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All Journal Idea Nursing Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Keperawatan Padjadjaran Belitung Nursing Journal Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat Jurnal Kepemimpinan dan Manajemen Keperawatan Jurnal Perawat Indonesia Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Jurnal Respirasi (JR) Jurnal Keperawatan Priority Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Pengabdian Kepada Masyarakat (JPKM) Tabikpun JPM: JURNAL PENGABDIAN MASYARAKAT Jurnal Keperawatan
Dewi Elizadiani Suza
Fakultas Keperawatan, Universitas Sumatera Utara, Indonesia
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Psychometric Evaluation of the Quality of Nursing Care Scale for Hospitalized Acute Respiratory Infection Children in Indonesia suza, dewi elizadiani
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.443 KB) | DOI: 10.20473/%oj.Ners111%y79-87

Abstract

Introduction: Psychometric Evaluation of the quality of nursing care scale is a vital key to improve the quality of nursing care for hospitalized acute respiratory infection (ARI) children in order to decrease morbidity and mortality of ARI children, especially in Indonesia. Method: Construct validity was identified using the exploratory factor analysis (EFA), contrasted group approach, and reliability. Results: Construct validity: 1) EFA found that the QNCS-HARIC consisted of 37 items with four factor and total variance explained of 42.92% and factor loadings ranged from .30 to .70; 2) contrasted group approach found that the mean scores of the 37 items QNCS-HARIC between two groups were significantly different (t = -22.91; p = .000); and 3) Cronbach’s alpha coefficient of the total 37 item QNCS-HARIC was .93. Cronbach’s alpha coefficients of Factor 1, 2, 3, and 4 of the 37 item QNCS-HARIC were  .87, .80, .77, and .76, respectively. Discussion: Although the 37 items QNCS-HARIC model was acceptable, it was less representative, especially in the socio-cultural dimension of ARI children and family because  it consisted of only 3 from 10 items which could not measure the complate dimension of the socio-cultural aspect.Key words:      Psychometric Evaluation, Quality of Nursing Care Scale, Acute Respiratory Infection, Children
ANALISIS IMPLEMENTASI KOMUNIKASI SBAR DALAM INTERPROFESIONAL KOLABORASI DOKTER DAN PERAWAT TERHADAP KESELAMATAN PASIEN Astuti, Andriani Mei; Suza, Dewi Elizadiani; Nasution, Mahnum Lailan
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 4 (2019): Oktober
Publisher : LPPM STIKES KENDAL

