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Kecemasan Pasien dengan Penyakit Jantung Koroner Paska Percutaneous Coronary Intervention Hastuti, Yuni Dwi; Mulyani, Evi Dwi
Jurnal Perawat Indonesia Vol. 3 No. 3 (2019): November 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Percutaneous Coronary Intervention (PCI) adalah salah satu perawatan untuk penyakit arteri koroner selain penatalaksanaan obat dan tindakan Coronary Artery Bypass Graft (CABG). PCI secara signifikan mengurangi gejala PJK, mengurangi angka kematian, dan meningkatkan kualitas hidup, tetapi beberapa pasien dapat mengalami kecemasan setelah PCI karena beberapa faktor. Tujuan dari penelitian ini adalah untuk mengidentifikasi kecemasan dan faktor-faktor terkait demografi. Penelitian ini merupakan penelitian deskriptif dengan teknik total sampling. Total sampel adalah 80 responden. Data dikumpulkan menggunakan Depression, Anxiety, and Stress Scale (DASS), kemudian dianalisis dengan analisis univariat. Hasil penelitian menunjukkan bahwa 78,8% responden adalah laki-laki, 52,5% berusia 56-65 tahun, 52,5% bekerja, 93,8% menikah, 42,5% berpendidikan sekolah menengah, 71,2% berpenghasilan 1,1-3 juta, 83,8% tidak pernah menjalani PCI dan 72,5% responden berada dalam tingkat kecemasan sedang. Oleh karena itu diperlukan tindakan yang tepat untuk mengurangi kecemasan pasien yang menjalani PCI seperti berbagi pengalaman, pendekatan perilaku kognitif,, teknik napas lambat, distraksi, hipnosis, serta adanya tim psikiatri yang terlibat dalam tim perawatan pasien yang menjalani PCI Kata kunci: Penyakit jantung koroner, kecemasan, PCI Abstract Anxiety of Patients With Coronary Artery Disease (CAD) After Percutaneous Coronary Intervention (PCI). Percutaneous Coronary Intervention (PCI) is one of the treatments for coronary artery disease other than drug treatment and coronary artery bypass grafting surgery. PCI significantly decreases the symptoms of CHD, reduces mortality, and improves quality of life but some patients may experience anxiety after PCI because of several factors. The purpose of the research was to identify the anxiety and the demographic related factors. The research was a descriptive study with total sampling technique. Total sample were 80 respondents. Data collected using Depression, Anxiety, and Stress Scale (DASS), then analized by univariate analysis. The result showed that 78.8% of respondents were male, 52.5% aged 56-65 years, 52.5% were working, 93.8% were married, 42.5% have a high school education, 71.2% earn 1.1-3 million, 83.8% have never undergone PCI and 72.5% respondents were in moderate anxiety level. Therefore we need the right action to deal with the anxiety of patients undergoing PCI such as sharing experience, cognitive behavioral approaches, slow breathing techniques, distraction, hypnosis, and the presence of a psychiatric team involved in the care team of patients undergoing PCI Keywords: Coronary artery disease, anxiety, PCI

Tingkat Hiperemesis Gravidarum pada Ibu Hamil Trimester I di Kabupaten Kendal Arisdiani, Triana; hastuti, Yuni Dwi
Jurnal Kebidanan Malakbi Vol 1 No 2 (2020): Agustus 2020
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v1i2.300

Hyperemesis gravidarum is excessive or uncontrollable vomiting during pregnancy, which causes dehydration, electrolyte imbalance, or nutritional deficiencies. If this situation gets worse and cannot be overcome, it will endanger the mother and the fetus. The purpose of this study was to determine the description of the hyperemesis gravidarum of pregnant women in the first trimester in Kendal Regency. Descriptive research design using a non-probability sampling design with a total sample of 54 pregnant women with gestational age 0-12 weeks who conducted pregnancy checks at the Polindes, Nolokerto Village, Kaliwungu District, Kendal Regency. The research instrument used a Check List. Data analysis using percentage. The results showed that almost all respondents (92.6%) had mild hyperemesis gravidarum, and a small proportion (7.4%) of respondents had moderate hyperemesis. It can be concluded that most of the trimester 1 pregnant women have hyperemesis gravidarum. It is recommended that pregnant women and their families actively seek information regarding the handling of hyperemesis gravidarum.

