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FAKTOR-FAKTOR YANG MEMPENGARUHI KECEMASAN PADA PASIEN PRE OPERASI APENDISITIS DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH SITI AISYAH KOTA LUBUKLINGGAU TAHUN 2017. Soewito, Bambang
Masker Medika Vol 5 No 2 (2017): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

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Abstract

Apendiksitis adalah peradangan dari apendik periformis, dan merupakan penyebab abdomen akut yang paling sering. Istilah usus buntu yang dikenal di masyarakat awam adalah kurang tepat karena usus yang buntu sebenarnya adalah sekum. Apendisitis diperkirakan ikut serta dalm system imun sektorik di saluran pencernaan. Namun, pengangkatan apendiks tidak menimbulkan efek fungsi system imun yang jelas. Tujuan penelitian ini adalah untuk mengetahui hubungan antara faktor pengetahuan, pendidikan, umur dan ekonomi secara simultan dengan kecemasan pada pasien pre operasi appendisitis di ruang rawat inap Rumah Sakit Umum Daerah Siti Aisyah Kota Lubuklinggau tahun 2017. Desain penelitian ini adalah kuantitatif yang menggunakan metode survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh pasien appendisitis yang dirawat di Ruang Rawat Inap Rumah Sakit Umum Daerah Siti Aisyah Kota Lubuklinggau tahun pada saat penelitian dilakukan yang diperkiraan berjumlah 139 orang. Berdasarkan Uji statistik dengan metode Chi-Square di dapatkan hasil yang didapatkan yaitu ada hubungan antara faktor pengetahuan secara parsial dengan kecemasan pada pasien pre operasi appendisitis dengan ρ-value = 0,002. Tidak ada hubungan antara faktor pendidikan secara parsial dengan kecemasan pada pasien pre operasi appendisitis dengan ρ-value = 0,543. Ada hubungan antara faktor umur secara p arsialdengan kecemasan pada pasien pre operasi appendisitis dengan ρ-value = 0,046. Ada hubungan antara faktor ekonomi secara parsial dengan kecemasan pada pasien pre operasi appendisitis dengan ρ-value = 0,030. Diharapkan kepada pihak Rumah Sakit Umum Daerah Siti Aisyah Kota Lubuklinggau, khususnya bagi perawat untuk meningkatkan kinerja perawat dalam mencegah atau mengurangi kecemasan pasien sebelum dilakukan operasi apendisitis.
HUBUNGAN PERILAKU PENCEGAHAN DIARE DAN KEPEMILIKAN JAMBAN SEHAT DENGAN KEJADIAN DIARE PADA KELUARGA DI DESA SADARKARYA KECAMATAN PURWODADI KABUPATEN MUSI RAWAS TAHUN 2015 Soewito, Bambang
Masker Medika Vol 4 No 2 (2016): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

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Abstract

Masalah kesehatan berbasis lingkungan seperti kepemilikan jamban, SPAL dll disebabkan oleh kondisi lingkungan yang tidak memadai, baik kualitas maupun kuantitasnya serta perilaku hidup sehat masyarakat yang masih rendah, mengakibatkan penyakit-penyakit seperti diare, ISPA, TB paru, malaria dan lain-lain. Penelitian ini bertujuan untuk mengetahui hubungan antara perilaku pencegahan diare dan kepemilikan jamban sehat dengan kejadian diare pada keluarga, penelitian ini dilaksanakan dari tanggal dari tanggal 26 Juli 2008 sampai 6 Agustus 2008 di Desa Sadarkarya Kecamatan Purwodadi Kabupaten Musi Rawas yang terdiri dari lima dusun. Penelitian ini menggunakan metode deskriptif analitik dengan pendekatan cross sectional. Populasi penelitian ini adalah seluruh kepala keluarga yang ada di desa sadarkarya yang berjumlah 503 kepala keluarga dan didapat sampel dengan menggunakan rumus Arikunto 1997 sebanyak 70 responden. Hasil penelitian menunjukkan bahwa dari 70 keluarga yang pernah mengalami diare ada14 keluarga (20,0 %) dan tidak pernah mengalami diare 56 keluarga (80,0 %).Dari 70 Keluarga yang memiliki jamban 17 kaluarga (24,3 %) dan tidak memiliki jamban 53 keluarga (75,7 %). Dari 70 keluarga perilaku keluarga yang baik 16 keluarga (22,9 %) dan yang tidak baik 54 keluarga (77,1 %). Dari hasil uji Fisher’s Exact Test dapat simpulkan bahwa perilaku pencegahan diare dan kepemilikan jamban sehat tidak mempunyai hubungan yang bermakna dengan kejadian diare, hal ini dapat disebabkan oleh beberapa faktor diantaranya sampel yang digunakan tidak mewakili populasi karena menggunakan rumus penyimpangan 10 % yang seharusnya untuk penelitian masyarakat 5 %, dapat juga disebabkan oleh kuesioner yang belum di uji. Diharapkan kepada masyarakat untuk memperhatikan pentingnya kepemilikan jamban sehat serta mengusahakan kepemilikan jamban leher angsa yang menggunakan septic tank di rumahnya serta menerapkan perilaku sehat untuk mencegah timbulnya penyakit diare.
ANALISIS KECEMASAN PADA PASIEN PREOPERASI APENDISITIS DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH SITI AISYAH KOTA LUBUKLINGGAU TAHUN 2019 Soewito, Bambang; Sulaiman, Sulaiman
Masker Medika Vol 8 No 1 (2020): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52523/maskermedika.v8i1.383