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Abstract

Teknik komunikasi SBAR merupakan salah satu indikator yang diprioritaskan untuk kualitas komunikasi yang efektif dalam tujuan keselamatan pasien (IPSG 2). Keselamatan pasien sangat tergantung pada tindakan tim medis dalam mengurangi medical error yang dapat dicegah dengan meningkatkan komunikasi yang efektif melalui sosialisasi komunikasi SBAR. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh implementasi komunikasi SBAR dalam kolaborasi interprofesional antara dokter dan perawat pada keselamatan pasien. Penelitian ini menggunakan metode kuasi eksperimen dengan desain satu kelompok pretest-posttest. Responden penelitian terdiri dari 35 perawat dan 35 dokter spesialis sesuai dengan kriteria inklusi dengan pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian adalah kuesioner komunikasi SBAR. Nilai uji validitas CVI=0,87 dan nilai uji reliabilitas Cronbach?s Alpha=0,62. Data dianalisis menggunakan Uji Wilcoxon. Hasil penelitian menunjukkan terdapat perbedaan nilai signifikan sebelum dan setelah dilakukan sosialisai komunikasi SBAR p = 0,00 (p <0,05). Hasil penelitian menunjukkan nilai rata-rata (Mean Rank) dokter spesialis 18,00 dan perawat 18,00 yang mengindikasikan bahwa sosialisasi komunikasi SBAR memiliki pengaruh secara signifikan terhadap keselamatan pasien.   Kata kunci: komunikasi sbar, keselamatan pasien, interprofesional kolaborasi   ANALYSIS OF IMPLEMENTATION OF SBAR COMMUNICATION IN DOCTOR AND NURSING INTERPROFESSIONAL PATIENTS TO PATIENT SAFETY   ABSTRACT SBAR communication technique is the prioritized indicators for effective communication quality in patient safety goal (IPSG 2). Patient safety highly depends on medical team?s action in decreasing unwanted incidence which can be prevented by increasing effective communication through socializing SBAR communication. The purpose was to analyze the effect implementation of SBAR communication in interprofessional collaboration between doctors and nurses on patient safety. The research used quasi-experimental method with one group pretest-posttest design. The respondents were 35 nurses and 35 doctor specialists according to the inclusion criteria with purposive sampling. The research instruments were SBAR communication questionnaires. Validity Value with CVI=0.87 and reliability value with Cronbach?s Alpha=0.62. Data was analyzed using Wilcoxon Test. The results showed that there was a diffrence significant score of pre post SBAR implementation between doctor specialist and nurses p=0.04 (p<0.05). The result of the research showed that Mean Rank=18.00 from doctor specialist and nurses Mean Rank=18.00 which indicated that socializing SBAR communication could have significant change in mean rank value.   Keywords: SBAR communication, patient safety, interprofessional collaboration            
FAKTOR RESIKO INFEKSI SALURAN KEMIH AKIBAT PENGGUNAAN KATETER Hariati, Hariati; Suza, Dewi Elizadiani; Tarigan, Rosina
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 4 (2019): Oktober
Publisher : LPPM STIKES KENDAL

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Abstract

Infeksi saluran kemih merupakan salah satu infeksi yang paling banyak terjadi di pelayanan kesehatan terutama disebabkan akibat pemasangan kateter. Terjadinya infeksi saluran kemih diakibatkan oleh beberapa faktor resiko.Tujuan penelitian yaitu untuk mengetahui faktor resiko penyebab infeksi saluran kemih pada pasien terpasang kateter dengan menggunakan Systematic  review. Systematic  review dilakukan dengan pencarian dari pada elektronik database CINAHL, Proquest, Google Scholar, dan Science Direct yang bersumber dari tahun 2012 sampai 2018. Kata kunci yang digunakan meliputi catheter, urinary tract infection, risc factor. 180 arikel yang didapatkan, 53 artikrel yang direview dan hanya 10 artikel yang sesuai dengan kriteria. Faktor resiko penyebab infeksi saluran kemih pada pasien terpasang kateter, yaitu durasi penggunaan  kateter, usia, jenis kelamin, diabetes melitus dan sistem drainase. Berbagai faktor resiko menyebabkan terjadinya infeksi saluran kemih akibat pemasangan kateter akan tetapi infeksi tersebut dapat dicegah dan menurunkan angka infeksinya sehingga dapat menentukan intervensi yang tepat unruk melakukan pencegahan terhadap angka infeksi.   Kata kunci: faktor resiko, infeksi saluran kemih, kateter   RISK INFECTION RISK INFECTION FACTORS DUE TO USE OF CATERETERS   ABSTRACT Urinary tract infection is one of the most common infections in health services mainly due to catheter placement. The occurrence of urinary tract infections is caused by a number of recipe factors. The purpose of the study is to determine the risk factors for urinary tract infections in patients with catheters using Systematic review. Systematic review is done by searching the electronic databases of CINAHL, Proquest, Google Scholar, and Science Direct from 2012 to 2018. Keywords used include catheters, urinary tract infections, risk factors. 180 aricles obtained, 53 articels reviewed and only 10 articles that match the criteria. Risk factors for urinary tract infections in patients with catheters, namely duration of catheter use, age, sex, diabetes mellitus and drainase system. Various risk factors cause urinary tract infections due to catheter installation but these infections can be prevented and reduce the number of infections so that they can determine the right intervention to prevent infection rates.   Keywords: urinary tract infection, catheter, risk factor
PENGETAHUAN DAN SIKAP REMAJA TENTANG KESEHATAN REPRODUKSI Asiah, Nur; Suza, Dewi Elizadiani; Arruum, Diah
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 10 No 2 (2020): April 2020
Publisher : LPPM STIKES KENDAL

