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PERSALINAN KOMPLIKASI DAN KEMUNGKINAN TERJADINYA POSTPARTM BLUES - Machmudah; - Setyowati; Hayuni Rahmah; Imami Nur Rachmawati
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2012: SEMINAR NASIONAL HASIL PENELITIAN 2012
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Persalinan dengan komplikasi merupakan salah satu faktor penyebab kemungkinan terjadinyapostpartum blues. Penelitian ini bertujuan untuk mengidentifikasi “pengaruh persalinan dengankomplikasi terhadap kemungkinan terjadinya postpartum blues”. Penelitian dilakukan di RS wilayahkota Semarang. Metode yang digunakan adalah case control study. Analisis data menggunakan ujiChi Square dan uji Fisher. Hasil penelitian menunjukkan tidak ada pengaruh antara persalinan dengankomplikasi terhadap kemungkinan terjadinya postpartum blues. Ada faktor lain yang berperan yaituparitas dan dukungan sosial. Hasil penelitian ini menyarankan untuk meningkatkan dukungan sosialdengan menerapkan prinsip Family Centered Maternity care sepanjang periode perinatal
Pengaruh Kontak Kulit ke Kulit Segera terhadap Keyakinan Ibu Menyusui Paska Bedah Sesar Triana Dewi; Imami Nur Rachmawati; Luknis Sabri
Jurnal Keperawatan Padjadjaran Vol. 5 No. 2 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1291.823 KB) | DOI: 10.24198/jkp.v5i2.451

Abstract

Terdapat beberapa faktor yang memengaruhi keberhasilan dalam menyusui. Kontak kulit ke kulit segera setelah bayi lahir merupakan faktor kunci dalam proses laktasi. Proses ini sangat tergantung dari keyakinan ibu dalam menyusui bayinya. Penelitian ini bertujuan untuk mengetahui pengaruh kontak kulit ke kulit segera terhadap keyakinan ibu menyusui paska bedah sesar. Penelitian quasi eksperiment posttest only design with control groups ini dilakukan pada 52 ibu dibagi menjadi kelompok kontrol dan kelompok intervensi masing-masing 26 ibu secara consecutive sampling di kota Langsa-Aceh. Pengambilan data menggunakan instrumen Breastfeeding Self-Efficacy Scale-Short Form. Hasil uji statistik indenpendent t test menunjukkan adanya perbedaan nilai rerata keyakinan ibu menyusui pada kelompok intervensi dan kelompok kontrol (59,00±6,54; 49,62±7,78; p=0,001). Kontak kulit ke kulit dapat meningkatkan keyakinan ibu menyusui yang dapat memengaruhi proses laktasi.Kata kunci: Bedah sesar, keyakinan ibu menyusui, kontak kulit ke kulit segera.
PELAKSANAAN MANAJEMEN LAKTASI OLEH PERAWAT DI RUMAH SAKIT DAN FAKTOR YANG MEMPENGARUHINYA Nikmatul Khayati; Imami Nur Rachmawati; Yusron Nasution
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2013: PROSIDING KONFERENSI NASIONAL PPNI JAWA TENGAH
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Perawatan ibu pada masa post partum di titik beratkan pada manajemen laktasi. Berbagai faktor dapat mempengaruhi perawat dalam pelaksanaan manajemen laktasi. Tujuan penelitian ini adalah menganalisis berbagai faktor yang dapat mempengaruhi perawat dalam pelaksanaan manajemen laktasi di ruang post partum di beberapa Rumah Sakit wilayah Jawa Tengah. Desain yang digunakan cross sectional study. Data di analisis dengan Chi Square dan regresi logistik. Hasil analisis faktor ditemukan hubungan signifikan antara  motivasi kerja perawat (p=0,00) dan dukungan RS terhadap pelaksanaan manajemen laktasi yang dirasakan perawat (p=0,00) dengan pelaksanaan manajemen laktasi. Dukungan RS merupakan faktor yang paling berpengaruh (OR=11,11). Dukungan RS antara lain mengupayakan adanya standard prosedur operasional terkait diskripsi pelaksanaannya, pengawasan dan evaluasi, penyediaan fasilitas berupa ruangan yang nyaman, media untuk pendidikan kesehatan ibu menyusui, pemberian kesempatan untuk meningkatkan pengetahuan dan pendidikan berkelanjutan baik formal maupun informal agar pelaksanaan manajemen laktasi dapat dijalankan secara  maksimal. Kata Kunci: Manajemen laktasi – perawat post partum
BERDUKA PADA PEREMPUAN HIV POSITIF Rizka Ristriyani; Imami Nur Rachmawati; Yati Afiyanti
Jurnal Keperawatan Indonesia Vol 21 No 1 (2018): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.543

