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All Journal Jurnal Delima Harapan JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Nursing and Health Sciences (IJNHS) Jurnal Keperawatan Duta Medika Proceeding of International Conference Health, Science And Technology (ICOHETECH) Jurnal Keperawatan Jurnal Pengabdian Kepada Masyarakat Citra Delima

Endrat Kartiko Utomo

Universitas Duta Bangsa Surakarta

Author-ID : 3864522

Computer Science & IT Decision Sciences, Operations Research & Management Health Professions Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Veterinary

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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

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.

FAKTOR – FAKTOR PENYEBAB RENDAHNYA AKSEPTOR ALAT KONTRASEPSI DALAM RAHIM DI BPM SUCI PAIMIN KECAMATAN BENDOSARI KABUPATEN SUKOHARJO Endrat Kartiko Utomo; Wahyu Hidayati; Mursudarinah
Jurnal Keperawatan Duta Medika Vol. 1 No. 2 (2021): JKDM - Jurnal Keperawatan Duta Medika
Publisher : Universitas Duta Bangsa Surakarta

Introduction: The rationale for the birth of family planning in Indonesia is the population problem. The important aspects of population are the size of the population, the number of population growth, the number of deaths, and the number of population movements. Based on data from the Central Java Province BKKBN, the number of IUD KB participants in 2014 was 472,217. Objective: to describe the factors causing the low acceptors of intrauterine devices at BPM Suci Paimin, Bendosari District, Sukoharjo Regency. Method: This research method uses a single variable with a non-probability sampling technique, namely accidental sampling. Family planning acceptors at BPM Suci Paimin, Toriyo Village, Bendosari District, Sukoharjo Regency, were 57 respondents. The measuring instrument used is a questionnaire. Results: This study found that the factors that caused the low acceptors of intrauterine devices were elementary education at 42.1%, environmental factors did not support it at 86.0%, and husband's support 100% husband did not support or approve. Conclusion: The factors causing the low acceptors of intrauterine devices, the factor at BPM Suci Paimin, Bendosari District, Sukoharjo Regency, is the husband's most dominant support factor because 100% of husbands do not support or approve.

Gambaran Tekanan Darah dan Hemoglobin Pasien Gagal Ginjal Yang Menjalani Terapi Hemodialisis Endrat Kartiko Utomo; Erna Rochmawati
Jurnal Keperawatan Duta Medika Vol. 1 No. 1 (2021): Jurnal Keperawatan Duta Medika
Publisher : Universitas Duta Bangsa Surakarta

Introduction: Hypertension and anemia are included in the focus of care in chronic renal failure patientsundergoing hemodialysis. This is because the incidence of hypertension and anemia can aggravate kidneydisease and can cause difficulties in kidney patients undergoing hemodialysis.Objectives: This study aims to determine the blood pressure and hemoglobin levels of patients with chronickidney failure undergoing hemodialysis therapy.Methods: This research is a descriptive study, with a total sample of 48 patients using a side probabilitytechnique with a purposive sampling type and with inclusion criteria: patients aged 18-65 years, male andfemale, patients undergoing hemodialysis therapy for more than 3 months, the patient received hemodialysistherapy twice a week, and the patient was willing to be a respondent.Results: The mean blood pressure of chronic renal failure patients undergoing hemodialysis therapy was 162.5mmHg (systolic) and 88.5 mmHg (diastolic). Meanwhile, the average hemoglobin level of patients with chronicrenal failure undergoing hemodialysis therapy was 10 g/dl.Conclusions: The blood pressure of patients with chronic renal failure was categorized as hypertension and thepatient's hemoglobin level was still normal. With the results of this study, it is hoped that it will become areference or reference for health workers and researchers in formulating interventions for patients in thefuture

Depression in Woman Breast Cancer: Literature Review Endrat Kartiko Utomo; Totok Wahyudi; Sinta Dwi Anggraini; Sitti Rahma Soleman
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

