LInda WIeke Noviyanti
Program Studi Sarjana Keperawatan Universitas Brawijaya

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Peningkatan Perilaku Perawatan Diri Pasien melalui Diabetes Self Management Education and Support LInda WIeke Noviyanti; Suryanto Suryanto; Rizki Taufikur Rahman
Media Karya Kesehatan Vol 4, No 1 (2021): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v4i1.30747

Abstract

Diabetes mellitus merupakan penyakit kronis yang saat ini menjadi masalah serius secara global. Data menyebutkan bahwa 88% pasien dengan DM mengarah kepada kematian. Masa perawatan yang lama membutuhkan konsistensi perawatan dari pasien maupun keluarga. Hal ini dapat dilakukan melalui peningkatan kemampuan perawatan diri di rumah. Salah satunya dengan diabetes self-management education and support sebagai implementasi patient centered care. Metode penelitian menggunakan pre-experimental design dengan one group pre- test post test design dengan 20 partisipan diambil secara random. Pengukuran perilaku perawatan diri menggunakan Summary of Diabetes Self-care Activities (SDSCA) dan diuji secara statistik menggunakan wilcoxon signed rank test. Penelitian menunjukkan sebagain besar pasien adalah perempuan dengan rentang usia 55 – 64 tahun. Hasil uji statistik didapatkan terdapat pengaruh implementasi diabetes self-management education/support (DSME/S) terhadap perilaku perawatan diri pasien diabetes mellitus tipe 2 (p<0,0001, α = 0,05). Sebagian besar dari penderita DM tipe 2 memiliki perawatan diri yang buruk sebelum diberikan pendekatan intervensi. Penggunaan DSME/S dapat meningkatkan kemampuan dan pemahaman pasien maupun keluarga untuk perawatan mandiri di rumah. Hal ini tentunya akan berdampak pada kualitas hidup dari penderita DM tipe 2 dan mengurangi angka readmisi ke fasilitas kesehatan. Kata kunci : Diabetes mellitus, diabetes self management education and support, perilaku perawatan diri
Pelatihan Tugas Perawatan Kesehatan Keluarga Caregiver Lansia dalam Pogram RURAL (Rumah Ramah Lansia) Annisa Wuri Kartika; Muladefi Choiriyah; Niko Dima Kristianingrum; Linda Wieke Noviyanti; Endah Panca Lidya Fatma
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 5, No 3 (2019): Desember
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.757 KB) | DOI: 10.22146/jpkm.45139

Abstract

The decline in function due to aging accompanied by health problems in the elderly has an impact on the ability of the elderly in activity daily living (ADL) and health care. The role of the family is very important in health care assistance to the elderly. Caregiver skills accompanied by environmental aspect are important factors for elderly with chronic illness at home. This community service aims to improve the caregiver's ability to provide care to the elderly with chronic illness. RURAL (Rumah Ramah Lansia) is activity to create a suitable environment for the elderly in terms of physical and psychosocial environment. The families trained as a caregivers which are carried out in RW 4, Jatimulyo, Malang City in January - March 2018. The activities of the program is health education and skill training about caring for elderly. The results are 70 percent of families have good ability in carrying out family health care tasks; knowledge about elderly care at home is good with an average knowledge value of 8.6. From these results it can be concluded that training for caregivers is useful to improve the ability of caregivers and health status of the elderly.Keywords: caregiver care ability; chronic disease; elderly care at home.
OPTIMIZATION OF DISCHARGE PLANNING FOR COVID-19 PATIENTS THROUGH INTEGRATED EDUCATION SYSTEM COVID NURSE ASSISTANT (CNA) TO PREVENT TRANSMISSION AND IMPROVING PATIENT SELF-CARE ABILITY IN RSSA Evi Harwiati Ningrum; Ike Nesdia Rahmawati; Linda Wieke Noviyanti; Annisa Wuri Kartika; Ahmad Hasyim Wibisono; Ahsan Ahsan; Kuswantoro Rusca Putra
Caring : Jurnal Pengabdian Masyarakat Vol 1, No 3 (2021): CARING Jurnal Pengabdian Masyarakat (Desember 2021)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (824.266 KB) | DOI: 10.21776/ub.caringjpm.2021.001.03.1

Abstract

The high number of COVID-19 cases was not balanced by the number of nurses assigned to the Covid isolation room with limited PPE availability. This causes many of the duties of nurses, especially health education, could not be performed completely. Thus, it is necessary to renew the Discharge Planning procedure for Covid 19 patients according to the characteristics of Covid-19 transmission. The purpose of this community service is to increase the effectiveness of the discharge planning for the COVID-19 patients to improve self-care and prevent infection transmission at home. This community service activity consists of 4 (four) stages, namely: 1) Preparation stage for coordination with the hospital; 2) Application development phase, consisting of application design, collection of educational media; 3) Implementation, launching and socialization of applications in the hospital environment; 4) Evaluation and monitoring stage. The results of the evaluation showed that as many as 58.7% of patients had used the CNA. About 62.7% patients experience an increase of their knowledge after accessing the CNA. There were 61.6% patients stated that the CNA had increased their knowledge on home care procedure post-Covid treatment. There are 62.3% of patients feel that the CNA supports patient care at home. The benefits of the CNA were expressed by 82 patients (87.2%) with increased self-care and as many as 76 patients (80.9%) stated that the CNA educational media was more attractive and easy to understand. The conclusion of this activity is that the CNA application can be implemented as a medium of health education for patients and families to improve their ability to take care of themselves.
UPAYA PENINGKATAN KEMAMPUAN PERAWAT DALAM IMPLEMENTASI MODEL ASUHAN KEPERAWATAN PROFESIONAL (MAKP) DI RUANG RAWAT INAP RUMAH SAKIT UNIVERSITAS BRAWIJAYA MALANG Ike Nesdia Rahmawati; Ahsan Ahsan; Kuswantoro Rusca Putra; Linda Wieke Noviyanti; Evi Harwiati Ningrum
Caring : Jurnal Pengabdian Masyarakat Vol 1, No 1 (2021): CARING Jurnal Pengabdian Masyarakat (April 2021)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1072.93 KB) | DOI: 10.21776/ub.caringjpm.2021.001.01.2