Abstract

Latar BelakangApendiksitis adalah peradangan dari apendik periformis, dan merupakan penyebab abdomen akut yang paling sering.Istilah usus buntu yang dikenal di masyarakat awam adalah kurang tepat karena usus yang buntu sebenarnya adalah sekum. Apendisitis diperkirakan ikut serta dalm system imun sektorik di saluran pencernaan. Namun, pengangkatan apendiks tidak menimbulkan efek fungsi system imun yang jelas. Tujuan dari penelitian: untuk mengetahui hubungan antara pengetahuan, pendidikan, umur dan ekonomi secara simultan dengan kecemasan pada pasien pre operasi appendisitis di ruangrawat inap Rumah Sakit Umum Daerah Siti Aisyah Kota Lubuklinggau tahun 2019. Desain penelitian: Desain penelitian ini adalah kuantitatif yang menggunakan metode survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh pasien appendisitis yang dirawat di Ruang Rawat Inap Rumah Sakit Umum Daerah Siti Aisyah Kota Lubuklinggau tahun 2019 pada saat penelitian dilakukan yang diperkiraan berjumlah 127 orang. Hasil Penelitian: Berdaarkan Uji statistik dengan metode ChiSquare di dapatkan hasil yang didapatkan yaitu ada hubungan antara pengetahuan secara parsial dengan kecemasan pada pasien pre operasi appendisitis dengan ρ-value = 0,00. Ada hubungan antara pendidikan dengan kecemasan pada pasien pre operasiappendisitis dengan ρ-value = 0,019.Ada hubungan antara umur dengan kecemasan pada pasien pre operasi appendisitis dengan ρ-value = 0,003.Ada hubungan antara faktor ekonomidengan kecemasan pada pasien pre operasi appendisitis dengan ρ-value = 0,002. Dan hasil uji statistik multivariat diperoleh variabel yang berhubungan bermakna adalah umur (5,135) dan ekonomi (0,148).Dan variabel yang paling dominan berhubungan bermakna adalah variabel umur. Kesimpulan: Saran kepada pihakRumah Sakit Umum Daerah Siti Aisyah Kota Lubuklinggau, khususnya bagi perawat untuk meningkatkan kinerja perawat dalam mencegah atau mengurangi kecemasan pasien sebelum dilakukan operasi apendisitis. Background: Appendixitis is inflammation of the appendix periformis, and is the most common cause of acute abdomen. The term appendicitis which is known in ordinary people is less precise because the appendix is actually a cecum. Appendicitis is thought to participate in the sectoral immune system in the digestive tract. However, removal of the appendix does not cause a clear effect of immune system function. The purposes of this study: The purpose of this study was to determine the relationship between knowledge, education, age and economy simultaneously with anxiety in patients with preoperative appendicitis in the inpatient area of the Siti Aisyah Regional Hospital in Lubuklinggau City in 2019. Research methods The design of this research is quantitative which uses analytic survey method with cross sectional approach. The population in this study were all appendicitis patients who were treated in the Inpatient Room of the Siti Aisyah Regional Hospital in Lubuklinggau City the year at the time of the study which was estimated at 127 people. The results: Based on statistical tests using the Chi-Square method the results obtained are that there is a relationship between knowledge partially with anxiety in patients with preoperative appendicitis with ρ-value = 0.00. There is a relationship between partial education with anxiety in patients with preoperative appendicitis with ρ-value = 0.019. There is a relationship between age partially with anxiety in patients with preoperative appendicitis with ρ-value = 0.003. There is a relationship between economic factors partially with anxiety in patients with preoperative appendicitis with ρ-value = 0.002. And the results of multivariate statistical tests obtained variables that weresignificantly associated simultaneously were age (5,135) and economy (0.148). And the most dominant variable related significantly is the age variable. Conclusion: Suggestions to the Siti Aisyah Regional General Hospital Lubuklinggau, especially for nurses to improve the performance of nurses in preventing or reducing patient anxiety before appendicitis surgery.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ATHRITIS RHEUMATOID PADA LANSIA DI WILAYAH KERJA PUSKESMAS MUARA KATI KABUPATEN MUSI RAWAS Aprilyadi, Nadi; Soewito, Bambang
Masker Medika Vol 8 No 1 (2020): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52523/maskermedika.v8i1.390

