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ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF PADA KLIEN COVID-19 DI RUANG RIK CEMPAKA RSUD DR SOETOMO SURABAYA Elvin Elsa Maharenny; Minarti; Dhiana Setyorini
JURNAL KEPERAWATAN Vol. 14 No. 1 (2020)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

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Coronavirus Disease 2019 (COVID-19) merupakan Wabah disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Tujuan penelitian untuk mengetahui asuhan keperawatan bersihan jalan napas tidak efektif pada klien covid-19. Penelitian ini menggunakan metode studi kasus dengan pendekatan asuhan keperawatan yang meliputi pengkajian, diagnosis keperawatan, perencanaan, pelaksanaan, dan evaluasi. Responden yang digunakan yaitu klien dengan kasus Covid-19 berjumlah 2 orang yang dirawat di ruang RIK Cempaka RSUD Dr. Soetomo Surabaya. Metode pengambilan data pada penelitian ini yaitu dengan wawancara, pemeriksaan fisik dan pemeriksaan penunjang. Instrument pengumpulan data menggunakan format pengkajian sesuai ketentuan yang berlaku di Prodi Pendidikan Profesi Ners. Analisa data secara deskriptif. Pada pengkajian didapatkan kedua klien memiliki keluhan utama yang sama yaitu batuk tidak efektif. Diagnosis yang muncul yaitu bersihan jalan napas tidak efektif berhubungan dengan sekresi tertahan ditandai dengan RR >22x/menit, SpO2 <95% dan adanya suara napas tambahan ronkhi. Tahap perencanaan untuk mempertahankan jalan napas maka dilakukan perencanaan manajemen jalan napas. Tindakan keperawatan dilakukan selama 3 hari yaitu manajemen jalan napas yang meliputi monitor pola napas, bunyi napas tambahan, sputum, pemberian posisi semi fowler, terapi O2, latihan batuk efektif serta kolaborasi pemberian obat mukolitik. Pada tahap evaluasi kedua klien didapatkan klien 1 masalah teratasi dan klien 2 masalah belum teratasi. Disarankan tenaga keperawatan dapat lebih meningkatkan kemandirian klien dalam melakukan latihan batuk efektif pada klien Covid-19 dengan masalah keperawatan bersihan jalan napas tidak efektif. Kata kunci : Covid-19, Bersihan jalan napas tidak efektif, Asuhan Keperawatan

Pemberdayaan Keluarga Dalam Meningkatkan Perawatan Mandiri Pasien Gagal Ginjal Kronik di Wilayah Kerja Puskesmas Paciran Lamongan Dyah Wijayanti; Wijayanti Dyah; Fadilah Nikmatul; Minarti Minarti; Cahyono Intim; Nurkholifah Siti; Windi Yohanes Kambaru; Sulistijono Heru; Heriyanto Bambang; Asnani Asnani; Tumini Tumini; As’ari Hasyim; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata; Eko Rustamaji; Ferry Kumala
Health Community Engagement Vol. 2 No. 1 (2021): July
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Surabaya

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Tahap akhir penyakit gagal ginjal dengan terapi hemodialisis dilaporkan menyebabkan masalah yang kompleks bagi pasien dan keluarga yang merawat. Kondisi berupa peningkatan biaya pengobatan serta jumlah tenaga edukator yang tidak cukup juga turut andil menjadi alasan perawatan mandiri penting ditingkatkan sebagai upaya meningkatkan kualitas hidup pasien dengan penyakit kronis beserta keluarganya. Keluarga dapat menjadi faktor yang sangat berpengaruh dalam menentukan keyakinan, nilai dan penerimaan pasien terhadap program pengobatan yang seharusnya dijalani. Keluarga dapat memberi dukungan dan membuat keputusan mengenai perawatan dari anggota keluarga yang sakit Tujuan pengabdian masyarakat ini adalah memberdayaan keluarga dalam meningkatkan perawatan mandiri pasien gagal ginjal kronik di wilayah kerja Puskesmas Paciran Kabupaten Lamongan. Komitmen keluarga dalam memelihara kesehatan bagi anggota keluarga yang sakit sangat diperlukan. Keluarga (pasangan/anak) adalah orang yang terdekat bagi pasien gagal ginjal kronik yang diharapkan dapat menjadi pendukung pasien dalam mencapai kemandirian perawatan. Pengabdian masyarakat ini diikuti oleh 40 orang anggota keluarga pasien gagal ginjal kronik. Kegiatan meliputi peningkatan pengetahuan dan dilanjutkan proses pendampingan keluarga terhadap perawatan mandiri pasien. Modul tentang perawatan mandiri sebagai media pendidikan kesehatan disosialisaikan terlebih dahulu kepada keluarga pasien. Hasil pengabdian masyarakat ini menujukkan peningkatan pengetahuan pada anggota keluarga pasien dan peningkatan peran keluarga dalam meningkatkan kemadirian perawatan mandiri pasien. Rekomendasi dari pengabdian masyarakat ini adalah pemberdayaan anggota keluarga sebagai pemberi perawatan perlu dikembangkan sebagai bagian dari program kesehatan masyarakat berbasis keluarga di Dinas Kesehatan Kabupaten/Kota. Dukungan dan pemantauan yang berkesinambungan dari anggota keluarga dapat meningkatkan kualtas hidup pasien gagal ginjal kronik dan keluarganya.

