penelitian Vol 11 No 2 (2019): Juli-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.239 KB) | DOI: 10.36990/hijp.v11i2.133

Abstract

Stroke adalah cedera serebral atau serangan otak yang terjadi karena kurangnya aliran darah dan oksigen ke otak yang terkait dengan obstruksi aliran darah ke otak atau pecahnya pembuluh darah serebral sehingga gangguan aliran oksigen ke otak menyebabkan hipokxia dan penderita mengalami gangguan kualitas tidur. Tujuan kajian ini adalah memastikan efek kepala atas posisi 30o terhadap saturasi oksigen dan kualitas tidur pada pasien stroke di rumah sakit Dr. Soedarsono, Pasuruan. Desain studi ini quasi eksperimental dengan kelompok kontrol Nonequivalent. Populasi adalah pasien dengan stroke pada 14 Januari-9 Februari 2019 jumlah 34 pasien, sampel digunakan sampling berturut-turut. Hasil pada tes Mann-Whitney memperoleh nilai P = 0,000 (P < 0,05) dan P = 0,001 (P < 0,05) yang berarti bahwa ada efek memberi kepala posisi 30o dalam kelompok pengobatan dan kelompok kontrol yang tidak diberikan intervensi untuk meningkatkan nilai saturasi oksigen dan kualitas tidur pada pasien stroke. Berdasarkan hasil penelitian ini diharapkan dapat menambahkan terapi posisi Head up 30 º dalam pelayanan keperawatan untuk meningkatkan saturasi oksigen dan kualitas tidur stroke pasien.
Provision of Technical Effectiveness Jelly In Cath Installation By Nurse On The Level Catheterization Urine Pain In Patients In Hospital Care Space Dr. R. Ismoyo Kendari Budiono Budiono; Sumirah Budi Pertami
Jurnal Keperawatan Vol 1 No 1 (2014): JURNAL KEPERAWATAN: Jurnal Keperawatan Medikal Bedah, Ilmu Keperawatan Anak, dan
Publisher : STIKes Karya Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46233/jk.v1i1.295

Abstract

Action catheterization is invasive and can cause pain, so if done in the wrong way will cause permanent damage to the urethra. Pain is the main complaint that is often experienced by patients with catheterization because of the actions insert a catheter into the bladder hose has a risk of infection or trauma to the urethra. This study aims at providing technical effectiveness jelly Knowing the catheter by a nurse on the level of pain in patients with urinary catheterization in a hospital 2013.Variabel Kendari year in this study are freely giving techniques jelly on the catheter consists of a jelly that is applied to the tip catheter and jelly sprayed directly on the meatus uretra.Variabel dependent in this study was the level of pain. This research is case control, by taking on the primary data on the effectiveness of the use of catheters and jelly on the level of pain after doing catheter respondents through the questionnaire. The population in this study were all patients who will be paired catheters. The samples in this study were nurses on duty in the hospital ward Ismoyo Kendari who perform catheter as many as 10 people and all the patients who will be the installation of a catheter. Sample size in this study as many as 20 people. The samples were taken by non-random sampling with accidental sampling technique. Data processing was performed using univariate and bivariate analysis were then presented in tabular form, followed by an explanation narasi.Hasil and conclusions in this research that there are methods of giving jelly smeared obtained by moderate and severe levels of pain respectively by 5 people (25.0 %) while for the method of administration by way of lubrication jelly or sprayed directly on urethral meatus obtained mild pain levels by 6 people (30%) and were as much as 4 people (20.0%) and technical provision of jelly that is sprayed on the urethral meatus is more effective against decreased levels of pain compared to administration of jelly that is applied to the tip of the catheter in patients with urinary catheterization. The advice can be given that researchers are expected to nursing personnel should use the jelly lubrication by entering into the urethra (lubrication method) because this can cause the sensation of pain with a lighter intensity and speed of installation is faster than on the way jelly stain on edge catheter. Keywords: Jelly Provision, Installation Catheter, Pain Levels
Hubungan Pencegahan Osteoporosis Pada Lansia Dengan Perubahan Fisik Di Posyandu Lansia Wundudopi Sumirah Budi Pertami; Budiono Budiono
TERAPEUTIK JURNAL : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas Vol 3 No 01 (2017): Terapeutik Jurnal : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas
Publisher : LPPM STIKes Karya Kesehatan

