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Asuhan Keperawatan pada Pasien Total AV Blok Terpasang Pacu Jantung Sementara melalui Pendekatan Teori Virginia Henderson di Ruang Perawatan Intermediate Osty Histry Kapahang; Tuti Herawati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 2 (2022): April 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i2.1954

Abstract

A temporary pacemaker (TPM) is used in an emergency situation, when the patient has severe bradycardia, either transcutaneously or intravenously. Patients who are installed with TPM (total care, require the role of nurses as helpers, substitutes, partners in decision making in PPM, so that their needs are met). This study applies the scientific methodology of nursing. Nurses are expected to understand and practice the use of Virginia Henderson's nursing theory in providing nursing care, in order to be able to provide comprehensive care and focus on the risk of decreased cardiac output by applying bed rest and measuring pacemaker threshold as the main intervention in patients with Total AV Block with TPM installed.Keywords: nursing care; total AV block; temporary pacemaker; Virginia Henderson ABSTRAK Temporary pacemaker (TPM) digunakan pada keadaan gawat darurat, ketika pasien mengalami bradikardia berat, baik secara transkutan maupun transvena. Pasien yang terpasang TPM (total care, membutuhkan peran perawat dalam helper, substitute, partner dalam pengambilan keputusan dalam PPM, sehingga kebutuhan terpenuhi). Studi ini menerapkan metodologi ilmiah keperawatan. Perawat diharapkan dapat memahami dan mempraktikkan penggunaan teori keperawatan Virginia Henderson dalam memberikan asuhan keperawatan, agar mampu memberikan asuhan yang komprehensif dan berfokus pada risiko penurunan curah jantung dengan menerapkan tirah baring dan pengukuran ambang pacu sebagai intervensi utama pada pasien dengan Total AV Blok yang terpasang TPM.Kata kunci: asuhan keperawatan; total AV blok; temporary pacemaker; Virginia Henderson
EFEKTIFITAS APLIKASI SMARTPHONE DALAM UPAYA PENINGKATAN RESUSITASI JANTUNG PARU Wilson Simangunsong; Tuti Herawati
Jurnal Inovasi Penelitian Vol 2 No 7: Desember 2021
Publisher : Sekolah Tinggi Pariwisata Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47492/jip.v2i7.1065

Abstract

Henti jantung merupakan penyebab kematian paling umum di masyarakat saat ini, baik di negara maju maupun berkembang. Resusitasi Jantung Paru (RJP) adalah tindakan darurat yang diambil untuk memulihkan pernapasan dan henti jantung serta mencegah kematian. Hingga saat ini, CPR merupakan salah satu langkah penting dalam pertolongan pertama pada henti jantung serta henti napas dan jantung akibat trauma. Tindakan CPR harus dilaksanakan dengan cepat dan efektif, sehingga diperlukan tindakan cepat dalam penyelamatan. Penelitian ini merupakan studi kepustakaan dengan menggunakan 7 artikel yang dipublikasikan dan peer-reviewed. Artikel yang melakukan review diperoleh melalui jurnal berbasis data yaitu PubMed dengan kata kunci health education, basic life support, dan Google Scholar, dengan kata kunci Smartphone and Cardiac Resuscitation, cardiac arrest. Pencarian terbatas pada 2015-2020, yang dapat diakses secara gratis-teks lengkap. Artikel tersebut kemudian menjalani proses identifikasi, penyaringan, kelayakan, dan penyertaan artikel. Hasilnya smartphone efektif dalam meningkatkan resusitasi jantung paru.
Nyeri Lutut Berpengaruh terhadap Kemampuan Fungsi Fisik Pasien dengan Osteoarthritis Lutut Sahrudi Sahrudi; Riri Maria; Tuti Herawati
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 (556.572 KB) | DOI: 10.32668/jitek.v7i1.215

Abstract

Osteoarthritis (OA) of the knee can cause a decrease in the ability of physical function that involves movement of the knee joint during the activity. The purpose of this study was to analyze the factors that affect the physical function ability of patients with knee OA. This is a cross sectional study with 96 samples. Bivariate analysis showed gender factor (p = 0,029) and knee pain (p = 0,011) correlated significantly with ability of physical function of knee OA patients, while age factor (P = 0.616), motivation (p = 0.074), body mass index (p = 0.833), knowledge (p = 0.642), and disease comorbidity (p = 0.604) was not related to the physical function ability of knee OA patients. Multivariate analysis showed that knee pain was the most influential factor (dominant) affect the ability of physical function of knee OA patients (p = 0,035; β = 0,217). The furthher research recommendation is to know the characteristics of respondents who are more heterogeneous to the ability of physical function.
Exploration Factors Influencing Self-Efficacy in Patients with Heart Disease: A Literature Review Aris Purnomo; Tuti Herawati; Sri Yoona
NurseLine Journal Vol 5 No 2 (2020): November 2020
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i2.17005

