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PENGARUH PEMBERIAN LATIHAN RANGE OF MOTION (ROM) TERHADAP KEMAMPUAN MOTORIK PADA PASIEN POST STROKE DI RSUD GAMBIRAN Kun Ika Nur Rahayu
Jurnal Keperawatan Vol. 6 No. 2 (2015): Juli
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (50.699 KB) | DOI: 10.22219/jk.v6i2.2864

Abstract

Stroke adalah sindrom klinis berupa gangguan fungsi otak sebagian atau seluruhnya yang diakibatkan oleh gangguan suplai darah ke otak. Stroke dapat berdampak pada berbagai fungsi tubuh diantaranya adalah defisit motorik berupa hemiparese (kelemahan satu sisi tubuh). Penelitian ini bertujuan untuk mengidentifikasi pengaruh latihan Range of Motion terhadap kekuatan otot pasien post stroke di RSUD Gambiran Kediri. Penelitian ini menggunakan desain penelitian Pre Experimental dengan pendekatan Cross Sectional. Populasi dalam penelitian ini sebanyak 17 responden dansampel 16 responden yang diberikan latihan range of motion 2x sehari selama 7 hari. Evaluasi penelitian ini dilakukan pada hari pertama dan ketujuh. Teknik pengambilan sampel, purposive sampling. Analisa data dalam penelitian ini menggunakan analisa univariat dan analisa bivariat (Paired Sample T-test). Hasil penelitian menunjukkan ada pengaruh pemberian latihan range of motion terhadap kemampuan motorik pada pasien post stroke di RSUD Gambiran Kediri 2014. Penelitian ini merekomendasikan perlunya penelitian lebih lanjut dan penggunaan latihan ini sebagai salah satu intervensi mandiri perawat dalam asuhan keperawatan pasien stroke.
HUBUNGAN KOMUNIKASI SBAR PADA SAAT HANDOVER DENGAN KINERJA PERAWAT DALAM MELAKSANAKAN ASUHAN KEPERAWATAN DI RUANG RAWAT INAP Wiwin Sulistyawati; Kun Ika Nur Rahayu; Adelia Yogi Pratiwi Rama Dhanti
coba Vol 9 No 1 (2020): Nopember 2020
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32831/jik.v9i1.308

Abstract

Pendahuluan:Peningkatan komunikasi yang efektif merupakan komponen pasien safety. Penerapan komunikasi SBAR pada handover di Ruang Rawat Inap serta kinerja perawat dalam memberikan asuhan keperawatan di Ruang Rawat Inap merupakan faktor yang mempengaruhi kualitas pelayanan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi hubungan komunikasi SBAR dalam handover dengan kinerja perawat dalam melaksanakan asuhan keperawatan di Ruang Rawat Inap Rumah Sakit. Metode:Penelitian ini merupakan penelitian kuantitatif dengan metode analitik korelasi melalui pendekatan cross sectional. Pengambilan data primer menggunakan metode kuesioner dengan sampel berjumlah 103 orang perawat RS di Jawa Timur. Pengambilan sampel dengan cara consequtive sampling. Variabel independen adalah komunikasi SBAR dalam handover (X), sedangkan kinerja perawat dalam melaksanakan asuhan keperawatan adalah variabel dependen. Hasil:Berdasarkan hasil uji spearman rank didapatkan hasil nilai ρ value = 0,000 < 0,05, maka Ho ditolak dan H1 diterima yang artinya ada hubungan antara komunikasi SBAR dalam handover dengan kinerja perawat dalam melaksanakan asuhan keperawatan di Ruang Rawat Inap Rumah Sakit. Simpulan:Berdasarkan hasil penelitian ini diharapkan bidang keperawatan memotivasi perawat untuk menerapkan komunikasi SBAR pada saat handover sehingga meningkatkan kinerja perawat dalam memberikan asuhan keperawatan di Ruang Rawat Inap Rumah Sakit. Kata kunci : komunikasi SBAR, handover, kinerja perawat, asuhan keperawatan
Pengaruh Senam Kaki Terhadap Perfusi Kaki Pada Pasien Diabetes Mellitus Di Wilayah Kerja Puskesmas Ngadiluwih Kabupaten Kediri Kun Ika Nur Rahayu
coba Vol 6 No 2 (2018): Mei 2018
Publisher : Akademi Keperawatan Dharma Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.651 KB) | DOI: 10.32831/jik.v6i2.163

