Maria Theresia, Siwi Ikaristi
Sekolah Tinggi Ilmu Kesehatan Panti Rapih Yogyakarta

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PENGARUH ABDOMINAL MASSAGE DALAM UPAYA PENCEGAHAN KONSTIPASI PADA LANJUT USIA DI BPSTW ABIYOSO YOGYAKARTA Fransisca Anjar Rina Setyani; Siwi Ikaristi Maria Theresia
Jurnal Kesehatan Kusuma Husada Vol. 11 No. 2, Juli 2020
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.613 KB) | DOI: 10.34035/jk.v11i2.453

Abstract

Salah satu gangguan pola eliminasi defekasi adalah konstipasi. Dari 20 lansiadi BPSTW Abiyoso, ternyata 9 diantaranya mengungkapkan mengalami kesulitan untuk buang air besar. Tujuan penelitian ini adalah mengetahui pengaruh abdominal massage untuk mencegah konstipasi pada lansia di BPSTW Abiyoso Yogyakarta dan faktor counfounding yang mempengaruhi pola eliminasi defekasi lansia di BPSTW Abiyoso Yogyakarta. Penelitian ini menggunakan desain quasi experimental, dimana peneliti membandingkan perbedaan pola eliminasi defekasi pada kelompok kontrol dan intervensi. Sampel dalam penelitian ini sebanyak 32 responden yang dibagi menjadi dua kelompok yaitu 16 responden pada kelompok kontrol dan 16 responden pada kelompok intervensi. Hasil uji t-independen menunjukkan bahwa ada perbedaan yang signifikan score defekasi pada kelompok kontrol dan intervensi artinya ada pengaruh pemberian abdominal massage pada lansia terhadap keteraturan pola eliminasi defekasi pada lansia (p value = 0.049; ? = 0.05). Perawat dapat menggunakan abdominal massage sebagai salah satu terapi non farmakologi untuk menjaga keteraturan pola eliminasi defekasi pada lansia. One disruption of the pattern of elimination of defecation is constipation. Elderly and someone who has a decreased physical ability are at risk for constipation. The purpose of this research is to know the effect of abdominal massage to prevent constipation toward elderly at BPSTW Abiyoso in Yogyakarta. This research uses quasi experimental, which compares the differences of elimination defecation patterns between kontrol and intervention groups. The number of sampels were 32 respondents, divided into 2 groups, i.e. 16 respondents in the kontrol group and 16 respondents in the intervention group. Independent t-test results showed significant difference defecation scores between the kontrol and intervention groups, meaning that there is the effect of abdominal massage to prevent constipation towrad elderly (p value = 0.049; ? = 0.05). Confounding variables related with the pattern of elimination is physical activity.
Nurse Experience in Providing Holistic Care to Covid-19 Patients in Indonesia: A Qualitative Research Siwi Ikaristi Maria Theresia; Eva Supriatin; Fransiska Anita Ekawati Rahayu Sa’pang; Serlina Sandi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 3 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

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Abstract

Aims: The study aimed to explore nurses’ experience in delivering holistic care among COVID-19 patients in designated care unit in Indonesian hospital. Methods: A qualitative study with phenomenology approach conducted. Population in this study were nurses from private and public hospital in West Java Province, Special Region of Yogyakarta and South Sulawesi. 10 participants recruited using purposive sampling with following inclusion criteria: taking care of COVID-19 patients and willingness to participate. Data collected through live interview, video calls and zoom meetings. Thematic data analysis was performed by understanding data or transcript results interview, composing codes and creating theme in accordance with the research purpose. Results: The study indicated 11 sub-themes and grouped into the three themes: 1) complains reported by COVID-19 patients, 2) Nurses’ intervention to fulfill physical, psychological, social and spiritual needs and 3) Nurses’ care as well as digital technology advantages as a means of therapeutic communication. The study discovered that nurses remain capable to fulfill needs of COVID-19 patients in a holistic approach. It includes the provision of physical, psychological, social and spiritual needs despite nurses experiencing inconvenient due to COVID -19 Personal Protective Equipment (PPE) standards. Conclusion: Holistic care is one mandatory consensus required to be carried out by nurses in taking care of COVID-19 patients as one interconnected bio - psycho - social- spiritual aspects. Holistic care for COVID-19 patients can take advantage of digital technology to fulfill it.
The Experiences Of Chronic Rental Failure Patients Undergoing Continous Ambulatory Peritoneal Dialysis (CAPD) Therapy In Yogyakarta Elsa Pristiyani Putri; Theresia Tatik Pujiastuti; Siwi Ikaristi Maria Theresia
Jurnal Keperawatan Dirgahayu (JKD) Vol 5 No 1 (2023): March
Publisher : Unit Penelitian dan Pengabdian Kepada Masyarakat, STIKES Dirgahayu Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52841/jkd.v5i1.331

