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Hubungan Pengetahuan, Sikap dan Perilaku Perineal Hygiene Dengan Kejadian Fluor Albus pada Remaja Puteri SMA Xaverius 2 Palembang Lusia Efi Kristiani; Dheni Koerniawan
Jurnal Keperawatan Florence Nightingale Vol 6 No 2 (2023)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v6i2.116

Abstract

Perawatan dan menjaga kebersihan genetalia itu sangatlah penting, dan sampai saat ini masih banyak wanita yang belum mengetahui cara menjaga kebersihan area kewanitaan yang baik dan benar. Perineal hygiene menjadi salah satu bagian dari kebutuhan dasar manusia yang dapat meningkatkan kenyamanan, meningkatkan kesehatan tubuh serta mengurangi terjadinya resiko penularan berbagai penyakit yang salah satunya adalah timbulnya kejadian keputihan yang patologis (fluor albus). Tujuan penelitian ini Untuk mengetahui hubungan pengetahuan, sikap dan perilaku personal hygiene dengan kejadian fluor albus pada remaja puteri. Populasi dalam penelitian ini adalah siswi kelas 10 di SMA Xaverius 2 Palembang yang berjumlah 52 responden. Sebanyak 50 responden digunakan dalam penelitian yang dikumpulkan menggunakan teknik total sampling. Pengumpulan data menggunakan kuesioner. Uji statistik menggunakan uji statistic Kendalls tau. Hasil penelitian didapatkan sig.2 (tailed) < 0,05 maka terdapat hubungan antara pengetahuan perineal hygiene dengan kejadian keputihan, dan ada hubungan signifikan antara perilaku perineal hygiene dengan kejadian keputihan, danidak ada hubungan yang signifikan antara sikap remaja terhadap perilaku perineal hygiene. Remaja perlu meningkatkan pengetahuan dan perilaku perineal hygiene dan keputihan. Untuk penelitian selanjutnya disarankan meningkatkan pengetahuan dan perilaku perianal hygiene dan keputihan dengan memberikan pengaruh atau perbandingannya dengan kejadian suatu penyakit.
THE EFFECT OF BENEFITS, BARRIERS, AND SELF-EFFICACY ON PUBLIC HEALTH PROMOTION BEHAVIOR DURING THE COVID-19 PANDEMIC Dheni Koerniawan
Nurse and Health: Jurnal Keperawatan Vol 12 No 2 (2023): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v12i2.501

Abstract

Background: Pandemic of Covid-19 situation made people to adapt wiht new normal habitually. Health promotion behavior may determine by perceived benefit, barrier, and self-efficacy. Objectives: This research aimed to know the effect of perceived benefit, barrier, and self-efficacy to health promotion behavior in Palembang during pandemic Covid-19. Methods: This study done with cross-sectional design to 183 respondents who lived in Palembang taken by randomized with online questionnaire. The instrument of this study conducted from Pender’s HPM model developed by author. Study result analyzed by SEM-PLS approach to test direct and indirect effects. Results: The results showed that there was not significant effect of self-efficacy to barrier (β= -0.137; p= 0.067) and health promotion behavior (β= -0.026; p= 0.711), but the findings also showed significant effect of self-efficacy to benefit (β= 0.212; p= 0.017), benefit to barrier (β= -0.152; p= 0.046), barrier to health promotion behavior (β= -0.141; p= 0.039), and benefit to health promotion behavior (β= 0.331; p< 0.001). Otherwise, there was also found significant indirect effect of self-efficacy to health promotion behavior by benefit as mediator (β= 0.07; p= 0.026). Overall model give 14.2% to HBP. Conclusion: Perceived benefits and perceived barriers are significant predictors of individual health promotion behavior. Meanwhile, self-efficacy does not have a significant effect. In addition, self-efficacy has a significant influence on perceived benefits and perceived benefits on perceived barriers. Self-efficacy also has an indirect influence on health promotion behavior through perceived benefits as mediators
Determinant Factors Affect Neurophaty in Diabetic Patient Sanny Frisca; Dheni Koerniawan
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.3007

