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Application of Critical Theory in Nursing Research Design: Systematic Review Dwi Retnaningsih; Muhammad Ridlo; Bagas Biyanzah Drajad Pamukhti; Eko Budi Laksono; Megah Andriany
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 1 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

A person infected with HIV/ AIDS has many things to deal with in their daily lives. Changes that occur within and outside of people living with HIV AIDS (PLWHA) create negative perceptions about themselves and affect their self-development. Nursing research on illness perception has been proven to be related to the outcome of one's treatment. This study used the concept of philosophical theory in nursing research. The critical theory ontologically was similar to post-positivism, which critically assesses objects or reality (critical realism) unnoticeable correctly by human observation. Epistemologically, critical theory was an inseparable relationship between the observer and reality. Therefore, this theory emphasizes the concept of subjectivity in finding a science. This theory perceives reality as an integral variable from the research subject. The values ??of the subject influence the truth of reality. Axiology was a study of the benefits ??on the purpose of the knowledge utilization that refers to the development and selection of the research field priorities and the implementation of knowledge utilization. People living with HIV / AIDS (PLWHA) are perceived negatively by both family and community. This negative judgment leads to the negative perception of PLWHA, which impacts on the inadequate treatment and worse condition of the patients. The negative perception of PLWHA towards their illness can be measured using qualitative methods with the focus group discussion (FGD) method or in-depth interview. PLWHA with a poor perception of the disease can change their perspective to be more positive and can be cooperative in conducting treatment by using therapeutic communication techniques in a professional manner

ANALISA PENGARUH MEDITATION THERAPY TERHADAP PENURUNAN KADAR GULA DARAH PADA DIABETESI Tanty Febriana Audria; Dwi Retnaningsih; Tamrin -
Jurnal Ilmu Keperawatan Komunitas Vol. 1 No. 2 (2018)
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Background: The condition of the body when relaxation can affect blood glucose levels. The result of preliminary study in February 2018 in the working area of Puskesmas Mijen of Semarang City, obtained data that Diabetesi type 1 as many as 20 peoples. While people with Diabetesi type 2 as many as 89 peoples. Non pharmacology intervention is important to do in an effort to prevent the increase in blood glucose levels, one of them with Meditation Therapy. The aim of this study to determine the effect of Meditation Therapy to a Blood glucose Levels on Diabetesi In the work area of Puskesmas Mijen of Semarang City.Methods: quasy experiment with pretest and post-test without control group design. This sampling techniques are using Cluster sampling technique with combination of Stratified Sampling. The amount of sample are 30 respondents with the estimated drop out 10% to 33 respondents. A guide to do Meditation Therapy using the Standard Operational Procedure (SOP) Meditation Therapy by Theo (2014).This data collection with observation sheet. The data were tested for normality test by using Saphiro Wilk test and analyzed by using Paired t test.Results: After normality test of the data obtained the result that the data were normally distributed so statistical test carried out with Paired t test is known as p-value (sig.2-tailed) = 0,000 which means smaller than a = (0.05). So that, H0 refused and Ha accepted.Conclusions: There is an Effect of Meditation Therapy to a Blood glucose Levels of Diabetesi In Working Area of Puskesmas Mijen of Semarang City.

HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MINUM OBAT PADA LANSIA PENDERITA HIPERTENSI Devi Widyaningrum; Dwi Retnaningsih; Tamrin Tamrin
Jurnal Ilmu Keperawatan Komunitas Vol. 2 No. 2 (2019)
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Background: Family support a trait that supportive and always provides help and assistance if needed by one of the family members. Form of family support in the form of information, assessment, instrumental, and emotional. According to records from the Health Profile of Central Java in 2017, the number of patients with hypertension was 8355 people. Family support also affects the occurrence of medication adherence in patients with hypertension. The purpose of this study was to determine the relationship of family support with medication adherence in elderly people with hypertension in the Gayamsari Community Health Center in Semarang.Research Methodology: This study uses quantitative research with a descriptive correlation method with a cross sectional approach and research instruments using questionnaires. The sample technique used Purposive Sampling Technique. The population 210 elderly and the sample 137 elderly. Analysis of the data used is the Spearman Rank test.Results: The results of this study were obtained from 62 elderly respondents with good family support, 46 (33,6%) had high medication adherence and 15 elderly received less family support, 15 (10,9%) had moderate medication adherence . Spearman Rho statistical test results showed that ρ value 0,000 ≤α 0,05. Correlation coefficient 0,874 which means there is a relationship of family support with medication adherence in elderly people with hypertension in the Gayamsari Community Health Center in Semarang city very strong.Conclusion: There is a relationship of family support with medication adherence in elderly patients with hypertension in the Gayamsari Community Health Center in Semarang.

