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All Journal Jurnal Keperawatan Jurnal Riset Kesehatan Jurnal Keperawatan Padjadjaran Journal of Maternity Care and Reproductive Health Jurnal Medika Cendikia (e-Journal) Green Inflation: International Journal of Management And Strategic Business Leadership

Sari Fatimah

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Author-ID : 2435351

Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Articles

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Peripherally Inserted Central Catheterdan Pemberian Terapi Intravena pada Neonatus Yani Setiasih; Sari Fatimah; Siti Yuyun Rahayu
Jurnal Keperawatan Padjadjaran Vol. 1 No. 2 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Penelitian sebelumnya menemukan bahwa Peripherally Inserted Central Catheter (PICC) efektif dalam pemberian terapi intravena. Belum banyak penelitian yang membandingkan pemberian terapi intravena antara akses intravena yang biasa dilakukan saat ini. Penelitian ini bertujuan membandingkan antara akses intravena perifer dengan Peripherally Inserted Central Catheter(PICC) terhadap efektivitas pemberian terapi intravena pada neonatus. Jenis penelitian ini adalah deskriptif komparatif. Dengan teknik purposive sampling, 32 neonatus diikutsertakan sebagai subjek yang terbagi menjadi dua kelompok yaitu kelompok dengan akses intravena perifer dengan PICC. Pada kelompok dengan akses intravena perifer (n=16) dan pada kelompok dengan PICC (n=16). Efektivitas akses intravena dinilai dari kesesuaian terapi intravena yang didapat neonatus dengan kebutuhan yang seharusnya selama 24 jam dalam waktu lima hari menggunakan lembar observasi. Data dianalisis menggunakan uji fisher exact. Hasil penelitian menunjukkan bahwa pemberian terapi intravena menggunakan PICC lebih efektif dibandingkan pemberian terapi intravena menggunakan akses intravena perifer (ρ=0.00). Perawatan neonatus yang membutuhkan terapi intravena di rumah sakit lebih disarankan menggunakan PICC dibandingkan dengan akses intravena perifer.Kata kunci:Akses intravena perifer, neonatus, Peripherally Inserted Central Catheter(PICC), terapi intravena AbstractPrevious studies have found that peripherally inserted central catheter (PICC) is effective for delivering an intravenous therapy. However, few studies were found to compare the effectiveness of PICC with peripheral intravenous access. The purpose of this study was to compare the effectiveness of intravenous therapy using peripheral intravenous access and PICC in hospitalized neonates. This study was a descriptive comparative. By using a purposive sampling technique, 32 neonates were involved as subjects of peripheral IV access group (n=16) and PICC group (n=16). Data were collected using observation forms for 24 hours within 5 days in a row. A Fisher Exact test was utilized to analyze the data. The results indicated that PICC was more effective than peripheral intravenous access (ρ=0.00) in providing intravenous therapy for neonates. Accordingly, PICC is recommended for neonates requiring intravenous therapy in the hospital. Key words: Intravenous therapy, neonates, peripheral intravenous access, Peripherally Inserted Central Catheter (PICC)