Abstract

Arthritis Rheumatoid paling banyak ditemui dan biasanya dari faktor, genetik, jenis kelamin, infeksi, berat badan/obesitas, usia, selain ini faktor lain yang mempengaruhi terhadap penyakit Arthritis Rheumatoid adalah tingkat pengetahuan penyakit sendiri memang masih sangat kurang, baik pada masyarakat awam maupun kalangan medis (Mansjoer, 2011).Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kejadian Arthritis Rheumatoid pada lansia diwilayah kerja Puskesmas MuaraKati tahun 2018. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Adapun responden ini adalah Pengambilan sampel dilakukan secara Accidental Sampling yaitu semua lansia yang berkunjung ke poliklinik Puskesmas Muara Kati tahun 2018 yang berjumlah 339 orang dengan mengambil kasus atau responden yang kebetulan ada atau terjadi. Sebagian besar responden berjenis kelamin terhadap kejadian AthritisRheumatoid pada lansia diperoleh hasil tertinggi yaitu kategori laki-laki berjumlah 54 (63.5%) orang. Sebagian besar Usia lansia yang mempunyai penyakit Athritis Rheumatoid pada lansia diperoleh hasil tertinggi yaitu usia pertengahan berjumlah 47 (55.3%) responden. Dari responden pengetahuan terhadap kejadian Athritis Rheumatoid pada lansia diperoleh hasil tertinggi yaitu kategori baik berjumlah 36 (42.4%) orang. Kejadian Athritis Rheumatoid pada lansia di wilayah kerja Puskesmas Muara Kati di peroleh hasil tertinggi yaitu responden yang menderita AthritisRheumatoid sebanyak 51 (60.0%). Tidak ada hubungan yang bermakna antara jenis kelamin terhadap kejadian Athritis Rheumatoid pada lansia diwilayah kerja Puskesmas Muara KatiTahun 2018. Hasil penelitian ini dapat di jadikan untuk mengembangkan pendidikan tentang cara mendeteksi gejala dari penyakit rematik pada lansia dapat di jadikan bahan pertimbangandalam pemberian penyuluhan kesehatan pada lansia, terutama penyuluhan tentang penyakit yang menyerang usia lanjut. Rheumatoid arthritis or achy rheumatic pain is also a degenerative disease that causes damage to cartilage (cartilage) of the joints and adjacent bones, accompanied by proliferation of bone and soft tissue in and around the affected area (Priyanto, 2009). The purpose of this study was to determine the factors associated with the incidence of Rheumatoid Arthritis in the elderly in the work area of Muara Kati Health Center in 2018. This study used an Analytical Survey method with a Cross Sectional approach. The respondents were all elderly who visited the Muara Kati Puskesmas clinic in 2018, totaling 339 people. Most of the respondents who were sex with the incidence of Rheumatoid Athritis in the elderly obtained the highest results, namely the male category totaling 54 (63.5%) people. Most of the age of the incidence of Rheumatoid Athritis in the elderly obtained the highest results, namely middle age, amounting to 47 (55.3%) respondents. Nearly the majority of respondents knowledge of the incidence of Rheumatoid Athritis in the elderly obtained the highest results in the good category totaling 36 (42.4%) people. Most of the incidence of Rheumatoid Athritis in the elderly in the working area of the Muara Kati Health Center was obtained the highest results, respondents who suffered from Rheumatoid Athritis were 51 (60.0%). There is no significant relationship between sex with the incidence of Rheumatoid Athritis in the elderly in the work area of Muara Kati Health Center in 2018. There is a significant relationship between age and the incidence of Rheumatoid Athritis in the work area of Muara Kati Health Center in 2018. There is a significant relationship between knowledge of events Rheumatoid Athritis in the working area of the Muara Kati Health Center in 2018.
Penerapan Edukasi Respiratory Muscle Stretching Untuk Meminimalkan Defisit Pengetahuan Pada Pasien Asma Bronkial: Studi Kasus Feri, Jhon; Soewito, Bambang; Cindi, Paula
JKM : Jurnal Keperawatan Merdeka Vol 3 No 2 (2023): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v3i2.1960

