Kurniati Puji Lestari
Poltekkes Kemenkes Semarang

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Pengaruh Relaksasi Otot Progresif Terhadap Penurunan Tingkat Kecemasan pada Pasien Pre Operasi Di Ruang Wijaya Kusuma Rsud Dr. R Soeprapto Cepu Lestari, Kurniati Puji; Yuswiyanti, Asih
Jurnal Keperawatan Maternitas Vol 3, No 1 (2015): Jurnal Keperawatan Maternitas
Publisher : Jurnal Keperawatan Maternitas

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Kecemasan merupakan respon adaptif yang normal terhadap stress karena pembedahan. Rasacemas biasanya timbul pada tahap preoperatif ketika pasien mengantisipasi pembedahannya.Untuk mengurangi kecemasan dapat diatasi dengan menggunakan tehnik relaksasi, salahsatunya adalah dengan relaksasi otot progresif.Tujuan umum dalam penelitian ini adalah untuk mengetahui pengaruh relaksasi otot progresifterhadap penurunan tingkat kecemasan pada pasien preoperasi di Ruang Wijaya Kusuma RSUDDr. R Soeprapto Cepu.Penelitian ini dilakukan pada tanggal 13 Januari-13 Februari 2014. Jenis penelitian denganmenggunakan Quasi-Experimentone group pre test post test design. Teknik sampling yangdigunakan adalah purposive sampling dengan sampel sejumlah 25 responden.Penelitimenggunakan lembar observasi untuk relaksasi otot progresif. Sedangkan pengukuran tingkatkecemasan menggunakan skala HARS (Hamilton Anxienty Rating Scale).Hasil uji Marginal Homogenity didapatkan nilai p 0,000 (<0,05) yang berarti ada pengaruhrelaksasi otot progresif terhadap penurunan tingkat kecemasan pada pasien preoperasi di RuangWijaya Kusuma RSUD Dr. R Soeprapto Cepu, Sehingga disarankan pasien diharapkan mampumelakukannya sendiri dalam pelaksanaan relaksasi otot progresif untuk mengatasi kecemasanyang muncul sewaktu-waktu saat akan dilakukan tindakan operasi.
Aromatherapy Ginger Use in Patients with Nausea & Vomiting on Post Cervical Cancer Chemotherapy Sriningsih, Iis; elisa, Elisa; Lestari, Kurniati Puji
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 1 (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.v13i1.5367

Abstract

Chemotherapy is an effective treatment for cancer.  However, it causes some side effects which include nausea and vomiting. More than 70% of patients experience nausea and vomiting after chemotherapy. The purpose of this study was to determine the effect of ginger aromatherapy in nausea, and vomiting patients on post cervical cancer chemotherapy. We used a pretest-posttest control group design, using purposive sampling of 60 respondents. We used anti-emetics measurement tool according to Multinational Association of Supportive Care in Cancer (MASCC) to assessed patient’s complaints. The result showed significant difference in nausea and vomiting group before and after given aromatherapy (p = 0.000); nausea score (p = 0.005) and vomiting score (p= 0.013) from intervention and control group.  No significant difference was observed in nausea (p = 0.279), and vomiting (p = 0.276) on control group. Ginger aromatherapy can be used as alternative medication to reduce post-chemotherapy nausea and vomiting.
Kala II At long Labor Presentation Breech Babies Apgar And Value First Minute Wagiyo Wagiyo; Desak Parwati; Kurniati Puji Lestari
Jurnal Riset Kesehatan Vol 1, No 2 (2012): Mei 2012
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2476.258 KB) | DOI: 10.31983/jrk.v1i2.379

Abstract

The purpose of this study was to determine the relationship long second stage of labor in breech presentation of the baby-minute Apgar I. This type of research is the analytic study with a retrospective approach, the study population in this study were all mothers who gave birth by vaginal delivery breech presentation. The sample size was 160 people. The results obtained have strong relationships and patterns between the old perfect negative second stage of labor in breech presentation with a first-minute Apgar value with the value r = -0.704, meaning that the longer second stage of labor with breech presentation the lower the value of the first minute Apgar babies and value determination coefficient of 0.770. which means, the first minute Apgar babies or equation that was obtained either to explain the variable value of the first minute Apgar babies born by vaginal breech presentation.
EVALUATION OF PRECEPTORSHIP AND MENTORSHIP CLINICAL LEARNING METHOD ON NURSING STUDENTS' CRITICAL THINKING IN PROVIDING NURSING CARE IN A TEACHING HOSPITAL Kurniati Puji Lestari; Muhamad Jauhar; Ike Puspitaningrum; Shobirun Shobirun; Iis Sriningsih
Jurnal Riset Kesehatan Vol 10, No 1 (2021): MAY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (354.507 KB) | DOI: 10.31983/jrk.v10i1.6629

