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Journal : Jurnal Keperawatan Padjadjaran

Studi Kasus Ketidakpatuhan Orang Kontak Serumah terhadap Anjuran Pemeriksaan Tuberkulosis Herawati H; Rovina Ruslami; Ahmad Yamin
Jurnal Keperawatan Padjadjaran Vol. 1 No. 2 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (603.443 KB) | DOI: 10.24198/jkp.v1i2.53

Abstract

Ketidakpatuhan orang kontak serumah terhadap anjuran pemeriksaan Tuberkulosis (TB) merupakan fenomena kompleks, dinamis dari faktor yang berkaitan dengan perilaku. Penelitian ini bertujuan untuk menggali perilaku ketidakpatuhan orang kontak serumah terhadap anjuran pemeriksaan TB dengan menggunakan Health Belief Model(HBM). Penelitian ini adalah studi kasus yang dilakukan di Kelurahan Pajajaran Kota Bandung. Subjek penelitian adalah sembilan orang kontak serumah dan enam orang perawat Puskesmas Pasirkaliki. Pengumpulan data dilakukan dengan studi dokumentasi, observasi pasif tidak berstruktur, wawancara mendalam, dan diskusi kelompok terarah. Data dianalisis dengan menggunakan model Miles dan Huberman, yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian meliputi persepsi kerentanan, persepsi keseriusan, persepsi manfaat pemeriksaan orang kontak serumah, dan isyarat untuk melakukan tindakan berdasarkan HBM. Persepsi orang kontak serumah tentang kerentanan TB meliputi adanya perasaan takut tertular, melakukan pemisahan, dan menerima takdir. Persepsi orang kontak serumah mengenai keseriusan penyakit TB yaitu kematian, perasaan malu atau minder. Persepsi orang kontak serumah tentang manfaat skrining yaitu akan diketahui apakah orang kontak serumah terkena TB atau tidak. Isyarat untuk melakukan tindakan pemeriksaan TB menurut orang kontak serumah yaitu apabila mereka sudah sakit atau muncul gejala-gejala TB. Hasil penelitian dari perawat menunjukkan bahwa perawat mengetahui bahwa salah satu standar program penanggulangan TB (P2TB) adalah pemeriksaan TB pada orang kontak serumah penderita TB paru terutama yang basil tahan asam (BTA) positif dan anak dengan TB. Pemeriksaan TB tersebut dilakukan dengan pemeriksaan dahak sewaktu-pagi-sewaktu (SPS). Persepsi perawat mengenai hambatan dalam menjalankan peran dan fungsinya yaitu adanya keterbatasan jumlah tenaga di puskesmas, pendidikan perawat masih rendah, dan perawat mendapat tugas limpahan di klinik. Kata kunci:Ketidakpatuhan, kontak serumah, pemeriksaan TB, studi kualitatif. AbstractNon-adherence of household contacts to undergo screening for Tuberculosis (TB) is a dynamic and complex phenomenon of the various factors related to behaviour. The objective of this study was to explore the behaviours related to non-adherence of household contacts to undergo screening for TB. This study is a descriptive case study that was conducted at the Pajajaran village, Bandung city. Participant were 9 household contacts of smear positive TB patients and 6 nurses who is working in the Pasirkaliki Community Health Center (CHC). Data collection was performed with the study documentation, non-structured passive observation, in-depth interview, and focus group discussion (FGD). Data analysis was according to Miles and Huberman model, which consist of data reduction, data display and drawing conclusions. The result includes perception of vulnerability of TB, perceptions of seriousness of TB, perceptions of benefits of TB screening, and cues to action for the TB patients household contact. The result showed that perceptions of the household contact of TB vulnerability were: fear of infection, make the separation and accept fate. Perceptions of the seriousness of TB were that TB could cause death and feelings of shame or inferiority. As for the perception of benefits was by doing screening,it will be known whether household contacts are exposed to TB or not. While the cues to action for household contact to perform screening for TB was if they are sick or have emerging symptoms of TB. The nurses knew that according to P2TB (TB management program) standards, the household contacts of TB patients should undergo screening for TB, especially for smear-positive pulmonary TB patients and paediatric TB. They knew that TB screening was done through sputum smear microscopy. Nurses’ perceptions about the barriers in carrying out their role and function were limited number of human resources in CHC, lack of education, and the presence of abundance tasks at the clinic. . Key words:Household contact, non-adherence, qualitative study, TB screening.
Pengaruh Latihan Relaksasi Otot Progresif terhadap Kualitas Tidur Lansia Sulidah Sulidah; Ahmad Yamin; Raini Diah Susanti
Jurnal Keperawatan Padjadjaran Vol. 4 No. 1 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (809.653 KB) | DOI: 10.24198/jkp.v4i1.133