Abstract

Terapi hemodialisis Continous Ambulatory Peritoneal Dialysis CAPD menimbulkan banyak perubahan dalam kehidupan pasien yang menggunakannya. Penelitian ini bertujuan untuk menggali pengalaman pasien CAPD dengan metode kualitatif dengan perspektif fenomenologi. Pengambilan data secara in dept interview pada 5 orang pasien CAPD yang diambil secara purposif. Hasil penelitian mengungkapkan terdapat lima tema yaitu (1) perubahan fungsi sistem tubuh merupakan respon ketidaknyamanan pasien sebelum menggunakan CAPD dan awal penggunaan CAPD; (2) keseimbangan fungsi tubuh merupakan respon positif yang dialami setelah 6 bulan oleh pasien CAPD; (3) adaptasi psikologis merupakan proses yang dialami secara bertahap yang melibatkan kekuatan dukungan internal dan eksternal pasien; (4) ketidaknyamanan dalam bersosialisasi merupakan proses yang wajar dialami selanjutnya akan menjadikan kekuatan untuk memperbaiki kemampuan sosialisasi; dan (5) semakin mensyukuri hidup dan semakin dekat dengan Yang Kuasa setelah melewati masa terpuruk. Berdasarkan hasil penelitian menggambarkan bahwa pengalaman pasien CAPD merupakan suatu hal penting yang menentukan keberlanjutan terapi tersebut. Keluarga dan masyarakat sekitar diharapkan selalu memberi dukungan bagi pasien dalam menjalani terapi CAPD. Peran perawat diharapkan dapat terus dalam memberikan edukasi dan pendampingan secara komprehensif bagi setiap pasien CAPD.
AN ETHICAL ISSUE OF SELECTIVE REDUCTION FOR MULTIFETAL-PREGNANCIES VERSUS SANCTITY OF LIFE Siwi Ikaristi Maria Theresia
Jurnal Keperawatan Respati Yogyakarta Vol 4 No 3 (2017): SEPTEMBER 2017
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v4i3.161

Abstract

Background: Selective reduction for multi-fetal pregnancies is a part of reproductive technologywhich developed to help infertile couples have healthy babies. That treatment is controversialbecause the purpose of the action is to improve quality of life but it is contrary with sanctity of life.The point about sanctity of life from various religions to be a moral and it is believed of everyone.Objective: This paper aims to explore the associated ethical issues of quality of life versus sanctity oflife as well as some benefits and harms of selective reduction for the mother, fetuses and community.Method: Literature search of articles between 1996-2016. Results: In vitro fertilization is a commonresult of multiple gestations. In order to get healthy baby/babies, in the United Stated selectivereduction for fetus/fetuses who have bad condition should be done, even though it is a risky treatment.On the other hand, it is contrary with sanctity of life views from four religions including Catholic,Islam, Buddhism and Hinduism. Conclusion: The procedure of selective reduction has benefits andharms to both mother and fetus/fetuses. It is related to morbidity and mortality. The treatment alsobrings the impact for community. This is a difficult decision for couples because their desire is incontrast to moral principle views.
Hubungan Tingkat Pengetahuan Perawat Tentang Cuci Tangan dengan Kepatuhan Five Moment Cuci Tangan pada Perawat di Rumah Sakit Panti Rini Yogyakarta Hana Debora Boru Haloho; Siwi Ikaristi Maria Theresia; Margareta Hesti Rahayu
Jurnal Keperawatan Florence Nightingale Vol 6 No 2 (2023)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v6i2.115