Abstract

Hyperglycemia conditions will result complications in patients both for cardiovascular and neurological system. The incidence of neuropathy and peripheral arterial disease (PAD) are two things that increase mortality. Loss of protective sensation will reduce the patient's awareness of ulcers so that patients do not receive treatment early. Meanwhile, PAD conditions increase the incidence of ischemia in the distal area, especially in the legs, resulting ulcer. This research aims to look at the factors that contribute to these two conditions. Data collected to 40 respondents with the inclusion criteria who are DM patients which never had an amputation, the relationship and contribution of factors to neuropathy and PAD (were measured by sensation points on sole by monofilament and dorsalis pedis artery palpation) and analyzed with ordinal regression. The results of the study showed that none of the respondents experienced PAD so that bivariate tests could not be carried out. Meanwhile, the results of the bivariate test for neuropathy showed that 3 factors were significantly related to gender (p=0.038), duration of illness from DM (p=0.05), and foot condition (p=0.003). It is found from ordinal regression that foot condition (β= 1.237; p= 0.028; OR= 1.237) has significant effect to neuropathy.
Factors Determining Commitment to Health-Promoting Behavior During COVID-19 Dheni Koerniawan; Sanny Frisca
Jurnal Keperawatan Indonesia Vol 26 No 2 (2023): July
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v26i2.1130

Abstract

Forming new behaviors during the COVID-19 pandemic required individual commitment. Based on Pender’s health promotion model (HPM), factors affecting commitment to new behaviors include benefit perception, barriers, self-efficacy, related activities, as well as interpersonal and situational influences. This study aims to determine the determinant factors that affected commitment to health-promoting behavior and habits during the COVID-19 pandemic. This study randomly assigned online questionnaires to 186 people in Palembang. The instruments used in this study were developed by the author based on Pender’s HPM. Path analysis with the SEM-PLS approach was used to analyze determinant factors of community commitment. The results of the analysis showed that the following influenced commitment: benefit variables (β = 0.192; p = 0.011), previous activities (β = 0.134; p = 0.031), interpersonal influence (β = 0.214; p = 0.005) and situational influence (β = 0.326; p = 0.000), barriers (β = -0.068; p = 0.247), and self-efficacy (β = 0.079; p = 0.256). All the predictors contributed to a commitment value of 40.6%. It can be concluded that enhancing perceived benefits and focusing on previously completed activities, and external factors, interpersonal and situational influence, may strengthen commitment to developing healthy behavior. Moreover, good self-efficacy based on previous practice can lower perceived barriers, which hinder commitment. Therefore, nurses need to focus on identifying individual internal and external factors to bolster commitment while lowering barriers.Abstrak Faktor-faktor Penentu Komitmen terhadap Perilaku Promosi Kesehatan selama COVID-19. Membentuk perilaku baru di masa pandemi COVID-19 memerlukan komitmen individu. Berdasarkan Pender’s health promotion model (HPM), faktor-faktor yang mempengaruhi komitmen terhadap perilaku baru meliputi persepsi manfaat, hambatan, efikasi diri, aktivitas terkait, serta pengaruh interpersonal dan situasional. Penelitian ini bertujuan untuk mengetahui faktor-faktor penentu yang mempengaruhi komitmen terhadap perilaku dan kebiasaan promosi kesehatan selama pandemi COVID-19. Penelitian ini menyebarkan kuesioner online secara acak kepada 186 orang di Palembang. Instrumen yang digunakan dalam penelitian ini dikembangkan penulis berdasarkan Pender’s HPM. Path analysis dengan pendekatan SEM-PLS digunakan untuk menganalisis faktor-faktor penentu komitmen masyarakat. Hasil analisis menunjukkan bahwa komitmen dipengaruhi oleh hal-hal berikut: variabel manfaat (β = 0,192; p = 0,011), aktivitas sebelumnya (β = 0,134; p = 0,031), pengaruh interpersonal (β = 0,214; p = 0,005) dan pengaruh situasional (β = 0,326; p = 0,000), hambatan (β = -0,068; p = 0,247), dan efikasi diri (β = 0,079; p = 0,256). Seluruh prediktor menyumbang nilai komitmen sebesar 40,6% sehingga dapat disimpulkan bahwa meningkatkan manfaat yang dirasakan dan fokus pada aktivitas yang telah diselesaikan sebelumnya, dan faktor eksternal, pengaruh interpersonal dan situasional, dapat memperkuat komitmen untuk mengembangkan perilaku sehat. Selain itu, efikasi diri yang baik berdasarkan praktik sebelumnya dapat menurunkan hambatan yang dirasakan, yang menghambat komitmen. Oleh karena itu, perawat perlu fokus dalam mengidentifikasi faktor internal dan eksternal individu untuk meningkatkan komitmen sekaligus menurunkan hambatan. Kata Kunci: model promosi kesehatan, new normal, perilaku komitmen, promosi kesehatan
Pemberian Hiperoksigenasi Pada Proses Open Suction Terhadap Perubahan Saturasi Oksigen di ICU Marleza Oktavia; Vincencius Surani; Dheni Koerniawan
Jurnal Ventilator Vol. 2 No. 3 (2024): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v2i3.1234