Abstract

Lansia merupakan kelompok orang yang paling sering mengalami penurunan kualitas tidur. Beberapa penelitian menunjukkan manfaat latihan relaksasi otot progresif untuk menghadirkan rasa nyaman yang dibutuhkan dalam mereduksi penyebab gangguan tidur. Penelitian ini untuk mengidentifikasi pengaruh relaksasi otot progresif terhadap kualitas tidur lansia. Rancangan penelitian ini Quasi Experimental dengan pendekatan Pretest-Posttest Control Group Design. Sampel diambil secara Purposive Sampling. Besar sampel 51 responden, terdiri dari 26 responden kelompok intervensi dan 25 responden kelompok kontrol. Kelompok intervensi melakukan latihan relaksasi otot progresif selama empat minggu. Kualitas tidur diukur sebelum dan sesudah latihan relaksasi otot progresif menggunakan instrumen PSQI. Pengukuran dilakukan empat kali, yaitu sebelum intervensi (pre test), dua minggu setelah intervensi (post test 1), tiga minggu setelah intervensi (post test 2), dan empat minggu setelah intervensi (post test 3). Data dianalisis menggunakan t test dan Repeated Anova. Hasil Uji t berpasangan kelompok intervensi menunjukkan nilai t hitung > t tabel, dengan p = 0,000. Pada kelompok kontrol diperoleh nilai t hitung < t tabel, dengan p > 0,05. Uji Repeated Anova memeroleh nilai F hitung (71,415) > F tabel (3,89) dengan p=0,000. Uji t tidak berpasangan didapatkan skor pretest, posttest 1, posttest 2 dan posttest 3 berbeda signifikan antara kelompok intervensi dan kelompok kontrol dengan p < 0,05. Rata-rata skor PSQI kelompok intervensi menunjukkan kecenderungan penurunan setelah latihan relaksasi otot progresif, sedang kelompok kontrol tidak menunjukkan perubahan skor secara bermakna. Hal ini dimungkinkan karena latihan relaksasi otot progresif bermanfaat menimbulkan respon tenang, nyaman, dan rileks. Implikasi penelitian ini bahwa latihan relaksasi otot progresif secara bermakna meningkatkan kualitas tidur lansia sehingga dapat dipertimbangkan sebagai terapi komplementer dalam tatalaksana gangguan tidur pada lansia sebagai tindakan mandiri keperawatan.Kata kunci: Kualitas tidur, lansia, relaksasi otot progresif.The Effect of Progressive Muscle Relaxation Exercise towards Older People’s Quality of SleepAbstractOlder people are the group of people who often experience the decreasing of quality of sleep. Few studies showed the benefit of progressive muscle relaxation exercise to give comfort that is needed to reduce the cause of sleep disturbance. This study aimed to examine the effect of progressive muscle relaxation exercise towards older people’s quality of sleep. The research design is quasi experimental using pretest-posttest control group design. The sample were recruited using purposive sampling. The total sample were 51 participant which consist of 26 participants in intervention group and 25 participants in control group. Intervention group were conducted progressive muscle relaxation exercise for four weeks. The quality of sleep were measured before and after the exercise using PSQI instrument. The measurements were conducted four times, which were before intervention (pretest), two weeks after intervention (posttest 1), three weeks after intervention (posttest 2), and four weeks after intervention (posttest 3). The data were analyzed using t-test and Repeated ANOVA. The paired t-test for intervention group showed that the score of counted t > table t, with p = 0.000. In the control group, the results showed that counted t < table t score, p >0.005. The repeated ANOVA showed that counted F (71.415) > table F (3.89) with p= 0.000. Independent t-test showed that scores of pretest, posttest 1, posttest 2 and posttest 3 were different significantly between intervention and control groups with p<0.05. The average PSQI scores in intervention group showed a tendency of decreasing after progressive muscle relaxation exercise, while in the control group there was no significant changes in the scores. This is because the progressive muscle relaxation exercise is benefit to give calming, comforting and relaxing responses. The implication of this study is that progressive muscle relaxation exercise can significantly improve the quality of sleep of older people so that this exercise can be considered as a complementary therapy for management of sleep disturbance among older people as an independent nursing care.Keywords: Older people, progressive muscle relaxation exercise, quality of sleep.
Pengaruh Edukasi Berbasis Keluarga terhadap Intensi Ibu Hamil untuk Optimalisasi Nutrisi pada 1000 Hari Pertama Kehidupan Rosani Naim; Neti Juniarti; Ahmad Yamin
Jurnal Keperawatan Padjadjaran Vol. 5 No. 2 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1351.431 KB) | DOI: 10.24198/jkp.v5i2.475

