Djunizar Djamaludin
Faculty of Medicine, Nursing and Health Sciences Malahayati University, Bandar Lampung.

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THE EFFECTS OF WARM COMPRESS TO VOIDING REFLEXES ON POST OPERATIVE SPINAL ANESTHESIA Djunizar Djamaludin; Amila Amila; Suci Asianti
Malahayati International Journal of Nursing and Health Science Vol 2, No 1 (2019)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.078 KB) | DOI: 10.33024/minh.v2i1.1033

Abstract

Background: Spinal anesthesia commonly can lead to urinary retention because the patient cannot feel his bladder is full and unable to initiate for voiding after the surgery. This is caused by bladder and sphincter muscles are unable to respond for voiding reflexes. One of nursing intervention to prevent of urinary retention is warm compress on supra pubic area for postoperative patient undergo spinal anesthesia.Purpose : This study was to examinethe effect of warm compress to recovery of voiding reflexes ont postoperativepatient undergo spinal anesthesia at Pertamina Bintang Amin Hospital, Bandar LampungMethods : A quasiexperimental study was conducted usingintervention and control groups with simple random sampling technique was applied. There were 30 postoperative patientsundergo spinal anesthesia were recruited at Pertamina Bintang Amin Hospital Bandar Lampung.Result : The mean score of intervention group with warm compression was 6.67 hours (ranging from 6to 8). The mean score of control group withoutwarm compress was7.13 hours (ranging from 5t o 9).Conclusion: Nursing intervention by applying warm compress is necessary to recovery of voiding reflex on postoperative patient with spinal anesthesia.
ANALISIS FKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KONDILOMA AKUMINATA DI POLIKLINIK KULIT DAN KELAMIN RSUD Dr. H. ABDUL MOELOEK BANDAR LAMPUNG TAHUN 2016 Djunizar Djamaludin; Yuyun Tyas; Eka Trismiyana
Holistik Jurnal Kesehatan Vol 13, No 2 (2019)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (109.568 KB) | DOI: 10.33024/hjk.v13i2.1361

Abstract

ABSTRACT :  MUSCULOSKELETAL DISORDERS IN THE WORKPLACE AMONG NURSES AT ZAINAL ABIDIN PAGARALAM HOSPITAL WAY KANAN Background: Lower back pain is one of the occupational diseases that often occur to nurses in hospitals, especially in the inpatient unit; Due to the nature of the work which is very heavy, with bending and twisting movements of the body, especially around the lower spine. Results from Pre survey on 10 nurses in the adult ward at Zainal Abidin Pagaralam’s Hospital Way Kanan, 6 nurses (60%) had complains low back pain and needs to do physiotherapy, and 4 nurses reported the limited hospital facilities.Purpose : Knowing that correlation between musculoskeletal disorders and the workplace among nurses at Zainal Abidin Pagaralam Hospital Way Kanan Province Of Lampung 2018.Methods : This type of research is quantitative, with cross sectional design. The total sample is all nurses that is 72 respondents. The instrument of this study is a questionnaire with statistical test using Chi square test.Results: Finding  45 (62.5%) of respondents said a good working environment, whereas 27 (37.5%) of respondents expressed unfavorable working environment. 41 (56.9%) of respondents complained Musculosceletal Disorder moderate, and 31 (43.1%) of respondents complained Musculosceletal heavy Disorder, with a p-value 0.000 and the value of OR 10 818.Conclusion : There is correlation between musculoskeletal disorders and the workplace among nurses at Zainal Abidin Pagaralam Hospital Way Kanan Province Of Lampung 2018. It is suggested that the hospital management can reduce complaints Musculosceletal Disorder by maintaining a good working environment.Keywords                    : Workplace, musculoskeletal disorders, nursesPendahuluan : Nyeri punggung bawah merupakan salah satu penyakit akibat kerja yang sering terjadi pada perawat di rumah sakit, terutama di ruang rawat inap; karena sifat pekerjaannya yang banyak mengangkat beban pasien dewasa yang berat, dengan gerakan membungkuk dan memutar tubuh, khususnya sekitar tulang punggung bawah. Hasil Prasurvey dari 10 perawat  di ruang rawat inap dewasa RSUD Zainal Abidin Pagaralam Way Kanan,  6 (60%) perawat pernah mengalami keluhan nyeri punggung bawah hingga melakukan fisioterapi,  dan 4 (40%) perawat melaporkan banyaknya keterbatasan fasilitas rumah sakit.Tujuan: Diketahui Hubungan lingkungan kerja dengan kejadian musculoskeletal disoders pada perawat di RSUD Zainal Abidin Pagaralam Way Kanan Tahun 2018.Metode : Jenis penelitian ini kuantitatif, dengan design cross sectional.  Jumlah sampel adalah seluruh perawat yaitu 72 responden. Instrument penelitian ini kuisioner dengan uji statistic menggunakan uji Chi square.Hasil : Didapatkan 45 (62.5%) responden menyatakan lingkungan kerja baik, sedangkan 27 (37.5%) responden menyatakan lingkungan kerja kurang baik. 41 (56.9%) responden mengeluh Musculosceletal Disorder sedang, dan 31 responden (43.1%) mengeluh Musculosceletal Disorder berat, dengan nilai p-value 0.000 dan  nilai OR 10.818.Simpulan : Ada hubungan lingkungan kerja dengan kejadian muskuloskeletal disorders pada perawat di Rumah Sakit Umum Daerah Zainal Abidin Pagaralam Way Kanan Tahun 2018. Disarankan kepada manajemen rumah sakit dapat mengurangi keluhan Musculosceletal Disorder dengan cara mempertahankan lingkungan kerja yang baik.
Pengaruh latihan range of motion (ROM) ankle terhadap pencegahan terjadinya neuropati dan angiopati pada klien diabetes melitus Djunizar Djamaludin; Setiawati Setiawati; Rika Yulendasari
Holistik Jurnal Kesehatan Vol 13, No 3 (2019)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (350.605 KB) | DOI: 10.33024/hjk.v13i3.1941