Abstract

Heart disease is the top cause of death worldwide. Self-efficacy is one of the fundamental factors contributing to self-management programs among patients with heart disease. Cardiac patients with good self-efficacy will participate in disease management, improve health status, better self-care behavior, and a higher level of quality of life. Factors affecting self-efficacy need to be identified for stratified plan intervention strategies; therefore, the goal will achieve significantly. The Purpose of this study to identify factors that influence self-efficacy in patients with heart disease. Literature research from 2013-2019, obtained from the five largest databases consist of Pubmed, Google Scholar, CINAHL, Medline and PsycINFO by using keywords "Self Efficacy," "Cardiovascular Disease," "Heart Disease," and "Self Efficacy and Cardiovascular Disease "and Self Efficacy and Heart Disease". Five articles were further analyzed, and ten factors affecting self-efficacy are: 1) Age, 2) Income, 3) Social-economy, 4) Body mass index, 5) Experience on health education, 6) Risk factors awareness, 7) Social support, 8) Depressive symptoms, 9) Adherence and 10) Physical activity. The influence factors of self-efficacy, including demographic characteristics, clinical status, health education, awareness of risk factors, and psychosocial.
Faktor-Faktor Yang Berhubungan Dengan Status Fungsional Dan Kesehatan Mental Post Covid-19 Edian Fitriana; Dewi Gayatri; Muhammad Adam; Tuti Herawati
Journal of Health Science and Prevention Vol. 6 No. 1 (2022): JHSP Vol 6 No 1 - 2022
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v6i1.722

Abstract

The new coronavirus disease 2019 (Covid-19) has been declared a pandemic by WHO. The transmission of Covid-19 is robust and the infection rate is fast. This systematic review aims to analyze and review the currently published literature related to factors associated with functional status and mental health in post-Covid-19 patients. The method used is by searched the relevant databases and assessed research articles that met the inclusion and exclusion criteria. After an initial screening of articles identified by the title and abstract, 167 were selected. Furthermore, 52 full-text articles were assessed and reviewed against our inclusion criteria and thus 16 articles were deemed eligible and analyzed in this analysis. All studies included an adult population between 18 and 95 years. The median length of hospitalization for Covid-19 patients ranged from 12 days to 21 days.  The most common long-term symptoms in Covid-19 patients include: shortness of breath, fatigue, decreased physical function, insomnia, impaired cognitive function, depression, and anxiety. Factors that influence it besides demographics also include the length of hospitalization, The severity of illness, and the presence of comorbidities. Therefore, having the right support and treatment with the proper management strategy can help restore and improve their health after being discharged from the hospital
Veno-Venous Extracorporeal Membrane Oxygenation terhadap Pemulihan Pasien COVID-19 Disertai Acute Respiratory Distress Syndrome Yuniyas Ihsanidar; Tuti Herawati
Jurnal Kesmas Asclepius Vol 3 No 2 (2021): Jurnal Kesmas Asclepius
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jka.v3i2.3051

Abstract

This study aims to determine the effectiveness of veno-venous Extracorporeal Membrane Oxygenation on the recovery of COVID-19 patients with Acute Respiratory Distress Syndrome and the factors that support its point. The method used in this research is a literature search from several online databases. The results showed that from the ten articles reviewed, the effectiveness of veno-venous Extracorporeal Membrane Oxygenation on the recovery of COVID-19 patients with Acute Respiratory Distress Syndrome was supported by the workings of veno-venous Extracorporeal Membrane Oxygenation itself and the role of perfusion/perfusionist nurses in its management. One way of working veno-venous Extracorporeal Membrane Oxygenation in cases of severe respiratory failure is to facilitate the direct exchange of oxygen and carbon dioxide from the blood. Meanwhile, a perfusionist is responsible for the operation of the ECMO machine and patient care and monitoring while the machine is installed. In conclusion, overall, the article describes the effectiveness of veno-venous Extracorporeal Membrane Oxygenation on the recovery of COVID-19 patients with Acute Respiratory Distress Syndrome. Keywords: ARDS, COVID-19, Nurse, VV ECMO
Interventions in reducing anxiety among patients undergoing percutaneous coronary intervention (PCI): an integrated literature review Effita Piscesiana; Tuti Herawati; Sri Yona
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 2 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(2).88-110