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Abstract

Pengenalan kesehatan reproduksi remaja sejak dini sangat penting untuk membantu remaja memahami pertumbuhan dan perkembangan system reproduksi sehingga meningkatkan kualitas hidup remaja dan menghindari hal-hal yang dapat berisiko atau bahkan merusak kehidupan remaja. Kegiatan pengabdian pada masyarakat ini bertujuan untuk mengidentifikasi pengetahuan dan sikap remaja tentang kesehatan reproduksi. Penelitian ini merupkan deskriptif. Data diambil pada pada bulan Mei sampai dengan Oktober  2019 di SMP Yayasan Pendidikan Islam Amir Hamzah  Medan. Sampel pada penelitian ini sebanyak 61 siswa.. Instrumen yang digunakan kuesioner pengetahuan dan sikap remaja tentang kesehatan reproduksi dengan uji validitas CVI 0.93 dan 0.91 dan cronbach alpha 0.87 dan 0.75. Analisa data dengan menggunakan dengan statistik deskriptif. Hasil penelitian menunjukkan 70.5% siswa-siswi belum pernah mendapat informasi tentang kesehatan reproduksi, sebanyak 62.3% memiliki pengetahuan yang cukup dan sebanyak 63.9 memiliki sikap yang baik tentang kesehatan reproduksi. Kata kunci : kesehatan reproduksi, pengetahuan, remaja, sikap KNOWLEDGE AND ADOLESCENT ATTITUDES ABOUT REPRODUCTIVE HEALTH ABSTRACT The introduction of adolescent reproductive health from an early age is very important to help adolescents understand the growth and development of the reproductive system so as to improve the quality of life of adolescents and avoid things that can be risky or even damage the lives of adolescents. Community service activities aim to identify adolescent knowledge and attitudes about reproductive health. This research is descriptive. Data was taken from May to October 2019 at the Amir Hamzah Islamic Education Foundation Middle School in Medan. The sample in this study were 61 students. The instrument used was a questionnaire of adolescent knowledge and attitudes about reproductive health with a validity test of CVI 0.93 and 0.91 and Cronbach alpha 0.87 and 0.75. Analyze data using descriptive statistics. The results showed that 70.5% of students had never received information about reproductive health, 62.3% had sufficient knowledge and 63.9 had a good attitude about reproductive health.. Keywords: knowledge, attitude, adolescent, reproduction health
The Cultural Competency Scale for Clinical Pediatric Nurse (Ccs-Cpn) in Indonesia: Scale Development and Psychometric Evaluation Suza, Dewi Elizadiani
Jurnal Keperawatan Soedirman Vol 14, No 1 (2019)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2019.14.1.876

Abstract

ABSTRACTBackground: Nurses play an important role to apply practice in cultural competence in hospitals. To perform this role nurses need to provide information on the conceptual aspects of cultural competence by using instruments and assessing cultural competence in a clinical setting. Objectives of the study: 1) to develop the cultural competency for clinical pediatric nurse (CCS-CPN), and 2) to psychometric evaluate the validity and reliability of CCS-CPN. Methods: An inductive method was used to develop an instrument to measure nurse perceptions of CCS-CPN. The scale validation was conducted with a purposive sampling of 450 general hospital nurses recruited from twenty general hospitals in Indonesia. DeVellis’ eight-step plan was used to establish guidelines for development the CCS-CPN. The data was examined using exploratory factor analysis (EFA) is a method to identify the internal dimensions of the CCS-CPN. Results: Using an EFA, 30-items with a six-factor structure were retained to form the CCS-CPN. These factors describe: culture awareness of pediatric nurse; culture knowledge of pediatric nurse; culture skill of pediatric nurse; culture encounter of pediatric nurse; culture desire of pediatric nurse; and culture sensitivity of pediatric nurse. The 30-item CCS-CPN yielded an overall Cronbach’s alpha-coefficients .85. The Cronbach’s alpha-coefficients for the CCS-CPN subscales were .81, .73, .81, .75, .78 and .87, respectively. Conclusion: The 30-item CCS-CPN version of Indonesia consists of six-factors were acceptable and significant. Unfortunelly, factor 4 obtained an item that does not represent the dimensions of the culture encounter of pediatric nurses. Therefore, further research is needed by using different method of Delphi method.    
KUALITAS HIDUP PASIEN KANKER SERVIKS: PENGALAMAN PASIEN SUKU BATAK TOBA Roma Sitio; Dewi Elizadiani Suza; Siti Saidah Nasution
Idea Nursing Journal Vol 7, No 1 (2016): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.822 KB) | DOI: 10.52199/inj.v7i1.6466

