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All Journal Nurse Media Journal of Nursing Jurnal Kedokteran Brawijaya JURNAL ILMIAH KESEHATAN KEPERAWATAN Students´ Journal of Accounting and Banking Dharmakarya : Jurnal Aplikasi Ipteks Untuk Masyarakat JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Proceeding SENDI_U Jurnal Sistem Kesehatan Jurnal Keperawatan BSI Jurnal Keperawatan Padjadjaran Belitung Nursing Journal Journal Of Holistic Nursing Science Media Keperawatan Indonesia Journal of Nursing Care and Biomolecular Jurnal Kreativitas PKM Journal of Nursing Care Jurnal Keperawatan Suaka Insan Jurnal Perawat Indonesia Jurnal Ilmiah Keperawatan Media Karya Kesehatan JURNAL KESEHATAN BHAKTI HUSADA Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Sehat Masada Jurnal Ilmu Keperawatan Indonesia (JIKPI) Masker Medika MAHESA : Malahayati Health Student Journal International Archives of Medical Sciences and Public Health Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Jurnal Keperawatan 'Aisyiyah Padjadjaran Acute Care Nursing Journal (PACNJ) Jurnal Riset Ilmiah Jurnal Ilmiah Kesehatan Keperawatan Holistik Jurnal Kesehatan
Titis Kurniawan
Fakultas Ilmu Keperawatan, Universitas Padjadjaran
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Kombinasi Sinar Inframerah, Cadexomer Iodine Powder, dan Zinc Cream Pada Diabetic Foot Ulcer (DFU): Sebuah Case Report Rustianti; Nursiswati, Nursiswati; Kurniawan, Titis; Setiawan, Cencen Hendra
Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan Vol. 7 No. 1 (2024): LENTERA: Jurnal Ilmiah Kesehatan dan Keperawatan
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sukabumi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37150/jl.v7i1.2776

Abstract

The management of Diabetic Foot Ulcer (DFU) infections has undergone many developments. Some of therapies used, namely infrared, cadexomer iodine, and zinc cream as single therapies that have been proven effective. However, the combinations of these therapy is not yet known whether it’s more effective or not than single or double therapy. It’s important to know the outcome of combination of these therapys on the wound healing process. This case report was applied to DM Type 2 patient with DFU score 47 from Bates-Jansen Wound Assessment Tool (BJWAT) and hyperglycemic condition (355 mg/dL). Wound treatment was carried out using the TIME Concept and applying 3M principles which were repeated in 4 home visits for 11 days. The result showed wound improvement as indicated by decrease in BJWAT score from 47 to 38. The improvement in this case was supported by the strength of each therapy which is combined in the wound healing process compared to single or double therapy. The client's wound care has the potential to address bacterial colonization and prevent biofilm formation, maintain wound moisture, and autolysis of necrotic tissue in a faster time. However, there are several complicating factors of client’s wound healing process, namely hyperglycemia, non-adherence of insulin injection, infection, hypertension, and hyperurisemia. The combination of these three therapies was shown to wound healing in terms of wound depth, type and amount of necrotic tissue, peripheral edema, granulation, and epithelialization and accelerate wound repair compared to single or double combinations.
Epidural Haemorrhage Pada Pasien dengan Riwayat Penggunaan Zat Adiktif Tramadol di Sebuah Rumah Sakit Jawa Barat: Sebuah Studi Kasus Putri, Silvi Riana; Kurniawan, Titis; Nursiswati, Nursiswati
MAHESA : Malahayati Health Student Journal Vol 3, No 12 (2023): Volume 3 Nomor 12 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i12.11495

