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PENGARUH EDUKASI TERSTRUKTUR DENGAN MEDIA VIDEO TERHADAP KEPATUHAN ENAM LANGKAH MENCUCI TANGAN PADA KELUARGA PASIEN RUANG ICU Mayastuti, Ni Ketut; Putra, Putu Wira Kusuma; Laksmi, Ida Ayu Agung
Jurnal Ilmiah Kesehatan Keperawatan Vol 15, No 2 (2019): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.61 KB) | DOI: 10.26753/jikk.v15i2.295

Abstract

Ruang ICU merupakan ruang intensif dengan prinsip bersih, merawat pasien – pasien kritis yang rentan sekali mengalami infeksi nosokomial/HAIs. Salah satu upaya untuk mencegah terjadinya infeksi silang antara pasien ke keluarganya ataupun sebaliknya adalah dengan mencuci tangan. Untuk meningkatkan kepatuhan mencuci tangan, keluarga pasien perlu diberikan edukasi. Penelitian ini bertujun untuk mengetahui pengaruh edukasi terstruktur dengan media video terhadap kepatuhan enam langkah mencuci tangan pada keluarga pasien di ruang ICU RSUD Kabupaten Klungkung. Penelitian ini merupakan penelitian kuantitatif desain Quasi Experimental dengan rancangan Pre tes Post test with Control Group Design. Tehnik sampling yang digunakan yaitu Nonprobability sampling dengan sistem Consecutive sampling, jumlah sampel 32 orang pada keluarga pasien ruang ICU RSUD Kabupaten Klungkung yang terbagi atas 16 orang pada kelompok perlakuan dan 16 orang pada kelompok kontrol. Pengumpulan data dilakukan secara observasi dengan alat ukur ceklist. Analisis data yang digunakan yaitu analisis univariat dan analisis bivariat. Berdasarkan hasil penelitian menunjukkan bahwa ada pengaruh edukasi terstruktur dengan media video terhadap kepatuhan enam langkah mencuci tangan pada keluarga pasien ruang ICU, Pvalue=0,0001 (P<0,05). Manajemen RSUD Kabupaten Klungkung dapat meningkatkan pengetahuan dan kepatuhan enam langkah mencuci tangan pada keluarga pasien dengan memberikan edukasi melalui media video. Kata kunci          : Edukasi, media video, kepatuhan, cuci tangan
PERBEDAAN EFEKTIVITAS POSISI SEMI FOWLER DAN HIGH FOWLER TERHADAP SATURASI OKSIGEN PADA PASIEN ASMA YANG DIBERIKAN NEBULIZER DI RUMAH SAKIT UMUM DAERAH Tjokorda Istri Eka Anggayanthi, Putu Wira Kusuma Putra, Ida Ayu Agung Laksmi
Jurnal Kesehatan Al-Irsyad Vol. 12 No. 2 (2019): Vol. 12, No. 2, September 2019
Publisher : UPT PPM Sekolah Tinggi Ilmu Kesehatan Al Irsyad Al Islamiyyah Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.126 KB) | DOI: 10.36760/jka.v12i2.55

