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Kajian Pustaka: Gambaran Pengetahuan dan Perilaku Masyarakat untuk Mencari Fasilitas Kesehatan dalam Penanganan Penyakit Tuberkulosis Ireneus Pape No Mbeong; Meira Erawati
Holistic Nursing and Health Science Vol. 4, No. 2 (2021): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.4.2.2021.101-115

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Introduction: The knowledge and behavior of the community in seeking health facilities for the treatment of tuberculosis were studied separately by previous researchers, so it is necessary to do a literature review to get a complete picture of this phenomenon. This study aims to obtain an overview of knowledge about tuberculosis and the behavior of people seeking health facilities in the treatment of tuberculosis in various previous studies.Methods: The study was a literature review. The sample of this study was eight articles, with inclusion criteria i.e. published in journals in the last 10 years, descriptive research, and full text. The articles were obtained through the search engines Science Direct, Scopus and Ebsco Host. The literature analysis was carried out by means of a narrative review and presented in a table.Results: The level of public knowledge about the causes of tuberculosis, signs and symptoms of the disease, modes of transmission, ways to prevent transmission, as well as knowledge that tuberculosis can be cured varied from low to high levels of knowledge. People take advantage of government and private health services, buy drugs at pharmacies, and go to traditional healers/traditional healers to get treatment for tuberculosis.Conclusion: There are still public misunderstandings about tuberculosis and obstacles in utilizing health facilities for the treatment of tuberculosis. Therefore, health education and counseling need to be improved so that public knowledge related to tuberculosis is getting better and has a positive impact on the behavior of seeking health facilities in the treatment of tuberculosis. It is necessary to conduct further studies on the factors that underlie people's behavior in seeking health facilities in the treatment of tuberculosis.
Evaluasi Program Edukasi dengan Video dan Poster Terhadap Perilaku Masyarakat dalam Menghadapi COVID-19 (Preliminary Study) Layalia Azka Rahmatina; Meira Erawati
Holistic Nursing and Health Science Vol. 3, No. 1 (2020): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.3.1.2020.9-16

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Introduction: The Indonesian government has issued public health protocols to deal with the corona virus disease 19 (COVID-19). In fact, this rule has been violated by many people. Health education through BARONA program may increase public understanding of disease so that their behavior will change. The purpose of this study was to evaluate the effect of providing education with videos and posters on people's behavior in dealing with COVID-19. Methods: This study was a preliminary study involving twenty adults selected using a purposive sampling in a residential area. Respondents were given health education using posters and videos, then counted the number of respondents who showed health behavior before and after education. The data are then displayed in the frequency distribution table. Results: The results of this study illustrate that there is an increase in the number of respondents who show the behavior of washing hands and wearing masks while traveling. Whereas in the behavior of traveling and keeping a distance from other people, there was no change. Conclusion: Health education using posters and videos can change people's behavior in dealing with COVID-19.
A Exploration Factor Analysis, Validity and Reliability Tests of the Self-Transcendence Scale on HIV/AIDS Patients Niken Wulan Hasthi Murti; Meira Erawati; Nana Rochana
Nurse and Health: Jurnal Keperawatan Vol 10 No 1 (2021): Nurse and Health: Jurnal Keperawatan January-June 2021
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.v10i1.225

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AbstractBackground: The impact of HIV/AIDS affects the patient's life, both psychologically and physiologically to lower the level of Self-transcendence. So far, the measure to determine the level of self-transcendence in HIV/AIDS patients has not been established in Indonesia. Purpose: The purpose of this study is to conduct a test of the validity and reliability of self-transcendence questionnaires in HIV/AIDS patients. Method: This study was conducted cross-sectionally involving 100 respondents. Data is collected using the purposive sampling method in patients who meet inclusion criteria, namely patients who are undergoing ARV therapy and residing in the Semarang area, and willing to be respondents. Statistical test methods used to test the validity and reliability of questionnaires are person product movement and reliability analysis. Result: The validity and reliability test using SPSS 23 software shows the entire question item has a validity result of >0.164 and the reliability test results show Cronbach's alpha 0.886 result means the entire question item in the Self-transcendence Scale questionnaire is valid and reliable. Conclusion: The results showed that the Self-transcendence scale can be used to measure levels of Self-transcendence in PEOPLE with HIV/AIDS Key Words: Self-transcendence scale, Exploration Factor Analysis validity and reliability test, HIV/AIDS
EXPERIENCES OF PEOPLE LIVING WITH HIV/AIDS IN SURVIVING LIFE Bagas Biyanzah Drajad Pamukhti; Meira Erawati; Muflihatul Muniroh; Nur Setiawati Dewi
Nurse and Health: Jurnal Keperawatan Vol 10 No 2 (2021): Nurse and Health: Jurnal Keperawatan July-December 2021
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.v10i2.293