Abstract

ABSTRAKKanker seviks menimbulkan masalah tersendiri bagi perempuan yang mengalaminya karena kanker ini berhubungan dengan perubahan pada organ reproduksi perempuan sehingga akan berdampak pada kualitas hidup penderitanya. Penelitian ini bertujuan untuk menggali makna kualitas hidup pasien kanker serviks: pengalaman pasien suku Batak Toba. Penelitian ini merupakan studi fenomenologi deskriptif. Pengumpulan data dilakukan dengan indept interview dan fieldnote. Patisipan berjumlah 12 orang suku Batak Toba yang dipilih dengan teknik purposive sampling. Wawancara dilakukan di rumah sakit, peneliti terlebih dahulu melakukan kontrak. Hasil wawancara dianalisis dengan metode pendekatan Colaizzi. Hasil analisis penelitian ditemukan 6 tema yaitu: perubahan aktivitas fisik, efek samping terapi, perubahan psikologis, perubahan interaksi sosial, dampak budaya, dan kegiatan spiritual. Berdasarkan hasil penelitian, disarankan agar perawat dapat memberikan pelayanan keperawatan bagi perempuan yang menderita kanker serviks untuk meningkatkan kualitas hidupnya dengan memperhatikan faktor budaya karena budaya dapat mempengaruhi aspek harapan, kesehatan dan penyakit.Kata kunci: kualitas hidup, kanker serviks, suku Batak Toba. ABSTRACTCervical cancer has a specific problem in women who undergo it because of the change in their reproductive organ which will eventually influence their life quality. The objective of the research was to analyze the meaning of life quality in Batak Toba cervical carcer patients. The research was a descriptive phenomenological study. The data were gathered by conducting in - depth interviews and field notes. There were 12 Batak Toba participans, taken by using purposive sampling technique. Interviews were conducted in the hospital by having cantract before the interviews took place. The result of interviews was analyzed by using Collaizzi approach. The result of the research showed that there were six themes: change in physical activity, side effect of the therapy, psychological change, social interaction change, cultural change and spiritual activity. It is commended that nurses provide nursing care for cervical cancer women in order to increase their life quality by paying attention to cultural factor because culture can influence the aspects of hope, health and sickness.Keywords: Quality of Life, Cervical Cancer, Batak Toba Ethnic Group
Family-Centered Care Model untuk Menurunkan Dampak Hospitalisasi Anak dengan Penyakit Kanker di Medan, Sumatera Utara Dewi Elizadiani Suza
Idea Nursing Journal Vol 6, No 1 (2015): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.035 KB) | DOI: 10.52199/inj.v6i1.6634

