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Translation and Psychometric Testing of the Indonesian Version of the Preparedness for Caregiving Scale Ike Wuri Winahyu Sari; Novita Nirmalasari
NurseLine Journal Vol 6 No 1 (2021): May 2021
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v6i1.18665

Abstract

Background: Although many previous studies have used the Preparedness for Caregiving Scale (PCS), it has not been translated and validated in Indonesia. Purpose: This study aimed to translate and evaluate the PCS’s psychometric adequacy among family caregiver of non-communicable disease (NCD) patients in Indonesia. Methods: The linguistic of the PCS was validated using a standard forward-backward process. The Indonesian version was approved with Content Validity Index (CVI). Then a cross-sectional survey was conducted to establish the construct validity of the PCS to measure caregiver preparedness. A purposive sampling approach was used to recruit 40 consenting family caregivers of NCD patients. The PCS sum score was correlated with each item using Pearson product-moment. The internal consistency of the Indonesian version of the PCS (I-PCS) was assessed using Cronbach’s alpha. Results: The Item-CVI (I-CVI) and Scale-level CVI (S-CVI) of the I-PCS were 1.00. It showed the high content validity of the I-PCS. The I-PCS revealed a Cronbach’s alpha of 0.933 for the total score. The Pearson-r was more than 0.320 indicated that the item valid. Conclusion: The I-PCS is appeared to be valid and reliable for measuring the caregiver preparedness of NCD patients in Indonesia.
DEEP BREATHING EXERCISE AND ACTIVE RANGE OF MOTION EFFECTIVELY REDUCE DYSPNEA IN CONGESTIVE HEART FAILURE PATIENTS Novita Nirmalasari
NurseLine Journal Vol 2 No 2 (2017): November 2017
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v2i2.5940

Abstract

Dyspnea is a clinical manifestation of Congestive Heart Failure (CHF) due to lack of oxygen supply because of accumulation of fluid in the alveoli. This is an important factor that affects the quality of life of patients. The accumulation makes the heart unable to pump up to the maximum. The effect in respiratory muscle increases the sensation of dyspnea. Non-pharmacological management is measures aimed to maintain physical stability, avoid behaviors that can aggravate the condition, and detect early symptoms of worsening heart failure. The purpose of this study was to evaluate the influence of deep breathing exercise and active range of motion on dyspnea in CHF patients. This study was quasi-experiment with pretest-posttest with control group design that involved 32 respondents by stratified random sampling. Modified Borg scale was used as data collecting tool. The intervention of deep breathing exercise was conducted thirty times, and active range of motion was performed five times for each movement. The intervention was done three times a day for 3 days. This study was carried out from April to June 2017 in RS PKU Muhammadiyah Yogyakarta and RS PKU Muhammadiyah Gamping Yogyakarta. Paired t-test showed p<0.001 in the intervention group and p=0.001 in the control group. Mann Whitney test showed that intervention of deep breathing exercise and active range of motion is more effective than hospital standard intervention in decreasing dyspnea (p=0.004; a=0.05). This study recommends the application of deep breathing exercise and active range of motion as a method to reduce dyspnea in patients with CHF.
Caregiver’s Burden Among Families of Hemodialysis Patient: a Cross-Sectional Study Novita Nirmalasari; Ike Wuri Winahyu Sari
NurseLine Journal Vol 7 No 1 (2022): May 2022
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v7i1.29100

Abstract

Background: The end-stage renal disease affects almost every aspect of the patients' and caregivers' lives. Several studies have been conducted to explore the experiences of family caregivers in caring for hemodialysis patients. However, a survey of the burden of family caregivers has yet to be conducted in Indonesia, a country with strong family bonds among family members. Purpose: This study aimed to identify the burden among family caregivers of hemodialysis patients. Methods: This study was a cross-sectional study conducted in May 2021 on 60 family caregivers of hemodialysis patients. selected using a purposive sampling technique. Semi structured questionnaires were used to measure socio-demographic. The Caregiver Reaction Assessment-Indonesian Version (CRA-ID) was used to measure their burden. Data were analyzed using descriptive analyzes and bivariate analyzes. Results: Women represented 65% (n=39) of participants, married participants were 83.3% (n=50), and were 63.3% employed (n=38). Most of them have minimum family income (51.7%). The least common association of caregivers was the spouses of the patients (n=32, 53.3%). The analysis showed that the mean overall burden score with CRA-ID was 2.88±0.69 (ranging 1.00 to 5.00). The highest burden was the lack of family support dimension of 3.47±0.42. Caregiver burden among caregivers of patients on hemodialysis showed that the variables related to family burden were age, an education level, and family income (p-value<0,05). Conclusion: Caregivers of hemodialysis patients carry a significant burden. Interventions to provide appropriate social support to patients and increase caregivers' psychological conditions are critical.
Increased Oxygen Saturation through Deep Breathing Exercise and Active Range of Motion in Congestive Heart Failure Patients Novita Nirmalasari
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 7, No 2 (2019): JULI 2019
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.711 KB) | DOI: 10.21927/jnki.2019.7(2).68-73