Abstract

The effect of range motion (ROM) ankle exercise on prevention of neuropathy and angiopathy in patient with diabetes mellitusBackground: Based on data from Basic Health Research (2013) conducted by the Indonesian Ministry of Health in a way to obtain the proportion of DM at the age of 15 years and over, confirmed / checked whether or not they suffer from DM or not.It was found that Lampung Province was ranked as the 8th largest DM person from 33 provinces throughout Indonesia, with DM patients with 38,923 lives and 5,560 people. One complication that needs attention is diabetes foot injury and it can cause amputation. The most common cause of diabetes foot injury is peripheral neuropathy which includes damage to sensory, autonomic and motor nerves.Purpose: The purpose of this study was to determine the effect of Range of Motion (ROM) ankle exercise on prevention of neuropathy and angiopathy on diabetes patients.Methods: A quasi experimental pre and post- test with control group study design was employed. The purposive sampling with 26 participants (13 respondents intervention group and 13 respondents control group) were recruited. The interventions groups performed ROM ankle exercise in their own respective training programs for 4 weeks, whereas no training was done in the control group. Both groups intervention and control, before and after the exercise program were measured with monofilament test for neuropathy and Venous Doppler for angiopathy. The data analysis was using t-test.Results: In the intervention group there were a significant improvements after ROM ankle exercise on prevention of neuropathy with p Value 0.000 and for angiopathy with p Value 0.000. There were significant different between intervention group and control group for neuropathy (p: .004) and angiopathy (p: .031).Conclusion: To prevent neuropathy and angiopathy on diabetes patients a home exercise program with Range of Motion (ROM) ankle could be implementedKeywords: Range of Motion; Neuropathy; Angiopathy; Diabetes MellitusPendahuluan: Berdasarkan Riskesdas tahun 2013 oleh Kemenkes RI dengan melakukan wawan cara untuk mendapatkan proporsi DM pada usia 15 tahun keatas yaitu proporsi penduduk yang terdiagnosis menderita DM dan penduduk yang belum pernah didiagnosis menderita DM. Provinsi Lampung menduduki peringkat ke – 8 penyandang DM terbesar dari 33 Provinsi diseluruh Indonesia, 38.923 jiwa dan 5.560 jiwa . Salah satu komplikasi yang harus mendapat perhatian yaitu luka kaki diabetes karena dapat mengakibarkan amputasi. Penyebab terbanyak dari luka kaki diabetes yaitu neuropati perifer yang meliputi kerusakan syaraf sensorik, otonom dan motorik.Tujuan: Diketahui pengaruh Range Of Motion (ROM) Ankle terhadap pencegahan terjadinya Neuropati dan Angiopati pada pasien Diabetes Melitus.Metode: Penelitian ini mengunakan desain quasi eksperimen pre post test dengan kelompok control dan intervensi..Sampel diambil dengan menggunakan tehnik Purposive Sampling dengan jumlah sampel yaitu 26 responden. Instrument penelitian ini  menggunakan 10 gr semmens weinstein monofilament untuk  mendeteksi  Neuropati dan  Venous Doppler  Ultrasound untuk  mendeteksi angiopati. Hasil: Menunjukkan adanya pengaruh latihan Range of Motion (ROM) Ankle terhadap pencegahan neuropati dengan p Value 0.000 dan angiopati dengan p Value 0.000. Terdapat perbedaan bermakna antara kelompok intervensi dan control untuk neuropati (p: .004) dan  angiopati  (p: .031).Simpulan: Untuk mencegah terjadinya neuropati dan angiopati pada penderita DM untuk dapat melakukan latihan Range of Motion (ROM) Ankle  dirumah