Abstract

ABSTRAK Diabetes melitus salah satu gangguan sistem endokrin di sebabkan oleh adanya ketidakseimbangan antara persediaan dan kebutuhan insulin. Badan kesehatan dunia (WHO) memperkirakan pada tahun 2030 penyandang diabetes (DM) di Indonesia sebanyak 21,3 juta jiwa. Kondisi ini membuat Indonesia menduduki peringkat empat setelah Amerika Serikat, China, dan India (Asep, 2012). Berdasarkan survey awal penderita diabetes melitus di wilayah kerja Puskesmas ngadiluwih sebanyak 226 orang. Penderita diabetes melitus memiliki resiko 15% kaki diabetes. Senam kaki adalah kegiatan atau latihan yang dilakukan oleh pasien diabetes melitus untuk mencegah terjadinya luka dan membantu melancarkan peredaran darah bagian kaki. Tujuan penelitian ini adalah mengetahui pengaruh senam kaki terhadap perfusi kaki pada pasien diabetes mellitus di wilayah kerja Puskesmas Ngadiluwih Kabupaten Kediri tahun 2015. Rancangan penelitian ini adalah pre Eksperimental dengan pre – post test One Group desaign. Sampel pada penelitian ini adalah diabetes mellitus lebih dari 10 tahun dengan usia 30-60 tahun dan tidak memiliki ulkus dikaki. Jumlah sampel adalah 15 orang. Sampel yang diambil menggunakan purposive sampling. Data yang terkumpul Dianalisis dengan Wilcoxon Match Pair Test dengan tingkat kemaknaan p < 0,05. Hasil analisa data perfusi kaki sebelum dilakukan senam kaki sebagian besar mengalami obstruksi ringan (60%) dan setelah dilakukan senam kaki sebagian besar perfusi kaki menjadi normal (60%). Dari hasil uji statistik menggunakan Wilcoxon Match Pair Test didapatkan nilai ρ=0,001 dengan tingkat signifikan a <0.05. Sehingga ρ < a yang artinya ada pengaruh senam kaki terhadap perfusi kaki pada pasien diabetes di wilayah kerja Puskesmas Ngadiluwih Kabupaten Kediri tahun 2015. Sehingga disarankan bagi penderita DM baik tipe I maupun tipe II untuk rutin melakukan senam kaki guna mencegah terjadinya ulkus pada kaki. Kata kunci : Diabetes Melitus, Senam Kaki, Perfusi Kaki Abstract Diabetes Mellitus is one of endocrine system disorders. Diabetes mellitus is caused by the imbalance of needed and supply of insulin. WHO estimated that the DM patients will be 21,3 million in 2030. This condition will make the Indonesia become the fourth rank in the world after USA, China, and India (2012). Based on the early survey, the DM patients in Puskesmas Ngadiluwih was 222 person. The patients with DM had 15% risk of diabetic foot ulcers. The foot gym is an exercise which is performed by DM patients to avoid injury and fluent the blood circulation in the food. The purpose of this study was to identify the influence of foot gym toward the foot perfusion of DM patients in Puskesmas Ngadiluwih in Kediri in 2015. The research design was pre-experimental with pre-post test one grup design. The sample was selected by using purposive sampling. The inclusion criteria were the diabetes mellitus patients were required to have a minimum of 10 years of medical history in the database prior to the first diabetes diagnosis, the age of diabetes mellitus of patients were 30-60 years without foot ulcers. The data was analyzed by using Wilcoxon match pair test with p < 0,05. The results showed that before the foot fym, most of the respondents had light obstruction ( 60%) and after foot gym, most of the respondents had normal obstruction ( 60%). The results of bivariat analyzed showed that the p-value was 0,001 with significant < 0,05. Thus, the foot gym had influenced torward foot perfusion of DM patients in Puskesmas Ngadiluwih in 2015. Based on the findings, the DM patient type I and type II should perform the foot gym regulary to avoid the diabetic foot ulcers. Key word: Diabetes Mellitus, foot gym, foot perfusion
Women’s Intention to Undertake an HIV test: A Concept Analysis Yeni L. N. Agnes; Sri Haryuni; Kun Ika Nur Rahayu
Journal for Quality in Public Health Vol. 4 No. 1 (2020): Journal for Quality in Public Health
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v4i1.134

