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<![CDATA[FENOMENA INTERVENSI HARAPAN TERHADAP KEBAHAGIAAN PADA PASIEN PENYAKIT GINJAL TAHAP AKHIR DENGAN HEMODIALISIS ]]>
<![CDATA[Nining Puji Astuti]]>
<![CDATA[ Jurnal Manajemen Asuhan Keperawatan Vol 5 No 1 (2021): Jurnal Manajemen Asuhan Keperawatan ]]>
Publisher : <![CDATA[Universitas Widya Husada Semarang ]]>
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DOI: 10.33655/mak.v5i1.112
<![CDATA[Pendahuluan: Hemodialisis sebagai salah satu metode pengobatan pasien Penyakit Ginjal Tahap Akhir menimbulkan banyak dampak psikologis yang mempengaruhi kebahagiaan pasien. Kondisi tidak bahagia menyebabkan turunnya imunitas, ketidakpatuhan regimen terapeutik dan rendahnya kualitas hidup pasien hemodialisis. Intervensi harapan diperlukan sebagai salah satu metode dalam meningkatkan kebahagiaan pasien hemodialisis. Tujuan: Studi kasus ini bertujuan untuk menjelaskan fenomena intervensi harapan dalam mempengaruhi kebahagiaan pada pasien penyakit ginjal tahap akhir. Metode: Metode yang digunakan dalam penelitian ini adalah deskriptif dengan pemaparan studi kasus melalui pendekatan asuhan keperawatan yakni pengkajian, penegakan diagnosa keperawatan, perencanaan, implementasi, dan evaluasi keperawatan. Tindakan keperawatan non farmakologis berupa intervensi harapan dilakukan sebanyak 8 sesi dan di ukur menggunakan alat ukur kebahagiaan yaitu Oxford Happiness Questionnaire. Hasil dan Pembahasan: Berdasarkan hasil pengukuran awal kebahagiaan menggunakan Oxford Happiness Questionnaire didapatkan hasil bahwa level kebahagiaan pasien adalah 3 (tidak bahagia) dan meningkat menjadi 5 (bahagia) setelah dilakukan intervensi. Kebahagiaan pasien penyakit ginjal tahap akhir yang menjalani hemodialisa dipengaruhi oleh kondisi psikologis, status pernikahan, hubungan seksual, tingkat ekonomi, kondisi fisik dan sangat berpengaruh terhadap kepatuhan pasien dalam menjalankan pengobatan. Kesimpulan: Intervensi harapan merupakan intervensi mandiri keperawatan yang dapat dilakukan baik secara mandiri dan berkelompok demi meningkatkan kebahagiaan pasien penyakit ginjal tahap akhir yang menjalani hemodialisa. Kata Kunci: Gagal Ginjal Kronis; Hemodialisis; Intervensi Harapan; Kebahagiaan; Penyakit Ginjal Tahap Akhir.]]>
<![CDATA[Upaya Pencegahan Pasien Resiko Jatuh dalam Pelaksanaan Asuhan Keperawatan di Rumah Sakit ]]>
<![CDATA[Nining Puji Astuti]]>;
<![CDATA[Olga S C Dos Santos]]>;
<![CDATA[Ekla Saputri Indah]]>;
<![CDATA[Erlin Pirena]]>
<![CDATA[ Jurnal Manajemen Asuhan Keperawatan Vol 5 No 2 (2021): Jurnal Manajemen Asuhan Keperawatan ]]>
Publisher : <![CDATA[Universitas Widya Husada Semarang ]]>
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DOI: 10.33655/mak.v5i2.117
<![CDATA[Latar Belakang: Insiden jatuh merupakan salah satu kejadian yang tidak diharapkan terjadi namun memliki prevalensi yang cukup tinggi. Tujuan: Untuk mengetahui tindakan pencegahan jatuh yang dilakukan oleh perawat bagi pasien Rawat Inap. Metode: Penelitian dilakukan dengan menggunakan metode literature review, peneliti mencari, menggabungkan, dan menganalisis artikel-artikel ilmiah secara valid dengan fokus kajian review paper. Hasil: Dalam penanganannya ternyata masih banyak perawat yang belum melakukan tindakan pencegahan sesuai dengan SOP Rumah Sakit. Pengetahuan, tingkat pendidikan, masa kerja, ketersediaan fasilitas, SDM, dan rasa tanggungjawab menjadi faktor-faktor utama perawat tidak melakukan tindakan pencegahan jatuh pada pasien rawat inap. Dalam menangani hal ini, penilaian skor risiko jatuh dapat dimasukkan dalam asuhan keperawatan sehingga dapat diketahui risiko jatuh pada pasien dan perawat dapat memberikan tindakan pencegahan sesuai dengan masalah yang telah diidentifikasi pada asuhan keperawatan. Kesimpulan: Kesadaran akan rasa tanggungjawab juga harus ditingkatkan pada perawat karena keselamatan pasien merupakan hal yang utama.]]>
<![CDATA[THE RELATIONSHIP BETWEEN FEAR OF COVID-19 AND ADHERENCE FOR PEOPLE WITH END STAGE RENAL DISEASES WITH HEMODIALYSIS ]]>
<![CDATA[Nining Puji Astuti]]>;
<![CDATA[Arief Shofyan Baidhowy]]>;
