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Haryani -
Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
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Hubungan Pelaksanaan Perawatan Indweling Kateter dengan Kejadian Infkesi Saluran Kemih Melyza Perdana; Haryani Haryani; Khudazi Aulawi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 1, No 1 (2017)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.25 KB) | DOI: 10.22146/jkkk.29012

Abstract

Background: Nosocomial infection is the most common problem occurs among 9% of 1,4 million hospitalized patients in the world. Urinary tract infections (UTIs) account for up to 40% of nosocomial infections which are reported by acute-care hospitals every year. Objective: The objective of this study was to identify the association between indwelling catheter care and urinary tract infections in internal ward of Dr. Sardjito Hospital, Yogyakarta. Methods: This was a non experimental study with cross-sectional design. The subjects of this study were 27 patients who had indwelling catheter inserted in internal ward of Dr. Sardjito Hospital, Yogyakarta chosen by total sampling technique. Data were obtained from checklist that was arranged based on literature and catheter care procedures in Dr. Sardjito Hospital, Yogyakarta. Results: The results of the study showed that 18 of 27 patients who had indwelling catheter inserted had UTIs. The p value resulted from chi-square test was 0,023 (p<0,05). Statistically, this study showed that there was an association between indwelling catheter care and UTIs. There were some of catheter care procedures that had not well-implemented yet by the nurses, such as daily catheter care procedure (37%), hand washing before and after the procedure (49,4%), using gloves in every catheter contact (39,5%), cleaning the meatus and catheter with antiseptic (40,7%), and ensuring the catheter bag did not touch the oor (18,5%). Conclusion: There was an association between indwelling catheter care and UTIs in internal ward of Dr. Sardjito Hospital, Yogyakarta. ABSTRAKLatar belakang: Infeksi nosokomial merupakan masalah global dan menjangkau sekitar 9% lebih dari 1,4 juta pasien rawat inap di rumah sakit di seluruh dunia. Infeksi saluran kemih merupakan penyebab 40% dari semua infeksi nosokomial yang dilaporkan oleh rumah sakit perawatan akut tiap tahunnya. Kira-kira 10% dari pasien-pasien yang dirawat di rumah sakit terpasang kateter, memberikan populasi besar yang beresiko terhadap infeksi saluran kemih yang berhubungan dengan kateter. Tujuan: Untuk mengetahui hubungan pelaksanaan perawatan kateter dengan kejadian infeksi saluran kemih di Bangsal Penyakit Dalam RSUP Dr. Sardjito, Yogyakarta. Metode: Penelitian ini merupakan penelitian non-eksperimental menggunakan rancangan cross sectional. Subjek penelitian ini adalah pasien yang dipasang kateter di Bangsal Penyakit Dalam RSUP Dr. Sardjito, Yogyakarta yang diambil dengan teknik total sampling. Data dikumpulkan dengan menggunakan lembar observasi pelaksanaan perawatan yang disusun berdasarkan prosedur tetap dan dimodi kasi dengan teori yang ada. Hasil: Hasil penelitian menunjukkan bahwa 18 dari 27 pasien yang diobservasi mengalami infeksi saluran kemih. Dari hasil uji chi square didapatkan nilai p sebesar 0,023 (p<0,05). Secara statistik diketahui bahwa ada hubungan antara pelaksanaan perawatan kateter dengan kejadian infeksi saluran kemih. Belum semua tindakan perawatan kateter dilakukan 100% oleh perawat. Tindakan ini meliputi melakukan perawatan kateter satu kali setiap hari (37%), mencuci tangan sebelum dan sesudah tindakan (49,4%), menggunakan sarung tangan (39,5%), membersihkan daerah meatus dan ujung kateter dekat meatus dengan cairan antiseptik (40,7%), kantung penampung urin tidak menyentuh lantai (18,5%).Kesimpulan: Ada hubungan antara pelaksanaan perawatan indwelling kateter dengan kejadian infeksi saluran kemih di bangsal penyakit dalam RSUP Dr. Sardjito Yogyakarta. 
Efektivitas Pemberian Pendidikan Kesehatan Terstruktur tentang Penggunaan Teknik Non Farmakologi untuk Mengurangi Nyeri Kanker Haryani Haryani; Melyza Perdana; Septa Adhi Hermawan; Malina Luthfiana
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 3, No 1 (2019)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.757 KB) | DOI: 10.22146/jkkk.34286

