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FAKTOR-FAKTOR YANG MEMPENGARUHI POLA TIDUR PADA ANAK YANG MENJALANI HOSPITALISASI DI RUANG RAWAT INAP ANAK RSD. MAYJEND. HM. RYACUDU KOTABUMI TAHUN 2016 Rina Mariani
Jurnal Keperawatan Abdurrab Vol 2 No 2 (2019): Vol 2 No. 2 (Januari 2019)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.616 KB) | DOI: 10.36341/jka.v2i2.624

Abstract

ABSTRACT Problems faced by children during home care is difficulty sleeping due to treatment and environmental conditions that are different from home conditions. Based on a survey conducted in February 2016, out of 12 treated children had difficulty falling asleep due to the disease 's illness and the uncomfortable environment. The purpose of this study was to determine the factors that influence the sleep patterns of children who underwent hospitalization at the inpatient ward of Mayor Jendral HM Ryacudu Kotabumi Regional Hospital. The research design uses quantitative analytic with cross sectional approach. Research sample is children aged 1-3 years amounted to 68 people. The research variables consist of independent and dependent variable. Independent variables are physical illness, environmental and emotional stress while dependent variable is sleep pattern. Data analysis using univariate and bivariate analysis through chi-square test with α = 0,05. The univariate result was obtained by 51 people (75.0%) of disturbed sleep patterns, 48 ​​people (70.6%) had physical illness, 59 people (86.8%) felt the environment was disturbing, and 59 people (86.8%) experienced emotional stress. Bivariate results show there is a relationship between physical illness with sleep patterns in children, there is a relationship between the environment with sleep patterns of children and there is no relationship between emotional stress with sleep patterns in children. Keyword: sleep patterns, children, hospitalization, hospital, difficulty sleeping ABSTRAK Persoalan yang dihadapi anak selama di rawat di rumah adalah kesulitan tidur akibat pengobatan dan keadaan lingkungan yang berbeda dengan kondisi rumah. Berdasarkan presurvey yang dilakukan pada bulan Februari 2016, dari 12 anak yang dirawat mengalami sulit tidur karena`faktor penyakit yang diderita dan lingkungan yang kurang nyaman. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang mempengaruhi pola tidur anak yang menjalani hospitalisasi di ruang rawat inap anak Rumah Sakit Daerah Mayor Jendral HM Ryacudu Kotabumi. Desain penelitian mengunakan analitik kuantitatif dengan pendekatan cross sectional. Sampel penelitian adalah anak usia 1-3 tahun berjumlah 68 orang. Variabel penelitian terdiri atas variabel independen dan dependen. Variabel independen adalah penyakit fisik, lingkungan dan stress emosional sedangkan variabel dependen adalah pola tidur. Analisa data menggunakan analisa univariat dan bivariat melalui uji chi-square dengan α = 0,05. Hasil univariat diperoleh 51 orang (75.0%) pola tidur anak terganggu, 48 orang (70.6%) mengalami penyakit fisik, 59 orang (86.8%) merasakan lingkungan menganggu, dan 59 orang (86.8%) mengalami stress emosional. Hasil bivariat menunjukkan ada hubungan antara penyakit fisik dengan pola tidur pada anak, ada hubungan antara lingkungan dengan pola tidur anak dan tidak ada hubungan antara stress emosional dengan pola tidur pada anak. Kata Kunci: pola tidur, anak, hospitalisasi, rumah sakit, sulit tidur
Peningkatan Kualitas Hidup Anak Thalasemia Pada Masa Pandemi Covid-19 Retno Puji Hastuti; Rina Mariani; Sri Ujiani3; Dewi Sri Sumardilah; Elizar Elizar
Berdikari: Jurnal Inovasi dan Penerapan Ipteks Vol 11, No 1 (2023): February
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/berdikari.v11i1.17313

