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RESPONS EMOSI DAN SOSIAL REMAJA BERJERAWAT PH, Livana; Mubin, Mohammad Fatkhul; Mahmudah, Azizah Rahma
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 4, No 2 (2016): November 2016
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.348 KB) | DOI: 10.26714/jkj.4.2.2016.132-136

Abstract

Anak pada periode pra sekolah perlu untuk mencapai tugas-tugas perkembangan mereka yang mencakup : keterampilan motorik, sosial dan bahasa. Pendidikan anak usia dini (PAUD) akan membantu pencapaian tugas-tugas perkembangan ini. Penelitian ini bertujuan untuk mengukur perbedaan tingkat perkembangan anak yang mengikuti dan tidak mengikuti PAUD. Terdapat 61 anak yang tidak mengikuti PAUD dan 79 anak dari tiga sekolah PAUD di Desa Protomulyo Kabupaten Kendal. Subyek diukur menggunakan Denver Developmental Screening Test II (DDST II) pada satu kali periode. Diantara mereka yang tidak mengikuti PAUD, 41% (25 anak) didiagnosis suspect, sementara 8,9% (7 anak) dari PAUD yang tidak bisa mencapai tugas perkembangan. Tujuh puluh dua anak yang telah mengikuti minimal 3 bulan program PAUD, mampu mencapai tugas-tugas perkembangan mereka sepenuhnya. Oleh karena itu, ada perbedaan tingkat perkembangan antara anak-anak yang mengikuti dan tidak mengikuti PAUD, dengan p value (p =0,000). Program  PAUD mempunyai peran yang sangat penting untuk merangsang perkembangan anak. Orangtua dapat meyediakan permainan yang mendidik di rumah dan bagi petugas kesehatan harus aktif dalam memberikan screening pengembangan menggunakan DDST II untuk semua anak di masyarakat. Kata Kunci: Pendidikan anak usia dini (PAUD), perkembangan, anak pra sekolah LEVEL OF DEVELOPMENT OF 3-5 YEAR PRA SCHOOL CHILDREN WHO FOLLOWS AND DOES NOT FOLLOW EARLY CHILDREN EDUCATION ABSTRACTChildren in the pre-school period need to achieve their developmental tasks which include: motor, social and language skills. Early childhood education (PAUD) will help achieve the tasks of this development. This study aims to measure differences in the level of development of children who follow and do not participate in PAUD. There were 61 children who did not attend PAUD and 79 children from three PAUD schools in Protomulyo Village, Kendal Regency. Subjects were measured using the Denver Developmental Screening Test II (DDST II) at one time period. Among those who did not attend Early childhood education (PAUD), 41% (25 children) were diagnosed suspect, while 8.9% (7 children) of Early childhood education (PAUD) were unable to achieve developmental tasks. Seventy-two children who have participated in at least 3 months of the Early childhood education (PAUD) program are able to fully accomplish their development tasks. Therefore, there are differences in the level of development between children who follow and do not participate in PAUD, with p value (p = 0,000). The Early childhood education (PAUD) program has a very important role in stimulating children's development. Parents can provide educational games at home and health workers must be active in providing development screening using DDST II for all children in the community.  Keywords: Early childhood education (PAUD), development, pre-school children
Karakteristik dan Tingkat Nyeri Persalinan Kala I Fase Laten PH, Livana; Handayani, Tri Nur; Mubin, Mohammad Fatkhul; Ar Ruhimat, Imroati Istibsyaroh
Jurnal Ners Widya Husada Vol 4, No 3 (2017): NOVEMBER
Publisher : Universitas Widya Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.241 KB) | DOI: 10.33666/jners.v4i3.323