Abstract

ABSTRACT Epidural hemorrhage is bleeding that occurs due to rupture of an artery with symptoms of gradually decreasing consciousness, headache, battle sign, and racoon eyes (a sign of basilar skull fracture). Treatment of patients with epidural haemorrhage is craniotomy. Her nursing diagnosis was ineffective cerebral perfusion. This study aims to describe the provision of nursing care to epidural haemorrhage patients with ineffective cerebral perfusion problems. The research design used is a case report. The sample of this study was a man in the surgical ward. Data collection was carried out using observation and interview methods. A man came to the ER with GCS 10 (E2V3M5), MAP 93 and had racoon eyes, the family said that the patient had an accident a week ago. Based on the results of the study, the nursing problem in these patients was ineffective cerebral perfusion. The interventions provided are management of intracranial elevation including observation of causes of increase, monitoring of MAP, monitoring of respiratory status, head up 30o, and collaboration of drug administration. A 30o head up intervention is given to reduce increased intracranial pressure by elevating the limbs above the heart so that oxygen flow to the brain increases. The results of treatment showed that after being given an intervention for 6 days, the patient was conscious on the third postoperative day (GCS 8: E4M5V1), MAP 66, the patient could answer questions related to pain by nodding his head, and the client's urine results showed negative results for drug use. At the 11th week after the craniotomy, follow-up care was carried out with the results of the patient's progress getting better. Keywords: Epidural Haemorrhage (EDH), Tramadol, Cerebral Perfusion  ABSTRAK Epidural haemorrhage merupakan perdarahan yang terjadi akibat pecahnya pembuluh darah arteri dengan gejala kesadaran menurun secara bertahap, sakit kepala, battle sign, dan racoon eyes (tanda fraktur basila tengkorak). Penanganan pasien dengan epidural haemorrhage adalah kraniotomi. Diagnosa keperawatannya yaitu perfusi serebral tidak efektif. Studi ini bertujuan untuk menggambarkan pemberian asuhan keperawatan pada pasien epidural haemorrhage dengan masalah perfusi serebral tidak efektif. Desain penelitian yang digunakan adalah case report. Sampel penelitian ini adalah seorang laki-laki di ruang rawat bedah. Pengambilan data dilakukan menggunakan metode observasi dan wawancara. Seorang laki-laki datang ke IGD dengan GCS 10 (E2V3M5), MAP 93 serta terdapat racoon eyes, keluarga mengatakan bahwa pasien mengalami kecelakaan seminggu yang lalu. Berdasarkan hasil pengkajian, masalah keperawatan pada pasien tersebut yaitu perfusi serebral tidak efektif. Intervensi yang diberikan yaitu manajemen peningkatan intrakranial meliputi observasi penyebab peningkatan, monitor MAP, monitor status pernapasan, head up 30o, dan kolaborasi pemberian obat. Intervensi head up 30o diberikan untuk mengurangi peningkatan tekanan intrakranial dengan meninggikan anggota tubuh di atas jantung agar aliran oksigen ke otak meningkat. Hasil perawatan menunjukkan bahwa setelah diberikan intervensi selama 6 hari, pasien sadar pada hari ketiga post operasi (GCS 8: E4M5V1), MAP 66, pasien dapat menjawab terkait nyeri yang ditanyakan dengan menganggukan kepala, dan hasil urin klien menunjukkan hasil negatif penggunaan narkoba. Pada minggu ke-11 pasca kraniotomi, dilakukan follow up care dengan hasil perkembangan pasien semakin membaik. Kata Kunci: Epidural Haemorrhage (EDH), Tramadol, Perfusi Serebral
Pencegahan Kekambuhan Asma dan Pengelolaan Cushing Syndrome: Studi Kasus Tsauroh, Salsabila Fiqrotu; Kurniawan, Titis; Sari, Eka Afrima
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14076