<![CDATA[Erlangga Galih Zulva Nugroho]]>
<![CDATA[ Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 1 (2022): Mei 2022 ]]>
Publisher : <![CDATA[Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah ]]>
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DOI: 10.32584/jikmb.v5i1.1575
<![CDATA[Patients with End-Stage Renal Disease (ESRD) are highly vulnerable with the multiple comorbidities that make them susceptible to adverse outcomes with COVID-19. Over 2 million people worldwide receive maintenance hemodialysis (HD) at outpatient centers. In Indonesia, people have to come to dialysis centre at hospital for maintenance dialysis although in pandemic. Governments have been trying to fight the outbreak, by enacting various restrictions to maintain social distancing and effectively preventing the spread of infection among HD centre, healthcare personnel, and patients is essential to ensure the continued delivery of dialysis to ESRD patients but this condition affect in mental health people with hemodialysis such as fear of covid-19. The present study aimed to understand the relationship between fear of covid-19 and adherence people with hemodialysis to maintaining hemodialysis at hospital. The study group of the research consisted of 60 patients with hemodialysis were selected by the purposive sampling method. The research method is the correlational survey model. Data was obtained using the Demographic Information Form, fear of covid-19 scale and The End Stage Renal Disease Adherence Questionnaire (ESRD-AQ). Group comparison analysis revealed that women experienced higher levels of fear of the coronavirus. While those with postgraduate education reported significantly lower levels of fear of the coronavirus than those with other education levels. Fear of the coronavirus did not differ according to the age range, income level, and marital status of the participants. According to the results of the correlation analysis, a positive correlation between the fear of coronavirus and adherence people with hemodialysis to take medication at hospital was found.]]>
<![CDATA[HUBUNGAN SELF CARE ACTIVITIES TERHADAP KADAR GLUKOSA DARAH PUASA PASIEN DIABETES MELLITUS (DM) TIPE II DI RSUD KELET PROVINSI JAWA TENGAH ]]>
<![CDATA[Venti Agustina]]>;
<![CDATA[Nining Puji Astuti]]>;
<![CDATA[Hana Febi Naranti]]>
<![CDATA[ JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 17 No 2 (2022): JPP (Jurnal Kesehatan Poltekkes Palembang) ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES PALEMBANG ]]>
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DOI: 10.36086/jpp.v17i2.1364
<![CDATA[Background: Diabetes mellitus is a chronic disease that requires a lifelong treatment to maintain the quality of life of the patient. Treatment that can be done by Type II DM patients is self care for the aim of blood sugar control. Research Purposes: Describe the relationship between self-care activities and fasting blood glucose levels in Type II DM patients at Kelet Regional Hospital, Central Java Province. Method: This research uses an analytic descriptive method with a cross sectional approach at Kelet Regional Hospital, Central Java Province. Sampling techniques using purposive sampling techniques and obtained the number of research samples 120 respondents based on inclusion and exclusion criteria. The research instrument uses the DSMQ (Diabetes Self-Management Questionnaire) questionnaire and the measurement of fasting blood glucose. Data analysis was carried out by univariate and bivariate analysis which was then analyzed using the Spearman-Rank test. Results: The results showed that 88.3% of respondents had enough self care activities with 96.6% of respondents had GDP results > 100 mg/dl. In addition, all components of self care activities are in a sufficient category with 85%blood sugar monitor details, eating patterns 74.2%, physical activity 64.2%, treatment 89.2%. The Spearman-Rank test results showed the relationship between self care activities and fasting blood glucose with the value of P=0.036. The self care component associated with fasting blood glucose is the regulation of diet (P=0.028) and physical activity (P=0.036). Conclusion: There is a relationship between self-care activities and fasting blood glucose levels in type II DM patients at Kelet Hospital, Central Java Province. The self care component associated with GDP is the arrangement of diet and physical activity. Keyword: DM type II, DSMQ, GDP, self-care]]>
