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EARLY DETECTION AND STIMULATION OF CHILDREN'S DEVELOPMENT Ketut Suryani; Maria Tarisia Rini; Dheni Koerniawan; Rezki Dewi Utami
JCES (Journal of Character Education Society) Vol 4, No 3 (2021): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jces.v4i3.5569

Abstract

Abstrak: Tumbuh kembang anak menjadi pemenuhan kebutuhan anak yang penting karena dapat membentuk kemampuan anak dalam rentang kehidupannya. Perkembangan anak dapat menjadi optimal jika dilakukan dengan stimulus yang tepat. Stimulus yang sesuai dengan masa anak antara lain dengan mengajak anak bermain. Dunia anak merupakan dunia bermain, melalui bermain anak akan belajar berbagai hal, sebagai bekal bagi kehidupan anak. Tujuan pendampingan stimulasi perkembangan dengan pendekatan bermain adalah untuk mengoptimalkan perkembangan anak. Kegiatan ini dilakukan kepada anak yang mengalami keterlambatan perkembangan sesuai dengan hasil skrining perkembangan anak sebelumnya. Hasil kegiatan anak yang awalnya sulit untuk berinteraksi dengan teman sebayanya mulai mau berinteraksi. Pengetahuan ibu tentang stimulasi 10 dari 12 ibu tidak mengetahui bahwa bermain merupakan bentuk stimulasi perkembanga. Abstract:  Child development is an important fulfillment of children's needs because it can shape children's abilities in their life span. Child development can be optimal if done with the right stimulus. Stimulus in accordance with childhood, among others, by inviting children to play. The world of children is a play, through playing children will learn various things, as provisions for children's lives. The goal of developmental stimulation assistance with a play approach is to optimize children's development. This activity is carried out for children whose development is not appropriate for their age in accordance with the results of previous child development screening. The result is that children who initially find it difficult to interact with their peers begin to want to interact. Mother's knowledge of stimulation 10 out of 12 mothers did not know that play was a form of developmental stimulation.
Comparison of Outcomes of Hemodialysis Adequacy with Dialysate Flow Rate of 500 ml/minute and 650 ml/minute Leo Ginting; Anggraini Permatasari; Elizsabeth Yasmine; Dheni Koerniawan
The Avicenna Medical Journal Vol 2, No 1 (2021)
Publisher : Faculty of Medicine, UIN (State Islamic University) Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (13666.179 KB) | DOI: 10.15408/avicenna.v2i1.18215

Abstract

Background. The average achievement of hemodialysis adequacy which was carried out twice a week for 4 hours at Fatmawati Hospital was 1.49. As many as 82% had not reached adequate dialysis (Kt/V<1.8). Based on the calculation of the dialysate proportioning system, hemodialysis for 4 hours with a dialysate flow rate/Quick Dialysate Flow (QD) of 500 ml/minute will leave dialysate. In the 1 month observation, there were 1.755.6 liters residual dialysate parts Acid (A) and 6,283.2 liters parts Bicarbonate (B). This residual puts a burden on the hospital in treating liquid waste. But with QD 650 ml/minute, both part A and part B, dialysate is still sufficient. On the other hand, QD can affect the achievement of HD compliance.Aim. Knowing the difference in hemodialysis adequacy with QD 500 ml/minute and 650 ml / minute.Method. This study used a case-control analysis for the control group (QD 500 ml/minute) and the intervention group (QD 650 ml/minute) with a Quasy Experiment design through a comparative analysis approach with matching/cross over techniques. Hemodialysis adequacy (Kt/V) is measured 2 times using the QX calculate application (Daugirdas formula), namely at QD 500 ml/minute and QD 650 ml/minute for further analysis using the Wilcoxon Signed Rank test.Result. The study was conducted on 115 respondents with a total of 230 HD sessions. The mean Kt/V in the intervention group was 1.69 and in the control group 1.49 (p-value = 0.006) and it was seen that there was a shift in the achievement of HD adequacy to a better category; The very inadequate and inadequate adequacy category decreased from QD 500 ml/minute to QD 650 ml/minute, and conversely, the adequate and very adequate adequate category experienced an increase in number.Conclusion. Hemodialysis with QD 650 ml/minute resulted in better hemodialysis adequacy than QD 500 ml/minute.
SIKAP SEBAGAI VARIABEL INTERVENING ANTARA DUKUNGAN KELUARGA DENGAN PERILAKU KONTROL RUTIN PASIEN HIPERTENSI DI PALEMBANG Dheni Koerniawan; Sri Indaryati; Sry Istiyani
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol. 2 No. 1 (2019): Jurnal Kesehatan Saelmakers PERDANA
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/jksp.v2i1.192

