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Pengalaman Pasien Mengalami Serangan Jantung Pertama Kali yang dirawat di Ruang CICU Didi Kurniawan; Kusman Ibrahim; Ayu Prawesti
Jurnal Keperawatan Padjadjaran Vol. 3 No. 2 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (714.605 KB) | DOI: 10.24198/jkp.v3i2.102

Abstract

Serangan jantung merupakan peristiwa terhambatnya aliran darah pada arteri koroner yang menyebabkan otot jantung kekurangan oksigen sehingga terjadi kerusakan irreversibel miokard, reaksi tidak percaya, penolakan, marah, dan takut akan kematian. Serangan jantung pada pasien dapat berdampak pada aspek fisik dan psikologis pasien tersbut dan keluarganya. Staf pelayanan kesehatan termasuk perawat perlu lebih memahami perubahan yang terjadi sepanjang perjalanan hidup pasien yang mengalami serangan jantung pertama kali agar tercapai asuhan keperawatan holistik.Penelitian ini menggunakan metode kualitatif fenomenologis terhadap empat laki-laki dan tiga perempuan yang berusia antara 42–68 tahun melalui wawancara mendalam. Analisis hasil wawancara menggunakan metode Colaizzi. Pengalaman hidup pasien yang mengalami serangan jantung pertama kali dikelompokkan ke dalam tiga tahapan. Tahap pertama yaitu sebelum serangan; situasi yang mencetuskan dan menyebabkan serangan jantung. Tahap kedua yaitu saat terjadi serangan jantung; nyeri dada seperti dihimpit beton, takut meninggal dunia, tidak percaya mengalami serangan jantung, pentingnya kehadiran keluarga saat serangan, dan putus asa mencari pelayanan kesehatan. Tahap ketiga yaitu selama perawatan; merasa sudah sembuh karena tidak nyeri dada lagi, pasrah dan berdoa serta menganggap sakit sebagai cobaan dari Tuhan, keinginan tetap beribadah meskipun sakit, kebahagiaan memeroleh kehidupan ke dua dari Tuhan, gangguan tidur selama perawatan, dan kesulitan pembayaran biaya rumah sakit.Penelitian menemukan wawasan baru yaitu putus asa mencari pelayanan kesehatan, merasa sudah sembuh karena tidak nyeri dada lagi, dan kebahagiaan memeroleh kesempatan hidup kedua dari Tuhan. Berdasarkan hasil temuan maka perlu membuat sistem pertolongan yang cepat pada korban serangan jantung,  meningkatkan pemahaman pasien melalui pendidikan kesehatan mengenai serangan jantung yang dialami sehingga tercapai pelayanan yang paripurna.Kata kunci: Koroner, pengalaman, serangan jantung pertama.Life Experiences of First-Time Heart Attack Patients who are Hospitalised in CICUAbstractA heart attack is an inhibition of blood flow in the coronary arteries that causes oxygen deficiency to the heart muscles, causing irreversible myocardial damage as well as disbelief, denial, anger, and fear of death in patients. A heart attack affects the physical and psyhological aspects of the patient and their family. This situation requires doctors and nurses to better understand the changes in the lives of patients who have their first heart attack in order to reach holistic nursing care. This study uses qualitative method with phenomenological approach. Data was collected by in-depth interviews with 4 men and 3 women between the age of 42 to 68. Data were analyzed with Colaizzi method. Life experiences of patients who have their first heart attack are categorised into 3 phases. The first phase is before heart attack occurs, i.e. circumstances that triggered heart attack. The second phase is when heart attack occurs, e.g. chest pain as if being squeezed by a piece of concrete, fear of death, disbelief, the importance of family during the attack, and desperately seeking medical services. The third phase is during treatment, e.g. feeling better because chest pain has subsided, resignation, praying, considering pain as a test from God, the intention to keep practicing religion in spite of being sick, feeling relieved and happy to receive a second chance from God, sleep disorder during treatment, and difficulty to pay hospital costs.This study discovered new forms of life experiences, including desperately seeking medical care, feeling better because chest pain has subsided, and feeling happy to receive a second chance from God. The findings of this study suggest the need for timely medical response for people having a heart attack, increased involvement of family during the treatment of early heart attack, visits from clergy and improved understanding of patients through health education, in order to develop an excellent medical service.Key words: Heart attack, life experience, phenomenology.
GAMBARAN KEJADIAN IKUTAN PASCA IMUNISASI (KIPI) PASCA VAKSINASI COVID-19 PADA MAHASISWA KEPERAWATAN Jewi Utami; Didi Kurniawan; Musfardi Rustam
Coping: Community of Publishing in Nursing Vol 10 No 5 (2022): Oktober 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (227.403 KB) | DOI: 10.24843/coping.2022.v10.i05.p10