Depression is psychological distress often occurred on cancer patient. Depression can increase perception pain, inhibits healing process, and also increases burden patient with cancer. Breast cancer can affect a woman’s self-image, it is considered a painful experience and may lead to psychological reactions such as depression. The purpose of this study was to review depressive condition in woman breast cancer in Indonesia. The search method for relevant article uses the database PubMed, Science Direct and Google Scholar using the keyword depression, breast cancer, woman Indonesia. Seven articles was included in the literature review. Age of woman with breast cancer in the selection range from 45 to 59 years. Based on the research objectives, there were seven studies that qualified for literature review and identified from seven studies found two types of articles that indicated a degree of major depression. Two types of articles indicate a moderate degree of depression. And three articles indicated a low depression level. Depressions in Indonesian woman still low. However, these results need to be confirmed at a later date to improve evidence-based nursing and need to research in the future, which based on the stage levels of breast cancer.

Integrated Management Chilhood Illness (IMCI) in Primary Health Care: Literature Review Totok Wahyudi; Endrat Kartiko Utomo; Fakhrudin Nasrul Sani; Susi Lastianingsih; Panji Azali; Diva Agustinaningrum
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

Children death toll throughout the country in 2011 reaching 6.9 million, recorded 1900 deaths of children in a day and 800 deaths of children per hour. About 80% of deaths occur children in developing countries. The efforts of the World Health Organization (WHO) and the Ministry of health Indonesia (Health Department Indonesia) to lower mortality and pain globally is to introduce the Sick Child Initiative (SCI) or Integrated Management Of Childhood Illness (IMCI), namely the decision-making steps in managing childhood illness. In an attempt to increase the scope of discovery and enhances the life-threatening disease system on children, the Department of health has implemented an Integrated Management Childhood Illness (IMCI) in primary health care units. The study of this literature review to identify and explore the role of nurse practitioners so as to improve readiness in the integrated management childhood illness (IMCI). Literature search conducted by doing searches journals from both the international and national journals. Searches performed through two electronic data base i.e. PubMed and Google Scholar with the use of the key word are IMCI*, integrated management childhood illness, Primary Health care, MTBS*, puskesmas, management terpadu balita sakit. Respondents used in the journal obtained is a nurse, children and parents of children. There is no specific data that describes the role, competence, training and level of education owned integrated management method in nursing a toddler sick (IMCI, Of all the articles showed that the role of the nurse in the readiness of implementing integrated management childhood illness (IMCI) in primary health care is already quite active views of the IMCI followed training and work experience having before. Based on the above discussion of ten literature obtained that implementation of the IMCI at any primary health care in each country mainly in Indonesia still do not meet the standards in the granting of health services on a children sick

Non pharmacological therapy for anxiety of a child with cancer During chemotherapy : Literatur Review Totok Wahyudi; Endrat Kartiko Utomo; Annisa Yuli Kartikasari; Dessy Nourma Siska Savitri
Proceeding of International Conference on Science, Health, And Technology Proceeding of the 3rd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Anxiety in cancer patients is a psychological disorder caused because the patient faces uncertainty, worry about the effects of cancer treatment, and fear of the development of cancer resulting in death. A child's response to anxiety is varied, influenced by various factors such as the child's developmental age, gender, length of treatment, and previous experiences of pain. Non-pharmacological therapy is a treatment therapy without the use of drugs. Non-pharmacological therapy has significant benefits for reducing a wide range of side effects of chemotherapy including, anemia, thrombocytopenia, leucopenia, nausea, vomiting, alopecia, stomatitis, reactionallergy, neurotoxic, and extravasation. The main focus of this review literature is nonpharmacological therapy for anxiety of children with cancer During chemotherapy. To optimize this interpretation, researchers used the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guide. From the Google Scholar database found a number of journals a total of 20 results, PubMed found 10, Science Direct 22. Then, the literature is screened whether it is in accordance with the inclusion criteria that have been set in this study. At the final stage only five journals were used for the synthesis process. All five articles are of such good quality that no one is eliminated from the critical appraisal process. Non-pharmacological therapies have significant benefits for reducing various side effects of chemotherapy including anemia, thrombocytopenia, leukopenia, nausea, vomiting, alopecia, stomatitis, allergic reactions, neurotoxicity, and extravasation. Various interventions such as music, autogenic exercises, mindfullnes programs, virtual reality, guided imagery and progressive muscle exercises are considered necessary to be applied in Indonesia.