KESIAPAN MENGHADAPI MENARCHE DENGAN TINGKAT KECEMASAN PADA ANAK USIA SEKOLAH Dwi Retnaningsih; Priharyanti Wulandari; Vina Haris Afriana
Jurnal Kesehatan Kusuma Husada Vol. 9 No. 1, Januari 2018
Publisher : Universitas Kusuma Husada Surakarta

Anak memandang menarche adalah hal yang menakutkan karena menarche akan menimbulkan ketidaknyamanan, pusing. Menarche adalah menstruasi pertama yang biasa terjadi umur 10 - 16 tahun. Survei awal dilakukan pada 10 Desember 2016, didapatkan 80% siswi mengalami cemas, bingung menghadapi menarche. Salah satu faktor risiko psikologis menarche yaitu kesiapan, karena ketidaksiapan menimbulkan perasaan cemas. Tujuan penelitian untuk mengetahui hubungan kesiapan menghadapi menarche pada anak usia sekolah. Metode penelitian kuantitatif survei analitik dengan pendekatan cross sectional. Populasi 36 siswi dari kelas IV, V, VI yang belum menarche dengan teknik total sampling. Instrumen yang digunakan adalah kuesioner. Uji hubungan variabel dengan uji Rank Spearmen. Hasil penelitian terdapat 77,8% dinyatakan tidak siap menghadapi menarche, sebanyak 55,6% siswi dengan tingkat cemas sedang. Hasil analisis diperoleh hasil Ï value (0,026) dengan rho (-0,372). Kesimpulan: ada hubungan kesiapan menghadapi menarche dengan tingkat kecemasan pada anak usia sekolah. Children look at menarche is a scary thing because menarche will cause discomfort, dizziness. Menarche is the first common menstruation of 10-16 years. Initial survey conducted in 10th December 2016, found 80% female students experience anxiety, confused face menarche. One of the psychological risk factors of menarche is readiness, because unpreparedness raises anxiety. The purpose of the study was to determine the relationship of readiness to face menarche in school-aged children. The method is quantitative research of analytic survey with cross sectional approach. The population of 36 female students from grade IV, V, VI which has not menarche with total sampling technique. The instrument used is a questionnaire. Test the relationship of variables with Rank Spearmen test.Results: 77.8% were declared unprepared for menarche, as many as 55.6% of female students with moderate levels of anxiety. The result of analysis is obtained Ï value (0,026) with rho (-0,372).Conclusion: there is a relationship of readiness to face menarche with anxiety levels in school-age children.

FAKTOR YANG MENINGKATKAN KINERJA PERAWAT DI RUANG RAWAT INAP: SYSTEMATIC REVIEW Dwi Retnaningsih; Luky Dwiantoro
Jurnal Kesehatan Kusuma Husada Vol. 11 No. 2, Juli 2020
Publisher : Universitas Kusuma Husada Surakarta

