Siti Lestari
Poltekkes Kementrian Kesehatan Surakarta

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FAKTOR YANG MEMPENGARUHI KEPATUHAN PENDERITA TBC UNTUK MINUM OBAT ANTI TUBERKULOSIS ( Factors contributing patiens’ compliance with Anti Tuberculostatic Drug Therapy) Lestari, Siti Lestari; Hana M, Choiril
MOTORIK Jurnal Ilmu Kesehatan (Journal of Health Science) Vol 1, No 2 (2006)
Publisher : STIKES Muhammadiyah Klaten

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The overall aim of the study was to wxplore facilitating and obstructing factor for compliance with TB drug therapy. TBC is an infectious disease caused by mycobacterium Tuberculosis. It is still a health problem in the world, especially in development country. In Indonesia, there have been approximately 538.000 case per year of new active TBC with the mortality was 140.000. seventy five percent (75%) of the case suffered productive group (15 – 50 years old). Furthermore, TB is the third mortality after cardiovasculair and Upper Respiratory Infection ( Dep Kes RI, 2002). These statistic indicate that TB is still major health problem in Indonesia. Currently, management of TBC is conducted by all health care services including, public and private hospital, and community health center. The management of TB using Antituberculosa drug is provided by the Indonesia government. It is free and guarantee. The length of therapy needed is around 6-8 months, tend to cause patient’s uncomplaint, therefore leading to treatment failure and development of resistant strain. For this reason, it is important yo explore what factor contributing patient’s compliance for Tuberculostatic drug therapy. Data were collected by indepth interview from 10 respondents. A content analyses technique were used to analyses the data. The patient emphazed motivation for healing, support from family, and health education as facilitating factor. Other perceived promoting factors included supervision from Pengawas Minum Obat (PMO) and fear to spread the disease to their family. Examples of obstructing factors were the length of therapy and when they suffered from other disease. Key word : patient’s complain, Antituberculosis drug.
Model Self Management Education (SME) Dalam Meningkatkan Kemampuan Deteksi Dini Hipoglikemia Pada Diabetesi Di RSUD Dr Moewardi Surakarta Siti Lestari; Tri Sunaryo
Interest : Jurnal Ilmu Kesehatan Vol 5 No 2 (2016): INTEREST : JURNAL ILMU KESEHATAN
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v5i2.55

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Abstract: Self-Management Education, Hypoglycemia. Diabetes Mellitus is a metabolic disease that needs attention and care for a long time in order to prevent complications. People with DM must have good knowledge, skill, and behavior so they can manage their life by themselves. Research showed that 50–80%, people with DM have not enough knowledge to manage their disease. Through the self-management, people with diabetes can improve their competence in early detection of hypoglycemia so it would increase the quality of life and reduce the risk of developing complications. The purpose of this study was to investigate the impact of diabetes self-management education toward early detection of hypoglycemia among patients with diabetes. A quasi-experimental pre and post design with a control group was used to investigate the impact of using education on self-management. The participants were 40 that divided into intervention and control group. Purposive sampling was used to take the samples. T-Test was used to analyze the data. The competence of diabetes in early detection of hypoglycemia was an increase, from 6,1 with SD 13.7 to 71,7 with SD 19.2. Then, the model of Self Management education influenced the competence of people with diabetes in the early detection of hypoglycemia, P value 0,011 (α = 0,05). The findings demonstrate that self-management education could improve the competence of diabetes in the early detection of hypoglycemia.
Dhikr And Wudu As Therapy On Spiritual Distress In Hypertension Patients Erlin Indah Kusumadiyanti; Rendi Editya Darmawan; Siti Lestari
JENDELA NURSING JOURNAL Vol 5, No 2 (2021): December 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v5i2.7968

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Background: Hypertension is an increase in blood pressure that can pump blood throughout the body within limits above normal. Hypertension is the number one cause of death in the world and is more common in the elderly. This causes various disturbances to a person, one of which is spiritual distress. One of the efforts that can be done to reduce the level of spiritual distress is dhikr and wudu therapy.Purpose: The effect of Dhikr and Wudu as therapy on spiritual distress in hypertantion patients.Methods: this study used a Quasy Eexperiment Nonequivalent Control Group Design study on 36 respondents who had hypertension, which consisted of 18 for the intervension group and 18 for the control group.Results: the results of  the  Wilcoxon test in the intervention group showed that the p value of changes in the level of spiritual distress before and after being given dhikr and wudu therapy was 0,000, indicating p 0,05. While the results of the Paired Sample T Test in the control group obtained p value of 0.010 indicating p 0,05. The results of the mann whitney test showed that the p value was 0,000 indicating p 0,05Conclusion: there is an effect of dhikr and wudhu therapy on spiritual distress in patients with hypertension.
Keefektifan Pemberian Nebulizer Terapi Combivent Dan Terapi Bisolvon Terhadap Patensi Jalan Nafas Pada Pasien Asma Bronkial Diruang IGD BBKPM Makassar Siti Lestari; Siti Handayani; Herman Bakri
(JKG) Jurnal Keperawatan Global Vol 3 No 2 (2018): JURNAL KEPERAWATAN GLOBAL
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v3i2.54