IMPROVING HEALTHY BEHAVIOR IN YOUTH TO PREVENT HYPERTENSION Minarti Minarti; Siti Nur Kholifah; Dwi Ananto Wibrata Wibrata; Ach. Arfan Adinata
Health Community Engagement Vol. 3 No. 2 (2022): Desember
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Surabaya

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The health cadre group at the junior high school level is a group of early adolescents who have psychological characteristics in the form of anxiety, conflict, imagining, group activities and the desire to try something new, so that this group of early adolescents can receive correct information so that they can increase efforts to behave in a healthy life. This teenager has high curiosity, then explores everything and tries everything he has never received, especially the prevention of hypertension. The purpose of this community service is to improve the healthy life behavior of school health cadres as an effort to prevent hypertension. The method used is training with a target of 50 students of school health cadres in East Surabaya Junior High School. Based on the results of the pre-test and post-test assessments, it is known that almost all health cadres (98%) have increased scores, and 2% have fixed scores. The difference between the post-test and pre-test results ranged from 0-34 points. The skills of school health cadres were assessed through assignments to identify the healthy behavior of those closest to them, the results showed that more than 76% of someone identified as having a habit of eating a balanced diet consisting of carbohydrates, vegetables, fruit and side dishes, getting enough rest as much as 70%, but also getting 60 % of their families smoke in the house, play a lot with gadgets by 54% and if there are problems, they are discussed with parents by 68%. Empowerment carried out through health cadres is one way to anticipate the increase in hypertension in adolescents.

Empowerment of Mother's Groups to Improve Adolescent Reproductive Health in Kampung Nelayan Health Center Siti Nurkholifah; Nikmatul Fadilah; Minarti Minarti; Intim Cahyono; Yohanes Kambaru Windi; Heru Sulistijono; Bambang Heriyanto; Asnani Asnani; Tumini Tumini; Dyah Wijayanti; Hasyim As'ari; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata Dinarwiyata; Eko Rustamaji; Ferry Kumala
Community Empowerment in Health Vol. 1 No. 1 (2023): June 2023
Publisher : Pusat Unggulan Ipteks Poltekkes Kemenkes Surabaya

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Now, adolescent reproductive health problems are increasing, which may be caused by a lack ofknowledge, self-confidence, religiosity and family support. So we need community service activities thataim to empower women's groups in improving adolescent reproductive health in the work area of theKampung Nelayan Health Center, Gresik Regency. Adolescents' commitment to maintaining reproductivehealth requires support from the family. Mothers are the closest people to their children, so mother'ssupport is an important component in improving adolescent reproductive health. This activity wasattended by 40 mothers of adolescents. The first stage was increasing knowledge, then mentoring andthe next was empowerment. The module on reproductive health as a media for health education wasfirst socialized to the mother group. The results of the activity showed that there was an increase in theknowledge and role of mothers in improving adolescent reproductive health.

