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Dewi Fitriani
Dosen, Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang, Jl.pajajaran No 1 Pamulang, Kota Tangerang Selatan
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Determinan Faktor Hipotermi Pasca Operasi dengan General Anestesi di Instalasi Bedah Sentral RSUD Banten Dewi Fitriani; Betty Betty; Encep Nurohman; Liselia Armanda
Health and Medical Journal Vol 5, No 1 (2023): HEME January 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v5i1.1147

Abstract

Pendahuluan: Anestesi umum merupakan teknik yang banyak ditemukan pada pembedahan, yaitu lebih dari 80%, dan ditemukan 2,5% pasien mengalami komplikasi setelah menjalani anestesi, dan pasien pasca anestesi hampir 80% mengalami kejadian hipotermia.Tujuan:Identifikasi faktor penyebab hipotermia pasca anestesi umum pada RSUD IBS Banten. Metode: Penelitian kuantitatif dengan jenis penelitian observasional analitik. Sampel penelitian berjumlah 56 responden pascaoperasi dengan anestesi umum dengan teknik consecutive sampling, pengujian yang digunakan adalah uji Chi-Square.Hasil: Teridentifikasinya karakteristik responden berdasarkan faktor usia pascaoperasi hipotermia dengan anestesi umum yaitu hampir separuh pada rentang usia 46-55 tahun yaitu 40%. Dan mengidentifikasi karakteristik responden berdasarkan faktor jenis kelamin dengan hipotermia pasca operasi dengan anestesi umum yaitu lebih dari separuh responden berjenis kelamin laki-laki yaitu 55%. Ada hubungan antara faktor IMT (p = 0,032) dengan hipotermia, ada hubungan antara lama pembedahan (p = 0,001) dengan hipotermia, ada hubungan antara jenis pembedahan (p = 0,012), ada hubungan ada hubungan antara suhu kamar (p = 0,015) dengan hipotermia pasca anestesi umum, ada hubungan yang teridentifikasi antara faktor penyebab hipotermia pasca operasi (IMT, durasi operasi, jenis operasi, suhu kamar) dengan hipotermia (p = 0,020) . Kesimpulan: Ada hubungan faktor usia, IMT, jenis kelamin, lama pembedahan, jenis pembedahan dan suhu ruangan dengan hipotermia post anestesi umum di RSUD IBS Banten. Saran : Diharapkan peneliti selanjutnya dapat mengembangkan Penelitian ini dengan meneliti lebih lanjut tentang faktor-faktor lain yang berhubungan dengan hipotermia pada klien post operasi dengan anestesi umum, terutama cairan infus yang akan digunakan dan obat anestesi.
The effectiveness of wound caring technique with polyhexamethylene biguanide and dialkyl carbamoyl chloride to healing process duration of diabetic foot ulcer patient Armi Armi; Dewi Fitriani; Mila Sartika; Yana Setiawan
Jurnal Keperawatan Padjadjaran Vol. 11 No. 1 (2023): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v11i1.2152

Abstract

Background: Antimicrobial dressing on moist-based wound care is a successful wound care technique, especially for diabetes mellitus wounds. The moisture on wound can be made by closed wound care to reach a standard moisture in various wounds. The antimicrobial dressing type that can increase the wound healing is Polyhexamethylene biguanide (PHMB) and Dialkyl carbamoyl chloride (DACC). Polyhexamethylene biguanide can accelerate the tissue granulation and reduce the risk of infection. Dialkyl carbamoyl chloride is a part of moist wound healing with strong hydrophobic threat so the bacteria will be lifted and accelerate the wound healing process.  The aim of this research is to analyze the effect of healing technique  using Polyhexamethylene biguanide and Dialkyl carbamoyl chloride wound healing process on diabetic foot ulcer patients.   Methods: This research was quasi-experimental with 129 respondents.  The instruments were Bates Jensen’s observation sheet and data were processed by double linear regression. Results: It was obtained an average difference between the duration of the wound healing process between PHMB and DACC therapy with a p-value of 0.0005. Conclusion: The use of this type of DACC dressing is more effective against the duration of the healing process of diabetic foot ulcers because of the time needed for DACC to work  on killing bacteria in-vitro in 30 minutes compared to other dressing.
Tantangan Etis Perawat di Era Pandemi COVID-19: Studi Literatur Amelia Nurul Hakim; Uswatun Hasanah; Dewi Fitriani; Ni Bodro Ardi
NURSING ANALYSIS: Journal of Nursing Research Vol 3, No 1 (2023)
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