Abstract

This study aims to identify the intensity of grief response in HIV positive women. The study design was conducted by cross section by consecutive sampling method. The samples were 235 HIV positive women who are patients at Primary Health Care in Jakarta, Indonesia. The result shows that a mean value of denial is 2.25 (SD 0.75) in the range of 2.18 to 2.38; a mean value of resistance is 1.67 (SD 0.89) in the range of 1.84-2.07;  the middle value of sorrow is 2.67 (SD 0.93) in the range 2.26-2.52; and the mean value of acceptance  is 3 (SD 0.72) in the range 2.79-2.98 at the 95% confidence level. Characteristics of respondents shows that more than half of respondents were housewives (65.5%), married 56.2% and 50% of respondents said that they contracted HIV from their spouses. The youngest age in this study was 18 years old and the eldest was 47 years old. The study found that the attitudes of denying was on a moderate scale, anger on a mild scale, sorrow on a moderate scale, and acceptance on near-fullness scale. All of respondents was patient in Primary Care Facilities that might be one of the factors that cause acceptance is close to full. However, further research is needed on what factors can affect the grieving process  of HIV-positive women. Keywords: acceptance, denial, grieving, resistance, sorrow, women with HIV Abstrak Penelitian ini bertujuan untuk mengidentifikasi intensitas respon berduka pada perempuan HIV positif. Rancangan penelitian dilaksanakan dengan potong lintang dengan metode pengambilan sampel secara consecutive sampling. Jumlah sampel penelitian sebanyak 235 perempuan HIV positif yang menjadi pasien di beberapa Puskesmas di Jakarta, Indonesia. Hasil penelitian didapatkan gambaran denial dengan nilai tengah yaitu 2,25 (SD 0,75) berada pada rentang 2,18-2,38; resistance dengan nilai tengah yaitu 1,67 (SD 0,89) berada pada rentang 1,84-2,07; sorrow dengan nilai tengah yaitu 2,67 (SD 0,93) berada pada rentang 2,26-2,52; dan acceptance dengan nilai tengah yaitu 3 (SD 0,72) berada pada rentang 2,79-2,98 pada tingkat kepercayaan 95%. Karakteristik responden menunjukkan bahwa lebih dari separuh responden adalah ibu rumah tangga (65,5%), menikah sebanyak 56,2% dan 50% responden menyatakan tertular HIV dari pasangannya. Usia termuda pada penelitian ini adalah 18 tahun dan yang tertua adalah 47 tahun. Penelitian ini menemukan bahwa sikap menyangkal perempuan HIV positif berada pada skala sedang, kemarahan pada skala ringan, kesedihan mendalam pada skala sedang, dan penerimaan pada skala mendekati penuh. Karakteristik responden seluruhnya berasal dari fasilitas kesehatan primer yang telah mendapatkan pengobatan dan konseling sehingga hal tersebut mendukung acceptance yang penuh pada responden. Namun demikian masih perlu penelitian lebih lanjut mengenai factor-faktor apa saja yang memengaruhi berduka pada perempuan HIV positif. Kata Kunci: penerimaan, berduka, menyangkal, perempuan HIV, marah, kesedihan mendalam
Pencarian Makna Hidup Klien Terdiagnosa Lupus Eritematosus Sistemik dengan Perspektif Maslow dan Henderson Muhammad Judha; Elly Nurachmah; Imami Nur Rachmawati
Jurnal Keperawatan Indonesia Vol 13 No 3 (2010): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i3.245