Abstract

Thalassemia is a disorder of hemoglobin synthesis with clinical manifestations of severe anemia. With a total of 35 sufferers in North Lampung, thalassemia causes complex health problems, especially during the Covid-19 Pandemic, including 1. The limited blood supply for transfusions due to decreased donors; 2. The problem of malnutrition leading to reduced immunity; 3. Psychological and school problems; 4. Not all thalassemia children in North Lampung had Hb-analysis as a diagnostic procedure; and 5. Low consumption of iron chelation drugs to prevent hemosiderosis. The community service aims to improve the quality of life for thalassemia children in North Lampung during the Covid-19 Pandemic. The Community service activities used a process approach (preparation, implementation, evaluation) involving several professions and related stakeholders (interprofessional collaboration). The target of the activities was thalassemia children and families who are members of the Association of Parents with Thalassemia (POPTI) North Lampung, with a total of 35 people. Data were analyzed with proportional descriptive analysis. The community service activities were 1. Formation of a Thalassemia Care Community consisting of 75 permanent blood donor volunteers; 2. Health education about the nutritional needs of thalassemia children and provision of nutrition packages to 33 people (94.28%); 3. Counseling on psychosocial problems and learning disorders in schools; 4. Facilitating story books in the treatment room of HM Mayjend Ryacudu Hospital; 5. Laboratory examination of Hb analysis and ferritin levels and socialization of the management of iron chelation treatment to 23 people (65.71%) of thalassemia children and their families. All activities were carried out with health protocols during the Covid-19 Pandemic. Suggestion: It is necessary to develop a network and increase the membership of the Thalassemia Care Community to six permanent donors for one thalassemia child. The Originality/Value/ Implication of this community service activity is the formatting of the North Lampung Thalassemia Care Network and Community.
OPTIMALISASI TUMBUH KEMBANG BALITA DENGAN MEMANFAATKAN BUKU KIA DAN PENERAPAN METODE SDIDTK DI KECAMATAN ABUNG SELATAN LAMPUNG UTARA Retno Puji Hastuti; Rina Mariani; Dewi Sri Sumardila; Antun Rahmadi; Hanung Ismoyo
Jurnal Pengabdian Masyarakat Multidisiplin Vol 7 No 1 (2023): Oktober
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jpm.v7i1.3902

Abstract

Stunting is a health problem due to insufficient nutritional intake during the first thousand days of life (HPK). One of the causes of stunting in Lampung Province is not optimal balanced nutritional intake and low coverage of Stimulation for Early Detection and Intervention of Growth and Development in Toddlers. North Lampung Regency is one of the six stunting locus districts in Lampung Province. The high stunting rate and low SDIDTK coverage in North Lampung Regency are caused by the low nutritional intake of toddlers and the lack of knowledge of cadres and mothers of toddlers about SDIDTK. This community service activity aims to empower the community (health cadres) to optimize the growth and development of toddlers by using the KIA Book and essential nutrition during the Golden Age Period. The community service activity method uses a process approach starting from planning, implementation, and evaluation which is carried out intercollaborative. Activities include specific promotive and preventive efforts to increase SDIDTK coverage and the nutritional status of children under five. The results of this activity increased the understanding of Posyandu cadres in monitoring the growth and development of toddlers, the existence of Posyandu cadres' efforts to overcome nutritional problems for toddlers, and good use of yard land by families to support food security.
Pengaruh Terapi Reminiscence Terhadap Harga Diri Lansia di UPTD Pelayanan Sosial Lanjut Usia Tresna Werdha Natar Madepan Mulia; Rina Mariani; Deni Metri
Jurnal Ners Vol. 7 No. 2 (2023): OKTOBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i2.12701