Quality of Life of Chronic Renal Failure Patients Undergoing Hemodialysis Therapy Endrat Kartiko Utomo; Totok Wahyudi
Proceeding of International Conference on Science, Health, And Technology Proceeding of the 3rd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Background: Changes in lifestyle associated with the complex treatment of hemodialysis, which ultimately affects the mental or psychological and social of the patient. Changes in physical, psychological functioning, lack of mobility, work problems, unemployment in activities, fatigue and fear of future challenges are problems faced by people with chronic renal failure undergoing hemodialysis therapy. Objective: To determine the quality of life in chronic renal failure patients undergoing hemodialysis therapy. Method: Type of descriptive research using Analytical Survey with a total sample of 53 respondents taken with purposive sampling techniques and quality of life instruments measured with KDQOL-SF 3.6. Results: Average quality of life symptom/problem list 66.90, effect kidney disease 65.68, burden kidney disease 50.47, SF-12 Physical Health 40.69, and SF-12 Mental Health 50.20. Conclusion: The role of families and hospitals is able to improve and maintain the quality of life of chronic renal failure patients undergoing hemodialysis therapy.

Intervensi Keperawatan dalam Menurunkan Gangguan Citra Tubuh pada Pasien Kanker Payudara: Literature Review Endrat Kartiko Utomo; Totok Wahyudi; Sitti Rahma Soleman; Livana PH
Jurnal Keperawatan Vol 14 No S2 (2022): Jurnal Keperawatan: Supp Juni 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.691 KB)

Perubahan fisik pada pasien kanker payudara yang akan mempengaruhi konsep diri seseorang, salah satunya adalah citra tubuh. Ancaman terhadap citra tubuh sering disertai dengan perasaan malu. Pasien kanker payudara memiliki banyak pengalaman yang menyebabkan gangguan fisik, psikologis, sosial dari efek penyakit dan pengobatan. Tujuan dari tinjauan ini adalah untuk mereview hasil penelitian yang berhubungan dengan intervensi apa yang dapat diterapkan untuk meningkatkan citra tubuh pada pasien kankaer payudara. Metode pencarian artikel yang relevan menggunakan database PubMed, Science Direct dan Google Scholar dengan kata kunci: "intervention", "body images", "breast cancer", "chemotherapy". Pencarian literatur dari 2018 hingga 1 Januari 2022 dan analisis literatur menggunakan pedoman PRISMA dan penilaian kelayakan menggunakan penilaian JBI Critical. Tujuh artikel dimasukkan dalam tinjauan literatur. Studi ini menemukan bahwa memberikan Intervensi keperawatan, perawatan kecantikan, pendinginan kulit kepala, Latihan ketahanan dan latihan aerobik, Struktur latihan menulis online dan pendidikan kesehatan online. Intervensi keperawatan, perawatan kecantikan, pendinginan kulit kepala, Latihan ketahanan dan latihan aerobik, Struktur latihan menulis online dan pendidikan kesehatan online dapat meningkatkan citra tubuh pasien kanker payudara.