Abstract

ABSTRAKKanker adalah penyebab utama kematian pada anak dimana setiap tahun angka kejadian terus meningkat. Penelitian ini adalah untuk mengeksplorasi persepsi orangtua dan perawat anak tentang family-centered care (FCC) untuk pasien anak dengan kanker di Medan. Data dianalisis dengan menggunakan content analysis dan independent t-test. Penelitian ini menemukan bahwa orangtua merasa bahwa FCC memiliki lima tema utama adalah: 1) bekerja sama, 2) menghormati praktik budaya, 3) memberikan informasi, 4) konsistensi dalam perawatan, dan 5) dukungan. Sementara itu, perawat anak merasa bahwa FCC memiliki empat tema: 1) keterlibatan orangtua, 2) perawatan holistik, 3 tugas dan peran, dan 4) mendidik keluarga. Dapat disimpulkan bahwa, orangtua dan perawat anak memiliki pandangan yang berbeda terkait dengan FCC dikarenakan memiliki latar belakang pendidikan yang berbeda, kurangnya pemahaman tentang FCC keragaman budaya pasien, nilai-nilai, dan keyakinan. Oleh karena itu dibutuhkan perbaikan pada aspek-aspek tertentu dari perspektif orangtua dan keluarga terkait dengan keyakinan, nilai-nilai, dan latar belakang budaya dalam pelayanan kesehatan.Kata kunci: family-centered care, persepsi orangtua rasakan, persepsi perawat anakABSTRACTCancer is the leading cause of death in children each year in which the incidence continues to rise. This study was to explore parental and nurses pediatric perception of family-centered care (FCC) for pediatric cancer patient in Medan. Data were analyzed using content analysis and independent t-test.This study found that parents perceived that FCC had five main themes emerged were: 1) work together, 2) respect cultural practice, 3) giving information, 4) consistency of care, and 5) support. Meanwhile, nurse perceived that FCC had four themes: 1) parental involvement, 2) holistic care, 3) tasks and roles, and 4) educating families. It can be concluded that, parents and nurses had a different view of FCC, it caused they may have had different educational background, lack of understanding of FCC, increasing in the cultural diversity of patients, the values and beliefs. Therefore, it needs improvement in certain aspects from the perspective of parents and families linked to the beliefs, values, and cultural backgrounds in healthcare.Key words: family centered care, parental perception, pediatric nurses perception
PENGEMBANGAN PROTOKOL PEMENUHAN HAK PASIEN DI RUMAH SAKIT DAERAH KABUPATEN ACEH TAMIANG Fitri Erlita; Dewi Elizadiani Suza; Diah Arruum
Idea Nursing Journal Vol 7, No 2 (2016): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (101.884 KB) | DOI: 10.52199/inj.v7i2.6451