Abstract

Background: The percutaneous coronary intervention procedure (PCI) is an action to restore reduced coronary artery blood flow due to occlusion or blockage. Complex actions using sophisticated tools with the patient's condition fully aware can cause clients to experience anxiety, both before, during, and after the action. Many patients undergoing PCI experience this symptom of anxiety. These symptoms can lead to activation of the sympathetic nerves, changes in hemodynamic status, to the risk of arrhythmias during or after the procedure. Intervention to reduce anxiety hopefully can stabilize haemodynamic, avoid unwanted effects during and after the procedure, further can also improve the patient's quality of life.Purpose: This integrated literature review aims to find complementary interventions that can be carried out independently to overcome the anxiety experienced among patients undergoing PPCI.Methods: The compiled database was taken from the EBSCO, Scopus, Clinical Key, ProQuest, Science Direct, PubMed, and Cochrane databases, and published in 2015 - 2020 which were then matched with certain specific keywords to get the appropriate articles. A total of 11 selected articles were reviewed and the results were presented in a table. The results of 6 types of intervention were found, almost all of them were significant in reducing anxiety. Next, appraisal of the quality of selected articles is done by using The Critical Appraisal Skills Programme (CASP).Results: There were 11 articles that discussed 6 different forms of intervention in reducing anxiety, including physical therapy (2 articles), relaxation therapy (2 articles), cognitive therapy (2 articles), psychological therapy (1 article), and psychological therapy programs (combined) (1 article) and information / support / counseling (3 articles).Conclusion: This intervention in addition to reducing anxiety can also reduce stress, hemodynamic balance / physiological indicators, reduce pain, improve quality of life and coping mechanisms.
PENGGUNAAN TELEHEALTH DALAM PELAYANAN KEPERAWATAN KEPADA ORANG DENGAN HIV- AIDS/ ODHIV: TELAAH JURNAL Isnaeni Nur Khayati; Tuti Herawati
Jurnal Cakrawala Ilmiah Vol. 1 No. 6: Februari 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (665.22 KB) | DOI: 10.53625/jcijurnalcakrawalailmiah.v1i6.1522

Abstract

Introductions: People living with HIV/AIDS/PLWH is increasing every year. This phenomenon requires good handling so that the number does not increase and get out of control. Telehealth is information technology in health and nursing services for people living with HIV. Objective: This study aims to examine the use o/f telehealth applications in health services to people with HIV/AIDS. Methods: The literature review used in this study utilizes online databases: Scopus, Science Direct, and ProQuest. The keywords used in the search engine are HIVAIDS, telehealth, nursing care. Results: Searching for journals using an online database resulted in several journals, then picking up eight journals to review. The results show that applying telehealth in health services for people with HIV AIDS has been used in all parts of the world. The telehealth technology used includes the use of landlines, cell phones, the internet, and social media. The influence that occurs due to telehealth is quite varied with attitudes and decision maker of people with HIV. Conclusion: Telehealth can be used as a medium to provide health and nursing services to people with HIV AIDS.
FAKTOR KEJADIAN IN-STENT RE-STENOSIS PADA PASIEN PENYAKIT JANTUNG KORONER Devi Susanti; Elly Nurachmah; Tuti Herawati
Jurnal Mitra Kesehatan Vol. 1 No. 1 (2018): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v1i1.10