Abstract

The COVID-19 pandemic is set to become a disturbing Public Health Emergency of International Concern (PHEIC) that requires a new strategy as an effective intervention, namely vaccination. The use of vaccines can cause vaccination reactions called Adverse Events Following Immunization (AEFI). This study aims to determine and explain the picture of Adverse Events Following Immunization (AEFI) post-COVID-19 vaccination in nursing students. This study used a retrospective descriptive design using univariate analysis. The research sample amounted to 649 respondents, with sampling using a total sampling technique. The measuring instrument used is the AEFI questionnaire via google form. The characteristics of respondent majority of late adolescents aged 17-25 years of 639 (98,4%), with most of the female gender 578 (89,1%). The majority of Dose-1 vaccination types are Sinovac amounting to 581 (89,5%), Dose-2 vaccination the majority are also Sinovac at 338 (87,6%), and the majority Dose-3 vaccination is Pfizer-BioNTech totaling 113 (55,7%). Respondents experienced AEFI on Dose-1 vaccination with a total of 649 respondents, the most symptoms were muscle pain by 245 (37,8%), Dose-2 vaccination with a total of 386 respondents obtained the majority of muscle pain by 90 (23,3%), and vaccination Dose-3 with a total of 203 respondents, the majority of muscle pain was 65 (32,0%). The AEFI category in the Dose-1 vaccination was mostly in the low category by 290 (44,7%). The majority of Dose-2 vaccination AEFIs are in the low category of 225 (58,3%), and the majority of Dose-3 vaccinations are in the low category of 90 (44,3%). The most common AEFI symptom experienced by respondents is muscle pain, and the majority of AEFI post-COVID-19 vaccinations are in low category.
PELAYANAN KESEHATAN PADA LANSIA DENGAN HIPERTENSI DI TINGKAT PELAYANAN PRIMER: SYSTEMATIC REVIEW Didi Kurniawan; Etty Rekawati; Junaiti Sahar
Coping: Community of Publishing in Nursing Vol 10 No 4 (2022): Agustus 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (654.337 KB) | DOI: 10.24843/coping.2022.v10.i04.p11

Abstract

Penderita hipertensi terus mengalami peningkatan sejalan dengan meningkatnya usia harapan hidup. Hipertensi sangat berbahaya karena dapat menyebabkan serangan jantung, stroke, gagal ginjal bahkan kematian. Oleh karena itu, pelayanan kesehatan lansia dengan hipertensi perlu mendapat perhatian yang serius dari pemberi pelayanan kesehatan primer. Berdasarkan fakta tersebut maka dilakukan systematic review dengan tujuan memberikan gambaran pelaksanaan pelayanan kesehatan pada lansia dengan hipertensi di tingkat pelayanan primer. Metode yang digunakan yaitu kajian pustaka secara sistematis (systematic review) dari berbagai hasil penelitian yang bersumber pada data elektronik. Pencarian literatur dilakukan secara online dengan menggunakan basis data ScienceDirect, Scopus, Pubmed, ProQuest, Clinicalkey, dan Google Scholar. Kata kunci yang digunakan dalam pencarian sumber referensi adalah “management hypertension”, “elderly”, dan “primary care” serta dibatasi dalam rentang tahun 2016 hingga 2021. Hasil systematic review ini mengungkap bahwa pelayanan kesehatan di tingkat pelayanan primer telah menggunakan berbagai metode pendekatan seperti peningkatan keterlibatan keluarga, penggunaan SMS, telemonitoring, manajemen diri berbasis telepon selular, dan kunjungan langsung keluarga berupa program Perkesmas PIS-PK. Metode pendekatan tersebut bertujuan meningkatkan kepatuhan lansia penderita hipertensi dalam melaksanakan terapi farmakologi maupun non farmakologi. Kesimpulan bahwa pelayanan primer harus terus dikembangkan seiring kemajuan teknologi informasi tanpa mengesampingkan pelayanan langsung pada pasien dan peningkatan kualitas pemberi pelayanan kesehatan primer.
Effect of Breast Cancer Detection Application on Improving Knowledge of Early Detection of Breast Cancer (BSE) among Adolescents Aprianti, Siska; Erika; Didi Kurniawan
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 5 (2022): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i5.637