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Abstract

Wabah Covid-19 saat ini menjadi pandemi global di seluruh penjuru dunia. Perawat merupakan pekerjaan yang paling sering terpapar penyakit dan infeksi. Wabah Covid-19 menjadikan perawat mengalami perubahan pada pekerjaan dan kehidupannya. Situasi pandemi telah menempatkan para pelayanan kesehatan menghadapi berbagai tantangan etika. Untuk menganalisis gambaran penatalaksanaan caring perawat dalam merawat pasien COVID-19. Metode yang digunakan penelitian ini adalah Meta-Analisis. Data yang digunakan dalam penelitian bersumber dari database publikasi Google Scholar, PubMed, Scopus, MEDLINE, CINAHL. Kriteria yang digunakan adalah penelitian inggris artikel diterbitkan 2021 - 2022, artikel full text. Hasil penelitian menunjukan bahwa Tantangan etika perawat dikategorikan ke dalam tiga bidang tematik: keselamatan perawat, peran dan tekanan moral, alokasi sumber daya, dan hubungan klien-perawat. Dengan demikian, kurangnya perlindungan penuh perawat telah menimbulkan pertanyaan etis seperti sejauh mana tugas mereka, sumber daya yang langka, dan kegagalan alat pelindung diri. Sehubungan dengan itu, sejumlah besar perawat juga menghadapi tekanan moral karena tekanan berkepanjangan untuk mempertahankan sumber daya yang dibutuhkan untuk memberikan asuhan keperawatan yang aman dan berkualitas tinggi.
Potential Of Psychoeducation Media Based On The Internet Of Things For The Optimization Of Hypertension Management In The Elderly Dewi Fitriani; Lukman Handoyo; Heri Setiawan; Fery Ferman Syah
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

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Abstract

Elderly people with hypertension are a group that often do not comply with disease management. Psychosocial problems are one of the variables that contribute greatly to this non-compliance. In the current era of technological development, psychoeducation using Internet of Things-based media can be one of the interventions provided for the elderly. However, the use of this media has never been applied with the principle of being sensitive to changes in the elderly's sensing system, so it is necessary to explore the perceptions and experiences of health service providers for hypertensive elderly in the community. The aim of this research is to explore the perceptions of elderly health service providers in community settings regarding the implementation of education for hypertensive elderly. This research is a qualitative descriptive study involving five participants. Participants came from elements of the NCD Program, the Elderly Program and Community Health Nursing Program Coordinator at the Community Health Center as well as Community Health Workers. Data collection was carried out using the Focus Group Discussion technique and the results were analyzed thematically. The research results showed three themes: 1) Interventions Not Yet Diverse; 2) Limitations of Educational Media; 3) Technology Considerations in Elderly Education/Psychoeducation. Primary health services that create and apply Internet of Things-based psychoeducational media need to pay detailed attention to the principles and content so that they are easy to read and understand by the elderly.
Screening Penyakit Tidak Menular (PTM) Dan Konseling Kesehatan Pada Civitas Academica STIKes Widya Dharma Husada Tangerang Rita Dwi Pratiwi; Riris Andriati; Fenita Purnama Sari Indah; Gina Aulia; Nurwulan Adi Ismaya; Gita Ayuningtyas; Siti Novy Romlah; Lukman Handoyo; Ida Listiana; Dewi Fitriani; Uswatun Hasanah; Veri Veri; Gama Bagus Kuntoadi; Sucipto Sucipto; Sheli Sheli; Dini Arum Alita; Puji Lestari; Raka Fahri Ramdan; Asep Hidayat
Pelita Masyarakat Vol. 6 No. 1 (2024): Pelita Masyarakat, September
Publisher : Universitas Medan Area

