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Effects of Compression Stockings on the Risk of Obstructive Sleep Apnea (OSA) in Hemodialysis Patients Astilia, Astilia; Bandiara, Ria; Kosasih, Cecep Eli; Ibrahim, Kusman
Nurse Media Journal of Nursing Vol 10, No 2 (2020): (August 2020)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v10i2.24527

Abstract

Background: Obstruction Sleep Apnea (OSA) in hemodialysis patients is a sleep disorder that involves stopping or decreasing air flow to breathe during sleep due to excess fluid in the leg. Compression Stockings (CS) with 30-40 mmHg are high pressure elastic stockings that are assumed to reduce foot fluid accumulation during the day and to prevent overnight fluid shifting to the neck.Purpose: This study aimed to determine the effects of 30-40 mmHg CS on the risk of OSA in hemodialysis patients.Method: This research used a quasi-experimental pre-posttest with control group design. A purposive sampling was applied to recruit as many as 68 hemodialysis patients. The risk score of OSA was measured using STOP Bang questionnaire. High pressure CS were given for one week to the intervention group with two OSA measurements on the 4th and 7th days. The data then were analyzed using the Post Hoc Wilcoxon test and the Mann Whitney test.Results: There was a significant difference between the risk score for OSA before and after the use of 30-40 mmHg Compression Stocking in the intervention group on day 4 (p=0.000) and day 7 (p=0.000) compared to the control group.Conclusion:  High pressure CS decreased the risk of OSA in hemodialysis patients by avoiding fluid retention in the legs, thus preventing fluid shifting to the neck. CS should be recommended as an alternative to prevent the risk of OSA in hemodialysis patients.
Penerapan Protocol Eras (Enhanced Recovery After Surgery) Berbasis Bukti Di Ruang Operasi : Systematic Review Astilia, Astilia
Infomasi dan Promosi Kesehatan Vol 3 No 1 (2024): Informasi dan Promosi Kesehatan
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/ipk.v3i1.217

Abstract

 ERAS is a protocol that has been used internationally in managing surgical patients. The ERAS protocol includes pre-operative, intra-operative and post-operative phases. The aim of this research is to determine whether the evidence-based ERAS (Enhanced Recovery After Surgery) protocol can be applied in hospital operating rooms. The search method uses several electronic databases such as Google Scholar and PubMed. After screening, 10 articles that met the criteria were read intensively and then analyzed based on content analysis. It was found that the ERAS Protocol was designed to reduce perioperative stress, improve pain management, mobilization and minimize post-operative complications. It was concluded that this protocol can speed up patient recovery and reduce time in hospital which is multidisciplinary and requires coordination between surgeons, nurses, anesthesiologists, physiotherapists and nutritionists.
Effect of First Aid Choking Education for Child Aged 1-5 Years on Parents Knowledge Astilia, Astilia
Infomasi dan Promosi Kesehatan Vol 3 No 1 (2024): Informasi dan Promosi Kesehatan
Publisher : Sahabat Publikasi Kuu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58439/ipk.v3i1.218

Abstract

Choking is an emergency due to blockage of the upper airways by food or other objects that requires immediate action, so mothers need to be educated in providing first aid to prevent morbidity and mortality in children. This study aims to determine the effect of first aid education regarding poisoning emergencies in children aged 1-5 years in Kanagarian Pematang Panjang, Sijunjung. The type of research used is experimental with a one group pretest-posttest research design. The total sample was 30 people with purposive sampling technique. The SPSS data analysis used was the Wilcoxon test to see the effect before and after being given education. The results of the research showed that mothers' knowledge after being given education about eating emergencies increased the most, namely 20 people with a p value of 0.000 < 0.05, which means that there was an influence of education about eating emergencies for children 1-5 years old on mothers' knowledge in Kanagarian Pematang Panjang, Sijunjung District. . Providing education increases the mother's knowledge and makes the mother know, understand and hopefully be able to apply any known information regarding first aid for toddlers aged 1-5 years.
Media Edukasi berbasis Smarphone: Aplikasi AECAS Edukasi Cegah Anak Stunting dalam Meningkatkan Pengetahuan Ibu - Studi Quasi Eksperimen Berbasis Komunitas Fatimah, Fatimah; Astilia, Astilia; Andriyan, Aric Frendi
Jurnal Kesehatan Metro Sai Wawai Vol. 16 No. 1 (2023): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v16i1.3875