Abstract

Background: Pain is the most common symptoms suffered by cancer patients that can affect their daily activity and quality of life. Non pharmacological intervention to decrease pain often ignored.Objective: To determine the effectivity of structured health education of non pharmacological intervention to decrease cancer pain.Method: This is a quasi experimental research. The inclusion criteria were cancer patients who were more than 18 years old, suffered cancer pain (from 1-10 scale), and were on stage I-IV of cancer. Sixty eight subjects were recruited (34 for intervention group and 34 for control group). The booklet contains about how to treat non-pharmacology pain and management in the form of warm compress, cold compress, and relaxation techniques. Control group only use diary pain while usual care were provided for control group. Daily pain diary was filled by research subjects for three days. Brief Pain Inventory was given for both of two groups. Paired t test was used to compare pain score and ADL disturbance before and after intervention.Result: There were a significance decrease on both of pain score and daily activity disturbance before and after intervention in the intervention group (p= 0,000). There were not any significant different of pain score (p=0,762) and daily activity disturbance (p= 0,253) in control group. In addition, warm compress is the most nonpharmacological technique used by the intervention group.Conclusion: Providing structured health education of non-pharmacological intervention technique such as warm and cold compress, and relaxation is effective in reducing pain and ADL disorders in cancer patient. ABSTRAKLatar belakang: Nyeri adalah salah satu keluhan yang sering dirasakan penderita kanker. Nyeri yang timbul terus-menerus dan tidak ditangani secara adekuat dapat mengganggu aktivitas sehari-hari pasien dan menurunkan kualitas hidup pasien. Penanganan nyeri secara non-farmakologi sering diabaikan.Tujuan: Mengetahui efektivitas pemberian pendidikan kesehatan teknik non-farmakologi penanganan nyeri pada pasien kanker.Metode: Desain penelitian quasi eksperimen. Kriteria inklusi pasien kanker dengan umur >18 tahun, mengalami nyeri skala 1 – 10, stadium I-IV. Kriteria eksklusi adalah pasien yang mengalami gangguan jiwa. Subjek penelitian 68 orang (34 kelompok kontrol dan 34 kelompok perlakuan). Kelompok perlakuan diberikan booklet cara penanganan nyeri non-farmakologi dan demonstrasi teknik non-farmakologi berupa kompres hangat, kompres dingin, dan teknik relaksasi. Kelompok kontrol mendapatkan perawatan standar. Responden mengisi daily pain diary selama 3 hari dan mengisi kuesioner Brief Pain Inventory (BPI). Analisis data menggunakan distribusi frekuesi dan uji t test berpasangan untuk membandingkan skala nyeri dan tingkat gangguan aktivitas sehari-hari akibat nyeri sebelum dan sesudah pemberian intervensi.Hasil: Teknik non-farmakologi yang banyak digunakan oleh kelompok perlakuan adalah kompres hangat sebesar 56,67%. Terjadi penurunan rata-rata tingkat nyeri sebelum dan sesudah pemberian intervensi (p= 0,000) dan rata-rata tingkat gangguan ADL karena nyeri sebelum dan sesudah pemberian intervensi (p= 0,000). Tidak ada perbedaan tingkat nyeri (p=0,762) dan tingkat gangguan ADL (p= 0,253) pada kelompok kontrol.Kesimpulan: Pemberian pendidikan kesehatan terstruktur tentang penggunaan teknik non-farmakologi seperti kompres hangat, dingin dan relaksasi efektif dalam menurunkan nyeri dan gangguan ADL pada pasien kanker.
Relationship between hand hygiene behavior and Staphylococcus aureus colonization on cell phones of nurses in the intensive care unit Meri Afridayani; Yohana Ika Prastiwi; Khudazi Aulawi; Ibrahim Rahmat; Hera Nirwati; Haryani Haryani
Belitung Nursing Journal Vol. 7 No. 1 (2021): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1223