Masalah Psikologis Remaja Akibat Pandemi Covid-19: Literature Review Sitti Rahma Soleman; Endrat Kartiko Utomo; Lailya Khusna; Noviana Ayu Ardika
Jurnal Keperawatan Vol 14 No 4 (2022): Jurnal Keperawatan: Supp Desember 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.782 KB)

Risiko peningkatan masalah psikologis usia remaja, seperti gangguan jiwa, depresi, stress, cemas dan trauma, merupakan akibat dari kegiatan pembatasan sosial yang bahkan hingga karantina pada masa pandemi Covid-19. Jenis penelitian adalah deskriptif kualitatif, menggunakan metode systematic literature review (SLR), dengan analisis isi atau narrative review, untuk mengetahui dan menganalisis topik terkait masalah psikologis remaja akibat pandemi Covid-19. Data yang di gunakan merupakan hasil pencarian pada database publikasi ilmiah PubMed, Sciencedirect, Proquest dan Springlink. Menggunakan keyword “masalah psikologis remaja dan Covid-19”. Sebanyak 10 artikel didapatkan melalui proses seleksi dari 79 artikel. Hasil penelitian menunjukkan bahwa adanya kejadian pandemi Covid-19, menyebabkan peningkatan masalah psikososial bahkan menimbulkan gangguan psikologis seperti depresi, stress, kecemasan, trauma pada anak remaja, proses lockdown dan karantina pemicu utama masalah psikologis di masa pandemi Covid-19. Disimpulkan bahwa pandemi Covid-19 menimbulkan masalah psikologis hingga gangguan kejiwaan bagi masayarakat, terkhusus usia remaja. Diharapkan kepada penyedia pelayanan kesehatan agar menyediakan pelayanan psikologi dan kejiwaan yang lebih berkualitas, di masa pandemi Covid-19 bahkan pasca pandemi Covid-19.

Pengaruh Terapi Pijat Refleksi Kaki terhadap Tekanan Darah pada Penderita Hipertensi Charulia Nur Arifah; Fakhrudin Nasrul Sani; Dwi Lestari Mukti Palupi; Endrat Kartiko Utomo
Jurnal Penelitian Perawat Profesional Vol 6 No 2 (2024): April 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i2.2191

Hipertensi adalah suatau keadaan kronis yang ditandai dengan meningkatnya tekanan darah pada dinding pembukuh darah arteri. Pijat refleksi kaki merupakan salah satu terapi nonfarmakologi yang dapat menurunkan tekanan darah karena merupakan salah satu metode relaksasi yang membuat sirkulasi darah didalam tubun menjadi lancar. Tujuan untuk mengetahui pengaruh terapi pijat refleksi kaki terhadap tekanan darah pada penderita hipertensi. penelitian ini merupakan jenis penelitian kuantitatif menggunakan desain quasi experimental dengan pendekatan nonrandomized pretest-postest with control group design. Teknik pengambilan sempel menggunakan teknik purposive sampling. Berdasarkan penelitian tekanan darah sistolik menggunakan Uji Mann Whitney Test dengan nilai P Value 0,000 (P value < 0,005), hasil tersebut menunjukkan bahwa Ha diterima dan H0 ditolak yang berarti bahwa tekanan darah sistolik ada perbedaan pengaruh antara kelompok perlakuan dan kelompok kontrol terhadap tekanan darah sistolik penderita hipertensi. Tekanan darah diastolik dengan nilai P Value 0,001 (P < 0,005), hasil tersebut menunjukkan bahwa Ha diterima dan H0 ditolak yang berarti bahwa tekanan darah diastolik ada perbedaan pengaruh antara kelompok perlakuan dan kelompok kontrol terhadap tekanan darah sistolik penderita hipertensi. Berdasarkan hasil penelitian terdapat pengaruh pemberian pijat refleksi kaki terhadap tekanan darah pada penderita hipertensi.

Co-Authors Ady Irawan AM Agung Widyastuti Aknes Galih Sumirat Annisa Yuli Kartikasari Aris Prio Agus Santoso Charulia Nur Arifah Dessy Nourma Siska Savitri Diva Agustinaningrum Dwi Lestari Mukti Palupi Erna Rochmawati, Erna Fakhrudin Nasrul Sani Lailya Khusna Livana PH Mursudarinah Mursudarinah Musta'in Musta'in Muzaroah Ermawati Ulkhasanan Noviana Ayu Ardika Panji Azali Sinta Dwi Anggraini Sitti Rahma Soleman Susi Lastianingsih Totok Wahyudi Wahyu Hidayati

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