Abstract

ABSTRAKProtokol pemenuhan hak pasien merupakan suatu panduan yang dikembangkan sebagai pedoman dalam menerapkan pemenuhan hak pasien. Penelitian ini bertujuan untuk mengembangkan protokol pemenuhan hak pasien di Rumah Sakit Daerah Kabupaten Aceh Tamiang. Jenis penelitian yang digunakan adalah action research, dari bulan Maret sampai Juli 2016, dan melalui 3 siklus serta terbagi dalam 8 tahap. Instrumen yang digunakan adalah panduan in-depth interview, panduan focus group discussion (FGD) pada tahap reconnaissance,panduan  FGD pada tahap reflection, kuesioner tentang kepuasan pasien dalam pemenuhan hak pasien, kuesioner kepuasan perawat dalam pemenuhan hak pasien, format observasi protokol pemenuhan hak pasien, dan format observasi kinerja perawat dalam pemenuhan hak pasien. Partisipan dalam penelitian ini adalah 31 orang perawat, yang diambil secara purposive sampling. Data dianalisis secara kualitatif dan kuantitatif. Analisa data kualitatif menggunakan content analysis dan analisa data kuantitatif menggunakan uji statistik deskriptif. Hasil penelitian teridentifikasi tema: manfaat pemenuhan hak pasien untuk stake holder, hak yang didapatkan dari pelayanan kesehatan, hambatan dalam penerapan protokol pemenuhan hak pasien, strategi penerapan protokol pemenuhan hak pasien, instrumen penerapan protokol pemenuhan hak pasien, dan dukungan penerapan protokol pemenuhan hak pasien. Penelitian ini menghasilkan suatu kebijakan baru dalam bentuk standar prosedur operasional yaitu protokol pemenuhan hak pasien, alur pemberian informasi hak dan kewajiban pasien, dan menghasilkan dampak adanya peningkatan kepuasan pasien, yaitu sebelum penerapan protokol rata-rata (mean) 86,89 dan sesudah rata-rata (mean) senilai 91,80, serta berdampak pada peningkatan kepuasan perawat, yaitu sebelum penerapan protokol rata-rata (mean) 82,16 dan sesudah rata-rata (mean) senilai 90,16. Penelitian ini merekomendasikan kepada pihak manajemen rumah sakit agar terus melakukan supervisi untuk mengevaluasi pelaksanaan protokol pemenuhan hak pasien. Kata kunci: protokol, pemenuhan hak pasien, action research. ABSTRACTProtocol for fulfilling patients’ right is developed as guidance in implementing patients’ right. The objective of the research was to develop protocol for fulfilling patients’ right at the Regional General Hospital in Aceh Tamiang Regency. The research used action research method; it was conducted from March until July, 2016 through 3 cycles in 8 stages. The research instruments were in-depth interview guidance, Focus group discussion (FGD) guidance in the reconnaissance stage and FGD in reflection stage, questionnaires on patient satisfaction, questionnaires on nurse satisfaction in fulfilling patients’ right, protocol observation format in fulfilling patients’ right, and nurses’ performance observation format in fulfilling patients’ right. The samples were 31 nurses as the respondents, taken y using purposive sampling technique. The data were analyzed qualitatively and quantitatively. Qualitative data were analyzed by using content analysis while quantitative data were analyzed by using descriptive statistic test. The result of the research showed the theme of the benefit of fulfilling patients’ right for stakeholders, patients’ right to get health service, the obstacles in implementing protocol in fulfilling patients’ right, strategy of implementing protocol in fulfilling patients’ right, instruments for implementing protocol in hospitals, and support in implementing protocol in fulfilling patients’ right. This research produced a new policy in the form of standard operational procedure, that is, protocol in fulfilling patients’ right, channel of giving information about patients’ right and obligation, and the effect of the increase in patients’ satisfaction - mean value in pre-protocol application was 86.89 and mean value in post protocol application was 91.80. The increase in nurses’ satisfaction, mean value in pre-protocol application was 82.16 and mean value in post-protocol application was 90.16. It is recommended that the hospital management do supervision to evaluate the implementation of protocol in fulfilling patients’ right. Keywords: protocol, fulfilling patients’ right, action research.
PENGARUH LATIHAN PERGERAKAN SENDI EKSTREMITAS BAWAH TERHADAP NILAI ANKLE BRACHIAL INDEX (ABI) PADA PASIEN DM TIPE 2 Isni Hijriana; Dewi Elizadiani Suza; Yesi Ariani
Idea Nursing Journal Vol 7, No 2 (2016): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.586 KB) | DOI: 10.52199/inj.v7i2.6452