Abstract

Background: The intention in the Theory of Planned Behavior is preceded by attitude, perceived control, and subjective norm. This theory had been applied to hundreds of studies from many disciplines. However, when a nurse applies this theory, it requires a detail description related to Muslim wives’ intention to undertake an HIV test. This detailed concept development will help nurses in employing the nursing process accurately to achieve the target of Prevention from Mother to Child Transmission (PMTCT) program. Purpose: The study aims to develop a model of Muslim wives’ intention to undertake an HIV test. Methods: Concept validation of Muslim wives’ intention to undertake an HIV test was traced by using keywords “intention”, “willingness”, “desire”, “HIV tests”, “readiness”, “commitment”, “woman and HIV/AIDS”, “awareness”, in EBSCO, CINAHL, and Proquest. Results: The concept of Muslim wives’ intention was developed from existing theories as deductive origin and literature reviews as an inductive origin. The concept consists of many antecedents that being categorized into two categories includes internal and external factors and six sub-categories as follows internal commitment, knowledge, ethical values, risk perception, demographic factor and subjective norms. Both attribute and consequence key words each have one category. Conclusion: The tentative model can be generalized for other settings or situations. There is no specification that this model just for a specific gender or specific situation.
MENINGKATKAN INTEGRITAS PERAWAT MELALUI PENGEMBANGAN ORGANISASI PROFESI DI KABUPATEN TULUNGAGUNG : IMPROVING NURSE INTEGRITY THROUGH PROFESSIONAL ORGANIZATION DEVELOPMENT IN TULUNGAGUNG REGENCY Devangga Darma Karingga; Kun Ika Nur Rahayu; Moh Alimansur; Evi Tunjung Fitriani
Jurnal Abdimas Pamenang Vol. 3 No. 1 (2025): Jurnal Abdimas Pamenang - JAP
Publisher : STIKES Pamenang Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jap.v3i1.291

Abstract

Abstrak   Integritas dalam profesi keperawatan meliputi kejujuran, keadilan, tanggung jawab, dan komitmen terhadap etika profesi. Pengabdian masyarakat ini bertujuan untuk meningkatkan integritas perawat melalui program pengabdian kepada masyarakat yang melibatkan kerja sama dengan Persatuan Perawat Nasional Indonesia (PPNI). Program ini terdiri dari pelatihan dan pendidikan etika, penyusunan dan pemutakhiran kode etik, serta pengembangan kebijakan yang mendukung integritas dalam praktik keperawatan. Metode yang digunakan meliputi survei awal, diskusi kelompok terfokus (FGD), program Training of Trainers (ToT), serta pendampingan dan konseling. Hasil pengabdian masyarakat ini menunjukkan adanya peningkatan yang signifikan sebesar 87% pada tingkat pengetahuan cukup maupun baik dalam pemahaman dan keterampilan perawat mengenai integritas, serta peningkatan dukungan institusional. Evaluasi pasca pelatihan dan survei tindak lanjut menunjukkan bahwa sebagian besar peserta melaporkan adanya peningkatan dalam penerapan prinsip integritas dalam praktik sehari-hari. Namun, tantangan seperti beban kerja yang tinggi masih ada dan perlu mendapat perhatian lebih lanjut. Program ini membuktikan bahwa dengan pendekatan yang tepat dan komitmen dari semua pihak yang terlibat, peningkatan integritas perawat dapat tercapai, yang pada akhirnya akan memberikan manfaat besar bagi pasien dan sistem kesehatan.   Kata kunci : integritas perawat, etika keperawatan, pelatihan, pendidikan, PPNI   Abstract   Integrity in the profession includes honesty, fairness, responsibility, and commitment to professional ethics. This community service aims to improve the integrity of nurses through a community service program that involves collaboration with the Indonesian National Nurses Association (PPNI). This program consists of ethics training and education, the preparation and updating of a code of ethics, and development policies that support integrity in protective practices. The methods used include an initial survey, focus group discussions (FGD), a Training of Trainers (ToT) program, and mentoring and counseling. The results showed a significant increase in nurses' understanding and skills regarding integrity, as well as increased institutional support. Post-training evaluation and follow-up supervision showed that most participants reported an increase in the application of integrity principles in daily practice. However, challenges such as high workloads still exist and need further attention. This program proves that with the right approach and commitment from all parties involved, improving nurse integrity can be achieved, which will ultimately provide great benefits to patients and the health system.  Keywords: nurse integrity, nursing ethics, training, education, PPNI
The Effect of Intervention on Pregnancy with Diabetes Mellitus on Health-Related Quality of Life (HRQoL) Devangga Darma Karingga; Achmad Wahdi; Dewi Retno Puspitosari; Kun Ika Nur Rahayu; Rahma Kusuma Dewi
Journal for Quality in Public Health Vol. 8 No. 2 (2025): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v8i1.534

