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TERAPI DINGIN EEFEKTIF MENURUNKAN NYERI STERNOTOMY SAAT LATIHAN NAPAS DAN BATUK EFEKTIF Setya Widyastuti, Chatarina
MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

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Background: Patients after coronary bypass surgery will experience pain as a result of sternotomy wounds, especially during deep breathing and coughing. They will always be given the breathing exercises and cough effectively to assist recovery and prevent respiratory complications. Pain can be reduced by cold therapy. Objective: purpose this Evidence Based Practice is determine the effectiveness of cold therapy in reducing sternotomy pain during breathing exercises and coughing. Methods: Participants (n = 6), in a randomized crossover trial, applied a frozen gel pack to their sterna incision dressing before performing deep breathing and coughing (DB & C) exercises. Pain scores from 0 to10 at rest were compared with pain scores post DB &C with and without the gel pack. Participants were also asked to describe their sensations with the frozen gelpack, as well as their preferences for gel pack application. Results: The analysis of differences in pain scores between pre- and post-application of the gel pack is significant reduce 0,5 -0,7. Pain scores post DB &C without the gel pack is increase 1,4 -1,5. All 6 (100%) participants would reapply the gel pack in the future. Conclusion: cold therapy is effective reducing pain during deep breathing exercise and coughing from moderate become mild. Application of cold therapy is an affordable, low risk and can be easily integrated in nursing practice. Keywords: Cold therapy, CABG, pain, sternotomy

ANALISIS FAKTOR KESIAPAN PERAWAT DALAM PRAKTIK KOLABORASI INTERPROFESIONAL DI RUMAH SAKIT PANTI NUGROHO YOGYAKARTA Setya Widyastuti, Chatarina
Jurnal Media Ilmu Kesehatan Vol 7 No 1 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: The best service in the patient cannot be separated from the collaboration practice among the professional health personal in providing the integrated service to the patient, including nurses. The ability to explain the knowledge, skills and role of nurses to other health professionals well is a competency that must be mastered by nurses as one of the members of an interprofessional team. Objective: find out the factors that influence nurse readiness in interprofessional collaboration practice (ICP) Methods: This study uses cross sectional design with total population of 63 nurses in hospital. Instrumen of this research used a valid and reliable quesioner. All data in this study analyzed univariate, bivariate and multivariate. Results: External and internal factors influence the readiness of interprofessional collaboration practice with p value 0.000. The most positive relationship is on social and interpersonal factors of consideration (correlation 0.739**). Ability variables age, education, social and interpersonal considerations, physical, organizational and institutional environments, behavior, intrapersonal and intellectual in explaining the variance of variables of readiness of interprofessional collaboration practice is 35%. Conclusion: Overall, the most factors that influence nurse readiness of interprofessional collaboration practice is social and interpersonal consideration (correlation 0.739**) Keywords: Nurse Readiness, Interprofessional Collaboration Practice, factors analysis

Faktor-Faktor yang Berhubungan dengan Pengetahuan Perawat Tentang Penyapihan Ventilasi Mekanik Di Ruang Perawatan Intensif Rumah Sakit Panti Rapih Yogyakarta Irawati Hardjono, Ganes; Setya Widyastuti, Chatarina; Anjar Rina, Fransisca
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 2 No 2 (2021): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v2i2.190

Background: Mechanical ventilation weaningis a collaborative action of multidisciplines. The nurse's knowledge plays an important role in assessing the readiness of the patient and observing it during the weaning process to support the success of the patient escaping from mechanical ventilation. Objective: The purpose of this study was to determine the factors related to the knowledge of nurses about mechanical ventilation weaning in the Intensive Care Room at Panti Rapih Hospital. Methods:This research is adescriptive analytic study with a cross sectional approach. The population of this study were all nurses who worked in the Intensive Care Room at Panti Rapih Hospital, Yogyakarta. The sample in this study was the total population, namely nurses in the Intensive Care Room, amounting to 48 respondents. The research instrument was avalid and reliable questionnaire on the level of knpwledge and influencing factors with a calculated r value of morethan 0.482 and cronbach alpha 0.75. Analysis using independent T-test and Spearman Results: The mean level of knowledge of respondents about mechanical ventilation weaning averaged 31.52 with CI7.458. Factors related to mechanical ventilation weaning knowledgein this studywereage (p-value:0.024), education (p-value:0.000), experience (p-value: 0.003), social and cultural (p-value: 0.009).), and sources of information (p-value:0.001). Meanwhile, the factors that were not related to knowledge of mechanical ventilation in this study were environment (p-value:0.115) and economy (p-value:0.231).

triase, ESI, tingkat pengetahuan Faktor-Faktor Yang Berhubungan Dengan Tingkat Pengetahuan Perawat Tentang Triase Emergency Severity Index Di IGD Rumah Sakit Panti Rapih Yogyakarta Suryanta Nugraha, Antonius; Marti, Eva; Setya Widyastuti, Chatarina
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 4 No 2 (2023): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v4i2.207