Abstract

Persalinan merupakan keadaan fisiologis yang prosesnya mengakibatkan rasa nyeri hebat, bahkan dapat menimbulkan rasa nyeri yang luar biasa. Rasa nyeri muncul akibat refleks fisik dan respons psikis ibu yang berbeda-beda. Penelitian bertujuan untuk mengetahui karakteristik dan tingkat nyeri persalinan kala I  fase laten. Jenis penelitian ini merupakan penelitian kuantitatif dengan dengan pendekatan metode deskriptif. Sampel penelitian ini yaitu ibu bersalin normal yang mengalami nyeri persalinan kala I fase laten. Sampel berjumlah 30 responden. Teknik sampling menggunakan total sampling. Penelitian dilakukan di ruang bersalin Rumah Sakit Islam Kendal. Data dianalisis secara univariat melalui distribusi frekuensi. Hasil penelitian menunjukkan bahwa karakteristik ibu yang mengalami nyeri persalinan kala I fase laten mayoritas berusia 21 – 35, berpendidikan terakhir SLTA, dan mayoritas melahirkan anak yang pertama. Sedangkan intensitas nyeri responden mayoritas pada tingkat nyeri sedang.  Kata kunci: karakteristik, nyeri, persalinan, fase latenTHE CHARACTERISTICS AND LEVEL OF THE FIRST STAGE LABOR PAIN OF LATENT PHASE ABSTRACTLabor is a physiological state in which the process results in intense pain, and can even cause extraordinary pain. The pain arises due to the physical reflexes and psychological responses of mothers. This  study aimed to determine the characteristics and level of the labor  pain in the first stage of latent phase. The type of this research was quantitative research through  a descriptive method approach. The sample of this study was mothers whodelivered normally and  experienced laborpain  on the first stage of latent phase. Samples amounted to 30 respondents. The sampling technique used total sampling. The study was conducted in the delivery room of Kendal Islamic Hospital. Data were analyzed univariately through frequency distribution. The results showed that the characteristics of mothers who experienced labor pain the first stage of latent phase were aged 21-35,are high school graduates, and most of them gave birth to the first child. Meanwhil, the majority of respondents' pain intensity was at moderate pain level.Keywords: characteristics, pain, labor, latent phase
Efektifitas Terapi Musik pada Nyeri Persalinan Kala I Fase Laten PH, Livana; Handayani, Tri Nur; Mubin, Mohammad Fatkhul; Ar Ruhimat, Imroati Istibsyaroh
Jurnal Ners Widya Husada Vol 4, No 2 (2017): Juli
Publisher : Universitas Widya Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (47.934 KB) | DOI: 10.33666/jners.v4i2.302

Abstract

Kematian saat melahirkan menjadi penyebab utama mortalitas perempuan pada masa puncak produktivitasnya. Persalinan merupakan suatu proses membuka dan menipisnya serviks serta terjadi kontraksi uterus sehingga menyebabkan nyeri pada proses persalinan. Salah satu inovasi dari teknik relaksasi yang bermanfaat untuk mengatasi nyeri persalinan diantaranya terapi musik. Tujuan penelitian ini untuk mengetahui efektifitas terapi musik dalam menurunkan intensitas nyeri persalinan kala I fase laten sebelum dan setelah intervensi. Penelitian ini menggunakan quasy eksperimental design jenis pretest – postest. Jumlah sampel yang memenuhi kriteria inklusi dalam penelitian ini adalah 30 responden dengan metode pengambilan sampel total sampling. Analisa data yang digunakan uji wilcoxon. Hasil penelitian diperoleh intensitas nyeri responden sebelum dilakukan intervensi rata-ratanya adalah 3,20 dengan standar deviasi 0,610. Sedangkan rata-rata intensitas nyeri responden setelah dilakukan intervensi adalah 2,47 dengan standar deviasi 0,507. Dari uji statistik dapat disimpulkan bahwa ada pengaruh yang signifikan antara intensitas nyeri sebelum dilakukan intervensi dan setelah dilakukan intervensi (p value = 0,000<0,05). Dari hasil penelitian ini diketahui terapi musik efektif dalam menurunkan intensitas nyeri pada persalinan kala I fase laten.Kata kunci: terapi musik, intensitas nyeriTHE EFFECTIVENESS OF MUSIC THERAPY ON THE PAIN DURING THE FIRST STAGE LABOR PAIN OFLATENT PHASEABSTRACTDeath during labor is a major cause of women mortality at the peak of their productivity. Labor is a process of opening and thinning the cervix as well as when the uterine contractions occurs, causing pain in labor. One of the innovations of relaxation techniques that are useful for dealing with labor pain is music therapy. The objective of this study was to determine the effectiveness of music therapy in reducing the intensity of labor pain on the first stage of the latent phase before and after the intervention. This research used quasy experimental design with the type of pretest - posttest. The number of samples that met the inclusion criteria in this study were 30 respondents selected through total sampling method. The analysis of the data used Wilcoxon test. The results obtained that the respondents' mean pain intensity before the intervention was 3.20 with a standard deviation of 0.610. Meanwhile, the meanintensity of respondents’ pain after the intervention was 2.47 with a standard deviation of 0.507. From the statistical test, it can be concluded that there was a significant effect on pain intensity between before and after the intervention (p value = 0.000 <0.05). From the results of this study, it was acknowledged that music therapy is effective in reducing the intensity of pain on the first laborstage of latent phase.Keywords: music therapy, pain intensity
TINGKAT ANSIETAS IBU YANG MERAWAT ANAK PERTAMA USIA 0-1 TAHUN PH, Livana; Mubin, Mohammad Fatkhul; Marchamatun, Siti
Jurnal Perawat Indonesia Vol. 3 No. 1 (2019): May 2019
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (66.4 KB) | DOI: 10.32584/jpi.v3i1.289

