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Perbandingan Oral Care Menggunakan Povidone Iodine 1% dengan Chlorhexidine 0.2% terhadap Jumlah Bakteri di Mulut pada Pasien Penurunan Kesadaran Ni Luh Widani; Yusron Nasution
Jurnal Keperawatan Padjadjaran Vol. 3 No. 3 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (793.759 KB) | DOI: 10.24198/jkp.v3i3.120

Abstract

Oral care klien penurunan tingkat kesadaran tidak boleh diabaikan dan membutuhkan antiseptik oral yang mempunyai sifat antibakteri. Penelitian ini adalah penelitian kuantitatif dengan desain quasi eksperimen dengan kelompok kontrol, pre dan post test untuk mengidentifikasi perbandingkan povidone iodine 1% dengan chlorhexidine 0.2% terhadap jumlah koloni bakteri di mulut klien penurunan kesadaran. Hasil penelitian pada 30 responden yang diambil secara consecutive sampling dibagi tiga kelompok. Ada perbedaan yang signifikan penurunan jumlah koloni bakteri sebelum dan setelah oral care pada povidone iodine (p=0.007), chlorhexidine (p=0.001) dan air (p=0.001). Perbandingan selisih jumlah bakteri antara povidone iodine 1%, chlorhexidine 0.2% dan kontrol tidak signifikan (p=0,343). Disimpulkan chlorhexidine 0.2% , povidone iodine 1% dan air minum masing-masing mempunyai kemampuan yang signifikan menurunkan koloni bakteri dan dapat digunakan sebagai pembilas oral care. Disarankan secara ekonomis air minum digunakan dalam oral care apabila klien penurunan kesadaran tidak mengalami infeksi mulut, dan chlorhexidine 0.2% atau povidone iodine 1% digunakan bila ada infeksi mulut.Kata kunci: Chlorhexidine 0.2%, koloni bakteri mulut, oral care, penurunan kesadaran, povidone iodine 1%. The Comparison of Oral Care Using Povidone-iodine 1% and Chlorhexidine 0.2% to the Amount of Bacteria on the Patients with Altered State of ConsciousnessAbstractThe oral care of unconscious patients should not be ignored and requires oral antiseptics that have antibacterial properties. This research was a quasi-experimental design with control groups, using pre-post test design. The study was aimed to compare the amount of bacteria colonies after oral care using povidone iodine 1% and chlorhexidine 0.2% on the patients with altered state of consciousness. Using consecutive sampling technique, 30 eligible respondents were divided into three groups. The results of this study identified that there was a significant decreased of the amount of bacteria colonies after oral care using povidone iodine (p= 0.007), chlorhexidine (p=0.001) and water oral care (p=0.001). The difference of the number of colonies for oral care using povidone iodine 1%, chlorhexidine 0.2%, and the control group was not significant (p=0.343). It can be concluded that each of oral care using chlorhexidine0.2%, povidone iodine 1% and water has a significant ability to reduce colonies of bacteria and can be used as an oral care. For economic reason, it was advised to use water for oral care if clients do not experience oral infections, and to use chlorhexidine 0.2% or povidone iodine 1% when there is infection of the mouth.Key words: Chlorhexidine 0.2% , oral care, oral bacteria colonies, povidone iodine 1%, unconsciousness.
The Effect of Home Heart Walk on Fatigue among Heart Failure’s Patients Yanti Anggraini Aritonang; Ni Luh Widani; Irene Adyatmaka
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (502.101 KB) | DOI: 10.24198/jkp.v6i1.310

Abstract

AbstractHeart failure is a physiologic state in which the heart cannot pump enough blood to meet the metabolic needs of the body. Fatigue is a major problem that arises in heart failure patients. One intervention to reduce fatigue is Home Heart Walk (HHW). The aim of this research was to determine the effect of HHW on fatigue among heart failure’s patients. This research used Pretest-Postest Design Pre-experiment design, at RSUPN Dr Cipto Mangunkusumo & RS PGI Cikini during May-July 2015, involving 50 heart failure patients with functional class 2 & 3.The nurse teached HHW to heart failure patients with a six-minute walking procedure with five meter’s distance in the hospital and then the exercise is continued at home within two days for six weeks. The result obtained majority of the respondents is clasification heart failure’s functional class two (76%). Before & after HHW’s intervention, the majority of normal pulse rate from 90% become 100%.The test results showed there was significant difference in the degree of fatigue before and after HHW‘s intervention (p=0.000) and there is a relationship between respiratory rate on the degree of fatigue (p=0.043). The conclusion is HHW can reduce fatigue in heart failure patients during six weeks. Therefore it is recommended for nurses to teach HHW and motivate patient to have self-exercise.
Hubungan Sedentary Behavior dengan Tekanan Darah Pada Pegawai Bank di Bandung Sharon Nafthalia; Ni Luh Widani; Sada Rasmada
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 1 No 2 (2020): 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.v1i2.98