Abstract

AbstrakPenelitian ini merupakan penelitian kualitatif untuk menggali pengalaman partisipan mencari makna hidup. Partisipan penelitian berjumlah delapan parisipan dengan purposif sample. Pengalaman partisipan memberikan gambaran secara utuh diketahuinya perasaan partisipan dihadapi lupus dan perubahan nilai, kepercayaan, dan keyakinan penderita lupus. Hasil penelitian yang diperoleh mendapatkan respon penderita menghadapi penyakit lupus terhadap aktivitas fisik, psikologis, dan perubahan lingkungan serta perubahan nilai, kepercayaan dan keyakinan penderita lupus. Hasil penelitian menyarankan tenaga perawatan melakukan asuhan yang komprehensif, untuk tenaga pendidikan juga harus memberikan prosedur melakukan asuhan keperawatan holistik kepada peserta didik. Untuk peneliti lain agar menambah variasi jenis kelamin partisipan agar memperoleh variasi tema. AbstractThis research is a qualitative study to explore the experiences of participants to find meaning in life. Amount of research participants with a purposive sample of eight paricipants. The Experience gives participants how to life with lupus and how to find changes in value, trust, and confidence in people with lupus. The results are getting face lupus patients response to physical activity, psychological, and environmental changes and changes in values, trust, and confidence in people with lupus. The results suggest that nurse must do comprehensive care, to education personnel must also provide procedure to conduct a holistic nursing care to students. For another researchers in order to increase the participants’ gender variations in order to obtain variation on the theme.
Perbedaan Kepedulian Maternal Antara Ibu Primipara dan Ibu Multipara Pada Awal Periode Post Partum Yati Afiyanti; Imami Nur Rachmawati; Nani Nurhaeni
Jurnal Keperawatan Indonesia Vol 10 No 2 (2006): September
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v10i2.174

Abstract

AbstrakPengetahuan tentang kepedulian maternal sangat penting bagi perawat maternitas dalam memberikan dukungan informasi pada para ibu nifas. Program persiapan pemulangan berdasarkan apa yang menjadi kepedulian ibu nifas dapat dijadikan cara yang efektif dalam memberikan asuhan keperawatan pada ibu dan keluarganya. Tujuan dari studi ini adalah untuk mengidentifikasi kepedulian maternal para ibu nifas di Indonesia pada awal pasca melahirkan baik pada ibu primi maupun multipara dan mengidentifikasi perbedaan kepedulian maternal pada dua kelompok ibu nifas tersebut. Rancangan penelitian yang digunakan adalah cross sectional. Metode pemilihan sampel menggunakan total sampel selama 3 bulan berturut-turut. Instrumen yang digunakan ada tiga jenis yang dikembangkan berdasarkan penelusuran literatur. Data dianalisis menggunakan uji statistik univariat Hasil penelitian menunjukkan bahwa kepedulian maternal ibu primipara dan multipara meliputi yang aspek keluarga, diri sendiri, dan bayi terdapat perbedaan bermakna diantara kedua tersebut. Hasil studi bisa digeneralisasi bila dilakukan replikasi dan menggunakan jumlah sampel yang lebih besar. AbstractMaternal concerns knowledge is very important for a maternity nurse in providing information support for all post partum mothers. A discharge planning preparation program that based on maternal concerns can be a good effective way to give nursing care for post partum mothers and families. The purpose of this study is to identify maternal concerns for post partum Indonesian mothers including prime and multi porous and to identify the differences of maternal concerns between these groups. This study used cross sectional design. The total sample was chosen as a strategy for sample selection during three months. In this study, data were collected using three instruments developed based upon a review literature. Univariat statistic was used to analyze the data. The result of this study indicated that maternal concerns for the prime and multi porous mothers for three aspects (self, baby, and family) were significant difference. The result from this study can be generalized by using a big sample in next replication study.
“I Do Not Feel Confident and Uncomfortable Discussing Patients’ Sexuality Concerns”: A Thematic Analysis of Indonesian Nurses’ Experiences in Discussing Sexuality with Patients Hayuni Rahmah; Yati Afiyanti; Imami Nur Rachmawati; Titin Ungsianik; Tri Budiati; Wiwit Kurniawati
Jurnal Keperawatan Indonesia Vol 23, No 1 (2020): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i1.1173