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Abstract

Jumlah penduduk lansia di Indonesia saat ini mencapai 28 juta jiwa. Menurut perkiraan dari united state bureau of Census 2006, populasi lanjut usia di Indonesia diproyeksikan antara tahun 1990-2023 akan naik 4,14%, suatu angka tertinggi di seluruh dunia pada tahun 2020 Indonesia akan merupakan urutan ke empat jumlah usia lanjut paling banyak sesudah Cina, India, dan Amerika Serikat. Meningkatnya populasi lanjut usia ini menyebabkan perlunya antisipasi meningkatnya jumlah pasien lanjut usia yang memerlukan bantuan untuk mengatasi masalah kasus gangguan muskuloskeletal seperti osteoporosis. Penelitian ini untuk mengetahui hubungan pencegahan osteoporosis pada lansia dengan perubahan fisik di Posyandu lansia Wundudopi. Penelitian ini termasuk penelitian retrospective yang menggunakan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh lansia Di Posyandu Lansia Wundudopi Wilayah Kerja Puskesmas Lepo-Lepo Kota Kendari sebanyak 40 orang lansia dan sampel diambil secara total sampling dengan jumlah 40 orang serta di uji menggunakan uji statistik chi-square. Hasil Penelitian menunjukan bahwa pencegahan osteoporosis dalam penelitian ini sebesar 55% sampel memiliki kategori terjadi, dan perubahan fisik dalam penelitian ini baik kategori berubah maupun tidak berubah sebanyak 50%. Dari hasil analisis statistik dengan menggunakan uji chi-square diperoleh nilai p=0,011 sehingga dapat disimpulkan bahwa ada hubungan pencegahan osteoporosis pada lansia dengan perubahan fisik di Posyandu Lansia Wundudopi Wilayah Kerja Puskesmas Lepo-Lepo Kota Kendari. Kesimpulan pada penelitian ini yaitu ada hubungan pencegahan osteoporosis dengan perubahan fisik ditandai dengan hasil analisis statistik menggunakan uji chi-square diperoleh nilai p = 0,011. Perlu dilakukan penelitian lebih lanjut tentang faktor-faktor penyebab terjadinya osteoporosis pada manula dan menganalisis lebih mendalam variabel-variabel penelitian yang lebih kompleks khususnya faktor-faktor risiko penyebab perubahan fisik dan osteoporosis. Bagi manula agar sedini mungkin mulai mengenali penyebab terjadinya osteoporosis dan melakukan pencegahan osteoporosis. Abstract Background : The elderly population in Indonesia has reached 28 million. According to estimates from the united state bureau of Census 2006, the elderly population in Indonesia between the years 1990 to 2023 is projected to rise 4.14%, the highest rate in the world by 2020 Indonesia will be the order of the number of elderly fourth most after China , India, and the United States. The increasing aging population is causing the need to anticipate the increasing number of elderly patients who need help to overcome the problem of musculoskeletal disorders such as osteoporosis cases. Methods : This study for the prevention of osteoporosis in older relationships with physical changes in Posyandu erderly Wundudopi. This research retrospective using a cross sectional study. The population in this study were all elderly. Posyandu erderly Wundudopi job districk lepo-lepo comunity health center Kendari city elderly people and as many as 40 samples were collected by simple total sampling as well as the number of 40 people tested using chi-square statistical test. Result : Research Shows that the prevention of osteoporosis in this study was 55% of the sample had happened categories, and physical changes in the study both categories changed or not changed as much as 50%. From the results of statistical analysis using the chi-square test p = 0.011 values ​​obtained so that it can be concluded that there is a relationship There prevention of osteoporosis in the elderly with physical changes in the Posyandu erderly Wundudopi job districk lepo-lepo comunity health center Kendari city. Conclusions : The conclusion of this research is the prevention of osteoporosis There is a relationship with the physical changes indicated by the results of statistical analysis using the chi-square test p-value = 0.011 is obtained. Need to do more research on the factors that cause the occurrence of osteoporosis in the elderly and more in-depth analysis of research variables are more complex in particular the risk factors and osteoporosis causes physical changes. For seniors as early as possible in order to begin to recognize the causes of osteoporosis and the prevention of osteoporosis.
Changes In The Strength Of The Muscle Of Extremity Through Rom (Range Of Motion) Exercise In Stroke Patients In The Working Area Of Karangploso Health Center Of Malang District Hanifatus Sabira Astrid; Sumirah Budi Pertami; Budiono Budiono
TERAPEUTIK JURNAL : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas Vol 5 No 02 (2019): Terapeutik Jurnal : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas
Publisher : LPPM STIKes Karya Kesehatan