Abstract

Background: In this era of modernization, sedentary behavior (SB) has developed in society. Banker work for ± 8 hours every day. Objective: This research was conducted to determine the relationship of sedentary behavior with blood pressure of bankers in Bandung. Methods: This research is a quantitative study with a cross-sectional method, which was conducted in Febuary – April 2020. The sampling technique in this study was purposive sampling of 70 employees. The Global Physical Activity Questionnaire (GPAQ) is used as a SB measurement tool that has been tested for validity and reliability (r = 0,45 – 0.63). Result: The results of univariate analysis showed that 75.5% of employees behaved in SB. The results of the Wilcoxon test analysis of systolic and diastolic blood pressure showed a significant difference (sig = 0.000). Bivariate analysis with chi – square test (α <0.05) found statistically significant correlation between SB with morning systolic blood pressure (TDS) (p value = 0.005) and diastolic blood pressure (TDD) (p value = 0.003), daytime TDS (p value = 0.002) and afternoon TDD (p value = 0.003), afternoon TDS (p value = 0.005) and afternoon TDS (p value = 0.004). Conclusion: The conclusion of this study is that there is a relationship between sedentary behavior with the three blood pressure measurements. It is expected that employees can compensate by doing moderate or vigorous activity during free time.
Faktor-Faktor Yang Berhubungan Dengan Tingkat Kepatuhan Minum Obat Antihipertensi Pasien Di Puskesmas Kecamatan Wilayah Jakarta Utara Wiwid Cahyati, Elisabeth Carisa; Ni Luh Widani; Sada Rasmada
Journal of Pubnursing Sciences Vol 2 No 02 (2024): Journal of Pubnursing Sciences (JPS)
Publisher : PT. Pubsains Nur Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69606/jps.v2i02.126

Abstract

Hypertension is a non-communicable disease that can be controlled through lifestyle modifications or antihypertensive therapy. Antihypertensive therapy is a long-term therapy which might even last a lifetime, so it needs a high compliance to taking antihypertensive therapy to achieve blood presure target. This study aims to identify the factors associated with the level of adherence in taking antihypertensive medication by using references from 2012-2023. Quantitative research method with cross sectional research design and correlational descriptive approach was conducted to 120 hypertension respondents at District Health Center North Jakarta in June-July 2023. The instruments used in this research were attitude, knowledge and MMAS-8 questionnaires. Data analysis used Kendal's tau-b, Kendal's tau-c and chi square statistical tests. The univariat results of the study showed that there were 2 respondents with high compliance, 19 respondents with moderate compliance, and 99 respondents with low compliance. The majority of respondents are (35%) adults, (55%) male, (69,25%) are employee, (50%) are secondary school students, (49,2%) are good knowledge, (45,8%) are good attitude, and (56,7%) with drugs combination. Bivariate results showed there was a relationship between the level of adherence to taking antihypertensive medication and age (p-value = 0.002), education (p-value = 0.000), drug combination (p-value = 0.003), knowledge and attitude (p-value = 0.002. In summary, the compliance of respondents is low, and there was a relationship between age, education, combination of drugs, knowledge, attitudes and the level of adherence to taking antihypertensive medication. While gender, occupation and duration of therapy were not related to the level of adherence to taking antihypertensive medication.
Monitor Efektivitas Pemberian Terapi Antiaritmia pada Pasien dengan Atrial Fibrilasi di IGD RS X Jakarta Victoria Gloria Andriani Warat; Ni Luh Widani
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.9064

Abstract

Arrhythmias are generally classified into two groups: disorders of impulse formation and disorders of impulse conduction. Cardiac arrhythmias can also be categorized into three main types: supraventricular arrhythmias, ventricular arrhythmias, and bradyarrhythmias. One of the most commonly encountered arrhythmias in clinical practice is Atrial fibrillation. This study employed a case study method using a nursing process approach. The subjects consisted of two patients: Mrs. S, a 74-year-old female, and Mr. R, a 44-year-old male. The nursing intervention administered was antiarrhythmic therapy using intravenous digoxin. Evaluation was conducted by monitoring the patients’ heart rate and cardiac rhythm using an electrocardiogram (ECG) monitor. The results of the case studies in both patients showed that digoxin therapy produced a positive therapeutic response, as evidenced by a gradual reduction in heart rate. However, ECG monitoring revealed no significant changes in cardiac rhythm. These findings suggest that digoxin is effective for rate control, although it does not restore sinus rhythm.
Pengalaman Pertama Menjalani Hemodialisa Pada Pasien Gagal Ginjal Kronik Jesi Kristianti; Ni Luh Widani; Lina Dewi Anggreaini
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 10 No 03 (2020): Jurnal Ilmiah Ilmu Keperawatan Indonesia Edisi September 2020
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.767 KB) | DOI: 10.33221/jiiki.v10i03.619

Abstract

Abstrak Pendahuluan: Hemodialisa adalah terapi yang digunakan untuk mengeluarkan cairan dan sisa metabolisme tubuh pada gagal ginjal kronis yang harus dilakukan seumur hidupnya. Pengalaman pertama akan mempengaruhi keberlanjutan terapi. Tujuan: Tujuan dalam penelitian ini adalah untuk mengeksplorasi pengalaman pertama menjalani hemodialisa pada pasien gagal ginjal kronik. Metode: Jenis penelitian ini adalah kualitatif, dengan pendekatan fenomenologi deskriptif, jumlah partisipan 7 pasien yang dipilih menggunakan teknik purpose sampling. Analisis yang digunakan adalah analisis Collaizi. Hasil: Hasil penelitian menghasilkan empat tema yaitu (1) Respon dan adaptasi menjalani hemodialisa (2) Alasan menjalani Hemodialisa, (3) Rintangan yang dijalani saat Hemodialisa, (4) harapan dan motivasi. Kesimpulan: Pengalaman pertama yang dirasakan informan dalam menjalani hemodialisa meliputi dunia seperti mau kiamat dan takut dengan respon menjalani hemodialisa secara rutin.