Abstract

ABSTRACT Iatrogenic cushing syndrome is a complication for asthma patients due to long-term use of steroid drugs. This risk is increasingly higher as the recurrence rate in increases asthma patients (poor asthma control). Asthma management has been shown to be effective in reducing asthma recurrence, there’s limited literature how to manage asthma in patients with cushing’s syndrome. This study aims to explain how to implement management and prevention of asthma recurrence in cushing syndrome patients undergoing treatment at one of regional general hospitals in the West Java. This case study uses a descriptive design described narratively. A woman (56) was admitted to the adult internal medicine room with weakness, breathlessness and itching. The face looks round (moonface), there’s fat on the shoulder (buffalo hump), lines (striae) appear on abdomen. Patients has history of asthma since kid. Family said patient had been taking corticosteroid medication for± 10 years. Patient claimed unaware about managing asthma. Asthma Control Test score before intervention was given 11 (not controlled). During treatment, patient and their families receive nursing intervention, pharmacology therapy, education and discussion about asthma management and how to prevent asthma recurrence that can reduce of using corticosteroid. At the end of intervention, patient and their family expressed better knowledge about asthma management. Symptoms of weakness, breathlessness, and itching had subsided by the end of treatment period. Patient had started asthma management after being discharged from hospital, but the smoke-free home had not been implemented optimally so patient relapsed once on the fourth day of discharged from hospital. Asthma management education is an effective strategy in prevention and management of cushing syndrome in asthma patients, however management will not be optimal without family support and those closest to them. Education provided during treatment needs to be followed up during the post-treatment period through regular follow up to ensure that programmed treatment can run as it should  Keywords: Asthma, Asthma Management, Case Study, Cushing Syndrome  ABSTRAK Iatrogenic cushing syndrome adalah salah satu komplikasi bagi pasien asma akibat penggunaan obat steroid jangka panjang. Resiko ini semakin tinggi seiring tingginya angka kekambuhan pasien asma (asma kontrol buruk). Manajemen asma telah terbukti efektif dalam mengurangi kekambuhan asma, sedikit literatur mendiskusikan bagaimana manajemen asma pada pasien dengan cushing syndrome. Case study ini bertujuan untuk memaparkan bagaimana implementasi pengelolaan dan pencegahan kekambuhan asma pada pasien cushing syndrome yang menjalani perawatan di salah satu rumah sakit umum daerah di wilayah Jawa Barat. Studi kasus ini menggunakan desain deskriptif dan diuraikan secara naratif. Seorang perempuan (56 thn) dirawat di ruang penyakit dalam dewasa dengan keluhan lemas, sesak, dan gatal. Wajah tampak bulat (moonface), pada daerah bahu terdapat penumpukan lemak (buffalo hump), tampak guratan garis (striae) pada abdomen. Pasien memiliki riwayat asma sejak kecil. Keluarga mengatakan bahwa pasien mengkonsumsi obat kortikosteroid ketika asma kambuh selama ± 10 tahun. Pasien mengatakan belum mengetahui terkait mengelola asma yang baik agar tidak kambuh. Skor Asthma Control Test sebelum diberikan intervensi adalah 11 (tidak terkontrol). Selama dirawat pasien dan keluarga diberikan intevernsi keperawatan, terapi farmakologi dan menerima edukasi dan diskusi mengenai manajemen asma yang baik dan cara pencegahan kekambuhan asma sehingga dapat mengurangi penggunaan obat kortikosteroid. Diakhir masa perawatan, pasien dan keluarga menyatakan paham mengenai manajemen asma. Keluhan lemas sudah tidak ada, sesak dan gatal berkurang. Setelah pulang dari rumah sakit, keluarga mengatakan telah mengurangi faktor pencetus kekambuhan asma pada pasien, namun rumah bebas asap rokok belum dilakukan secara maksimal oleh keluarga sehingga pasien kambuh satu kali di hari keempat pulang rawat. Edukasi manajemen asma merupakan strategi yang efektif dalam pencegahan dan pengelolaan cushing syndrome pada pasien asma, namun meski dimikian pengelolaan tidak akan maksimal tanpa dukungan keluarga dan orang terdekat. Edukasi yang diberikan selama dirawat perlu untuk ditindak lanjuti selama masa pasca rawat melalui follow up secara berkala untuk menjamin perawatan yang diprogramkan dapat berjalan sebagaimana mestinya. Kata Kunci: Asma, Cushing Syndrome, Manajemen Asma, Studi Kasus
Hubungan Kesiapan dengan Frekuensi Penggunaan Evidence-Based Practice dalam Laporan Kasus pada Mahasiswa Praktik Profesi Ners Setiani, Haniifah; Sari, Eka Afrima; Harun, Hasniatisari; Kurniawan, Titis; Nursiswati, Nursiswati
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.13926