Abstract

Ansietas merupakan respon perasaan khawatir, gelisah,dan takut yang muncul tiba-tiba tanpa diketahui penyebabnya disertai tanda gejala fisiologis dan emosional  pada tubuh. Penelitian ini bertujuan untuk mengidentifikasi tingkat ansietas pada ibu yang merawat anak pertama usia 0-1 tahun di Desa Krajankulon Kec. Kaliwungu Kab. Kendal. Penelitian ini merupakan jenis kuantitatif. Desain penelitian mengunakan deskriptif dengan prosedur analisis statistik menggunakan analisa univariat dalam bentuk tabel dan frekuensi. Teknik sampling berupa sampling jenuh dan didapatkan jumlah sampel 65 responden yang diukur menggunakan lembar kuesioner. Hasil penelitian berdasarkan usia bahwa usia akan menunjukkan kedewasaan dari pengaruh pengalaman dan pematangan jiwanya (sebesar 95.4% responden berusia 21-35 tahun), berdasarkan tingkat pendidikan menunjukkan bahwa makin tinggi tingkat pendidikan maka informasi yang didapat bertambah (sebesar 64,6% responden berpendidikan SMA), berdasarkan pekerjaan menunjukkan bahwa ekonomi yang cukup dapat mengurangi tingkat ansietas (sebesar 63,1% responden tidak bekerja), berdasarkan pendapatan (sebesar 92,3% responden berpendapatan cukup), secara keseluruhan sebagian besar reponden mengalami ansietas sedang sebanyak 37 responden (56.9%). Dari hasil penelitian ini diharapkan dapat menambah pengetahuan dan informasi ibu dalam merawat anak pertama usia 0-1 tahun sehingga                               Kata kunci: Ansietas, ibu merawat anak pertama usia 0-1 tahun Abstract The Anxiety At The Caring Mother First Child Age 0-1 Years. Anxiety is a response to feelings of worry, anxiety, and fear that arise suddenly without known cause accompanied by signs of physiological and emotional symptoms in the body. This study aimed to identify the level of anxiety in mothers caring for their first child aged 0-1 years in the Village District Krajankulon Kaliwungu Kendal. This research is quantitative. The study design using a descriptive statistical analysis procedure using univariate analysis in tables and frequency. Saturated sampling techniques such as sampling and number of samples obtained 65 respondents were measured using a questionnaire.The results based on the age of that age will show the maturity of the influence of experience and maturation of his soul (by 95.4% of respondents aged 21-35 years), by education level shows that the higher the level of education increases the information obtained (64.6% high school educated respondents),  by occupation showed that the economy enough to reduce the level of anxiety (63.1% of respondents did not work), based on revenue (by 92.3% of respondents sufficient income), overall the majority of respondents were experiencing anxiety by 37 respondents (56.9%). From the results of this research can increase knowledge and information in the care of the mother's first child aged 0-1 years so as to reduce the level of anxiety. Keywords: anxiety, mothers caring for children aged 0-1 years first
Effects of Early Warning Score (EWS) on outcomes of inpatient services Bobonera, Teguh Theryana; Pohan, Vivi Yosafianti; Mubin, Mohammad Fatkhul; Armiyati, Yunie
South East Asia Nursing Research Vol 4, No 3 (2022)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.4.3.2022.21-26

