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BAHAYA KETIDAKPATUHAN MENGGUNAKAN APD DI RUMAH SAKIT Fitriyani, Aris; Sukrillah, Ulfah Agus; Walin, Walin
JURNAL KEPERAWATAN MERSI Vol 4, No 2 (2013): Oktober 2013
Publisher : Prodi Keperawatan Purwokerto

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Abstract

Background. Various studies have shown the prevalence of problem occurring among employees of officers of healtfacilities is quite high. Workplace hazards both physical, biological, or chemical needs to be controlled in such a way so as to create a healty working environment, safe and safety. Various control measures can be taken to deal with workplace hazard, but technically control the hazard it self and is considered the most effective, while the use of personal protective equipment is the last option.Method. The study design is a map analysis research. Respondents used is from the results of several studies related to the used of APD in some hospitals.This sample taken from the nurse-patient department in the room both indoors are at risk for such diseases transmitted diseases in the wards and in the intensive care ward such as ICU. Research tool used is the result of research from various studies conducted by analyzing.Result. Result of research in the Banyumas hospital showed that the level of compliance in the use of APD pers that already exist in the form of ward Bougenville and Cempaka action suit, mask and gloves.100% of the interview informants acquainted with APD, traditions, beliefs and value systems adopted in compliance with APD use shows 90% of informants gave a positive response, while 10% of informants have a bad habit of regular informants must commence. The results Chrysmadani (2011) showed that most of the 14 people (58%) felt the availability of equipment in the hospital Graha Husada Gresik and none of the nurses who feel the availability of a tool is still lacking. Medium Spearman rank test statistic, obtained significance value p = 0.002 which is smaller than 0.05, so there is a connection with the limited means adherence nurses in hospitals Graha Husada GresikConclusion. Based on the analysis of the research map can be concluded that the hospital has had an opportunity to cultivate safety 2.9 times more adherent to run universal precautions including APD usage behavior on nurse. Nurses who are obedient to the use of APD to be healthy and fit in the general workup check up, so avoid nosocomial infections. Instead caregivers who do not adhere to the use of APD will result in opportunities for nosocomial infections such as tuberculosis minimal contact with the suspect and SGOT and SGPT increased revenue to the risk of developing hepatitis in less compliant caregivers on the use of APD.
HOME BASED CARE BY PROVIDING PREVENTION OF MOTHER- TO-CHILD TRANSMISSION (PMTCT) HANDBOOK ON WOMEN’S PERCEPTION OF HIV/AIDS PREVENTION IN MOTHER TO CHILD IN PURWOKERTO Walin, Walin; Sulistyowati, Dina Indrati Dyah; Mardiyono, Mardiyono; Ratifah, Ratifah
Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Previous research, surveillance, and epidemic data of HIV/AIDS in Indonesia show the number of women and infants infected HIV/AIDS increases. Pregnant women with HIV/AIDS may transmit to their child. This is known as mother to child transmission (MTCT). Women with HIV/AIDS face several problems, such as physical, psychological, cognitive, social, cultural, and spiritual problems. Previous literatures, home based on care is a family approach to care for women with HIV/AIDS and handbook of preventive MTCT helps women improve their perception of HIV/AIDS prevention in mother to child. Aims: The research aimed to evaluate women’s perception of HIV/AIDS prevention in mother to child in Banyumas District in intervention and control group. Methods: The research was a two group pre-post quasi-experimental design. The research was conducted in Margono Soekarjo hospital and “Mandiri” shelter of HIV/AIDS in Purwokerto. The samples were recruited by purposive sampling method. The number of samples were 30 subjects; 15 subjects in intervention group in the shelter and 15 subjects in control group in the hospital. Home Based Care with PMTCT handbook was applied for a month with twice visit. Data were collected with Questionnaires of Perception of HIV/AIDS prevention in mother to child at pre and post intervention. Data were analyzed by paired and independent t-test. Results: The findings show that the scores of perception of HIV/AIDS prevention in mother to child within intervention increased significantly (p<0,00). There were significant differences of perception scores of HIV/AIDS prevention in mother to child between intervention and control group (p<0,00). The Home Based Care with PMTCT handbook could improve women’s perception of HIV/AIDS prevention in mother to child. Conclusion: The Home Based Care with PMTCT handbook can be implemented in home care or public health center and women with HIV/AIDS can follow the handbook to prevent infection from mother to child. 
The Effect of Disposable Water (Diaper) Usage Toward Toilet Training Behavior In Pre-School Children Munjiati, Munjiati; Fitriyani, Aris; Walin, Walin
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i2.7242

