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ANALISIS YURIDIS TINDAKAN INVASIF OLEH PERAWAT PADA PRAKTIK KEPERAWATAN MANDIRI ARIS PRIO AGUS SANTOSO; Musta'in Musta'in; Endrat Kartiko Utomo; Aknes Galih Sumirat
Jurnal Delima Harapan Vol 9 No 1 (2022)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v9i1.149

Abstract

Pasal 1 Permenkes No. 290/Menkes/Per/III/2008 menyebutkan bahwa tindakan invasif adalah suatu tindakan medis yang diakui sebagai kewenangan dari dokter. Fakta di lapangan masih terdapat perawat yang melakukan tindakan invasif tanpa adanya pengawasan dari dokter, padahal kewenangan melaksanakan tindakan medis hanya diperoleh apabila ada pelimpahan wewenang dari dokter. Di sinilah terjadi terjadinya tumpang tindih mengenai tugas dan wewenang perawat yang melakukan tindakan invasif pada praktik keperawatan mandiri. Perumusan masalah dalam penelitian ini adalah mengetahui kewenangan dan perlindungan hukum bagi perawat yang melakukan tindakan invasif pada praktik mandiri. Metode penelitian ini menggunakan pendekatan yuridis normatif-sosiologis dengan pengumpulan data primer dan sekunder. Data primer diperoleh dari kajian kepustakaan dan juga perundang-undangan atau statuta aproach, dan data sekunder diperoleh dengan teknik purposive sampling. Tipe desain dalam penelitian ini adalah Descriptive Design. Data yang diperoleh selanjutnya dianalisis secara kualitatif. Hasil penelitian menunjukan bahwa perawat yang telah memiliki ijazah profesi, SIPP dan juga sertifikat kompetensi memiliki kewenangan melakukan tindakan invasif. Kewenangan yang lahir merupakan keadaan overmacht sehingga menimbulkan kewenangan atributif dari hukum perikatan. Kewenangan tersebut diperbolehkan selama dilakukan sesuai dengan Standar. Perlindungan hukum diberikan kepada perawat secara preventif yakni dengan melakukan pembinaan dan pengawasan oleh dinas kesehatan dan juga organisasi profesi PPNI meskipun belum ada Peraturan Daerah yang mengatur tentang tindakan tersebut.
The Effect of Diet Hypertension on the Event of Hypertension in the Elderly Musta'in Musta'in; Carlos Filipe da Costa Nunes; Tri Yuniarti; Lestari Eko Darwati
Proceedings of the International Conference on Nursing and Health Sciences Vol 3 No 1 (2022): January-June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v3i1.1135

Abstract

Hypertension diet is one way to treat hypertension without serious effects, because of its natural control method. It's just that many people consider a hypertension diet to be troublesome and unpleasant (Purwati, 1997). Hypertension is a condition where the systolic blood pressure exceeds 140 mmHg and diastolic exceeds 90 mmHg, the normal number of blood pressure is systolic pressure 120 mmHg and diastolic 80 mmHg occurs at the age < 60 years. In the elderly population, hypertension is defined as a systolic pressure of 160 mmHg and a diastolic pressure of 90 mmHg. Currently, the mortality rate due to hypertension in Indonesia is very high. The prevalence rate of hypertension in Indonesia based on riskesdas (basic health research) 2018 reached 34.1 percent of the population. Hypertension is divided into 2, namely essential hypertension and secondary hypertension. The cause of hypertension in the elderly is due to changes in the valve; the heart valves thicken and become stiff, the heart's ability to pump blood decreases by 1% every year after the age of 20, so contractions and volume also decrease. Clinical manifestations of hypertensive patients include: Complaining of headache, dizziness, weakness, fatigue, restlessness, nausea and vomiting, epistaxis, decreased consciousness. Supporting examinations for hypertension include: laboratory examination, CT Scan, ECG, IUP, and chest photo. The purpose of this study was to determine the effect of dietary hypertension on the incidence of hypertension in the elderly in Manang Village, Grogol District, Sukoharjo Regency. This study used a cross-sectional study design. The sample of this study amounted to 30 elderly people. The instrument of this study used a questionnaire and measurement of hypertension using a sphygmomanometer and a stethoscope. The analytical method used is Person Chisquare. with a p value of 0.001 p < 0.05, with a Prevalence Ratio (PR) of 8.250. there is a significant effect between diet hypertension and The incidence of hypertension in the elderly in Manang Village, Grogol District, Sukoharjo Regency. where a good hypertension diet increased 8,250 times the bad hypertension diet compared to hypertension.
Modern Wound Treatment with Moist Wound Healing Effective for Healing Diabetic Ulcus Ikrima Rahmasari; Fabiola Francisca Martins; Musta’an Musta’an; Iswanti Purwaningsih
Proceedings of the International Conference on Nursing and Health Sciences Vol 3 No 1 (2022): January-June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v3i1.1144

