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Implementasi Keperawatan Terapi Musik Pada Pasien Hemodialisa Dengan Masalah Keperawatan Ansietas Agustin, Ismar; Putri, Prahardian; Muliyadi, Muliyadi; Lukman, Lukman; Azwaldi, Azwaldi; Firnanda, Dhea Lyra
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2576

Abstract

Background : Hemodialysis is one of the therapies for patients with kidney failure to remove metabolic waste and excess body fluid by circulating blood into a device that consists of two compartments: blood and a dialyzer, to eliminate the metabolic waste and excess fluid. The repetitive hemodialysis process over an extended period can cause anxiety in patients. Method: This study utilizes a descriptive research design with a case study approach involving the nursing process. The case study subjects are two patients with kidney failure undergoing hemodialysis who are experiencing anxiety. Music therapy was administered three times during each hemodialysis session, with intervals based on the patients' preferences, over the course of three consecutive days. Case study techniques included conducting interviews/anamnesis, observations, and physical examinations. The instrument used to measure anxiety was the Hamilton Anxiety Rating Scale (HARS) questionnaire. Results: After the implementation of music therapy on both case study subjects, there was a decrease in anxiety levels. In subject 1, the initial measurement of anxiety was in the moderate category (HARS 24), and after the music therapy intervention, the anxiety level decreased to the mild category (HARS 16). In subject 2, the initial measurement of anxiety was also in the moderate category (HARS 26), and after the music therapy intervention, the anxiety level decreased to the mild category (HARS 18). Conclusion: The implementation of nursing music therapy can help reduce anxiety levels in hemodialysis patients
Terapi Nebulizer Dengan Active Cycle Breathing Technique Pada Pasien Asma Bronkial Wijaya, Sapondra; Muliyadi, Muliyadi; Susmini, Susmini; Trisnawati, Vivi
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2585

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Background: Asthma attacks can cause blood oxygen levels to become very low, resulting in hypoxemia. This condition can cause confusion, lethargy, and even loss of consciousness and death. Immediate action is needed to overcome this condition, one of which is nebulizer therapy with Active Cycle of Breathing Techniques. This study aims to describe the implementation of nebulizer therapy with Active Cycle of Breathing Techniques. Methods: Descriptive research with a case study approach. Application of nebulizer therapy and active cycle breathing technique in bronchial asthma patients in the Emergency Room of Siti Aisyah Hospital, Lubuklinggau City. There were 4 asthma patients who came to the Emergency Room given a combination of nebulizer therapy with Active Cycle of Breathing Techniques for about 20 minutes. Results: The breathing pattern of 4 subjects decreased by an average of 5 breaths, in Subject I from 30 x/minute to 23 x/minute. Subject II, from 26 x/minute to 22 x/minute, Subject III from 27x/minute to 22x/minute and in Subject IV from 24x/minute to 20x/minute. Wheezing sound before intervention, disappeared after intervention. Conclusion: The combination of pharmacological and non-pharmacological nebulizer therapy with salbutamol and Active Cycle Breathing Technique is effective for asthma patients in the ER.
PENERAPAN SASARAN KESELAMATAN PASIEN DI PELAYANAN RUMAH SAKIT Muliyadi, Muliyadi; Yulia, Sri
Jurnal 'Aisyiyah Medika Vol 7, No 2: Agustus 2022 Jurnal 'Aisyiyah Medika
Publisher : stikes 'aisyiyah palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/jam.v7i2.904