Abstract

Diaper is an option for most mothers because they are practical for the parents and make babies sleep better. Children who wear diapers often show late toileting development since they cannot feel a sense of damp when urinating. This study aimed to know the use of baby diapers on toilet training behavior of pre-school children in Early Childhood Education Programs (PAUD) and Kindergarten at Mersi village, Purwokerto. This was a non-experimental quantitative study with cross-sectional study design. The population was 217 children with history of diaper usage. The samples were 68 respondents who met the inclusion criteria. The data was analyzed using Chi Square. This research has already been conducted in 2013. The results showed that 85.4% respondents wore diapers, whereas 14.6% did not. 12.5% respondents had good toilet training behavior, 78% had sufficient behavior 78%, and 9.5% were lacking. There was a significant difference between history of diapers usage and toilet training behavior among pre-school children in Early Childhood Education Programs (PAUD) and Kindergarten at Mersi village (p=0,04). It can be concluded that there was a significant difference between the usage of baby diapers and toilet training behaviors in pre-school children.
Acute respiratory distress syndrome after traumatic brain injury in Purwokerto-Indonesia Munjiati Munjiati; Walin Walin; Herry Herry; Ferry Ferry
Malahayati International Journal of Nursing and Health Science Vol 2, No 2 (2019)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.661 KB) | DOI: 10.33024/minh.v2i2.2112

Abstract

Background: Traumatic brain injury  was most source morbidity and mortality at patient by real trauma. Traumatic brain injury  case who dead before to the hospital was caused by shock, hypoxemia and hypercapnia. So needed basic of knowledge and ability to take care of patient of breath disease.Purpose: To explore the factors that influence respiratory distress on traumatic brain injury  at Prof. Dr. Margono Soekarjo hospital in Purwokerto, IndonesiaMethods: The kind of this research was correlation with using cross sectional approach. The population of this research was all patients with traumatic brain injury  in the emergency ward Prof. Dr. Margono Soekarjo hospital Purwokerto on November-Desember 2017. The sample take as 19 person. The analyzed used was Coefficient Contingency Test.Results: The result of this research shows that patient with traumatic brain injury had respiratory distress (57.9%) higher following by phlegm’s accumulation (52,6%) also had the decrease of consciousness (47,4%). There was real influence as statistic between phlegm’s accumulation and respiratory distress on traumatic brain injury (p=0.040). There was as statistically significant between the decrease of consciousness and respiratory distress on traumatic brain injury (p=0,009).Conclusion: It can be concluded that there was a statistically significant influence between decreased awareness of respiratory distress on traumatic brain injury (p=0.0009)
Pengaruh Teknik Relaksasi Front Effleurage terhadap Nyeri Dismenore Hartati Hartati; Walin Walin; Esti Dwi Widayanti
Jurnal Riset Kesehatan Vol 4, No 3 (2015): September 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.683 KB) | DOI: 10.31983/jrk.v4i3.362

Abstract

The aim of this research is to determine the effect of relaxation techniques Front Effleurage in reducing pain level of dysmenorrheal. The research design was quasi experimental with pre-post test control group design. The number of sample was 42 and selected by Simple Random Sampling method. The samples were divided into two groups each group of 21 respondents for treatment and control groups. Data were analyzed by paired and independent t-test. The result showed that there was significant difference of pain level between treatment and the control groups with p=0.000 lower than α = 0.005. In conclusion, it can be drawn that Front effleurage method can reduce pain intensity of dysmenorrhea.
Peran Esensial Keluarga Penderita Hipertensi Ulfah Agus Sukrillah; Herry Prasetyo; Walin Walin
JURNAL KEPERAWATAN MERSI Vol 10, No 2: Oktober 2021
Publisher : Prodi Keperawatan Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v10i2.8143