Abstract

Pendahuluan: Penyakit Jantung Koroner adalah penyakit yang diakibatkan penyempitan pembuluh darah koroner akibat aterosklerosis. Salah satu penatalaksanaan Penyakit Jantung Koroner adalah pemasangan stent untuk mengatasi sumbatan pada pembuluh darah jantung. Tindakan tersebut dapat berulang apabila terjadi sumbatan pada lokasi pembuluh darah yang terpasang stent atau disebut in-stent re-stenosis. Penelitian ini bertujuan untuk mengidentifikasi faktor – faktor yang berhubungan dengan tindakan PCI berulang. Metode: Desain penelitian menggunakan desain non eksperimental jenis cross sectional analitik. Responden sebanyak 70 orang, diperoleh melalui teknik consecutive sampling. Analisis data dilakukan secara univariat, bivariat (chi square dan uji t tidak berpasangan) serta multivariat (regresi logistik berganda). Hasil: Hasil penelitian menunjukkan bahwa riwayat merokok memiliki hubungan yang signifikan dan merupakan faktor dominan dengan tindakan PCI berulang. Kesimpulan: Implikasi hasil penelitian dalam keperawatan  peningkatan peran perawat sebagai pendidik dalam memberikan pendidikan kesehatan tentang in-stent re-stenosis khususnya pengendalian faktor risiko khususnya kebiasaan merokok pada pasien yang terpasang stent dalam mencegah re-stenosis.
Perceived benefit, perceived barrier dan dukungan sosial terhadap perawatan diri pasien setelah operasi Coronary Artery Bypass Graft (CABG) Mulida Arifiati; Sri Yona; Tuti Herawati
Holistik Jurnal Kesehatan Vol 16, No 4 (2022)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v16i4.7392