Abstract

Pasien asma yang mendapat terapi nebulizer perlu diperhatikan yaitu penurunan difusi oksigen dalam darah dapat dilihat secara sederhana melalui penurunan saturasi oksigen yang dipantau dengan oksimetri nadi. Upaya mencegah penurunan saturasi oksigen tindakan mandiri perawat yaitu dapat dilakukan dengan cara mengatur posisi seperti semi fowler dan high fowler. Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas posisi semi fowler dan high fowler terhadap saturasi oksigen pada pasien asma yang diberikan nebulizer. Metode penelitian yang digunakan Quasy Experiment dengan rancangan pre-post test with control group design. Hasil penelitian menunjukkan ada perbedaan yang signifikan saturasi oksigen pada pasien asma yang diberikan nebulizer sebelum dan setelah diberikan posisi semi fowler dengan p value < 0,05, ada perbedaan yang signifikan saturasi oksigen pada pasien asma yang diberikan nebulizer sebelum dan setelah diberikan posisi high fowler dengan p value < 0,05 dan ada perbedaan efektivitas posisi semi fowler dan high fowler terhadap saturasi oksigen pada pasien asma yang diberikan nebulizer dengan p value < 0,05. Penelitian ini disimpulkan bahwa posisi high fowler lebih efektif meningkatkan saturasi oksigen pada pasien asma yang diberikan nebulizer dibandingkan posisi semi fowler.
Effectiveness of the Use of Acupressure Wristband at Neiguan Point (P6) Towards Postoperative Nausea Vomiting (PONV) in Orthopedic Surgical Patients Putra, Putu Wira Kusuma; Widiantara, I Kadek Agus; Kusuma, AA Nara
Journal of Holistic Nursing Science Vol 8 No 1 (2021): (JANUARY)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/nursing.v8i1.3814

Abstract

Postoperative nausea and vomiting (PONV) is one of the most common causes of patient discomfort after undergoing surgery. The emergence of PONV allows the emergence of various complications including dehydration, electrolyte imbalance, slowing the wound healing process, the emergence of problems related to nutritional fulfillment to pneumonia aspiration. Pharmacological treatment has been done but it has not been effective and there are side effects of drugs used so that we need a complementary therapy that works synergistically with antiemetic therapy, namely acupressure. This study aimed at determine the effectiveness of the use of acupressure wristband at neiguan point (p6) towards postoperative nausea vomiting (ponv) in orthopedic surgical patients at BIMC Hospital Kuta. The study design was a pre-experimental with non-randomized uncontrolled trial with pretest-posttest without control group design, with a total of 19 research subjects included in the inclusion criteria. The research instrument consisted of two questionnaires namely the patient information form and the RINVR questionnaire (Rhodes Index of Nausea Vomiting and Retching). The results showed that the incidence of PONV before being given an intervention was obtained by 12 people (63.2%) had mild nausea and vomiting 7 people (36, 8%) experience moderate nausea and vomiting. Whereas after being given the intervention obtained as many as 6 people (31.6%) did not experience nausea, vomiting, 12 people (63.2%) experienced mild nausea, and 1 (5.3%) experienced moderate nausea and vomiting. Wilcoxon test results showed there is the effect of the use of acupressure wristband at neiguan point (p6) towards postoperative nausea vomiting (PONV) in orthopedic surgical patients at BIMC Hospital Kuta
HUBUNGAN SELF CARE ACTIVITY DENGAN TINGKAT DEPRESI PADA PASIEN CONGESTIVE HEART FAILURE DI POLIKLINIK JANTUNG RSU FAMILI HUSADA Luh Desy Suandari; Putu Wira Kusuma Putra; A. A. Kompiang Ngurah Darmawan
Jurnal Ilmiah Keperawatan IMELDA Vol. 7 No. 1 (2021): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v7i1.490

Abstract

Depresi merupakan kondisi yang rentan dialami oleh pasien Congestive heart failure, dimana keadaan patologis gagal jantung seperti kerusakan struktur dan fungsi jantung secara tidak langsung mempengaruhi kualitas hidup pasien, serta tingginya angka rehospitalisasi dan mortalitas dapat menyebabkan timbulnya keterbatasan fungsional dan distress psikologis bagi pasien. Penelitian ini bertujuan untuk mengetahui Hubungan Self Care Activity Dengan Tingkat Depresi Pada Pasien CHF. Jenis penelitian ini adalah kuantitatif dengan desain deskriptif korelasional dengan pendekatan cross sectional. Penelitian ini dilakukan di Poliklinik Jantung RSU Famili Husada. Pengambilan sampel dengan menggunakan nonprobability sampling dengan teknik proposive sampling, diperoleh sampel 50 orang. Hasil penelitian menunjukkan dari 50 responden sebagian besar memiliki tingkat depresi sedang yaitu 30 responden (60%). Sedangkan self care activity sebagian besar memiliki self care activity yang cukup yaitu 36 responden (72%). Hasil uji rank spearman test menunjukan nilai p-value 0,000 α = 0,05 yang artinya ada hubungan self care activity dengan tingkat depresi pada pasien CHF di poliklinik Jantung RSU Famili Husada.
PENGALAMAN HIDUP PASIEN TUBERKULOSIS PARU USIA DEWASA DI WILAYAH KERJA PUSKESMAS GEROKGAK I, KABUPATEN BULELENG, PROVINSI BALI Ni Kadek Dwi Ari Lestari; Putu Wira Kusuma Putra; Ida Ayu Agung Laksmi
Jurnal LINK Vol 15, No 2 (2019): NOVEMBER 2019
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.588 KB) | DOI: 10.31983/link.v15i2.4487

