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PERBEDAAN KEPATUHAN MINUM OBAT PASIEN TB PARU DARI BERBAGAI DUKUNGAN KELUARGA Ahmad Asyrofi; Setianingsih Setianingsih; Miftakhul Khakim
Coping: Community of Publishing in Nursing Vol 6 No 3 (2018): Desember 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Insiden dan prevalensi penyakit Tuberkulosis di masyarakat masih sangat tinggi. Pengendalian Tuberkulosis paru (TB paru) mendapat tantangan baru diantaranya adalah resisten akibat ketidakpatuhan penderita dalam menjalani proses pengobatan sesuai program. Dukungan keluarga diperlukan untuk menghasilkan kepatuhan penderita TB paru. Tujuan penelitian untuk mengetahui perbedaan kepatuhan minum obat penderita TB paru antara berbagai kelompok dukungan keluarga. Desain penelitian cross sectional, menggunakan total sampling sebanyak 43 responden. Alat penelitian terdiri dari kuesioner karakteristik, Support Questionnaire (FSQ), dan Morisky Medication Adherence Scales (MMAS-8). Analisis data secara univariat, dan bivariat menggunakan chi square-test. Hasil penelitian menunjukkan: penderita TB paru 74,4% berusia dewasa akhir (74,4%), jenis kelamin laki-laki (58,1%), pendidikan SMP (39,5%), dan pekerjaan petani (34,9%), dukungan keluarga tinggi (55,8%), kepatuhan minum obat cukup (39,5%), dan kepatuhan minum obat tinggi (32,6%). Ada perbedaan kepatuhan minum obat pada penderita TB paru antara dukungan keluarga cukup dan dukungan keluarga tinggi (p=0,0001). Peneliti selanjutnya diharapkan meneliti lebih lanjut mengenai faktor-faktor yang berkontribusi terhadap kepatuhan minum obat pada pasien TB paru, dan faktor-faktor yang berkontribusi terhadap dukungan keluarga pada pasien TB paru. Kata kunci: dukungan keluarga, kepatuhan minum obat, tuberkulosis paru ABSTRACT The incidence and prevalence of tuberculosis in the community is still very high. The control of pulmonary tuberculosis (pulmonary tuberculosis) has a new challenge, among others, is resistance due to non-compliance of patients in undergoing the treatment process according to the program. Family support is needed to produce compliance with pulmonary TB patients. The purpose of the study was to determine the differences in adherence to taking pulmonary TB patients between various family support groups. The study design was cross sectional, using a total sampling of 43 respondents. The research tool consisted of characteristic questionnaires, Support Questionnaire (FSQ), and Morisky Medication Adherence Scales (MMAS-8). Data analysis was univariate, and bivariate using chi square-test. The results showed: pulmonary tuberculosis patients were 74.4% late adult (74.4%), male sex (58.1%), junior high school education (39.5%), and farmer work (34.9%), high family support (55.8%), adherence to adequate medication (39.5%), and high medication compliance (32.6%). There was a difference in medication adherence in pulmonary TB patients between sufficient family support and high family support (p = 0,0001). Future researchers are expected to examine further the factors that contribute to medication adherence in pulmonary TB patients, and the factors that contribute to family support in pulmonary TB patients. Keywords: family support, medication adherence, pulmonary tuberculosis