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Abstract Background : Asthma is a worldwide health problem. People with asthma in the world today was estimated at 300 million peoples, and expected in 2025 reached 400 million peoples. In Indonesia, there were currently about 12.5 million peoples. In BBKPM Makassar, the number of people with asthma who visit in 2009 were 291 patients, in 2010 to 292 patients, and in 2011 starting from January to November, as 243 patients. It shows the number of people with asthma who visit the BBKPM Makassar each month has increased. Therapy of asthma treatment often used was nebulizer using combivent and bisolvon. Purpose this study to determine the effectiveness of provision nebulizer of combivent and bisolvon therapy to airway patency in asthma bronchial patient at ER of BBKPM Makassar. Method: used was quase experimental with two groups pretest and posttest design. Sample of 40 patients who met the criteria were randomly selected to be divided into two groups, 20 samples for nebulizer of combivent therapy, and 20 samples for nebulizer of bisolvon therapy. Method: Technique of data analysis used was paired t test. the Research result conducted on two groups of respondents, obtained t count value frequency of respiratory and pulmonary physiology in the treatment group of nebulizer using combivent obtained t count of the frequency of respiratory physiology was 15.601 and pulmonary physiology was 23.083, while the treatment groups of nebulizer using bisolvon obtained t count value was 7.701 and pulmonary physiology was 12.606. Result: were both higher than the t table value 1.725 at significant level 95%. Conclusion: Provision nebulizer of combivent therapy provide greater effectiveness in reducing airway obstruction in asthma bronchial patients at ER ofBBKPM Makassar in 2012.
Gambaran Serum Elektrolit Pada Pasien Acute Miocard Infark (AMI) Di Ruang Intensive Cardiovaskuler Care Unit (ICVCU) RSUD Dr. Moewardi Di Surakarta Rahmadhani Nuzul Putri; Suryanti Suryanti; Siti Lestari
(JKG) Jurnal Keperawatan Global Vol 3 No 2 (2018): JURNAL KEPERAWATAN GLOBAL
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v3i2.59

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Abstract Background: AMI is a myocardial necrosis caused by inadequate blood supply.The cardiac muscle contractility has very important role in pumping blood. Contraction of the heart in pumping blood is regulated by cardiac action potential,such as role is sodium (Na +) and potassium (K +). AMI is a myocardial necrosis caused by inadequate blood supply. Objective of this research to describe the serum electrolytes such as sodium (Na +) and potassium (K +) in patients with AMI who undergoes treatment in ICVCU of Regional General Hospital Dr. Moewardi Surakarta in 2016.Reasearch Methods: This research uses descriptive research. The subject of this research is the patients who is treated in ICVCU of Dr. Moewardi hospital with Acute Myocardial Infarction a number of 57 respondents. The researh was conducted in two months. The sampling techniques is by total sampling. The data collection method uses observation technique. Results: The average of AMI respondents are 41-60 years old in which as much as 57.9%, male respondents are as much as 75.4%, the highest classification of AMI STEMI are 75.4%, the majority of respondents whose the results of sodium levels are in <136 mmol / L (low) are 71.9%, the result of potassium levels which are between 3.3 to 5.1 mmol / L (normal) are 82.5%. Conclusion: Average AMI patients are 41-60 years, the majority of respondents is male with the highestclassification of AMI STEMI and have the level of sodium is <136 mmol / L (low)
Analisis Faktor Fetus dan Tali Pusat terhadap Risiko Asphyxia Perinatal di Surakarta Siti Lestari; Dyah Dwi Astuti; Fachriza Malika Ramadhani
Jurnal Ilmu Keperawatan Anak Vol. 3 No. 1 (2020): Mei 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jika.v3i1.521