Abstract

Diabetes Mellitus is a metabolic disease that is chronic and requires ongoing medical care in a variety of ways that can reduce the risk of multi-factors beyond glycemic control. Uncontrolled diabetes mellitus will cause an increase in complications, one of which is diabetic ulcers. Achieving better wound healing is the main goal of diabetic ulcer management. Moisturizing dressings can provide a supportive environment for cells to carry out the wound healing process and prevent further damage or trauma. This study was to determine the effect of modern dressing with moist healing on diabetic ulcers. This type of research is a quantitative research with a quasi-experimental research design with an accidental sampling approach. Data was collected using demographic data and the Wocare For Indonesian Nurses (WINNERS) Scale assessment sheet which is a modified Bates-Jasen score to predict and evaluate the average score of wound healing. WINNERS scale consists of 10 assessments. The results of the intervention that have been carried out have shown a significant improvement in diabetic ulcers as assessed using the Bates Jensen Wound Assessment Tools. Based on the results and discussion, it was concluded that there was a significant effect of modern wound care using the moist wound healing method on the healing process of diabetic ulcers.
GAMBARAN TINGKAT PENGETAHUAN REMAJA TENTANG KEHAMILAN TIDAK DIINGINKAN (UNWANTED PREGNANCY) PADA SISWA MADRASAH ALIYAH MUHAMADYAH 1 BOYOLALI Musta'in; Resita Aprilia Sandhi; Liss Dyah Dewi Arini
Jurnal Keperawatan Duta Medika Vol. 2 No. 1 (2022): Jurnal Keperawatan Duta Medika
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (886.683 KB) | DOI: 10.47701/dutamedika.v2i1.1961

Abstract

Introduction: Unwanted Pregnancy is a condition where the couple does not want the birth process of a pregnancy that can rob them of the pleasures of adolescence. Based on the preliminary study, it was found that 1 student experienced Unwanted Pregnancy, 18 (90%) students did not know about Unwanted Pregnancy, 2 students (10%) knew enough about Unwanted Pregnancy. Objectives: to find out the description of adolescent knowledge about Unwanted Pregnancy at Madrasah aliyah Muhamadyah 1 Boyolali. Methods: The research design is descriptive quantitative, the measuring instrument used is a questionnaire. The research sample was students of Madrasah Aliyah Muhamadyah 1 Boyolali. The sampling technique was proportional random sampling, obtained 68 students, the analysis used was univariate. Result: The level of knowledge of adolescents about Unwanted Pregnancy (Unwanted Pregnancy) respondents had good knowledge, namely 53 people (78%) followed by respondents who had sufficient knowledge, namely 12 people (18%) and respondents who had less knowledge, namely 3 people (4%). Conclusion: The majority of adolescents' knowledge about Unwanted Pregnancy is good. Teenagers are expected to always increase their knowledge about Unwanted Pregnancy so that Unwanted Pregnancy does not occur.
Factors Affecting Nurse Fatigue During Covid-19 Pandemi (Nurse Case Study in Surakarta) Musta’in; Dwi Lestari Mukti Palupi; Tri Yuniarti; Erna Kusumawati; Muchamad Syaichul Anam
Proceeding of International Conference on Science, Health, And Technology 2021: Proceeding of the 2nd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.082 KB) | DOI: 10.47701/icohetech.v1i1.1092

Abstract

Currently, cases of people who are indicated and confirmed exposed to Covid-19 have increased higher. One area that has experienced an increase in Covid-19 sufferers is Surakarta. This is a challenge for nurses to be at the forefront of emergency situations for Covid-19 patients. Nurses are part of health workers who are at great risk in efforts to help cure Covid-19 patients. It is feared that the additional duties will make nurses suffer from work. This study aims to see what factors affect the work of nurses in the city of Surakarta. This study uses a descriptive analytic method using primary data sources. Primary data collection was carried out directly by interviewing 30 nurses who worked in the Covid-19 health office in the Surakarta area. Analysis of the data used in this study using the rank spearman. Based on the research results it can be seen that. There is one variable that affects the work of nurses, namely age. This can be seen from the significance value of the variable which is smaller than the alpha value of 0.008. It is feared that the age of having a job with work stress is because older nurses will tire more easily while working, in contrast to younger nurses who usually have better body conditions. Working hours had no effect on the work rate of nurses during the Covid-19 pandemic. This is because nurses get additional working hours due to the return of the patient so that more nursing care must be provided than usual. Work demands also do not affect hard work, especially in this pandemic, although nurses also have to use personal protective equipment, because the workload does not increase the burden on nurses.
Status Gizi dan Kualitas Hidup Lansia Berpenyakit Kronis di Panti Wredha Surakarta Kania Shiva Berliana Putri; Musta'in Musta'in; Endrat Kartiko Utomo
Jurnal Siti Rufaidah Vol. 4 No. 3 (2026): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v4i3.369