Abstract

Background: Healthcare-Associated Infections (HAIs) are infections that often occur in hospitals with Staphylococcus aureus as the primary cause. Staphylococcus aureus is usually found on nurses' hands and easily transferred by contact. Cell phones can be a convenient medium for transmitting bacteria. Accordingly, hand washing is one of the effective ways to prevent the transmission of Staphylococcus aureus. Objective: This study aimed to determine the relationship between hand hygiene behavior and the colonization of Staphylococcus aureus on cell phones of nurses in the intensive care unit of the academic hospital. Methods: This was an observational study with a cross-sectional design conducted from December 2019 to January 2020. The observations of hand hygiene behaviors were performed on 37 nurses selected using total sampling. Colonization of bacteria on each nurses' cell phone was calculated by swabbing the cell phones' surface. Colony counting was done using the total plate count method. Spearman Rank test and Mann Whitney test were used for data analysis. Results: The nurses' hand hygiene behavior was 46.06%. Staphylococcus aureus colonization was found on 18.2% of the nurses' cell phones. However, there was no significant relationship between the nurses' hand hygiene behavior and the colonization of Staphylococcus aureus on their cell phones. Conclusion: The hand hygiene behavior of nurses was still low, and there was evidence of Staphylococcus aureus colonization on their cell phones. As there was no relationship between the nurses' hand hygiene behavior with the colonization of Staphylococcus aureus on the cell phones, further research is needed to determine if there is an increase or decrease in colonization before and after regular observations.
Nurses' roles and challenges to providing care for tropical diseases: A scoping review Yayu Nidaul Fithriyyah; Haryani Haryani
Jurnal Berita Ilmu Keperawatan Vol 15, No 2 (2022): July 2022
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.17561

Abstract

Tropical diseases are associated with tropical regions, but global access travel, climate change, and environmental factors affecting disease vectors may spread to non-endemic countries. This review reinforces the view of nurses' roles and challenges to providing care for tropical diseases. This scoping review search included: SCOPUS, PubMed, EBSCO Medline, Science Direct, and citation search: Google Scholar. Studies included if the population was nurses or part of a multidisciplinary or provider intervention on tropical diseases and original English articles between 2011 and 2021 with various methods. From 773 studies identified, 23 met the inclusion criteria. Three themes emerged: 1) nurses role as health providers, educators, motivators, leaders, collaboration, and coordination; 2) providing safe working and job satisfaction; and 3) The role of organizations, health systems, and policymakers. There were also three challenges: 1) lack of skills, knowledge, and training for nurses, 2) the stigma of tropical diseases, 3) sociocultural approach. The role and practice of nursing in tropical diseases vary across healthcare settings, influenced by nurses' stigma, knowledge, training, job safety, and satisfaction. Nurse lack knowledge and training compared to other health workers. Potential to increase nurse participation with a sociocultural approach and involving nurse's leadership roles require further research
Efektivitas Peer Group Diabetes Self Care Education terhadap Diabetes Self Care Activities Pasien DM Tramirta Trendi Iriani; Haryani -; Khudazi Aulawi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 2, No 1 (2017)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.705 KB) | DOI: 10.32419/jppni.v2i1.77