Kelelahan pada Pasien Congestive Heart Failure Setianingsih, Mauludina Putri; Hastuti, Yuni Dwi
Holistic Nursing and Health Science Vol. 5, No. 2 (2022): 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.5.2.2022.178-187

Introduction: Fatigue is a characteristic symptom and is often found in CHF patients and has a negative effect on daily activities, disease prognosis, and patient's quality of life. However, fatigue is a common symptom that is often overlooked and ignored. Limited study explored fatigue in CHF patients. The aim of this study was to explore fatigue in CHF patients. Methods: The research design is a descriptive survey. The total research sample is 85 respondents. Data were taken using a Multidimensional Assessment Fatigue (MAF) questionnaire with univariate data analysis in the form of a frequency distribution. Respondents involved in the study were patients aged >18 years who suffered from CHF based on a doctor's diagnosis and confirmed by medical records. Results: The majority of respondents are elderly with female gender, work as household workers, and heve income less than Rp1,500,000/month. Examination of vital signs performed on the majority of CHF patients showed normal temperature (36.5℃ - 37.5℃), pre-hypertensive blood pressure (120/80 - 139/89 mmHg), normal pulse (60-100x/min), and normal respiratory rate (12-20x/minute). Most patients have a CHF duration of 1–3 years, and are in grades 2 and 3 based on the New York Association (NYHA) classification. The results of this study were 65.9% of CHF patients experienced moderate fatigue, 17.6% severe fatigue, and 16.5% mild fatigue. Conclusion: Health services can consider efforts to improve the quality of nursing services in overcoming or minimizing fatigue experienced by CHF patients. These efforts can be a therapy, evidence-based health education, or fatigue monitoring for preventing a worsening of disease prognosis and improving the patient's quality of life. Keywords: CHF, Fatigue, Multidimensional Assesment Fatigue.

The Effect of Early Mobilization on Functional Status of Stroke Patients: A Literature Review Mustikaningrum, Retno Endarwati; Handayani, Fitria; Hastuti, Yuni Dwi; Latumanuwij, Romy; Fieten, Marloes
Holistic Nursing and Health Science Vol 6, No 1 (2023): 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.6.1.2023.46-60

Stroke impact to the altering functional status. Early mobilization is one of stroke care components that can minimize impact due to altering functional status such as weakness and paralysis in stroke patients. The review of early mobilization was proved increasing the functional status among critical illness patients. Limited review regarding the effect of early mobilization on changes in the level of functional status of stroke patients The aim the study was to determine the effect of early mobilization at the level of functional status of stroke patients. This research used the literature review with the MeSH search tool. The keywords and syntax included "stroke", "early mobilization", and "functional status". Articles found with keywords early mobilization; functional status; stroke retrieve 12,114 articles, namely 2069 articles from Proquest, 4774 articles from Pubmed, 35 articles from Scopus, and 5236 articles from ScienceDirect which were filtered based on the specified criteria and obtained 10 articles for review published in the period 2011-2021, with patient research samples strokes. The effect of early mobilization mostly showedan increasing degree of functional status level among stroke patients. It is recommended to provide early mobilization among stroke patient. Future research should conduct a meta-analysis in analysing effect of early mobilisation among stroke patients.