Abstract

The decrease in patient morbidity and mortality is influenced by quality inpatient services. Hospitalized patients can be in stable or unstable conditions. There is a phenomenon of patients whose condition is not stable being placed in inpatient, due to the limitations of the intensive care unit. These patients are at risk for worsening clinical conditions that increase morbidity and mortality. One of the efforts to improve quality related to patient safety in hospitals is the application of the Early Warning Score (EWS) including in inpatient installations. An early warning score is one of the assessment parameters in hospital accreditation and quality of care.  The aim of this literature review is to explain effects of early warning score (EWS) on outcomes of inpatient services. This study uses a literature study approach with a descriptive review type. The articles used are international with a range of years from 2011-2021. The databases used are Proquest, PubMed, and the Google Scholar search engine. Implementation of EWS has resulted in higher utilization of the rapid response system but a lower incidence of cardiopulmonary arrest; it is associated with lower mortality rates, and improved patient safety and clinical outcomes. The results obtained that there is a correlation between the EWS value with mortality but not with the length of stay. Research results related to the correlation of EWS with referrals to ICU/HCU and activation of code blue cannot be analyzed so that in the future a larger number of samples and case variations are needed. A clinical flow can be created in advance so that good patient management can be carried out if the EWS score is higher. An early Warning Score (EWS) can be used to predict the patient outcome which is an indicator of inpatient services.
Penurunan nyeri dan kadar asam urat pada penderita Gout Arthritis dengan terapi akupresur pada titik Taixi (KI 3) Mahmudi, Mohamad; Safitri, Dwi Nur Rahmantika Puji; Mubin, Mohammad Fatkhul
Holistic Nursing Care Approach Vol 4, No 1 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/hnca.v4i1.12873

Abstract

Asam urat merupakan zat yang terbentuk saat tubuh memecah purin. Asam urat akan mengalami beberapa tahap di beberapa bagian terutama yaitu sendi pada jari tangan, tumit, jari kaki, siku, lutut, serta pergelangan tangan. Studi kasus ini bertujuan untuk melakukan penerapan pijat akupresur pada titik KI 3 pada pasien yang mengalami gangguan asam urat di desa Rejosari, Kabupaten Grobogan. Studi kasus ini menggunakan metode deskriptif  dengan pendekatan proses keperawatan melalui pemberian pijat akupresur pada titik KI 3 di daerah midfood sebagai tindakan untuk menurunkan nyeri dan kadar asam urat. Pemijatan dilakukan dengan penekanan pada titik KI 3 selama 3 hari berturut-turut pada pagi hari dengan durasi 15 menit. Hasil penerapan didapatkan bahwa dari ketiga subyek studi mengalami penurunan nyeri dan kadar asam urat. Subyek studi 1 dengan skala nyeri 8 (nyeri berat) menjadi 4 (nyeri sedang) dan kadar asam urat 8,5 mg/dl menjadi 6,2 mg/dl, subyek studi 2 dengan skala nyeri 7 (nyeri berat) menjadi 4 (nyeri sedang) dan kadar asam urat 8,9 mg/dl menjadi 7 mg/dl, subyek studi 3 dengan skala nyeri 8 (nyeri berat) menjadi 4 (nyeri sedang) dan kadar asam urat 8,7 mg/dl menjadi 6,9 mg/dl. Ketiga subyek studi mengalami penurunan nyeri dan kadar asam urat setelah diberikan terapi akupresur pada titik KI 3. Pijat akupresur pada titik KI 3 dapat digunakan sebagai terapi komplementer yang efektif untuk menurunkan rasa nyeri dan kadar asam urat.
Application of early warning system (EWS) in patients with cardiovascular disorders : a descriptive study Bobonera, Teguh Theryana; Mubin, Mohammad Fatkhul; Pohan, Vivi Yosafianti; Soesanto, Edy; Astuti, Rahayu
Media Keperawatan Indonesia Vol 7, No 1 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.1.2024.31-37