<![CDATA[Pengkajian Kebutuhan Dasar Perawatan Paliatif Pasien Paska CABG (Coronary Artery Bypass Graft) di Ruang Perawatan Intensif ]]>
<![CDATA[Nining Puji Astuti]]>;
<![CDATA[Sriyono]]>;
<![CDATA[Ninuk Dian Kurniawati]]>;
<![CDATA[Henry Saktiana]]>
<![CDATA[ ASJN (Aisyiyah Surakarta Journal of Nursing) Vol 4 No 2 (2023): DESEMBER ]]>
Publisher : <![CDATA[P3M Universitas Aisyiyah Surakarta ]]>
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DOI: 10.30787/asjn.v4i2.1339
<![CDATA[Latar Belakang: Perawatan paliatif merupakan layanan keperawatan yang seharusnya diberikan sejak pasien didiagnosis sakit kronis, masa perawatan hingga meninggal dunia dan berduka. Namun kondisi ini dimaknai berbeda oleh Indonesia dimana perawatan paliatif didefinisikan sebagai perawatan menjelang ajal kematian sehingga dalam perawatan pasien paska bedah jantung tim medis tidak berkenan melakukan kolaborasi dalam tindakan paliatif sedangkan kebutuhan dasar perawatan harus tetap dijalankan untuk memaksimalkan kualitas hidup pasien. Tujuan: Studi kasus ini bertujuan untuk membahas peran tindakan perawatan paliatif dalam perawatan pasien paska bedah jantung pada pasien paska CABG di Ruang ICCU RSUP Dr. Kariadi Semarang pada bulan Juli 2023. Metode: Penelitian dilakukan dengan pendekatan deskriptif kualitatif studi kasus melalui wawancara pasien, keluarga dan analisa kasus hasil pemeriksaan medis pasien. Hasil: Program perawatan paliatif pasien paska tindakan CABG belum terintegrasi dengan tim perawatan paliatif. Hasil pengkajian kebutuhan dasar pasien paliatif di dapatkan data bahwa pasien dan keluarga membutuhkan perawatan paliatif untuk mengurangi gejala nyeri, kelelahan, insomnia, kehilangan nafsu makan dan dampak finansial akibat kondisi sakit pasien. Kesimpulan: Hasil penelitian ini dapat digunakan sebagai pengembangan ilmu pengetahuan terkait pentingnya pengkajian kebutuhan dasar untuk memaksimalkan kualitas hidup pasien paska CABG. Diperlukan alat ukur pengkajian kebutuhan dasar perawatan paliatif guna mengukur kebutuhan dasar perawatan paliatif.]]>
<![CDATA[Edukasi Mitigasi Bencana Banjir dan Gempa Bumi pada Siswa Sekolah Dasar ]]>
<![CDATA[Fida Husain]]>;
<![CDATA[Ida Nur Imamah]]>;
<![CDATA[Nining Puji Astuti]]>;
<![CDATA[Nur Tjahjono Suharto]]>;
<![CDATA[Asri Kusumastuti]]>;
<![CDATA[Monica Inovasi]]>;
<![CDATA[Indriana Astuti]]>
<![CDATA[ Kolaborasi: Jurnal Pengabdian Masyarakat Vol 3 No 6 (2023): Kolaborasi: Jurnal Pengabdian Masyarakat ]]>
Publisher : <![CDATA[Yayasan Inspirasi El Burhani ]]>
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DOI: 10.56359/kolaborasi.v3i6.318
<![CDATA[Introduction: Creating a program to establish a Disaster Safe Education Unit [Satuan Pendidikan Aman Bencana (SPAB)] is one of the initiatives the government is doing to prevent catastrophes and manage their effects in educational settings. Objective: The purpose of this community service project is to improve students' understanding of and proficiency in disaster preparedness. Method: The three types of activity approaches include planning, carrying out, and reviewing. 43 students participated in this activity, which involved a lecture and Q&A session. Result: It may be inferred from the activity's outcomes that educating students can help them become more knowledgeable about earthquake and flood disasters. The instructive exercise proceeded without any difficulties, and the participants engaged with great enthusiasm. Conclusion: In order to make sure that every student is aware of disaster readiness and can lower their risk of disaster, it is desired that the school would keep up its ongoing disaster preparedness education programs.]]>