Abstract

ABSTRACT Evidence-Based Practice (EBP) is an important aspect for students to become professional nurses. In implementing EBP, self-assessment regarding readiness is needed to evaluate themselves in using EBP. One factor that influences the use of EBP is students' readiness to use EBP. Having a strong belief in readiness to use EBP results in higher implementation of EBP use in practice.This research aims to see whether students' better readiness in using EBP is in line with the high frequency of EBP use, uses a correlative descriptive research design using the Chi-Square test, the sample was 102 students from the 45th professional nursing program at the Faculty of Nursing, Padjadjaran University by using the total sampling technique. The instrument for assessing readiness uses Upton's (2006) EBPQ questionnaire. Assessment of the frequency of EBP use by calculating the number of EBP uses in each case report. The results of this study show that 80.4% of respondents are ready, and respondents use EBP at a high frequency, 38.2%. This study shows a significant relationship between readiness and the frequency of EBP use in case reports with a p-value 0.012. This research finds that having a strong belief in readiness to use EBP results in higher levels of implementation. Therefore, habituation in applying EBP is necessary in order to become a professional nurse Keywords: Evidence-Based Practice, Frequency of Use, Readiness  ABSTRAK Evidence-Based Practice (EBP) merupakan salah satu aspek penting agar mahasiswa kelak menjadi perawat yang profesional. Dalam menerapkan EBP, dibutuhkan self-assessment mengenai kesiapan agar mahasiswa dapat mengevaluasi diri untuk mengetahui kekuatan dan kelemahan dalam penggunaan EBP. Salah satu faktor yang mempengaruhi penggunaan EBP pada mahasiswa adalah keyakinan mahasiswa dalam kesiapan penggunaan EBP. Memiliki keyakinan yang kuat dalam kesiapan penggunaan EBP menghasilkan implementasi penggunaan EBP dalam praktik yang lebih tinggi  Penelitian ini bertujuan untuk melihat apakah dengan semakin baiknya kesiapan mahasiswa dalam penggunaan EBP sejalan dengan tingkat frekuensi penggunaan EBP yang tinggi. Penelitian ini menggunakan rancangan penelitian deskriptif korelatif menggunakan uji Chi-Square. Sampel penelitian ini adalah mahasiswa program profesi Ners angkatan 45 Fakultas Keperawatan Universitas Padjadjaran. Teknik pengambilan sampel dengan total sampling sebanyak 102 mahasiswa. Instrumen dalam menilai kesiapan menggunakan kuesioner EBPQ milik Upton (2006). Penilaian frekuensi penggunaan EBP dengan menghitung jumlah penggunaan EBP dalam masing-masing laporan kasus.Hasil penelitian ini gambaran kesiapan 80,4% siap, dan responden menggunakan frekuensi EBP yang tinggi yaitu sebanyak 38,2%. Studi ini menghasilkan ada hubungan yang signifikan antara kesiapan dengan frekuensi penggunaan EBP pada laporan kasus dengan p-value 0,012. Temuan pada penelitian ini adalah memiliki keyakinan yang kuat dalam kesiapan penggunaan EBP menghasilkan implementasi penggunaan EBP dalam praktik yang lebih tinggi sehingga pembiasaan dalam menerapkan EBP perlu dilakukan agar menjadi perawat yang profesional. Kata Kunci: Evidence-Based Practice,  Frekuensi Penggunaan, Kesiapan
Penyiapan Pengelolaan Pasca Rawat pada Pasien Stroke Hemoragik dengan Riwayat Peb: Case Report Mutiarasani, Anjani; Kurniawan, Titis; Pratiwi, Sri Hartati
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.14077

Abstract

ABSTRACT Post-hospitalization stroke patients include assessing and preparing patients and families to meet post-treatment needs is important. Aims to explain the needs of post-stroke patients with a history of preeclampsia along with efforts to prepare patients and their families to meet these needs. Case report used Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) and Barthel indeks instruments to identify the post- treatment needs od stroke patients with a history of preeclampsia who were undergoing treatment in the inpantient room of a Regional Hospital in West Java. Educational topics include: ROM (range of motion), personal hygiene, pressure ulcer prevention, and fall risk prevention and danger signs. One month after being discharged from the hospital, the patient has implemented ROM (range of motion), personal hygiene is fulfilled, there is no risk of pressure sores/falls. The Barthel index score one month after discharge from the hospital improved to 6 (severe dependence). Preparations for the postpartum period with a history of PEB are fulfilled by taking regular medication and caring for the baby. Post-treatment education and follow-up are activities that have the potential to be effective in improving the patient's ability to meet post-treatment needs. It is important for hospitals to maintain continuity of care through regular follow-up and coordination with families to ensure that post-treatment needs are met and anticipate complications due to stroke.  Keywords: Case Report, Continue of Care, Post Treatment, , Preeclampsia, Stroke Hemoragic  ABSTRAK Pasca rawat pada pasien stroke meliputi pengkajian dan penyiapan pasien dan keluarga untuk memenuhi kebutuhan pasca rawat merupakan hal yang penting. Bertujuan untuk memaparkan kebutuhan pasien pasca stroke dengan riwayat preeklampsia beserta upaya penyiapan pasien beserta keluarganya untuk memenuhi kebutuhan tersebut. Case study ini dengan instrument Morse fall scale, Braden scale, Readiness for hospital discharge scale (RHDS) dan Barthel indeks digunakan untuk mengidentifikasi kebutuhan pasca rawat pasien stroke dengan riwayat preeklampsia yang menjalani perawatan di Ruang Rawat Inap salah satu RS Daerah di Jawa Barat. Topik edukasi mencakup : ROM (range of motion), personal hygiene, pencegahan dekubitus, dan pencegahan risiko jatuh serta tanda bahaya. Satu bulan setelah keluar dari rumah sakit, pasien telah menerapkan ROM (range of motion), personal hygiene terpenuhi, tidak terdapat risiko dekubitus/jatuh. Skor Barthel indeks satu bulan setelah keluar dari rumah sakit membaik menjadi 6 (ketergantungan berat). Penyiapan pada postpartum dengan Riwayat PEB terpenuhi dengan minum obat rutin dan perawatan bayi. Edukasi dan follow up pasca rawat merupakan kegiatan yang berpotensi efektif memperbaiki kemampuan pasien memenuhi kebutuhan pasca rawat. Menjadi penting bagi rumah sakit untuk menjaga continue of care melalui follow up secara reguler serta koordinasi dengan keluarga untuk menjamin keterpenuhan kebutuhan pasca rawat dan antisipasi komplikasi akibat stroke. Kata Kunci: Case Report, Continue Of Care, Pasca Rawat, Preeklampsia, Stroke Hemoragik
Topik dan Metode Pencarian Sumber Pada Laporan Evidence-Based Practice Mahasiswa Program Profesi Ners Stase Keperawatan Medikal Bedah: Studi Dokumen Fadillah, Jasmine Fasya; Sari, Eka Afrima; Harun, Hasniatisari; Kurniawan, Titis; Nursiswati, Nursiswati
MAHESA : Malahayati Health Student Journal Vol 4, No 3 (2024): Volume 4 Nomor 3 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i3.13978