Abstract

Critical patients are patients who are in the Intensive Care Unit (ICU) because they have lost consciousness, one of the reasons being respiratory failure. In patients with respiratory failure who have an ETT installed and connected to a mechanical ventilation device, there can be a buildup of phlegm/secretions in the bronchi and alveoli area so that the patient's airway can be disrupted, so an effective intervention is suction. In the suction process, hyperoxygenation can be carried out first to maintain oxygen saturation levels within normal limits. To overcome airway clearance in patients who experience ineffective airway clearance nursing problems and describe nursing care. The method used in this research is a case study that describes the nursing care of a patient who had an Endotraceal Tube (ETT) installed who experienced ineffective airway clearance. The results of the assessment of the three patients experienced problems with ineffective airway clearance and hyperoxygenation was carried out in the open suction process to maintain oxygen saturation values ??within normal limits. The results obtained showed changes in oxygen saturation before and after the open suction procedure. It is hoped that the provision of hyperoxygenation intervention in the open suction process can be carried out according to the SOP so that complications do not occur.
Aplikasi Standar Proses Keperawatan: Diagnosis, Outcome, dan Intervensi pada Asuhan Keperawatan Dheni Koerniawan; Novita Elisabeth Daeli; Srimiyati Srimiyati
Jurnal Keperawatan Silampari Vol 3 No 2 (2020): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.483 KB) | DOI: 10.31539/jks.v3i2.1198

Abstract

This study aims to look at the quality of nursing care documentation at Myria Hospital Palembang. Analytic surveys are used to obtain an overview of nursing documentation as secondary data. Nursing care documents used were 105 documents by cluster sampling and measured using Q-DIO instruments, and analyzed descriptively. The results showed most of the medium quality in all dimensions, namely diagnosis as a process of 70 documents (67%), diagnosis as a product as many as 56 documents (53%), intervention as many as 66 documents (63%), and nursing outcomes as many as 67 documents (64%). The conclusions in this study indicate that 67% of records have moderate quality on the dimensions of diagnosis as a process, 53% of documents have a reasonable condition on the aspects of diagnosis as a product, 63% of records have moderate quality on the dimensions of intervention, and 64% of documents have average quality on the dimensions of output nursing. The results of the nursing process that have been obtained in this study illustrate the change or improvement in the improvement of symptoms that have a moderate quality to integrate with the nursing process. Keywords: Diagnosis, Documentation, Intervention, Output
Effectiveness of prone position with its moderating factors in non-intubated acute respiratory distress syndrome patients: a meta-analysis Tan, Julianus Yudhistira; Togatorop, Via Eliadora; Koerniawan, Dheni; Kosasih, Cecep Eli; Mediani, Henny Suzana
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.60867

