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All Journal JURNAL KEPERAWATAN MERSI Proceedings of the International Conference on Nursing and Health Sciences Proceedings Series on Health & Medical Sciences Prosiding Seminar Nasional Hasil-hasil Penelitian dan Pengabdian Pada Masyarakat
Asiandi Asiandi
Universitas Muhammadiyah Purwokerto
Computer Science & IT Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Analysis of Factors Affecting the Sleep Quality of Patients in Intensive Care Unit Sri Suparti; Jebul Suroso; Asiandi Asiandi
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): November 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.972 KB)

Abstract

Lack of sleep in patients in the Intensive Care Unit (ICU) is associated with dysfunction of the immune, cardiovascular, metabolic, memory, and cognition systems, as well as increased mortality. Various factors that are thought to be related to patient sleep quality come from patient and environmental factors. The purpose of this study was to determine the factors that affect the sleep quality of ICU patients. This research is a quantitative study, using a cross-sectional approach, with as many as 44 patients involved in this study. The research instrument used the observation sheet and The Richards-Campbell Sleep Questionnaire (RCSQ) is also equipped with a thermohygrometer to measure temperature and humidity and a sound level meter to measure noise. Data analysis used the Spearman Rank test, and research ethics was obtained from the Ethics Commission of RSMS Margono. The results showed that most of them were women (75%), aged ≥40 years (68.2%) with the most days of stay less than 4 (93.2%), postoperative (95.5), and with poor sleep quality (72.7%). Factors that affected the sleep quality of the patient are heart rate (0.030), MAP (0.042), patient pain score (0.031), and sleep position (0.002). There was no affecting the SpO2 factor, temperature humidity, noise, patient perceptions of noise, light, and action with p value> 0.05. In conclusion, most of the respondents have poor sleep quality. There is an effect of the heart rate, sleep position, and pain score on the patient's sleep quality. It is necessary to apply a combination of pharmacological management and nursing measures to improve sleep quality.
Survival analysis of chronic kidney disease patients with hemodialysis Kuwat Susanto; Asiandi
Proceedings Series on Health & Medical Sciences Vol. 1 (2020): Proceedings of the 1st International Conference of Health Science Faculty Universitas
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.185 KB) | DOI: 10.30595/pshms.v1i.54

Abstract

The incidence of Chronic Kidney Disease (CKD) is increasing every year. The prevalence of CKD patients in Indonesia is 0.2%. One of the management of CKD is hemodialysis. The benchmark of success in hemodialysis therapy in extending the life of the patient is a survival rate. Through this survival rate, it will be visible to see the duration of the patient can survive. Objective: This study aimed to determine the factors which affected the survival time of Chronic Kidney Disease patients undergoing hemodialysis in Banyumas Regional Hospital. This study implemented an observational analytic design. This research type was a retrospective cohort. This study involved 275 respondents selected through simple random sampling technique. The setting of the study was in the Hemodialysis Room of Banyumas Regional Hospital. Research variables were tested by Kaplan meier method. The analysis indicated that the occupation and vascular access significantly affect the survival rate of patients with the Chronic Kidney disease. The result of the significance (p-value) was smaller than 0.05.There is a correlation between factors that affected the survival rate and the time of life resistance of CKD patients undergoing hemodialysis at Banyumas Regional Hospital, which are occupation and vascular access.
DETEKSI DIABETES MELLITUS MELALUI PEMERIKSAAN GULA DARAH SEWAKTU PADA WARGA DI WILAYAH PIMPINAN DAERAH MUHAMMADIYAH PURBALINGGA Sarwito Rachmad Barmawi; Sodikin Sodikin; Asiandi Asiandi
PROSIDING SEMINAR NASIONAL LPPM UMP PROSIDING SEMINAR NASIONAL LPPM UMP 2021
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

