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Critical Care Nursesâ€™ Experiences of End-of-Life Care: A Qualitative Study Utami, Reni Sulung; Pujianto, Ahmat; Setyawan, Dody; Naviati, Elsa; Rochana, Nana
Nurse Media Journal of Nursing Vol 10, No 3 (2020): (December 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v10i3.31302

Background: Patients admitted to the intensive care unit (ICU) may face terminal illness situations, which may lead to death. In this case, the role of critical care nurses shifts from life-sustaining to end-of-life care (EOLC). Nursesâ€™ involvement in EOLC varies between countries, even in one country due to differences in religion, culture, organization, laws, cases and patient quality. In Indonesia, research on EOLC in ICU has not been carried out.Purpose: This study aimed to explore the experiences of critical care nurses in providing EOLC.Methods: A qualitative study with a phenomenological approach was conducted. Ten critical care nurses having the experiences of caring for dying patients were recruited through a purposive sampling technique for in-depth interviews. Manual content analysis was used to identify themes.Results: The results of the study found five themes, including the challenge of communication with the family, support for the family, support for the patient, discussion and decision making, and nursesâ€™ emotions.Â Conclusion: Most of EOLC provided by critical care nurses was focused on the family. They had some challenges in communication and decision making. Nurses need to get training and education about how to care for patients towards the end of life.

Personal Hygiene dan Kesehatan Anak-Anak Nelayan Wilayah Pesisir: Sebuah Pendekatan Komunitas Alpiani, Citra Alpiani; Pujianto, Ahmat; Ose, Maria Imaculata; Handayani, Fitriya; Wahyudi, Donny Tri
Journal of Borneo Holistic Health Vol 7, No 1 (2024): JOURNAL OF BORNEO HOLISTIC HEALTH
Publisher : Fakultas Ilmu Kesehatan, Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/borticalth.v7i1.5064

Wilayah pesisir adalah wilayah yang memiliki kompleksitas permasalahan, permasalahan, tantangan dan peluang tersendiri yang menjadikan wilayah pesisir berbeda dengan wilayah lainnya. Permukiman wilayah pesisir yang menonjol di Tarakan, Provinsi Kalimantan Utara adalah warga nelayan yang bermukim disepanjang Pantai Amal. Warga yang bermukim di daerah ini memiliki anak-anak usia 6-12 tahun dan juga tergolong miskin serta kawasannya terlihat kumuh. Tujuan dari penelitian ini adalah untuk mendeskripsikan personal higiene pada anak-anak nelayan di wilayah pesisir Pantai Amal. Penelitian ini menggunakan metode penelitian deskriptif untuk melihat gambaran fenomena yang terjadi pada personal higieneanak-anak nelayan di wilayah pesisir Pantai Amal.Dalam penelitian responden akan menggunakan lembar observasi status personal hygiene yang sampelnya akan ditentukan berdasarkan kriteria inklusi yaitu anak-anak nelayan usia 6-12 tahun dan menyatakan bersedia untuk menjadi responden penelitian dan berdasarkan kriteria eksklusi yaitu bukan anak dari keluarga nelayan, bukan anak nelayan berusia dibawah 6 tahun dan anak nelayan berusia lebih dari 12 tahun. Hasil penelitian menunjukkan bahwa rata-rata status personal higiene pada anak-anak nelayan adalah personal higiene tidak memenuhi syarat. Hal ini terlihat pada persentase tertinggi (56,4%) dari total responden/pihak anak nelayan.

Resiliensi Pasien Pre Operasi Katarak di Instalasi Bedah Sentral Marta, Ayu Putu; Tukan, Ramdya Akbar; Wijayanti, Dewi; Lesmana, Hendy; Pujianto, Ahmat; Iskandar, Ayuk Cucuk
MAHESA : Malahayati Health Student Journal Vol 4, No 7 (2024): Volume 4 Nomor 7 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i7.14740