Abstract

AbstractThe increasing public demand for quality nursing services require Nurse managers to improve the quality of nursing services. The professional Model of Nursing Care or Model Asuhan Keperawatan Profesional (MAKP) is a strategy to improve the quality of nursing care. Therefore, nursing services become more structured, organized, professional and comprehensive. The implementation of this community service activity consists of three stages, namely the MAKP training stage for nurses, the MAKP implementation assistance stage in inpatient wards, and the evaluation of MAKP implementation. The results of this community services were shown by The increase of nurses’ knowledge by 84.2% before and after training. As many as 79.4% of participants were active during the discussion of MAKP. The results of the evaluation of MAKP implementation assistance were 82.5% rate of Standard Operational Procedure (SOP) on the these following activities: handover, pre-conference, post-conference, discharge planning, and nursing rounds. MAKP training is able to increase the effectiveness of nursing services in the hospital. It is highly expected that training to improve other nurses' abilities can continue to be carried out as a form of collaboration between nurse academics and practitioners. This community service is also expected to bridge the implementation of nursing theories and concepts in clinical settings.AbstrakPermintaan masyarakat terhadap pelayanan keperawatan yang bermutu yang semakin meningkat menuntut  pembenahan dalam manajemen keperawatan untuk peningkatan mutu layanan keperawatan.  Model Asuhan Keperawatan Profesional (MAKP) merupakan strategi peningkatan mutu asuhan keperawatan. Sehingga pelayanan keperawatan menjadi lebih terstruktur, terorganisir, profesional dan komprehensif. Pelaksanaan kegiatan pengabdian masyarakat ini terdiri dari tiga tahap yaitu tahap pelatihan MAKP bagi perawat, tahap pendampingan implementasi MAKP di ruang rawat, dan evaluasi implementasi MAKP. Hasil evaluasi kegiatan ini pengetahuan perawat yang meningkat adalah sebesar 84,2% dari sebelum dan sesudah pelatihan.  Sebanyak 79,4% peserta aktif dalam diskusi. Hasil evaluasi pendampingan implementasi MAKP didapatkan 82,5% sesuai dengan SOP meliputi operan, preconference, postconference, discharge planning, dan ronde keperawatan. Pelatihan MAKP mampu meningkatkan efektifitas pelakasanaan pelayanan keperawatan di rumah sakit. Diharapkan pelatihan peningkatan kemampuan perawat yang lain dapat terus dilaksanakan sebagai bentuk Kerjasama antara perawat akademisi dan praktisi. Kegiatan pengabdian masyarakat ini juga diharapkan menjembatani implementasi teori dan konsep keperawatan secara teknis di layanan Kesehatan.
ASSOCIATION BETWEEN HEMODIALYSIS ADEQUACY AND QUALITY OF LIFE IN CHRONIC RENAL PATIENTS UNDERGOING HEMODIALYSIS Alfrina Hany; Linda Wieke Noviyanti; Endang Susilowati
Journal of Nursing Science Update (JNSU) Vol. 7 No. 1 (2019)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (9007.921 KB) | DOI: 10.21776/ub.jik.2019.007.01.9

Abstract

Hemodialysis adequacy describes a measure of the hemodialysis doses. Automatic measurement of adequacy through a hemodialysis machine has a more efficient advantage and can be accessed at any time. The purpose of this study was to determine the association between adequacy hemodialysis and the quality of life among chronic renal failure patientsundergoing hemodialysis. This study used a correlational analytic observational study with a cross sectional design. Data analysedwith the Spearman Rank correlation test. The subjects were 31 chronic renal failure patients undergoing hemodialysis, determined by consecutive sampling method. Data were collected retrospectively through hemodialysis record and the KDQOL SF-36 questionnaire. The result was there was no significant relationship between the adequacy of hemodialysis and quality of life in all dimensions of quality of life except for the dimensions of the physical composite (p=0,013, α=0,05) r=-0,449. There was a relationship between length of time undergoing hemodialysis and physical composite (p= 0,046, α=0,05), r = -0,367. The conclusion is confirmation of adequacy with blood urea examination is necessary.Monitoring machine monitor curves for smooth access, Qb, duration of hemodialysis and recirculation during hemodialysis is important to support the achievement of the expected adequacy. Evaluating the quality of life of patients needs to be done regularly.