Articles
STUDI KORELASI ANTARA BMI DENGAN MORTALITAS PASIEN GAGAL JANTUNG KONGESTIF
Ida Ayu Agung Laksmi;
Putu Wira Kusuma Putra
Gaster Vol 17 No 1 (2019): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta
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DOI: 10.30787/gaster.v17i1.343
Latar Belakang Gagal jantung kongestif (GJK) merupakan masalah kesehatan progresif dengan angka mortalitas dan morbiditas yang tinggi di negara maju maupun negara berkembang dan kasus gagal jantung menjadi kasus 10 terbesar di RSUD Mangusada. Salah satu kondisi yang memperberat pasien dengan gagal jantung kongestif adalah obesitas. Penentukan tingkat obesitas dapat menggunakan pengukuran antropometri, salah satunya berupa pengukuran Body Mass Index (BMI). Tujuan Penelitian ini dilakukan dengan tujuan untuk mengetahui hubungan BMI dengan mortalitas pasien GJK di RSUD Mangusada. Metode Jenis penelitian ini adalah penelitian analitik dengan pendekatan potong lintang (cross sectional study) menggunakan uji analisis korelasi Gamma. Hasil Hasil penelitian menunjukkan p = 0.043 dimana p < (0.05) sehingga Ho gagal ditolak yang berarti bahwa terdapat korelasi yang signifikan antara BMI dengan mortalitas pasien gagal jantung kongestif. Nilai korelasi 0.198 yang berarti korelasi sangat lemah dan arah korelasinya positif yaitu semakin besar BMI pasien risiko meninggal juga semakin besar. Kesimpulan BMI terbukti memiliki korelasi yang signifikan dengan mortalitas pasien gagal jantung kongestif, sehingga kontrol diet pada pasien GJK sangat diperlukan.
Validity and Reliability of the Nurse Preparedness Questionnaire in Facing Emerging Infectious Diseases
Ida Ayu Agung Laksmi;
I Made Dwie Pradnya Susila
Nursing and Health Sciences Journal (NHSJ) Vol. 2 No. 3 (2022): September 2022
Publisher : KHD-Production
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DOI: 10.53713/nhs.v2i3.157
Nurse preparedness is a factor that needs to be considered in order to suppress work safety in the face of the COVID-19 pandemic. Early nursing intervention plays an important role in the prevention, preparedness, and response to the impact of the COVID-19 pandemic and other emerging infectious diseases. A nurse preparedness questionnaire about emerging infectious diseases needs to be compiled as an instrument that can measure preparedness related to unpredictable emerging infectious diseases. The aim of this study was to analyze the validity and reliability of the nurse preparedness questionnaire in dealing with emerging infectious diseases in Bali. This research method is a cross-sectional study involving all nurses in the emergency department at Klungkung Hospital as many as 30 people. Conducting a literature review and adopting the WHO COVID-19 preparedness questionnaire developed the instrument. The questionnaire consists of 4 dimensions with a total of 28 statement items covering the dimensions of knowledge on preparedness for emerging infectious diseases, dimensions of facility preparedness and response readiness in triage, dimensions of the effective response of nurses, and dimensions of preparedness and readiness of nurses for personal protective equipment. The stratified scale in this questionnaire uses a modified Likert scale with 4 answer choices of answers choices (4) strongly agree (3) agree (2) disagree and (1) strongly disagree. In instrumental testing, all 28 items of the instrument were confirmed through content validity (Pearson Product Moment). Using internal consistency reliability, the study found reasonable inter-item reliability for all items (Cronbach’s α: > 0.90)
Factors Influencing Psychological Problems for Emergency Nurses in Facing Emergency Situations during the Covid-19 Pandemic
Laksmi, Ida Ayu Agung;
Susila, I Made Dwie Pradnya
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu
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DOI: 10.30604/jika.v6i4.811