Abstract

Background: Hypertension disease still  occupies the    largest  proportion  of  infectious  diseases carried out  as much   as  64.83%  while  the  second  most  is  diabetes  mellitus  by  19.2%. Both  diseases  are the top priorities  for  non-communicable  disease    control in Indonesia and the  world. Please be  aware that  the family  relationship of the closest  person  such as  family  is a good  support  for  people with  any  disease  as  well as hypertension disease.Methods:  The subject of the study  is people with  hypertension. Type of  journal that is original article  instead  of  review  of research  theme of family  support  journal  content  in  people with  hypertension Type of  research  that is  quantitative data collection of article selection  process is determined  in accordance  with  inclusion criteria.  The  data  collection process uses  the extraction method.The Result:  the prevalence of hypertension  that  occurs more  in  women  after the age  of  45 to 55  years  is  due to the production of estrogen hormones  that  gradually  decrease  naturally    with  age. The level of  education  of respondents  is known to be mostly    basic education.Conclusion:  firstly the characteristics of the elderly  mostly    have  the age of the elderly  category  have a female  gender  and  have a  basic education.  The  second  one treats  patients   modifying the   environment  and  utilizing  health  facilities  positive  effects  of  family  support  for  people with  hypertension.
Supplementary Feeding Treatment toward Tuberculosis Patients in The Community Walin Walin; Herry Prasetyo; Ulfah Agus Sukrillah
JURNAL KEPERAWATAN MERSI Vol 9, No 1: April 2020
Publisher : Prodi Keperawatan Purwokerto

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Abstract

Tuberculosis patients, who are taking anti-tuberculosis drugs, often have problems in the gastrointestinal system such as anorexia, nausea and vomiting. So, they will tend to have problems with poor nutritional status and weight loss. This research aims to identify supplementary feeding treatment toward body weight gain of tuberculosis patients in the community. The research method uses quasi experimental with pre-post test with non-equivalent control group design. The population was tuberculosis patients who participated in tuberculosis treatment program in the Banyumas Community Health Center. The sample was 46 tuberculosis patients both male and female with aged 15-65 years, joint with the DOTS program and were taking anti tuberculosis drugs. The treatment provided were providing supplementary nutrition and assisting to take tuberculosis drugs. Research data collection was obtained through questionnaire. The results showed there was a significant difference in the level of weight gain between the intervention and control group. The mean pretest body weight in the intervention group was 48,43 and the post-test was 52,62 with p value = 0,000. On the other hand, there was no significant difference body weight in control group, whereas pre-test was 48,65 and post-test was 48,61 with p value = 0,933. Therefore, the supplementary feeding must be given for tuberculosis patients in the community as supportive therapy to maintain their quality of life.  
Effectiveness of High Potassium Diet And Low Sodium on Reducing Blood Pressure in Health Center Of Sokaraja II Wahyudi Wahyudi; Ani Kuswati; Walin Walin
Jurnal LINK Vol 10, No 1 (2014): Januari 2014
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.509 KB) | DOI: 10.31983/link.v10i1.277

Abstract

The purpose of the research is to evaluate the effectiveness of high potassium diet and low sodium diet in reducing blood pressure for patients with hypertension. It is a quasi-experimental research with two group pre - post design, the research is conducted in health center of Sokaraja II, Banyumas. A simple random sampling is applied. We divide 28 subjects into 2 categories: 14 subject apply topotasium diet and 14 subject apply sodium diet. The intervension of high potasium diet is by giving the subject 2 Ambon bananas each day for a week. While the low natrium diet is done by giving a tea spoon of salt eaeh day for a week. The results shows that there was no difference between systolic and diastolic blood pressure before and after administration of a high potassium diet, which is the systolic (p value = 0.13) and diastolic (p value = 0.24), low-sodium diet cannot reduce blood pressure significantly (p value = 0.12). However, the diastolic blood pressure is significantly different (p value = 0.001). So, Low sodium diet is more effective in reducing blood pressure in hypertensive patients, especially in diastolic blood pressure compared to a high potassium diet.
LATIHAN SENAM KEGEL DENGAN PENURUNAN INKONTINENSIA URIN PADA LANSIA DI POSYANDU LANSIA WIRASANA PURBALINGGA Subandiyo Subandiyo; Esti Dwi Widayanti; Sugeng Riyadi; Walin Walin
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 5, No 3 (2022): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v5i3.1050-1057