Pemberdayaan Keluarga Dalam Meningkatkan Perawatan Mandiri Pasien Gagal Ginjal Kronik di Wilayah Kerja Puskesmas Paciran Lamongan Dyah Wijayanti; Wijayanti Dyah; Fadilah Nikmatul; Minarti Minarti; Cahyono Intim; Nurkholifah Siti; Windi Yohanes Kambaru; Sulistijono Heru; Heriyanto Bambang; Asnani Asnani; Tumini Tumini; As’ari Hasyim; Suriana Suriana; Baiq Dewi Harnani; Hilmi Yumni; Dinarwiyata; Eko Rustamaji; Ferry Kumala
Health Community Engagement Vol. 4 No. 1 (2022): Januari-April
Publisher : Poltekkes Kemenkes Surabaya

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

Tahap akhir penyakit gagal ginjal dengan terapi hemodialisis dilaporkan menyebabkan masalah yang kompleks bagi pasien dan keluarga yang merawat. Kondisi berupa peningkatan biaya pengobatan serta jumlah tenaga edukator yang tidak cukup juga turut andil menjadi alasan perawatan mandiri penting ditingkatkan sebagai upaya meningkatkan kualitas hidup pasien dengan penyakit kronis beserta keluarganya. Keluarga dapat menjadi faktor yang sangat berpengaruh dalam menentukan keyakinan, nilai dan penerimaan pasien terhadap program pengobatan yang seharusnya dijalani. Keluarga dapat memberi dukungan dan membuat keputusan mengenai perawatan dari anggota keluarga yang sakit Tujuan pengabdian masyarakat ini adalah memberdayaan keluarga dalam meningkatkan perawatan mandiri pasien gagal ginjal kronik di wilayah kerja Puskesmas Paciran Kabupaten Lamongan. Komitmen keluarga dalam memelihara kesehatan bagi anggota keluarga yang sakit sangat diperlukan. Keluarga (pasangan/anak) adalah orang yang terdekat bagi pasien gagal ginjal kronik yang diharapkan dapat menjadi pendukung pasien dalam mencapai kemandirian perawatan. Pengabdian masyarakat ini diikuti oleh 40 orang anggota keluarga pasien gagal ginjal kronik. Kegiatan meliputi peningkatan pengetahuan dan dilanjutkan proses pendampingan keluarga terhadap perawatan mandiri pasien. Modul tentang perawatan mandiri sebagai media pendidikan kesehatan disosialisaikan terlebih dahulu kepada keluarga pasien. Hasil pengabdian masyarakat ini menujukkan peningkatan pengetahuan pada anggota keluarga pasien dan peningkatan peran keluarga dalam meningkatkan kemadirian perawatan mandiri pasien. Rekomendasi dari pengabdian masyarakat ini adalah pemberdayaan anggota keluarga sebagai pemberi perawatan perlu dikembangkan sebagai bagian dari program kesehatan masyarakat berbasis keluarga di Dinas Kesehatan Kabupaten/Kota. Dukungan dan pemantauan yang berkesinambungan dari anggota keluarga dapat meningkatkan kualtas hidup pasien gagal ginjal kronik dan keluarganya.

IMPROVING HEALTHY BEHAVIOR IN YOUTH TO PREVENT HYPERTENSION Minarti Minarti; Siti Nur Kholifah; Dwi Ananto Wibrata Wibrata; Ach. Arfan Adinata
Health Community Engagement Vol. 5 No. 1 (2023): Januari-April
Publisher : Poltekkes Kemenkes Surabaya

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The health cadre group at the junior high school level is a group of early adolescents who have psychological characteristics in the form of anxiety, conflict, imagining, group activities and the desire to try something new, so that this group of early adolescents can receive correct information so that they can increase efforts to behave in a healthy life. This teenager has high curiosity, then explores everything and tries everything he has never received, especially the prevention of hypertension. The purpose of this community service is to improve the healthy life behavior of school health cadres as an effort to prevent hypertension. The method used is training with a target of 50 students of school health cadres in East Surabaya Junior High School. Based on the results of the pre-test and post-test assessments, it is known that almost all health cadres (98%) have increased scores, and 2% have fixed scores. The difference between the post-test and pre-test results ranged from 0-34 points. The skills of school health cadres were assessed through assignments to identify the healthy behavior of those closest to them, the results showed that more than 76% of someone identified as having a habit of eating a balanced diet consisting of carbohydrates, vegetables, fruit and side dishes, getting enough rest as much as 70%, but also getting 60 % of their families smoke in the house, play a lot with gadgets by 54% and if there are problems, they are discussed with parents by 68%. Empowerment carried out through health cadres is one way to anticipate the increase in hypertension in adolescents.