Perbedaan Penurunan Suhu Tubuh Anak Bronchopneumonia yang diberikan Kompres Hangat di Axilla dan Frontal Rahmawati R; Sari Fatimah; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 1 No. 3 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Bronchopneumoniapada anak saat ini menjadi penyakit yang paling sering terjadi pada anak. Masalah keperawatan utama yang terjadi pada anak dengan pneumonia adalah terjadinya demam yang sangat berbahaya jika tidak ditangani dengan tepat. Tujuan penelitian untuk mengetahui perbedaan penurunan suhu tubuh pada anak demam dengan bronchopneumonia yang diberikan intervensi kompres hangat di axilladan frontaldi Ruang Anak RS “X”. Desain yang digunakan dalam penelitian ini adalah kuasi eksperimen dengan rancangan pretest and posttest two group before after design. Sampel berjumlah 30 orang dengan usia 0–12 bulan, diambil secara purposivesampling. Alat ukur yang digunakan termometer digital. Analisis data dilakukan dengan dependent sample t testdan independent sample t test. Hasil penelitian menunjukkan rata-rata suhu tubuh pada anak demam dengan bronchopneumoniasebelum diberikan intervensi kompres hangat di daerah axilla38,51ºC sedangkan di frontal38,34ºC. Rata- rata suhu tubuh setelah diberikan intervensi di axilla37,89ºC dan di frontal37,98ºC. Rata-rata penurunan suhu tubuh setelah diberikan intervensi di axilla0.62ºC sedangkan di daerah frontal0.36ºC (nilai p=0.000; α=0.05), sehingga dapat disimpulkan ada perbedaan yang signifikan antara pemberian kompres hangat di axilladan di frontalterhadap penurunan suhu tubuh pada anak demam. Saran berdasarkan hasil penelitian, pemberian kompres hangat di axilladapat dijadikan intervensi dalam menurunkan suhu tubuh anak yang mengalami demam. Kata kunci: Axilla, bronchopneumonia, demam, frontal, kompres hangat AbstractBronchopneumonia is the most common diseases in children. The primary nursing problems occurred in children with bronchopneumonia is fever. This could be danger if could not treated appropriately. The aimed of this study was to identified the differences between warm compress intervention in axilla and frontal to reduce fever in children with bronchopneumonia in hospital X in Bandung. The method used in this study was quasi experiment with two group pre and post test design. Purposive sampling was used as sampling technique in this study, with 30 respondents were participated in this study. Data was analysed using dependent t test and independent t test. Result of this study showed the average of body temperature in febrile children with bronchopneumonia before warm compress intervention in axilla is 38.51 º C , while in the frontal 38.34º C. The average of body temperature after a given intervention in the axilla is 37.89º C, while in the frontal is 37.98ºC. There was a significant temperature’s decreases between frontal and axilla after intervention (p = 0.000; α = 0.05). There was a significant difference between giving a warm compress in the axilla and in the frontal the decrease in body temperature in febrile children. Based on this study, it can be concluded axillary warm compress can be used as an effective intervention to reduce fever in children.Key words:Axilla, bronchopneumonia, fever, frontal, warm compresses

Upaya Pencegahan Penularan TB dari Dewasa terhadap Anak Eni Noviyani; Sari Fatimah; Ikeu Nurhidayah; Fanny Adistie
Jurnal Keperawatan Padjadjaran Vol. 3 No. 2 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

TB (TB) pada anak mencerminkan transmisi TB yang terus berlangsung di populasi. Laju penularan TB pada anak tidak terlepas dari penderita TB dewasa Basil Tahan Asam(BTA) positif yang tinggal disekitarnya sebagai sumber penularan utama. Perilaku penderita TB dewasa sangat berpengaruh besar terhadap jumlah penderita TB anak yang semakin meningkat, karena TB merupakan penyakit yang mudah ditularkan melalui udara. Tujuan penelitian ini adalah untuk mengetahui gambaran pencegahan penularan TB dari dewasa terhadap anak di wilayah puskesmas DTP Rancaekek. Penelitian menggunakan metode deskriptif kuantitatif dengan responden 54 orang dan menggunakan teknik total sampling. Teknik pengumpulan data dengan menyebarkan kuesioner yang dikembangkan dari teori J. Gordon mengenai pencegahan penularan TB yang meliputi lingkungan, kepatuhan pengobatan, memutus transmisi serta status nutrisi dengan menggunakan skala guttman. Analisis data yang digunakan adalah dengan analisis deskriptif kuantitatif melalui distribusi frekuensi. Penelitian dilakukan di Puskesmas DTP Rancaekek. Berdasarkan hasil penelitian, diperoleh hasil bahwa pencegahan penularan TB dari dewasa terhadap anak di wilayah Puskesmas DTP Rancaekek seluruh responden 54 orang (100%) tidak mendukung pencegahan penularan TB. Sebelumnya telah ada penyuluhan yang dilakukan oleh puskesmas DTP Rancaekek. Saran peneliti adalah mengevaluasi penyuluhan yang telah dilakukan agar memperoleh metode penyuluhan yang tepat dan menjalankan strategi DOTS.Kata kunci: Pencegahan, penularan, TB, TB anak.Prevention of Tuberculosis Transmission from Adults to Children AbstractTuberculosis (TB) in children reflects the continuing TB transmission in the population. The transmission rate of TB in children cannot be separated from adult TB patients who live near the children and are a major source of transmission. The behavior of adult patients has a big influence on the increasing number of pediatric TB patients because TB is a disease that is easily transmitted through air. The purpose of this study was to describe the prevention of TB transmission from adults to children in the area around Puskesmas (Primay Health Clinic) DTP Rancaekek. This research used quantitative descriptive method with 54 respondents collected using total sampling technique. Data were collected by distributing questionnaires developed from J. Gordon theory which contained matters concerning the environment, treatment compliance, preventing transmission, and nutritional status using Guttman scale. Data were analysed with descriptive quantitative method using the frequency distribution. The study was conducted at the region of Puskesmas DTP Rancaekek. The results of the study showed that all 54 respondents (100%) did not support the prevention of tuberculosis transmission from adults to children around the region of Puskesmas DTP Rancaekek. Previously there have been health education sessions carried out by the Puskesmas DTP Rancaekek. However, researchers suggest evaluating the methods of health education in order to find the right TB prevention techniques and effectively implement DOTS strategy.Key words: Transmission prevention, tuberculosis, tuberculosis children.