Abstract

Pandemic Covid-19 mendorong kesadaran untuk mencuci tangan, khususnya pada perawat untuk menghindari perpindahan virus dari peralatan kesehatan dan aktivitas fisik yang dilakukan. Namun, pengetahuan perawat tentang pentingnya five moment cuci tangan masih rendah sehingga berpengaruh terhadap penerapan perilaku mencuci tangan yang baik. Penelitian ini bertujuan untuk menganalisis hubungan pengetahuan cuci tangan dengan kepatuhan pelaksanaan five moment cuci tangan pada perawat di Rumah Sakit Panti Rini Yogyakarta. Metode penelitian yang digunakan adalah penelitian kuantitatif dengan desain cross sectional dan pengumpulan data menggunakan kuesioner. Variabel independen adalah pengetahuan cuci tangan sedangkan variabel dependen adalah kepatuhan five moment cuci tangan. Sampel yang digunakan adalah perawat pelaksana di IGD dan bangsal rawat inap. Pengujian yang dilakukan adalah uji validitas, reliabilitas, analisis univariat dan bivariat. Hasil penelitian menunjukkan bahwa 88,6% perawat memiliki tingkat pengetahuan yang tinggi dan 11,4% perawat memiliki tingkat pengetahuan yang sedang tentang cuci tangan. Sebanyak 95,5% perawat yang sangat patuh melaksanakan five moment. Hasil penelitian juga membuktikan bahwa terdapat hubungan positif dan signifikan antara pengetahuan cuci tangan dengan kepatuhan five moment perawat.
INFLUENCE OF HEALING GARDENS TO DECREASING PATIENT ANXIETY IN ONE OF PRIVATE HOSPITAL YOGYAKARTA Fransisca Anjar Rina Setyani; Fransisca Anjar Rina Setyani; Siwi Ikaristi Maria Theresia
Jurnal Ilmiah Kesehatan Keperawatan Vol 16, No 1 (2020): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v16i1.317

Abstract

Introduction: Chronic disease often cause patients feeling anxious in which it give negative consequences on their physical, emotional, social, intelectual and spiritual condition. Nurse can applay complementary therapy such as healing gardens to reduce patient anxiety level. Healing gardens can give comfortable situation, therfore it can improve relaxtation and reduce stress that can make hospitalization shorter. Some researres, results show that healing gardens can improve relaxtation and reduce patients anxiety who are sick.Purpose: To identify the relationship between healing gardens toward reducing chronic patients anxiety level in one of Private Hospital in Yogyakarta.Methode: Research design which was done was observation. Population in this research were all chronical hospitalized patient in in one of Private Hospital in Yogyakartaa from August to October 2015. Total sample in this research were 30 respondens who are choosed randomly.Result: The test result of data analysis on the difference of before and after experiencing healing gardens showed p value 0.000 (p value < 0.05), means that healing gardens can reduce chronical panients anxiety level.Conculsion and suggestion: Healing gardens can reduce anxiety level in chronic illnes patients. Hospital should applay healing gardens toward chronical patients in order to reduce patient anxiety level. For nurse, they also should give and touch to patients who were doing healing gardens where these can psychologically can improve their safety and comfortable so it can reduce patients anxiety level. Key words: healing gardens, anxiety, chronic disease. 
Spiritual care interventions in critical area: A literature review study Theresia, Siwi Ikaristi Maria
Mikki: Majalah Ilmu Keperawatan dan Kesehatan Indonesia Vol 11, No 2 (2022)
Publisher : STIKES Wira Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47317/mikki.v11i2.487