The emergence of COVID-19 is placing unforeseen pressure on the country's health care system and presenting various challenges for healthcare workers. Health care workers are at high risk of infection, while they have a large burden on clinical care and prevention of Covid-19 virus infection, including emergency room nurses. The emergency room nurse is one of the medical personnel who plays an important role in providing health services to patients. Several previous studies revealed that there were psychological problems experienced by emergency room nurses such as anxiety, work stress, fear, and depression. Therefore, it is necessary to conduct a study to find out what are the predictors of psychological problems for emergency room nurses in dealing with emergencies situation during the COVID-19 pandemic. This research is a correlational analytic study using a cross-sectional design involving 85 emergency room nurses who are members of the Indonesian Emergency and Disaster Nurses Association (HIPGABI Bali). The data collection process is carried out online to the respondents. The data were analyzed by Spearman-Rank test with a significance level of (0.05). The results of the study were that the majority of emergency room nurses had normal anxiety responses and moderate stress. The factors related to anxiety are the completeness of hospital facilities (p-value = 0.000) and the presence of comorbidities (p-value = 0.007), while the only factor related to stress was the completeness of hospital facilities (p-value = 0.050). This can be a consideration for hospital management and professional organizations to take strategic steps to prevent nurses' psychological problems.Munculnya COVID-19 memberikan tekanan yang tidak terduga pada sistem perawatan kesehatan negara dan menghadirkan berbagai tantangan bagi tenaga kesehatan. Petugas kesehatan sangat berisiko terinfeksi, sementara mereka memiliki beban yang besar dalam perawatan klinis dan pencegahan infeksi virus Covid-19, termasuk para perawat UGD. Perawat UGD merupakan salah satu tenaga medis yang berperan penting dalam memberikan pelayanan kesehatan terhadap pasien. Beberapa penelitian terdahulu mengungkapkan adanya masalah psikologis yang dialami oleh perawat UGD seperti ansietas, stress kerja, ketakutan, hingga depresi. Oleh karena itu perlu dilakukan sebuah penelitian untuk mengetahui apa saja yang menjadi faktor prediktor masalah psikologis perawat UGD dalam menghadapi situasi gawat darurat selama masa pandemic COVID-19. Penelitian yang dilakukan merupakan penelitian analitik korelasional dengan menggunakan rancangan potong lintang yang melibatkan 85 perawat UGD yang tergabung dalam Himpunan Perawat Gawat Darurat dan Bencana Indonesia (HIPGABI Bali). Proses pengumpulan data dilaksanakan secara online kepada responden. Data dianailisis dengan uji Spearman Rank dengan tingkat kemaknaan £ (0.05). Hasil penelitian mayoritas perawat UGD memiliki respon ansietas normal dan stress sedang. Adapun faktor yang berhubungan dengan ansietas adalah kelengkapan fasilitas RS (p value = 0.000). dan adanya komorbid (p value = 0.007)., sedangkan satu-satunya faktor yang berhubungan dengan stress adalah kelengkapan fasilitas RS (p value = 0.050). Hal ini dapat menjadi pertimbangan bagi pihak manajemen RS dan organisasi profesi untuk mengambil langkah-langkah strategis sebagai upaya pencegahan masalah psikologis perawat.
Designing of a High-Quality CPR Simulation Game Clinical Scenario for Nursing Students: A Qualitative Study
Ida Ayu Agung Laksmi;
I Made Dwie Pradnya Susila;
Komang Yogi Triana
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu
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DOI: 10.33860/jik.v17i3.3389
Cardiopulmonary resuscitation (CPR) is an important skill for nursing students. The process of learning high-quality CPR with a simulation-based learning method can be developed into a simulation game. In order to develop a CPR HQ simulation game, a clinical scenario that can be used as a guide in carrying out storyboards is needed. This research aims to formulate a simulation scenario that will serve as the basis for developing a high-quality CPR simulation game to increase nursing students' competency. This qualitative research uses a Participatory Action Research (PAR) approach by inviting 15 respondents from the prospective user population, namely Emergency Nursing Lecturers, Emergency Room Nurses, BLS Trainers, and nursing students, to carry out Focus Group Discussions. The study's results revealed clinical scenarios that were arranged based on 4 themes, including 1) suitability of the competency being tested, 2) minimum competency for 5 cycles of CPR, 3) settings in the pre-and intrahospital scope, and 4) choice of patient outcome. These components are crucial when designing simulation scenarios that support students’ cognitive processes to achieve High-Quality CPR in nursing students. Thus, the results of this research can then be used as a guide in developing the HQ-CPR game as a learning medium for nursing students.