Abstract

ABSTRACT Evidence-Based Practice (EBP) is one of the important aspects in creating competent nurses. In realizing this, in the nursing education program at the bachelors level, students need to practice in honing the ability to make and report EBP reports. From the results of previous studies, further research is needed that looks at concrete evidence in the form of document studies of EBP work made by students compared to just conducting surveys with questionnaires. So that the institution has a strong foundation in the development of the next EBP curriculum. The purpose of this study is to determine the description of topics and methods of searching for EBP sources chosen during the practice of the undergraduate students in Medical Surgical Nursing unit. This research uses a quantitative descriptive research plan by looking at the overview of the topic and the method of searching for EBP resources used from the results of the document study of the EBP report of PPN students. The sample of this study was 32 EBP reports of nursing professional program students from a nursing education institution in West Java using the total sampling technique. Data analysis on the three variables in this research uses the frequency distribution method which looks at the percentage in each category that exists in each variable. Result Of the 32 EBP reports obtained, it was found that the topic most raised by the undergraduate students in the EBP report based on Problem / Person (P) items was about stroke as many as 6 reports (18.75%). If based on the Intervention item (I), the most raised topic is interventions that can overcome diagnoses related to activity and rest as many as 10 reports (31,25%) and based on the Outcomes (O) item the most raised topic is about the outcome of patient hemodynamic status as many as 6 reports (18.75%). From the study of this document, it was also found that most respondents (62.5%) have used the EBP source search method well. Students' ability to explore the topic of the EBP report and the EBP source search method used is well applied by most students. It is hoped that these results can be a reference for educational institutions regarding the next teaching methods that will be developed related to EBP learning, especially at the KMB station. Keywords: Evidence-Based Practice, Undergraduate Nursing Program, Document Study  ABSTRAK Evidence-Based Practice (EBP) merupakan salah satu aspek penting dalam menciptakan perawat yang kompeten. Dalam mewujudkan hal tersebut, pada program pendidikan keperawatan jenjang profesi Ners, mahasiswa perlu berlatih dalam mengasah kemampuan membuat dan melaporkan laporan EBP. Dari hasil studi terdahulu, diperlukan penelitian lanjutan yang melihat bukti konkrit berupa studi dokumen hasil pengerjaan EBP yang dibuat oleh mahasiswa dibandingkan hanya dengan melakukan survey dengan kuesioner, sehingga institusi memiliki landasan yang kuat dalam pengembangan kurikulum EBP selanjutnya. Tujuan penelitian ini adalah untuk mengetahui gambaran topik dan metode pencarian sumber EBP yang dipilih selama praktik Program Profesi Ners (PPN) stase Keperawatan Medikal Bedah (KMB). Penelitian ini menggunakan rancangan penelitian deskriptif kuantitatif dengan melihat gambaran topik dan metode pencarian sumber EBP yang digunakan dari hasil studi dokumen laporan EBP mahasiswa PPN. Sampel penelitian ini adalah laporan EBP mahasiswa PPN di sebuah institusi pendidikan di Jawa Barat dengan jumlah sampel sebanyak 32 laporan dengan menggunakan teknik total sampling. Analisis data pada ketiga variabel dalam penelitian ini menggunakan metode distribusi frekuensi yang melihat persentase dalam setiap kategori yang ada pada setiap variabel. Dari 32 laporan EBP yang didapatkan, menunjukkan bahwa topik yang paling banyak diangkat oleh mahasiswa PPN dalam laporan EBP berdasarkan item Problem/Person (P) adalah mengenai penyakit stroke sebanyak 6 laporan (18,75%). Jika berdasarkan item Intervention (I), topik yang paling banyak diangkat adalah intervensi yang dapat mengatasi diagnosis terkait aktivitas dan istirahat sebanyak 10 laporan (31,25%) dan berdasarkan item Outcomes (O) topik yang paling banyak diangkat adalah mengenai luaran status hemodinamik pasien sebanyak 6 laporan (18,75%). Dari studi dokumen ini juga didapatkan hasil bahwa sebagian besar responden (62,5%) sudah menggunakan metode pencarian sumber EBP dengan baik.Kemampuan dalam mengeksplorasi topik laporan EBP dan metode pencarian sumber EBP yang digunakan sudah baik diterapkan oleh sebagian besar mahasiswa. Diharapkan hasil tersebut dapat menjadi acuan bagi institusi pendidikan mengenai metode ajar selanjutnya yang akan dikembangkan terkait pembelajaran EBP terutama pada stase KMB. Kata Kunci: Evidence-Based Practice, Program Profesi Ners, Studi Dokumen.
Gambaran Pengetahuan Keluarga dengan Pasien Diabetes Melitus Tipe 2 dalam Menjalankan Self-Management Sari, Nur Puspita; Kurniawan, Titis; Harun, Hasniatisari
MAHESA : Malahayati Health Student Journal Vol 3, No 6 (2023): Volume 3 Nomor 6 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.705 KB) | DOI: 10.33024/mahesa.v3i6.10465