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Background: Spiritual care for patients in critical areas is urgently required due to anxiety and fear related to death. Most people think that physical intervention is more important for patient care. However, spiritual needs are considered beneficial to speed up the physical recovery process and reduce pain. Nurse intervention for the provision of spiritual need to be an important aspect and expected at any time since the care is inseparable in critical care setting. Objective: This literature review aims to identify various spiritual care interventions for patients in critical areas.Method: A literature review conducted to discover spiritual care interventions. Data were collected in September 2022 from PubMed and Google Scholar database. A total of 3 (three) relevant studies were included in this study.Result: The articles are qualitative and quantitative study which were conducted in 2021 and 2022. Sample in the studies ranged from 19 to 47 respondents, including nurses who work in critical settings, religious leaders and patient’s families. Various nurse-led intervention to fulfill patient’s spiritual needs are provision of belief, create calm atmosphere during prayer time, Facilitate placement of patients and their families’ trusted protection symbol, collaboration with religious leaders and use of virtual technology for communication purpose.Conclusion: Nurse did not neglect spiritual care for patients treated in critical areas. Consistent behavior to respect and support patient’s spiritual needs in accordance with the religion and beliefs of the patient demonstrated by the nurses.
PENERAPAN SENAM KAKI UNTUK MENGATASI PENURUNAN PERFUSI PERIFER PADA PASIEN DIABETES MELLITUS: STUDI KASUS : THE APPLICATION OF FOOT EXERCISES TO OVERCOME DECREASED PERIPHERAL PERFUSION OF DIABETES MELLITUS PATIENTS: A CASE STUDY Henny Pramidyastuti, Chatarina; Theresia, Siwi Ikaristi Maria
Jurnal Keperawatan Notokusumo Vol. 12 No. 1 (2024): Juni
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Pencegahan komplikasi pada penderita diabetes militus dapat dilakukan dengan mengubah perilaku kesehatan melalui penanganan farmakologi dan non farmakologi. Latihan senam kaki merupakan upaya awal dalam mencegah, mengontrol, dan mengatasi diabetes karena senam kaki dapat meningkatkan aliran darah dan memperlancar sirkulasi darah. Studi kasus ini bertujuan untuk mengetahui pengaruh penerapan) senam kaki terhadap peningkatan sirkulasi perifer pada pasien Diabetes Melitus tipe II di Ruang Rawat Inap RS Panti Rini Yogyakarta. Subyek yang digunakan adalah dua orang pasien yang dilakukan intervensi senam kaki dengan frekuensi 1 kali sehari dengan durasi 10 - 15 menit selama 3 hari berturut-turut untuk setiap pasien. Hasil studi menunjukkan bahwa terdapat peningkatan sirkulasi darahh memalui pemeriksaan CRT dari 3 detik menjadi 2 detik dan SpO2 yang stabil. Selain itu terdapat peningkatan sensitivitas tajam tumpul dari score 5 menjadi 8 pada kedua kaki serta sensitivitas panas dingin yang konsisten tidak mengalami penurunan. Oleh karena itu perawat hendaknya melakukan edukasi dan memberikan intervensi senam kaki pada pasien yang opname untuk mengatasi masalah keperawatan perfusi perifer tidak efektif yang dapat mengakibatkan komplikasi neuropati perifer yang dapat berdampak terjadinya ulkus diabetikus.   Prevention of complications in patients with diabetes militus can be done by changing health behavior through pharmacological and non-pharmacological treatments. Foot exercises are an early effort in preventing, controlling, and overcoming diabetes because foot exercises can increase blood flow and improve blood circulation. This case study aims to determine the effect of the application of foot exercises on improving peripheral circulation in type II Diabetes Mellitus patients in the Inpatient Room of Panti Rini Hospital Yogyakarta. The subjects used were two patients who were intervened with foot exercises with a frequency of 1 time a day with a duration of 10 - 15 minutes for 3 consecutive days for each patient. The results of the study showed that there was an improvement in blood circulation through CRT examination from 3 seconds to 2 seconds and stable SpO2. In addition, there was an increase in blunt sharp sensitivity from a score of 5 to 8 on both feet and a consistent cold heat sensitivity that did not decrease. Therefore, nurses should educate and provide foot exercise interventions for patients who are hospitalized to overcome nursing problems of ineffective peripheral perfusion which can lead to complications of peripheral neuropathy which can have an impact on diabetic ulcers.
FACTORS ANALYSIS OF COMMUNITY WILLINGNESS TO FOLLOW THE COVID-19 VACCINATION PROGRAM BASED ON THEORY OF HEALTH BELIEF MODEL Kristy, Ika Setiani; Theresia, Siwi Ikaristi Maria; Aryu, Scholastica Fina
Edu Masda Journal Vol 7, No 1 (2023): Edu Masda Journal Volume 7 Nomor 1
Publisher : STIKes Kharisma Persada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52118/edumasda.v7i1.174