Abstract

Dsypnea is a clinical manifestation of CHF due to pulmonary function failure. The accumulation of fluid in the alveoli makes the heart unable to pump with the maximum. The changes that occur in the respiratory muscles make an increase from the sensation of dyspnea. This results in increased respiratory rate, blood pressure and pulse and decreased oxygen saturation, This is an important factor affecting the quality of life of patients. Pharmacologic and nonpharmacologic management is performed to maintain physical stability, avoid behaviors that can aggravate the condition and detect early symptoms of worsening heart failure. Deep breathing exercise and active range of motion is one of the non-pharmacological interventions to reduce breathing and increase respiratory muscle. The purpose of this study was to identification oxygen saturation after deep breathing exercise and active range of motion. The type of research used is quasi experimental research involving 16 respondents with purposive sampling technique. Deep breathing exercise and active range of motion performed 3 times a day for 3 days. The measuring instrument used is pulse oximetry. Data analysis using paired ttest test. The results showed an increase in oxygen saturation of 1.69%. This shows the effect of deep breathing exercise intervention and active range of motion on oxygen saturation (p=0,000, α <0.05). The exercise will increase oxygenation requirements due to increased movement of the respiratory and diaphragm muscles resulting in an increase in tidal volume, decreased functional residual capacity and an optimal increase in oxygen intake. This research suggests that deep breathing exercise and active range of motion interventions can be used as self-care nursing interventions. Further research can add measured variables and use random samples.
Pengaruh Edukasi Tantrum dan Manajemen Marah Anak Pra Sekolah Pada Ibu di Tk Sunan Gunung Jati Rizqi Wahyu Hidayati; Novita Nirmalasari; Ike Wuri Winahyu Sari; Dwi Kartika Rukmi
The Journal of Innovation in Community Empowerment Vol 4 No 1 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i1.683

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Tantrum merupakan ledakan emosi yang dialami oleh anak usia prasekolah yang bersifat alami dengan angka kejadian yaitu 80% dan hal ini terjadi pada usia 2 – 6 tahun. Namun, orang tua sering kali menyalahartikan bahkan merasa hal tersebut adalah perbuatan tercela. Padahal, tantrum merupakan ekspresi anak ketika ia merasa tidak nyaman hingga keinginan tidak terpenuhi. Oleh karena itu, butuh pengetahuan tentang tantrum pada orang tua menjadi dasar agar perkembangan psikologis anak dapat berjalan dengan baik. Sehingga, pengabdian ini bertujuan untuk memberikan pemahaman pada ibu tentang tantrum dan manajemen marah pada anak usia pra sekolah. Pengabdian ini menggunakan metode ceramah, diskusi, dan demonstrasi. Sebelum dan sesudah kegiatan ibu diberikan soal tentang materi terkait. Berdasarkan hasil terdapat perbedaan yang signifikan antara sebelum dan sesudah diberikan edukasi dengan nilai p yaitu 0,001 (p < 0,05). Hal ini berarti bahwa edukasi efektif untuk meningkatkan pemahaman ibu tentang tentrum dan manajemen marah pada anak di usia pra sekolah.
Penurunan Stres Ibu Pada Saat Masa Pandemi Covid 19 Di Posyandu Kunir V Wirobrajan Melalui Terapi Relaksasi Hipnosis 5 Jari dan Musik Novita Nirmalasari; Latifah Susilowati; Rizqi Wahyu Hidayati
The Journal of Innovation in Community Empowerment Vol 3 No 1 (2021): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v3i1.582