Abstrack Latar Belakang: Triase adalah proses khusus memilah pasien berdasarkan beratnya cedera atau penyakit untuk menentukan jenis penanganan atau intervensi kegawatdaruratan. Pengetahuan menjadi salah satu faktor yang sangat penting dalam ketepatan pelaksanaan triase, karena perawat harus mampu memprioritaskan perawatan pasien atas dasar pengambilan keputusan klinis perawat dalam penilaian awal, dan perawat harus mampu memprioritaskan perawatan pasien atas dasar pengambilan keputusan yang tepat. Tujuan: penelitian ini bertujuan untuk mengetahui faktor –faktor yang berhubungan dengan pengetahuan perawat tentang triase metode emergency severity index (ESI) di IGD Rumah Sakit Panti Rapih Yogyakarta. Metode: Penelitian ini menggunakan penelitian korelasi dengan menggunakan pendekatan cross sectional. Populasi penelitian ini adalah seluruh perawat yang mempunyai kewenangan klinis melakukan triase di IGD Rumah Sakit Panti Rapih. Sampel yang digunakan 31 responden dengan tehnik total sampling. Instrument penelitian yang digunakan yaitu kuesioner. Hasil: Dari hasil analisis univariat diketahui bahwa tingkat pengetahuan perawat tentang triase metode ESI di IGD Rumah Sakit Panti Rapih sebagian besar pengetahuan responden terkait triase metode ESI adalah cukup sejumlah 15 orang (48.4%). Dari analisis bivariate diketahui bahwa tidak ada hubungan yang signifikan antara faktor umur (p value 0,983), lama bekerja (p value 0,370), pelatihan triase (p value 0,461). dengan tingkat pengetahuan perawat tentang triase metode Emergency Severity Index. Simpulan: tidak ada hubungan antara factor usia, lama bekerja, dan pelatihan triase dengan tingkat pengetahuan perawat tentang triase metode ESI. Saran dapat melakukan penyegaran kembali tentang teori triase ESI pada saat acara staff meeting IGD atau saat jam pergantian jaga malam ke jaga pagi sebagai bentuk evaluasi pemahaman perawat tentang triase ESI Kata kunci : triase, ESI, tingkat pengetahuan

Faktor-Faktor Yang Berhubungan Dengan Kejadian Sindrom Koroner Akut Di Ruang Intensif Rumah Sakit Panti Rapih Yogyakarta Bramasta, Andika; Setya Widyastuti, Chatarina; Marti, Eva
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 4 No 2 (2023): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v4i2.210

Background: Acute Coronary Syndrome is an emergency case, especially in coronary arteries, and is the highest cause of death in the world and has even increased in the last 10 years. By knowing the factors associated with the incidence of ACS, it can be used to reduce the incidence of ACS and its complications. Objective: To determine the factors associated with the incidence of acute coronary syndrome in the intensive ward of Panti Rapih Hospital, Yogyakarta. Methods: This research uses descriptive quantitative research with a cross sectional approach. The population of this study were all ACS patients who were treated in the Intensive Room of Panti Rapih Hospital Yogyakarta from January 6 to February 16 2021. The sample in this study was 21 patients with non-probability sampling technique (accidental sampling), data collection using a questionnaire sheet and study documentation. Results: The results showed that smoking (p-value: 1,000), obesity (p-value: 0.334), age (p-value: 0.996), gender (p-value: 0.989) and heredity/family history (p-value: 0.989) value: 0.989) is not related to the incidence of ACS. While the factors associated with ACS are hypertension (p-value: 0.017), diabetes mellitus (p-value: 0.009) and dyslipidemia (p-value: 0.017). Conclusion: Factors associated with the incidence of ACS are hypertension, diabetes mellitus and dyslipidemia. Factors that are not related to the incidence of ACS are smoking, gender and heredity/family history. Keywords: Acute coronary syndrome, risk factors

Pengalaman Pasien Sindrom Koroner Akut yang Menjalani Kateterisasi Jantung di Rumah Sakit Panti Rapih Yogyakarta Widyastanti, Christina Restu; Marti, Eva; Setya Widyastuti, Chatarina
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 5 No 1 (2024): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v5i1.240

Background: Acute Coronary Syndrome (ACS) causes high mortality and increases every year, due to an imbalance between oxygen demand in the heart and blood flow due to the narrowing of the heart's blood vessels. The cardiac catheterization procedure can cause several responses in the patient, such as anxiety, pain, fear about the procedure, and fear of death, and this action is performed on the patient while conscious. so that patients can see directly the process of cardiac catheterization. After the procedure, the patient will be taken to the ICCU room for further post-catheterization care Objective: To find out the experiences of ACS patients undergoing cardiac catheterization at Panti Rapih Hospital, Yogyakarta. Methods: The research design used is qualitative with a descriptive phenomenology approach. The sampling technique was non-probability sampling (purposive sampling), with inclusion criteria for participants undergoing cardiac catheterization for the first time and having a stent/ring placed. The sample in this study was 5 participants according to data saturation, data collection used in-depth interviews with interview guidelines and tape recorders. The data analysis method used is from Creswell. Results: The study found six themes, namely 1) Internal and external motivation in performing cardiac catheterization 2) Surrender in undergoing cardiac catheterization, 3) The description of cardiac catheterization is not scary 4) Feelings of discomfort after cardiac catheterization 5) Positive feelings of after undergoing catheterization heart 6) Good service by health workers. The role of the nurse is very important in accompanying patients undergoing cardiac catheterization before, during, and after the procedure, because it will have an impact on the patient's psychology. For health workers, to provide services holistically, especially paying attention to psychological aspects such as providing support and explanations about cardiac catheterization procedures so as to reduce anxiety and provide patient satisfaction Keywords: Experience, Acute Coronary Syndrome, Cardiac Catheterization

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