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The demand for high-quality health services is increasing. It motivates nurses to utilize the best evidence in making decisions. Professional nurses were born from an excellent education. Preceptorship and mentorship clinical learning methods are expected to be able to answer these demands. This study aims to identify the effect of preceptorship and mentorship methods on students' critical thinking skills. The study design applies a quasi-experimental type pretest and post-test with a control group. Twenty-six students were examined as respondents for each intervention and control group, using a purposive sampling technique. The survey took place at a teaching hospital in Semarang, using a student-evidence-based practice questionnaire (validity 0.584-0.904; reliability 0.821) developed by Upton et al.in 2014.  The intervention during three weeks with the training stages of clinical advisors, clinical guidance, internalization, and evaluation. Univariate data analysis is described by frequency and percentage (categorical) and mean and SD (numerical). Bivariate data analysis using a paired t-test and independent t-test. There was a significant effect of the preceptorship and mentorship methods on students' thinking abilities (p-value = 0.006). Integrated academic and clinical learning could form critical thinking skills among students. Educational institutions play a role in providing training for clinical instructors oriented to improving the ability of students to provide scientific evidence-based nursing care. The clinical instructors are responsible for improving students' critical thinking skills through preceptorship and mentorship learning methods.
MANFAAT PIJAT OKSITOSIN UNTUK PENCEGAHAN PERDARAHAN IBU PASCA MELAHIRKAN Elisa Elisa; Kurniati Puji Lestari; Iis Sriningsih
Jurnal LINK Vol 12, No 1 (2016): Mei 2016
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.784 KB) | DOI: 10.31983/link.v12i1.434

Abstract

This is a Efforts to prevent postpartum hemorrhage can be done since the third stage of labor day up to ten with a massage that stimulates the release of oxytocin, causing the process of involution. Information about oxytocin massage is very important to convey to the general public in order to increase knowledge so as to reduce the incidence of bleeding. Methods in community service activities consists of input, process and output. Input in this activity is the mother - PKK cadres, pregnant women in Sub Meteseh. The process is in the form of health education with lectures and demonstrations while the output is the measure of understanding about the prevention of maternal postpartum hemorrhage with pre and post questionnaires given during the event. Perceived outcome of this activity is that participants understand the massage action of oxytocin to prevent postpartum hemorrhage resulting in a change of behavior to take steps to prevent postpartum hemorrhage in the mother. It can be seen from the results of the posttest as much as 40% of participants had a value of 80-60, 60% obtain grades 50-20 while in the posttest as much as 80% of the participants has a value of 90-80, 20% scored 70-60.
PENINGKATAN PENGETAHUAN PEMBIMBNG KLINIK MELALUI PELATIHAN METODE PRECEPTORSHIP DAN MENTORSHIP Kurniati Puji Lestari; Muhamad Jauhar; Ike Puspitaningrum; Shobirun Shobirun; Iis Sriningsih; Mugi Hartoyo
Jurnal LINK Vol 17, No 1 (2021): MEI 2021
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1979.314 KB) | DOI: 10.31983/link.v17i1.6632