Abstract

Background: Breast cancer is one of the most common cancers women suffer, especially in adolescents and young adults. Objective: This study aims to determine the effect of the application of early detection of breast cancer to increase knowledge about early detection of breast cancer in adolescents. Method: This study used a pre-experimental design with a one-group pre-test post-test design approach. The study sample amounted to 100 respondents with sampling using a purposive sampling technique. The analysis used was bivariate and gene analysis using Wilcoxon. Result: The characteristics of the majority of respondents are middle-aged adolescents 15 to 17 years (91%), have never received education about breast cancer and how to prevent it (73%), and the level of knowledge about breast cancer is sufficient (54). The Wilcoxon alternative test results compared the knowledge level before, and after using an Android-based breast cancer early detection application obtained p value = 0.000 < (0.05). Conclusion: In conclusion, this study has an effect of early detection of breast cancer in increasing knowledge about the early detection of breast cancer in adolescents. Recommendation: The results of this study are expected to increase knowledge about breast health education through an Android-based early detection application for breast cancer in adolescents that can apply to the implementation of nursing. Researchers suggest that future researchers can use creativity so that this research can attract more respondents' attention and be able to increase the knowledge of adolescents
Sosialisasi Kebersihan untuk Mencegah Penyakit Cacingan (Helminthiasis) pada Murid SD Negeri 012 Padang Tanggung, Kecamatan Pangean, Kabupaten Kuantan Singingi, Provinsi Riau Didi Kurniawan; Arif Rahman Zen; Ayu Febriani; Desti Juwita Harefa; Legi Oktri; M. Martunus Rawanda; Nova Sutriani; Putri Anita Permatasari; Risky Pebrinaldi; Widya Raphita Lumbantoruan
MASPUL JOURNAL OF COMMUNITY EMPOWERMENT Vol 4 No 1 (2022): MASPUL JOURNAL OF COMMUNITY EMPOWERMENT
Publisher : LP2M Universitas Muhammadiyah Enrekang

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

Abstract

The community service activity carried the theme "Socialization of Hygiene to Prevent Worm Disease (Helminthiasis) to Students of SD Negeri 012 Padang Responsibility, Pangean District, Kuantan Singingi Regency, Riau Province, was carried out as an effort to improve the cleanliness and health of elementary school age children by familiarizing the principles of sanitation of oneself with a culture of proper and good hand washing using soap, eating healthy and nutritious food as well as a culture of not littering. The elementary school age period is a glorious period to familiarize the values ​​of clean and healthy living behavior as well as the potential as an agent of change to introduce healthy living habits both in the school, family and community environment in order to create quality human resources in the future.
Hubungan Dukungan Keluarga Dengan Tingkat Kemandirian Pasien Pasca Stroke Nursyahfitri Rizky Ramadhani; Didi Kurniawan; Yesi Hasneli N
Jurnal Ilmiah Wahana Pendidikan Vol 8 No 23 (2022): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.765 KB) | DOI: 10.5281/zenodo.7388400

Abstract

stroke is complicated problem which afflicted by someone and being implied by his/her family to recover. The family supports has a significant roles in relation to enhance patient self-independence to face daily activities. This research aims at comprehending the correlation between family supports and the degree of patient independence on post-stroke. The research design applied is descriptive-correlation by using cross-sectional approach toward the sum of sample is 45 patient gained through Accidentally Sampling collection data of sampling as the criteria inclusion. The findings are most of patients gained fully-family supports get high degree of their self-independence is (54,4%), on the other hand, the patients which gain low-family supports so that having the highest degree, including low dependence (69%). The majority of the post-stroke patients gaining family fully-supports get hight self- dependence.
Hubungan Dukungan Keluarga dengan Tingkat Kemandirian Pasien Pasca Stroke Nursyahfitri Rizky Ramadhani; Didi Kurniawan; Yesi Hasneli N
Jurnal Ilmiah Wahana Pendidikan Vol 8 No 22 (2022): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.153 KB) | DOI: 10.5281/zenodo.7323260

Abstract

stroke is complicated problem which afflicted by someone and being implied by his/her family to recover. The family supports has a significant roles in relation to enhance patient self-independence to face daily activities. This research aims at comprehending the correlation between family supports and the degree of patient independence on post-stroke. The research design applied is descriptive-correlation by using cross-sectional approach toward the sum of sample is 45 patient gained through Accidentally Sampling collection data of sampling as the criteria inclusion. The findings are most of patients gained fully-family supports get high degree of their self-independence is (54,4%), on the other hand, the patients which gain low-family supports so that having the highest degree, including low dependence (69%). The majority of the post-stroke patients gaining family fully-supports get hight self- dependence.
Pengendalian Hipertensi pada Lansia Menggunakan Terapi Seduhan Bawang Dayak Kurniawan, Didi; Zulfitri, Reni; Nopriadi, Nopriadi
Jurnal Kesehatan Komunitas Vol 10 No 2 (2024): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol10.Iss2.1452