Abstract

Background: CABG surgery is one of the surgical treatments for CHD and improves the patient's quality of life. However, patients who have undergone CABG remain at risk for ischemic events. Cardiovascular secondary prevention plays an important role to maintain the long-term patency of the graft, slowing the atherosclerotic process. Behavior change is influenced by a person's belief to change and support around him. The beliefs that are considered to have an effect on the pattern of behavior change are perceived benefits and perceived barriers.Purpose: To determine the relationship between perceived benefit, perceived barrier, and social support to patient self-care after CABG surgery.Method: Cross-sectional design, with a sample size of 75 respondents, inclusion criteria: CABG surgery patients more than 6 months, Age more than 30 years.Results: From the analysis, there are four significant relationships with self-care, education p-value of 0.015, perceived benefit p-value of 0.001, perceived barrier with a p-value of 0.004, and social support p-value of 0.000. What is not significant is the age p-value of 0.631 and knowledge p-value of 0.418 Gender p-value of 0.357.Conclusion: There is a significant relationship between perceived benefit, perceived barrier, and social support for patient self-care after CABG surgery.Keywords: Perceived Benefit; Perceived Barriers; Social Support; Self Care; CABG.Pendahuluan: Operasi CABG merupakan salah satu penanganan bedah pada PJK dan meningkatkan kualitas pasien kehidupan baik. Namun pasien yang telah menjalani CABG tetap berisiko untuk kejadian iskemik. Pencegahan sekunder kardiovaskular memainkan peran penting untuk mempertahankan jangka panjang patensi cangkok, memperlambat proses aterosklerotik. Perubahan perilaku dipengaruhi oleh keyakinan seseorang untuk berubah dan dukungan disekitarnya. Keyakinan yang dianggap berpengaruh terhadap pola perubahan perilaku adalah perceived benefit dan perceived barrier.Tujuan: Untuk mengetahui hubungan perceived benefit, perceived barrier dan dukungan sosial terhadap perawatan diri pasien setelah operasi CABG.Metode: Desain cross-secrtional, dengan jumlah sampel 75 responden, kriteria inklusi: Pasien operasi CABG lebih dari 6 bulan, Usia lebih dari 30 tahun.Hasil: Dari analisis terdapat empat hubungan yang bermakna terhadap perawatan diri, didapatkan pendidikan nilai p 0,015, perceived benefit nilai p 0,001, perceived barrier dengan nilai p 0,004 , dan dukungan social nilai p 0,000. Yang tidak bermakna yaitu usia nilai p 0.631dan pengetahuan nilai p 0.418 Jenis kelamin nilai p 0,357.Simpulan: Terdapat hubungan yang bermakna anatara perceived benefit, perceibved barrier, dan dukungan social terhadap perawatan diri pasien setelah operasi CABG.
Co-Authors Achmad Masfi Adam Adam Adam Adam Adam, Muhamad Adelia Pradita Adhyaksa, Gustiara Diaz Agung Waluyo Agus Sudaryanto AGUS SUSATYA Amelia Amelia Amelia Amelia Amelia Amelia Amila Amila Amila Amila, Amila Andinna Ananda Yusuff Anggri Noorana Zahra Anita Purba Antarika, Gde Yasa Apriyani, Santi Arcellia Farosyah Putri Arifiati, Mulida Aris Purnomo Armalia, Nurul Artati, Artati Ayus, Shakila Barchia, M. Faiz Bawa, Ngakan Nyoman Rai Bekti Rahayu Beti Ningrum Bieng Brata Cinta Rahmi D Daryani Denissa Faradita Aryani Devi Susanti Devi Susanti Dewa Ayu Ari Rama Dewi Dewi Gayatri Dewi Sartika Dian Herdiana Didi S. Agustawijaya Dikha Ayu Kurnia Dinny Atin Amanah Amanah Dyaningtyas, Hermin Esti Edian Fitriana Edison Sunarya, Chiyar Effita Piscesiana Elly Nurachmah Elya Sespa Esmayanti, Ratna Fahmi, Ismail Fardhoni, Fardhoni Fathurrahman Fathurrahman Gustiyanti, Ferra Hadi, Yuliani Hakim, Melati Puspa Handayani, Diah Syahfitri Handriyanto, Nova Tri Hanina, Hanina Heni Subagiharti Heni, Heni Subagiharti Herdiana, Dian Herdiana Hermin Esti Dyaningtyas Hoesain, Ismail I Made Kariasa Idris, Fahmi Indra Gilang Pamungkas Indra Surya Permana Irianti, Ana Dwi Irkhos Irkhos Isnaeni Nur Khayati Isnaeni, Wilya Jeanny Rantung Juita, Juita Juliana G.E.P Massie Kapriana Tanty Natalia Khairunisa, Prima Khalda, Syifa Aushaf Khatimi, Ahmad Krisanti, Imelda Krisna Yetti Krisna Yetti Kurnia, Pasti Kusumastuti, Kartikaningtyas Latupeirissa, Loura Weryco Lestari Sukmarini Lestari, Fefy Hartati Liniyarti liniyarti Liniyarti Liniyarti Liya Arista Lizalidiawati Lizalidiawati Maria, Riri Maria, Riri Marthafanny, Conny Masfuri - Minggawati, Zustantria Agustin Mirharina, Irza Moh. Alhadi Haq Monika, Fina Muhajirah, Muhajirah Muhamad Adam Muhamad Adam Muhammad Adam Muhammad Adam, Muhammad Muhammad Putra Ramadhan Muliantino, Mulyanti Roberto Mulida Arifiati Mulida Arifiati Muliyawati, Anisa Mulyani, Novel Nadeak, Sari Eprina Nasaruddin Nasaruddin Natawijaya, Candra Nia Khusniyati Nihayah, Yayah Nikmatul Hikmah, Sokhib Nurisnaini Ningrum, Beti Noor, Muhammad Arief Nova Maulana Nova, Prima Agustia Novita, Sella Nugroho, Rico Maulana Nuraeni, Iin Indra Nurcahyani, Sri Nurhidayat, M Nurinto, Heru Nurkholim, Nurkholim Nurul Aini Jamal Oktaviani, Riri Okti Sri Purwanti Osty Histry Kapahang Pasti Kurnia Pramita, Senja purba, oktaviana nirmala Puti Rahmitha Sany Putri, Suci Ananda Mulyadi Rahmadiya, Siska Rambu Inanda Dwihasti Rasmiati Rasmiati Rasmiati, Rasmiati Ratna Sitorus Ratna Sitorus Ratna Sitorus Riki Satya Nugraha Riri Maria Risyda Zakiyah Hanim Rohmawan, Mohamad Fadilah Romdani, Romdani Rosiana Waicang Rumayara, Abraham Bernadus S, Ujang Charda Sahrudi Sahrudi Saksana, Joned C Sari Eprina Nadeak Sari, Chaera Maya Sari, Lusi Nolita Sembiring, Rinawati Sibulo, Megawati Siti Maemun Sofa, Ibnu Sri Yona Sri Yoona Sudarti, Nila Sugesti, Pradita Suharna, Moh. Asep Sukardi Sukardi Sungkono Sungkono Sungkono Sungkono Sungkono Susanti, Dyeri Susmita, Devi Facharaini Syahfitri Handayani, Diah Syahriani, Nurul Syarif Hidayatullah Tatu Meri Tiara Zakiyah Pratiwi Tri Sulistyowati Triawan, Ilham Tutut Riana Hapsari Ujang Kusnaedi Uker, Damres Umi Kalsum Utami, Risa Yulianie Wahyuni Wulandari Warahma, Ella Wayan Wardiyana Wella Meitri Wida Sri Kurniyanti Widia Astuti Wilson Simangunsong Yahya, Ifyar Adhita Yulia Yulia Yunisman Roni Yuniyas Ihsanidar