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Latar Belakang: Terhindarnya pasien dari cidera dan mendapatkan pelayanan kesehatan yang aman merupakan bentuk pelayanan berkualitas dan memenuhi harapan pasien. Sistem pelayanan kesehatan belum dapat memenuhi aspek keamanan secara optimal. Program keselamatan pasien melalui penerapan  sasaran keselamatan pasien merupakan upaya mengurangi risiko pasien dari kejadian yang tidak diinginkan. Tujuan: Mendapatkan gambaran penerapan sasaran keselamatan pasien dan hubunganya dengan karakteristik perawat. Metode: Penelitian deskriptif analitik untuk mendapatkan gambaran penerapan keselamatan pasien dan analisis hubungan karakteristik perawat dengan penerapan keselamatan pasien. Populasi perawat pelaksana pada empat rumah sakit di Kota Palembang, sampel berjumlah 139 perawat dengan purposive sampling. Penelitian dilaksanakan Januari-Maret 2019. Data dikumpulkan menggunakan kuesioner yang valid dan reliable. Analisis dilakukan melalui univariat dengan uji proporsi dan sentral tendensi, bivariat dengan uji T independent dan regresi linier. Hasil:  Penelitian mendapatkan rata-rata penerapan sasaran keselamatan pasien 147,88 (92,43%) dari nilai maksimal 160 dengan sasaran identifikasi 90,8%, komunikasi efektif  93,2%, pengelolaan obat   93,82%, ketepatan prosedur  94,00%, pengurangan risiko infeksi 91,97% dan pengurangan risiko jatuh 86,82%. Tidak ada hubungan karakteristik umur, jenis kelamin, pendidikan dan pengalaman kerja dengan penerapan keselamatan pasien (α > 0,05). Saran: Diperlukan upaya perbaikan dan peningkatan penerapan sasaran keselamatan pasien dengan sharing sejawat perawat dan interprofesi, peningkatan monitoring evaluasi manajer perawat. Kata Kunci: Penerapan, Rumah Sakit,  Sasaran Keselamatan Pasien
Analysis of The Application of Kolcaba Theory in Patient Mr. S.S.M. with Post Percutaneus Coronary Intervention in The Intensive Cardiology Care Unit of the Prof. dr. R. D. Kandou Manado General Hospital Sibua, Israwati; Muliyadi, Muliyadi; Nurmansyah, Muhammad
Jurnal Kesehatan Vol. 17 No. 2 (2024): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/678nqa38

Abstract

Latar belakang: Penyakit jantung koroner terjadi karena adanya penyumbatan pada pembuluh koroner baik akibat endapan kolesterol maupun peradangan. Penyakit jantung dapat menimbulkan ketidaknyamanan sebelum dilakukan tindakan perawatan dan pengobatan, maupun setelah dilakukan tindakan medis, dalam hal ini percutaneus coronary intervention (PCI). Ketidaknyamanan yang dirasakan pasien post PCI berupa nyeri ringan di dada, suhu lingkungan yang dingin, prosedur tindakan dan beberapa keluhan yang mempengaruhi rasa nyaman pasien. Peneliti menemukan belum banyak penelitian tentang penerapan teory Kolcaba pada pasien post PCI. Tujuan umum: Penerapan teory Kolcaba pada pasien Tn.S.S.M. dengan memberikan bantalan hangat untuk meningkatkan kenyamanan post tindakan PCI. Metode: Penelitian menggunakan pendekatan studi kasus dengan sampel pasien post tindakan PCI. Implementasi dilakukan selama 3 hari, dengan durasi pemberian kompres bantalan hangat selama 20 menit. Hasil: Tingkat kenyamanan pasien meningkat setelah pemberian bantalan hangat. Kesimpulan: Penerapan teori Kolcaba tentang kenyamanan pada pasien post PCI dapat menjadi terapi yang efektif dan mudah dalam meningkatkan kenyamanan pasien sehingga membantu mempercepat proses penyembuhan pasien.
Kinetika Degradasi Air Limbah Menggunakan Media Tutup Botol Plastik PET dengan Reaktor Aerobik MBBR Muliyadi, Muliyadi; Purwanto, Purwanto; Sumiyati, Sri; Budiyono, Budiyono; Sudarno, Sudarno; Warsito, Budi
Jurnal Kesehatan Lingkungan Indonesia Vol 24, No 1 (2025): Februari 2025
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.24.1.59-67