<![CDATA[HUBUNGAN SELF CARE ACTIVITIES TERHADAP KADAR GLUKOSA DARAH PUASA PASIEN DIABETES MELLITUS (DM) TIPE II DI RSUD KELET PROVINSI JAWA TENGAH ]]>
<![CDATA[Agustina, Venti]]>;
<![CDATA[Astuti, Nining Puji]]>;
<![CDATA[Naranti, Hana Febi]]>
<![CDATA[ JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 17 No 2 (2022): JPP (Jurnal Kesehatan Poltekkes Palembang) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palembang ]]>
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DOI: 10.36086/jpp.v17i2.1364
<![CDATA[Background: Diabetes mellitus is a chronic disease that requires a lifelong treatment to maintain the quality of life of the patient. Treatment that can be done by Type II DM patients is self care for the aim of blood sugar control. Research Purposes: Describe the relationship between self-care activities and fasting blood glucose levels in Type II DM patients at Kelet Regional Hospital, Central Java Province. Method: This research uses an analytic descriptive method with a cross sectional approach at Kelet Regional Hospital, Central Java Province. Sampling techniques using purposive sampling techniques and obtained the number of research samples 120 respondents based on inclusion and exclusion criteria. The research instrument uses the DSMQ (Diabetes Self-Management Questionnaire) questionnaire and the measurement of fasting blood glucose. Data analysis was carried out by univariate and bivariate analysis which was then analyzed using the Spearman-Rank test. Results: The results showed that 88.3% of respondents had enough self care activities with 96.6% of respondents had GDP results > 100 mg/dl. In addition, all components of self care activities are in a sufficient category with 85%blood sugar monitor details, eating patterns 74.2%, physical activity 64.2%, treatment 89.2%. The Spearman-Rank test results showed the relationship between self care activities and fasting blood glucose with the value of P=0.036. The self care component associated with fasting blood glucose is the regulation of diet (P=0.028) and physical activity (P=0.036). Conclusion: There is a relationship between self-care activities and fasting blood glucose levels in type II DM patients at Kelet Hospital, Central Java Province. The self care component associated with GDP is the arrangement of diet and physical activity. Keyword: DM type II, DSMQ, GDP, self-care]]>
<![CDATA[Motivation and Nurses' Fulfillment of Critical Patients' Family Needs in the Intensive Care Unit ]]>
<![CDATA[Husain, Fida']]>;
<![CDATA[Imamah, Ida Nur]]>;
<![CDATA[Mustika, Yuli]]>;
<![CDATA[Astuti, Nining Puji]]>;
<![CDATA[Inovasi, Monica]]>
<![CDATA[ Gaster Vol 22 No 1 (2024): FEBRUARI ]]>
Publisher : <![CDATA[P3M Universitas 'Aisyiyah Surakarta ]]>
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DOI: 10.30787/gaster.v22i1.1343
<![CDATA[Background: Family members may experience physical and psychological side effects, such as poor hygiene, sleep disturbances, appetite loss, anxiety, sadness, and post-traumatic stress disorder (PTSD), if they are around critically ill patients who were treated in intensive care units. Ensuring family needs are met during patients' stays in the intensive care unit can help to lessen the negative impacts. Objective: The aim of this study is to determine whether nurse motivation and meeting the needs of their critically sick patients' families are related. Methods: The type of research is quantitative, descriptive correlational to determine the relationship between nurse motivation and meeting the needs of families of critical patients. The population in this study were all ICU nurses at One of Public Hospital in Salatiga, totaling 32 people using total sampling technique. Results: The results of this study indicate that the intensive care nurses in the ICU is in the good category in nurse motivation (53,3%), also family needs fulfillment in good category (50%). Meeting the needs of the families of critically ill patients in the intensive care unit is correlated with nurse motivation (p value < 0,000). Conclusion: As a support system for the patient's recovery and to mitigate any negative effects on the family, nurses must attend to the needs of the critical patient's family.]]>