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Background: Fear of contracting HIV in the community causes discrimination and stigma to people living with HIV/AIDS (PLWHA) because people still consider HIV/AIDS taboo. Many of the sufferers struggle to reveal their HIV status to others, but they get negative results such as rejection, stigmatization and even discrimination which can be a high psychological burden. Stigma and discrimination against PLWHA are the main obstacles to achieving a good quality of life. Objectives: This study is intended to explore the in-depth experiences of people living with HIV/AIDS in surviving life. Methods: This research is a phenomenological case study. The sample in this study amounted to three people who were recruited from Healthy Loving Care Foundation Semarang City. The sample was determined using a purposive sampling technique according to the inclusion criteria, that is age 20 and 50 years, diagnosed with HIV/AIDS, conscious, cooperative, not experiencing cognitive, hearing and speech disorders, willing to participate in the study by signing the informed consent. The data was collected by in-depth online interviews and then recorded in transcripts and analyzed using Amedeo Giorgi's data analysis technique. Results: This study showed that participants experience adversity due to HIV/AIDS but the participants get out of their slump by accepting their illness, taking treatment, finding a support system and becoming a positive people. The participants also in living their lives keep their illness a secret to survive so as not to experience bad stigma or discrimination. The results of this study reveal one main theme, Experiences of People living with HIV in Surviving life. Conclusion: This study found the support received by participants and the response of participants to their condition as an effort to survive their lives.
Determinants of latent tuberculosis infection among nurses at public health centers in Indonesia Meira Erawati; Megah Andriany
Belitung Nursing Journal Vol. 8 No. 1 (2022): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1846

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Background: The incidence of latent tuberculosis among healthcare workers, especially nurses, at public health centers in Indonesia has been increased. Therefore, factors related to the tuberculosis incidence need to be further investigated. Objective: This study aimed to identify the determinants of latent tuberculosis infection among nurses at public health centers in Indonesia. Methods: This non-experimental, cross-sectional study included 98 nurses. Data on the determinants of latent tuberculosis infection were collected using validated questionnaires, and the infection status was confirmed by Interferon Gamma Release Assay or IGRA test. Logistic regression was used for statistical analysis, with a significance level of p < 0.05. Results: Health facilities for tuberculosis transmission prevention were available in all public health centers (100%). Protocols for preventingtuberculosis transmission including occupational health and safety training (OR = 13.24, 95% CI [2.29–58.55]; p = 0.001), handwashing after contact with patients or specimens (OR = 20.55, 95% CI [4.23–99.93]; p = 0.000), and wearing of medical masks (OR = 9.56, 95% CI [1.99–45.69];p = 0.005) were found to be significant determinants of latent tuberculosis infection among nurses. Conclusion: The availability of protective equipment and implementation of health protocols among nurses at public health centers are the main determinants of latent tuberculosis infection. Hence, they should be maintained by all nurses to prevent the spread of tuberculosis.
FACTORS AFFECTING THE QUALITY OF LIFE AMONG PULMONARY TUBERCULOSIS PATIENTS: A LITERATURE REVIEW Febi Septiani; Meira Erawati; Suhartini
Nurse and Health: Jurnal Keperawatan Vol 11 No 1 (2022): Nurse and Health: Jurnal Keperawatan January-June 2022
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.v11i1.351

