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All Journal Jurnal Keperawatan Jurnal Keperawatan Muhammadiyah Jurnal Informasi Kesehatan Indonesia (JIKI) Journal of Applied Nursing (Jurnal Keperawatan Terapan) Borneo Nursing Journal (BNJ) IJOHCM MALANG JOURNAL OF MIDWIFERY (MAJORY) Quality : Jurnal Kesehatan Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Jurnal Abdi Medika Jurnal Vokasi Kesehatan Journal of Local Therapy INOVASI LOKAL : Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS) Jurnal Medika: Medika Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Rudi Hamarno
Poltekkes Kemenkes Malang
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Hubungan Pengetahuan Ibu tentang Diaper Rash dengan Pencegajan Diaper Rash pada Bayi Almukarramah, Mukminah; Hamarno, Rudi; Apsari, Duhita Dyah
Malang Journal of Midwifery (MAJORY) Vol. 6 No. 1 (2024): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v6i1.4321

Abstract

Diaper Rash merupakan gangguan kulit yang paling sering terjadi pada bayi. Diaper rash disebabkan oleh banyak faktor, diantaranya penggunaan diapers, infeksi jamur candida albicans yang berasal dari feses, urin dan perawatan perianal yang kurang baik. Pengetahuan ibu sangat erat kaitannya dengan pendidikan, sehingga akan mempengaruhi perilaku ibu dalam menjaga kesehatan kulit pada anak. Tujuan penelitian mengetahui hubungan pengetahuan ibu tentang diaper rash dengan pencegahan diaper rash pada bayi usia 1-12 bulan. Jenis penelitian analitik korelasi dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel 52 ibu yang memiliki bayi usia 1-12 bulan di PMB “YI”. Pengambilan data menggunakan kuesioner pengetahuan tentang diaper rash dan kuesioner pencegahan diaper rash. Analisa data menggunakan uji spearmank rank. Hasil penelitian menunjukkan sebagian besar ibu memiliki pengetahuan cukup sebanyak 59,6% dan hampir seluruh ibu melakukan pencegahan dengan baik sebanyak 90,4%. Hasil Uji Spearmank rank didapatkan p value 0,002 dan coefficient correlation 0.414 menunjukkan ada hubungan pengetahuan ibu tentang diaper rash dengan pencegahan diaper rash pada bayi dengan arah hubungannya positif. Upaya yang dapat dilakukan untuk meningkatkan pengetahuan dan pencegahan diaper rash yaitu dengan menambah wawasan dengan melakukan konseling atau mencari informasi melalui media massa ataupun media lainnya tentang diaper rash.
Community Empowerment with Stunting Filters to Create Healthy Families Solikhah, Fitriana Kurniasari; Astuti, Erlina Suci; Ernawati, Naya; Arif, Taufan; Tyas, Maria Diah Ciptaning; Hamarno, Rudi; Wiyono, Joko; Subekti, Imam
Inovasi Lokal Vol. 1 No. 2 (2023): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v1i2.74

Abstract

Stunting is a condition where a child experiences growth disorders, so that the child's height does not correspond to his age, as a result of chronic nutritional problems, namely lack of nutritional intake for a long time (Ministry of Health, 2020). The results of the 2018 Regional Health Research (Riskesdas 2018) show that toddlers in Indonesia aged 0-23 months still experience shortness of breath or very shortness of breath. This shows that there is a bright spot in the implementation of intervention programs in accelerating the reduction of stunting rates which cannot be separated from the cooperation of every existing element. The difference in the average knowledge of pre- and post-education cadres providing education to improve care for low birth weight babies was obtained by a mean pre-education value of 2.60 and a mean post-education value of 1.40. The standard deviation value for pre-training is 0.308 and post-training is 0.40. The Wilcoxon z value is -4.102. The statistical test results of the Wilcoxon signed rank test obtained a value of p = 0.000 (p < 0.05). Thus, it can be concluded that there is a significant difference between before and after training in cadres' knowledge about early detection of stunting in toddlers. The community service program to assist families at risk of stunting is a new breakthrough in determining effective and integrated, community-based strategies to reduce the risk of stunting.
Taming Anxiety Before Surgery: Video Education Reduces Pre-Operation Patient Anxiety Wahyuni, Eko Sari; Ernawati, Naya; Hamarno, Rudi; Setyarini, Anggun; Almutairi, Reem Iafi
Inovasi Lokal Vol. 2 No. 1 (2024): Inovasi Lokal
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/noval.v2i1.117