Abstract

Gestational diabetes mellitus (GDM) is a form of hyperglycemia that develops during pregnancy and is associated with maternal and neonatal complications. Women with GDM face increased risks of cesarean delivery, preeclampsia, and mental health issues, while their infants are more prone to macrosomia, neonatal jaundice, and long-term metabolic disorders. This systematic review evaluates the impact of interventions on the health-related quality of life (HRQoL) of pregnant women with diabetes mellitus. A systematic search in Scopus, SAGE, ScienceDirect, and ProQuest was conducted for studies published between 2021 and 2025, following PRISMA 2023 guidelines. From 611,094 initial records, 36 studies met the inclusion criteria, with five selected for in-depth analysis. The JBI critical appraisal tool was used to assess the validity and reliability of findings. Results indicate that digital health interventions, such as mobile fitness applications, improve adherence to pelvic floor exercises, enhancing physical health. Psychological interventions, including self-transcendence nursing models and cognitive-behavioral therapy, effectively reduce stress and enhance emotional well-being. Cardiovascular monitoring is essential, as GDM increases the risk of cardiac complications. Counseling, both face-to-face and app-based, supports self-care and lowers fasting blood glucose levels. In conclusion, a multidisciplinary approach integrating digital technology, psychosocial support, and cardiovascular monitoring is crucial for optimizing maternal and fetal health. Comprehensive care strategies, supported by policy frameworks, can enhance intervention effectiveness and improve the overall quality of life for women with GDM.
PEMANFAATAN OLAHAN DENGAN BAHAN DASAR DAUN KELOR UNTUK MENINGKATKAN STATUS IMUNITAS IBU HAMIL SEBAGAI BENTUK UPAYA PENCEGAHAN PENULARAN COVID-19 Susmiati; Indah Jayani; Sri Haryuni; Kun Ika Nur Rahayu; Endang Mei Yunalia; Idola Perdana Sulistyoning Suharto
Jurnal Abdi Masyarakat Vol. 8 No. 2 (2025): Jurnal Abdi Masyarakat Mei 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jaim.v8i2.6578

Abstract

Pregnant women are one of the vulnerable groups to the transmission of Covid-19 which can transmit the Covid-19 virus to the fetus they are carrying. Various efforts to increase immunity status are carried out so that pregnant women can survive during the Covid-19 pandemic, starting from exercise, minimizing stress and providing nutritional supplements and food. Moringa leaves are one of the basic food ingredients with high nutritional value that are cheap and easy to obtain. The content of Moringa leaves as antioxidants and increases immunity status. The purpose of this activity is to increase the knowledge of pregnant women in the use of processed products from Moringa leaves as an effort to increase the immunity status of pregnant women. The activity method includes the preparation stage, implementation in the form of counseling, and evaluation of activities. Based on the results of the implementation of this activity, it is hoped that the use of processed moringa leaves as other food ingredients can be developed to increase the immunity status of pregnant women.