Abstract

The number of elderly tends to increase every year. An increase in the number of elderly is also usually followed by physical, mental, spiritual, economic and social changes. The aging process has an impact on a decrease in physical, mental, psychosocial conditions, changes related to work and the social role of the elderly. Problems in the elderly can cause stress which is characterized by feelings of uselessness, not needed and feelings of being left out. This situation has the potential to cause problems in the elderly, one of which is low self-esteem. The aim of the study was to determine the effect of reminiscence therapy on the self-esteem of the elderly at the UPTD Tresna Werdha Natar Elderly Social Services. This study used a quantitative method with a quasi-experimental design with a pre-post test without a control group using a purposive sampling technique and a random sampling method with a total sample of 30 respondents. The samples taken were the elderly who experienced low self-esteem with a score <15. The researcher used the Rosenberg Self Esteem Scale (RSES) questionnaire to measure the self-esteem of the elderly. The results showed that after being given reminiscence therapy in the elderly there was an increase in self-esteem. Nurses are expected to be able to provide reminiscence therapy to the elderly who experience low self-esteem.
FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT HIPERTENSI PADA PASIEN HIPERTENSI DI RSU HANDAYANI KOTABUMI LAMPUNG UTARA Rina Mariani; Fepi Susilawati
Jurnal Kesehatan Metro Sai Wawai Vol 8, No 1 (2015): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkm.v8i1.163

Abstract

Setiap tahun kejadian hipertensi terus meningkat, tidak hanya di dunia, namun di Indonesia juga terus meningkat. Di kabupaten Lampung Utara kejadian hipertensi dalam dua tahun terakhir mengalami peningkatan pada tahun 2012  tercatat 7.661 kasus dan tahun 2013 tercatat 13.000 kasus.  Tujuan penelitian untuk mengetahui faktor-faktor  yang berhubungan dengan tingkat hipertensi pada pasien hipertensi di RSU Handayani Kotabumi kapupaten Lampung Utara tahun 2014. Metode penelitian menggunakan rancangan cross sectional. Populasi penelitian seluruh pasien hipertensi yang rawat inap. Sampel diperoleh dengan tehnik accidental sampling dengan sampel setelah dihitung berjumlah 68 pasien. Variabel-variabel yang diteliti adalah tingkat hipertensi (variable dependen), factor merokok, olahraga, diet rendah garam dan minum obat (variabelin dependen). Analisis data menggunakan uji chi square diperoleh hasil penelitian faktor-faktor yang berhubungan dengan tingkat hipertensi adalah merokok (p=0,044), diet rendah garam (p=0,013) dan minum obat dengan tingkat hipertensi (p=0,010), sedangkan yang tidak berhubungan adalah factor olahraga (p=0,074).  RSU Handayani Kotabumi disarankan meningkatkan penyuluhan kesehatan, bukan hanya tentang dosis, cara minum obat, namun juga penyuluhan tentang dampak merokok dan asupan rendah garam sebagai upaya tindakan preventif dan menurunkan kejadian hipertensi.
ANALISIS PENGGUNAAN MEDIA PEMBELAJARAN DARING OLEH DOSEN SELAMA MASA PANDEMI COVID 19 DI POLTEKKES TANJUNGKARANG TAHUN 2021 2022 Apriyani, Heni; Taufiq, Ihsan; Mariani, Rina
Jurnal Pendidikan Kesehatan Vol 12 No 1 (2023): Jurnal Pendidikan Kesehatan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v12i1.3802

