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Analysis of the Effectiveness of Pain Management with Benson Relaxation Technique and 0.9% NaCl Compress in DVT (Deep Vein Thrombosis) Patient : Analisis Efektivitas Manajemen Nyeri dengan Teknik Relaksasi Benson dan Kompres NaCl 0,9% pada Pasien DVT (Deep Vein Thrombosis) Badrus Sholeh; Ruris Haristiani; Rondiantho; Sri Wahyuningsih
Caring : Jurnal Keperawatan Vol. 11 No. 2 (2022): September
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v11i2.1628

Abstract

Deep vein thrombosis (DVT) is a condition where a blood clot forms in the deep venous circulatory system. Generally, patients experience pain, swelling, increased visibility of skin veins, erythema, cyanosis, and fever. Benson relaxation technique and 0.9% NaCl compress is a combination of nursing interventions that can support the success of medical interventions to overcome changes in the pain scale. This scientific work aims to determine the effectiveness of nursing care in deep vein thrombosis patients with the application of Benson relaxation techniques and 0.9% NaCl compresses. Not through research ethics tests because interventions are commonly applied and only observations are made on the value of changes in the pain scale. Nursing care is given to Mr. C for 3 consecutive days with the application of the Benson relaxation technique and 0.9% NaCl compress. There was no decrease in pain scale on the first day with a pain scale of 6 (NRS). However, there was a decrease in the pain scale on the second and third days with pain scales of 4 and 2. Case analysis showed that Benson relaxation provides a sense of comfort and relaxation resulting in endorphins that affect pain impulses and 0.9% NaCl compresses provide skin stimulation thereby reducing pain transmission through C and delta A fibers are small in diameter, so that the synaptic gate closes the transmission of pain impulses. These results cannot be separated from the provision of other interventions. It is expected that nurses can optimally educate patients about the effectiveness of Benson's relaxation techniques and 0.9% NaCl compresses and carry out them according to standard operating procedures during treatment in hospitals and at home.   Deep vein Thrombosis (DVT) adalah suatu kondisi terbentuknya bekuan darah dalam sistem peredaran vena dalam. Umumnya pasien mengalami nyeri, bengkak peningkatan visibilitas vena kulit, eritema, sianosis,  dan demam. Teknik relaksasi benson dan kompres NaCl 0,9% adalah kombinasi intervensi keperawatan yang dapat menunjang keberhasilan intervensi medis untuk mengatasi perubahan pada skala nyeri. Karya ilmiah ini bertujuan untuk mengetahui efektivitas asuhan keperawatan pada pasien deep vein thrombosisi  dengan penerapan teknik relaksasi benson dan kompres NaCl 0,9%. Tidak melalui uji etik penelitian karena intervensi lazim diterapkan dan hanya dilakukan pengamatan terhadap nilai perubahan dari skala nyeri. Asuhan keperawatan diberikan pada Tn. C selama 3 hari berturut-turut dengan penerapana teknik relaksasi benson dan kompres NaCl 0,9%. Tidak terjadi penurunan skala nyeri pada hari pertama dengan skala nyeri 6 (NRS). Akan tetapi terjadi penurunan skala nyeri pada hari kedua dan ketiga dengan skala nyeri 4 dan 2. Analisa kasus menunjukkan relaksasi benson memberikan rasa nyaman dan rileks sehingga menghasilkan endorphine yang mempengaruhi impuls nyeri dan kompres NaCl 0,9% memberikan stimulasi kulit sehingga mengurangi transmisi nyeri melalui serat C dan delta A berdiameter kecil, sehingga gerbang sinaptik menutup transmisi impuls nyeri. Hasil ini tidak lepas dari pemberian intervensi lain. Diharapkan perawat secara optimal dapat melakukan edukasi kepada pasien tentang efektivitas teknik relaksasi benson dan kompres NaCl 0,9% serta menjalankannya sesuai standar operasional prosedur saat perawatan di rumah sakit maupun di rumah.  
Hubungan Gejala Klinis (Demam, Pusing/Sakit Kepala, Nyeri Otot/ Sendi, Muntah, Perdarahan gusi) dengan Derajat Keparahan Infeksi Dengue Nurlim, Risma; Haristiani, Ruris
Jurnal Kesehatan Pertiwi Vol 4 No 1 (2022): Jurnal Kesehatan Pertiwi (Vol. 4 No. 1 - Juli 2022)
Publisher : Poltekes Bhakti Pertiwi Husada