ABSTRACT The resilience of patients undergoing cataract surgery will have an impact on the patient’s ability to recover and heal after facing surgery. A Patient facing surgery that will be undergone requires high endurance, strong confidence to recover and remain productive after undergoing surgery. This study aimed to describe the resilience of pre-surgery cataract patients at the Central Surgical Installation of dr. H. Jusuf SK Hospital North Kalimantan Provincial Government. This design of research is descriptive. This study used purposive sampling techniques with a total of 81 respondents. The data collection method used a resilience questionnaire. Data analysis techniques used univariate analysis, namely frequency test. The result of this study showed that the resilience of pre surgery cataract patients has a minimum – maximum value of 30-40 which mean the patient’s resilience value was high. The results showed that the patient felt ready and comfortable while undergoing cataract surgery. Patients showed a high value resilience by not feeling depredded before undergoing cataract surgery and they can adapt to the changes that will occur after cataract surgery. Optimizing the role of nurses ang providing support to patient is one of efforts to maintain the nurse motivation in improving the quality of patient life. Keywords: Cataract, Preoperative, Resilience ABSTRAK Ketahanan pasien yang menjalani operasi katarak akan berdampak pada kemampuan pasien untuk pulih dan sembuh setelah menghadapi operasi. Seresponden pasien menghadapi operasi yang akan dijalani membutuhkan daya tahan tubuh yang tinggi, kepercayaan diri yang kuat untuk pulih, dan tetap produktif setelah menjalani operasi. Penelitian ini bertujuan untuk mendeskripsikan resiliensi pasien pre operasi katarak di Instalasi Bedah Sentral RSUD dr. H. Jusuf SK Pemerintah Provinsi Kalimantan Utara. Desain penelitian ini adalah deskriptif. Penelitian ini menggunakan teknik purposive sampling dengan jumlah responden 81 responden. Metode pengumpulan data menggunakan kuesioner resiliensi. Teknik analisis data menggunakan analisis univariat yaitu uji frekuensi. Hasil penelitian ini menunjukkan bahwa resiliensi pasien pra operasi katarak memiliki nilai minimal -maksimum 30-40 yang berarti nilai resiliensi pasien tinggi. Hasil menunjukkan bahwa pasien merasa siap dan nyaman saat menjalani operasi katarak. Pasien menunjukkan nilai resiliensi yang tinggi dengan tidak merasa tertekan sebelum menjalani operasi katarak dan dapat beradaptasi dengan perubahan yang akan terjadi setelah operasi katarak. Mengoptimalkan peran perawat dan memberikan dukungan kepada pasien merupakan salah satu upaya untuk menjaga motivasi perawat dalam meningkatkan kualitas hidup pasien. Kata Kunci: Katarak, Pre Operasi, Resiliensi

Nurses experience in emergency management in coastal area of Tarakan, North Borneo Pujianto, Ahmat; Ose, Maria Imaculata; Lesmana, Hendy; Losong, Aprilisya Nensyiawati
MEDIA ILMU KESEHATAN Vol 13 No 1 (2024): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v13i1.867

Background: The high prevalence of cardiovascular disease and lack of adequate health services can have an impact on the high number of emergencies in coastal communities. The condition of health services in coastal communities which the number of health workers, especially nurses is still limited, it becomes important to carry out research related to the experience of nurses in the treatment of emergencies in coastal areas.Objective: This study aims to identify the nurse’s experience of emergency management in coastal areas.Methods: This research was qualitative with a phenomenological design which involved eight participants of nurses who work in the primary healthcare in the coastal area. The data from the interview results was converted into audio files, and then transcribed and analyzed using content analysis manually.Results: There were three main themes of this study including emergency cases that have been handled by nurses at the coastal health center, the competence of nurses in emergencies care, the inhibiting factors of emergencies care at the coastal areas.Conclusion: Emergency management in coastal areas needs to be supported by several factors, including the fulfillment of health care facilities and the improvement of the nurse competencies

Edukasi Tentang ASI Ekslusif Terhadap Tingkat Pengetahuan Dan Sikap Ibu Hamil Sebagai Upaya Pencegahan Stunting Yusnia, Yusnia; Zulfia, Rahmatuz; Alfianur, Alfianur; Sulidah, Sulidah; Handayani, Fitriya; Pujianto, Ahmat
Journal of Borneo Holistic Health Vol 7, No 2 (2024): JOURNAL OF BORNEO HOLISTIC HEALTH
Publisher : Fakultas Ilmu Kesehatan, Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/borticalth.v7i2.5057