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Abstract

Diabetes mellitus (DM), merupakan suatu penyakit menahun yang ditandai oleh kadar glukosa darah yang melebihi nilai normal. DM sering disebut sebagai salah satu penyakit silent killer karena sering tidak disadari oleh penyandangnya dan saat diketahui sudah terjadi komplikasi. Berbagai penelitian epidemiologis di Indonesia yang dilakukan oleh pusat-pusat diabetes, yang dimulai sekitar tahun 1980-an melaporkan bahwa prevalensi DM pada penduduk usia 15 tahun ke atas sebesar 1,5-2,3% dengan prevalensi di daerah perdesaan lebih rendah dibandingkan perkotaan. Tetapi berdasarkan hasil riset kesehatan dasar (Riskesdas) mulai tahun 2007, 2013 dan seterusnya menunjukkan bahwa antara penduduk di perkotaan dan pedesaan, ternyata proporsi di perdesaan tidak lagi lebih rendah dibandingkan perkotaan. Tujuan kegiatan ipteks bagi masyarakat (IbM) ini adalah untuk melakukan deteksi dini pada DM dengan metode pemeriksaan gula darah sewaktu (GDS). Pemeriksaan GDS dilakukan untuk mengetahui kadar gula darah sewaktu pada peserta IbM. Hasil pemeriksaan menjadi indikator apakah peserta mengalami diabetes melitus atau tidak. Metode ini dilakukan sebagai upaya deteksi dini diabetes mellitus pada komunitas warga Muhammadiyah di PRM Bandingan Purbalingga. Rata-rata usia peserta adalah 52,77 (10,19) tahun, semuanya adalah laki-laki (N = 30). Hasil pemeriksaan GDS menunjukkan rata-rata(standar deviasi) adalah 128,60 (34,34) mg/dL. Nilai GDS kurang dari 200 mg/dL mengindikasikan GDS dalam batas normal. Satu orang warga menunjukkan GDS di atas normal. Kadar gula darah sewaktu peserta IbM rata-rata dalam level normal. Hasi pengukuran GDS ini mengindikasikan komunitas warga Muhammadiyah rata-rata tidak mengalami diabetes mellitus dan perlu terus-menerus diberikan penguatan untuk mempertahankan hidup sehat dan berkualitas.
DETEKSI RISIKO MASALAH KARDIOMETABOLIK PADA WARGA DI WILAYAH PIMPINAN DAERAH MUHAMMADIYAH PURBALINGGA Asiandi Asiandi; Sodikin Sodikin; Sarwito Rachmad Barmawi
PROSIDING SEMINAR NASIONAL LPPM UMP Vol 3 (2021): PROSIDING SEMINAR NASIONAL LPPM UMP 2021
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