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

Abstract

Introduction: The progression of dengue hemorrhagic infection varies on everyone. Assessing the severity of dengue degree as early as possible determine the patients prognosis and is required for adequate management, preventing shock and further bleeding. Clinical symptoms can be monitored and different in each degree of dengue so that it is can be used for vigilance and monitoring of dengue patients. Objectives: To determine the association between clinical symptoms with severity degree of dengue hemorrhagic fever. Method: This research was an analytic observational study with prospective cohort design at RSUD Sleman and RSUD Panembahan Senopati Bantul, DIY. Subject of the research was determined from medical records and anamnesis using questionnaire on the first day of hospital admission and following during treatment. Statistical analysis was used bivariate analysis following by multivariate analysis on variables that have p<0,05 with CI=95%. Result: Seventy-two patient were included in this study consisting of 46 severe dengue patients and 26 mild dengue patients. Severe dengue was most commonly experienced by the age of 19-65 years and male gender. The average of fever length is 4 days and hospitalization length are 6 days. Clinical symptom fever, headache, myalgia, arthralgia, petechiae, nose bleeding and bleeding gum are not significant with dengue degrees while vomiting (OR=16,434), were an association with dengue degrees. Conclusion: There is an association between clinical symptoms vomiting with dengue degree.
How spirituality strengthens community resilience to flood disasters Setioputro, Baskoro; Haristiani, Ruris; Iksafani, Moh Afif Jakaria; Yunanto, Rismawan Adi
Jurnal Penelitian Vol. 21 No. 1 (2024): June 2024
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/jp.v21i1.13281

Abstract

Flood is one of the natural disasters that often occurs in Indonesia. Floods that threaten and disrupt people's lives cause casualties, environmental damage, loss of property, and psychological impacts. The community's ability to deal with disasters well through the process of adaptation and maintaining self-functions so that they return to their original state before the disaster occurs. Spirituality has an important role in forming a resilient individual. Individuals with good spirituality have a strong relationship with their God, fellow human beings, and even with themselves. The purpose of this study was to determine the relationship between spirituality and community resilience to floods in Wonoasri Village, Tempurejo District, Jember. The independent variable of this research is spirituality and the dependent variable is disaster resilience. This research is a correlational study with a cross-sectional approach. Sampling using the g-power application with the results of 193 respondents. Data collection using the DSES questionnaire and resilience questionnaire. Data analysis used Kendall's Tau C test with a p-value <0.05. The results of this study indicate a positive relationship between the two variables. There is a relationship between spirituality and resilience to floods in Wonoasri Village, Tempurejo Jember district (α = 0.000 or α < 0.05. Correlation coefficient 0.279). This research shows that the higher the level of spirituality, the higher the level of resilience possessed.
Optimalisasi level kesiapsiagaan bencana gempa bumi dan tsunami kelompok rentan melalui disaster empowerment center Setioputro, Baskoro; Yunanto, Rismawan Adi; Haristiani, Ruris; Rokhmah, Dewi
Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS) Vol 8 No 1 (2025)
Publisher : University of Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/jipemas.v8i1.22676