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Background: The quality of life for tuberculosis patients remains elusive, affecting their physical, mental, and social well-being. Objectives: The purpose of this scoping review aimed to discuss issues, patient perceptions, and comprehend the impact of pulmonary tuberculosis on the patient's quality of life. Design: This study was conducted by following a scoping framework. Data Sources: This study was carried out following a scoping review framework. This study's literature search relied on data from ScienceDirect, Scopus, EBSCO, ProQuest, ClinicalKey, SpringerLink, ProQuest, and Pubmed. By using the keywords “quality of life” AND “tuberculosis” AND “treatment” OR “perception” OR “experience”. This scoping review leverages a data method derived from 9 articles published between 2016 and 2021. Physical weakness, financial decline, psychological, emotional stress, depression, and stigma experienced by patients are all common problems. Review Methods: The article screening method is used for the review, and it is guided by the PRISMA flowchart. Extraction is carried out on Google Sheets, and synthesis is carried out from the extraction results. Results: This scoping review provides a comprehensive overview of three components of patient impact: 1) physical impact, 2) mental impact experienced by tuberculosis patients, and 3) social impact of tuberculosis patients. There are also six issues to consider: 1) physical disorders (weakness, cough, nausea, vomiting, dizziness, shortness of breath), 2) financial decline, 3) psychological disorders (sad, worried), 4) emotional, 5) depression, and 6) stigma. Conclusion: To enhance the quality of life of Tuberculosis patients, the quality of life must be examined from all perspectives, including physical, mental, and social elements, by intensifying regular health education and self-care management.
THE UTILIZATION OF MOBILE-HEALTH INTERVENTION IN IMPROVING TREATMENT COMPLIANCE BEHAVIOR IN TUBERCULOSIS PATIENTS Eko Budi Laksono; Andrew Johan; Meira Erawati
Nurse and Health: Jurnal Keperawatan Vol 11 No 2 (2022): 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.v11i2.339

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Background: Mobile-health assists health workers in monitoring and observing patient compliance behavior during TB treatment. Objectives: The purpose of this review is to identify the use of mobile-health interventions in improving medication compliance behavior in tuberculosis patients. Design: This research was conducted by following the scoping framework. Data Sources: This study was conducted following a scoping review framework. This research literature search relied on data from PubMed, Scopus, and Science Direct databases. Using the keywords “mobile application”, “Directly-Observed Treatment Short-course (DOTS)”, “medication adherence”, “tuberculosis patients”, and “mobile-health”. This scoping review uses data from 10 articles published between 2010-2019. Utilization of Mobile-Health in improving drug adherence of TB patients. Review Methods: The particle screening method was used for the review and was guided by the PRISMA diagram. As well as an analysis of the articles reviewed. Results: The m-health intervention has a positive impact on TB treatment. The benefits of m-health are increasing patient knowledge, providing social support, providing motivational support and increasing patient compliance behavior during treatment. The m-health application contains features such as short message service (SMS), video, telephone, and picture messages. Conclusion: Mobile-health interventions can be applied independently with counseling, motivation and health education in improving medication compliance behavior. The advantages of mobile-health are that patients become more open, it saves time and distance, and also it strengthens communication between nurses and patients.
Studi Eksplorasi Manajemen Nyeri pada Pasien Post Operasi dengan Ventilasi Mekanik Haq, Rosma Karinna; Ismail, Suhartini; Erawati, Meira
Jurnal Perawat Indonesia Vol. 3 No. 3 (2019): November 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (61.179 KB) | DOI: 10.32584/jpi.v3i3.307