Abstract

Hypertension is a disease that can kill the sufferer silently (silent killer). The elderly most experience hypertension, as one of the effects of a decrease in the body's system so it requires non-pharmacological therapy to reduce polypharmacy in the elderly. The purpose of this study was to determine the effect of steeping Dayak onions on the function of controlling hypertension. The design of this study used a pre-experiment without a control group, namely one group pre-test-post-test design to determine whether there was an effect of giving Dayak onion steeping therapy in lowering blood pressure. Samples were taken using a purposive sampling technique totaling 38 respondents. The results of the data normality test showed that the data were not normally distributed, therefore the researcher used data analysis with the Wilcoxon Signed Ranks Test. The results showed that the Z value was smaller than the Z table value, so the Dayak onion steeping therapy affected decreasing blood pressure. Based on these conditions, Dayak onion infusion can be used as an additional therapy in controlling hypertension in the elderly.
Hubungan Dukungan Sosial dengan Masalah Psikososial pada Remaja Awal (12-14 Tahun) di Pesantren Kosika, Denny; Yuniar Sari, Niken; Kurniawan, Didi
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 14 No 3 (2023): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v14i3.1292

Abstract

Background: Early adolescence is the gateway to psychosocial problems. Adolescence is a transitional period of change both physically and psychologically. Psychosocial problems that occur in adolescents can cause low self-esteem, impaired self-image, and depression. This study aims to determine the relationship between social support and psychosocial problems in early adolescents at the Pekanbaru City Islamic Boarding School. Methods: This study used a correlation descriptive design and a cross sectional approach. The instruments used in this study were the Child and Adolescent Social Support Scale (CASSS), and the Pediatric Symptom Checklist-Youth Report (PSC-Y35). The research sample consisted of 194 respondents who were taken based on inclusion criteria using a simple random sampling technique. The analysis used was bivariate analysis using the chi square test and simple logistic regression analysis. Result: There are 19.1% of adolescents who have high category social support, as many as 27% of adolescents experience psychosocial problems. The results of statistical tests showed that there was a significant relationship between social support and psychosocial problems in early adolescents at Islamic boarding schools with a p value (0.007) <alpha (0.05). Conclusion: Social support has a significant relationship with psychosocial problems in adolescents in Islamic boarding schools.
Pelatihan Kader Kesehatan dalam rangka mengoptimalkan gizi anak sekolah di Desa Seberang Taluk, Kuantan Sengingi, Riau Nurul Huda; Eka Febryanti; Didi Kurniawan; Triva Septi Wahyuni
Jurnal Pengabdian Masyarakat Bakti Parahita Vol. 4 No. 02 (2023): Jurnal Pengabdian Masyarakat Bakti Parahita
Publisher : Universitas Binawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/jpmbp.v4i02.1210

Abstract

Siswa sekolah dasar merupakan kategori penduduk yang beresiko mengalami masalah nutrisi. Status gizi yang baik akan mempengaruhi kemampuan tumbuh kembang dan sistem kekebalan tubuh anak dalam melawan penyakitnya, khususnya Post Covid 19. Tetapi sayangnya status gizi anak sekolah dasar belum seprioritas gizi pada anak usia sekolah. Oleh karena itu tujuan dari kegiatan pengabdian ini adalah meningkatkan kemampuan kader dalam mengkaji status gizi pada anak sekolah dasar dan memberikan intervensi yang tepat dalam mengoptimalkan gizi anak. Sasaran kegiatan adalah Ibu-Ibu kader kesehatan, desa Seberang Taluk, Kecamatan Kuantan Tengah yang mempunyai anak usia sekolah. Metode yang digunakan dalam penelitian ini ada beberapa tahap yaitu pelatihan kader, focus group discussion terkait masalah yang dihadapi di lapangan, pelatihan pengkajian status gizi. Hasil program menunjukkan terjadinya peningkatan pengetahuan dan keterampilan kader dalam mengkaji status gizi anak, ditemukannya solusi yang ringkas dan tepat untuk mengatasi permasalahan kader dalam mengoptimalkan gizi anak serta terjadi peningkatan pengetahuan dan kemampuan sederhana kader dalam mengatasi masalah gizi. Berdasarkan hal ini terbukti bahwa pelatihan kader ini dapat meningkatkan pengetahuan kader dalam mengkaji dan melakukan intervensi sederhana terkait masalah gizi anak sekolah. Oleh karena itu, pelatihan kader gizi ini bisa dijadikan sebagai salah satu program Puskesmas dalam rangka mengoptimalkan gizi anak sekolah dan sebaiknya dilakukan secara berkala.