Abstract

Target of hypertension management is normal blood pressure or at least in stable condition. Stabilize blood pressure can be obtained if patient done regular checkup to monitor and evaluate his/her health condition. Regular checkup behavior influenced by patient attitude to making decision of his/her blood pressure control and family support to that decision. This study aimed to identify intervening variable between attitude and family support to regular checkup behavior of hypertensive patient in Talang Betutu Public Health Center. This study used analytic survey to 44 hypertensive patients with purposive sampling by questionnaire. Path analysis with logistic regression approach used to conduct conceptual model of influence between variables. Logistic regression result showed there was significant influence between attitude to regular checkup behavior (?: 2.616; p: 0.001) but not between family support to regular checkup behavior (?: 0.238; p: 0.756). Path analysis given model that attitude being intervening variable between family supports and regular checkup behavior so family support had indirect correlation and influence to regular checkup behavior. Thus, nurse education strategies pointed to increasing awareness of hypertensive patient about his/her health condition and effort to maintain blood pressure in control or stable as precaution and decreasing risk of complication
EFEKTIVITAS RANGE OF MOTION (ROM) AKTIF TERHADAP KEKUATAN OTOT EKSTREMITAS ATAS DAN EKSTREMITAS BAWAH PADA LANSIA Siti Hartinah; Lilik Pranata; Dheni Koerniawan
Publikasi Penelitian Terapan dan Kebijakan Vol 2 No 2 (2019): Publikasi Penelitian Terapan dan Kebijakan
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46774/pptk.v2i2.87

Abstract

Elderly experienced the physiologic and morphologic changes in musculoskeletal system especially muscular which are decreasing muscle strength and mass.To analyze effectivity active ROM to upper and lower extremities muscle strength for elderly in Panti Tresna Werdha Teratai KM. 6 Palembang.This study used quasy experiment design with pre-post test non- equivalent control group approach to 18 respondents with total sampling. Active ROM done for three times in a week with duration 30 minutes and three times repetition in every extremity. Friedman and Mann-Whitney used for bivariate analysis. Majority in intervention group had 4 and 5 muscle strength scale and control group had and 4 muscle strength scale. Friedman test showed significant difference in upper (p=0.001) and lower extremities (p=0.008). Mann-Whitney test showed significant difference in upper extremities (p=0.03) after active ROM intervention, but not significant in lower extremities (p=0.058). Elderly and Panti Tresna Werdha Teratai KM. 6 Palembang expected can do the active ROM exercise and progaming it for daily routine because this exercise proven can improve the muscle strength.
POLA MAKAN DAN AKTIVITAS FISIK SAAT WORK FROM HOME (WFH) SEBAGAI DESKRIPTOR RISIKO DIABETES MELLITUS PADA MASA PANDEMI COVID-19 Sanny Frisca; Dheni Koerniawan
Jurnal Surya Muda Vol 4 No 2 (2022): Jurnal Surya Muda
Publisher : LPPM STIKES Muhammadiyah Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38102/jsm.v4i2.100

Abstract

The pandemic era made people abide by recommendations to decline the risk of exposure and transmissions of coronavirus, which one was by work from home (WFH). WFH conducted all daily activities at home, increasing the pattern and quantities of eating without being accompanied by appropriate physical activities or exercise. Thus, it might escalate the risk of DM in people who experience WFH. Changes in eating habits can lead to calorie accumulation in the body. Sedentary habits aggravate this condition in people. As a consequence of this condition, the risk of DM increased. This study aimed to describe eating and activity habits while WFH and risk to DM. This study used an analytic survey with the cross-sectional approach to 60 respondents, which was taken purposively. Data was collected by using a questionnaire about Diabetes Risk from American Diabetes Association (ADA). Most of the respondents have less than 40 years old (71.7%), are female (66.67%), have high school education (53.33%), as private employees (83.33%), and exercise for 30 minutes a week (38.3%). The majority of respondents experienced a different diet (78.3%), gained weight (85%), increased eating quantities (88.3%), and appetites enhancement (91.7%). The risk of diabetes screening result showed that 21.67% have a high risk of diabetes. Even though most respondents have a low risk of diabetes, increasing their diet might escalate the risk. So, it is recommended that the community maintain physical activities for at least 30-60 minutes with mild to moderate aerobic and rearrange the diet as body requirements.
STRATEGI PENCARIAN TOPIC PENELITIAN LUKA: LANGKAH AWAL APLIKASI EVIDENCE BASED PRACTICE Sanny Frisca; Dheni Koerniawan; Veroneka Yosefpa Windahandayani; Aniska Indah Fari; Ketut Suryani
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 1 (2023): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i1.12429