PERBEDAAN PENATALAKSANAAN DIET HIPERTENSI PADA BERBAGAI TINGKAT PENGETAHUAN DAN DUKUNGAN KELUARGA Ahmad Asyrofi; Setianingsih Setianingsih; Ahmad Munthoha
Coping: Community of Publishing in Nursing Vol 5 No 3 (2017): Desember 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Penatalaksanaan diet bertujuan untuk membantu menurunkan tekanan darah menuju normal dan mencegah terjadinya komplikasi pada pasien hipertensi. Banyak pasien menganggap diet hipertensi sebagai sesuatu yang merepotkan dan tidak menyenangkan. Tujuan penelitian untuk mengidentifikasi perbedaan penatalaksanaan diet hipertensi antara berbagai tingkat pengetahuan dan perolehan dukungan keluarga. Desain cross sectional, menggunakan sampel total sebanyak 48 pasien hipertensi. Alat penelitian meliputi kuesioner pengetahuan diet, perceived sosial support from family (PSS-Fa), dan penatalaksanaan diet hipertensi. Data dianalisis secara univariat dan bivariat menggunakan uji chi square. Pasien hipertensi 66,7% berusia dewasa, perempuan sebanyak 58.3%, pekerjaan petani sebanyak 43.8%, tingkat pendidikan mayoritas adalah SD (54,2%). Pengetahuan pasien hipertensi 62,5% adalah baik, dukungan keluarga pasien hipertensi mayoritas adalah baik (56.2%), dan penatalaksanaan diet hipertensi mayoritas juga baik (54.2%). Terdapat perbedaan penatalaksanaan diet antara kelompok berpengatahuan baik dan tidak baik (p=0,004), dan terdapat perbedaan penatalaksanaan diet antara kelompok yang memperoleh dukungan keluarga baik dan tidak baik (p=0,001). Pengetahuan dan dukungan keluarga memberikan kontribusi terhadap penatalaksanaan diet hipertensi. Pengetahuan dan dukungan keluarga yang baik mendorong penatalaksanaan diet hipertensi yang baik pula. Kata kunci: diet hipertensi, pengetahuan, dukungan keluarga ABSTRACT Dietary management aims to help lower blood pressure to normal and prevent complications in hypertensive patients. Many patients consider a hypertension diet to be bothersome and unpleasant. The aim of the study was to identify differences in management of the hypertension diet between various levels of knowledge and the acquisition of family support. Cross sectional design, using a total sample of 48 hypertensive patients. Research tools include dietary knowledge questionnaires, perceived social support from family (PSS-Fa), and management of a hypertension diet. Data were analyzed univariately and bivariately using the chi square test. 66.7% of hypertensive patients were adults, 58.3% were women, 43.8% were farmers, the majority were elementary school (54.2%). Knowledge of hypertension patients 62.5% is good, family support for the majority of hypertensive patients is good (56.2%), and the management of the majority hypertension diet is also good (54.2%). There was a difference in diet management between the well and not well-informed groups (p = 0.004), and there were differences in diet management between groups that received good and not good family support (p = 0.001). Family knowledge and support contribute to the management of a hypertension diet. Good family knowledge and support encourages the management of a good hypertension diet. Keywords: hypertension diet, knowledge, family support

PERBEDAAN KEJADIAN DEPRESI PADA PASIEN CHRONIC KIDNEY DISEASE ON HEMODIALISIS YANG DIPENGARUHI DUKUNGAN KELUARGA Yuliana Tina Mutiara; Wahyu Hidayati; ahmad asyrofi
Jurnal Ilmu Keperawatan Jiwa Vol. 1 No. 1 (2018): May 2018
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

EFFECT OF APPLICATION OF GENERALIST NURSING ACTION: ANSIETAS ON CHRONIC POSTED DISEASE PATIENTS ABSTRACTUnhealthy lifestyle caused of chronic kidney disease. Urban communities are particularly vulnerable to unhealthy lifestyles, which can lead to chronic kidney disease. Chronic kidney disease is a condition which the kidney are permanently damaged and ultimately have an impact to the function of the kidney. Physical changes that occur in patients with chronic kidney disease associated with signs and symptom’s the severity of the disease. It will certainly affect the psychosocial condition of patients. Psychosocial problems that arise in hopitalized patients with chronic kidney is anxiety. This Scientific works aims to describe the nursing care of anxiety in patients with Chronic Kidney disease especially with relaxation techniques. Patients who are able to overcome their anxiety will improve the effectiveness of the physical treatments that are being undertaken. Thus, the nurse's role in providing psychosocial nursing care is necessary so that anxiety problems do not cause adverse impact to the patient. Keywords: Axiety, Chronic Kidney Disease, Relaxation technique

HUBUNGAN MOTIVASI PERAWAT DENGAN PELAKSANAAN TINDAKAN PERAWATAN ORAL HYGIENE PADA PASIEN DI RUANG ICU Febi Riandhyanita; Ahmad Asyrofi; Setianingsih Setianingsih
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 7 No 1 (2017): April
Publisher : LPPM STIKES KENDAL