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Preceptors bertugas mengajar, menasihati, menginspirasi, panutan, serta mendukung tumbuh kembang mahasiswa keperawatan. Model bimbingan preceptroship adalah proses pendelegasian wewenang dari pembimbing kepada mahasiswa. Metode Pelatihan Preceptorship memfasilitasi pembelajaran tentang pengetahuan, keterampilan, dan perilaku preceptor. Tujuan kegiatan pengabdian kepada masyarakat ini adalah untuk memberikan bekal bimbingan klinis dalam menerapkan pembelajaran klinik aktif. Metode kegiatan melalui pelatihan Preceptorship, dengan pre dan post test, ceramah, simulasi peran, evaluasi, dan pendampingan bimbingan klinis. Preceptor adalah 56,5% perempuan, dan 52,2% memiliki pengalaman pelatihan bimbingan klinis. Rerata pengetahuan sebelum pelatihan 27,74 dengan SD 12,638, dan rerata 52,74 dan SD 20,324 setelah pelatihan. Ada perbedaan yang signifikan antara pengetahuan sebelum dan sesudah pelatihan dengan p-value = 0,000 (p 0,05). 31 CI (77,5%) menyatakan tema pelatihan sangat baik, 23 CI (57,5%) menyatakan ketepatan waktu sangat baik, 23 CI (53,5%) menyatakan bahwa layanan penyelenggara sangat baik. Pelatihan Metode Pembelajaran Preceptorship meningkatkan pengetahuan pembimbing klinik. Kegiatan ini dapat diintegrasikan dalam perencanaan pembelajaran klinik kerjasama antara pihak pendidikan dan pelayanan
Faktor Faktor Yang Mempengaruhi Sopir Truk Dengan Ims Untuk Test Hiv Di Wilayah Pantai Utara Jawa Tengah Fajar Surahmi; Kurniati Puji Lestari; Sri Endang Windiarti
Jurnal LINK Vol 9, No 2 (2013): Mei 2013
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3891.384 KB) | DOI: 10.31983/link.v9i2.249

Abstract

As a truck driver, is a consequence of having to travel a long and tiring from the eastern end of Java samapai Jakarta. This trip is done regularly and over 3 profinsi the area of Central Java, West Java and DKI Jakarta entered. Through out the rest of the crew truck where there are female sex hawkers (WPS) which directly or indirectly coloring transactional sex to the crew's truck. Supply and demand is very high in the area, so the issue of sexual behavior to be important to convey. Survey conducted by BPS and the MOH in this group in 2007 issued 5% of data that this truck crews have an STI. Research purposes Mendidkripsikan factor - factor that affect truckers IMS for HIV test. This research will be conducted descriptive analytic cross sectional design. Research places like truck stops Tegal, Batang, Pekalongan, Kendal, Semarang, Demak and Apex. Sample population and sample work was taken by sampling the total sampling technique, the sample size of approximately 47 truck drivers. Analysis of test results using ststistik with chi-square test showed that there is one variable significantly affect the HIV test is a truck driver attitudes towards HIV testing behavior, with a significance level of 5% is obtained p value 0.009, independent Variable most predominant predictor truck driver HIV test is a truck driver attitudes towards HIV testing with significant value of 0.013. Attitudes towards HIV testing truckers who do not support the Wald p value = 6,237 and the value adjusted OR or exp (B) 0, 117 means that the truck driver attitudes towards HIV testing do not support having 0.143 times the risk for contracting HIV. This research should continue because the ground was very poor, so the results of the present invention can determine the appropriate intervention to increase awareness of truck drivers to maintain her health
MUSIC AND AROMATHERAPY: A GOOD COMBINATION FOR REDUCING ANXIETY AND STABILIZING NON-INVASIVE HEMODYNAMIC STATUS IN PATIENTS IN THE INTENSIVE CARE UNIT Ferry Kumala; Diyah Fatmasari; Kurniati Puji Lestari; Suharyo Hadisaputro
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.041 KB) | DOI: 10.33546/bnj.354