PENGARUH EDUKASI TERSTRUKTUR DENGAN MEDIA VIDEO TERHADAP KEPATUHAN ENAM LANGKAH MENCUCI TANGAN PADA KELUARGA PASIEN RUANG ICU
Ni Ketut Mayastuti;
Putu Wira Kusuma Putra;
Ida Ayu Agung Laksmi
Jurnal Ilmiah Kesehatan Keperawatan Vol 15, No 2 (2019): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG
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DOI: 10.26753/jikk.v15i2.295
Ruang ICU merupakan ruang intensif dengan prinsip bersih, merawat pasien – pasien kritis yang rentan sekali mengalami infeksi nosokomial/HAIs. Salah satu upaya untuk mencegah terjadinya infeksi silang antara pasien ke keluarganya ataupun sebaliknya adalah dengan mencuci tangan. Untuk meningkatkan kepatuhan mencuci tangan, keluarga pasien perlu diberikan edukasi. Penelitian ini bertujun untuk mengetahui pengaruh edukasi terstruktur dengan media video terhadap kepatuhan enam langkah mencuci tangan pada keluarga pasien di ruang ICU RSUD Kabupaten Klungkung. Penelitian ini merupakan penelitian kuantitatif desain Quasi Experimental dengan rancangan Pre tes Post test with Control Group Design. Tehnik sampling yang digunakan yaitu Nonprobability sampling dengan sistem Consecutive sampling, jumlah sampel 32 orang pada keluarga pasien ruang ICU RSUD Kabupaten Klungkung yang terbagi atas 16 orang pada kelompok perlakuan dan 16 orang pada kelompok kontrol. Pengumpulan data dilakukan secara observasi dengan alat ukur ceklist. Analisis data yang digunakan yaitu analisis univariat dan analisis bivariat. Berdasarkan hasil penelitian menunjukkan bahwa ada pengaruh edukasi terstruktur dengan media video terhadap kepatuhan enam langkah mencuci tangan pada keluarga pasien ruang ICU, Pvalue=0,0001 (P<0,05). Manajemen RSUD Kabupaten Klungkung dapat meningkatkan pengetahuan dan kepatuhan enam langkah mencuci tangan pada keluarga pasien dengan memberikan edukasi melalui media video. Kata kunci : Edukasi, media video, kepatuhan, cuci tangan
UPAYA PENINGKATAN KESIAPSIAGAAN BENCANA MELALUI PELATIHAN BERBASIS PENDEKATAN PARTISIPATIF MASYARAKAT DI BANJAR KRISNANTARA, DESA TIBUBENENG
I Made Dwie Pradnya Susila;
Ida Ayu Agung Laksmi;
Made Adi Wahyu Udaksana
Synergy and Society Service Vol. 3 No. 2 (2023): Synergy and Society Service
Publisher : Universitas Triatma Mulya
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DOI: 10.51713/save.v3i2.76
The Community-Based Disaster Preparedness Program carries out steps to empower community capacity so that they are able to reduce the level of risk and impact of disasters that arise in disaster management and emergency response. Communities living in disaster-prone areas can play a direct role as helpers. One of the first steps is to provide training to communities in disaster-prone areas. Communities living in disaster-prone areas must increase their capacity, including those in Banjar Krisnantara, Tibubeneng Village. The area of Banjar Krisnantara, Tibubeneng Village is one of the areas in Badung Regency with densely populated settlements and is geographically a vulnerable area to floods and tsunamis. Therefore, community-based disaster preparedness training is urgently needed through a participatory approach in Banjar Krisnantara, Tibubeneng Village as part of an effort to empower people who are vulnerable to safety and health issues due to disasters. This activity involves 2 lecturer members who have eligibility qualifications and 3 students whose activities are recognized with credits in accordance with the Independent Learning principles. This activity was carried out from 11-27 June 2023 which was divided into 3 stages, namely the orientation stage, the implementation stage, and the evaluation stage. The results of effective activities in increasing community preparedness in Banjar Krisnantara, Tibubeneng Village with all specific objectives achieved include the existence of a safe gathering point, increasing the level of community preparedness and the emergence of the forerunner to the formation of a Sibat team by all heads of families in Banjar Krisnantara who participated in the training.