Abstract

ABSTRAKLatar belakang: Pasien diabetes melitus (DM) perlu mengontrol kadar glukosa darah dengan melakukan perawatan DM yang terdiri dari pengobatan, latihan, diet, dan edukasi. Peer group pada pasien DM dimungkinkan membantu perawatan DM. Tujuan penelitian: mengetahui efektivitas peer group diabetes self management education program (DSMEP) terhadap diabetes self-care activities DM tipe 2. Metode: Pre-eksperimental dengan rancangan one group pre-test-post-test design with control group. Pengambilan sampel menggunakan purposive sampling dari November-Maret 2013, dengan kriteria inklusi: DM tipe II dan >18 tahun. Jumlah sampel masing-masing 13 pasien untuk kelompok intervensi dan kontrol. Kelompok perlakuan mendapatkan DSMEP, kelompok kontrol mendapatkan edukasi standar. Pretest diberikan sebelum intervensi, post test diberikan sebulan sesudah intervensi. Instrumen The Summary of Diabetes Self-Care Activities (validitas nilai r 0,361, Cronbach’s Alpha 0,847) digunakan untuk mengukur aktivitas perawatan diri. Analisis data menggunakan t-test berpasangan dan tidak berpasangan. Hasil: Kebanyakan responden perempuan, lama pengobatan 10 tahun. Mayoritas pendidikan perguruan tinggi, suku Jawa, Islam, dan menikah. Terdapat perbedaan aktivitas perawatan diri sebelum dan sesudah dilakukan intervensi antara kelompok intervensi dan kontrol pada komponen pengobatan pasien DM (p=0,005), tetapi tidak ada perbedaan yang signifikan pada komponen diet (p=0,077), olahraga (p=0,259), tes gula darah (p=0,058), dan perawatan kaki (p=0,309). Kesimpulan: Peer group diabetes self management education program (DSMEP) dapat meningkatkan kemampuan perawatan diri pasien DM tipe 2.Kata Kunci: diabetes, peer group, self care, activitiesEFFECTIVENESS OF PEER GROUP-BASED DIABETES SELF-CARE EDUCATION ONDIABETES SELF-CARE ACTIVITIES IN DM PATIENTSABSTRACTBackground: Diabetic patients need to control their blood glucose level through DM management consisting of medication, exercise, diet, and education. Peer group in DM patients may help DM treatment. Objective: To identify the effectiveness ofpeer group-based diabetes self-management education program (DSMEP) on diabetes self-care activities of type 2 DM. Methods: This study was pre-experimental with one group pre-test-post-test design with control group design. Samples were taken using purposive sampling from November to March 2013, with inclusion criteria of DM type II and >18 years old. The sample size was 13 patients for each of the intervention and control group. The intervention group received DSMEP, while the control group received standard education. Pretest was given before the intervention and posttest was given a month after the intervention. The Summary Instrument of Diabetes Self-Care Activities (validity value r>0.361, Cronbach’s Alpha=0.847) was used to measure self-care activities. Data were analyzed using paired and unpaired t-test. Results: Most of the respondents were female and received more than 10years of treatment. The majority of the respondents were tertiary educated, Javanese, Islamic, and married. There was a difference in self-care activity before and after intervention between the intervention and control groups in the component of DM patient treatment (p=0.005), but there was no significant difference in the components of dietary (p=0.077), exercise (p=0.259), blood sugar test (p=0.058), and foot care (p=0.309). Conclusion: Peer group-based diabetes self-management education program (DSMEP) can improve self-care ability of type 2 diabetes patients.Keywords: diabetes, peer group, self-care, activities
FACTORS THAT INFLUENCE THE COMPLIANCE OF ANTIRETROVIRAL THERAPY (ART) ON HIV / AIDS PATIENTS IN DR. SARDJITO YOGYAKARTA Akbar Satria Fitriawan; Khudazi Aulawi; Haryani Haryani
Journal of Nursing Science Update (JNSU) Vol. 7 No. 1 (2019)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (8930.053 KB) | DOI: 10.21776/ub.jik.2019.007.01.3