Abstract

Pre-operative anxiety is normal, but can have a negative impact on the patient's health. Therefore, it is necessary to educate patients who will undergo surgery to reduce their anxiety levels. Providing education through videos has proven effective in reducing anxiety, this is because video media allows the delivery of more interesting and interactive information. The purpose of this community service activity is to determine the effect of video education on the anxiety of pre-surgical patients at Lavalette hospital Malang City. This community service program consists of two stages, namely socialization to families of surgical patients and training in the application of nursing interventions, anxiety reduction education in preoperative patients. The effectiveness of the program is evaluated by pre-test and post-test methods. The result of this community service activity is that video education has proven effective in reducing anxiety of pre-operative patients. It can be concluded that video education is an effective way to reduce anxiety in pre-operative patients and needs to be widely applied in hospitals.
Effects Of Laxatives On Postoperative Intestinal Sound Recovery Wahyuni, Eko Sari; Hamarno, Rudi; Arif, Taufan; Astuti, Erlina Suci; Septiasih, Rossyana
Health Frontiers: Multidisciplinary Journal for Health Professionals Vol. 2 No. 1 (2024): Health Frontiers
Publisher : Tarqabin Nusantara Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62255/mjhp.v2i1.124

Abstract

Intestinal sound is produced by muscle movements in the digestive tract. The return of intestinal sound after surgery is an important indicator for patients to return to eating and drinking normally. This study aimed to determine whether the administration of laxatives before surgery can speed up the recovery of intestinal sound in patients undergoing surgery with general anesthesia. The study involved 30 patients divided into two groups: a laxative group and a control group. The laxative group received laxatives before surgery, while the control group did not. Intestinal sound recovery time was measured in both groups. The sampling technique uses purposive sampling with the Mann Whitney statistical test. The results showed that the administration of laxatives before surgery had a significant effect on intestinal sound recovery time in postoperative patients under general anesthesia (p < 0.05). The laxative group showed faster recovery of intestinal sound than the control group. From this study it can be concluded that the administration of pre-operative laxatives can be beneficial for postoperative patients under general anesthesia to accelerate the recovery of bowel function. So that suggestions to the next researcher are advised to conduct research respondents who are given more varied laxatives
Perbedaan Kejadian Kram Otot Dan Fatigue Pada Pasien Ginjal Kronis Yang Sedang Menjalani Hemodialisis Kurang dan Lebih dari 5 Tahun Arifatunnisa, Asri; Sepdianto, Tri Cahyo; Hamarno, Rudi
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 14, No 2 (2023): Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v14i2.905