Perawat adalah tenaga kesehatan Sumber Daya Manusia yang berhubungan langsung dengan pasien dan memiliki tanggungjawab terhadap perawatan pasien. Salah satu faktor penentu keberhasilan dalam berorganisasi di rumah sakit adalah kepemimpinan yang mampu menggerakkan perawat melakukan tindakan keperawatan. Tujuan systematic review meninjau penelitian empiris yang dipublikasikan tentang gaya kepemimpinan berkaitan dengan kinerja perawat dan jenis kepemimpinan yang bisa meningkatkan kinerja perawat di ruang rawat inap. Metode dengan melakukan tinjauan sistematis melalui review jurnal tentang gaya kepemimpinan dan kinerja perawat di ruang rawat inap. Strategi pencarian data dengan google scholar, ProQuest dan Sinta, kelayakan studi penelitian dengan melakukan penelitian empiris yang merujuk pada gaya kepemimpinan dan kinerja perawat di rawat inap. Kualitas studi dengan membaca topik, desain dan instrumen penelitian. Prosedur ekstraksi data dilakukan dari hasil penelusuran artikel dengan kata kunci gaya kepemimpinan, kinerja perawat di ruang rawat inap. Literatur 10 tahun terakhir, topik sesuai, dan artikel lengkap. Berdasarkan 12 artikel yang dianalisa, 5 penelitian dengan gaya kepemimpinan demokrasi mampu memberikan hasil kinerja perawat yang baik. 1 penelitian dengan gaya kepemimpinan otoriter, 4 penelitian dengan gaya kepemimpinan kompilasi, dan 2 penelitian dengan gaya kepemimpinan konsultasi memberikan hasil kinerja perawat cukup dan baik. Kecenderungan gaya kepemimpinan otoriter dan demokratik mampu memberikan kinerja yang baik dan cukup. Jadi, tidak ada gaya kepemimpinan yang tidak baik atau buruk. Gaya kepemimpinan yang tepat diperlukan untuk menghindari pemborosan, kebingungan, dan kesalahan. Nurses are health workers who is human resources who deal directly with patients and have responsibility for patient care. One of the critical success factors in organizing at a hospital was leadership that was able to move nurses into performing nurses' actions. The purpose of the systematic review was to review published empirical research on leadership styles related to nurse performance and the types of leadership that can improve nurses' performance in the inpatient room. The method was to conduct a systematic review through a journal review of the leadership style and performance of nurses in the inpatient room. Data search strategies with Google Scholar, ProQuest and Sinta, the feasibility of a research study by conducting empirical research that refers to the leadership style and performance of nurses in hospitalization. Quality of study by reading topics, designs and research instruments. Data extraction procedure was carried out from the results of searching the article with keywords leadership style, nurse performance in the inpatient room. Literature of the past 10 years, relevant topics, and full articles. Based on 12 articles analyzed, 5 studies with a democratic leadership style were able to provide good nurse performance results. 1 research with authoritarian leadership style, 4 research with compilation leadership style, and 2 research with consultative leadership style gives nurses good and good performance results. The tendency of an authoritarian and democratic leadership style was able to provide good and sufficient performance. So, there was no leadership style that was not good or bad. Appropriate leadership style to avoid waste, confusion, and mistakes.

Sexually Transmitted Diseases Preventive Behavior Among Female Sex Workers Dwi Retnaningsih; MY Martini; Windyastuti Windyastuti
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 2, No 2 (2017): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Introduction: Sex workers and their customers are the high-risk group population that potentially transmitting sexually transmitted diseases including Human Immunodeficiency Virus (HIV). This research aims to describe the preventive behaviour of female sex workers in preventing transmission of STDs and HIV in Gambilangu Semarang Localization. Methods: This research was qualitative study, The 5 participants of this study were female sex workers who still active in Localization within the period of 2016-2017. Results: The behavior of female sex workers on the prevention of STDs and HIV, were identified as: all participants always offered condoms to clients before sexual transactions, all the participants negotiated the clients to use condom before having sexual intercourse, all participants rejected firmly to have sex with the client suspected having STDs yet reluctant to use condoms, most participants washed the vagina using betel soap, consuming herbs and antibiotics without a medical prescription that they believed it could prevent STDs.

PENGABDIAN KEPADA MASYARAKAT DALAM RANGKA PEMBERDAYAAN LANSIA MENURUNKAN HIPERTENSI Dwi Retnaningsih
Jurnal Implementasi Pengabdian Masyarakat Kesehatan (JIPMK) Vol 1, No 2 (2019)
Publisher : Universitas Widya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33660/jipmk.v1i2.14