Abstract

Antiretroviral therapy (HAART) is very important for patients with HIV/AIDS in order to prevent the appearance of AIDS symptoms, reduce hospitalizations and prevent mortality. But it required minimum of 95% adherence rate to prevent the occurrence of viral resistance to and AIDS development. Identification of the factors that influence adherence are needed to develop appropriate interventions to maintain patient adherence. The aimed of the study was to assess adherence rate with antiretroviral therapy in HIV-infected patients in Dr.Sardjito General Hospital and identify factors that influence it. Observational analytic study with cross sectional design was used in this study. The independent variable in this study is sociodemographic factors, social support, depression, self efficacy, quality of health care provider’s communication and patient's CD4 count. Bivariate and logistic regression is used to determine the factors that affecting adherence. A total of 64 HIV/AIDS patients participated in this study. 36 patients (56.3%) had adherence <95% with an average adherence of 83.64% (SD = 21.25). Depression, social support, self efficacy, quality of health care provider’s communication, age and employment status is associated with adherence (p <0.05). In multivariate analysis, low self-efficacy (PR = 12,94; p = 0,001) and low social support (PR = 5,47; p = 0,024) is a predictor of poor medication adherence. In conclusion self efficacy and social support is a predictor of adherence in HIV/AIDS patient. Interventions that focus on these factors is expected to improve patient adherence to medication.
Asupan Tinggi Garam Sebagai Perilaku Berisiko Terhadap Penyakit Kardiovaskular: Literature Review Sitti Ramdasari Aksan; Siti Naimah; Santalia Banne Tondok; Eza Kemal Firdaus; Haryani Haryani
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 4, No 2 (2020)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.36436

Abstract

Background: Globally in 2010, 1,7 million annual deaths due to cardiovascular have been associated with excess salt / sodium intake. High salt intake (more than 5 g per day) contributes to increased blood pressure and increases the risk of heart disease and stroke. Objective: The purpose of this review literature is to explore the association of risk behavior factors for sodium intake with the incidence of cardiovascular disease. Method: Electronic search was conducted using the keyword “(heart disease OR cardiovascular disease) (salt OR sodium) on 4 online databases: Science Direct, PubMed, SAGE Journal, and Clinical Key. The inclusion criteria in this study were articles published between 2009 and 2018, English publications, available and accessible to the full text, an original research with quantitative research design. Synthesis analysis of articles included using narrative analysis. Result: This literatur review showed that from the 5 articles included there was a positive relationship between sodium intake and risk of cardiovascular events such as hypertension and coronary heart disease. Conclusion: Sodium intake is considered relate to the risk of cardiovascular disease.ABSTRAKLatar belakang: penyakit kardiovaskular, yang memiliki keterkaitan dengan kelebihan konsumsi garam/natrium, bertanggung jawab atas 1,7 juta kematian global pada tahun 2010. Konsumsi garam berlebih (>5g/hari) diketahui meningkatkan tekanan darah dan risiko penyakit jantung serta stroke. Tujuan: Tujuan literature review ini mengeksplorasi hubungan faktor risiko perilaku asupan sodium dengan kejadian penyakit kardiovaskular. Metode: Penelusuran dilakukan dengan menggunakan kata kunci “(heart disease OR cardiovascular disease) AND (salt OR sodium). Pelusuran dilakukan pada 4 database online yaitu: ScienceDirect, PubMed, SAGE Journal, dan Clinical Key. Kriteria inklusi dalam studi ini adalah artikel yang dipublikasi dalam rentang 2009-2018, publikasi dalam Bahasa Inggris, tersedia dan dapat diakses keseluruhan artikel, merupakan original research dengan desain penelitian kuantitatif. Analisis sintesis artikel yang diinklusikan menggunakan naratif analisis. Hasil: Ditemukan dari 5 artikel yang di-review terdapat hubungan yang positif antara asupan natrium dengan risiko kejadian penyakit kardiovaskuler seperti hipertensi dan penyakit jantung koroner.  Kesimpulan: Intake sodium berhubungan dengan risiko terjadinya penyakit kardiovaskular. 
Co-Authors Akbar Satria Fitriawan Eza Kemal Firdaus Hera Nirwati Ibrahim Rahmat Khudazi Aulawi Khudazi Aulawi Khudazi Aulawi Malina Luthfiana Melyza Perdana Meri Afridayani Santalia Banne Tondok Septa Adhi Hermawan Siti Naimah Sitti Ramdasari Aksan Tramirta Trendi Iriani Yayu Nidaul Fithriyyah Yohana Ika Prastiwi