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Stres di masa pandemi merupakan ketakutan dan kecemasan tentang kesehatan diri maupun kesehatan orang lain yang disayangi. Seseorang yang mengalami stress akan timbul gejala seperti perubahan pola tidur, pola makan, dan kesulitan konsentrasi. Faktor penyebab stres pada ibu antara lain adanya double burden yang terdiri pengasuhan anak, ibu rumah tangga, dan ibu bekerja. Sehingga manajemen stres dibutuhkan untuk mengurangi stres tersebut. Manajemen yang digunakan yaitu hypnosis lima jari dan terapi musik. Sehingga, pengabdian ini bertujuan untuk menurunkan level stres ibu selama masa pandemi. Pengabdian ini menggunakan metode pengajaran langsung dengan dibantu video terapi pada ibu. Sebelum dan sesudah kegiatan nilai stres ibu diukur menggunakan Perceived Stress Scale (PSS). Rata-rata itu mengalami stres sedang baik sebelum dan sesudah terapi. Selain itu, nilai p value juga menunjukkan 0, 802 (p > 0,05). Hal ini berarti bahwa terapi relaksasi yang dilakukan tidak memberikan penurunan secara bermakna. Maka, perlu dilakukan kegiatan tindak lanjut untuk mengatasi masalah tersebut.
Edukasi Audio Visual dalam Kesiapsiagaan Bencana Gunung Meletus pada Anak Usia Sekolah Novita Nirmalasari; Rizqi Wahyu Hidayati; Dwi Kartika Rukmi; Arif Adi Setiawan
The Journal of Innovation in Community Empowerment Vol 4 No 2 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i2.761

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Daerah Istimewa Yogyakarta adalah daerah yang rawan bencana dengan letusan gunung api dengan adanya gunung api aktif yaitu Gunung Merapi. Peristiwa bencana berkaitan dengan upaya mitigasi untuk mempersiapkan diri dalam menghadapi bencana dengan salah satu upayanya adalah edukasi terkait bencana. Tujuan dari kegiatan pengabdian masyarakat adalah untuk sebagai upaya peningkatan kesiapsiagaan terhadap bencana. Hasil kegiatan tersebut didapatkan bahwa sebanyak 21 peserta menunjukkan bahwa jenis kelamin perempuan lebih banyak jika dibandingkan laki laki sebesar 38% dengan usia peserta sebagian besar berusia 11 tahun (90,6%). Peningkatan pengetahuan ditunjukkan bahwa peningkatan skor rata-rata antara pretest dan posttest yaitu sebesar 21,59. Pada masa anak usia sekolah dasar ini anak akan mengalami pertumbuhan dan perkembangan yang sangat pesat, anak sangat peka dan mudah mempelajari sesuatu. Usia mempengaruhi pengetahuan, sikap, daya tangkap dan pola pikir anak. Semakin bertambah usia akan semakin berkembang pula daya tangkap dan pola pikir sehingga pengetahuan yang didapatkan semakin membaik. Perbedaan gender dapat menimbulkan perbedaan fisiologi dan memengaruhi perbedaan psikologis dalam belajar. Laki-laki dan perempuan memiliki berbagai perbedaan yang mengakibatkan perbedaan cara berpikir dan cara menyelesaikan masalah dalam belajar. Kesimpulan dari kegiatan pengabdian kepada masyarakat adalah terjadinya peningkatan peningkatan kesiapsiagaan terhadap bencana.
Studi Demografi: Riwayat Kejadian Cedera dan Penanganan Pertama Cedera Olah Raga di Unit Kegiatan Mahasiswa Novita Nirmalasari; Muhamat Nofiyanto; Rizqi Wahyu Hidayati
JHeS (Journal of Health Studies) Vol 4, No 2: September 2020
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (719.107 KB) | DOI: 10.31101/jhes.1018