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Nyeri sebagai salah satu respon yang muncul pada pasien post operasi dapat menimbulkan dampak yang tidak adekuat pada pasien seperti  penyembuhan luka yang lama, ketidakpuasan pasien, rawat inap yang lebih lama, dan meningkatnya biaya perawatan. Pasien post operasi dengan indikasi perawatan di ruang ICU seringkali mendapatkan bantuan pernafasan dengan ventilasi mekanik karena masih dalam pengaruh obat anestesi atau terjadi distres pernafasan. Pasien dengan ventilasi mekanik rentan terhadap faktor-faktor yang menimbulkan stres, karena pasien tidak dapat menyesuaikan pernafasan dengan ventilasi mekanik. Kondisi post operasi juga dapat menimbulkan reaksi emosional sehingga menyebabkan perubahan secara fisik dan psikologis, serta mencetuskan ketidaknyamanan pada pasien. Tujuan penelitian ini adalah mengeksplorasi manajemen nyeri pada pasien post operasi dengan ventilasi mekanik di ICU, yang dilakukan pada perawat ICU dengan indepth interview. Tema yang dihasilkan dalam penelitian ini yaitu : (1) Komponen pengkajian nyeri yang adekuat dilakukan perawat pada pasien post operasi dengan ventilasi mekanik, (2) Tindakan yang dilakukan perawat dalam manajemen nyeri pada pasien post operasi dengan ventilasi mekanik, (3) Evaluasi dan re-evaluasi nyeri yang dilakukan perawat pada pasien post operasi dengan ventilasi mekanik. Kesimpulan yang didapatkan dalam penelitian ini adalah manajemen nyeri pada pasien post operasi dengan ventilasi mekanik dilakukan dengan melakukan pengkajian sesuai dengan standar, intervensi manajemen nyeri lebih dominan dilakukan dengan pemberian terapi farmakologi, evaluasi dan re-evaluasi dilakukan setelah pemberian terapi farmakologi dan non farmakologi. Kata kunci: Nyeri; manajemen nyeri; post operasi; ventilasi mekanik, unit perawatan intensif Abstract Explore study pain management in postoperative patients with mechanical ventilation. Pain as one of the responses that appears in postoperative patients can cause inadequate effects on patients such as long wound healing, patient dissatisfaction, longer hospitalizations, and increased maintenance costs. Postoperative patients with indications of treatment in the ICU often get respiratory assistance with mechanical ventilation because they are still under the influence of anesthesia or respiratory distress. Patients with mechanical ventilation are susceptible to stressful factors, because patients cannot adjust breathing with mechanical ventilation. Postoperative conditions can also cause emotional reactions that cause physical and psychological changes, and trigger discomfort in patients. The purpose of this study was to explore pain management in postoperative patients with mechanical ventilation in the ICU, which was performed on ICU nurses by indepth interview. The themes produced in this study are: (1) Adequate pain assessment components are carried out by nurses in postoperative patients with mechanical ventilation, (2) Actions taken by nurses in pain management in postoperative patients with mechanical ventilation, (3) Evaluation and re evaluation of pain performed by nurses in postoperative patients with mechanical ventilation. The conclusion obtained in this study is pain management in postoperative patients with mechanical ventilation is carried out by conducting studies in accordance with the standards, pain management interventions are more predominantly carried out by pharmacological therapy, evaluation and re-evaluation are carried out after administration of pharmacological and non-pharmacological therapies. Keywords: pain; pain management; post operation; mechanical ventilation, intensive care unit
EKSPLORASI PERAN PERAWAT DAN AHLI GIZI DALAM PEMBERIAN NUTRISI PADA PASIEN KRITIS Pitri, Angela Dwi; Ismail, Suhartini; Erawati, Meira
Jurnal Perawat Indonesia Vol. 3 No. 2 (2019): August 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.749 KB) | DOI: 10.32584/jpi.v3i2.316