Abstract

Masalah yang biasanya terjadi pada lansia adalah inkontinensia urin dan merupakan masalah yang sering dialami oleh lansia. Di Indonesia jumlah penderita inkontinensia urin sangat signifikan. Pada tahun 2008 sekitar 18%  yang terdapat di RS Cipto Mangunkusumo Jakarta.  Dari data di Indonesia angka kejadian inkontinensia urin juga penangananya masih kurang , hal ini disebabkan karena masyarakat belum tahu tempat yang tepat untuk berobat disertai kurangnya pemahaman tentang inkontinensia urin (Kemenkes, 2012).         Berbagai terapi yang diberikan dan salah satunya terapi guna mereduksi adanya inkontinensia pada  urin adalah melalui latihan senam kegel. Senam kegel  ini, dapat menurunkan tingkat frekuensi berkemih dan dengan cepat membangun kembali kekuatan otot-otot dasar panggul. Tujuan Pengabdian Masyarakat : untuk mengetahui penurunan inkontinensia urin pada lansia. Metode pengabdian masyarakat : pada pengabdian masyarakat ini dengan menggunakan pendampingan untuk melakukan latihan Kegel baik kelompok maupun individu . Evaluasi dilaksanakan setelah pendampingan adalah sebagai berikut.Pelaksanaan pengabdian masyarakat ini diikuti sebanyak 24 peserta, kategori menurut umur sebagian besar berusia antara 50 sampai dengan 64 tahun (74%), dengan jenis kelamin perempuan   62% serta 38 % laki-laki, untuk peserta sebagian besar masi tinggal bersama pasanganya dan keluarga (anak, menantu) sebanyak 90%. Praktek dalam melakukan senam kegel secara bersama pada awal pertemuan masih susah untuk menemukan otot dasar panggul, pada hari dan minggu berikutnya dilakukan kunjungan untuk monitor latihan senam kegel di rumah secara mandiri ada yang dalam frekuensi latihan masih kadang-kadang lupa, untuk prakteknya semakin hari semakin baik untuk menemukan otot dasar panggul dan bisa melaksanakan sendiri, ini dibuktikan saat selesai senam kegel tidak merasakan sakit daerah abdomen. Hasil evaluasi catatan berkemih peserta didapatkan berkemih mampu di toilet sebesar 66%, berkemih dengan tanpa disadari dalam jumlah sedikit 26%, berkemih tanpa disadari dalam jumlah banyak 8%.
HOME BASED CARE BY PROVIDING PREVENTION OF MOTHER- TO-CHILD TRANSMISSION (PMTCT) HANDBOOK ON WOMEN’S PERCEPTION OF HIV/AIDS PREVENTION IN MOTHER TO CHILD IN PURWOKERTO Walin Walin; Dina Indrati Dyah Sulistyowati; Mardiyono Mardiyono; Ratifah Ratifah
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Previous research, surveillance, and epidemic data of HIV/AIDS in Indonesia show the number of women and infants infected HIV/AIDS increases. Pregnant women with HIV/AIDS may transmit to their child. This is known as mother to child transmission (MTCT). Women with HIV/AIDS face several problems, such as physical, psychological, cognitive, social, cultural, and spiritual problems. Previous literatures, home based on care is a family approach to care for women with HIV/AIDS and handbook of preventive MTCT helps women improve their perception of HIV/AIDS prevention in mother to child. Aims: The research aimed to evaluate women’s perception of HIV/AIDS prevention in mother to child in Banyumas District in intervention and control group. Methods: The research was a two group pre-post quasi-experimental design. The research was conducted in Margono Soekarjo hospital and “Mandiri” shelter of HIV/AIDS in Purwokerto. The samples were recruited by purposive sampling method. The number of samples were 30 subjects; 15 subjects in intervention group in the shelter and 15 subjects in control group in the hospital. Home Based Care with PMTCT handbook was applied for a month with twice visit. Data were collected with Questionnaires of Perception of HIV/AIDS prevention in mother to child at pre and post intervention. Data were analyzed by paired and independent t-test. Results: The findings show that the scores of perception of HIV/AIDS prevention in mother to child within intervention increased significantly (p<0,00). There were significant differences of perception scores of HIV/AIDS prevention in mother to child between intervention and control group (p<0,00). The Home Based Care with PMTCT handbook could improve women’s perception of HIV/AIDS prevention in mother to child. Conclusion: The Home Based Care with PMTCT handbook can be implemented in home care or public health center and women with HIV/AIDS can follow the handbook to prevent infection from mother to child.