Abstract

Tuberkulosis paru adalah penyakit menular seringkali dikaitkan dengan kemiskinan dan umumnya menyerang rentang usia produktif (15-59 tahun). Indonesia termasuk peringkat ke-5 dunia dengan kasus TB paru terutama masalah Multi Drug Resistent (MDR). Tujuan penelitian mengetahui bagaimana pengalaman hidup, makna hidup, hambatan serta harapan hidup penderita TB paru. Penelitian ini penelitian kualititatif fenomenologi, menggunakan desain deskriptif fenomenologi dengan metode wawancara mendalam. Data dikumpulkan melalui rekaman wawancara, catatan dan dokumentasi lapangan dianalisis dengan teknik Creswell empat strategi. Terdapat empat makna hasil penelitian yaitu pengalaman kehidupan penderita TB paru terindikasi buruk, makna hidup penderita TB paru adalah penderitaan, hambatan kehidupan yang dirasakan penderita TB paru berupa hambatan fisik (cepat lelah, nafsu makan menurun, batuk, lemas, dan sesak), hambatan psikologi (rasa bosan dalam mengonsumsi obat TB), hambatan sosial (berkurangnya interaksi sosial) hambatan finansial (tidak bekerja sama sekali dan berdiam diri di tempat tinggalnya), dan harapan kehidupan penderita TB paru menginginkan sembuh dari penyakitnya. Mengingat penyakit TB menyebabkan gangguan fisik, sosial, psikologi, finansial bagi penderitanya, dimana penderita akan merasa menderita, sedih tidak produktif, hidup bosan, maka sangat penting mengintensifkan pola penyuluhan agar masyarakat terhindar dari penyakit TB.
Pengalaman Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di RSD Mangusada: Life Experience of Chronic Kidney Failure Patients who Underwent Hemodialysis in Mangusada Regional Hospital Putu Eva Cahyanti; Putu Wira Kusuma Putra; Gede Arya Bagus Arisudhana
Caring : Jurnal Keperawatan Vol. 10 No. 1 (2021): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (408.096 KB) | DOI: 10.29238/caring.v10i1.626

Abstract

The Indonesian Renal Registry (IRR) notes that in 2015 a total of 30,554 patients who had chronic kidney disease with stage V had to undergo hemodialysis. Hemodialysis in patients with chronic kidney disease is one method to prevent death and extend life expectancy for people with chronic kidney disease. This study aimed to determine life experience of chronic kidney failure patients who underwent hemodialysis. This study used a phenomenological study design with sampling technique used purposive sampling. The results of research conducted can be identified and grouped with several themes, namely 1) early psychological responses diagnosed with chronic kidney failure, 2) physiological changes in the body, 3) family support during hemodialysis, 4) spiritual changes due to hemodialysis. This study can conclude that patients with chronic kidney failure who deny hemodialysis will replace changes in pshychological, physiological, and spiritual. Family support is very important to improve morale during hemodialysis repair. It is hoped that the research can become evidence based on the provision of services and care to patients with chronic kidney failure that underwent hemodialysis.
Pengaruh Pelatihan Pertolongan Pertama Pada Kecelakaan Terhadap Pengetahuan Penanganan Fraktur Pada Anggota PMR Di SMP Negeri 2 Kuta Utara. Putu Sumadi; Ida Agung Ayu Laksmi; Putu Wira Kusuma Putra; Made Ani Suprapta
Jurnal Keperawatan Muhammadiyah Vol 5 No 1 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.653 KB) | DOI: 10.30651/jkm.v5i1.2874