Abstract

The global pandemic due to the COVID 19 virus has an impact on all society and in various fields including the world of health education. Circular Letter Number 4 of 2020 from the Indonesian Ministry of Education and Culture, since March 2020 learning has been carried out online. Online learning has several advantages, namely not being limited by distance, preventing the transmission of the Covid 19 virus, facilitating interaction between lecturers and students, and quickly accessing information. However, there are also disadvantages to online learning, namely a good internet signal is required, an adequate smart device or laptop is required, the lecturer's explanations are difficult to accept because they do not meet in person. nline learning is inseparable from the learning media used. This study aims to determine the use of online learning media by lecturers at the Tanjungkarang Health Polytechnic and its analysis. The research design was descriptive, with a population and sample of all lecturers at the Tanjungkarang Health Polytechnic, but 94 of the 150 lecturer population 62.67 Percent were willing to become respondents. The measuring tool uses a questionnaire via Google Form. The results showed that Zoom Meeting and Whatsapp Groups were mostly used by respondents. The majority of respondents distributed lecture material in the form of Power Point 88.3 Percent , 21 respondents 22.3 Percent used electronic learning media and 43 respondents 45.7Percent used You Tube as a learning medium.
Pengaruh Pemberian Bubuk Daun Pepaya California (Carica Papaya) terhadap Mortalitas Jentik Nyamuk Mariani, Rina; Nurlinawati, Nurlinawati; Mulyani, Sri
Jurnal Ilmiah Ners Indonesia Vol 3 No 1 (2022): May 2022
Publisher : Program Studi Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.492 KB) | DOI: 10.22437/jini.v3i1.18262

Abstract

Diseases transmitted by mosquitoes are diseases that have a high risk of mortality and morbidity. One of the efforts to overcome the mosquito life cycle is by giving larvicides. The use of natural larvicides can be a safer alternative for health. Plants that have the potential as natural larvicides to kill mosquito larvae are papaya leaves (Carica Papaya). This study aims to determine the effect of giving powdered papaya california (Carica Papaya) leaves to the mortality of mosquito larvae. This research is a quantitative research with Intac Group Comparison research design. The research instrument used an observation sheet. Purposive sampling with a total of 50 samples were grouped into 4 treatment groups with a dose of 60 mg, 150 mg, 300 mg, 500 mg and 1 control group. Data analysis in the form of univariate analysis and using Wilcoxon statistical test. The lowest larval mortality was at a dose of 60 mg (10%) and the highest mortality was at a dose of 500 mg (60%). The results of the analysis in the 60 mg, 150 mg and 300 mg treatment groups obtained p-value > 0.05 so that there was no significant difference between the 60 mg, 150 mg, and 300 mg papaya leaf powder treatment groups and the control group. The 500 mg group had a p-value of 0.011 <0.05, so it can be concluded that there was a significant difference between the treatment group with 500 mg papaya leaf powder and the control group. Giving papaya leaf powder with a concentration of 500 mg has an effect on the mortality of mosquito larvae. Abstrak Penyakit yang ditransmisikan oleh nyamuk merupakan penyakit yang memiliki risiko tinggi pada mortalitas dan morbiditas. Salah satu upaya penanggulangan daur hidup nyamuk  dengan pemberian larvasida. Penggunaan larvasida alami dapat menjadi pilihan alternatif yang lebih aman bagi kesehatan. Tanaman yang memiliki potensi sebagai larvasida alami untuk membunuh jentik nyamuk ialah daun pepaya (Carica Papaya). Penelitian ini bertujuan untuk mengetahui pengaruh pemberian bubuk daun pepayacalifornia (Carica Papaya) terhadap mortalitas jentik nyamuk. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian Intac Group Comparasion. Instrumen penelitian menggunakan lembar observasi. Pengambilan sampel purposive sampling dengan jumlah 50 sampel yang dikelompokan menjadi 4 kelompok perlakuan dengan dosis 60 mg, 150 mg, 300 mg, 500 mg dan 1 kelompok kontrol. Analisis data berupa analisis univariat dan menggunakan uji statistik wilcoxon. Mortalitas jentik terendah pada dosis 60 mg (10%) dan mortalitas tertinggi pada dosis 500 mg (60%). Hasil analisis pada kelompok perlakuan 60 mg, 150 mg dan 300 mg didapatkan nilai p-value > 0,05 sehingga tidak terdapat perbedaan yang signifikan antara kelompok perlakuan bubuk daun pepaya dosis 60 mg, 150 mg, dan 300 mg dengan kelompok kontrol. Kelompok 500 mg  memiliki nilai p-value 0,011 < 0,05, maka dapat disimpulkan terdapat perbedaan yang signifikan antara kelompok perlakuan bubuk daun pepaya konsentrasi 500 mg dengan kelompok kontrol. Pemberian bubuk daun pepaya dengan konsentrasi 500 mg  mempunyai pengaruh terhadap mortalitas jentik nyamuk. Kata kunci : Mortalitas, Jentik nyamuk, Daun pepaya
Pola Asuh Orang Tua Terhadap Tingkat Kemandirian Anak Retardasi Mental Di Sekolah Luar Biasa Negeri Sukamaju Simpang Propau Kabupaten Lampung Utara Mariani, Rina
Jurnal Kesehatan Metro Sai Wawai Vol. 9 No. 1 (2016): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkm.v9i1.1758