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Latar belakang: Tujuan penelitian adalah untuk menganalisis laju kinetika degradasi pengolahan air limbah biologi menggunakan model Michaelis-Menten dan regresi linier.Metode: Jenis penelitian ini adalah eksperimen. Sampel diambil dengan teknik grab sample dan diambil pada 4 titik dengan jumlah 70 liter yang dibagi sama rata pada tiap titik. Penentuan model dilakukan dengan menggunakan persamaan Michaelis-Menten dan regresi linier. Reaktor terbuat dari fiberglass, berukuran panjang 40 cm, lebar 40 cm, tinggi 50 cm, dan tebal 4 mm. Reaktor memiliki kapasitas 80 L. Inlet dan Outlet air limbah dirancang dengan menggunakan pipa PVC. Percobaan dijalankan selama 30 hari. Total luas permukaan semua media adalah 14.130 cm2. Analisis data menggunakan uji regresi linear dan persamaan michaelis-menten.Hasil: Hasil pemodelan persamaan Michaelis-Menten menunjukkan nilai R2 mendekati sempurna, yang menunjukkan kedekatan dengan kondisi lapangan sebenarnya. Kondisi aerobik berlangsung lebih lama dan memungkinkan terjadinya degradasi BOD, COD, dan TSS. Konstanta Menten untuk menghilangkan BOD, COD, dan TSS masing-masing adalah 17,7, 80,5, dan 135. Nilai R2 yang diperoleh dengan menggunakan model regresi linier mendekati angka sempurna, yaitu untuk parameter BOD (0,995), COD (0, 9934), dan TSS (0,9665). dengan nilai y masing-masing -0,0613, -0,0467, -0,042. Persamaan yang diperoleh dari hasil pemodelan regresi adalah Y = 31,245-0,030X1 + 0,015X2 + 0,044X3 + e.Simpulan: Model yang digunakan mampu memprediksi secara akurat degradasi BOD, COD, dan TSS dalam kondisi aerobik. Studi ini menyarankan pengoptimalan kondisi aerobik dalam praktik pengolahan air limbah untuk meningkatkan efisiensi penghilangan BOD, COD, dan TSS, menggunakan model Michaelis-Menten untuk pengurangan polutan yang efektif. Besarnya gelembung udara yang dihasilkan aerator tidak dikontrol sehingga tidak dapat dimaksimalkan laju aliran udara yang masuk pada reaktor yang mungkin akan berpengaruh pada hasil kerja reaktor. Penelitian ini meningkatkan pengetahuan pengolahan air limbah dengan menunjukkan efektivitas model Michaelis-Menten dalam menganalisis laju degradasi dan menekankan penggunaan media plastik, sehingga menawarkan wawasan berharga untuk penelitian masa depan. Title:  Wastewater Degradation Kinetics Using PET Plastic Bottle Capping Media with MBBR Aerobic ReactorBackground: The purpose of this study was to analyze the rate of degradation kinetics of biological wastewater treatment using the Michaelis-Menten model and linear regression.Method: This type of research is experimental. Samples were taken using the grab sample technique and taken at 4 points with a total of 70 liters divided equally at each point. Model determination was carried out using the Michaelis-Menten equation and linear regression. The reactor was made of fiberglass, measuring 40 cm long, 40 cm wide, 50 cm high, and 4 mm thick. The reactor has a capacity of 80 L. The wastewater inlet and outlet were designed using PVC pipes. The experiment was run for 30 days. The total surface area of all media was 14,130 cm2. Data analysis used linear regression tests and the Michaelis-Menten equation.Results: The results of the Michaelis-Menten equation modeling showed an R2 value close to perfect, which indicated closeness to actual field conditions. Aerobic conditions lasted longer and allowed for degradation of BOD, COD, and TSS. Menten's constants for removing BOD, COD, and TSS were 17.7, 80.5, and 135, respectively. The R2 value obtained using the linear regression model approached the perfect number, namely for the parameters BOD (0.995), COD (0.9934), and TSS (0.9665). with y values of -0.0613, -0.0467, -0.042, respectively. The equation obtained from the results of the regression modeling is Y = 31.245-0.030X1 + 0.015X2 + 0.044X3 + e. Conclusion: The model used is able to accurately predict the degradation of BOD, COD, and TSS under aerobic conditions. This study suggests optimizing aerobic conditions in wastewater treatment practices to improve the efficiency of BOD, COD, and TSS removal, using the Michaelis-Menten model for effective pollutant reduction. The size of the air bubbles produced by the aerator is not controlled so that the rate of air flow entering the reactor cannot be maximized, which may affect the results which could minimize the reactor's working time. This study enhances the knowledge of wastewater treatment by demonstrating the effectiveness of the Michaelis-Menten model in analyzing degradation rates and emphasizing the use of plastic media, thus offering valuable insights for future research.
PENERAPAN EMOTIONAL FREEDOM TECHNIQUE PADA PASIEN HIPERTENSI DENGAN MASALAH NYERI KEPALA Muliyadi, Muliyadi; Azwaldi, Azwaldi; Agustin, Ismar; Putri, Prahardian; Febrian, Elizabeth
Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan Vol 16, No 2 (2024): Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan
Publisher : STIKES 'Aisyiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/bi.v16i2.1293