Abstract

Background: Bronchial asthma is a chronic disease of the airway that can be suffered by all age groups, symptoms that appear such as difficulty breathing or shortness of breath, chest pain, coughing and wheezing characterized by inflammation or narrowing of the airway due to intrinsic factors, extrinsic factors and mixed factors. One of the causes of recurrence of bronchial asthma is a knowledge deficit that can be increased through health counseling. Method: The type of research used is descriptive research with a case study approach on both subjects conducted on April 9-11, 2023 on subject I while subject II on April 15-17, 2023, research data was taken using pre-test and post-test questionnaire sheets, interviews, descriptive analysis and presented narratively. Results: After the implementation of nursing, the application of respiratory muscle stretching education through video media in subject I increased knowledge from 50% to 100% while subject II from 30% to 80%. Conclusion: The results showed that the application of respiratory muscle stretching education was effective in increasing patient knowledge about bronchial asthma.
Pelatihan hypnobreasfeeding pada tenaga kesehatan untuk meningkatkan produksi ASI pada ibu menyusui Zuraidah, Zuraidah; Aprilyadi, Nadi; Soewito, Bambang; Juartika, Wella
Penamas: Journal of Community Service Vol. 4 No. 1 (2024): Penamas: Journal of Community Service
Publisher : Nur Science Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53088/penamas.v4i1.855

Abstract

Breast milk is the best food for babies because it contains nutrients that best suit the needs of babies in the accelerated stage of growth and development, especially in the first 2 years. The service activity aims to increase the knowledge and skills of Health Workers, especially Midwives, in implementing hypnobreasfeeding for breastfeeding mothers in their work area. The hope is that the amount of breast milk will increase from the application of hypnobreasfeeding by midwives to mothers who breastfeed exclusively. The approach to community service activities uses socialization methods and hypnobreastfeeding training for 20 health workers, especially midwives. The results of the activity showed that there was an increase in the knowledge of Health workers. In the pretest, the officers' knowledge was in the sufficient category of 80 percent and 20 percent good, while in the posttest, it was in the good category of 100 percent. Based on these results, Hypnobreastfeeding training can effectively increase breast milk production in breastfeeding mothers. These results imply that health service providers can utilize the hypnosis techniques learned in training to provide more effective assistance to breastfeeding mothers.
Pelatihan pertolongan pertama pada kasus patah tulang di lingkungan Sekolah Menengah Pertama Negeri 2 Kota Lubuklinggau Wijaya, Sapondra; Susmini, Susmini; Soewito, Bambang; Wibowo, Wahyu Dwi Ari; Salsabilla, Naura Yuri; Oktapiani, Putri Ayu; Putri, Cindy Arina
Penamas: Journal of Community Service Vol. 4 No. 1 (2024): Penamas: Journal of Community Service
Publisher : Nur Science Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53088/penamas.v4i1.857

Abstract

Accidents can happen unexpectedly and can happen anywhere, such as at home, on the street, including at school. One of the most common cases is a fracture. Knowledge of initial aid for fracture cases from teachers, employees, and even students is an essential point in preventing the worsening of the victim's condition before being taken to a health facility. It is necessary to increase knowledge of prevention and first aid in fracture cases at school by students and UKS coaches. The method of community service activities is education and training on first aid in fracture cases in schools, targeting UKS cadres. After the community service activities, the participant's knowledge about the first handling of fracture cases increased. The implication is that when there is a fracture victim, first aid measures can be given at the scene without waiting for the medical team to arrive.
Kegiatan senam kaki terhadap penurunan kadar gula darah pada lansia dengan diabetes melitus Di Desa Air Satan Kabupaten Musi Rawas Soewito, Bambang; Susmini, Susmini; Wijaya, Sapondra; Wibowo, Wahyu Dwi Ari; Supriyanto, Eko; Ulfa, Msy Hartina; Martini, Sri; Trisna, Efa
Penamas: Journal of Community Service Vol. 4 No. 1 (2024): Penamas: Journal of Community Service
Publisher : Nur Science Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53088/penamas.v4i1.859