Abstract

Incidents of clients experiencing sudden cardiac arrest in the inpatient setting or unexpected and unavoidable deaths in the inpatient setting are common. One of the efforts to improve quality related to patient safety in hospitals is the application of the Early Warning System (EWS) to clinical changes in patients in hospital inpatient installations. The purpose of this study was to describe the application of EWS in clients with cardiovascular system disorders, including the risk of seriousness, respiratory rate, oxygen saturation, use of oxygen supplements, systolic blood pressure, pulse frequency, level of consciousness, and body temperature. This study is an observational descriptive study with a cross-sectional approach. The number of respondents was 48 people, namely clients who were treated with diseases of the cardiovascular system. Data analysis using descriptive analysis. The characteristics of respondents obtained in this study showed that the majority of respondents were female (54.2%), the majority of medical diagnoses were congestive heart failure, which was 43.75%, and the average length of stay was 4.63 days. Most of the patient's risk of seriousness was in the moderate category, namely 22 respondents (45.8%). Assessment of clients with cardiovascular system disorders with EWS in this study can predict the level of patient care so that preventive measures can be taken. Recommendations for future research are research on predicting patient mortality using EWS.
The Experience of Families who Care for Relatives with Mental Disorders Post Arbitrary Coercion: A Qualitative Study Mubin, Mohammad Fatkhul; Rahayu, Desi Ariyana; Dhamanik, Reina; Hsieh, Chia-Jung; Basuki, Rochman
Jurnal Keperawatan Soedirman Vol 18 No 2 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2023.18.2.8079

Abstract

People with mental disorders who experience coercion and are referred to a mental hospital are often shackled after returning from the hospital or re-admitted to the mental hospital. However, some families take care of their family members with mental illness who had previously been coerced. The time taken to care for relatives with mental disorders at home is crucial as caregivers of relatives with schizophrenia and early psychosis experience significant stress and psychosocial burden. Meanwhile, the family members are supposed to maintain their relative’s condition to avoid relapse. This study explores the experiences of families who cared for their relatives with mental disorders who experienced coercion to give insight and information to patients, families, and communities. This is a phenomenological qualitative study. The sampling technique used was purposive sampling, with the number of participants being 11 family members who treated their relative suffering from mental illness post-coercion. The descriptive analysis resulted in 5 themes: 1) Heavy burden, 2) Family support, 3) Gratitude, 4) Adjustment, and 5) Improved mental health condition. The results of this study can be used as a reference for helping families with the psychological and physical treatment of their post-coercion relatives.
Overview of Fall Risk and Pain Levels in Elderly Patients with Knee Osteoarthritis in General Hospital Putri, Avriza Byan Antama; Soesanto, Edy; Mubin, Mohammad Fatkhul; Ernawati, Ernawati
Media Keperawatan Indonesia Vol 7, No 4 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.4.2024.327-334

Abstract

Knee osteoarthritis is a degenerative disease that is often experienced by the elderly, causing pain and increasing the risk of falls, which has a significant impact on quality of life. This study aims to describe the risk of falls and pain levels in elderly people with knee osteoarthritis in general hospitals. This research uses a descriptive design with a cross sectional approach. Data collection was carried out by studying medical records and interviews from 150 elderly patients suffering from knee osteoarthritis. The risk of falling was measured using the Morse Falls Scale, while the level of pain was measured using the Numeric Rating Scale. The results showed that 49.3% of patients had a low risk of falling and 56.7% experienced mild pain. The majority of patients were aged 71-90 years, with 78.7% of them being women. This study shows that the majority of elderly patients with knee osteoarthritis have a low risk of falls and mild to moderate levels of pain, with age and gender playing an important role in the prevalence of this condition.
Overview of Depression Level in Knee Osteoarthritis Patients in Geriatric Polyclinic in General Hospital Fadilah, Rakha Ariq; Yanto, Arief; Mubin, Mohammad Fatkhul; Rahayu, Desi Ariyana
Media Keperawatan Indonesia Vol 7, No 3 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.3.2024.213-219

Abstract

Knee osteoarthritis (OA) is one of the most prevalent degenerative conditions among the elderly, significantly impacting both mental and physical health, including an elevated risk of depression. This study aims to assess the prevalence of depression distribution among patients with knee osteoarthritis attending the geriatric polyclinic at a Regional General Hospital in Indonesia. A descriptive cross-sectional study design was employed. Data were collected through medical record reviews and structured interviews. The findings revealed that 61.3% of patients experienced mild depression, 35.3% were categorized as having no depression, and 3.3% had moderate depression, with no cases of severe depression identified. The majority of patients were classified as older adults (aged 75–90 years, 60%) and predominantly female (78.7%). In conclusion, knee osteoarthritis is most commonly observed in the older age group and among females. Most patients present with mild depression, which tends to worsen with advancing age, influenced by chronic pain and functional limitations.