Abstract

Introduction: The problem of stunting, handling and prevention has become a global issue. Health problems against stunting have spread both through online and offline applications. However, the use of applications for stunting prevention efforts by increasing maternal knowledge has yet to be achieved, and some mothers' knowledge levels still need to be improved. Purpose: This study evaluates the use of the Prevention of Child Stunting Education Application (AECAS) to increase maternal knowledge in the Sijunjung Health Center Work Area, West Sumatra Province, Indonesia. Methods: A quasi-experiment with one group pre-test and post-test approach was used as the design of this study to measure participants' knowledge levels. They involved 31 participants, mothers whose children are stunted as an intervention group, who were given education about stunting prevention using the AECAS application available online. The AECAS application has passed the validity test. Data analysis used a paired T-test to test the significance level of pre-and post-test knowledge measurement. Results: 31 participants experienced increased knowledge from the sufficient category (mean score 54) to the good category (mean score 90). The statistical analysis results obtained the influence of participants' knowledge level before and after intervention with education on the use of AECAS applications (p-value = 0.001). They increased their knowledge score by 38. Conclusion: Using the AECAS application can increase mothers' knowledge about stunting and its prevention. Clinical nursing in the community can use the AECES application to increase knowledge, reduce the incidence of stunting and prevent stunting. Latar Belakang: Masalah stunting, penanganan dan pencegahan telah menjadi issue global. Promosi kesehatan tentang stunting telah menyebar baik melalui aplikasi online maupun offline. Namun, pemanfatan aplikasi untuk upaya pencegahan stunting dengan meningkatkan pengetahuan ibu belum merapa, sebagian tingkat pengetahuan ibu masih kurang. Tujuan: Studi ini berfokus untuk mengevaluasi pemanfaatan media Edukasi berbasis smarphone menggunakan aplikasi AECAS Edukasi Cegah Anak Stunting terhadap peningkatan pengetahun Ibu di Wilayah Kerja Puskesmas Sijunjung, Provinsi Sumatra Barat, Indonesia. Metode: Quasi eksperimen dengan pendekatan one group pre test dan post test digunakan sebagai design penelitian ini untuk mengukur tingkat pengetahuan partisipan.  Melibatkan 31 partisipan ibu-ibu yang anaknya stunting sebagai kelompok intervensi diberikan edukasi tentang penceghan stunting menggunakan aplikasi AECAS yang tersedia online. Apliaksi AECES telah lulus uji validitas. Analisis data untuk menguji tingkat kemaknaan pre dan post tets pengukuran pengetahuan digunakan paired T-test. Hasil: Partisipan berjumlah 31 mengalami peningkatan pengetahuan dari kategori cukup (skor mean 54) menjadi kategori baik (skor mean 90). Hasil analisis statistik diperoleh hasil ada pengaruh tingkat pengetahuan partisipan sebelum dan sedudah intervensi dengan edukasi pemanfataan apliaksi AECAS (p-value = 0,001). Peningkatan skor pengetahuan sebesar 38. Simpulan: Penggunaan aplikasi AECAS mampu meningkatkan pengetahuan ibu tentang stunting dan pencegahannya. Keperawatan klinis di komunitas dapat memanfaatkan aplikasi AECAS sebagai upaya peningkatan pengetahuan untuk menurunkan insiden stunting dan mencegah stunting.
The Effect of Post-Anesthesia Team Handover on Hypoxia in Post-Anaesthesia Care Unit (PACU) Astilia, Astilia
MSJ : Majority Science Journal Vol. 2 No. 2 (2024): MSJ-May
Publisher : PT. Hafasy Dwi Nawasena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61942/msj.v2i2.207

Abstract

Miscommunication in handover from the operating room to the Post-Anaesthesia Care Unit (PACU) often occurs and can cause diagnostic and therapeutic delays and trigger complications. One of the most frequent complications in the PACU room is Hypoxia.Post-Anaesthesia Team Handover (PATH) using SBAR is expected to reduce the incidence of hypoxia in the PACU, reduce handover interruptions, improve communication and information between health workers. The study aimed to determine the effects of Post Anesthesia Team Handover (PATH) on Hypoxia in Post-Anaesthesia Care Unit (PACU). This study used a pre-posttest quasi-experimental design with a control group. Purposive sampling was applied to recruit 68 respondent to participate in the study. There was a significant difference between the hypoxia before and after the use PATH with SBAR in the intervention group compared to the control group (p = 0,002). Post Anesthesia Handover Register using SBAR can improve communication during handover in the PACU to prevent hypoxia.
Hubungan Perilaku Seksual Remaja dengan Persepsi Remaja tentang Lesbian, Gay, Biseksual dan Transgender (LGBT) Astilia, Astilia; Fatimah, Fatimah
Health and Medical Journal Vol 6, No 3 (2024): HEME September 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v6i3.1605