<![CDATA[Dilemma of Identification Patients Palliative Care Needs in Critical Care Unit ]]>
<![CDATA[Astuti, Nining Puji]]>;
<![CDATA[Sriyono, Sriyono]]>;
<![CDATA[Yunitasari, Esti]]>;
<![CDATA[Kurniawati, Ninuk Dian]]>;
<![CDATA[Baidhowy, Arief Shofyan]]>
<![CDATA[ Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research ]]>
Publisher : <![CDATA[GLOBAL HEALTH SCIENCE GROUP ]]>
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DOI: 10.37287/ijghr.v6i1.2664
<![CDATA[Palliative care is start from diagnosis of serious illness until death and bereavement care. But, the term “Palliative Care” often mistakenly regarded identical to “End of Life Care” without any treatments. It’s caused dilemma among nurses to give maximum care of palliative care needs or let the patients get minimum of care. Methods: The aim of this article is to evaluate the dilemma palliative care needs in Intensive Care Unit. This is a case study report used a qualitative approach of 3 palliative patients in ICU used descriptive case study as well as in depth-interviews with patient’s family, nurses and internist. Results and Discussion: We present a case report of 3 patient who had been admitted to hospital with cancer and need palliative care in ICU. Patients subsequently suffered a pulmonary metastase with multiple organ failure. However the goal of end of life care for dying patients is to prevent or relieve suffering as much as possible while respecting the patient’s desires. But it is still a dilemma in Indonesia, especially palliative patients in ICU. According to medical decision, patients in ICU should receive maximum treatment, but if patient is facing multiple organ failure nurse should consider to providing palliative care. Conclusions: Palliative care approaches and provision within intensive care units can significantly impact care outcomes and increase the quality-of life people with end-of life period. Palliative care not to reduce the dose of drugs and patient care.]]>
<![CDATA[Pengkajian Kebutuhan Dasar Perawatan Paliatif Pasien Paska CABG (Coronary Artery Bypass Graft) di Ruang Perawatan Intensif ]]>
<![CDATA[Astuti, Nining Puji]]>;
<![CDATA[Sriyono]]>;
<![CDATA[Kurniawati, Ninuk Dian]]>;
<![CDATA[Saktiana, Henry]]>
<![CDATA[ ASJN (Aisyiyah Surakarta Journal of Nursing) Vol 4 No 2 (2023): DESEMBER ]]>
Publisher : <![CDATA[P3M Universitas Aisyiyah Surakarta ]]>
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DOI: 10.30787/asjn.v4i2.1339
<![CDATA[Latar Belakang: Perawatan paliatif merupakan layanan keperawatan yang seharusnya diberikan sejak pasien didiagnosis sakit kronis, masa perawatan hingga meninggal dunia dan berduka. Namun kondisi ini dimaknai berbeda oleh Indonesia dimana perawatan paliatif didefinisikan sebagai perawatan menjelang ajal kematian sehingga dalam perawatan pasien paska bedah jantung tim medis tidak berkenan melakukan kolaborasi dalam tindakan paliatif sedangkan kebutuhan dasar perawatan harus tetap dijalankan untuk memaksimalkan kualitas hidup pasien. Tujuan: Studi kasus ini bertujuan untuk membahas peran tindakan perawatan paliatif dalam perawatan pasien paska bedah jantung pada pasien paska CABG di Ruang ICCU RSUP Dr. Kariadi Semarang pada bulan Juli 2023. Metode: Penelitian dilakukan dengan pendekatan deskriptif kualitatif studi kasus melalui wawancara pasien, keluarga dan analisa kasus hasil pemeriksaan medis pasien. Hasil: Program perawatan paliatif pasien paska tindakan CABG belum terintegrasi dengan tim perawatan paliatif. Hasil pengkajian kebutuhan dasar pasien paliatif di dapatkan data bahwa pasien dan keluarga membutuhkan perawatan paliatif untuk mengurangi gejala nyeri, kelelahan, insomnia, kehilangan nafsu makan dan dampak finansial akibat kondisi sakit pasien. Kesimpulan: Hasil penelitian ini dapat digunakan sebagai pengembangan ilmu pengetahuan terkait pentingnya pengkajian kebutuhan dasar untuk memaksimalkan kualitas hidup pasien paska CABG. Diperlukan alat ukur pengkajian kebutuhan dasar perawatan paliatif guna mengukur kebutuhan dasar perawatan paliatif.]]>