Abstract

Abstrak: Perawat klinis saat ini diharapkan untuk menerapakan Evidence Based Practice Nursing (EBPN), saat melakukan implementasi keperawatan. EBPN ini berasal dari penelitian yang dilakukan oleh perawat, namun sulitnya menemukan ide atau topik penelitian menyebabkan minat melakukan penelitaian masih sedikit. Untuk itu perawat memerlukan kemampuan proses pencarian literasi yang cepat dan tepat. Kegiatan pengabdian ini bertujuan meningkatkan kemampuan mitra dalam memahami kata kunci, dan mencari literasi dalam mesin pencarian. Metode yang digunakan dengan pemaparan materi, dan praktikum langsung di mesin pencarian serta mereview artikel penelitian. Mitra pada kegiatan adalah organisasi InWOCNA DPW Sumatera Selatan, terdiri dari perawat klinis yang berkerja di instansi rumah sakit dan perawat yang membuka praktik mandiri, dengan jumlah 12 orang. Kegiatan pengabdian di evaluasi dengan pre-test dan post-test, didapatkan hasil adanya peningkatan pemahaman dengan rentang skor 2-3, dan peserta juga menyampaikan bahwa kegiatan ini sangat bermanfaat terutama dalam menentukan topik penelitian. Abstract: Clinical nurses are currently expected to apply Evidence Based Practice Nursing (EBPN). This EBPN comes from research conducted by nurses, but the difficulty in finding ideas or research topics, causes little interest in conducting research. Nurses need the ability to searching some article quickly and precisely. This activity aims to improve nurse ability to understand keywords, and search for literacy in search engines. Team giving explanation to use search engine and reviewing research articles both qualitative and quantitative. Partners in this activity is InWOCNA South Sumatera, which consist of clinical nurses who work in hospital and nurses who open independent practices, with a total of 12 people. Community service activities were evaluated by pre-test and post-test, the result was an increase in understanding with a score range of 2-3, and participants also said that this activity was very useful, especially in determining research topics. 
Pengetahuan dan Kemampuan Penderita Hipertensi tentang Pemanfaatan Kompres Jahe Sanny Frisca; Dheni Koerniawan; Tri Widyastuti
Jurnal Kesehatan Saelmakers PERDANA Vol. 6 No. 1 (2023): Jurnal Kesehatan Saelmakers PERDANA
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/jksp.v6i1.808

Abstract

Headache and stiff neck can feel with people with hypertension, that condition can make patient uncomfortable. Ginger compress at head and neck can reduce pain in both because ginger contain of gingerol and shogaol which can make vasodilation and reduce inflammation. There is still few patient who use ginger for reduce pain because patient lack of information of that. In the other hand, education as nursing intervention can use to improve patient knowledge and ability to giving ginger compress. This study, measure impact of education with giving questionner and observe respondent ability and then analyse the data with Wilcoxon Signed Rank Test. The result shown education which give to 35 respondent can improve patient knowledge and ability significantly with p-value 0,000 and recommend this intervention to enhance patient knowledge and ability.
Edukasi Perawatan Kaki Efektif dalam Meningkatkan Pengetahuan dan Perilaku Pasien Diabetes Mellitus Sanny Frisca; Dheni Koerniawan
Jurnal Keperawatan Vol 15 No 4 (2023): Jurnal Keperawatan: Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i4.200