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

Abstract

Stroke merupakan gangguan pada sistem saraf ditandai dengan serangan akut / mendadak yang mengakibatkan kelumpuhan pada salah satu sisi badan secara persisten dan menimbulkan kematian sel saraf (neuron). Stroke dapat menimbulkan dampak salah satunya terjadi gangguan muskuloskeletal yaitu penururnan kekuatan otot. Salah satu terapi alternatif dalam proses rehabilitasi pada pasien stroke yaitu Range Of Motion Exercise merupakan gerakan pada segmen tubuh terjadi sebagai akibat kontraksi otot atau gaya dari luar (external forces) yang menggerakkan tulang. Terapi ini sudah dikenal oleh terapis maupun tenaga kesehatan namun pada beberapa rumah sakit. Tujuan penelitian ini untuk mengetahui pengaruh ROM Exercise terhadap perubahan kekuatan otot ekstremitas atas pada pasien stroke. Desain penelitian ini adalah studi kasus deskripsi dengan jumlah sampel 2 subjek responden. Hasil observasi menunujukan kekuatan otot yaitu >3 dalam kategori baik, menunjukan adanya peningkatan signifikan antara skala kekuatan otot sebelum dan sesudah dilakukan ROM Exercise disebabkan oleh kontraksi otot dan pergerakan yang sering dilakukan sehingga masa otot bertambah dan membuat kekuatan otot meningkat serta memelihara mobilitas persendian. Diharapkan hasil penilitian ini, ROM Exercise bisa dijadikan petugas kesehatan sebagai salah satu tindakan perawatan yang efektif untuk pasien stroke yang mengalami kelemahan kekuatan otot pada bagian ekstremitas dan bertujuan untuk mempercepat pemulihan dengan teknik yang sesuai dan terjadwal. Abstract Stroke is a disorder of the nervous system characterized by an acute attack resulting in paralysis of one side of the body persistently and causing death of nerve cells (neurons). Stroke can cause one of the effects of musculoskeletal disorders that is the reduction of muscle strength. One alternative therapy in the rehabilitation process in stroke patients is the Range Of Motion Exercise is a movement in the body segment occurs as a result of muscle contraction or force from the outside (external forces) that move the bone. This therapy is already known by therapists as well as health workers but in some hospitals The purpose of this study to determine the effect of ROM Exercise on changes in upper extremity muscle strength in stroke patients. The design of this study is a case study description with a sample size of 2 subjects of respondents. The observation result showed that muscle strength was> 3 in good category, showed a significant increase between muscle strength scale before and after done ROM Exercise caused by muscle contractions and frequent movements so that muscle mass increases and increases muscle strength and maintains joint mobility. It is expected that the results of this study, ROM Exercise can be used as health care workers as one of the effective treatment measures for stroke patients who experience weakness of muscle strength in the extremities and aims to speed recovery by appropriate and unscheduled techniques.
KEPATUHAN MINUM OBAT DAN DUKUNGAN KELUARGA TERHADAP KEKAMBUHAN PASIEN SKIZOFRENIA Dian Yuniar; Sumirah Budi Pertami
Media Informasi Vol 12, No 2 (2016): BULETIN MEDIA INFORMASI
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.552 KB) | DOI: 10.37160/bmi.v12i2.44