Abstract

ABSTRACT The family has an important role in the health care of patients with type 2 diabetes mellitus (T2DM), including diabetes mellitus self-management (DMSM). To carry out the role properly, the family must have adequate knowledge. Previous research has found that the implementation of DMSM in T2DM sufferers and family support is low. This study aims to identify family knowledge related to DMSM. This quantitative descriptive study with a cross-sectional approach involved 188 families of T2DM patients who were taken through a purposive sampling technique. Data were collected through a respondent characteristic questionnaire, and a family knowledge questionnaire related to DMSM which had been translated through the back-forward translation method into Indonesian and modified with an inter-item correlation between 0.205-0.527, and Chronbach alpha 0.660. The collected data were analyzed descriptively. Half of the respondents had good knowledge (50%) with the lowest mean in the domain of pharmacological therapy (1.07±0.60), foot care (1.40±0.73), and physical exercise (1.69±0. 54). The low pharmacological therapy domain, physical exercise, and foot care need special attention. It is important for health workers to seek to increase family knowledge so that they can help patients carry out DMSM, especially aspects of pharmacological therapy, physical exercise, and foot care. Keywords: Family Support, Knowledge, Self Management, Type 2 Diabetes Mellitus  ABSTRAK Keluarga memiliki peran penting dalam perawatan kesehatan pasien diabetes melitus tipe 2 (DMT2) termasuk dalam melakukan self-management diabetes melitus (SMDM). Untuk menjalankan perannya dengan baik, keluarga harus memiliki pengetahuan yang adekuat. Penelitian terdahulu menemukan pelaksanaan SMDM pada penderita DMT2 dan dukungan keluarga yang rendah. Penelitian ini bertujuan untuk mengidentifikasi pengetahuan keluarga terkait SMDM. Penelitian deskriptif kuantitatif dengan pendekatan cross-sectional ini melibatkan 188 keluarga pasien DMT2 yang diambil melalui teknik purposive sampling. Data dikumpulkan melalui kuesioner karakteristik responden, dan kuesioner pengetahuan keluarga terkait SMDM yang telah dialihbahasakan melalui back-forward translation method ke Bahasa Indonesia dan dimodifikasi dengan inter intem correlation antara 0,205-0,527, dan chronbach alpha 0,660. Data yang terkumpul dianalisis secara deskriptif. Setengah responden memiliki pengetahuan baik (50%) dengan mean terendah pada domain terapi farmakologi (1,07±0,60), perawatan kaki (1,40±0,73), dan latihan fisik (1,69±0,54). Rendahnya domain terapi farmakologi, latihan fisik, serta perawatan kaki perlu mendapatkan perhatian khusus. Penting bagi petugas kesehatan untuk mengupayakan peningkatan pengetahuan keluarga sehingga dapat membantu pasien menjalankan SMDM terutama aspek terapi farmakologi, latihan fisik, dan perawatan kaki. Kata Kunci: Diabetes Melitus Tipe 2, Dukungan Keluarga, Pengetahuan, Self-Management
Pengaruh Pelatihan Terhadap Pengambilan Keputusan Skrining Kanker Serviks Berdasarkan The Precaution Adoption Process Model Vitniawati, Vina; Hermayanti, Yanti; Kurniawan, Titis
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 2 (2020): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i2.103