Comparative Effectiveness of Cognitive Behavioral Therapy 5 Sessions and 12 Sessions Toward to Post Traumatic Stress Disorder on Post Flood Disaster Adolescent Uray Fretty Hayati; Sari Fatimah; Ai Mardhiyah
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

AbstractFlood disaster conduced 2375 refugees and traumatic in adolescent with symptoms of Post Traumatic Stress Disorder as many as 15 people in Garut regency. The impact of PTSD on adolescents reduced brain volume, behavioral changed and short-term memory lost. The psychotherapy that proved to be effective overcome PTSD was Cognitive Behavioral Therapy (CBT) 12 sessions but the empirical evidence in Indonesia, the 12 session of CBT intervention was too long, tedious, and caused doubts to the therapist so that 5 session CBT intervention was considered more flexible and efficient. The purpose of this study was compare the effectiveness of PTSD scores pre and post intervention of CBT 5 sessions and 12 sessions toward of PTSD on post flood disaster in adolescent. This research used Quasi Experiment Design with Pre test and Post test approach Two Group Design. The first group was given CBT 5 sessions and the second group was given CBT 12 sessions with the total number of adolescent respondents were 38 people (aged 12–18). The sample was chosen by used Consecutive Sampling at two evacuation sites in Cilawu and Tarogong Kidul subdistrict, Garut regency, West Java, Indonesia. The results of this study pre and post intervention in both groups decreased of PTSD score which difference of median value of 6.00 on CBT 5 session and average difference of 7.58 on CBT 12 session with significancy (p-value < 0.01) and the result analysis test on the effectiveness of both interventions (p-value > 0.05) with significancy number 0.648. The conclusion was no significant difference between the effectiveness of the CBT group of 5 sessions and the CBT group of 12 sessions. There needs comparison of more than 5 sessions and less than 12 sessions for next research.

Analyzing Factor that Affecting of Ventilator Associated Pneumonia Yuliyana Kumaladewi; Sari Fatimah; Aan Nuraeni
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

AbstractBackground: Ventilator associated pneumonia (VAP) has been known to be the most common nosocomial infection in Intensive Care Unit (ICU). VAP increases length of care, cost, morbidity and mortality of patients in ICU. The ICU of RSMH Palembang have already been doing prevention of VAP incidence through VAP bundles, but the number of incidence were still high. Purpose: This study aimed to identify the factors associated with VAP incidence among the patients in ICU RSMH Palembang. Method: this study was quantitative study with kohort prospective approach. Samples were recruited from ICU RSMH Palembang using consecutive sampling technique for 4 months period (n=61). Data were collected using a questionnaire package consisting of a demographic questionnaire, CPIS instrument, APACHE II, an observation sheets that measure duration of using antibiotics, duration of using ventilator, reintubation and hand hygiene compliance. Data were analyzed using descriptive quantitative and logistic regression analysis. Results: VAP occured in 12 patients (19.7%). Bivariate test result with α:5% have shown that APACHE II (p:0.043), duration of using antibiotic (p:0.023), duration of using ventilator (p:0.001) and reintubation p:(0.001) were related to the incidence of VAP. Logistic regression analysis shows that reintubation (OR=0.035; CI 95%:0.28-0.658; p=0.013) and duration of ventilator > 5 days (OR=0.082; CI 95%: 0.09-0.74; p=0.026) were significant factor that affecting VAP. Conclusion. Reintubation was the most related factor with VAP incidence. It is recommended for doctors and nurses to conduct a proper and thorough assessment before extubation to minimalize the risk of reintubation.

Co-Authors Aan Nuraeni Ai Mardhiyah Anna Valensia Christianty de Fretes Citra Windani Mambang Sari Dinatonia Jovery Matruty Eni Noviyani Fanny Adistie Hellena Deli Ikeu Nurhidayah Imanuel Sri Mei Wulandari Lusi Sri Solihah Muhammad Zafrullah Arifin Rahmawati R Siti Yuyun Rahayu Fitri Sri Hendrawati Uray Fretty Hayati Yani Setiasih Yuliyana Kumaladewi

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