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Asfiksia perinatal merujuk pada kekurangan oksigen selama persalinan, sehingga berpotensi menyebabkan kematian dan kecacatan. WHO memperkirakan  4 juta anak terlahir dengan asfiksia setiap tahun, dimana 1 juta di antaranya meninggal dan 1 juta anak bertahan hidup dengan gejala sisa neurologis yang parah. Penelitian ini bertujuan untuk menganalisis faktor risiko fetal dan tali pusat pada asfiksia neonatal.Penelitian dilakukan di lakukan di RS Dr Moewardi Surakarta dengan pendekatan  quantitative retrospective case control study. Data diambil dari rekam medis antara  tahun 2013-2018. Penelitan ini melibatkan  264 neonatal yang terdiri dari 88 kelompok kasus dan 176  kelompok control. Kelompok kasus adalah bayi dengan diagnosa  asfiksia yang  dilakukan analisis terhadap faktor risiko fetal, sedangkan bayi yang tidak mengalami asfiksia dijadikan  kelompok kontrol. Hasil analisis statistik uji Chi-Square dan Fisher Exact ditemukan bahwa  kelahiran prematur (OR 2,07 CI 95% P 0,02), persalinan dengan tindakan (OR 3,61 CI 95% P 0,00), berat bayi (OR 2,85 CI 95% P 0,00), posisi janin (OR 2,37 CI 95% P 0,05), tali pusat ( QR 3,071 CI 95%  P 0,01)  berisiko terhadap insiden asfiksia perinatal. Air ketuban yang bercampur meconium (OR 1,51 CI 95% P 0,16) tidak memiliki risiko  dengan Asfiksia perinatal. Kesimpulan: Risiko terhadap insiden asfiksia perinatal  meliputi kelahiran prematur, persalinan dengan tindakan, berat bayi, posisi janin,  dan tali pusat.Perinatal asphyxia refers to a lack of oxygen during labor, which has the potential to cause death and disability. WHO estimates  4 million children born with asphyxia each year, in  which 1 million dies and 1 million survive with severe neurological sequelae. This study aims to analyze fetal and umbilical risk factors in neonatal asphyxia.This research is a quantitative retrospective case-control study, which was conducted at The Dr. Moewardi  hospital,  Surakarta. Data was taken from  medical records from 2013-2018. The case group was patients diagnosed  asphyxia, while those who did not experience asphyxia were treated as a control group.  A total of 264  samples, consisting of 88 case group respondents and 176 control group respondents. Statistical analysis Chi- Square and Fisher Exact found that preterm birth (OR 2.07 CI 95% P 0.02), labor with instrument or complication (OR 3.61 CI 95% P 0.00), infant weight (OR 2.85 CI 95% P 0, 00), fetal position (OR 2.37 CI 95% P 0.05), umbilical cord (QR 3.071 CI 95% P 0.01) are at risk for the incidence of perinatal Asphyxia. The amniotic fluid mixed with meconium (OR 1.51 CI 95% P 0.16) has no risk with perinatal asphyxia.The risk factors of incidences of perinatal asphyxia were  preterm birth, labor with instrument or complication, baby weight, fetal position and umbilical cord. 
PENDEKATAN KULTURAL DALAM PRAKTEK KEPERAWATAN PROFESIONAL DI RUMAH SAKIT JOGJA INTERNATIONAL HOSPITAL Siti Lestari; W Widodo; S Sumardino
Jurnal Kesehatan Kusuma Husada Vol. 5 No. 1, Januari 2014
Publisher : Universitas Kusuma Husada Surakarta