Abstract

Decision making for taking screening is an important component in preventing cervical cancer, but still many women who have not yet done it due to a lack of knowledge and decision-making ability.  Development of intervention tailored to the stages of decision-making based on the Precaution  Adoption  Process  Model,  such as training,  is able to improve decision-making ability to do the screening. This study aimed to determine the differences in the effect of training on decision-making for cervical cancer screening based on PAPM in the UPT Griya Antapani Health Center Bandung. This quasi-experimental study with two group pre-test post-test design involved  84  women aged  30-49  years who were chosen by purposive and proportional cluster sampling from two villages divided into  42  respondents each. Group  A received training with PowerPoint media,  leaflets,  videos, and WhatsApp while group  B received training with PowerPoint media, leaflets, and videos. The data of decision-making was collected using the  Precaution Adoption Process Model checklist:  before,  after training, and  15  days after training then analyzed using  Friedman test and  Mann  Whitney test.  The results showed that there were differences in decision-making in each group before and after training with p <0.001 but Mann Whitney test showed that there was no difference in decision-making between groups after training (p = 1,000 and p = 0.316). This depicted that any method and media can be used to change decision-making. Providing training and counseling is needed according to the stages of decision-making taking into account the factors that influence it.  Keywords: Cervical Cancer, Decision-making, Screening, the Precaution Adoption Process Model
Intervensi Pencegahan Merokok dan Konsumsi Alkohol pada Remaja melalui Pendidikan Kesehatan sebagai Upaya Pencegahan Stunting Nursiswati, Nursiswati; Nurrofiqoh, Malihatunnisa; Pratiwi, Sri Hartati; Kurniawan, Titis; Purba, Chandra Isabella Hostanida
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 2 (2024): Volume 7 No 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i2.13084

Abstract

ABSTRAK Tahap perkembangan remaja sangat rentan akan perilaku berisiko. Kontrol emosi dan stres yang labil mengakibatkan remaja memilih mekanisme koping yang salah. Dampaknya, remaja dapat berisiko mengalami stunting. Perlu adanya penyuluhan terkait bahaya dan cara pencegahan konsumsi rokok dan alkohol guna mencegah terjadinya stunting. Dengan demikian, tujuan dari penelitian ini untuk melihat gambaran pengetahuan (kognitif) dari siswa kelas 7 salah satu SMP swasta di Kabupaten Bandung mengenai pencegahan penggunaan rokok dan alkohol. Pendidikan kesehatan dilaksanakan secara interaktif bertemakan menghindari rokok dan alkohol agar terhindar dari masalah kesehatan fisik dan mental guna mencegah terjadinya stunting. Pendidikan kesehatan diikuti oleh 72 siswa kelas 7 Sekolah Menengah Pertama. Evaluasi dari hasil pendidikan kesehatan dilakukan dengan memberikan soal Pre-test dan Post-test masing-masing sebanyak 5 soal. Sebanyak 55,55% remaja yang mengikuti pendidikan kesehatan dapat menjawab dengan benar ≥3 soal dari 5 soal yang tersedia dan sebanyak 33,33% mengalami peningkatan skor dari pre-test ke post-test. Pemahaman tentang bahaya merokok dan alkohol dapat diberikan sejak masa SMP dan dilakukan pemantauan berkelanjutan oleh guru di sekolah. Sekolah dapat memberikan kebijakan dan pelayanan UKS yang memadai bagi siswa. Pendidikan kesehatan berpengaruh positif dan secara signifikan meningkatkan pengetahuan remaja mengenai bahaya serta cara menghindari rokok dan alkohol. Kegiatan lanjutan berupa focus group discussion dan permainan dibutuhkan sebagai kegiatan lanjutan penguatan kognitif, afektif, dan psikomotor pencegahan merokok dan konsumsi alkohol pada siswa SMP. Kata Kunci: Alkohol, Merokok, Pendidikan Kesehatan, Remaja, Stunting  ABSTRACT The developmental stage of adolescents is very vulnerable to risky behavior and bad coping mechanisms. As a result, teenagers may be at risk of experiencing stunting. There is a need for education regarding the dangers and ways to prevent cigarette and alcohol consumption to prevent stunting. This research aims to describe the knowledge (cognitive) of grade 7 students at one of the private junior high schools in Bandung Regency regarding preventing the use of cigarettes and alcohol. Health education was carried out interactively with the theme of avoiding smoking and alcohol to avoid physical and mental health problems to prevent stunting. Health education was attended by 72 grade 7 junior high school students. Evaluation of the results of health education was carried out by providing pre-tests and post-tests. As many as 55.55% of teenagers who took part in health education were able to answer ≥3 questions correctly out of the 5 questions available and as many as 33.33% experienced an increase in scores from pre-test to post-test. Understanding of the dangers of smoking and alcohol can be given since junior high school and ongoing monitoring by teachers at school. Schools can provide adequate UKS policies and services for students. Health education has a positive effect and significantly increases teenagers' knowledge about the disadvantages and how to avoid smoking and alcohol. Further activities in the form of focus group discussions and games are needed as further activities to strengthen cognitive, affective, and psychomotor skills to prevent smoking and alcohol consumption in junior high school students. Keywords: Adolescents, Alcohol, Health Education, Smoking
Gambaran Self-Management Pada Pasien Stroke Yang Menjalani Rawat Jalan Rahmawati, Dedah; Kurniawan, Titis; Hartati, Sri
Jurnal Keperawatan 'Aisyiyah Vol. 6 No. 1 (2019): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.942 KB) | DOI: 10.33867/jka.v6i1.117