Stunting adalah masalah kurang gizi kronis yang disebabkan oleh asupan gizi yang kurang dalam waktu cukup lama akibat pemberian makanan yang tidak sesuai dengan kebutuhan gizi. Salah satu penyebab stunting pada balita yaitu pemberian ASI eksklusif yang tidak diberikan selama 6 bulan karena ASI sangat dibutuhkan dalam masa pertumbuhan bayi agar kebutuhan gizinya tercukupi. Tujuan dari penelitian ini yaitu untuk mengetahui pengaruh edukasi tentang ASI ekslusif terhadap tingkat pengetahuan dan sikap ibu hamil sebagai upaya dalam pencegahan stunting di Posyandu Sumber Kasih Kelurahan Tanjung Selor Hilir. Penelitian ini berbentuk penyuluhan edukasi tentang ASI ekslusif menggunakan rancangan pra experimental dengan desain one group pre-test dan post-test. Pengumpulan data menggunakan kuesioner pengetahuan sebanyak 15 soal dan sikap sebanyak 5 soal. Hasil uji Wilcoxon dari 20 responden didapatkan rata-rata tingkat pengetahuan post test (2,90) lebih tinggi dari pada nilai rata-rata pre test (1,30) dengan nilai p value 0,000 atau p 0,005 dan nilai rata-rata sikap post test (14,85) lebih tinggi dari nilai rata-rata pre test (8,85) dengan nilai p value 0,077 atau p 0,005. Hasil analisis menggunakan uji Wilcoxon didapatkan signifikasi p = 0.000 atau p0.005. Terdapat pengaruh mengenai edukasi ASI ekslusif terhadap tingkat pengetahuan ibu hamil sebagai upaya pencegahan stunting. Peneliti selanjutnya dapat mengembangkan isi dari kuesioner penelitian dan menambah jumlah sampel yang digunakan agar lebih bervariasi, sehingga peningkatan nilai pengetahuan dan kesiapan ibu hamil mengenai ASI ekslusif dapat lebih signifikan.

Nurses experience in emergency management in coastal area of Tarakan, North Borneo Pujianto, Ahmat; Ose, Maria Imaculata; Lesmana, Hendy; Losong, Aprilisya Nensyiawati
MEDIA ILMU KESEHATAN Vol 13 No 1 (2024): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v13i1.867

Background: The high prevalence of cardiovascular disease and lack of adequate health services can have an impact on the high number of emergencies in coastal communities. The condition of health services in coastal communities which the number of health workers, especially nurses is still limited, it becomes important to carry out research related to the experience of nurses in the treatment of emergencies in coastal areas.Objective: This study aims to identify the nurse’s experience of emergency management in coastal areas.Methods: This research was qualitative with a phenomenological design which involved eight participants of nurses who work in the primary healthcare in the coastal area. The data from the interview results was converted into audio files, and then transcribed and analyzed using content analysis manually.Results: There were three main themes of this study including emergency cases that have been handled by nurses at the coastal health center, the competence of nurses in emergencies care, the inhibiting factors of emergencies care at the coastal areas.Conclusion: Emergency management in coastal areas needs to be supported by several factors, including the fulfillment of health care facilities and the improvement of the nurse competencies

FAKTOR YANG MEMPENGARUHI KESIAPAN MASYARAKAT PESISIR DALAM MELAKUKAN TINDAKAN BANTUAN HIDUP DASAR Pujianto, Ahmat
JURNAL KESEHATAN INDRA HUSADA Vol 12 No 2 (2024): Desember 2024
Publisher : SEKOLAH TINGGI ILMU KESEHATAN INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v12i2.604

The prevalence of heart disease in Indonesia in 2018 was reported at 1,017,290 cases. Heart disease can trigger heart attacks and even cardiac arrest. Providing basic life support (BLS) by the bystander can have an impact on the victim's outcome. BLS skills in the public tend to be low, as evidenced by less than 40% of out-of-hospital cardiac arrest victims receiving cardiopulmonary resuscitation (CPR) from the general public, and less than 12% receiving an automated external defibrillator (AED) before the arrival of the ambulance. Other studies also show that less than 1% of the public can perform BLS effectively. This study aims to identify factors that influence the readiness of coastal communities to perform BLS actions. This study is a descriptive-analytical study with a cross-sectional method involving 106 respondents. Data were analyzed using the Kendal Tau test because the data is categorical. The results of the study showed that there was a relationship between knowledge factors and the readiness of coastal communities to perform BLS actions (p = 0.009). There is a relationship between the BHD training factor and the preparedness of coastal communities to perform BHD actions (p = 0.005). There is no relationship between the BHD experience factor and the readiness of coastal communities to perform BHD actions (p = 0.376). The increasing number of emergency conditions in the community, as well as the lack of community knowledge regarding BHD, requires a BHD campaign and training in the community because most emergency conditions occur outside the hospital.