Abstract

Latar Belakang: Ginjal merupakan organ vital yang memiliki peran sangat penting yang apabila tidak berfungsi, kemungkinan terdapat masalah kesehatan yaitu penyakit ginjal kronis. Pasien ginjal kronis yang menjalani terapi hemodialisis memiliki harapan untuk hidup lebih tinggi, tetapi banyak diantaranya mengeluhkan tanda dan gejala yang menimbulkan ketidaknyamanan seperti kram otot dan fatigue.Tujuan: Penelitian bertujuan untuk mengetahui perbedaan kejadian kram otot dan fatigue pada pasien yang menjalani hemodialisis kurang dari 5 tahun dan lebih dari 5 tahun di RSUD Mardi Waluyo Blitar.Metode: Metode penelitian yang digunakan cross sectional. Populasi yang digunakan adalah pasien yang menderita gagal ginjal kronis dan membutuhkan terapi pengganti ginjal dengan tindakan hemodialisis di RSUD Mardi Waluyo Blitar. Teknik pengambilan data yang digunakan yaitu teknik nonprobability sampling dengan menggunakan pendekatan purposive sampling sebanyak 98 responden.Hasil: Hasil uji analisis Mann Whitney didapatkan hasil (p-value 0,006 α (0,05)), yang artinya terdapat perbedaan kejadian kram otot pada pasien yang menjalani hemodialisis kurang dari 5 tahun dan lebih dari 5 tahun. Dan (p- value 0,738 α (0,05)), yang artinya tidak terdapat perbedaan fatigue pada pasien yang menjalani hemodialisis kurang dari 5 tahun dan lebih dari 5 tahun.Kesimpulan: Pasien yang mengalami kram otot dan fatigue paling banyak dirasakan oleh pasien dengan lama menjalani hemodialisis kurang dari lima tahunDifferences Between Incidence Of Muscle Cramps And Fatigue In Chronic Kidney Patients Who Are Undergoing Hemodialysis For Less And More Than 5 YearsBackground: The kidneys are vital organs that have a very important role which if not functioning, there may be health problems, namely chronic kidney disease. Chronic kidney patients undergoing hemodialysis therapy have a higher life expectancy, but many complain of uncomfortable signs and symptoms such as muscle cramps and fatigue.Objective: The study aims to determine the difference in the incidence of muscle cramps and fatigue in patients undergoing hemodialysis for less than 5 years and more than 5 years at Mardi Waluyo Hospital Blitar.Methods: The research method used is cross sectional. The population used is patients suffering from chronic kidney failure and require kidney replacement therapy with hemodialysis at RSUD Mardi Waluyo Blitar. The data collection technique used was a nonprobability sampling technique using a purposive sampling approach of 98 respondents.Results: The results of the Mann Whitney analysis test were obtained (p-value 0.006 α (0.05)), which means that there is a difference in the incidence of muscle cramps in patients undergoing hemodialysis less than 5 years and more than 5 years. And (p-value 0.738 α (0.05)), which means there is no difference in fatigue in patients undergoing hemodialysis less than 5 years and more than 5 years.Conclusion: Patients who experienced muscle cramps and fatigue were most commonly felt by patients with less than five years of hemodialysis.Keywords: Chronic Kidney Failure, Fatigue, Hemodialysis, Muscle Cramping.
ANALISIS WAKTU PENCAPAIAN BROMAGE SCORE SETELAH EDUKASI MOBILISASI DINI: ANALYSIS OF TIME TO ACHIEVEMENT OF BROMAGE SCORE AFTER EARLY MOBILIZATION EDUCATION Sharon, Dinda Hapsari Cahya Mawar; Anjaswarni, Tri; Nataliswati, Tri; Hamarno, Rudi
Quality : Jurnal Kesehatan Vol. 18 No. 2 (2024): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v18i2.1820

Abstract

Bromage Score adalah metode yang digunakan untuk mengetahui waktu pemulihan setelah anestesi spinal sebagai indikator dalam membuat keputusan pemindahan pasien dari kamar operasi ke ruang perawatan. Bromage Score sering dikaitkan dengan mobilisasi dini karena dapat meningkatkan sistem sirkulasi darah dan merangsang sistem persyarafan. Saat ini belum ada penelitian yang mengukur pencapaian Bromage Score dalam bentuk intervensi atau perlakukan dengan menggunakan kelompok kontrol.  Tujuan penelitian ini menganalisis pengaruh dari edukasi mobilisasi dini terhadap waktu pencapaian bromage score. Metode penelitian quasi-experimental dengan desain two group posttest with control group. Populasinya semua yang operasi dengan spinal anestesi di ruang Diponegoro RSUD Kanjuruhan sejumlah 200 pasien, dengan besar sampel 56 orang dibagi menjadi kelompok perlakuan dan kelompok kontrol yang diambil dengan purposive sampling. Analisis uji menggunakan “t-test independent”. Hasil penelitian menunjukkan ada pengaruh signifikan pemberian edukasi mobilisasi dini terhadap waktu pencapaian Bromage Scorel padal pasien spinall anestesi dengan p-value = 0.000. Waktu pencapaian Bromage Score pada kelompok perlakuan lebih cepat dibandingkan kelompok kontrol. Rerata waktu pencapaian hingga skor 0 (mampu bergerak sepenuhnya) pada kelompok perlakuan 233.1 (3 jam 53 menit) menit, sedangkan kelompok kontrol 275.53 menit (4 jam 35 menit). Pasien yang operasi dengan spinal anestesi membutuhkan edukasi mobilisasi dini untuk meningkatkan sirkulasi dan merangsang sistem syaraf melalui latihan fisik ROM yang berpusat pada ekstremitas bawah setelah selesainya operasi agar waktu pemulihan bromage score lebih cepat.
The Effect of Combining Hydrotherapy and Sunbathing Therapy on Blood Pressure in Elderly Patients with Hypertension Hidayatullah, Muhammad Sodik; Hamarno, Rudi; Hidayah, Nurul; Pujiastuti, Nurul
Journal of Local Therapy Vol 3 No 2 (2024): Journal of Local Therapy
Publisher : Pusat Unggulan IPTEK Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jlt.v3i2.4722