Abstract

Despite the increasing complexity of the tasks and responsibilities in providing nursing care to patients, many Indonesian nurses may not possess adequate knowledge and skills to discuss sexuality with their patients. The purpose of this study is to explore the experience of Indonesian nurses in providing nursing care to patients regarding sexual problems. This research adopted a descriptive qualitative design to explore the experiences of Indonesian nurses in solving their patient’s sexual problems. Ten nurses working in a general hospital in Indonesia participated in this work. These nurses were interviewed extensively, and the data were transcribed and analyzed thematically. Four main themes were identified in this study: (1) Nurses believe that discussing a patient's sexual problems as part of their professional responsibility, (2) discomfort and embarrassments are barriers to providing adequate solutions to help resolve a patient's sexual problems, (3) nurses assume that most patients are not interested in discussing sexual problems because of illness, and (4) nurses do not have the confidence to discuss the patient's sexual problems. The findings of this study confirm that many nurses feel hesitant and uncomfortable when addressing patients' sexual problems. Thus, Indonesian nurses require more training related to providing nursing care to patients with sexual problems.  Abstrak “Saya Merasa Tidak Percaya Diri dan Tidak Nyaman dalam Mendiskusikan Masalah Seksual”: Analisis Tematik Pengalaman Perawat Indonesia Mendiskusikan Masalah Seksual Pasien. Terlepas dari meningkatnya kompleksitas tugas dan tanggung jawab dalam memberikan asuhan keperawatan kepada para pasien, banyak perawat Indonesia mungkin tidak memiliki pengetahuan dan keterampilan yang memadai untuk membahas seksualitas dengan pasien mereka. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman perawat Indonesia dalam memberikan asuhan keperawatan kepada pasien terkait masalah seksual. Penelitian ini mengadopsi desain deskriptif kualitatif untuk mengeksplorasi pengalaman perawat Indonesia dalam menyelesaikan masalah seksual pasien mereka. Sepuluh perawat yang bekerja di rumah sakit umum di Indonesia berpartisipasi dalam penelitian ini. Perawat diwawancarai, kemudian data ditranskripsi dan dianalisis secara tematis. Empat tema utama diidentifikasi dalam penelitian ini: (1) Perawat percaya bahwa mendiskusikan masalah seksual pasien adalah bagian dari tanggung jawab profesional mereka, (2) ketidaknyamanan dan rasa malu adalah hambatan untuk memberikan solusi yang memadai untuk membantu menyelesaikan masalah seksual pasien, (3) perawat menganggap bahwa sebagian besar pasien tidak berminat mendiskusikan masalah seksual karena penyakitnya, dan (4) perawat tidak memiliki percaya diri untuk mendiskusikan masalah seksual pasien. Temuan penelitian ini mengkonfirmasi bahwa banyak perawat merasa ragu dan tidak nyaman ketika menangani masalah seksual pasien. Oleh karena itu, perawat Indonesia membutuhkan lebih banyak pelatihan terkait memberikan asuhan keperawatan kepada pasien yang memiliki masalah seksual. Kata Kunci: deskriptif kualitatif, masalah seksual, perawat Indonesia, perawatan seksual
Improving Quality of Life on Cancer Patient by Implementation of Psychosexual Health Care Yati Afiyati; Budi Keliat; Ida Ruwaida; Imami Nur Rachmawati; Nur Agustini
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.722 KB) | DOI: 10.20473/jn.v11i1.1904

Abstract

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse.Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training.Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices.Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse.
Levin’s Conservation Model And Unpleasant Symptoms Theory In Nursing Care Of Pregnant Women With Preeklamsia : A Case Study: LEVINE’S CONSERVATION MODEL AND UNPLEASANT SYMPTOMS THEORY IN NURSING CARE OF PREGNANT WOMEN WITH PREECLAMPSIA : A CASE STUDY Nurul Evi; ImamiNur Rachmawati; Tri Budiarti
Jurnal Ilmiah Kesehatan Vol 13 No 01 (2020): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (439.145 KB) | DOI: 10.33086/jhs.v13i01.556

Abstract

Preeclampsia is a multisystem complication that occurs after 20 weeks of pregnancy and may cause maternal and fetal morbidity and mortality. Preeclampsia is the leading cause of maternal death in many countries.A case studywith the application of Levine’s Conservation and unpleasant symptoms theory on the nursing process of pregnant women with severe preeclampsia.Levine’s conservation theory allows individuals to adapt in order to maintain their integrity with conservation as the final result. The main focus of conservation is a balance between supply and demand of energy, in order to preserve all aspects of individual wholeness.While the unpleasant symptom theory is applied in reducing the symptoms of discomfort by increasing the understanding of aset of symptoms of discomfort from various contexts and providing useful information as well asteaching about the negative effects of them. Keywords: Preeclampsia, Levine’s conservation, Unpleasant symptoms
“I can live a normal life”: Exploring adherence to antiretroviral therapy in Indonesian adolescents living with HIV Nuraidah Nuraidah; Dessie Wanda; Happy Hayati; Imami Nur Rachmawati; Agung Waluyo
Belitung Nursing Journal Vol. 8 No. 2 (2022): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2024