Abstract

ABSTRAKDiabetes Melitus Tipe 2 (DM Tipe 2) merupakan faktor resiko terjadinya berbagai penyakit vaskular pada laki-laki dan perempuan. Komplikasi DM ini berhubungan dengan disfungsi makrovaskular dan mikrovaskular. Berbagai intervensi dilakukan untuk mencegah komplikasi diabetes, salah satunya adalah latihan pergerakan sendi ekstremitas bawah. Diagnostik dini sangat penting untuk menilai penyakit vaskular perifer, pengukuran nilai ankle brachial index (ABI) merupakan salah satu tindakan non invasif untuk untuk menilai resiko penyakit vaskular perifer dalam perawatan primer. Tujuan penelitian ini yaitu mengidentifikasi pengaruh latihan pergerakan sendi ekstremitas bawah terhadap nilai ABI pada pasien DM tipe 2. Metode yang digunakan dalam penelitian ini yaitu desain quasi-eksperiment jenis pre-test and post-test group design. Total sampel  dalam penelitian ini adalah 35 pasien DM Tipe 2. Pengambilan sampel dengan menggunakan teknik consecutive sampling. Intervensi yang diberikan yaitu latihan pergerakan sendi ekstremitas bawah yang dilakukan  secara aktif sebanyak satu kali setiap hari, dengan masing-masing gerakan sebanyak 10 kali pengulangan dan selama 4 minggu pengamatan. Uji statistik Wilcoxon Signed Ranks Test menunjukkan ada perbedaan antara sebelum dan sesudah dilakukan intervensi pergerakan sendi ekstremitas bawah terhadap nilai ABI, pada ekstremitas kiri (p=0.00) dan pada ekstremitas kanan (p=0.00). Berdasarkan hasil penelitian dapat disimpulkan bahwa latihan pergerakan sendi ekstremitas bawah dapat meningkatkan nilai ABI jika dilakukan secara teratur dan kontinyu. Latihan pergerakan sendi ekstremitas bawah dapat meningkatkan aliran darah ke arteri dan berefek positif pada metabolisme glukosa, dimana terjadinya penurunan  glukosa dan HbA1c. Penelitian ini dapat menjadi masukan bagi pelayanan keperawatan untuk menjadikan latihan fisik seperti latihan pergerakan sendi ekstremitas bawah sebagai pencegahan terhadap resiko kaki diabetik serta perlu dilakukannya pemeriksaan ABI untuk mendeteksi dini gangguan pembuluh darah pada ekstremitas pasien DM Tipe 2. Kata kunci: pergerakan sendi ekstremitas bawah, ankle brachial index(ABI), DM Tipe 2 ABSTRACTDiabetes mellitus Type 2 (DMN Type 2) is the risk factor for the incidence of vascular. Its complication is related to macrovascular and microvascular dysfunction. Various interventions have been done to prevent from diabetes complication, and one of them is by lower extremity joint movement. Early diagnostics is very important to evaluate peripheral vascular. Measuring the value of ankle brachial index (ABI) is one of non-invasive actions to evaluate the risk for peripheral vascular in primary treatment. The objective of this research was to determine the influence of joint movement exercise on ABI value in DM Type 2 patients. The research used quasi experiment method with pretest-posttest group design. The samples were 35 DM Type 2 patients, taken by using consecutive sampling technique. Intervention was given by conducting lower extremity joint movement exercise once a day with 10 repetitions and 4 week observations. Wilcoxon Signed Ranks statistic test showed that there was the difference in pre and post intervention of lower extremity joint movement from ABI value, in left extremity (p=0.00) and in right extremity (p=0.00). The conclusion was that lower extremity joint movement exercise could increase ABI value if it was done regularly and continuously. It could also increase blood flow to artery and had positive effect on glucose metabolism in which glucose and HbA1c decreased. This research could bean input for nursing care to make physical exercises such as lower extremity joint movement as prevention from diabetic foot risk and ABI examination is required to early detect blood vessels disorder in DM Type 2 patients’ extremity.Keywords: lower extremity joint movement, ankle brachial index (ABI), DM Type 2.
LANSIA CARING NURSING CENTER: PERSEPSI MAHASISWA PROFESI KEPERAWATAN Setiawan Setiawan; Dewi Elizadiani Suza
Idea Nursing Journal Vol 8, No 3 (2017): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (354.34 KB) | DOI: 10.52199/inj.v8i3.9495