Abstract

Introduction: While numerous meta-analyses have explored the efficacy of awake prone position (APP), most have concentrated solely on intubation rate among Covid-19 patients without comprehensively identifying the influencing factors. This study aims to evaluate the efficacy of APP along with its moderating factors on oxygenation, intubation rate, and mortality in non-intubated acute respiratory distress syndrome (ARDS) patients. Methods: We conducted a systematic search in PubMed, Web of Science, and CINAHL from inception to December 2022. JBI critical appraisal tools were used to assess the study quality. Random-effects model was employed to calculate pooled standardized mean difference for continuous outcomes and risk ratio for dichotomous outcomes. Results: Among the 39 studies included, most patients were suffering from Covid-19, using conventional oxygen therapy, and receiving APP outside the ICU. APP significantly improved the PaO2/FiO2 ratio (SMD=0.70, 95% CI=0.51-0.88) and SpO2/FiO2 ratio (SMD=0.76, 95% CI=0.51-1.01), while also reducing the risk of intubation (RR=0.66, 95% CI=0.51-0.85) and mortality (RR=0.62, 95% CI=0.49-0.78). Factors including severity, respiratory device, body mass index, detail of position, use of medication assistance, total duration, follow-up time, position at follow-up, and study design significantly influence the effectiveness of APP. APP did not lead to significant improvements in length of stay and adverse events Conclusions: APP is a safe and beneficial intervention, enhancing oxygenation and reducing intubation and mortality rates in non-intubated ARDS patients. Importantly, various patient and intervention characteristics should be taken into account when implementing APP. Further well-designed experimental studies are needed to strengthen the evidence base.
Hubungan Aktivitas Fisik dengan Status Gizi Berdasarkan IMT/U Siswa Kelas XI SMA di Palembang Rafaely Audrey Nurmarina Dwinovary; Dheni Koerniawan
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 1 (2025): Januari: Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i1.940

Abstract

Physical activity is one of the factors that affect the nutritional status of adolescents. Lack of physical activity will lead to excess weight. The purpose of this study is to analyze the relationship between physical activity and nutritional status of eleventh grade students in high school in Palembang. This quantitative research uses a cross-sectional research design with a sample of 91 students. Physical activity was measured using the Adolescent-Physical Activity Questionnaire (PAQ-A). The nutritional status used is based on BMI/age. The correlation analysis used was Kendall's tau-b. Univariate results were obtained by the majority of students with low physical activity (f=40) and normal nutritional status (f=60). Based on the results of the correlation test, a p-value of 0.004 < 0.05 was obtained, which means that there is a significant relationship between physical activity and nutritional status based on BMI/U. With a correlation coefficient of 0.276, which means that the correlation strength is low with positive traits. Based on the results of the study, it is recommended that adolescents do enough physical activity to maintain physical fitness and health as well as normal nutritional status.
Efikasi Diri Menurunkan Kendala dalam Berperilaku Sehat Koerniawan, Dheni; Sanny Frisca
Jurnal Ventilator Vol. 1 No. 1 (2023): Maret : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i1.338

Abstract

Healthy behaviours are formed because individuals make decisions and commit to continuing habits that support the improvement or maintenance of health. Self-efficacy gives confidence to individuals to achieve goals to achieve good health conditions, but it is not uncommon for individuals to experience barriers in the commitment process. This study aims to determine the relationship between self-efficacy and barrier to healthy behaviour. Researchers used cross section as a research design to take parameters of 186 respondents taken randomly which then the data will be analyzed in descriptive and inferential correlations. The results showed that there was a significant moderate positive relationship between self-efficacy and obstacles to healthy behaviour. Therefore, it is recommended to provide health services that focus on increasing confidence in individuals in order to reduce the constraints felt and prescribed by individuals and can study other factors that can also reduce barriers in healthy behaviour.
Efektivitas Aktivitas Senam Kaki terhadap Penurunan Kadar Glukosa Darah pada Pasien Diabetes Mellitus Dian Ramadhan; Dheni Koerniawan
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 2 (2025): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i2.1264

Abstract

Background: Diabetes mellitus is a metabolic disorder caused by increased blood glucose levels in the bloodstream or hyperglycemia, which is caused by abnormalities in insulin secretion or abnormalities in insulin work. Physical activity can also affect blood sugar levels, one of which is the physical activity of foot exercises which is recommended for people with diabetes mellitus. Objective: To determine the effectiveness of foot exercise activities in reducing blood glucose levels in diabetes mellitus sufferers. Method: The research design used a descriptive method with a nursing process approach with a case study design. This research was carried out by providing foot exercise physical activity intervention for 3 consecutive days. Results: Based on the application of EBP, the results obtained from 3 patients who experienced a decrease in blood glucose levels before and after being given foot exercise therapy, there was an average decrease in P1 of 13.66mg/dL, P2 of 11.66mg/dL, and P3 of 13mg/dL every day. Suggestion: It is hoped that the results of this research can provide insight to diabetes mellitus sufferers in efforts to manage diabetes mellitus with foot exercise physical activity and be able to apply it.