Penerapan Spirometri Insentif Pada Pasien Efusi Pleura: Studi Kasus Hamidah, Siti; Wijayanti, Dewi; Pujianto, Ahmat; Pailungan, Ferly Yacoline; Tukan, Ramdya Akbar; Lesmana, Hendy
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 3 (2025): Volume 12 Nomor 3
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i3.16776

Penyakit efusi pleura merupakan penyakit yang disebabkan oleh faktor infeksi maupun faktor non infeksi yang menduduki urutan ketiga setelah kanker paru yang insidennya semakin meningkat setiap tahunnya. Pasien yang mengalami efusi pleura mengalami gejala sesak nafas, batuk, nyeri pleuritik, saturasi oksigen menurun yang diakibatkan oleh gangguan pada pengembangan paru yang berdampak pada beberapa alveoli yang mengalami kolaps, guna menghindari permasalahan pada pola nafas pasien berbagai pendekatan intervensi keperawatan di terapkan salah satunya melalui latihan nafas dalam dengan spirometri. Tujuan dari penelitian ini adalah menganalisis asuhan keperawatan klien dengan efusi pleura dengan masalah keperawatan gangguan pola nafas melalui penerapan latihan nafas dalam dengan penggunaan spirometri terhadap keberhasilan pengembangan paru. Metode penelitian merupakan studi kasus dengan jumlah partisipan dua orang dengan diagnosis efusi pleura. Penerapan latihan nafas dalam dengan spirometri dilakukan selama 5 hari, dengan frekuensi latihan 4 kali/hari untuk setiap sesi latihan 5-15 kali inspirasi dalam. Hasil karya ilmiah ini terjadi peningkatan volume inspirasi pada kedua partisipan pada awal latihan volume inspirasi dari 600 ml menjadi 1100 ml dan partisipan kedua dari 600 ml menjadi 1200 ml pada hari kelima. Saran: latihan nafas dalam dengan spirometri sebaiknya diterapkan minimal 4 kali sehari dengan 5-15 kali inspirasi untuk setiap sesi latihannya dan latihan sebaiknya dilaksanakan setiap hari guna memaksimalkan ekspansi paru.

Hubungan Stres Terhadap Berat Badan dan Tekanan Darah pada Masyarakat di Daerah Perbatasan Kalimantan Utara Hotlan, Hotlan; Pujianto, Ahmat; zulfia, Rahmatuz; Handayani, Fitriya; Nugraha, M. Akbar
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 1 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakakeperawatan.v4i1.1294

Stress plays a crucial role in affecting both mental and physical health, potentially contributing to changes in body weight and blood pressure. This study aims to explore the relationship between stress levels and body weight, as well as blood pressure, among the community living in the northern border region of Kalimantan, particularly in Sebatik Island. The research employs a quantitative approach with a cross-sectional design, involving 300 participants from the border community. The study has received ethical approval, as indicated by the letter number 113/KEPK-FIKES UBT/XI/2024. The results indicate a significant relationship between stress and body weight (p=<0,001), stress and systolic blood pressure (p=<0,001), as well as stress and diastolic blood pressure (p=<0,001). The instruments used for measurement include the DASS version 21, sphygmomanometer, and anthropometric scales. These findings are expected to contribute to the development of more effective mental health programs and evidence-based interventions. Furthermore, this study is anticipated to serve as a reference for future research in the field of psychiatric nursing in border areas, and be beneficial to both the public and educational institutions in understanding the impact of stress on physical health.

Kesadaran dan Kesiapsiagaan Bencana pada Masyarakat Pesisir Kalimantan Utara Pujianto, Ahmat; Ose, Maria Imaculata; Baydhuri, Putri Intan; Putri, Mellisa Chelsea Azzahra Santoso
Jurnal Ilmiah Keperawatan IMELDA Vol. 11 No. 1 (2025): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v11i1.1863

The role of disaster awareness and preparedness in improving disaster preparedness in the community is vital. The relationship between disaster awareness and disaster preparedness in coastal communities has not been directly ascertained, so research is needed to assess the problem. The purpose of this study was to identify the relationship between disaster awareness and disaster preparedness in coastal communities. This study is a correlational and cross-sectional study. This study involved 100 respondents using an convenience sampling technique. This research was conducted in one of the coastal sub-districts of Tarakan City, North Kalimantan Province. The data collection process was carried out from October to November 2024. The disaster awareness and preparedness assessment instrument used a questionnaire from previous research. The Chi-Square test was used to see the relationship between disaster awareness and disaster preparedness. The results showed that most respondents were female (58%), worked as farmers/fishermen (33%), graduated from high school/vocational school (41%), the average age of respondents was 37.33 years with an average income of Rp1,626,000 per month. Most respondents with low disaster awareness also had low disaster preparedness (53%). The results of the Chi-Square test showed that there was a relationship between disaster awareness and disaster preparedness (p = 0.001). The low disaster awareness and disaster preparedness in coastal communities, it is necessary to provide disaster education to the community so that the community is ready to face disaster conditions, especially in coastal areas.

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