PENGARUH ASUPAN NUTRISI, AKTIVITAS FISIK DAN STATUS GIZI DENGAN EFEK SAMPING OBAT ANTI TUBERKULOSIS PADA PASIEN TUBERKULOSIS PARU DI PUSKESMAS PACAR KELING SURABAYA Delika Afriana Citra; Padoli Padoli; Minarti Minarti
JURNAL KEPERAWATAN Vol. 15 No. 3 (2021)
Publisher : JURUSAN KEPERAWATAN POLITEKNIK KESEHATAN KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/nersbaya.v15i3.78

ABSTRAK Pasien tuberkulosis paru yang menjalani pengobatan anti tuberkulosis menyebabkan pertahanan tubuh menjadi lemah akibat efek samping obat anti tuberculosis. Tujuan penelitian adalah menganalisis pengaruh asupan nutrisi, aktivitas fisik dan status gizi dengan efek samping obat anti tuberkulosis pada pasien tuberkulosis paru. Desain penelitian adalah kuantitatif dengan metode cross sectional. 51 pasien TB yang dipilih dengan aksidental sampling terlibat dalam penelitian ini. Variabel independen penelitian ini adalah asupan nutrisi, aktivitas fisik dan status gizi sedangkan variabel dependen efek samping obat anti tuberkulosis. Instrumen penelitian menggunakan food recall 24 jam, kuesioner, dan observasi. Uji statistik yang digunakan adalah uji Chi-Square dan uji Regresi Logistik Ordinal. Hasil penelitian menunjukkan bahwa sebagian besar (56%) pasien memiliki asupan nutrisi kurang, memiliki aktivitas fisik sedang (65%) dan memiliki status gizi baik (76,2%). Ada hubungan antara asupan nutrisi, aktifitas fisik dan kejadian efek samping, dimana aktivitas fisik dan status gizi yang baik maka berakibat efek samping obat anti tuberkulosis ringan pada pasien tuberkulosis paru serta asupan nutrisi yang kurang lebih berisiko 3,996 kali mengalami efek samping obat anti tuberkulosis adalah dibandingkan dengan status gizi dan aktivitas fisik. Disarankan pasien meningkatkan asupan gizi dan memperbaiki pola makan yang sehat. Kata kunci: asupan nutrisi, aktivitas fisik, status gizi, TB paru ABSTRACT Pulmonary tuberculosis patients undergoing anti-tuberculosis treatment cause the body's defenses to weaken due to the side effects of anti-tuberculosis drugs. The aim of the study was to analyze the effect of nutritional intake, physical activity and nutritional status on the side effects of anti-tuberculosis drugs in pulmonary tuberculosis patients. The research design is quantitative with cross sectional method. 51 TB patients selected by accidental sampling were involved in this study. The independent variables of this study were nutritional intake, physical activity and nutritional status, while the dependent variable was the side effects of anti-tuberculosis drugs. The research instrument used a 24 hour food recall, a questionnaire, and observation. The statistical test used is the Chi-Square test and Ordinal Logistic Regression test. The results showed that the majority (56%) of patients had poor nutritional intake, had moderate physical activity (65%) and had good nutritional status (76.2%). There is a relationship between nutritional intake, physical activity and the incidence of side effects, where physical activity and good nutritional status result in side effects of mild anti-tuberculosis drugs in pulmonary tuberculosis patients and nutritional intake which is more or less at risk of 3,996 times experiencing side effects of anti-tuberculosis drugs is compared with nutritional status and physical activity. It is recommended that patients increase their nutritional intake and improve a healthy diet. Keyword : nutritional intake, physical activity, nutritional status, pulmonary tuberculosis.