ABSTRAK Pendahuluan: Oral hygiene merupakan salah satu tindakan keperawatan yang dilakukan agar kondisi rongga mulut tetap bersih dan segar sehingga terhindar dari infeksi. Pelaksanaan oral hygiene membutuhkan motivasi dari perawat. Motivasi adalah segala hal yang mendorong seseorang untuk melakukan sesuatu.Motivasi terdiri dari dua yaitu motivasi intrinsik yang berasal dari dalam diri individu dan motivasi ekstrinsik yang berasal dari luar individu. Metode: Tujuan penelitian ini untuk mengetahui hubungan antara motivasi perawat dengan pelaksanaan tindakan perawatan oral hygiene pada pasien di ruang Intensive Care Unit (ICU). Desain penelitian ini menggunakan deskriptif analitik, dengan jenis cross sectional, sejumlah 35 responden yaitu perawat yang bekerja diruang ICU menggunakan teknik total sampling. Peneliti melakukan analisis univariat menggunakan distribusi frekuensi, tendensi central, ukuran penyebaran, dan bivariat menggunakan Uji Chi-Square. Hasil: Hasil penelitian menunjukkan motivasi intrinsik diperoleh nilai p value 0,003 (p ≤ 0,05), sedangkan motivasi ekstrinsik diperoleh nilai p value 0,007 (p ≤ 0,05), sehingga keduanya dapat disimpulkan terdapat hubungan antara motivasi perawat dengan pelaksanaan tindakan perawatan oral hygiene pada pasien di ruang ICU. Diskusi: Hasil penelitian ini menyarankan, sebaiknya memberikan reward/penghargaan kepada perawat untuk meningkatkan motivasinya dalam tindakan oral hygiene di ruang ICU. Kata kunci: Motivasi Intrinsik, Motivasi Ekstrinsik, Oral Hygiene ABSTRACT Introduction: Oral hygiene is one of the nursing action caried out so that the condition of the oral cavity are kept clean and fresh, so avoid infection. Implementation of oral hygiene requires motivation of nurses. Motivation is everything that drives someone to do something. Motivation is composed of two that is intrinsic motivation that comes from inside the individual, and then extrinsic motivation that comes from outside individual. Methods: The purpose of the study was to examine the relationship between motivation nurse with the implementation of oral hygiene care measures for patient in the Intensive Care Unit (ICU). This study design using descriptive analytical, with a kind of croos sectional, a number of respondents is 35 nurses working at ICU room using total sampling technique. Researchers conducted univariat analysis using frequency distribution, central tendency, measures of dispersion, and bivariate using Chi-Square test. Results: The results showed that the value of intrinsic motivation ρ value of 0,003 (ρ ≤ 0,005), where as extrinsic motivation obtained ρ value of 0,007 (ρ ≤ 0,005), so that both can be concluded there is a relationship nurse motivation with implementation of oral hygiene care measures in patients in the ICU. Discussion: This results of this study suggested, should give reward/awards to nurses to improve oral hygiene motivation to act in the ICU. Keywords: Intrinsic Motivation, Extrinsic Motivation, Oral Hygiene.

PERBEDAAN LATIHAN KEKUATAN OTOT PASIEN PASCA STROKE YANG MEMPEROLEH BERBAGAI DUKUNGAN KELUARGA Nur Wakhidah; Ahmad Asyrofi; Hendra Adi Prasetya
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 3 (2019): Juli
Publisher : LPPM STIKES KENDAL

Masalah fisik yang muncul pada pasien stroke yaitu hilangnya kesadaran selama stroke, inkontinensia, kelumpuhan atau kelemahan otot, sehingga pasien mengalami gangguan gerak karena adanya kerusakan susunan saraf pada otak dan kekakuan pada otot dan sendi. Penelitian bertujuan untuk mengetahui perbedaan latihan kekuatan otot pasien pasca stroke yang memperoleh berbagai dukungan keluarga. Desain penelitian ini adalah study komparatif adalah menggunakan metode Cross-Sectional. Sampel dalam penelitian ini sebanyak 54 responden dan menngunakan teknik consecutive sampling. Alat yang digunakan pada penelitian ini adalah kuesioner Perceived Social Support-Family Scale (PSS-Fa) dan kuesioner latihan kekuatan otot. Pengambilan data dilakukan di ruang Poli Syaraf RSUD Dr. H. Soewondo Kendal pada 15 responden menggunakan teknik consecutive sampling. Tidak ada perbedaan antara latihan kekuatan otot pasien pasca stroke yang memperoleh dukungan keluarga baik dan dukungan kurang dengan nilai p value 0,727. Kata kunci : dukungan keluarga, latihan kekuatan otot, pasca stroke DIFFERENCE OF EXERCISE STRENGTHS OF THE MUSCLE OF POST-STROKE PATIENTS THAT GET VARIOUS FAMILY SUPPORT ABSTRACT Physical problems that arise in stroke patients are loss of consciousness during stroke, incontinence, paralysis or muscle weakness, so that patients experience movement disorders due to damage to the nervous system in the brain and stiffness in the muscles and joints. The study aimed to determine the differences in muscle strength training of post-stroke patients who received various family support. The design of this study is a comparative study using the Cross-Sectional method. The sample in this study were 54 respondents and used consecutive sampling technique. The tool used in this study was the Perceived Social Support-Family Scale (PSS-Fa) questionnaire and muscle strength training questionnaire. Data collection was carried out in the Neurology Room of the RSUD Dr. H. Soewondo Kendal for 15 respondents using consecutive sampling technique. There was no difference between muscle strength training in post-stroke patients who received good family support and less support with a p value of 0.727. Keywords: family support, muscle strength training, post stroke

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