Abstract

Parenting scheme that choosen by parents to guide and educate mental retardation child different with normal child. One of purpose from parenting scheme by parents is to make child become helpful for others and his self. Presurvey that has done in SLBN sukamaju in febuary of 2015, from 7 parents that given question, 4 (57,14%) parents say their child still need help when take a bath, fed when eat, need help when wear clothes, when play need family accompanion. While 3 (42,86%) parents say their child can take a bath, eat, wearing clothes by his self, and only when play their child need to be controlled. Researcher want to know Is there a correlation between parenting scheme and mental retardation child autonomy in SLBN sukamaju propau north lampung in 2015. Design of this study is quantitative analytical and use cross sectional approach. Populations of this study are all of parents that have retardation mental chils that have total 32 parents. Sample and sampling technique are total population. Study variable are independent variable is parenting scheme and dependent variable is child’s autonomy level. Data analysis is univariat analysis and bivariat analysis through chi square test with α = 0,05. Result of the study get from 32 respondents, 7 (21,9%) have otority parenting scheme, and autonomy child from mental retardation child are 12 (37,5%). The bivariat result get nothing correlation between parenting scheme towards retardation mental child autonomy with p value 0,683 (p>0,05). Suggestion for SLB school worker to make prenting school program to optimize parenting scheme towards menta; retardation child autonomy.    
Efektifitas Psikoedukasi Keluarga Terhadap Klien Gangguan Jiwa Mariani, Rina
Jurnal Kesehatan Metro Sai Wawai Vol. 17 No. 2 (2024): Jurnal Kesehatan Metro Sai Wawai
Publisher : Poltekkes Kemenkes Tanjung Karang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkmsaw.v17i2.4722

