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Analisis Faktor-Faktor yang Mempengaruhi Kepatuhan Asupan Cairan pada Pasien Gagal Ginjal Kronik dengan Hemodialisis di RSUD Prof. Dr. Margono Soekarjo Purwokert Kamaluddin, Ridlwan; Rahayu, Eva
Jurnal Keperawatan Soedirman Vol. 04 No. 1 (2009)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2009.4.1.218

Abstract

Chronic Renal Failure (CRF) patient who had routine Haemodialisis (HD) usually experiencing the over volume extracellular fluid because degradation of kidney`s ability to excreting fluid. Patient obidience to intake less fluid is the top priority for Nursing  diagnosis on HD nurse to give the best medical servise. dominant factor that influencing patien`s obedience is not positively understandable yet. It might influenced by any other factors. The aim of this study is to analyze influencing patient compliance factors toward fluid intake for chronic renal failure patients who undergo hemodialisis at Margono Soekardjo Hospital of Purwokerto Analytic descriptive with cross-sectional design was used in this study. Data collected by closed ended questioners to the target subjects (routine HD patient) at RSUD Prof. Dr. Margono Soekarjo Purwokerto on September-October 2008.The result show that age, length of hemodialisis, education, nurses involvement, family patient involvement, self concept, knowledge level have significant level at, p= 0,100,  0,074, 0,000, , 0,000, 0,000, 0,016 and 0.001 respectively. There are five factors (education, nurses involvement, family patient involvement, and knowledge level) that have significant factor toward fluid intake. Meanwhile, two factors have no significant factor toward fluid intake as age, and length of f hemodialisis
Pengaruh Program Diabetes Self Management Education Berbasis Keluarga terhadap Kualitas Hidup Penderita Diabetes Melitus Tipe II di Wilayah Puskesmas II Baturraden Rahayu, Eva; Kamaluddin, Ridlwan; Sumarwati, Made
Jurnal Keperawatan Soedirman Vol. 09 No. 3 (2014)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2014.9.3.611

Abstract

Diabetes  Melitus  (DM)  adalah  salah  satu  penyakit  kronik  yang  memerlukan penanganan serius melibatkan penderita dan keluarga dalam penatalaksanaan perawatan mandiri,  salah satunya melalui pendekatan Diabetes Self Management Education (DSME). DSME adalah proses untuk memfasilitasi ilmu pengetahuan, keterampilan dan kemampuan dalam perawatan mandiri diabetes. Penelitian ini bertujuan untuk menganalisis pengaruh DSME berbasis keluarga terhadap kualitas hidup penderita DM tipe II di Puskesmas 2 Baturraden. Penelitian ini menggunakan desain quasi eksperimen pada 18 sampel penelitian dengan teknik purposive sampling. Diabetes Self Management Education dilakukan sebanyak 3 kali pertemuan selama 3 bulan. Analisis data menggunakan uji t  berpasangan (pair t test) dengan CI 95 %. Hasil penelitian menunjukkan nilai p = 0,000 (p < α; α = 0,05). Terdapat pengaruh yang signifikan antara program Diabetes Self Management Education berbasis keluarga terhadap kualitas hidup penderita DM. Perawat dapat melakukan DSME sebagai pendekatan dalam meningkatkan self care diabetes sehingga kualitas hidup mereka dapat ditingkatkan. 
Determinants of Diabetes Self Care in Patients With Type 2 Diabetes Mellitus in Banyumas Regency Rahayu, Eva; Kamaluddin, Ridlwan; Hapsari, Eti Dwi
Jurnal Keperawatan Soedirman Vol 13, No 2 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.2.763