Training hotel staff in early emergency management to enhance tourist comfort at Ubud Raya Resort area
Ani, Luh Seri;
Hendrayana, Made Agus;
Gandari, Ni Komang Matalia;
Laksmi, Ida Ayu Agung;
Agastiya, I Made Cahyadi;
Vittala, Govinda;
Juniartha, I Gusti Ngurah;
Dwija, Ida Bagus Nyoman Putra
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol. 9 No. 1 (2024): February 2024
Publisher : University of Merdeka Malang
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DOI: 10.26905/abdimas.v9i1.12128
Tourists who stay at the hotel have a risk of illness and/or experiencing emergency problems that interfere with the sense of security and comfort for tourists. One factor for successful emergency management is first aid proficiency. However, the knowledge and skills of hotel staff are relatively lacking in handling emergency problems for tourists. Based on this, this service was held to train the skills of hotel staff in handling emergencies for tourists. Service activities are carried out by presentation methods and practice on basic life support. The target of this activity is the hotel staff of Ubud Raya Resort. Dedication materials were given in 5 meetings. The training material has been adjusted to travel medicine subjects and based on the results of previous research by the implementation team. The implementation of this service went smoothly and as planned. Based on the results of the pretest and posttest, an increase in the knowledge and skills of participants was obtained. Based on interviews, it was found that service participants received positive benefits from the service carried out. Thus, concluded that this service was successfully carried out despite the limitations in its implementation. This community service advice re-conducting basic life support training for hotel staff so that the knowledge and skills received are beneficial in the long term.
HUBUNGAN SELF CARE DENGAN KUALITAS HIDUP PASIEN GAGAL JANTUNG DI RSD MANGUSADA
Ida Ayu Agung Laksmi;
Made Ani Suprapta;
Ni Wayan Surinten
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 8, No 1 (2020): EDITION MARCH 2020
Publisher : Universitas Tribhuwana Tunggadewi
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DOI: 10.33366/jc.v8i1.1326
Long term of heart failure symptoms will affect the patient functional status and ability to do self-care appropriately. Decreasing functional status and self-care ability will certainly affect the quality of life of patients. This study aimed to determine the relationship of self-care with the quality of life of heart failure patients that undergoing treatment at Heart Polyclinic of Mangusada Hospital. The research design was descriptive correlational using cross sectional approach. The study was conducted in January-February 2019. Total respondent participated were 61 respondents and were taken using a purposive sampling technique. Self care of heart index (SCHFI) questionnaire and the Minnesota Living With Heart Failure Questionnaire (MLHFQ) were used. The results showed that the average of self-care score was 45.25 and the average score of the quality of life was 60.67. Analysis using the Spearman Rank test obtained p-value = 0,000 and r = 0.506. It can be concluded that self care had a significant correlation on quality of life patients with heart failure in Mangusada Hospital. We recommended that nursing service providers play an active role in providing education and motivation to heart failure patients to improve self-care abilities.