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Perawat merupakan petugas kesehatan yang mempunyai peran dominan dalam membantu pasien sembuh dari penyakit yang dideritanya. Terkait dengan budaya perawat perlu mengetahui dan menilai keanekaragaman budaya, mempunyai kapasitas untuk mengkaji budaya, menyadari bahwa budaya bersifat dinamis dan mempunyai adaptasi yang terus menerus dikembangkan dalam upaya mereaksikan dan memahami keanekaragaman budaya. JIH, merupakan salah satu rumah sakit internasional yang memiliki knsumen dari berbagai ragam latar budaya. Oleh karenanya perlu kiranya diketahui bagaimana pendekatan budaya yang dilakukan perawat di rumah sakit tersebut. Tujuan penelitian adalah untuk mengetahui bagaimana pendekatan cultural dalam praktek keperawatan professional.Metode kualitatif dengan 18 narasumber yang diambil secara purposive sampling. Analisa data dilakukan dengan model miles dan Huberman, yang meliputi data reduksi, penyajian dan konklusion.Hasil penelitian menunjukkan bahwa perawat perlu mempunyai pengetahuan tentang budaya dalam memberikan asuhan keperawatan. Perawat bersikap positif dalam menghadapi perbedaan budaya.Perawat akan membiarkan bila tidak mempengaruhi kesehatan, bernegosiasi atau bahkan akan melarang bila mengganggu kesehatan atau dilarang dokter. Hambatan yang sering ditemukan adalah dalam hal komunikasi dan pendekatan budaya dalam praktek keperawatan profesional dilakukan melalui identifikasi, analisa situasi, menyusun strategi dan mengevaluasi Kata Kunci: budaya, praktek keperawatan profesional. ABSTRACT Nurses are health professional who have dominant role to help client for healing the deseas. In relating to the culture, they must understand and valuing cul tural diversity background , have capability to asess cultural and aware that cultur is dinamic. Furthermore, nurses must adapt continuesly in order to reÀ ect and understand about cultural diversity. Jogja International Hospital is a international hospital that has consuments with many and different cultural background. So, it is important for understanding how implementing a culturral in professional nursing practice. The purpose of the study is for describing implemetation of cultur in professional nursing practice. . The qualitative research with 18 sample is designed to answer the purpose of study. Analize of data is using Mile and Huberman’s model, The results show that Nurses need to knowledge of other culture inorder to provide professional nursing practice. Nurses also should think positively when they care client with different culture group.Nurse will maintenance the culture when it is not inÀ uence the client’s health, or negotiating event they will probihited when the cultur will inÀ uence the health status. The barrier during work with client in different cultur background was communication and language. Professional Nursing Practice with cultur was conducted via cultur identi¿ cation, analizing of situation , making intervention and evaluation. Key words: Culture, proffessional nursing practice.
GAYA KEPEMIMPINAN, BUDAYA KERJA DAN KINERJA DOSEN DI POLITEKNIK KESEHATAN SURAKARTA Siti Lestari
Jurnal Kesehatan Kusuma Husada Vol. 6 No. 1, Januari 2015
Publisher : Universitas Kusuma Husada Surakarta

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ABSTRAKMutu suatu organisasi dipengaruhi banyak aspek, tidak hanya mahasiswa akan tetapi juga tenaga pendidik. Selanjutnya, pemimpin juga memiliki unsur penting dalam suatu organisasi. Setiap pemimpin mempunyai gaya berbeda dalam memimpin. Agar organisasi sehat, biasanya mempunyai budaya organisasi. Budaya organisasi memiliki aspek-aspek seperti values, rituals, heroes, dan symbols yang diyakini mempengaruhi kinerja perusahaan. Budaya organisasi yang dikembangkan Politeknik Kesehatan Kemenkes Surakarta mencakup cepat, akurat, kredibel dan tanggap. Penelitian ini bertujuan untuk mendeskripsikan gaya kepemimpinan di lingkungan Politeknik Kesehatan Surakarta, untuk mengetahui pemahaman budaya organisasi, faktor penghambat dan penunjangnya serta untuk mengetahui kinerja dosen lingkungan Politeknik Kesehatan Surakarta. Metode kualitatif dengan 15 narasumber yang diambil secara purposive sampling. Analisa data dilakukan dengan model Miles dan Huberman, yang meliputi data reduksi, penyajian dan konklusion. Hasil menunjukkan gaya kepemimpinan yang dilakukan pemimpin di lingkungan Politeknik Kesehatan Surakarta adalah gaya situasional, kombinasi dari berbagai macam gaya kepemimpinan yang ada. Pemahaman budaya organisasi sudah baik dan index kinerja dosen sudah lebih dari 3,0 (skala 0-4).Kata kunci: gaya kepemimpinan, budaya kerja, kinerja dosen ABSTRACTThe quality of an organization is influenced by many aspects, not only students but also lecturer. Furthermore, the leaders also have an important element in an organization. Every leader has a different style of leadership. To be healthy organization, usually have the organizational culture. Organizational culture has aspects such as values, rituals, heroes, and symbols that are believed to affect the performance of the company. Organizational culture developed Health Polytechnic of Surakarta include fast, accurate, credible and responsive. This study aimed to describe the style of leadership in the Health Polytechnic of Surakarta, to determine the understanding of organizational culture, and supporting and inhibiting factors to determine the environmental performance of lecturers Health Polytechnic of Surakarta. Qualitative methods with 15 samples who were taken by purposive sampling. Data analysis was done by Miles and Huberman models, which include data reduction, presentation and konklusion. The results showed that leadership style do leaders in the Health Polytechnic of Surakarta is situational style, a combination of various styles of leadership exist. Understanding organizational culture is good and faculty performance index has more than 3.0 (scale 0-4).Keywords: leadership style, work culture, lecturer performance
PEMBERDAYAAN MASYARAKAT PASIEN TBC DENGAN PENDEKATAN PEMASARAN SOSIAL (IMB) Rita Benya Adriani; Siti Lestari; Nur Hidayat; Yulianto Wahyono; Siti Handayani; Dwi Sulistyowati; Sumardino Sumardino
JMM (Jurnal Masyarakat Mandiri) Vol 6, No 2 (2022): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (393.988 KB) | DOI: 10.31764/jmm.v6i2.7183