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31289/pelitamasyarakat.v6i1.11271

Abstract

This community service activity is conducted regularly every semester by lecturers involving 450 students from various study programs, collaborating with local health centers (Puskesmas) in South Tangerang. The purpose of the activity is to conduct health screenings to prevent and control Non-Communicable Diseases (NCDs) such as anemia, hypertension, diabetes mellitus, and obesity. The methods used include health education for students on NCD prevention and control, measurements of height, weight, upper arm circumference, blood pressure checks, random blood glucose tests, and a questionnaire on smoking habits. The results showed that 3 participants had a history of hypertension and 1 had diabetes mellitus. Additionally, 23 participants were identified as being at risk of chronic diseases. Follow-up actions included in-depth counseling and referral to the nearest Puskesmas. All participants were also found to be non-smokers. This activity aims to raise awareness about NCD prevention, followed by further health checks and sponsorship support in the future.
Implementasi aplikasi m-health model psikoedukasi dalam peningkatan pengetahuan dan kepatuhan minum obat pada pasien tuberkulosis paru Dewi Fitriani; Gilang Rahmatulloh; Firman Yudiatma; Asep Fiqri Hidayat
Holistik Jurnal Kesehatan Vol. 18 No. 10 (2024): Volume 18 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i10.577

Abstract

Background: Many Patient Pulmonary TB sufferers don’t comply with treatment because they feel bored. Pulmonary TB treatment lasts quite a long time so that many sufferers drop out of treatment and experience psychological problems. The importance of strategies and efforts to increase knowledge and compliance with the use of technology. Purpose: To analyze the differences in the implementation of the psychoeducational model m-health application in improving knowledge and compliance in taking medication in pulmonary tuberculosis patients. Method: The research was carried out using a quantitative approach, with a true experimental research design using two control groups with the provision of psychoeducation. Intervention group by providing psychoeducational m-health applications. The total sample size was 140 participants, with details of 70 in the control group and 70 participants in the intervention group at the South Tangerang regional health center. Results: The majority of participants' education was junior high school-high school graduates, in the control group there were 49 participants (70%) and the intervention group there were 46 participants (65.7%). Based on statistical tests, there were differences in the level of knowledge and compliance of the control and intervention groups with a p-value of 0.000 <0.05. Conclusion: There is a difference between the intervention group and the control group. The intervention group using the m-health application of the psychoeducational model has a better level of knowledge and compliance than the control group because it uses the m-health application.   Keywords: Application; Compliance; Knowledge; Psychoeducation; Pulmonary Tuberculosis.   Pendahuluan: Banyak penderita tuberculosis (TB) paru yang tidak patuh terhadap pengobatan karena merasa jenuh. Pengobatan TB paru berlangsung cukup lama sehingga banyak penderita yang putus berobat dan mengalami masalah psikologi. Pentingnya strategi dan upaya dengan peningkatan pengetahuan dan kepatuhan dengan pemanfaatan teknologi. Tujuan: Untuk menganalisis perbedaan implementasi aplikasi m-health model psikoedukasi dalam peningkatan pengetahuan dan kepatuhan minum obat pasien tuberculosis paru. Metode: Penelitian kuantitatif dengan desain true eksperiment menggunakan dua kelompok kontrol pemberian psikoedukasi. Kelompok intervensi dengan pemberian Aplikasi m-health psikoedukasi. Total jumlah sampel 140 partisipan, dengan rincian 70 kelompok kontrol dan 70 partisipan pada kelompok intervensi pada puskesmas wilayah Tangerang Selatan. Hasil: Mayoritas pendidikan partisipan adalah lulusan SMP-SMA, pada kelompok kontrol adalah 49 partisipan (70%) dan kelompok intervensi sebanyak 46 partisipan (65.7%). Berdasarkan uji statistik, terdapat perbedaan tingkat pengetahuan dan kepatuhan kelompok kontrol dan intervensi dengan p-value 0.000 <0.05. Simpulan: Terdapat perbedaan antara kelompok intervensi dan kelompok kontrol. Kelompok intervensi dengan menggunakan aplikasi m-health model psikoedukasi memiliki tingkat pengetahuan dan kepatuhan yang lebih baik daripada kelompok kontrol.   Kata Kunci: Aplikasi; Kepatuhan; Pengetahuan; Psikoedukasi; Tuberculosis Paru.  
A Growing Healthy, Ideal and Free of Anemia: Tumbuh Sehat, Ideal dan Bebas Anemia Rita Dwi Pratiwi; Ni Bodro Ardi; Uswatun Hasanah; Nurwulan Adi Ismaya; Gina Aulia; Fenita Purnama Sari Indah; Humaira Fadhilah; Dewi Fitriani; Riris Andriati; Tita Hardianti
Jurnal Pengabdian Masyarakat Kesehatan Terkini Vol 1 No 1 (2022): Jurnal Pengabdian Masyarakat Kesehatan Terkini
Publisher : Ruang Ide Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58516/jpmkt.v1i1.10