Abstract

High blood pressure cannot be ignored as it can lead to complications, particularly hypertension in the elderly. If left uncontrolled, hypertension can result in complications. One non-pharmacological prevention method that is rarely known and applied by the community is complementary therapy, such as hydrotherapy and sunbathing therapy. The purpose of this study is to determine the effect of hydrotherapy techniques (warm water soaking) and sunbathing therapy on managing hypertension in the elderly. The research method used is a quasi-experimental approach with pre-test and post-test in two groups: the treatment group and the control group. Data analysis utilized paired t-test comparison, with a p-value of 0.000, indicating that there is an effect of the combination of hydrotherapy and sunbathing therapy on the blood pressure of elderly patients with hypertension. It is hoped that healthcare professionals will provide education to help prevent increased blood pressure using non-pharmacological therapies, such as the combination of hydrotherapy and sunbathing therapy.
Manfaat Teknik Relaksasi Napas Dalam Untuk Menurunkan Kecemasan Pasien Pre Operasi General Anastesi Hamarno, Rudi; Arif, Taufan; Oktavia, Devi Ayu; Supono
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.22772

Abstract

Introduction: Preoperative patients with anxiety will cause an increase in breathing frequency and heart rate, potentially resulting in the cancellation of surgery. Anxious patients will be intervened through deep breath relaxation techniques that are proven to reduce anxiety levels. Method: The research design is "quasi-experimental" with a " Non-Equivalent Group Design Pre and Post Test" approach. The sampling method used was purposive sampling with a total of 20 respondents divided into two groups. Determination of respondents based on the inclusion criteria of general anesthesia patients, compositional awareness with moderate-severe APAIS anxiety levels who have scheduled surgery at Karsa Husada Batu Hospital. The independent variable is deep breath relaxation, and the dependent variable is anxiety level. Univariate analysis to determine the characteristics of respondents. Bivariate analysis using paired t-test and independent t-test to determine the difference between the two groups. Results: The paired t-test in the pre-post control group resulted in a p-value of 0.823, indicating an average increase of 0.80. Conversely, in the pre-post treatment group, the p-value was 0.000, signifying a mean decrease of 4.00. In the independent t-test between the control and treatment groups in the post-test, the p-value was 0.002. Discussion: Deep breath relaxation improves lung ventilation and blood oxygenation, involving the medulla oblongata which controls the cardiovascular and HPA which regulates the neuendocrine system. Activation of ACTH and CRH increases cortisol secretion, which is associated with anxiety.
Hubungan Status Fisik Pra Anestesi Dengan Waktu Pulih Sadar Pasien Post Operasi Dengan General Anesthesia Hamarno, Rudi; Arif, Taufan; Arifaen, Aditya Mauludin Afkar Nur Arij; Ciptaningtyas, Maria diah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.23184