Abstract

DETERMINANTS OF DIABETES SELF-CARE ON PATIENTS WITH TYPE 2 DIABETES MELLITUS IN BANYUMAS REGENCYEva Rahayu, Ridlwan Kamaluddin, Eti Dwi HapsariLecturer of Nursing Department, Jenderal Soedirman University“ummufawwaz.rahayu@gmail.com” ABSTRAKPenderita diabetes tipe 2 perlu menerapkan perawatan mandiri diabetes dalam rangka meminimalisir berbagai komplikasi dan penurunan kualitas hidup. Beberapa faktor diduga memiliki pengaruh terhadap penerapan  perawatan mandiri diabetes oleh penderita diabetestipe 2 di Kabupaten Banyumas. Tujuan penelitian ini adalah untuk  mengetahui faktor determinan yang berhubungan dengan penerapan perawatan mandiri  diabetes tipe 2 di Wilayah Kabupaten Banyumas. Penelitian ini menggunakan desain cross sectional. Populasi adalah seluruh penderita diabetes melitus tipe 2 se-Kabupaten Banyumas. Metode penarikan sample dengan teknik cluster sampling  dengan besar sampel 532 orang yang tersebar di 22 puskesmas se-Kabupaten Banyumas. Analisis data menggunakan uji korelasi Spearman dan Regresi Linier Ganda. Hasil penelitian menunjukkan nilai p pada masing–masing variabel yang dihubungkan dengan perawatan mandiri diabetes antara lain adalah jenis kelamin (p=0,043),usia (p=0,18), lama menderita diabetes (p= 0,11)  pengetahuan (p=0,000), motivasi (=0,01), serta dukungan keluarga (p=  0,000). Sebesar 10,4 % variasi perawatan mandiri diabetes  dapat dijelaskan oleh variabel pengetahuan dengan koefisien β = 0,32.  Kesimpulan penelitian adalah ada hubungan antara jenis kelamin, pengetahuan, motivasi dan dukungan keluarga dengan perawatan mandiri diabetes. Variabel pengetahuan menjadi faktor yang paling dominan berhubungan dengan perawatan mandiri diabetes.Kata kunci : determinan, diabetes melitus, perawatan mandiri diabetes   ABSTRACT Patients with type 2 diabetes need to apply self-care in order to minimize various complications and decreasing quality of life. Several factors are assumed to have an effect on the application of diabetes self-care by patients with type 2 diabetes in Banyumas Regency.  The purpose of this research was to determine the determinants related to the application of diabetes self care by patients withtype 2 diabetesin Banyumas Regency. This research used cross sectional design. Population was all patients with type 2 diabetes mellitus in Banyumas Regency. Sampling method was performed by cluster sampling technique with sample size of 532 patients spreading in 22 community health centers (Puskesmas) in Banyumas Regency. Data analysis used Spearman correlation test and Multiple Linear Regression. The result indicated that p value in each variable affecting diabetes self-care was gender  (p=0,043), age (p=0.18), duration of diabetes (p= 0.11) , knowledge (p=0.000), motivation (=0.01), and family support (p=  0.000). 10.4 % variation in diabetes self-care can be explained by knowledge variable with the coefficient β = 0.32.  It can be concluded that there was a relationship among gender, knowledge, motivation and family support on diabetes self-care. Knowledge variable was the most dominant factor related to diabetes self-care. Keywords : determinants, diabetes mellitus, diabetes self-care
Gambaran Pemanfaatan Poliklinik Kesehatan Desa Sebagai Perpanjangan Tangan Puskesmas di Kabpaten Purbalingga Ekowati, Wahyu; Kamaluddin, Ridlwan; Triyanto, Endang
Jurnal Keperawatan Soedirman Vol. 03 No. 3 (2008)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2008.3.3.199

Abstract

Mother mortality inIndonesiain the year 1997 is 334 per 100.000 birth of life, while death of baby same as AKB in the year gyrate 52 per 1000. In the effort drawing near service of health to society and also strive generalization of service of effort and health push society independence for healthy life, government through Department Health specify wisdom to place energy nurse of countryside midwife below/under doctor leader of puskesmas. To improve degree of health of society isn't it alert countryside movement which one of [the] the program of is development of Polindes become Polyclinic Health Of Countryside. InSub-ProvinceofPurbalinggafrom 133 existing Polindes, 78 among others have become Polyclinic Health of Countryside which the was place of spread over inSub-ProvinceofPurbalingga.Intention of this research is to know the image of exploiting of Polyclinic Health of Countryside as extention of hand of Puskesmas inSub-ProvinceofPurbalingga. This Research is descriptive research by using sampling purposive that is counted 30 Polyclinics Health of Countryside with criterion reside in Sub-Province of Purbalingga and have stood more than 6 months. Data the taken is amount of amount of society visits to medicinize to Polindes and society visit to medicinize to Polyclinic Health of Countryside. Data Visit which in taking is last 3 months data.Result which in getting mean of amount of society visits to tired Polindes 36 people per month, while for the Polyclinic of Health of tired Countryside 58 people per month. Existence of improvement of society visit amount and benefit to exploiting of Polyclinic Health of Countryside as extention of hand of Puskesmas that is happened the make-up
PERANCANGAN SISTEM PAKAR KESEHATAN ANAK BERBASIS HANDPHONE MENGGUNAKAN JAVA 2 MICRO EDITION Imron Rosyadi; Ridlwan Kamaluddin
Kesmas Indonesia Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (12751.954 KB)