Abstract

Diabetes mellitus tipe II merupakan penyakit yang ditandai dengan peningkatan kadar gula dalam darah yang dapat menyebabkan banyak komplikasi. Komplikasi DM yang sering terjadi pada pasien adalah ulkus kaki, karena pada umumnya pasien tidak menyadari adanya ulkus akibat neuropati yang dialami. Ulkus kaki dapat meningkatkan kebutuhan pengobatan dan perawatan pada pasien. Namun, ulkus kaki dapat dideteksi secara dini oleh pasien secara mandiri dengan melakukan pemeriksaan berkala pada kaki pasien. Pemberian edukasi diharapkan dapat meningkatkan pengetahuan pasien dan membuat pasien memiliki sikap yang baik dan pada akhirnya melakukan tindakan skrining yang diajarkan. Tujuan dari penelitian adalah mengetahui efektivitas edukasi terhadap peningkatan pengetahuan dan perilaku. Penelitian kuantitatif ini dilakukan terhadap 40 responden (20 kontrol dan 20 intervensi) dengan desain kuasi eksperimen pre-test dan post-test menggunakan purposive sampling. Hasil penelitian pengetahuan responden pada kelompok intervensi meningkat secara signifikan sebelum dan setelah edukasi dengan p-value 0,001, sementara tidak terjadi perbedaan pada kelompok kontrol. Perilaku responden pada kelompok intervensi meningkat secara signifikan sebelum dan setelah edukasi dengan p-value 0,046, sementara tidak terjadi perbedaan pada kelompok kontrol. Pengetahuan (p-value= 0,001) dan perilaku (p-value= 0,037) antar kelompok memiliki perbedaan secara signifikan, namun pada sikap tidak terlihat perbedaan signifikan. Perlu diberikan pendampingan untuk  memaksimalkan hasil edukasi pada  sikap dan perilaku. Perlu melakukan survey awal untuk kebiasaan pasien DM melakukan perawatan kaki dan alasan pasien tidak melakukannya.
Hiperglikemia sebagai prediktor kondisi kaki pada pasien Diabetes Mellitus Dheni Koerniawan; Sanny Frisca
Jurnal Anestesi Vol. 1 No. 2 (2023): April : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v1i3.337

Abstract

The condition of the feet of DM patients is one of the indicators that must be studied in monitoring the incidence of ulcers. In DM patients, ulcer problems can occur as a result of vascular and neurological damage. Both causes are initiated through poor metabolic control as assessed by blood glucose levels. The purpose of this study is to analyze several factors that are theoretically and empirically related to the condition of the feet. This cross-sectional study was conducted on the DM group in Palembang city (n = 50), by filling out a characteristic questionnaire, examining foot conditions, and measuring fasting blood sugar levels. The research findings revealed that of all the factors tested with Kendall Tau, blood sugar levels were the only one that was significant (p-value = 0.002) so that it could be significant as a predictor of the condition of the feet. Controlling these levels is important in controlling the incidence of ulcers in patients. The next step that can be taken is to carry out a thorough examination of the patient's neurovascular condition with the Ankle Brachial Index (ABI) and the Michigan Neuropathy Screening Instrument (MNSI).
Korelasi Positif antara Sikap dengan Kepatuhan Minum Obat Pasien Hipertensi di Palembang Dheni Koerniawan; Sanny Frisca
Jurnal Keperawatan Vol 16 No 1 (2024): Jurnal Keperawatan: Maret 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i1.1432

Abstract

Hipertensi masih menjadi perhatian penting dalam upaya pengendalian tekanan darah demi mencegah komplikasi penyakit lain yang dapat timbul secara mendadak dan mengakibatkan disablitias penderitanya. Salah satu masalah yang sering muncul dalam kasus hipertensi adalah tekanan darah yang tidak stabil dan ketidakpatuhan minum obat menjadi salah satu penyebabnya. Hal yang cukup mendorong kepatuhan dari faktor internal individu adalah sikap. Penelitian ini bertujuan untuk mengetahui hubungan antara sikap dengan kepatuhan minum obat pasien hipertensi di Palembang. Penelitian ini menggunakan desain potong lintang dengan 89 sampel dan dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan bahwa mayoritas responden berjenis kelamin laki-laki, rerata usia 54,69 tahun, telah menderita hipertensi dengan rerata 7,29 tahun dan berada pada klasifikasi hipertensi derajat 1, serta rerata skor sikap 36,25 dan kepatuhan minum obat 34,56. Uji Pearson’s memperlihatkan adanya korelasi positif kuat yang signifikan antara sikap dan kepatuhan minum obat (r=0,71; p<0,001). Direkomendasikan bagi tenaga kesehatan untuk mengedukasi dan mendukung pasien hipertensi sehingga dapat meningkatkan sikap pentingnya patuh minum obat.