Abstract

Abstract A person's level of physical fitness can be seen from activities such as, students who take part in lecture activities need physical fitness to support the teaching and learning process on campus optimally. Physical examination which includes blood pressure, weight, height, waist circumference can be an indicator to determine physical fitness. Anemia also affects a person's nutritional status. The incidence of anemia in Indonesia is still quite high. Based on the Riskesdas 2018, it is stated that the prevalence of age 15-24 years in Indonesia is 32% anemia, meaning that 3-4 out of 10 teenagers suffer from anemia. The solution to overcome this problem was carried out by community service activities by lecturers and students at STIKes Widya Dharma Husada Tangerang with a target of 100 students. The implementation of this community service is carried out with the following methods: Blood pressure checks, weighing, measuring height, waist circumference, health counseling and giving Tablet Tambah Darah (TTD) for free to students. Most of the service participants do not know that anemia can occur in adolescents because of suboptimal nutritional intake and lack of physical activity so that participants are given health counseling to get education related to the knowledge of the importance of maintaining physical fitness for health and knowledge to prevent anemia. By holding this service activity, it is hoped that it can trigger the awareness of students to care more about health, routinely check health and assist government programs in reducing the incidence of anemia in the community. The follow-up to the results of this community service is that health checks, health counseling and the provision of Tablet Tambah Darah (TTD) can be carried out in different places so that more students understand the importance of health and can reduce the incidence of anemia. Keywords: Medical examination; Anemia; Tablet Tambah Darah
Co-Authors Amelia Nurul Hakim Armi Armi Asep Fiqri Hidayat Asep Hidayat BETTY BETTY Dini Arum Alita Encep Nurohman Fenita Purnama Sari Indah Fenita Purnama Sari Indah Fery Ferman Syah Firman Yudiatma Gama Bagus Kuntoadi Gina Aulia Gita Ayuningtyas Heri Setiawan Humaira Fadhilah Ida Laelah Ida Listiana iif Rifai Liselia Armanda Liza Puspa Dewi Lukman Handoyo Mila Sartika Ni Bodro Ardi Nurseha Nurseha Nurwulan Adi Ismaya Puji Lestari Raka Fahri Ramdan Rika Pamungkas RIRIS ANDRIATI Rita Dwi Pratiwi Sheli Sheli Siti Novy Romlah Sucipto Sucipto Tita Hardianti Uswatun Hasanah Veri Veri Yana Setiawan Yuliastuti Yuliastuti