Abstract

Pendahuluan: LGBT dapat mengakibatkan penyakit menular seksual, dampak sosial, dampak pada pendidikan dan trauma psikologis pada remaja, hal ini dipengaruhi oleh perilaku seksual remaja sehingga akan mempengaruhi persepsi remaja tersebut untuk berperilaku sesuai dengan persepsi yang dimilikinya.   Tujuan: Untuk mengetahui hubungan perilaku seksual remaja dengan persepsi remaja tentang Lesbian, Gay, Biseksual dan Transgender (LGBT) Metode:  Desain penelitian ini adalah cross sectional. Populasi penelitian siswa dan siswi SMA kelas IX Padang Panjang. Sebanyak 38 orang Penelitian ini menggunakan metode acidental sampling dan alat ukur yang digunakan adalah kuesioner perilaku seksual dan kuesioner persepsi remaja tentang LGBT. Analisis statistik yang digunakan adalah uji fisher. Hasil: hasil penelitian menunjukkan bahwa paling banyak perilaku seksual remaja yaitu positif sebanyak 33 orang (86,8%) dan persepsi remaja paling banyak yaitu positif  sebanyak 25 (65,8%). Berdasarkan hasil analisis SPSS didapatkan p=0,038 (p<0,05) yang menunjukkan bahwa ada hubungan perilaku seksual remaja dengan persepsi remaja tentang LGBT di SMA Uswatu Hasanah Padang Panjang. Kesimpulan: adanya edukasi dan pendidikan agama yang didapatkan remaja akan mempengaruhi resiko kejadian LGBT yang berhubungan dengan perilaku seksual dan persepsi remaja.
Hubungan Komunikasi Acknowledge Introduce Duration Explanation Thank You (AIDET) dengan Keselamatan Pasien Sari, Yance Komela; Saputta, Nopan; Astilia, Astilia
Health and Medical Journal Vol 7, No 2 (2025): HEME May 2025
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v7i2.1673

Abstract

Pendahuluan: Konsep keperawatan anestesi adalah untuk memberikan kenyamanan dan memberikan perawatan sesuai dengan kebutuhan pasien dan untuk mendorong komunikasi antara penata dan pasien. Namun sejauh ini komunikasi antara mahasiswa anestesi dengan pasien masih belum terlaksana dengan baik  karena jadwal kerja yang sibuk dan kurangnya tenaga penata anestesi. Salah satu komunikasi yang dapat dilakukan oleh mahasiswa anestesi adalah komunikasi  AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You). Komunikasi AIDET merupakan alat komunikasi yang berpusat pada klien. Tujuan penelitian: untuk melihat hubungan komunikasi AIDET dengan keselamataan pasien. Metode: Rancangan penelitian analitik observasional dengan desain cross sectional. Penelitian dilakukan  pada bulan November 2023 – Juli 2024. Sampel pada penelitian ini adalah mahasiswa keperawatan anestesiologi yang praktek klinik di RSI Siti Rahmah Padang yang berjumlah 29 orang. Pengambilan sampel penelitian dilakukan secara total sampling. Hasil: Komunikasi AIDET dapat diaplikasikan oleh mahasiswa keperawatan anestesiologi dengan sangat baik pada saat praktek klinik keperawatan dengan hasil 72,4%. Begitu juga dengan keselamatan pasien yang tercapai  penuh 96,6%.  Pada penelitian ini diperoleh nilai p = 0.314, Maka dapat disimpulkan bahwa korelasi antara Komunikasi AIDET dengan keselamatan Pasien tidak bermakna. Nilai korelasi  sebesar 0,000 menunjukan korelasi positif dengan kekuatan korelasi yang sangat lemah. Kesimpulan: Meskipun hasil statistik tidak menunjukkan hubungan signifikan, komunikasi AIDET tetap direkomendasikan sebagai komunikasi dalam keselamatan pasien untuk mencegah agar tidak terjadi insiden keselamatan pasien.