Abstract

Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan minum obat dan dukungan keluarga terhadap kambuh dan tidak kambuh pada pasien rawat jalan skizofrenia . Penelitian ini adalah penelitian analitik pendekatan cross sectional dilaksanakan di Ruang Rawat Jalan dan Unit Gawat Darurat Rumah Sakit Jiwa Provinsi Sulawesi Tenggara Kota Kendari. Jumlah responden 73 dari 311 penderita skizofrenia, diambil dengan metode aksidental sampling data diolah secara univariat dan bivariat  berdasarkan hasil Uji chi Square variabel kepatuhan minum obat diperoleh nilai p = 0,001 dan dukungan keluarga p = 0,003 artinya Kepatuhan minum obat, dukungan keluarga, berhubungan terhadap kambuh dan tidak kambuh pada pasien rawat jalan skizofrenia. kesimpulan penelitian bahwa pendekatan psikososial dalam menangani kekambuhan pada pasien rawat jalan skizofrenia, seperti terapi keluarga, psikoterapi individual, pelatihan keterampilan sosial dan perlakuan komunitas disarankan untuk menurunkan angka kekambuhan pasien skizofrenia.
Optimizing the Endorphin and Oxytocin Massage to Increase Breast Milk Production among Postpartum Mother in Indonesia Sumirah Budi Pertami; Budiono Budiono; Ira Rahmawati
NurseLine Journal Vol 5 No 1 (2020): May 2020
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i1.16825

Abstract

Exclusive breastfeeding is the gold standard of infant feeding in the first six months of their life. In Indonesia, breastfeeding practice has become a social norm among women. However, some women have experienced inadequate breast milk production especially in the first and second days after birth. This study aimed to investigate the effect of endorphin and oxytocin massage on breast milk production among primiparous postpartum women and their baby weight. a quasi-experimental design was utilized with pre-test and post-test control group design. The population in this study were 175 postpartum mothers in Lawang Primary Health Care Indonesia. Forty postpartum mothers were selected and allocated to the intervention and control groups. Ten women were received endorphin massage, ten were given oxytocin massage, ten mothers were received the combination of endorphin and oxytocin massage and the remaining ten were allocated into the control group. The dependent variables were breast milk production and infant body weight, whereases the independent variables were endorphin massage, oxytocin massage and combination of endorphin and oxytocin massages. Data were analyzed by using t-test followed by One Way ANOVA Test with α = 0.05. The results indicated differences between the four group regarding the breast milk production and an increase in baby weight with p = 0, 00<α = 0, 05 and p = 0.046 <α = 0.05 respectively. According to the results, the combination of endorphin and oxytocin massage is the most effective technique to increase breast milk production among postpartum women and therefore, facilitating the baby weight gain in the first six months of their life.
Peningkatan Perkembangan Kognitif Anak Usia Dini dengan Kebiasaan Menonton Video Kartun Pembelajaran Rifa Aulia; Kissa Bahari; Nurul Pujiastuti; Erlina Suci Astuti; Sumirah Budi Pertami; Budiono Budiono
Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini Vol 6, No 6 (2022)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/obsesi.v6i6.3558