Abstract

community immunity or heard Indonesia, Indonesia has promoted a COVID-19 vaccination program for the entire community. The Special Region of Yogyakarta Province is one of the provinces that implements vaccination programs intensively for the community with a high level of community willingness to participate in this vaccination program. The willingness to participate in this vaccination program is a form of a person's behavior towards the health problems faced, and this can be seen with the nursing theory, namely the Health Belief Model which assesses a person's perception to make behavioral changes following the vaccination program. The purpose of the study is to analyze the factors in the Health Belief Model nursing theory on people's willingness to participate in the COVID-19 vaccination program. The research method is quantitative with a sample of 92 respondents, the total population of Dusun Sumberan who have been vaccinated against COVID-19 doses 1 and 2. The results show that people's willingness to participate in the COVID-19 vaccination program is influenced by perceptions of the potential severity of COVID-19 disease (p = 0.73), and the benefit factor of receiving COVID-19 vaccination (p = 0.70). Meanwhile, the factors that do not affect the community's willingness are the susceptibility or ease of contracting COVID-19 (p = 0.50), the obstacle factor in participating in the vaccination program (p = 0.50), and the motivational factor in participating in the vaccination program (p = 0.50). Conclusion: The Health Belief Model is a theory that can be the base to influence people to be willing to participate in the COVID-19 vaccination program. These findings can be used to provide education to the public about the importance of participating in the vaccination program, and reduce the public doubts about COVID-19, therefore vaccine coverage increases and the herd immunity occurs in Indonesia.
Faktor-Faktor yang Berhubungan dengan Kecemasan Pasien yang Menjalani Operasi di RS Santa Elisabeth Ganjuran Yogyakarta Setiyowati, Elis; Theresia, Siwi Ikaristi Maria; Maria, Avin
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14204

Abstract

Surgical medical action can be canceled because the patient experiences anxiety which results in changes in vital signs. This can affect the success of the operation. This study aims to determine the factors associated with the anxiety level of patients who will undergo surgery. The research design was cross-sectional. The number of respondents was 30 patients selected by accidental-purposive sampling technique. Data was collected by filling out a questionnaire, namely Hamilton Rating Sale for Anxiety (HRS-A). The collected data were analyzed using the Mann-Whitney, Pearson and Spearman test. The results of the analysis showed a value of p = 0.02 for the gender factor, p = 0.466 for the age factor, p = 0.635 for the educational level factor, and p = 0.078 for the operation history factor. It could be concluded that the factor that was significantly related to the patient's anxiety in facing surgery was gender.Keywords: pre operation; HRS-A; gender ABSTRAK Tindakan medis operasi dapat dibatalkan karena pasien mengalami kecemasan yang mengakibatkan perubahan tanda-tanda vital. Hal ini yang dapat mempengaruhi keberhasilan operasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan tingkat kecemasan pasien yang akan menjalani operasi.  Desain penelitian ini adalah cross-sectional. Jumlah responden adalah 30 pasien yang dipilih dengan teknik accidental-purposive sampling. Data dikumpulkan dengan melalui pengisian kuesioner yaitu Hamilton Rating Sale for Anxiety (HRS-A). Data yang telah terkumpul dianalisis menggunakan uji Mann-Whitney, Pearson dan Spearman. Hasil analisis menunjukkan nilai p = 0,02 untuk faktor jenis kelamin, p = 0,466 untuk faktor usia, p = 0,635 untuk faktor tingkat pendidikan, dan p = 0,078 untuk faktor riwayat operasi. Dapat disimpulkan bahwa faktor yang secara signifikan berhubungan dengan kecemasan pasien dalam menghadapi operasi adalah jenis kelamin.Kata kunci: pre operasi; HRS-A; jenis kelamin