Abstract

Latar Belakang: Indonesia yang terletak di Cincin Api Bumi memiliki risiko tinggi terhadap gempa bumi dan tsunami, khususnya di wilayah pesisir selatan seperti Kabupaten Jember. Desa Sabrang di Jember merupakan wilayah dengan kesiapsiagaan bencana yang belum optimal, terutama di kalangan kelompok rentan seperti lansia, difabel, ibu hamil, dan ibu dengan balita. Tujuan: untuk meningkatkan kesiapsiagaan bencana pada kelompok rentan melalui program DEC. Metode: Program DEC ini menggunakan pendekatan pemberdayaan bagi kelompok rentan di Desa Sabrang melalui serangkaian edukasi dan pelatihan intensif pada Juni hingga Oktober 2024. Tahapan meliputi identifikasi kebutuhan, perancangan, pelaksanaan, serta diseminasi dengan monitoring dan evaluasi. Hasil: Hasil program DEC menunjukkan peningkatan kesiapsiagaan kelompok rentan di Desa Sabrang dalam menghadapi bencana, terutama dalam aspek peningkatan pengetahuan tentang bencana (dari 56,17 menjadi 66,71), perencanaan kegiatan bencana (dari 5,38 menjadi 6,30), pemahaman peringatan bencana (dari 2,07 menjadi 3,33), serta mobilisasi sumber daya (dari 1,63 menjadi 3,42). Peningkatan ini mencerminkan kemampuan kelompok rentan dalam memahami risiko bencana, menyusun rencana kesiapsiagaan, merespons peringatan dini, serta mengoptimalkan sumber daya yang tersedia. Kesimpulan: Program Disaster Empowerment Center di Desa Sabrang berhasil meningkatkan kesiapsiagaan kelompok rentan, khususnya dalam pengetahuan bencana, perencanaan, peringatan dini, dan mobilisasi sumber daya. Hasil ini menunjukkan bahwa pendekatan pemberdayaan komunitas efektif dalam membangun ketangguhan bencana dan dapat direplikasi di wilayah berisiko tinggi lainnya.
Peningkatan Pengetahuan Kesiapsiagaan Bencana Banjir Melalui Edukasi Video Animasi dan Simulasi di SMPN 3 Ambulu Jember Haristiani, Ruris; Setioputro, Baskoro; Yunanto, Rismawan Adi; Al Alawi, Rafi Izuddin; Zahra, Annisa
DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2023): April 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/djpm.v2i1.42

Abstract

Bencana banjir termasuk kedalam permasalahan glodal yang dihadapi hampir seluruh Negara di dunia. Insiden dan korban terkait bencana banjir adalah yang tertinggi dalam skala global yaitu 55%. Pengetahuan merupakan faktor kunci dalam kesiapsiagaan yang mempengaruhi sikap untuk siap dan siaga menghadapi bencana. Sikap kesiapsiagaan terhadap bencana memerlukan adanya edukasi tentang kebencanaan. Pengabdian masyarakat bertujuan untuk meningkatkan pengetahuan kesiapsiagaan bencana banjir siswa SMPN 3 Ambulu. Metode yang digunakan dalam pelaksanaan kegiatan pengabdian masyarakat mengenai Kesiapsiagaan Bencana Banjir yaitu edukasi video animasi dan simulasi evakuasi terkait bencana banjir. Hasil uji Wilcoxon nilai Sig < 0,05 menunjukkan adanya perbedaan pengetahuan siswa sebelum dan sesudah diberikan pendidikan kesehatan tentang kesiapsiagaan bencana banjir melalui media berupa video edukasi. Kesimpulannya terdapat pengaruh penggunaan video edukasi terhadap pengetahuan siswa tentang kesiapsiagaan bencana banjir.
PENGARUH PEMBERIAN ORAL HYGIENE DENGAN POVIDONE IODINE 1% TERHADAP PENCEGAHAN KEJADIAN VENTILATOR ASSOCIATED PNEUMONIA (VAP) DI RUANG ICU RSUD dr. HARYOTO LUMAJANG Ni Komang Tri Pramesuari; Ruris Haristiani; Adi Yunanto Adi Yunanto; Yudho Tri Handoko
JURNAL ILMIAH KEPERAWATAN ALTRUISTIK Vol 7 No 2 (2024): Jurnal Ilmiah Keperawatan Altruistik (JIKA)
Publisher : Institut Kesehatan Hermina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48079/jika.v7i2.115