Pemeriksaan Status Gizi dan Kadar Asam Urat Lansia di Posyandu Abiyoso Polkesbaya Evy Diah Woelansari; Juliana Christyaningsih; Suhariyadi Suhariyadi; Lully Hanni Endarini; Museyaroh Museyaroh; Diah Titik Mutiarawati; Wisnu Istanto; Suliati Suliati; Anik Handayati; Sri Sulami Endah Astuti; Pestariati Pestariati; Retno Sasongkowati; Mamik Mamik; Sri Utami; Minarti Minarti; Luthfi Rusyadi; Liliek Soetjiatie
Jurnal Pengabdian Kesehatan Beguai Jejama Vol 4, No 2 (2023): Jurnal Pengabdian Kesehatan Beguai Jejama Volume 4 Nomor 2 Agustus 2023
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jpk.v4i2.13417

Proses penuaan dapat memengaruhi kesehatan fisik lansia dan meningkatkan risiko berbagai gangguan kesehatan, termasuk hipertensi dan asam urat. Kegiatan ini berlangsung pada tanggal 14 Juni 2023 bertempat di Balai RW 2 Kelurahan Kertajaya, Surabaya dan dihadiri 59 lansia yang berdomisili di RW 1 dan RW 2 Kelurahan Kertajaya Kecamatan Gubeng Surabaya. Jenis kegiatan yang dilaksanakan adalah pengukuran status gizi, asam urat dan senam hipertensi. Hasil pemeriksaan mengungkapkan 57,6% lansia memiliki kadar asam urat yang tinggi dan mayoritas memiliki kelebihan berat badan, sehingga lansia perlu mengendalikan tekanan darah dengan pengobatan yang diresepkan oleh dokter, perubahan gaya hidup seperti diet rendah garam, olahraga teratur, dan menghindari stres.

Family empowerment as an effort to prevent hypertension in the adolescent group in the working area of the Kebonsari Health Center Surabaya Siti Nur Kholifah; M. Minarti; Heru Sulistijino; Ferry Kumala
Journal of Community Service and Empowerment Vol. 3 No. 1 (2022): April
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jcse.v3i1.18359

Hypertension in adolescents is increasing in Indonesia, including in East Java. An unhealthy lifestyle, activity, eating less vegetables and fruits and increasing smoking habits are the causes of the increasing prevalence of hypertension in adolescents. This condition is a big problem, because the incidence of hypertension in adolescence will continue in adulthood and have a higher risk of morbidity and mortality. This service activity aims to identify the role of the family in preventing hypertension in adolescents before and after the empowerment process, as well as identifying family behavior to prevent hypertension after the empowerment process. The method used is an empowerment intervention to the family. The result of this empowerment activity is that the empowerment that has been carried out can increase the role of the family in preventing the occurrence of hypertension in adolescents. The empowerment process is carried out through the activities of providing health education, mentoring, and monitoring the increase in the role of the family.

Model of Guidance: Effective Communication with the Elderly for Empowering Elderly Caregivers in Nursing Homes in Indonesia Minarti Minarti; Siti Nur Kholifah; Heru Sulistijono; Hilmi Yumni; Y.K Windi; Asnani Asnani; Intim Cahyono; Hasyim As’ari; Bambang Heriyanto; Nikmatul Fadilah; Dyah Wijayanti; Suriana Suriana; Baiq Dewi Harnani; Dinarwiyata Dinarwiyata; Eko Rustamaji W; Ferry Kumala
Frontiers in Community Service and Empowerment Vol. 1 No. 2 (2022): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v1i2.11

Activities related to increasing the caregiver's ability to care for the elderly who experience daily problems related to psychological approaches and the like have never been carried out. Caregiver communication does not support effective communication and is still social communication. Supported by the results of research conducted at the Nursing Home for the Elderly, it showed that there was a difference between pre and post-test in the group that received guidance or counseling treatment on the happiness of the elderly with a significant value. The purpose of this training is to empower elderly caregivers at Nursing Home at St. Yosef, Surabaya, and identify the effectiveness of the guidance model (Guidance) by caregivers. The number of participants is 50 people. The method used is cadre training through discussions, demonstrations, competence training and competence assessment. The result of training for caregivers is an increase in knowledge based on pre-test and post-test scores. There was an increase in skills seen in four skills, namely communication in the elderly, active movement, passive movement, mobilization, and daily activity training. The advantage of this cadre training is that it can effectively improve communication with the elderly people who are cared for in the orphanage. The implication of this activity is to increase the knowledge and skills of caregivers in providing care for the elderly through effective communication with the elderly in nursing homes as an effort to improve the health of the elderly.

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