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Latar Belakang:Hipertensi dapat menyebabkan peningkatan tekanan intrakranial, yang dapat memicu nyeri kepala ringan sampai berat. Biasanya nyeri kepala terasa di area belakang kepala dan bertambah parah pada pagi hari atau saat berbaring. Emotional Freedom Technique diketahui dapat membantu mengurangi frekuensi dan intensitas nyeri kepala pasien hipertensi.Tujuan: diketahuinya penerapan Emotional freedom tecnique pada pasien hipertensi dengan masalah nyeri kepala. Metode: Desain penelitian deskriptif dalam bentuk studi kasus dengan pendekatan proses keperawatan. Subjek studi kasus 2 (dua) orang pasien hipertensi dengan kriteria inklusi nyeri skala sedang.. Pengambilan data dikumpulkan melalui cara observasi, wawancara, dan pengisisan dokumentasi asuhan keperawatan selama tiga hari untuk setiap partisipan yaitu 05-07 April 2024 dan 26-28 April 2024. Penelitian dilaksanakan di ruang perawatan salah satu rumah sakit di kota Palembang. Analisis menggunakan deskriptif Hasil:Penggunaan Emotional Freedom Technique dapat menurunkan nyeri Hipertensi dari skala sedang menjadi ringan. Edukasi tentang nyeridan emotional freedom techniquediberikan kepada  pasien agar dapat melakukan  penanganan nyeri secara mandiri Saran: penggunaan Emotional Freedom Technique dapat diimplmentasikan sebagai salah satu standar dalam pennurunan nyeri di rumah sakit.Kata Kunci: Hipertensi, Nyeri Kepala, Emotional Freedom Technique, Manajemen Nyeri
Effectiveness Of Inspecsi Applications On The Quality Of Nursing Care Documentation Ernawati, Ernawati; Damayantie, Netha; Dewi, Mursidah; Muliyadi, Muliyadi
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.41246