Abstract

ABSTRAKLansia Caring Nursing Center merupakan perawatan terpadu dan komprehensif bagi lansia. Tujuan penelitian untuk mengetahui persepsi mahasiswa profesi keperawatan dalam memberikan pelayanan keperawatan di Lansia Caring Nursing Center di Fakultas Keperawatan USU. Penelitian kualitatif dengan pendekatan fenomenologi. Partisipan adalah mahasiswa profesi keperawatan USU yang telah melalui tahap profesi komunitas dan telah bergabung dalam kegiatan Lansia Caring Nursing Center. Wawancara mendalam kepada 5 mahasiswa profesi keperawatan. Analisis data menggunakan metode Colaizzi. Ditemukan 5 tema persepsi mahasiswa dalam memberikan pelayanan keperawatan di Lansia Caring Nursing Center, yakni: 1) Lansia Caring Nursing Center adalah tempat untuk meningkatkan kesehatan, dan sarana untuk memberikan pendidikan bagi lansia, 2) Kegiatan Lansia Caring Nursing Center bermanfaat bagi lansia, 3) Suasana baru, ragam kegiatan, dan tersedia fasiitas yang berbeda di Lansia Caring Nursing Center, 4) Mahasiswa dapat belajar menjadi penyuluh kesehatan, fasilitator senam kaki dan melakukan pemeriksaan kesehatan pada lansia, 5) Mahasiswa menerapkan komunikasi teraupetik kepada lansia secara langsung. Kehadiran Lansia Caring Nursing Center di Fakultas Keperawatan USU dirasakan sangat bermanfaat bagi mahasiswa dalam mengaplikasikan keilmuan dan sebagai lahan penyaluran ide-ide terkait program lansia sehingga membuat para mahasiswa merasa antusias dan senang untuk bergabung.Kata kunci: Persepsi, lansia caring nursing center, mahasiswa profesi keperawatan.  ABSTRACTThe Elderly Caring Nursing Center was an integrated and comprehensive care for the elderly.The Objective to know perception of nursing profession students in providing nursing service at Elderly Caring Nursing Center in Faculty of Nursing USU. Qualitative research with phenomenology approach. Participants were nursing student who have been through the community profession stage and have joined the Elderly Caring Nursing Center's activities. In-depth interview with 5 nursing profession students. Data analysis using Colaizzi method. Five themes of student perception in providing nursing service at Elderly Caring Nursing Center were: 1) Elderly Caring Nursing Center was a place to improve health, and to provide education for the elderly; 2) Activities in Elderly Caring Nursing Center useful for the elderly; 3) New atmosphere, variety of activities,  and different facilities available at Elderly Caring Nursing Center, 4) Students can learn to become health educator, foot gym facilitator and conduct medical examination on elderly, 5) Students applied therapeutic communication directly  to the elderly. The presence of Elderly Caring Nursing Center at Faculty of Nursing USU was felt to be very useful for students and can provide new  ideas related to the elderly program so the students feel enthusiastic and happy to join.Keywords: Perception, elderly caring nursing center, nursing profession students.
Co-Authors Afiatika Ahsani Alvi Syahrin Amira Permatasari Tarigan Ariadni, Dwi Karina Armi Mawaddah Astuti, Andriani Mei Azhar, Bayu Busakorn Punthmatharith Bustami Syam CUT ADEYA ADELLA, CUT ADEYA Deni Susyanti Diah Arruum Dwi Karina Ariadni Fitri Erlita Girsang, Isah Masdiana Hariati Hariati Hasna Rahel Irfan, M. Zul’ Isni Hijriana Kawati, Salma Merda Ladawan Prateepchaikul Linda Jurwita Mahnum Lailan Nasution Martha Pitta Uli Marpaung Monika Blesinki Mula Tarigan Nasution, Mahnum Lailan Novita Sari Nur Asiah Nur Asiah Nur Asnah Sitohang, Nur Asnah Nurbaiti Nurbaiti Nurbaiti Nurbaiti Nurwijayanti Orita Satria Rasmita, Dina Rosina Tarigan Salma Merda Kawati Sari, Farida Linda Setiawan Setiawan Setiawan Setiawan Setiawan, Setiawan Sitepu, Nunung Febriany Siti Saidah Nasution Sitio, Roma Syahrani, Afrila Tarigan, Amira Permatasari Tarigan, Rosina Teorida Laia Vera Kurnia Yesi Ariani