Abstract

At majority of developing countries such as Indonesia , Acces society to health medium still very limited. In Indonesia , only there are 0,13 doctor for 1.000 soul, 0,62 nurse for 1.000 soulmand 0,2 midwife for 1.000 soul. In health world, Expert System have a lot of used in assisting diagnosis of some disease. Along with technological growth , health world have also eploited handheld computer (such as PDA, smart phone and also ordinary handphone) to assist helath handling. Technological appearance of java 2 Micro Edition from sun Microsystems, progressively facilitate handheld computer use in PDA and also Handphone to assist various productive application and also amusement. This research purpose for design, implemented and performance test of handphone expert system of health based with java 2 Micro Edition. This research consisted of three phase. The first phase was scheme of expert system phase. Second phase was implementation of handphone expert system with J2ME program. The third phase was examination of expert system. The examination of expert system software was conducted through alpha test and beta test. Alpha test alpha conducted by system designer while beta test conducted by consumer system. Handphone-based expert system for child health diagnose has been developed using java 2 Micro Edition technology. The system has been implemented in Siemens handphone type C65. The system has been tested with good and reliable results. Expert system based on designed by J2ME technology has been developed and implemented with Siemens handphone type C65 hardware.
Hubungan Hospital Disaster Plan Simulation dengan Kesiapsiagaan Bencana Perawat di RSUD Prambanan Kabupaten Sleman Qathrin Nada Nada; Ridlwan Kamaluddin Kamaluddin; Arif Imam Hidayat
Journal of Bionursing Vol 2 No 2 (2020): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (418.903 KB) | DOI: 10.20884/1.bion.2020.2.2.46

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Background. Indonesia is well-known as a disaster-prone country. The numerous incident of disasters in Indonesia requires appropriate treatment, such as disaster preparedness efforts. Nurses play important roles during a disaster situation must be well prepared. This study was to examined the correlation between Hospital Disaster Plan Simulation and disaster preparedness level of nurses in Prambanan District Hospital Sleman. Methods. This is a quantitative research, non-experimental, descriptive correlative study with cross sectional design, 79 respondent participated in this study. The variables of nurses preparedness level were measured using the Disaster Preparedness Evaluation Tool Indonesian Version (DPET-I). Data were analyzed using a statistical descriptive and Mann Whitney with a significance level 95 %.Results. Prambanan District Hospital Nurses have a moderate level of disaster preparedness (knowledge:4,58; skills:4,33; post disaster management:4,33). Hospital Disaster Plan Simulation have a correlation with disaster preparedness level of nurses, statistical test showed significant (p < 0,05).Conclusion. Nurses need to improved disaster preparedness level by attending education, simulation like Hospital Disaster Plan Simulation, and increasing understanding of disaster management protocols in their workplace
Gambaran Nyeri Pasien yang Terpasang Ventilator Mekanik di Ruang Intensive Care Unit RSUD Prof Dr Margono Soekarjo Purwokerto Arif Imam Hidayat; Iwan Purnawan; Ridlwan Kamaluddin
Journal of Bionursing Vol 2 No 3 (2020): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.356 KB) | DOI: 10.20884/1.bion.2020.2.3.72

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Nyeri yang diakibatkan oleh tindakan perawatan adalah salah satu stressor terberat yang dihadapi pasien di ruang Intensive Care Unit (ICU). Nyeri ini berbanding lurus dengan tingkat morbiditas dan mortalitas pasien. Pasien juga dapat mengalami gangguan psikososial seperti depresi, cemas, delirium, ganguan PTSD, dan disorientasi. Penelitian ini merupakan studi deskriptif dengan pendekatan cross sectional. Penelitian ini melibatkan 100 responden. Teknik sampling yang digunakan dalam penelitian ini adalah non probability sampling, dengan consecutive sampling. Pengambilan data dilaksanakan pada bulan Juli - September 2020 di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Instrumen dalam penelitian ini adalah kuesioner CPOT (Critical Pain Observation Tool). Data yang diperoleh dianalisis menggunakan analisis univariat dan disajikan dalam bentuk rerata nilai skala nyeri. Hasil penelitian ini menunjukkan bahwa pasien yang dirawat di ICU mengalami sensasi nyeri sedang (47%), nyeri berat (43%), dan sangat berat (10%). Penting untuk dilakukan penelitian untuk menurunkan skala nyeri pada pasien yang mendapatkan perawatan di ruang ICU.
Literature Review: Effectiveness of Chest CT for Triage in the Emergency Departmet (ED) in Patients with Suspected COVID-19 Aniq Lutfiyah; Iwan Purnawan; Ridlwan Kamaluddin
Journal of Bionursing Vol 3 No 2 (2021): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (430.426 KB) | DOI: 10.20884/1.bion.2021.3.2.98