Abstract

Gadget merupakan salah satu bukti berkembangnya teknologi dan informasi yang sangat pesat. Anak menggunakan gadget untuk menonton video kartun yang dapat memengaruhi perkembangan kognitif anak. Tulisan ini menjelaskan bagaimana kaitan antara kebiasaan menonton vidio kartun pembelajaran dengan perkembangan kognitif anak usia dini di RA Perwanida 01 Pancir Kab. Blitar. Desain penelitian yang digunakan adalah deskriptif korelasi. Pendekatan menggunakan cross sectional dengan uji pearson correlation dan kruskal wallis. Instrumen penelitian yaitu kuisioner dan observasi. Besar sampel yaitu 46 anak yang diambil menggunakan tehnik purposive sampling. Hasil penelitian yaitu tidak terdapat hubungan antara intensitas waktu menonton vidio kartun pembelajaran dengan perkembangan kognitif anak dengan p-value 0,198. Namun ditemukan adanya perbedaan perkembangan kognitif anak usia dini berdasarkan jenis vidio kartun dengan p-value 0,000 dan rata-rata paling tinggi adalah menonton kartun pembelajaran “Upin-ipin”. Diharapkan pada orangtua untuk memonitor anak saat menonton video kartun dan memilih tontonan pembelajaran yang bermanfaat untuk perkembangan kognitif.
CHANGES IN THE STRENGTH OF THE MUSCLE OF EXTREMITY THROUGH ROM (RANGE OF MOTION) EXERCISE IN STROKE PATIENTS IN THE WORKING AREA OF KARANGPLOSO HEALTH CENTER OF MALANG DISTRICT Hanifatus Sabira Astrid; Sumirah Budi Pertami; Budiono Budiono
TERAPEUTIK JURNAL : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas Vol 4 No 02 (2018): Terapeutik Jurnal : Jurnal Ilmiah Ilmu Keperawatan dan Kedokteran Komunitas
Publisher : LPPM STIKes Karya Kesehatan

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

Abstract

Stroke is a disorder of the nervous system characterized by an acute attack resulting in paralysis of one side of the body persistently and causing death of nerve cells (neurons). Stroke can cause one of the effects of musculoskeletal disorders that is the reduction of muscle strength. One alternative therapy in the rehabilitation process in stroke patients is the Range Of Motion Exercise is a movement in the body segment occurs as a result of muscle contraction or force from the outside (external forces) that move the bone. This therapy is already known by therapists as well as health workers but in some hospitals The purpose of this study to determine the effect of ROM Exercise on changes in upper extremity muscle strength in stroke patients. The design of this study is a case study description with a sample size of 2 subjects of respondents. The observation result showed that muscle strength was> 3 in good category, showed a significant increase between muscle strength scale before and after done ROM Exercise caused by muscle contractions and frequent movements so that muscle mass increases and increases muscle strength and maintains joint mobility. It is expected that the results of this study, ROM Exercise can be used as health care workers as one of the effective treatment measures for stroke patients who experience weakness of muscle strength in the extremities and aims to speed recovery by appropriate and unscheduled techniques. Stroke merupakan gangguan pada sistem saraf ditandai dengan serangan akut / mendadak yang mengakibatkan kelumpuhan pada salah satu sisi badan secara persisten dan menimbulkan kematian sel saraf (neuron). Stroke dapat menimbulkan dampak salah satunya terjadi gangguan muskuloskeletal yaitu penururnan kekuatan otot. Salah satu terapi alternatif dalam proses rehabilitasi pada pasien stroke yaitu Range Of Motion Exercise merupakan gerakan pada segmen tubuh terjadi sebagai akibat kontraksi otot atau gaya dari luar (external forces) yang menggerakkan tulang. Terapi ini sudah dikenal oleh terapis maupun tenaga kesehatan namun pada beberapa rumah sakit. Tujuan penelitian ini untuk mengetahui pengaruh ROM Exercise terhadap perubahan kekuatan otot ekstremitas atas pada pasien stroke. Desain penelitian ini adalah studi kasus deskripsi dengan jumlah sampel 2 subjek responden. Hasil observasi menunujukan kekuatan otot yaitu >3 dalam kategori baik, menunjukan adanya peningkatan signifikan antara skala kekuatan otot sebelum dan sesudah dilakukan ROM Exercise disebabkan oleh kontraksi otot dan pergerakan yang sering dilakukan sehingga masa otot bertambah dan membuat kekuatan otot meningkat serta memelihara mobilitas persendian. Diharapkan hasil penilitian ini, ROM Exercise bisa dijadikan petugas kesehatan sebagai salah satu tindakan perawatan yang efektif untuk pasien stroke yang mengalami kelemahan kekuatan otot pada bagian ekstremitas dan bertujuan untuk mempercepat pemulihan dengan teknik yang sesuai dan terjadwal.