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Abstrak: Penyakit TBC mempengaruhi asupan makan dan menyebabkan penurunan berat badan sehingga mempengaruhi status gizi. Untuk itulah intervensi terhadap Desa Sehat perlu dilakukan dengan melibatkan lintas profesi (Interprofesional Collaboration, IPC) dengan pendekatan Information, Motivation, Behavior Skill supaya terjadi perubahan perilaku (IMB) dalam pemasaran sosial yaitu proses yang menggunakan prinsip-prinsip pemasaran dan teknik untuk mempengaruhi perilaku masyarakat yang ingin dirubah. Tujuan kegiatan dengan terwujudnya desa sehat binaan poltekkes dalam memberdayakan masyarakat dengan pendekatan IPC melalui IMB. Metode yang digunakan adalah action research dengan pendekatan pengabdian masyarakat dengan satu intervensi. Hasil pelaksanan dilakukan di Kota Surakarta dan Kota Yogyakarta dengan kerjasama petugas kesehatan. Pengabdian bekerjasama dengan stakeholder yang profesional di bidangnya masing-masing dalam menyelesaikan permasalahan TBC di Kelurahan Mojosongo, Surakarta dan Desa Panggungharjo, Yogyakarta. Interprofesional Collaboration (IPC) melalui Informational, Motivation, Behavior, and Skills (IMB) merupakan program yang bertujuan untuk merubah perilaku masyarakat yang kurang menyadari pentingnya pengobatan TBC.Abstract: TB disease affects food intake and causes weight loss affects nutritional status. For reason, intervention in Healthy Villages needs to be carried out by involving cross-professions (IPC) with the IMB occurs in social marketing, namely process that uses marketing principles and techniques to influence community behavior. who want to changes. The objective of the activity is the realization of a healthy village under the guidance of Poltekkes in empowering the community with the IPC approach through the IMB. The method used is action research with a community service approach with one intervention. The results of the implementation were carried out of Surakarta and the City of Yogyakarta in collaboration with health workers. Servant collaborates with stakeholders who are professional in their respective fields in solving TB problems in Mojosongo, Surakarta and Panggungharjo, Yogyakarta. (IPC) through IMB a program that aims to change the behavior of people who are less aware of the importance of TB treatment .
Predicting Quality of life of Schizophrenia Patients Insiyah, Insiyah; Rohimah, Yeni Tutu; Astuti, Sri Lestari Dwi; Lestari, Siti; Suyanto, Suyanto; Sulistyowati, Endang Caturini
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 8 Nomor 1 Tahun 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v8i1.777

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Background: Previous studies on sociodemographic characteristics connected to quality of life in schizophrenia discovered inconsistent results. This study aims to analyze predicting factors of quality of life (QoL) of schizophrenia patients.  Methods: A quantitative study included 153 respondents who were selected using random sampling at the State Psychiatric Hospital Surakarta. The research instruments were a questionnaire containing questions about demographics consisting of age, age at first experiencing schizophrenia, gender, education level, work status, marital status, frequency of treatment, duration of suffering from schizophrenia, insight, physical health problems and quality of life by using WHOQOL-BREF. The analyses used were Spearmen's rank (rho) and the Pearson Chi-Square    to analyze factors connected to QoL of schizophrenia patients and multiple logistic regression tests to analyze predictors of QoL of schizophrenia patients. This study was conducted in the State Psychiatric Hospital of Surakarta from September 2020 to March 2021.  Results: There were 4 characteristics of sociodemographic that have a positive significant relationship with the overall quality of life of schizophrenia patient, namely work status (p = 0.000), marital status with p = 0.000, gender (p=0.032), and adherence to take medicine with p=0.015 (p <0.05). marital status and work status that influence the quality of life (p=0.000 and p=0.001).  Marital status and work status influence the quality of life (p=0.000 and p=0.001), the largest OR value obtained is 25.499.  It means that married patients have a 25.499 times chance of having a better quality of life controlled by work status.  Conclusion: Marital status and work status are predictors of QoL of schizophrenia. In providing services to schizophrenic patients, health professional need to pay attention in assessing social demographics such as work status and marital status so that appropriate action can be taken with an approach to these aspects.