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Nursing services require an effective and efficient nursing management system so that nursing resources can be directed toward producing quality nursing care, one of which is through nursing supervision. Supervision is a personal observation of functions or activities in the nursing care process, which involves delegation or activities to maintain accountability and evaluate nursing care appropriately. The purpose of this research is to develop a clinical supervision application to improve the quality of nursing supervision implementation in hospitals in the city of Jambi. The clinical supervision research is designed with an application as a guide and information for ward heads, team leaders, and implementing nurses in conducting clinical supervision, thereby improving the quality of nursing supervision implementation in hospitals. The research design uses a mixed-method approach, with qualitative research on conceptual development and quantitative research used in the product development and testing phases. The research procedure follows the steps of analyze-design & development-formative evaluation using the Dick and Carey model. The research was conducted in three hospitals in Jambi City, namely Abdul Manap Hospital, Bratanata Hospital, and Bhayangkara Jambi Hospital from April to August 2023, with research subjects being all ward heads, totaling 16 people, and team leaders, totaling 24 people. There is a difference in user knowledge about nursing supervision before and after the development of an Android-based clinical nursing supervision education application with a p-value of 0.000 < 0.005. The model for developing a clinical nursing supervision application uses the instructional design approach of Dick and Carey, a systematic instructional design model for developing effective and efficient instructional programs. The clinical nursing supervision education application can be applied in hospitals by ward heads in carrying out supervision in inpatient rooms.
Domestic wastewater treatment system using waste plastic bottle caps as biofilter media Muliyadi, Muliyadi; Purwanto, Purwanto; Sumiyati, Sri; Budiyono, Budiyono; Utomo, Sudarno; Warsito, Budi
International Journal of Advances in Applied Sciences Vol 14, No 1: March 2025
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijaas.v14.i1.pp235-246

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The increasing lack of clean water has created a paradigm for treating wastewater directly from the source. This study aimed to determine the effectiveness of processing domestic waste using plastic bottle caps in the anaerobe and aerobe reactor system by measuring several key parameters in wastewater. Experimental study on on-site wastewater treatment system using two bioreactors, a biodegradation made from fruit and vegetable peel waste, and local microorganisms. Domestic wastewater was used in this study. The wastewater treatment system's performance was monitored using parameters like pH, temperature, total suspended solids (TSS), chemical oxygen demand (COD), and biochemical oxygen demand (BOD), collected daily at 9 am during peak wastewater generation. The wastewater treatment system using aerobe and anaerobic reactors with plastic bottle cap media and microorganism biodegradation effectively reduced the TSS, COD, and BOD. The anaerobe reactors were more effective at removing these pollutants, with a maximum TSS reduction of 81.1%, COD removal efficiency of 90.1%, and BOD removal efficiency of 80.2%. The longer acclimatization time of the anaerobe reactor may make it more efficient after acclimatization compared to the aerobe reactor. Although the anaerobe reactor may require a longer acclimatization time, it ultimately results in a higher efficiency in terms of TSS, COD, and BOD reduction compared to the aerobe reactor.
KEGIATAN DHUHA DALAM MENANAMKAN KARAKTER ISLAMI PADA SISWA DI SD AULIA CENDEKIA ISLAMIC SCHOOL PEKANBARU MULIYADI, MULIYADI; AMIN , MUHAMMAD; ARIFIN, ZUHAIRANSYAH
LEARNING : Jurnal Inovasi Penelitian Pendidikan dan Pembelajaran Vol. 5 No. 1 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia (P4I)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/learning.v5i1.4330