Abstract

HEALTH INSTITUTIONBINA USADA BALI BACHELOR DEGREE OF NURSING PROGRAM Undergraduate thesis, May 2019 PUTU SUMADI The Effects of First Aid Training on Accident on Knowledge of Fracture Management Members of JRC Junior High School II Kuta Utara xviii + 73 + 8 tables + 3 pictures + 1 diagram + 22 appendices  ABSTRACT                          Accidents in adolescence are problems that require serious handling. One result of an accident can cause a fracture, fainting, and death. First aid is a form of temporary relief measures for victims of accidents that are carried out as quickly as possible before getting serious treatment from calm health. One way to increase knowledge in first aid in accidents is by providing training. The purpose of this study was to determine the effect of first aid training on knowledge of fracture management.               This study used a pre-experimental research design with one group pre-post test design. The sample of this study were 48 JRC members who did not understand the knowledge of fracture management, taken by non-probability sampling method with provocative sampling. Data analysis was tested using the Wilcoxon Test to compare the results of the pretest and posttest.               The results of the statistical test obtained p-value 0,0001 p <0.05. Thus it can be concluded that there is an effect of first aid training on the knowledge of fracture management. Based on the results of these studies it is suggested to be able to understand the material and training that has been obtained and can apply it in daily life if it meets victims who need immediate help. Keywords: first aid, knowledge of fracture management. Literatures:  49 (2009-2018)     
PENGARUH PENERAPAN SLOW-STROKE BACK MASSAGE DENGAN VCO (VIRGIN COCONUT OIL) TERHADAP PENURUNAN TEKANAN DARAH DAN NYERI KEPALA PADA LANSIA PENDERITA HIPERTENSI DI BANJAR DUKUH KELURAHAN SERANGAN Rini Puspa Dewi; Putu Wira Kusuma Putra; Anak Agung Ngurah Nara Kusuma
Media Keperawatan:Politeknik Kesehatan Makassar Vol 12, No 2 (2021): MEDIA KEPERAWATAN: POLITEKNIK KESEHATAN MAKASSAR
Publisher : Jurusan Keperawatan Poltekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/jmk.v12i2.2172

Abstract

Headache is a problem that is often felt by patients with hypertension. One of the non-pharmacological therapies that can reduce hypertension and pain is SSBM (Slow Stroke Back Massage) with VCO (Virgin Coconut Oil). This massage can relieve muscle tension, relax the patient and improve circulation. The purpose of this study was to determine the effect of cutaneous stimulation application: slow stroke back massage with VCO (Virgin Coconut Oil) on decreasing blood pressure and headache in elderly patients with hypertension in Banjar Dukuh, Serangan District. The design of this study was a Quasy Experimental Design with a Non Equivalent Control Group design. The sampling technique used was purposive sampling with a sample size of 30 respondents. The research instrument used an observation sheet, VAS (Visual Analogue Scale), SOP (Standard Operating Procedure) and a demographic data questionnaire. The statistical test used was the Wilcoxon Signed Rank Test and the Mann Whitney U Test with the Shapiro Wilk normality test. The results of the Wilcoxon Signed Rank Test showed a probability value of blood pressure (sig) 0.001 (p <0.05) and a probability value of headache (sig) 0.001 (p <0.05). The results of the Mann Whitney U Test obtained a probability value of blood pressure (sig) 0.001 (p <0.05) and a probability value of headache (sig) 0.002 (p <0.05). In conclusion, Ha was accepted, which means that there was an effect of cutaneous stimulation application: slow stroke back massage with VCO (Virgin Coconut Oil) on decreasing blood pressure and headache in elderly patients with hypertension in Banjar Dukuh, Serangan District. Based on the results of this study, it is expected that SSBM therapy with VCO can help to reduce blood pressure and headaches, especially in elderly people with hypertension who choose non-pharmacological treatment.
Selektif Vastus Medial Obliquus Exercise Menurunkan Derajat Nyeri Dan Pencapaian Range Of Motion Pasien Dengan Patellofemoral Pain Syndrome Putu Wira Kusuma putra; I Wayan Ari Antana; Ida Ayu Ageng Laksmi
Jurnal Ilmu dan Teknologi Kesehatan Vol 6 No 2 (2019): Maret 2019
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.199 KB) | DOI: 10.32668/jitek.v6i2.170