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Abstract

Risiko kardiometabolik tradisional adalah mencakup adanya hiperglikemia, peningkatan kolesterol high-density lipoprotein (HDL), dislipidemia aterogenik, dan hipertensi. Program ipteks bagi masyarakat (IbM) ini bertujuan untuk mendeteksi risiko masalah kardiometabolik pada warga, dan simpatisan Muhammadiyah di PRM Rawa Pakis Desa Gumiwang, Purbalingga. Kegiatan IbM ini adalah pengabdian kepada masyarakat melalui kegiatan deteksi risiko kardiometabolik dengan melakukan pengukuran komposisi tubuh (scan body composition) menggunakan metode analisis impedansi bioelektrik (bioelectrical impedance analysis) untuk mendapatkan data antropometrik, lemak subkutan tubuh, dan massa otot tubuh. Rata-rata usia aktual (standar deviasi—SD) peserta 53,11 (12,43) tahun dan rata-rata umur badan (body age) 47,94 (13,30) tahun. Rata-rata gula darah sewaktu (GDS) peserta 135,94 (43,80) mg/dL. Rata rata indeks massa tubuh (IMT) peserta 23,87 (3,49) kg/m 2; 7 dari 18 (38,8%) peserta menunjukkan IMT lebih dari ideal. Rata-rata TDS dan TDD 132,22 (18,33) mmHg dan 87,78 (11,66) mmHg masing-masing. Rata-rata prosentase lemak visceral dan lemak tubuh adalah 10,56 (5,28) dan 23,04 (5,38) masing masing. Rata-rata prosentase lemak subkutan seluruh tubuh, badan, lengan, dan kaki adalah 15,97 (3,76), 14,23 (3,66), 21,09 (4,58), dan 21,03 (5,04) masing-masing. Rata-rata prosentase masa otot seluruh tubuh, badan, lengan, dan kaki peserta adalah 29,36 (2,97), 23,19 (3,62), 35,96 (2,22), dan 46,76 (2,86) masing-masing. Rata-rata resting metabolism peserta adalah 1.430,67 (143,74) kcal. Hasil pengukuran pada kegiatan IbM menunjukkan rata-rata umur badan (body age) di bawah umur aktual mengindikasikan normal, rata-rata GDS dalam rentang normal, masih ditemukan 7 dari 18 (38,80%) dengan IMT melebihi ideal, TDS dan TDD dalam rentang normal, prosentase lemak visceral mengindikasikan lemak visceral normal hingga yang sangat tinggi, prosentase kadar lemak tubuh mengindikasikan kadar lemak tubuh normal hingga sangat tinggi. Lemak subkutan dalam rentang normal, massa otot seluruh tubuh, badan, dan lengan mengindikasikan massa otot yang rendah, sedangkan massa otot pada kaki menunjukkan massa otot yang sangat tinggi. Tingginya massa otot mengindikasikan peningkatan angka metabolik (metabolic rate). Resting metabolic rate adalah 1 kcal per kilogram berat badan per jam dan kelebihannya akan disimpan menjadi lemak.
PELATIHAN DETEKSI DINI STROKE DENGAN METODE SEGERA KE RS BAGI WARGA MUHAMMADIYAH Sodikin Sodikin; Asiandi Asiandi; Supriyadi Supriyadi
PROSIDING SEMINAR NASIONAL LPPM UMP Vol 2 (2020): PROSIDING SEMINAR NASIONAL LPPM UMP 2020
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

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Abstract

Tujuan: kegiatan ini merupakan salah satu upaya promotif serta preventif dalam menurunkan prevalensi stroke. Tujuan kegiatan ini adalah meningkatkan pengetahuan dan kemampuan melakukan deteksi dini dari serangan penyakit sroke. Metode: Program ipteks bagi masyarakat ini dilakukan dengan metode ceramah, diskusi dan tanya jawabsimulasi/demonstrasi terkait dengan cara melakukan deteksi dini stroke. Alat evaluasi keberhasilan program ini dilakukan dengan melihat skor pengetahuan dan kemampuan detesksi dini stroke ”SEGERA KE RS” pre dan post test dari edukasi dan pelatihan. Hasil: Berdasar uji normalitas menggunakan uji Kolmogorov-Smirnov menunjukkan variabel pengetahuan tentang stroke berdistribusi normal, p = 0,173 sehingga analisis menggunakan uji t paired. Sedangkan variabel pengetahuan tentang deteksi dini stroke menggunakan slogan ”SEGERA KE RS” tidak berdistribusi normal, p <0,001 sehingga analisis menggunakan uji Wilcoxon Signed Ranks. Berdasarkan hasil program ipteks bagi masyarakat menunjukkan skor rata-rata pengetahuan peserta IbM tentang stroke sebelum pelatihan adalah 89 (dengan skor minimum-maksimum adalah 80-100) dan setelah pelatihan adalah 93,50 (dengan skor minimum-maksimum adalah 70-100). Skor rata-rata pengetahuan tentang deteksi dini stroke dengan slogan ”SEGERA KE RS” sebelum pelatihan adalah 73,20 (dengan skor minimum-maksimum adalah 0-100) dan sesudah pelatihan adalah 96,85 (dengan skor maksimum-minimum adalah 67100). Sedangkan berdasarkan analisis menunjukkan tidak adanya perbedaan yang signifikan pada pengetahuan tentang stroke antara sebelum dan sesudah pelatihan, t(df) = -1,917(19), p = 0,070, r = 0,40; untuk pengetahuan tentang deteksi dini dengan menggunakan slogan ”SEGERA KE RS” menunjukkan ada perbedaan yang si gnifikan antara sebelum dan sesudah pelatihan, z = -2,238, p = 0,025, r = -0,50. Kesimpulan: berdasarkan analisis statistik menunjukkan tidak ada perbedaan yang signifikan pengetahuan tentang deteksi dini stroke dengan slogan ”SEGERA KE RS” sebelum dan sesudah pelatihan.
Analysis of Factors Affecting the Sleep Quality of Patients in Intensive Care Unit Sri Suparti; Jebul Suroso; Asiandi Asiandi
Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): July-December 2020
Publisher : Global Health Science Group