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The purpose of this study was to examine and analyze the role of the implementation of Dhuha prayer in forming Islamic character in students at SD Aulia Cendekia Islamic School Pekanbaru. This study was conducted with a qualitative approach, using data collection methods through interviews, observations, and documentation. The subjects of the study included the Principal, Vice Principal for Curriculum, class teachers, and students. Meanwhile, the object of the study was SD Aulia Cendekia Islamic School Pekanbaru. Data analysis was carried out through the stages of data reduction, data presentation, and drawing conclusions or verification. The results of the study revealed that the deepening of Islamic values ??through Dhuha prayer activities at SD Aulia Cendekia Islamic School Pekanbaru contributed significantly to the formation of students' Islamic character. With the routine implementation of activities such as Dhuha prayer, dhikr, and reading the Qur'an in the school environment, students can gain a better understanding of Islamic religious values. In addition, the practice of worship that is carried out consistently at school has a positive impact on forming good habits that are in line with Islamic values. The activity is designed to help students develop better character, including in terms of attitude, speech, politeness, independence, discipline, and responsibility towards themselves and their surroundings. Thus, students are expected to be able to reflect a positive personality and have noble morals. The habits applied in the formation of this Islamic character include main activities such as Dhuha prayer, reading the Qur'an, and dhikr regularly. ABSTRAKTujuan dari penelitian ini adalah untuk mengkaji dan menganalisis peran pelaksanaan salat Dhuha dalam membentuk karakter Islami pada siswa di SD Aulia Cendekia Islamic School Pekanbaru. Penelitian ini dilakukan dengan pendekatan kualitatif, menggunakan metode pengumpulan data melalui wawancara, observasi, dan dokumentasi.. Subjek penelitian meliputi Kepala Sekolah, Wakil Kepala Sekolah bagian Kurikulum, guru kelas, serta siswa. Sementara itu, objek penelitian adalah SD Aulia Cendekia Islamic School Pekanbaru. Analisis data dilakukan melalui tahapan reduksi data, penyajian data, dan penarikan kesimpulan atau verifikasi. Hasil penelitian mengungkapkan bahwa pendalaman nilai-nilai Islam melalui kegiatan salat Dhuha di SD Aulia Cendekia Islamic School Pekanbaru memberikan kontribusi signifikan dalam pembentukan karakter Islami siswa. Dengan pelaksanaan rutin kegiatan seperti salat Dhuha, dzikir, dan membaca Al-Qur'an di lingkungan sekolah, siswa dapat memperoleh pemahaman yang lebih baik mengenai nilai-nilai agama Islam. Selain itu, praktik ibadah yang dilakukan secara konsisten di sekolah memberikan dampak positif dalam membentuk kebiasaan baik yang selaras dengan nilai-nilai Islami. Kegiatan tersebut dirancang untuk membantu siswa mengembangkan karakter yang lebih baik, termasuk dalam hal sikap, tutur kata, kesopanan, kemandirian, disiplin, dan tanggung jawab terhadap diri sendiri serta lingkungan sekitar. Dengan demikian, siswa diharapkan mampu mencerminkan kepribadian yang positif dan memiliki akhlak mulia. Kebiasaan yang diterapkan dalam pembentukan karakter Islami ini mencakup aktivitas utama seperti salat Dhuha, membaca Al-Qur'an, dan berdzikir secara rutin.
Application of Mangrove Leaf Fermentation (Avicennia marina) and (Rhizophora mucronata) in Red Seaweed (Kappaphycus alvarezii) Production in Nunukan, North Kalimantan Poniman, Soenarto; Sektiana, Sinar Pagi; Purwanto, Purwanto; Muliyadi, Muliyadi
Barakuda 45: Jurnal Ilmu Perikanan dan Kelautan Vol 7 No 1 (2025): Edisi April
Publisher : Fakultas Perikanan dan Ilmu Kelautan Universitas 17 Agustus 1945 Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47685/barakuda45.v7i1.635

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Avicennia marina and Rhizophora mucronata mangrove leaf fermented liquid is a potential method for controlling ice-ice illness and speeding up the growth of red seaweed. The research was conducted in Nunukan Regency, North Kalimantan, from February to May 2024, using an experimental method through field-scale trials involving red seaweed (Kappaphycus alvarezii). Completely Randomized Design was used for this study. The control treatment involved no immersion in fermentation liquid, while treatment A used the fermentation liquid of Avicennia marina, treatment B used Rhizophora mucronata, and treatment C used a 50% mixture of both Avicennia marina and Rhizophora mucronata liquids. The results indicated that the application of Avicennia marina fermentation liquid had a significantly greater effect on seaweed growth compared to the application of Rhizophora mucronata fermentation liquid.