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Background: Combining musical and aromatherapy therapy is expected to have a stronger effect in the reduction of anxiety and non-invasive hemodynamic stability. Objective: To examine the effect of the combination of music and aromatherapy on anxiety and non-invasive hemodynamic in patients in the intensive care unit. Methods: This was a quasi-experimental study with non-equivalent group. An experimental group was given a combined musical and aromatherapy, while a control group was given music therapy. Thirty respondents were selected using accidental sampling, with 15 randomly assigned in the music group and the combination group. HARS scale (Hamilton Anxiety Rating Scale) was used to measure anxiety. Non-invasive hemodynamic status such as blood pressure and heart rate were documented in the observation sheet. Paired t-test and one-way ANOVA were used for data analysis. Results: There were significant effects of combination therapy on anxiety (p=0.001), diastole (p=0.004) and heart rate (p=0.031), but no significant effect on systole (p=0.387). The music therapy alone had a significant effect on anxiety (p=0.001), systole (p=0.047), and diastole (p=0.037). Conclusion: The combination of music and aromatherapy had a greater effect than the music therapy alone in decreasing anxiety and stabilizing diastolic blood pressure and heart rate. This therapy can be used as an alternative in nursing interventions and as an input to develop standard of operational procedure for anxiety and non-invasive hemodynamic stability.
Peningkatan Kompetensi Mahasiswa Keperawatan Melalui Strategi Pembelajaran Berbasis Virtual Reality Ike Puspitaningrum; Rr. Sri Endang Pujiastuti; Kurniati Puji Lestari
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 2 No. 2 (2019)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.098 KB) | DOI: 10.32584/jkmk.v2i2.379

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Nursing higher education has new challenges to prepare nursing students as agents of change in the era of the industrial revolution 4.0. Nursing students today are millennial and Z generation with unique needs and ways of learning. Students more interested in digital-based learning media. Digital-based learning methods were an urgent need to be developed to provide solutions to the learning needs of the millennial generation. The systematic review aimed to discuss the use of VR technology for educating the nursing student. The databases searched included: PubMed, Springerlink and Proquest from the years 2015 to 2019 with the keywords virtual reality, virtual simulation, simulation technology, immersive learning. The inclusion criteria included: articles published in the English language, student respondents and randomized controlled trial (RCT) research methods. The results of article was identified and reviewed by 3 researchers. Researchers approved 158 titles of article that match the keywords without duplicates and 5 articles that match the inclusion criteria. Four articles discuss the students' competencies when using virtual simulations compared with the manikin simulated. The results showed an increase in psychomotor skills, communication, and knowledge. Self-confidence increases, learning satisfaction and anxiety levels decrease. Two articles discuss the analysis of the unit cost, which states that the virtual simulation has cost utility ratio more profitable compared with the Manikin simulations. The results of the systematic review showed that virtual reality was relevant method as a learning strategy to enhance students’ competencies and have more profitable costs compared to conventional methods.
Improving pregnancy care during the COVID-19 pandemic for pregnant women as vulnerable groups through assistance at the primary health care facility Muhamad Jauhar; Kurniati Puji Lestari
Journal of Community Empowerment for Health Vol 4, No 1 (2021): Special Issue of COVID-19
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.60836

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Since it was found in December 2019, the novel Coronavirus Disease 2019 (COVID-19) has spread from Wuhan, China, to many other countries. A rapid increase of newly found cases was observed, and finally, in March 2020, the World Health Organization declared that Coronavirus Disease 2019 (COVID-19) is a global pandemic. As one of the vulnerable groups, pregnant women need to avoid COVID-19 transmission and maintain pregnancy health during the pandemic. This study aimed to improve pregnant women's self-management during the COVID-19 pandemic in the working area of the Padangsari Primary Health Care Services, Semarang City. The research method used an experimental design with a pre-posttest without a control group. A Smartphone application, namely "SEHARI," was used to share the module and video about pregnancy health guidelines; furthermore, various activities of this study included online classes for pregnant women via a WhatsApp group, pregnancy care behavior surveys, and evaluations. The offline activity was done in 1 meeting for 90-120 minutes, while online activities were done as needed. This study's target population was 22 pregnant women in  Puskesmas Padangsari Semarang City's working area selected by purposive sampling. A questionnaire was used that measures mother's behavior while engaging in pregnancy care and pregnancy examination screening. The validity and reliability tests showed that the instrument was valid and reliable to improve self-management of pregnant women during the COVID-19 pandemic in the working area. Bivariate data analysis of the independent variable's effect on the dependent variables used paired and independent t-tests to measure the self-management of pregnant women. The results showed that 50% of pregnant women fulfilled nutritional needs well, 59.1% of pregnant women did tetanus immunization, and 59.1% did pregnancy examinations and visits. Despite being a vulnerable group, pregnant women must continue their antenatal care during the pandemic with a strict health protocol. Specially designed online classes and Smartphone application can be used as media to deliver the essential health meassages so that pregnant women can still monitor their pregnancy health and have a way to bridge the existing programs in primary health care.