Simulasi Multimedia Interaktif: Meningkatkan Keterampilan CPR dan Efikasi Diri Mahasiswa Keperawatan
Susila, I Made Dwie Pradnya;
Laksmi, Ida Ayu Agung
Bali Medika Jurnal Vol 11 No 1 (2024): Bali Medika Jurnal Vol 11 No 1 Juli 2024
Publisher : Stikes Wira Medika Bali
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DOI: 10.36376/bmj.v11i1.344
Sejak adanya pandemic Covid-19, terjadi pergeseran paradigma dalam dunia pendidikan termasuk pendidikan keperawatan yang awalnya luring menjadi online ataupun blended learning yang memerlukan waktu panjang untuk beradaptasi. Salah satu metode pembelajaran yang dapat digunakan dalam situasi blended learning adalah metode simulation multimedia interactive teaching. Tujuan penelitian ini adalah untuk mengetahui efektivitas dari metode simulation multimedia interactive teaching pada pembelajaran CPR dengan melihat skill dan efikasi diri mahasiswa dalam melakukan high quality CPR. Penelitian ini dilaksanakan di STIKES Bina Usada Bali dengan melibatkan 70 orang mahasiswa semester VI. Penelitian ini menggunakan metode pre-eksperimen dengan pendekatan Pre-post test without control group dengan membandingkan skill dan efikasi diri mahasiswa semester VI Keperawatan dalam memberikan high quality cardiopulmonary resuscitation (CPR) sebelum dan setelah mengikuti metode simulation multimedia interactive learning. Skill mahasiswa dievaluasi berdasarkan 3 indikator yang di rekomendasikan oleh AHA (2015) dan efikasi diri mahasiswa akan dinilai menggunakan kuisioner efikasi Basic Resuscitation Skills Self-Efficacy Scale (BRS-SES). Hasil uji T-Test Berpasangan penelitian ini menunjukkan bahwa peningkatan nilai mean pada variabel skill CPR dan self efikasi sebelum dan setelah responden mengikuti metode simulation multimedia interactive learning dengan nilai p-value (0.001), p < (0.05). Oleh karena itu, metode simulation multimedia interactive teaching menjadi pilihan yang dapat diaplikasikan pada pembelajaran mahasiswa keperawatan dalam situasi blended learning. Since the Covid-19 pandemic, there has been a paradigm shift in the world of education, including nursing education from offline to online or blended learning which requires a long time to adapt. One of the learning methods that can be used in blended learning situations is the interactive multimedia teaching simulation method. The purpose of this study was to determine the effectiveness of the interactive multimedia teaching simulation method in CPR learning by looking at students' skills and self-efficacy in performing high quality CPR. This research was conducted at STIKES Bina Usada Bali involving 70 semester VI students. This study used the pre-experimental method with the Pre-post test without control group approach by comparing the skills and self-efficacy of semester VI Nursing students in providing high quality cardiopulmonary resuscitation (CPR) before and after following the simulation multimedia interactive learning method. Student skills are evaluated based on the 3 indicators recommended by the AHA (2015) and student self-efficacy will be assessed using the Basic Resuscitation Skills Self-Efficacy Scale (BRS-SES) efficacy questionnaire. The results using Paired T-Test showed that the mean value of the variable CPR skill and self-efficacy increased before and after the respondents followed the interactive multimedia learning simulation method with a p-value (0.001), p < α (0.05). Therefore, the interactive multimedia teaching simulation method is an option that can be applied to nursing student learning in blended learning situations
Hubungan Tingkat Pengetahuan dengan Perilaku Pemantauan Glukosa Darah Mandiri (PGDM) Pada Pasien DM Tipe II Di RS Bali Royal Denpasar
Yunitasari, Ni Kadek Mei;
Laksmi, Ida Ayu Agung
Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Vol 11, No 1 (2025): Journal Nursing Care
Publisher : Poltekkes Kemenkes Gorontalo
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DOI: 10.52365/jnc.v11i1.1132
Background: Education on Independent Diabetes Management (EIDM) is a component of comprehensive DM management through Independent Blood Glucose Monitoring (IBGM). some patients demonstrate helplessness in managing the prevention of diabetic complications due to lack of knowledge level.Purpose: This study aimed to determine the correlation between knowledge level and the Independent Blood Glucose Monitoring (IBGM) in elderly people with type II DM at the Polyclinic of X Hospital Denpasar.Methods: This study used a cross-sectional correlative descriptive method. The sampling technique used non-probability sampling, namely purposive sampling. The sample in this study consisted of 78 respondents. The Spearman rank test was utilized for the analysis.Results: The Spearman rank test was utilized for the analysis. According to the findings of the investigation, the majority of respondents have less knowledge (51.3%) and unsuccessful in implementing IBGM (80.8%).Conclusion: Based on the findings of the analysis, the p-value was 0.000<0.05, implying that there was a correlation between knowledge level and the Independent Blood Glucose Monitoring (IBGM) in type II DM patient at the Polyclinic Interna of Bali Royal Denpasar Hospital. Health professionals are in the forefront of efforts to improve the effectiveness of IBGM in controlling blood glucose levels, hence lowering diabetes-related mortality and morbidity rates.