Gambaran Perilaku Self-Care Pasien PPOK di Balai Kesehatan Masyarakat Kurnianti, Nur Annisa; Hastuti, Yuni Dwi
Holistic Nursing and Health Science Vol 7, No 2 (2024): 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.7.2.2024.%p

Pendahuluan: PPOK merupakan penyakit kronis yang memerlukan perawatan diri (self-care) untuk meningkatkan derajat kesehatan pasien. Self-care pada pasien PPOK yang dirawat dirumah sakit dengan derajat berat dan sangat berat mayoritas tidak memadai sebesar 85,4%. Sementara, kepatuhan pengobatan pasien PPOK di rumah sakit dengan usia lebih dari 40 tahun paling banyak pada tingkat sedang sebesar 55,4%. Pasien PPOK di Balai Kesehatan Masyarakat memiliki rentang usia dan derajat PPOK yang beragam. Mereka menyatakan telah melakukan beberapa bentuk perilaku self-care, tetapi belum pernah melakukan manajemen dispnea dengan teknis pengaturan pernapasan. Penelitian ini mengidentifikasi perilaku self-care pasien PPOK di Balai Kesehatan Masyarakat.Metode: Penelitian ini adalah studi kuantitatif dengan metode deskriptif survei. Teknik sampel menggunakan purposive sampling dengan sampel sebanyak 81 penderita PPOK di Balai Kesehatan Masyarakat. Penilaian perilaku self-care menggunakan kuesioner COPD self-care questionnaire (COPDSC-C). Kuesioner mencakup 8 domain kegiatan perilaku self-care. Skor total dikategorikan menggunakan Cut of Point mean karena data berdistribusi normal. Data menggunakan analisis univariat dalam bentuk distribusi frekuensi.Hasil: Hasil penelitian menunjukkan bahwa pasien PPOK lebih banyak yang memiliki perilaku self-care memadai (54,3%) daripada yang tidak memadai (45,7%). Sebagian besar pasien selalu minum obat untuk penyakit sesuai dengan anjuran dokter, sering meningkatkan asupan makanan bergizi seperti daging, telur, susu, ikan, dan ayam, tidak merokok, sering mempertahankan keseimbangan antara menghabiskan waktu sendirian dan menghabiskan waktu bersama orang lain, kadang-kadang beristirahat dengan cukup baik siang maupun malam. Namun, kadang-kadang tetap berada di tempat dimana ada orang yang demam, tidak pernah menjauhi orang atau sesuatu yang mengganggu jika sedang sesak napas dan tidak pernah melakukan manajemen dispnea dengan cara duduk dengan posisi condong ke depan kalau sesak napas.Kesimpulan: Pasien memiliki lebih banyak perilaku self-care memadai daripada perilaku self-care yang tidak memadai dengan persentase yang tidak jauh berbeda. Manajemen dispnea menjadi domain yang paling banyak belum dilakukan oleh pasien. Petugas kesehatan perlu mengajarkan manajemen dispnea kepada pasien untuk mengoptimalkan self-care pasien PPOK.

Tingkat Hiperemesis Gravidarum pada Ibu Hamil Trimester I di Kabupaten Kendal Arisdiani, Triana; hastuti, Yuni Dwi
Jurnal Kebidanan Malakbi Vol 1 No 2 (2020): Agustus 2020
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Hyperemesis gravidarum is excessive or uncontrollable vomiting during pregnancy, which causes dehydration, electrolyte imbalance, or nutritional deficiencies. If this situation gets worse and cannot be overcome, it will endanger the mother and the fetus. The purpose of this study was to determine the description of the hyperemesis gravidarum of pregnant women in the first trimester in Kendal Regency. Descriptive research design using a non-probability sampling design with a total sample of 54 pregnant women with gestational age 0-12 weeks who conducted pregnancy checks at the Polindes, Nolokerto Village, Kaliwungu District, Kendal Regency. The research instrument used a Check List. Data analysis using percentage. The results showed that almost all respondents (92.6%) had mild hyperemesis gravidarum, and a small proportion (7.4%) of respondents had moderate hyperemesis. It can be concluded that most of the trimester 1 pregnant women have hyperemesis gravidarum. It is recommended that pregnant women and their families actively seek information regarding the handling of hyperemesis gravidarum.

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