Abstrak Pada saat ini ada pergeseran penyebab terjadinya kematian, yaitu yang sebelumnya penyakit menular berubah menjadi penyakit yang tidak menular. Penyakit Hipertensi adalah penyakit, gangguan pada pembuluh darah, sehingga mengakibatkan suplai oksigen dan nutrisi yang dibawa oleh darah terhambat sampai ke jaringan seluruh tubuh. Risiko penyakit darah tinggi meningkat antara lain karena faktor usia, keturunan, kebiasaan merokok, konsumsi garam berlebih, kolesterol, stres dan berat badan berlebih atau obesitas. Suatu praktik memijat titik-titik tertentu pada tangan dan kaki atau disebut dengan pijat reflesi, bermanfaat mengurangi rasa sakit pada tubuh, dapat meningkatkan daya tahan tubuh, meningkatkan rasa nyaman dan mengurangi stres. Tujuan pengabdian masyarakat adalah untuk meningkatkan dan memberdayakan lansia dalam melakukan terapi pijat refleksi kaki untuk menurunkan hipertensi dan meningkatkan keharmonisan lansia. Metode ceramah tentang konsep hipertensi. Melakukan pengukuran tekanan darah sebelum dan sesudah dilakukan pijat refleksi. Menggunakan metode demonstrasi praktik pijat refleksi. Metode berikutnya dengan cara memberdayakan lansia untuk melakukan pijat refleksi. Melakukan observasi pelaksanaan kegiatan pijat refleksi, dan evaluasi pengukuran tekanan darah. Peserta antusis mengikuti kegiatan dari awal sampai selesai. Hasil pengabdian: lansia antusias mengikuti kegiatan dan dapat mengikuti kegiatan mulai dari awal sampai selesai. Lansia mampu mengikuti pelatihan pijat refleksi dengan mempraktikan ke sesama lansia. Terjalin hubungan harmonis anatara lansia. Sebagian besar peserta adalah lansia dengan hipertensi berjenis kelamin perempuan yaitu sebanyak 32 orang (86.5%), berusia 56-65 tahun yaitu sebanyak 32 orang (86.5%) dan sebagian besar peserta riwayat pekerjaannya adalah tidak bekerja atau pengangguran sebesar 19 (51.4%). Kesimpulan: kegiatan pengabdian berjalan dengan lancar dan terjalin keharmonisan antar lansia. Gambaran tekanan darah sebelum dan sesudah dilakukan pijat kaki, rata-rata tekanan darah sistolik sebelum adalah 145.41 mg/dl dan rata-rata sesudah dilakukan pijat kaki adalah 134.32 mg/dl. Hasil tekanan darah diastolik sebelum dilakukan pijat refleksi rata-rata 91.22 mg/dl dan setelah dilakukan pijat kaki adalah 82.70mg/dl. Kata Kunci: Lanjut usia, Hipertensi, Therapy Pijat Kaki Abstrack At this time there was a shift in the cause of death that previously transmitted diseases turn into non-communicable diseases. Hypertension was a disease, a disruption in blood vessels, so that the supply of oxygen and nutrients carried by the blood was blocked to the tissues throughout the body. The risk of high blood pressure increases partly because of age, heredity, smoking habits, excessive salt consumption, cholesterol, stress and excess weight or obesity. A practice of massaging certain points on the hands and feet or called reflexion massage, was useful to reduce pain in the body, can increase endurance, increase comfort and reduce stress. The aim of community service was to increase and empower the elderly in performing reflexology foot massage therapy to reduce hypertension and improve the harmony of the elderly. The lecture method about the concept of hypertension. Measuring blood pressure before and after a reflexology massage. Using the demonstration method of reflexology practice. The next method was by empowering the elderly to do reflexology. Observing the implementation of reflexology, and evaluating blood pressure measurements. Antusis participants follow the activities from beginning to finish. Results of dedication: elderly people were enthusiastic about participating in activities and can participate in activities starting from the beginning to the end. The elderly are able to attend reflexology training by practicing to fellow seniors. A harmonious relationship exists between the elderly. Most of the participants were elderly with hypertension of female sex as many as 32 people (86.5%), aged 56-65 years as many as 32 people (86.5%) and the majority of work history participants were unemployed or unemployed by 19 (51.4%). Conclusion: service activities run smoothly and harmony exists among the elderly. The description of blood pressure before and after foot massage, the average systolic blood pressure before was 145.41 mg / dl and the average after foot massage was 134.32 mg / dl. The results of diastolic blood pressure before reflexology were on average 91.22 mg / dl and after foot massage was 82.70mg / dl. Keywords: Elderly, Hypertension, Foot Massage Therapy

OPTIMALISASI DISCHARGE PLANNING STROKE DI RUMAH SAKIT Dwi Retnaningsih; Eviwindha Suara
Jurnal Implementasi Pengabdian Masyarakat Kesehatan (JIPMK) Vol 5, No 2 (Sept) (2023): Jurnal implementasi pengabdian masyarakat kesehatan
Publisher : Universitas Widya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33660/jipmk.v5i2.103