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Penelitian ini bertujuan untuk mengetahui karakteristik demografi penanganan cedera olahraga. Penelitian menggunakan pendekatan deskriptif dengan sampel sebanyak 69 mahasiswa. Teknik pengambilan sampel dengan kuota sampling. Pengumpulan data menggunakan kuesioner. Analisis data dilakukan secara deskriptif. Cedera olahraga paling sering adalah ankle sejumlah 37,1%. Penanganan pertama pada kram otot dilakukan pemijatan sebanyak 73,9%, memar dengan kompres dingin sebanyak 46,4%, strain dan sprain dengan pemijatan 52,2% dan 55,0%, dislokasi dengan immobilisasi sebanyak 47,8%.
Nurses’ Family Support System in Pandemic Covid-19 Rizqi Wahyu Hidayati; Novita Nirmalasari; Ike Wuri Winahyu Sari
JENDELA NURSING JOURNAL Vol 6, No 2 (2022): DECEMBER 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v6i2.9033

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Background: The Covid-19 pandemic is being 2 years and the fluctuated cases made the nurses workload were increasing. The effects are stress, anxiety, and burnout. To decrease these sequences, need family support. Family support advantage to them for increasing their confidence and being valuable.       Purpose: the major aim of the study is to know the difference between family support for nurses who work in Covid and non-Covid wards.Methods: Quantitative method were used in its study and used 149 nurses as a respondent. The inclusion criteria were working at hospital at least a year and lived with nuclear family. The questioner used Family Support Scale (FSS) with 19 sentences. It used Mann-Whitney test with SPSS 21 software.Results: Most of the respondent were nurses who work in Covid ward (64.4%) and majority is an associate nurse (84.9%). The p value was 0.077 (p0.05) which indicate that there were not differences of family support between nurses who work in Covid and non-Covid wards.Conclusion: There were not differences of family support between nurses who work in Covid and non-Covid wards.
Peningkatan Keselamatan Kerja Melalui Pencegahan Penyakit Akibat Kerja Pada Perawat di Rumah Sakit Ngatoiatu Rohmani; Novita Nirmalasari; Ratna Lestari
Jurnal Pengabdian Pada Masyarakat Vol 8 No 2 (2023): Jurnal Pengabdian Pada Masyarakat
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30653/jppm.v8i2.346

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Penyakit akibat kerja dapat terjadi pada pekerja, termasuk perawat. Perawat sering melaporkan berbagai keluhan seperti sakit kepala, nyeri pinggang, tertusuk jarum dan penularan penyakit akibat kerja. Oleh karena itu, perawat perlu meningkatkan kewaspadaan dalam menerapkan budaya keselamatan dan kesehatan kerja agar dapat memberikan asuhan keperawatan secara optimal. Identifikasi risiko bahaya dan pemeriksaan kesehatan juga perlu dilakukan untuk mencegah terjadinya kecelakaan kerja yang dapat menurunkan produktivitas kerja. Sosialisasi dan pemberian edukasi terkait praktik K3 kepada perawat merupakan salah satu upaya yang dapat dilakukan untuk mencegah angka kecelakaan kerja. Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan dan kepatuhan perawat dalam melaksanakan pencegahan penyakit akibat kerja dengan menerapkan protokol yang sesuai dan mengenalkan latihan peregangan di tempat kerja untuk mencegah cedera akibat kerja. Metode pelaksanaan pengabdian kepada masyarakat meliputi: pengkajian kesehatan dan bahaya, analisis masalah, dan implementasi program melalui sosialisasi dan pendidikan kesehatan. Hasil menunjukkan bahwa sebagian besar peserta telah menerapkan pengurangan risiko infeksi dengan mencuci tangan sebelum dan sesudah prosedur dengan teknik yang benar. Occupational diseases may occur in workers, including nurses. Nurses often report various complaints such as headaches, low back pain, needle pricks and occupational disease transmission. Therefore, nurses need to increase vigilance in implementing a culture of occupational health and safety in order to provide nursing care optimally. Identification of hazard risks and health checks also need to be carried out to prevent work accidents that may reduce the work productivity. Socializing and providing education related to OSH practices to nurses is one of the efforts that can be pursued to prevent the number of work accidents. This service activity aims to increase the knowledge and compliance of nurses in implementing occupational disease prevention by implementing appropriate protocols and introducing stretching exercises in the workplace to prevent work-related injuries. The methods of conducting community service includes: health and hazard screening, problem analysis, and implementation of program through socialization and education. The results showed that majority of participants have implemented infection risk reduction by washing hands before and after the procedure with the correct technique