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All Journal Journal of Public Health for Tropical and Coastal Region Jurnal Kreativitas PKM MAHESA : Malahayati Health Student Journal Nursing and Health Sciences Journal (NHSJ)
Hisni, Dayan
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Factors Associated with The Incidence of Pulmonary Tuberculosis in Lebak District, Banten Province, Indonesia Lubis, Rosmawaty; Hisni, Dayan; Rahmatullah, Bobby Rizky
Journal of Public Health for Tropical and Coastal Region Vol 6, No 2 (2023): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v6i2.19701

Abstract

Introduction: Pulmonary tuberculosis (TB) is a chronic disease caused by Mycobacterium tuberculosis. The prevalence of pulmonary TB is increasing every year. The previous studies found that knowledge, physical condition of the house, gender and education level are the well-known of factors associated with the TB cases. This study aims to determine the factors associated with the incidence of Pulmonary TB at Puskesmas Maja, Lebak Regency, Banten Province, Indonesia.Methods: Case control study design was used in this study. Total 20 cases and controls were recruited. Cases are individuals aged over 15 years with pulmonary tuberculosis who were confirmed by sputum examination with acid-fast staining (BTA+) showing the presence of Mycobacterium tuberculosis. Controls were individuals with negative sputum examination results. A purposive sampling technique was used to find the defined-case and control groups. A study questionnaire was used to collect the determinant factors and house condition parameter was measured directly. The chi-square test was used to determine the association of each variable related to TB incidence.Results: The demographic data showed that the majority of TB patients in Puskesmas Maja were male who had an elementary to high school education level and had a low level of knowledge and unhealthy physical conditions of the house. The results of bivariate analysis showed that there was a significant relationship between gender, education level, knowledge, and physical condition of the house with the incidence of pulmonary TB at Puskesmas Maja, Lebak Regency.Conclusion: This study concludes that all four variables have a significant relationship with the occurrence of Pulmonary TB at Puskesmas Maja, Lebak Regency. The results of this study can be a source of reference for further research and also become the basis for overcoming pulmonary TB in Banten Province in particular and in Indonesia
Analisis Asuhan Keperawatan melalui Intervensi Fisioterapi Dada dan Batuk Efektif pada Nn. D dan Ny. N dengan Diagnosa Medis Tuberkulosis Paru di Wilayah RS DKI Jakarta Nofiyanti, Nofiyanti; Hisni, Dayan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 4 (2024): Volume 7 No 4 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i4.13851