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

Abstract

Lack of sleep in patients in the Intensive Care Unit (ICU) is associated with dysfunction of the immune, cardiovascular, metabolic, memory, and cognition systems, as well as increased mortality. Various factors that are thought to be related to patient sleep quality come from patient and environmental factors. The purpose of this study was to determine the factors that affect the sleep quality of ICU patients. This research is a quantitative study, using a cross-sectional approach, with as many as 44 patients involved in this study. The research instrument used the observation sheet and The Richards-Campbell Sleep Questionnaire (RCSQ) is also equipped with a thermohygrometer to measure temperature and humidity and a sound level meter to measure noise. Data analysis used the Spearman Rank test, and research ethics was obtained from the Ethics Commission of RSMS Margono. The results showed that most of them were women (75%), aged ≥40 years (68.2%) with the most days of stay less than 4 (93.2%), postoperative (95.5), and with poor sleep quality (72.7%). Factors that affected the sleep quality of the patient are heart rate (0.030), MAP (0.042), patient pain score (0.031), and sleep position (0.002). There was no affecting the SpO2 factor, temperature humidity, noise, patient perceptions of noise, light, and action with p value> 0.05. In conclusion, most of the respondents have poor sleep quality. There is an effect of the heart rate, sleep position, and pain score on the patient's sleep quality. It is necessary to apply a combination of pharmacological management and nursing measures to improve sleep quality.
Efektivitas Intervensi Psikoedukasi dan Dukungan Psikososial terhadap Beban Perawat Keluarga Pasien Penyakit Ginjal Kronik Asiandi Asiandi; Irmalita Wigati; Asrin Asrin
JURNAL KEPERAWATAN MERSI Vol 15 No 1 (2026): April
Publisher : Prodi Keperawatan Purwokerto, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkm.v15i1.14819

Abstract

Background: Chronic kidney disease (CKD) is a growing global health problem that affects not only patients but also their families as primary caregivers. The caregiving burden often leads to psychological stress, anxiety, depression, and decreased quality of life. Objective: This study aims to analyze the effectiveness of psychoeducational and psychosocial support interventions in reducing caregiver burden and psychological distress among families of CKD patients in community health centers (Puskesmas) in Banyumas Regency. Methods: The study used a randomized controlled trial with two parallel groups (intervention and control) was conducted. A total of 100 caregivers were recruited from four Puskesmas using randomized allocation. The intervention group received an 8-week structured family-based psychoeducation program covering CKD education, treatment and diet management, stress management, coping strategies, family communication, social support, and problem-solving through lectures, group discussions, and counseling. The control group received routine health education without structured psychoeducational components. Data were collected using the Zarit Burden Interview (ZBI), Hospital Anxiety Depression Scale (HADS), Family APGAR, and SF-12 Quality of Life, and analyzed using Repeated Measures ANOVA. Results: The results showed a significant reduction in caregiver burden in the intervention group (p < 0.001). Furthermore, there was a decrease in anxiety and depression levels, as well as an increase in family functioning and quality of life for caregivers. Conclusion: The family psychoeducation intervention was effective in reducing caregiver burden and improving the psychological well-being of families of CKD patients. This intervention is recommended for integration into community nursing services at community health centers.
Co-Authors Asrin Asrin Irmalita Wigati Jebul Suroso Kuwat Susanto Sarwito Rachmad Barmawi Sodikin Sodikin Sri Suparti Supriyadi Supriyadi