Abstract

Background: One of the obstacles in efforts to cure clients with mental disorders is the family's lack of knowledge of caring for clients at home. Hospital treatment will be in vain if the family does not continue it. One way of caring for families is psychoeducation. Objective: To determine the effectiveness of psychoeducation for families of clients with mental disorders after treatment. Method: Quasi-experimental design using pre-post test design without control group. The research population was all families who had family members with mental disorders after treatment with a sample size of 44 (22 intervention and 22 controls, inclusion criteria for clients with mental disorders after treatment for more than 1 month, and were willing to be respondents. The research instrument used a questionnaire answered by the family containing statements regarding cognitive and psychomotor. The research instrument was valid and reliable with a validity test value of 0.382 and a Cronbach alpha value of 0.74. The intervention group was given 3 sessions, each session lasting 20 minutes and the control group was given no intervention other, only medication. Bivariate analysis using t-independent and t-dependent. Results: for respondent characteristics, 72.7% of clients were women, 77.3% had basic education and 68.2% had average cognitive abilities before the action 41.59 and after the action 45.00. Average psychomotor ability before the action 23.00 and after the action 25.3. There is an influence of family psychoeducation on client care at home with a p value of 0.000. Conclusion: Family psychoeducation is effective for families in caring for clients with mental disorders after treatment at home so that the frequency of relapse is smaller and the prognosis is better. Latar Belakang: Salah satu kendala dalam upaya penyembuhan klien gangguan jiwa adalah minimnya pengetahuan keluarga merawat klien di rumah Perawatan di rumah sakit akan sia-sia bila tidak diteruskan oleh keluarga. Salah satu cara perawatan untuk  keluarga adalah psikoedukasi. Tujuan: Mengetahui efektifitas psikoedukasi keluarga klien gangguan jiwa pasca rawat. Metode: Desain quasi eksperiment dengan menggunakan pre post test design without control group. Populasi penelitian yaitu seluruh keluarga yang memiliki anggota keluarga gangguan jiwa pasca rawat dengan jumlah  sampel 44 (22 intervensi dan 22 kontrol), kriteria inklusi klien gangguan jiwa pasca rawat lebih dari 1 bulan, dan bersedia menjadi responden. Instrumen penelitian menggunakan kuesioner yang dijawab keluarga berisi pernyataan tentang kognitif dan psikomotor. Instrument penelitian valid dan reliable dengan nilai uji validitas 0.382 dan nilai Cronbach alpha 0.74. Pada kelompok intervensi diberikan tindakan sebanyak 3 sesi, setisp sesi waktunya 20 menit serta pemberian obat. Kelompok kontrol tidak diberikan intervensi lain, hanya obat saja. Analisis bivariat menggunakan t-independent dan t-dependent.  Hasil: untuk karakteristik responden didapatkan 72,7% klien adalah perempuan, 77,3% dengan  pendidikan dasar dan 68,2% bekerja. Rata-rata kemampuan kognitif sebelum tindakan 41,59 dan setelah tindakan 45,00. Rata-rata kemampuan psikomotor sebelum tindakan 23,00 dan setelah tindakan 25,3. Ada pengaruh psikoedukasi keluarga terhadap perawatan klien di rumah dengan p value 0,000. Simpulan: Psikoedukasi keluarga efektif dilakukan keluarga dalam merawat klien gangguan jiwa pasca perawatan di rumah sehingga frekuensi kekambuhan lebih kecil dan prognosis lebih baik.
Pengembangan Adobe Flash Sebagai Media Pembelajaran Teorema Pythagoras Di Sekolah Menengah Pertama Negeri Soleha, Reni; Mariani, Rina
Jurnal of Math Tadris Vol 3 No 1 (2023): Journal of Math Tadris (jMt)
Publisher : Mathematic Education Departement, State Islamic University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55099/jmt.v3i1.66

Abstract

Abstract This development research aims to determine the results of the development of Adobe Flash as a medium for learning the Pythagorean theorem for class VIII SMP. The product resulting from this research is in the form of learning media on Pythagorean theorem material with several sub-discussions, namely using the Pythagorean theorem to calculate the length of one side of a triangle if the other two sides are known, calculating the ratio of sides in a right triangle with angles of 300 and 600, and calculating the ratio of the sides of a right triangle with an angle of 450. The development model used in this study refers to the model developed by Sivasailam Thiagarajan, Dorothy S. Semmel, and Melvyn I. Semmel in 1974, namely the 4D model. This model consists of four stages of development namely define, design, develop, and disseminate or abbreviated as 4D. The results of this development research were obtained as follows: First, the validation stage by 3 expert validators covering aspects of programming, content (material), and display obtained an average expert validation result of 4.19 indicating that learning media (products) are in the "valid" category. ”. Second, the trial phase is limited to students' responses to learning media and an average result of 89.167% is obtained which indicates that the learning media (product) is in the "very good" category. Third, the field test stage on average students gave a response of 87% indicating that the learning media (product) was in the "very good" category. The average pre-test result was 76.25 while the post-test average result was 86.27. There is a significant difference between the average results of the pre-test and post-test data. This result is reinforced by the results of the calculation of the related sample t-test with SPSS 16 software, the value of Sig. (2-tailed) = 0.000 < 0.05 = ????. Based on the results obtained from the stages that have been taken, it shows that the use of product development is "effective" in learning mathematics on the Pythagorean theorem material for class VIII students at SMPN 2 Labuapi