Abstract

Ventilator Associated Pneumonia (VAP) is a lung parenchymal infection that occurs in patients after using mechanical ventilation for 48-72 hours. Patients with ventilator associated pneumonia (VAP) will show new or progressive infiltrates on chest x-ray, experience systemic infections such as fever and changes in white blood cell count, changes in sputum characteristics, and indicate detection of the causative agent in patients with VAP. Preventive measures to prevent the occurrence of VAP in ICU is oral hygiene. Oral hygiene is an oral care procedure to clean the mouth, teeth and gums using 1% povidone iodine. This study aims to evaluate the effect of administering oral hygiene with 1% Povidone Iodine in preventing Ventilator Associated Pneumonia (VAP) in patient users. Mechanical Ventilator in the ICU at Dr. Haryoto Lumajang Hospital. The research method used is a case study method. The research instrument used in this research is Standard Operating Procedures (SOP). Modified Clinical Pulmonary Infection Score (MCPIS) observation sheet. The results showed that the MCPIS score from day 1 to day 8 was ?5 so that the patient was declared not diagnosed with VAP after being given oral hygiene intervention with povidone iodine 1% with a frequency of 2 times a day for 8 days. It is hoped that this research will be an effort to prevent the occurrence of VAP in patients using mechanical ventilators and be able to reduce patient mortality rates.
EFEKTIVITAS PEMBERIAN ORAL HYGIENE + CLOSE SUCTION + HEAD UP 30-45? SEBAGAI BUNDLE PENCEGAHAN VAP (VENTILATOR ASSOCIATED PNEUMONIA) PADA RESPONDEN TN. S DENGAN PENGGUNAAN VENTILATOR MEKANIK DI RUANG ICU RSUP PROF dr. I. G. N. G. NGOERAH BALI Karina Puspa Wulandari Puspa; Ruris Haristiani; Baskoro Setioputro; Heri Siswanto
JURNAL ILMIAH KEPERAWATAN ALTRUISTIK Vol 7 No 1 (2024): April 2024
Publisher : Institut Kesehatan Hermina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48079/jika.v7i1.107

Abstract

Ventilator Associated Pneumonia or VAP is the occurrence of pneumonia in patients who are mechanically ventilated using an endotracheal tube (ETT) with a minimum duration of use of 48 hours. The incidence of VAP in hospitals can be minimized with a procedure, namely the VAP Bundle. Procedures in VAP Bundle include raising the head of the bed, suctioning tracheal mucus, and oral care with 0.2% chlorhexidine. The purpose of writing Scientific Research is to evaluate the VAP Bundle procedure which nurses can carry out independently as a preventive measure for VAP in the ICU. The technique for collecting respondents in this research is purposive sampling. The materials and instruments used in this research used standard operating procedures (SOP) Oral Hygiene + Close Suction + Head Up 30-45?. Meanwhile, the data collection instrument in the VAP Prevention Bundle is an observation sheet in the form of Clinical Infection Scroe Monitoring (CPIS) to assess the incidence of pneumonia in patients on ventilators. The results of this study showed that the Clinical Pulmonary Infection Score (CPIS) value on the 3rd day and 6th day of using the ventilator showed that the patient's CPIS score was ?6 so that the patient was declared not diagnosed with VAP. VAP Bundle is an appropriate procedure to prevent the occurrence of VAP in the ICU in patients who are installed on a mechanical ventilator. Implementing VAP Bundle can speed up the duration of use of a mechanical ventilator so as to minimize exposure to germs or the emergence of other diseases that can worsen the patient's condition.
Factors Related to Farmers' Health Seeking Behaviours Following Snake Bite Ruris Haristiani; Rismawan Adi Yunanto; Baskoro Setioputro; Deskita Prastiwi
Journal of Islamic Nursing Vol 10 No 1 (2025): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v10i1.56299