Abstract

The increase in blood sugar is a common effect of uncontrolled diabetes mellitus (DM), which can cause serious damage to the nervous system and blood vessels over time. Research shows that due to time constraints, DM patients often have difficulty engaging in physical activities. Diabetic foot exercises have been recommended as a physical activity that can be done anytime and anywhere, including while relaxing with family. These simple exercises can help improve blood circulation, strengthen the small muscles in the feet, prevent foot deformities, and address the limited insulin levels in DM patients. This activity aims to introduce foot exercises to the community, particularly the elderly with DM issues so that they can engage in physical activity despite physical and time limitations. The method involves conducting simulations and health education three times a week. The results showed decreased blood sugar levels in the elderly who participated in this foot exercise program. Hopefully, these foot exercise activities can become an alternative and regular option, especially for the elderly in Ari Satan, Musi Rawas Regency.
Development of Cardiopulmonary Resuscitation Pillows for Increasing Number of Bystanders CPR In Lubuklinggau City Wijaya, Sapondra; Wibowo, Wahyu Dwi Ari; Susmini, Susmini; Soewito, Bambang
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 2 (2023): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i2.703

Abstract

Introduction: Cardiac arrest is a situation that can lead to death if CPR is not immediately assisted. The chances of survival increase if the victims are directly helped by people nearby or CPR bystanders rather than waiting for the medical team to arrive. Training CPR bystanders requires large resources, including expensive CPR mannequins as a simulation medium. Creativity is needed to create cheap CPR simulation media with good feasibility. Objective: The study aimed to construct and test the effect of the CPR Pillow to improve the CPR skill in Lubuklinggau, South Sumatra, Indonesia. Method: Research and Development (R&D) with experimental tests, pre-test, and post-tests were applied in this study. Forty people were given two meetings within two weeks. Skill was measured by how the subject performed hand's-only CPR using the CPR Operational Procedure checklist. Result: The result of this study is the creation of a low-cost CPR pillow design that meets the eligibility as a low-fidelity simulation medium for CPR skills. The data analysis using the paired t-test showed a significant effect of CPR training using CPR Pillows on the trainees' hand's-only CPR skills (t=-37,749) with a value of p=0.000. Recommendation: This CPR pillow can be used as a hand's-only CPR simulation medium. CPR simulation using this CPR pillow is a low-fidelity simulation. There is a positive influence related to CPR training using this CPR pillow on the hands-only CPR skills of the trainees
Readiness of Scout Members in Lubuklinggau City to Perform Cardio Pulmonary Resuscitation (CPR) after CPR Training Wibowo, Wahyu Dwi Ari; Wijaya, Sapondra; Susmini, Susmini; Soewito, Bambang
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 6 (2023): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i6.760

Abstract

Introduction: Even though CPR training has begun to be widely carried out, the problem of readiness of CPR training participants to carry out CPR during emergencies still needs to improve. One of the problems is the implementation of unsustainable training. There is a need to modify CPR training at a low cost so that movement can be sustainable, hoping to increase readiness. Objective: This study aimed to investigate the influence of CPR Training use of CPR Pillow on the scout member readiness in response to Hospital Cardiac Arrest (OHCA) in Lubuklinggau City, South Sumatera, Indonesia. Method: This quantitative study was conducted with a quasi-experimental approach. A total of 72 participants participated in this study, of which 36 were categorized into the experimental group and attended three CPR Training in two months by simulation method using CPR Pillow. The remaining 36 participants were in the control group and received classical CPR training using leaflets. Both the experimental and control groups were subjected to pretest and post-testing. The researcher developed a questionnaire to assess the readiness, deliberate the implementation, and conduct modifications from other studies. The Cronbach's alpha coefficients used were 0.82. The paired t-test was used to assess the data statistically. Result: The experimental group showed higher readiness progress (t = 6.834, p 0.001) than the control group. Recommendation: Continuous CPR training using CPR pillows effectively increases the readiness of training participants in dealing with OHCA victims