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Background: COVID-19 is caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) virus. The spread of this virus is very fast, so patients come to the Emergency Department (ED) for examination. The initial examination was carried out by triage the patient using the RT-PCR method. Then, there are recent studies that Computed Tomography (CT) can be used as a triage tool and help in the early diagnosis of patients with suspected COVID-19. Objectives: To determine chest CT for triage in the Emergency Department (ED) in patients with suspected COVID-19. Method:Search for articles was conducted electronically using Google Scholar, Sience Direct, and PubMed databases. Article used from March 2020 to January 2021. Keywords in this article search used the keywords "chest CT" for "triage" and "emergency department" for "COVID-19" and "chest x-ray" for "triage" and "emergency department" for "COVID-19", thus getting 5 research articles reviewed. Results: A chest CT that can be used as a triage tool based on the speed at which the chest CT results can be released depicting a confirmed COVID-19 patient in 60 minutes. Second, based on the sensitivity of chest CT there was 90.2% and according to chest CT instructions there was 89%. Conclusion: Chest CT examination is very effective as the first triage in diagnosing patients with suspected COVID-19.
Hubungan Pengetahuan dengan Kepatuhan Penerapan Perilaku Pencegahan Infeksi pada Keluarga Pasien di Ruang Rawat Inap RSUD Dr. R. Goeteng Taroenadibrata Novia Niken Dwipayana; Ridlwan Kamaluddin; Arif Imam Hidayat
Journal of Bionursing Vol 3 No 3 (2021): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.81 KB) | DOI: 10.20884/1.bion.2021.3.3.119

Abstract

The patient's family has an important role in the implementation of infection prevention efforts in the hospital because of frequent contact with patients and susceptible to the entry of microorganisms. This behavior can be influenced by the knowledge factor. Individual behavior in accordance with applicable rules describes the extent to which the individual's level of compliance in implementing infection prevention behavior in the hospital. This study uses a cross sectional method with a total sample of 70 people taken by consecutive sampling technique. Collecting data using a questionnaire. The results of the Somers'd test showed that there was a significant relationship between knowledge and adherence to infection prevention behavior (p = 0.000).
Systematic Review: Scoring Triage in Pandemic Covid-19 Dinda Sesylia Octaviani; Ridlwan Kamaluddin
Jurnal Studi Keperawatan Vol 2, No 2 (2021): SEPTEMBER 2021
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (725.974 KB) | DOI: 10.31983/j-sikep.v2i2.7737

Abstract

Background: Patients with emergency conditions will get the first health service in the Emergency Room (IGD). The emergency room nurse has an important role in assessing and determining the severity of the patient. The nurse determines the priority of action and the need for treatment in Intensive Care Unit (ICU) using triage. One of the triage that can be done is triage scoring to facilitate nurses in determining high-risk and low-risk patients. Purpose: To find out the triage scoring used during the pandemic. Methods: Literature search is conducted using the PICO framework. This systematic review is limited to articles published from 2019-2021 with articles in English. The database used is Google Scholar. PubMed, Science Direct, and ProQuest which using the keywords score, triage, pandemic and emergency care. Results: Based on the three articles reviewed, an overview of the use of triage scores during a pandemic is obtained using the SODA score, modified PRIEST and double triage and telemedicine protocols. Giving the triage score can make it easier for health workers to identify high-risk patients and prevent unexpected events. Conclusion: Triage scoring can be applied at Covid-19 referral hospitals which helps nurses determine priorities and prevents special mortality in Indonesia, which is experiencing the second wave Keywords: Score, Triage, Pandemic