Abstract

ABSTRAK Tuberkulosis paru merupakan penyakit menular yang disebabkan oleh bakteri Mycobacterium Tuberculosis, yang dimana sebagian besar kuman menyerang parenkim paru. Kompleks bakteri akan terus merusak jaringan parenkim paru hingga menyebabkan kerusakan organ dan berujung kematian. Tuberkulosis mampu menyebar ke hampir seluruh bagian tubuh, termasuk meningen, ginjal, tulang dan kelenjar getah bening. Menganalisa asuhan keperawatan melalui intervensi fisioterapi dada dan batuk efektif pada Nn. D dan Ny. N dengan diagnosa medis Tuberkulosis Paru di Wilayah RS DKI Jakarta. Jenis penelitian ini adalah study kasus yang dilakukan kepada 2 pasien dengan diagnose medis Tuberkulosis Paru. Penerapan yang pertama dilakukan terapi Fisioterapi dada dan dilanjutkan tindakan batuk efektif selama 3 hari berturut-turut setiap hari selama ± 20 menit pada 03 April 2023 sampai 05 April 2023 dan 27 Desember 2023 sampai 29 Desember 2023. Pada asuhan keperawatan dengan intervensi fisioterapi dada dan batuk efektif terhadap pengeluaran sputum Nn.D di RSUD Budhi Asih pada 03-05 April 2023 dan Ny. N di RSU UKI pada 27-29 Desember 2023 dilakukan dalam kurung waktu 3 hari kepada kedua responden dengan Tuberkulosis Paru mendapatkan hasil perubahan yang signifikan setelah diberikan intervensi fisioterapi dada dan batuk efektif yang ditandai berdasarkan hasil rata-rata evaluasi pasien mengatakan sudah dapat mengeluarkan dahak tanpa disertai nyeri saat batuk, batuk secara terus menerus berkurang, sesak napas berkurang, terdapat perubahan sputum dari warna hingga konsistensi. Dengan demikian dapat disimpulkan berdasarkan analisis asuhan keperawatan pada penerapan intervensi fisioterapi dada dan batuk efektif terhadap pengeluaran sputum masalah pengeluaran sputum dapat teratasi.  Penerapan fisioterapi dada dan batuk efektif dapat sebagai bahan acuan terhadap pengeluaran sputum berbasis evidence base practice. Kata Kunci: Tuberkulosis Paru, Fisioterapi Dada, Batuk Efektif, Pengeluaran SputumABSTRACT Pulmonary tuberculosis is an infectious disease caused by the bacterium Mycobacterium Tuberculosis, where most of the germs attack the lung parenchyma. The bacterial complex will continue to damage lung parenchymal tissue, causing organ damage and leading to death. Tuberculosis can spread to almost all parts of the body, including the meninges, kidneys, bones and lymph nodes. To analyze nursing care through effective chest physiotherapy and cough interventions for Ms. D and Mrs. N with a medical diagnosis of Pulmonary Tuberculosis in the DKI Jakarta Hospital Area. This type of research is a case study conducted on 2 patients with a medical diagnosis of Pulmonary Tuberculosis. The first application was chest physiotherapy and continued with effective coughing for 3 consecutive days every day for ± 20 minutes from 03 April 2023 to 05 April 2023 and 27 December 2023 to 29 December 2023. Nursing care with chest physiotherapy and coughing interventions was effective for Mrs. D at RSUD Budhi Asih on April 03-05, 2023 and  Mrs. N at RSU UKI on December 27-29, 2023 was carried out within 3 days for the two respondents with Pulmonary Tuberculosis who obtained significant changes after being given effective chest physiotherapy and cough interventions which were indicated based on the average results of the patient's evaluation saying they were able to expel phlegm without accompanied by pain when coughing, the cough continues to decrease, shortness of breath decreases, there is a change in sputum from colour to consistency. Thus, it can be concluded that based on the analysis of nursing care, the implementation of chest physiotherapy and coughing interventions is effective in sputum discharge. The problem of sputum discharge can be resolved. Thei application of cheist physiotheirapy and eiffeictivei coughing can bei useid as a reifeireincei for sputum eixpulsion baseid on eivideincei-baseid practicei. Keiywords: Pulmonary Tubeirculosis, Cheist Physiotheirapy, Eiffeictivei Cough, Phleigm Eixpulsion 
Hubungan Tingkat Kecemasan dengan Kualitas Tidur pada Mahasiswa Keperawatan Tingkat Akhir di Fakultas Ilmu Kesehatan Universitas Nasional Jakarta Rachmawaty, Rachmawaty; Hisni, Dayan; Widowati, Retno
MAHESA : Malahayati Health Student Journal Vol 4, No 4 (2024): Volume 4 Nomor 4 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i4.14135