Abstract

Introduction: The duration of recovery of consciousness in postoperative patients with general anesthesia is a common problem after the patient is transferred to the recovery room. The recovery period of patients after surgery and general anesthesia is influenced by several factors, one of which is the physical condition before anesthesia based on ASA status. The purpose of this study was to determine the relationship between ASA status and the recovery time of patients after surgery with general anesthesia in the recovery room. Method: The study design used a "cross-sectional" approach. The average population per month was 139 postoperative patients using general anesthesia aged 26-65 years. The sampling method used purposive sampling with 59 respondents. Determination of respondents was based on the inclusion criteria of patients undergoing elective surgery aged 26-65 years, patients who received ASA status 1 and 2. Data analysis tests used descriptive statistical tests to determine the characteristics of respondents. Results: Bivariate analysis used the Spearman rank test to determine the relationship between pre-anesthesia physical status and the recovery time of patients after surgery with general anesthesia. The results of the bivariate test of ASA physical status with a p-value of 0.000. Discussion: Pre-anesthesia physical status is related to the recovery time of patients after surgery with general anesthesia. Physical status conditions with accompanying illnesses can interfere with the anesthesia process and post-anesthesia recovery.
Integration of the Education Module in the Health Promotion Program for the Prevention of Coronary Heart Disease. Wiyono, Joko; Hamarno, Rudi; Kasiati, Kasiati
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 9 No. 3 (2023): Vol 9 No 3 (2023) Special Issue: Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v9i3.5244

Abstract

Penyakit jantung koroner (PJK) merupakan penyebab utama morbiditas dan mortalitas global, dengan prevalensi yang terus meningkat, terutama di negara berkembang seperti Indonesia. Edukasi kesehatan berperan penting dalam pencegahan PJK, namun masih terdapat tantangan dalam meningkatkan pemahaman masyarakat terkait faktor risiko dan upaya preventif. Penelitian ini bertujuan mengevaluasi efektivitas modul edukasi berbasis bukti dalam meningkatkan pengetahuan dan perubahan perilaku preventif terhadap PJK di layanan kesehatan primer. Menggunakan desain kuasi-eksperimental pretest-posttest tanpa kelompok kontrol, penelitian ini melibatkan 30 responden di Puskesmas Pandanwangi, Kota Malang. Modul edukasi mencakup materi mengenai faktor risiko PJK, pola makan sehat, aktivitas fisik, dan manajemen stres. Hasil analisis dengan Paired t-Test menunjukkan peningkatan signifikan dalam skor pengetahuan dari 46,0 menjadi 83,2 (80,9%). Perubahan perilaku juga teridentifikasi, termasuk peningkatan konsumsi buah dan sayur (40% menjadi 70%), aktivitas fisik teratur (30% menjadi 65%), serta kemampuan manajemen stres (20% menjadi 55%). Sebanyak 96,7% responden menilai modul sangat informatif dan relevan. Hasil ini menunjukkan bahwa modul edukasi berbasis bukti efektif dalam meningkatkan pemahaman serta perilaku preventif PJK, sehingga direkomendasikan untuk diintegrasikan dalam layanan kesehatan primer.
Co-Authors Abdul Hanan Afnani Toyibah Alfarizi, Aulia Fahmi Almukarramah, Mukminah Almutairi, Reem Iafi Andrea, Kanesya Putri Arief Bachtiar Arif, Taufan Arifaen, Aditya Mauludin Afkar Nur Arij Arifatunnisa, Asri Bisma Surya Bharata Bramunanto Suprayoga Budiono Budiono Ciptaningtyas, Maria Diah Duhita Dyah Apsari, Duhita Dyah Eka Wulandari Erlina Suci Astuti, Erlina Suci Ernawati, Naya Habibi, Yumarsanni Herawati, Tutik Hidayatullah, Muhammad Sodik Imam Subekti Kasiati, ., Kasiati, Lailiyatul Mufidah Lucia Retnowati Luthfiyuddin Musthofa Mabruroh, Ulum Maharani, Karmelia Dwi Mawadati, Vida Miftakhul Jannah, Arinda Nanda Priatna Nisfullaila, Aidatun NURUL HIDAYAH Nurul Pujiastuti Oktavia, Devi Ayu Rahma Faradisa, Ahda Fina rony yuliwar Salva Salsa Billa, Adinda Dwi Septiasih, Rossyana Setyarini, Anggun Sharon, Dinda Hapsari Cahya Mawar Siswati Siswati Solikhah, Fitriana Kurniasari Supono Supono Supono Supono Supono Susi Milwatil Tamara Mawahdah Anggraini Tri Anjaswarni Tri Cahyo Sepdianto Tri Johan Agus Yuswanto Tyas, Maria Diah Ciptaning Wahyuni, Eko Sari Wiwin Martiningsih Wiyono, Joko