Stroke merupakan penyebab utama kecacatan dan penyebab kematian ketiga di dunia, setelah penyakit jantung dan kanker, baik di negara maju maupun negara berkembang. Penanganan stroke meliputi pelayanan kesehatan yang bersifat promotif, preventif, kuratif dan rehabilitatif. Perawat bekerja sepanjang waktu untuk terus memantau kesehatan dan kondisi pasien. Rencana pemulangan untuk penderita stroke menjadi perhatian dan harus diberikan pada saat pemulangan penderita stroke dan anggota keluarga, dengan memberikan informasi tentang penyakit dan perawatan, serta tindak lanjut pasca pulang. Proses ini dapat dicapai dengan menyediakan discharge planning. Oleh karenanya diperlukan kegiatan untuk meningkatkan pengetahuan perawat tentang discharge planning stroke dalam kegiatan pengabdian kepada masyarakat. Metode program kemitraan masyarakat dengan memberikan informasi kepada perawat tentang discharge planning stroke. Kegiatan pengabdian masyarakat dilakukan di ruang amarilis I RSUD Tugurejo Provinsi Jawa Tengah. Pelatihan diberikan kepada 24 perawat. Kegiatan pengabdian masyarakat telah memberikan luaran perupa pemahaman perawat dalam melakukan discharge planning pada pasien stroke yaitu tentang pemahaman secara umum stroke seperti definisi, tanda gejala, faktor resiko, penangan segera saat serangan, diet yang diperbolehkan atau dibatasi dan adaptasi pasien terhadap gejala sisa stroke seperti kelumpuhan, gangguan menelan, gangguan komunikasi, gangguan penglihatan serta gangguan lainnya. Terjadi peningkatan pemahaman sebagai salah satu upaya optimalisasi pelaksanaan discharge planning pasien stroke.

PENGABDIAN MASYARAKAT PADA KELOMPOK KADER POSYANDU LANSIA DI KELURAHAN TAMBAKHARJO Dwi Retnaningsih; Rahayu Winarti
Jurnal Implementasi Pengabdian Masyarakat Kesehatan (JIPMK) Vol 4, No 2 (2022)
Publisher : Universitas Widya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33660/jipmk.v4i2.74

Kontribusi posyandu lansia dalam meningkatkan kesehatan lansia sangat besar, sehingga kualitas pelayanan posyandu lansia perlu ditingkatkan. Keberadaan kader lansia dan sarana posyandu, merupakan modal dalam keberlanjutan posyandu lansia di Kelurahan Tambakharjo. Berdasarkan hasil wawancara kepada salah satu kader lansia disampaikan bahwa kegiatan posyandu lansia sejak 2019 sampai Juni 2022 tidak berjalan dan hanya ada kegiatan senam lansia. Permasalahan mitra: Kurangnya pelatihan kader, masih rendahnya peran dan kegiatan masyarakat. Tujuan Kegiatan; mengaktifkan dan meningkatkan keberadaan Posyandu lansia dan memberikan motivasi kader posyandu lansia. Kegiatan PKM dilaksanakan berupa penyuluhan materi Posyandu lansia, materi DM dan praktik senam kaki DM, dilanjutkan diskusi bersama. Peserta yang berpartisipasi sebanyak 10 orang dan keterlibatan mahasiswa sebanyak empat (4) orang, instrumen yaitu alat tulis, seperti buku, pulpen, kertas materi, handphone dan Laptop dengan empat sesi, dimana setiap sesi kegiatan dilaksanakan selama 50 menit. Ada peningkatan pengetahuan antara sebelum dan sesudah dilakukan pengabdian masyarakat, sebelum diberikan pengetahuan nilai rata-rata 70,31 dan sesudah diberikan pengetahun nilai rata-rata 81,25. Kegiatan pengabdian kepada masyarakat berjalan dengan lancar dan kader posyandu lansia bisa mempraktikkan senam kaki DM. Kegiatan pengabdian masyarakat terlaksana dengan baik dan lancar, serta mendapatkan respon yang antusias dari para kader lansia, sehingga diharapkan kader posyandu lansia dapat meningkatkan kualitas hidup dan kesehatan bagi lansia dengan DM.

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