Abstract

Periode emas tumbuh kembang seorang anak dimulai sejak anak dalam kandungan hingga berusia dua tahun. Wanita hamil dan anak-anak usia dibawah 5 tahun berada pada risiko tertinggi micronutrient deficiencies (MNDs), masalah pertumbuhan, penurunan intelektual, komplikasi perinatal dan meningkatnya risiko morbiditas dan mortalitas. Oleh karena itu ibu hamil memerlukan program edukasi tentang nutrisi yang tepat untuk kesehatan ibu dan janin. Edukasi berbasis keluarga sesuai program keluarga sehat dapat meningkatkan intensi untuk mengubah perilaku kesehatan. Menurut Theory of Planned Behavior (TPB), bahwa intensi untuk mengubah perilaku dipengaruhi oleh sikap, norma subjektif dan persepsi kontrol perilaku. Penelitian ini bertujuan mengidentifikasi pengaruh edukasi berbasis keluarga terhadap intensi ibu hamil untuk optimalisasi nutrisi pada 1000 Hari Pertama Kehidupan di wilayah kerja Puskesmas Neglasari, Kota Bandung. Desain penelitian menggunakan quasi eksperiment, pre-test and posttest with control group design. Pengambilan sampel dengan teknik total sampling seluruh ibu hamil yang terdata di Puskesmas sampai bulan November 2016 berjumlah 44 orang yang kemudian dibagi dalam kelompok intervensi dan kelompok kontrol. Kegiatan edukasi dilaksanakan melalui tiga kali pertemuan kunjungan rumah. Analisis data menggunakan Wilcoxon test dan Mann whitney test. Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan antara edukasi berbasis keluarga terhadap intensi ibu hamil untuk optimalisasi nutrisi pada 1000 hari pertama kehidupan (p = 0.00). Program edukasi berbasis keluarga adalah efektif meningkatkan intensi ibu hamil. Dengan demikian, disarankan penerapan edukasi berbasis keluarga dalam intervensi keperawatan untuk meningkatkan kesehatan ibu dan bayi yang dikandungnya.Kata kunci: Edukasi berbasis keluarga, intensi, ibu hamil, nutrisi, 1000 hari pertama kehidupan. Effect Of Family-Based Education Towards Pregnant Mothers’ Intention to Optimize The Nutrition at 1000 First Day Of LifeAbstractChildren “Golden Period” starts since in the womb until two years after birth. Pregnant mothers and children under five (5) years old are at risk to suffer from micronutrient deficiencies (MNDs), growth problems, intellectual impairment, perinatal complications and increase of morbidity and mortality risks. Therefore pregnant mothers need an education program about proper nutrition for mothers’ and the fetus’ health.Family based education can improve intention to change health behavior. According to Theory of Planned Behavior (TPB, behaviour is influenced by attitudes, subjective norms and perceived behavioral control. Intention in order to change the behavior. The study aimed to identified the effect of family-based education towards pregnant mothers’ intention to optimize the nutrition at 1000 First Day of Life in the working area of Puskesmas Neglasari, BandungResearch design was quasi experiment, pre-test and post-test with control group design. A total of 44 pregnant mothers’ were recruited and divided into intervention and control group. Intervention were conducted three times through home visits. The data were analyzed using Wilcoxon test and Mann Whitney testThe findings showed that there was a significant effect between the family-based education towards pregnant mothers’ intention to optimize the nutrition of 1000 first days of life (p = 0.00). Thus, it is recommended to apply family based education in nursing intervention to improve of mothers and fetus health.Keywords : Family based education, intention, pregnant mothers’, nutrition, 1000 first days of life.
Relationship of Family Support Towards Self-Management and Quality of Life of Patients with Type 2 Diabetes Mellitus Ahmad Yamin; Citra Windani Mambang Sari
Jurnal Keperawatan Padjadjaran Vol. 6 No. 2 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1155.43 KB) | DOI: 10.24198/jkp.v6i2.673

Abstract

DM disease will be suffered for life, so the patient is expected to establish self-management behavior in managing the disease. Self-management behavior in patient tends to decline with increasing complications perceived by patients. The presence of social support one of important factors to improve adherence of self-management Diabetes patients. The purpose of this study was to assess the relationship of social support towards self-management and the quality of life in DM patients in Bandung. This research used correlational approach with purposive technique sampling. Numbers of respondent were taken from the region of 10 Puskesmas with highest DM in Bandung on 92 patients who came to Puskesmas. The questionnaires used were Hensarling Diabetes Family Support Scale (HDFSS), Summary of Diabetes Self-management Activities Measure (SDSCA) and SF-36. The analysis used analysis using frequency distribution, and Spearman-rho. Most respondents (51.1%) had social support below the group median. Most respondents (50%) had a quality of life below the group median. Most respondents (52.2%) had DM self-management behavior below the group median. Bivariate results showed no relationship between social support support and self-management and quality of life of respondents (p value = 0.801). There is no significant relationship between social support and self-management and quality of life. Therefore, the studies are expected to be recommendations of this study was integrate nursing care to improve self-management and quality of life of DM patients.