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Kesuksesan dukungan nutrisi pasien terletak pada kesinambungan antara terapi obat, perawatan, diet dan peran interdisipliner tim diantaranya perawat dan ahli gizi. Penelitian ini bertujuan untuk menentukan pandangan perawat dan ahli gizi tentang peran mereka dalam gizi. Penelitian kualitatif dengan pendekatan studi fenomenologis yang menghadirkan peran perawat dan ahli gizi dalam mendukung nutrisi pasien kritis melalui sumber informasi dari perawat dan ahli gizi melalui wawancara mendalam dengan teknik wawancara semi-terstruktur.Perawat menyatakan perannya sebagai 1)first line dalam dukungan nutrisi, 2)memaksimalkan asupan makan dengan modifikasi lingkungan, 3)ahli gizi sebagai konselor dan perawat sebagai asesor. Perawat bertanggungjawab agar target nutrisi tercapai meliputi kualitas dan kuantitas. Perannya sebagai first linedidefinisikan sebagai manager yang memiliki otonomi untuk mengatur pengelolaan nutrisi yang didukung oleh faktor lingkungan. Ahli gizi berperan sebagai konselor dan berinteraksi dengan perawat yang memiliki peran sebagai asesor. Perawat dan ahli gizi saling berinteraksi dan saling membutuhkan untuk mencapai satu tujuan ahir sebagai bentukkolaborasi interdisipliner. Kata kunci: peran perawat; peran multidisipliner tim; nutrisi care Abstract Exploration of nurse and nutritional role in nutrition in critical patients. The successful of nutritional support in patients lies in the continuity between drug therapy, patient care, diet and the interdisciplinary role of the team including nurses and nutritionists. This study aims to determine the views of nurses and nutritionists on their role in nutrition. Qualitative research with a phenomenological study approach that presents the role of nurses and nutritionists in nutritional support of critical patients through information sources from nurses and nutritionists through in-depth interviews with semi-structured interview techniques.The nurse stated his role as 1) first line in nutritional support, 2) who maximizing food intake with environmental modification, 3) nutritionists as counselors and nurses as assessors.The nurse is responsible for achieving the target nutrition including quality and quantity. The role as first line is defined as a manager who has the autonomy to regulate the management of nutrition supported by environmental factors. Nutritionists act as counselors and interact with nurses who have roles as assessors. Nurses and nutritionists need to interact with each other to achieve an ultimate goal as a form of interdisciplinary collaboration. Keywords: nurse's role; multidisciplinary role of the team; nutrition care
Studi Explorasi Pengalaman Perawat dalam Pengkajian Delirium Khanafi, Khamid; Ismail, Suhartini; Erawati, Meira
Jurnal Perawat Indonesia Vol. 3 No. 3 (2019): November 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.113 KB) | DOI: 10.32584/jpi.v3i3.413

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Delirium di tandai dengan perubahan  status mental, tingkat kesadaran serta perhatian yang akut dan fluktuatif yang sering di jumpai pada pasien di ruang intensive care unit (ICU). Delirium dapat menyebabkan meningkatnya length of stay (LOS), meningkatkan biaya perawatan,kematian, delirium menetap serta lamanya pemulihan. Tujuan dari penelitian  ini ialah untuk mengexplorasi pengalaman perawat rumah sakit dalam mengkaji pasien delirium di ruang ICU.Penelitian  ini menggunakan metode diskriptif  kualitatif. Pengumpulan data dengan indepth interview dengan panduan semi terstruktur. Hasil wawancara pada informan di dapatkan informasi bahwa pengetahuan perawat tentang delirium ini masih kurang, sehingga perawat belum pernah melakukan pengkajian delirium, perawat sebatas mengkaji tingkat kesadaran menggunakan glascow coma scale ( GCS), dalam re evaluasi delirium sebatas mengikuti advis medis, dari rumah sakit belum ada kebijakan dalam pengkajian delirium. Dari informasi ini dapat dijadikan acuan bagi peneliti untuk di adakanya peningkatan pengetahuan perawat mengenai delirium serta di adakanya alat/tool pengkajian delirium yang tepat, mudah untuk ruang ICU. Kata kunci: Delirium, pengkajian, ICU AbstractExploration Study of Nursing Experience in Delirium Assessment. Delirium is characterized by changes in mental status, level of awareness and acute and fluctuating attention that is often encountered in patients in the intensive care unit (ICU). Delirium can cause increased length of stay (LOS), increase treatment costs, death, permanent delirium and the duration of recovery. The purpose of this study was to explore the experience of hospital nurses in studying delirium patients in the ICU. This study used a qualitative descriptive method. Data collection with in-depth interviews with semi-structured guidelines. The results of interviews with informants found that nurses' knowledge about delirium was still lacking, so nurses had never doing delirium assessments, nurses were limited to assessing the level of awareness using a glascow coma scale (GCS), in re-evaluation of delirium limited to following medical advice, the hospital had not yet there is a policy in the delirium assessment. From this information, it can be used as a reference for researchers to create an increase in nurses' knowledge about delirium as well as an appropriate delirium assessment tool for the ICU room. Keywords: Delirium, Assessments, ICU