Abstract

Stroke patients require a long-term treatment, both to prevent recurrent stroke and to minimize further complications. One of the efforts to succeed the stroke patients' treatment is Self-Management. This study aimed to identify the self-management of stroke outpatients. This quantitative descriptive study involved 40 stroke outpatients in RSAI who are able to communicate well, taken by using consecutive sampling techniques for one week. The data were collected by using a Stroke Self-Management Questionnaire (SSMQ) consisting of 4 domains (capacity, confidence in interaction, strategy, and guidance by health professionals). The collected data were analyzed descriptively by using the mean value. The result showed that the percentage of respondents with high self-management category (52,5%) was higher than the low category. Furthermore, the percentage of the good category was higher in the domain of confidence in interaction, strategy (52.5%), as well as guidance by health professionals (55%). Meanwhile, the percentage of the low category was found higher in the domain of capacity (52.5%). Keywords: Self-Management, Stroke
Co-Authors Aisyah, Iis Alviani, Eka Turjanah Andini, Nathania Putri Arseda, Astuti Aushaf, Inka Fadilla Nur Azzahra, Syafa Bambang Aditya Nugraha Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Dian Adiningsih Diva Jogina Dwi Siwi Handayani Edi Mustamsir Eka Afrima Sari Eka Afrimasari Elsa Pudji Setiawati ENDAH NESTITI URIP RAHAYU Epi Rohaeti Ernawati Ernawati Fadilah, Tria Nurhayyu Fadillah, Jasmine Fasya Fauzia, Salwa Ghaida Firdaus, Rose Maryana Harun, Hasniatisari Harun, Hasniatisari Helwiyah Ropi Hesti Platini Iis Nurhayati Ikawati, Dewi Karina, Grashiva Putri Kristian Labertus Kurniawan Yudianto Kusman Ibrahim Lestari, Ranti Asri Lumbantobing, Valentina Malfa Laila Pratidina Mediawati, Ati Surya Mira Trisyani Musyaffa, Najwa Aufa Muta'aliyah, Hikmah Mutiarasani, Anjani Nentika, Rindayu Bidara Caela Nugraha Firdaus Nurfuadah, Irfani Nurrofiqoh, Malihatunnisa Nursiswati Nurwijayanti Olivia, Claudia Pebriana, Tika Rifa Luthfiyah Pratiwi, Atlastieka Puspaningrum, Sepdian Putri, Nova Belinda Putri, Silvi Riana Rahma Dewi Rahmawati, Dedah Rahmawati, Syifa Eka Rasyiddin, Gyan Reyza, Muhammad Fakhrul Risman Ariana Robiul Fitri Masithoh Rofidin, Opi Rustianti Salwa, Tetalia Sandra Pebrianti Santoso, Nilam Cahya Ressawati Sari, Citra Windani Mambang Sari, Nur Puspita Setiani, Haniifah Silmi, Reina Zahira Sisca Damayanti siti romadoni Siti Rosita Siti Ulfah Rifa’atul Fitri Sri Hartati Sri Hartati Pratiwi Sri Suparti Sundari, Nissa Fauziyah Susilaningsih, Fransisca Sri Taty Hernawaty Titiek Suwarti Tsauroh, Salsabila Fiqrotu Tuti Pahria Virssyani, Khansa Auliya Vitniawati, Vina Wati, Irma Widaningsih, Ida Wijayanti, Niken Ayu Wiwi Mardiah Wongchan Petpichetchian Yanti Hermayanti Yeni Yulianti Yudiana, Zahra Haurannisa Zahirah, Esa