Abstract

Patellofemoral Pain Syndrome (PFPS) is pain in the front knee joint due to muscle imbalance especially weakness of the vastus medialis oblique muscle and the stiffness of the hamstrings leads to a patellar position shift to the lateral side (maltracking). Selective VMO exercise is one of conservative therapy to restore VMO muscle strength. The purpose of this study was to determine the effect of Selective Vastus Medial Obliquus Exercise on decreasing the degree of pain and attainment of Range Of Motion patients with PateloFemoral Pain Syndrome. The method of this research used pre experimental design with one group pre-post test design without group control. The number of samples is 13 respondents PFPS who meet the criteria of inclusion and exclusion with purposive sampling. Data were obtained from observation of difference of Visual Analogue Scale (VAS) and ROM (universal goniometer) pain score before (pre-test) and after (post-test) doing exercise therapy. All data were analyzed statistic using Wilcoxon Signed Ranks Test with significance value (p <0,05).. The result of this research shows that there is selective effect of Vastus Medial Obliquus Exercise on the decrease of pain degree with p value = 0.001 (α = 0,05) and attainment of Range Of Motion patient with flexy value p value = 0,039 (α = 0,05) p value = 0.001 (α = 0.05). Decreasing the degree of pain post selective VMO exercise and attainment full ROM showed strengthening of VMO muscle so patella returned to optimal tracking. Suggestion: Measurement of VMO and VL muscle strength can be done with EMG.
Efikasi Diri Berhubungan dengan Kepatuhan Manajemen Diri pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Buleleng III Ni Komang Desi Tri Handayani; Putu Wira Kusuma Putra; Ida Ayu Agung Laksmi
Jurnal Ilmu dan Teknologi Kesehatan Vol 7 No 1 (2019): September 2019
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (580.613 KB) | DOI: 10.32668/jitek.v7i1.194

Abstract

Diabetes mellitus is a group of metabolic diseases with characteristics of hyperglycemia that occur due to abnormal insulin secretion and insulin performance. Prevention of the occurrence of DM complications can be done by obediently doing good self-management behavior. Self-management compliance of good diabetes mellitus can achieve success if individuals have the knowledge, skill, and self-efficacy to manage diabetes mellitus. Self-efficacy determines how a person feels, thinks, motivates himself, and behaves from time to time. This study aimed to determine the correlation between self-efficacy and self-management compliance of diabetes mellitus patients. This study used the Cross-Sectional approach with a number of samples was 139 respondents. The sample selection used nonprobability sampling, especially purposive sampling. Data collection tools used questionnaires. Self-efficacy could be measured using the general self-efficacy questionnaire (GSE) and self-management compliance could be measured using the DSMQ (Diabetes Self-Management Questionnaire). Data analysis used Spearman Rank correlation analysis. The results obtained that p-value 0,0001 (p <0,05), therefore it could be concluded that there was a correlation between self-efficacy and self-management compliance of diabetes mellitus patients. Researchers suggest that health care workers can help patients with diabetes mellitus in improving their self-efficacy by providing motivation and IEC regarding patients’ self-management with diabetes mellitus.