Abstract

A huge number of mortalities and morbidities of snake-bite is mostly reported from tropical countries in agriculture occupants. The purpose of this study was to determine the factors related of farmers' health seeking behavior following snakebite. The research design used quantitative method with correlational descriptive research with a cross-sectional approach. The type of sampling technique used probability sampling using the cluster sampling method with a total sample of 100 respondents. Data were collected using 6 questionnaires to measure factors related to the behavior of seeking health assistance due to snakebites including knowledge level, perception of illness, attitude, income level, and accessibility of health services. We used Chi square test and Fisher exact test to analyze the data. The result showed that there was a relationship between the level of knowledge (p 0.000), perception of sickness (p 0.003), health service accessibility (p 0.005), income levels (p 0.001), and attitudes (p 0.021) to farmers' health seeking behaviors of snakebite. Based on these findings, it is urgently needed to give health education to farmers related to appropriate health seeking behaviours of snakebite. Keywords: farmers, health-seeking behaviours, snakebite.
Enhancing Students' Earthquake and Tsunami Preparedness Through Comic Media Health Education: A Quasi-Experimental Study Rahayu, Putri Puji; Syaharani, Ghifara Alita; Setioputro, Baskoro; Yunanto, Rismawan Adi; Haristiani, Ruris
Jurnal Kegawatdaruratan Medis Indonesia Vol. 4 No. 1: February 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v4i1.331

Abstract

Background: Indonesia is located in the Ring of Fire area at the meeting point between the Eurasian Plate, the Indonesia-Australian Plate, and the Pacific Plate. This meeting was the source of the megathrust earthquake in the East Java region. This makes Indonesia vulnerable to earthquakes and tsunamis along the southern coast of Java. As a vulnerable group to facing potential earthquakes and tsunamis, the level of preparedness of children in Indonesia needs to be increased. Aim: To determine the effect of comic media health education on the Earthquake and Tsunami Preparedness level of students at SDN Sumberejo 09 Ambulu Jember. Method: The sample of this study was students in SDN Sumberejo 09 Ambulu Jember. The research design used a quasi-experiment using the non-equivalent control group design and probability sampling with the proportionate stratified random sampling approach. Data collection used a characteristic questionnaire and an earthquake and tsunami preparedness questionnaire by LIPI-UNESCO 2006. Result: The result of the study shows differences in the level of preparedness before and after the intervention in the intervention group with a p-value of 0.000 (<0.05). At the same time, there was no difference in preparedness between the data before and after in the control group, with a p-value of 0.101 (>0.005). Conclusion: Comic media has been proven to increase elementary school students’ preparedness.
PENGUATAN KETERAMPILAN GABUNGAN KELOMPOK TANI (GAPOKTAN) DALAM PENANGANAN KORBAN GIGITAN ULAR DI WILAYAH PERTANIAN KECAMATAN PANTI, KABUPATEN JEMBER Haristiani, Ruris; Yunanto, Rismawan Adi; Setioputro, Baskoro; Rokhani; Al Muvidah, Nadira Rifqi; Ni'mah, Afa Faiqotun
Jurnal Abdi Insani Vol 11 No 1 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i1.1258

Abstract

Indonesia, as one of the world's largest tropical countries, has a very high incidence of snake bites. Among agricultural workers, the high risk of snake bites is attributed to the lack of necessary preventive measures, such as wearing gloves, boots, and other personal protective equipment to avoid snake bites. Open living spaces in rural areas and the habit of sleeping on the floor also pose a potential risk of bites from nocturnal snakes. Therefore, this community service aims to innovate interventions and explore the outcomes of intervention innovations regarding the management of first aid for snake bites in the community. The applied method involves providing education on first aid for snake bites to the community through lectures and demonstrations. There was an improvement in the knowledge level, with the category of "sufficient" increasing from 9 individuals (39.1%) to 15 individuals (65.2%). The Wilcoxon statistical test results indicated a significant impact of the program, with a P-value of 0.001 (<0.005). Providing education to a combined farmers' group through lectures and demonstrations effectively enhances knowledge and skills related to first aid for snake bites.