Abstract

Background: The increase in the number of elderly people is followed by an increase in the incidence of chronic diseases that can affect food intake, nutritional status, functional ability, and quality of life. Elderly people with chronic diseases are at risk of impaired nutritional status, physical weakness, decreased independence, and limited daily activities. Research on the relationship between nutritional status and quality of life among elderly people with chronic diseases living in nursing homes is still limited. Therefore, a comprehensive assessment of nutritional status and quality of life is needed as a basis for efforts to improve their quality of life. Objective: To determine the relationship between nutritional status and quality of life among elderly people with chronic diseases at a nursing home in Surakarta. Methods: This study used a quantitative correlational analytic design with a cross-sectional approach. The sample consisted of 35 elderly people with chronic diseases selected using purposive sampling. Nutritional status was measured using the Mini Nutritional Assessment (MNA), while quality of life was measured using WHOQOL-OLD. Data were analyzed using univariate and bivariate analyses with the Chi-Square test. Results: The results showed that 12 respondents (34.3%) had normal nutritional status, 12 (34.3%) were at risk of malnutrition, and 11 (31.4%) were malnourished. Most respondents had poor quality of life, namely 19 people (54.3%), while 16 (45.7%) had good quality of life. The Chi-Square test showed a significant relationship between nutritional status and quality of life, with p = 0.001 (p < 0.05) and r = 0.619. Conclusion: Elderly people with better nutritional status tend to have better quality of life.
Efektivitas Relaksasi Otot Progresif Dalam Menurunkan Tekanan Darah Pada Lansia Penderita Hipertensi Di Desa Cemani Grogol Sukoharjo Natalia Francisca Ladjar Soares; Witriyani; Musta’in
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.1433

Abstract

Hipertensi merupakan salah satu penyakit tidak menular yangbanyak dialami oleh lansia dan sering disebut sebagai silent killer karena dapatberlangsung tanpa gejala yang jelas, namun berisiko menyebabkan komplikasiseperti penyakit jantung, stroke, dan gagal ginjal. Salah satu upayanonfarmakologis yang dapat dilakukan untuk membantu menurunkan tekanandarah adalah terapi relaksasi otot progresif. Terapi ini bekerja dengan memberikanefek relaksasi pada otot sehingga menurunkan aktivitas saraf simpatis,meningkatkan aktivitas saraf parasimpatis, dan membantu melebarkan pembuluhdarah sehingga tekanan darah dapat menurun. Tujuan : Mengetahui efektivitasrelaksasi otot progresif dalam menurunkan tekanan darah pada lansia penderitahipertensi di Desa Cemani, Kecamatan Grogol, Kabupaten Sukoharjo. Metode :Penelitian ini menggunakan metode kuantitatif dengan pendekatan pre-eksperimental menggunakan desain one group pretest-posttest. Sampel penelitianberjumlah 35 lansia penderita hipertensi yang dipilih menggunakan teknikpurposive sampling. Intervensi relaksasi otot progresif diberikan selama 2 minggudengan 6 kali pertemuan. Analisis data menggunakan uji Shapiro-Wilk dan PairedSample t-test. Hasil : Hasil penelitian menunjukkan bahwa rata-rata tekanan darahsistolik mengalami penurunan dari 154,06 mmHg menjadi 128,60 mmHg,sedangkan rata-rata tekanan darah diastolik menurun dari 91,77 mmHg menjadi75,09 mmHg. Hasil uji Paired Sample t-test menunjukkan nilai signifikansisebesar 0,001 (p&lt;0,05), sehingga terdapat perbedaan yang signifikan antaratekanan darah sebelum dan sesudah pemberian terapi relaksasi otot progresif.Kesimpulan : Terapi relaksasi otot progresif efektif dalam menurunkan tekanandarah pada lansia penderita hipertensi di Desa Cemani, Kecamatan Grogol,Kabupaten Sukoharjo. Terapi ini dapat dijadikan sebagai salah satu alternatif terapi nonfarmakologis yang mudah, aman, dan efektif dalam membantumengendalikan tekanan darah pada lansia.