Abstract

ABSTRACT Anxiety is a disorder that can appear in a variety of physical symptoms in addition to feelings of discomfort, anxiety, fear, worry, and discomfort. Anxiety can affect sleep quality, disrupt the immune system, and increase health risks. The higher the level of anxiety, the greater the impact on the level of stressor in a person. A person suffering from excessive worry can cause a person difficulty falling asleep, often waking up during the rest cycle. Anxiety can make individuals experience sleep disorders. The purpose of this study was to identify the relationship between anxiety levels and sleep quality in final year nursing students at the Faculty of Health Sciences, National University of Jakarta. The research method uses Cross Sectional. The population in the study was students of the final year nursing study program of the Faculty of Health Sciences of National University. Sampling technique using purposive sampling with  sample results of 98 respondents. The instruments  used, namely the HARS and PSQI questionnaires using Fisher Chi-Square  Test analysis, were used to identify the relationship between variables. The results showed that anxiety levels had a significant relationship with sleep quality with a P-Value (0.000). Conclusion: The conclusion of this study, there were students who experienced moderate anxiety levels as much as 50.0% and students who experienced poor sleep quality as much as 71.4%. The results showed that there was a significant relationship between anxiety levels and sleep quality in final year students at the Faculty of Health Sciences, National University of Jakarta. Keywords: Anxiety Level, Sleep Quality, Final Year Student  ABSTRAK Kecemasan merupakan suatu kelainan yang dapat muncul dalam berbagai gejala fisik selain perasaan tidak nyaman, gelisah, takut, khawatir, dan tidak nyaman. Kecemasan dapat mempengaruhi kualitas tidur, menganggu sistem kekebalan tubuh, dan meningkatkan risiko kesehatan. Semakin tinggi tingkat kecemasan, semakin besar dampaknya terhadap tingkat stressor pada seseorang. Seseorang yang menderita rasa khawatir yang berlebihan dapat menyebabkan seseorang kesulitan untuk tertidur, sering terbangun selama siklus istirahat. Kecemasan dapat membuat individu mengalami gangguan tidur. Tujuan penelitian ini untuk mengidentifikasi adanya hubungan tingkat kecemasan dengan kualitas tidur pada mahasiswa keperawatan tingkat akhir di Fakultas Ilmu Kesehatan Universitas Nasional Jakarta. Metode penelitian menggunakan Cross Sectional. Populasi dalam penelitian adalah mahasiswa program studi keperawatan tingkat akhir Fakultas Ilmu Kesehatan Universitas Nasional. Teknik pengambilan sampel dengan menggunakan cara purposive sampling dengan hasil sampel sebanyak 98 responden. Instrumen yang digunakan yaitu kuesioner HARS dan PSQI dengan menggunakan analisis Uji Fisher Chi-Square digunakan untuk mengidentifikasi hubungan antara variabel. Hasil penelitian menunjukan bahwa tingkat kecemasan memiliki hubungan yang signifikan dengan kualitas tidur dengan nilai P-Value (0,000). Kesimpulan penelitian ini, terdapat mahasiswa yang mengalami tingkat kecemasan sedang sebanyak 50,0% dan mahasiswa yang mengalami kualitas tidur buruk sebanyak 71,4%. Didapatkan hasil bahwa terdapat hubungan yang signifikan antara tingkat kecemasan dengan kualitas tidur pada mahasiswa keperawatan tingkat akhir di Fakultas Ilmu Kesehatan Universitas Nasional Jakarta. Kata Kunci: Tingkat Kecemasan, Kualitas Tidur, Mahasiswa Tingkat Akhir
Experience of diabetes patients in preventing its complications Hisni, Dayan; Asri Nurani, Intan
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.497

Abstract

It is necessary to explore the experience of diabetes patients in preventing its complications since Indonesia has many cultural beliefs and practices that influence the prevention of DM complications. A limited number of studies have discussed it. The study aimed to explore the experiences of diabetes patients in preventing its complications. A descriptive qualitative study was conducted in Indonesia between December 2022 and April 2023. Fifteen participants with DM were included. Purposive sampling was used, and data were collected through in-depth interviews, observations, and the writing of field notes. The data were analyzed by thematic analysis using NVivo 12 software. Four themes emerged from the data analysis: (1) inadequate self-care practice related to misconception about DM and its complications; (2) self-awareness, intention, and motivation as basic to change the behaviors; (3) optimal holistic support is needed from family and health workers; (4) inadequate of education program provided by health workers to prevent DM complications. This is the first study to display that cultural beliefs and knowledge strongly influenced the experience of preventing DM complications. Internal and external environments also contributed to the experience of preventing DM complications. This study offers new insights for nurses in Indonesia and will assist them in designing a nursing intervention involving cultural aspects for diabetic patients.
Co-Authors Asri Nurani, Intan Lubis, Rosmawaty Nofiyanti Nofiyanti, Nofiyanti Rachmawaty Rachmawaty, Rachmawaty Rahmatullah, Bobby Rizky Retno Widowati