Abstract

Background: Adherence to antiretroviral therapy (ART) can be challenging since it needs to be continued for a lifetime. At their age, adolescents start to be responsible for their life, and this continued therapy might be a challenge for them. Objective: This study explored the experiences of adherence to ART in adolescents living with HIV in Jakarta, Indonesia. Methods: A qualitative study with an Appreciative Inquiry (AI) approach was employed to explore challenges adolescents face in ART adherence which focused more on positive aspects of the experience. In-depth interviews were conducted with ten adolescents who were selected purposively based on criteria including those aged 13-19 years, having been diagnosed with HIV infection and receiving ART for more than a year, and never having discontinued ART. All participants were registered in the outpatient clinic in one top referral hospital in Jakarta. The data were analyzed using thematic analysis. Results: Five themes were identified from the data: living a normal life, wanting to be healthy, taking medication on time, challenges in undergoing treatment, and there is hope. Conclusion: Adolescents with HIV want to live as normal and healthy as possible, like other adolescents. Even though adolescents face several challenges to comply with ART, they try to take the medication as prescribed. The findings of this study serve as input for nurses to maintain compliance with ARVs in adolescents who have HIV.
Co-Authors - Machmudah - Setyowati Achir Yani S. Hamid Achir Yani Syuhaimie Hamid Achmad Fauji Agsutini, Nur Agung Waluyo Aina Aprilma Ray Allenidekania Allenidekania Anisah Anisah Apriliani, Rizki Selly Aryanti Wardiyah Astuti Yuni Nursasi Bahrul Hayat, Bahrul Beluan, Maria Irene Somi Beti Farida Ice Budi Anna Keliat Budi Keliat Candra, Adil Chairunisa, Navira Chodidjah, Siti Christina Cahyani Delly Arfa Syukrowardi Desy Aryani Putri Aryani Putri Desy Aryani Putri Aryani Putri, Desy Aryani Putri Dewi Gayatri Dewi, Prita Ayu Kusuma Dian Sari eka rahmawati Eka Rahmawati Elfrida Silalahi Elly Nurachmah Enie Novieastari Enjelita Karujan Erfina Erfina Eriyono Budi Wijoyo Erna Puspita Sari Erni Setiyowati Erni Setiyowati Etty Rekawati Faiqa Himma Emalia Fajar Tri Waluyanti Fatmawati, Ariani Febrianty, Indida Leli Indah Fitri Fujiana Fujiasih, Asih Furi Estie Honez Giur Hargiana Hargiana Hanny Handiyani Happy Hayati Hayuni Rahmah hero, admin Ida Ruwaida, Ida Jathu Dwi Wahyuni Junaiti Sahar Khusnul Khotimah Krisna Yetti Kurniawati, Pindi kurniawati Kurniawati, Wiwit Lantu, Nurlela Limanauw, Marchellino Edmond Aprico Lina Ayu Marcelina Lina Budiyarti Luknis Sabri Mangkuayu, Cluny Martina Maria A. Wijayarini Maria Yoheni Harnila Meidiawati, Ati Surya Muaningsih Muaningsih Muhammad Judha Mulhaeriah, Mulhaeriah Munifah, Laelatul Nani Nurhaeni Nartiana, Sari Neny Utami Nikmatul Khayati Ninik Yunitr Noviyanti, Mita Novy Helena Chatarina Daulima Nugraha, M Akbar Nur Agustini Nuraidah Nuraidah Nurhalimah Nurhalimah Nurhalimah Nurhalimah Nurul Evi Nurul Miftahul Parmawati, Ika Prisca A Tahapary Puspita Palupi Rahma Fadillah Sopha Rahma Yulis Rahmawati Handayani Ratnawati, R Ratnawati Riadinni Alita Riri Amalina Rizka Ristriyani Rizka Ristriyani Rudi Abas Rumdari, Rumdari Safitriana, Safitriana Sari, Levi Anggriani Purnama Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati Setyowati, S. Sibarani, Diana Wahyuni Siti Chodidjah Siti Kusnul Khatimah Siti Rahmawati Sitinjak, Eva Perawaty Sodik, Ikhsan susanti, suryane sulistiana Syamsuriati, Syamsuriati Titin Ungsianik Tri Budiarti Tri Budiarti, Tri Tri Budiati Triana Dewi Ulfia Fitriani Nafista Utami, Neny Utami, Septyani Windi Vella Yovinna Tobing Wanda , Dessie Wardatus Sholihah Widi Lestari Windi Nur Emiria Wiwit Kurniawati Wulandari, Riski Yati Afiyanti Yati Afiyanti Yati Afiyanti Yati Afiyati Yeni Rustina Yossie Susanti Eka Putri Yossie Susanti Eka Putri Yusron Nasution