Keksi Girindra Swasti
Fakultas Kedokteran dan Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman Purwokerto

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PERBEDAAN KECEMASAN KELUARGA PASIEN GANGGUAN JIWA SAAT PASIEN RAWAT INAP DAN MENJELANG PULANG DI RSUD BANYUMAS Komara, Gun Adi; Swasti, Keksi Girindra; Ekowati, Wahyu
Jurnal Keperawatan Widya Gantari Indonesia Vol 2, No 2 (2015): Jurnal Keperawatan Widya Gantari Indonesia
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (388.02 KB)

Abstract

Latar belakang: Gangguan jiwa merupakan penyakit mental dimana keluarga memiliki peranan yang besar pada proses penyembuhan. Namun ketika pasien melakukan perawatan, keluarga dapat mengalami masalah seperti kecemasan. Kecemasan terjadi pada keluarga saat pasien menjalani rawat inap dan saat pasien menjelang pulang dari Instalasi Pelayanan Kesehatan Jiwa Terpadu.  Tujuan: Penelitian ini bertujuan untuk mengidentifikasi perbedaan skor kecemasan keluarga saat pasien gangguan jiwa menjalani rawat inap dengan saat pasien menjelang pulang dari Instalasi Pelayanan Kesehatan Jiwa Terpadu. Metode: Penelitian ini menggunakan rancangan cross sectional. Pengambilan sampel menggunakan consecutive sampling dalam periode 30 Maret-30 April 2015 di RSUD Banyumas dan diperoleh 32 keluarga. Instrumen penelitian ini menggunakan kuesioner HARS yang telah dimodifikasi. Analisis data menggunakan uji t berpasangan. Hasil: Rerata skor kecemasan keluarga saat pasien menjalani rawat inap adalah 20, sedangkan rerata skor kecemasan keluarga saat pasien menjelang pulang adalah 15,18. Hasil uji t berpasangan antara skor kecemasan keluarga saat pasien menjalani rawat inap dan menjelang pulang diperoleh nilai p=0,000 (p < 0,05).   Kesimpulan: Ada perbedaan skor kecemasan keluarga pasien gangguan jiwa, dimana skor kecemasan keluarga saat pasien gangguan jiwa menjalani rawat inap lebih besar dibandingkan dengan skor kecemasan keluarga saat pasien menjelang pulang dari Instalasi Pelayanan Kesehatan Jiwa Terpadu.
Pengetahuan, Persepsi dan Sikap Perawat RSUD Arjawinangun tentang Asuhan Keperawatan Spiritual Sutrisno, Niko; Swasti, Keksi Girindra; Mulyono, Wastu Adi
Journal of Bionursing Vol 1, No 1 (2019)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.357 KB) | DOI: 10.20884/bion.v1i1.18

Abstract

Background. Nursing considers humans as complex creatures which different one from another. They consist of biological, social, cultural, psychological and spiritual dimensions. However, the provision of spiritual care is not optimally delivered.Objective. This study was to describe nurses' knowledge, perceptions, and attitudes about spiritual careMethod. An observational study with cross sectional approach was conducted. Totally, 248 nurses worked in RSUD Arjawinangun Cirebon were invited to contribute in the study. The sample was collected by total sampling technique. Self-respon questioners were utilized, included knowledge, SSCRS and attitude scales. Univariate analyses were applied to describe the data.Results. Mosts of respondents indicated 10 years work experience. The education background varied from Diploma to Post-graduate, but the majority was Diploma 3 yrs. Female nurses dominated the sample with age ranged between 25 and 56 years old, but ages 26-35 dominatee the sample. Median scores of knowledge, perceptions and attitudes after being converted into 0-100 scale, all around 64.Conclusion. Scores of knowledge, perceptions and attitudes of Arjawinangun Hospital  nurses about spiritual care were in  mediocre levels.
PERBEDAAN KECEMASAN KELUARGA PASIEN GANGGUAN JIWA SAAT PASIEN RAWAT INAP DAN MENJELANG PULANG DI RSUD BANYUMAS Komara, Gun Adi; Swasti, Keksi Girindra; Ekowati, Wahyu
Jurnal Keperawatan Widya Gantari Indonesia Vol 2, No 2 (2015): Jurnal Keperawatan Widya Gantari Indonesia
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52020/jkwgi.v2i2.855

Abstract

Latar belakang: Gangguan jiwa merupakan penyakit mental dimana keluarga memiliki peranan yang besar pada proses penyembuhan. Namun ketika pasien melakukan perawatan, keluarga dapat mengalami masalah seperti kecemasan. Kecemasan terjadi pada keluarga saat pasien menjalani rawat inap dan saat pasien menjelang pulang dari Instalasi Pelayanan Kesehatan Jiwa Terpadu.  Tujuan: Penelitian ini bertujuan untuk mengidentifikasi perbedaan skor kecemasan keluarga saat pasien gangguan jiwa menjalani rawat inap dengan saat pasien menjelang pulang dari Instalasi Pelayanan Kesehatan Jiwa Terpadu. Metode: Penelitian ini menggunakan rancangan cross sectional. Pengambilan sampel menggunakan consecutive sampling dalam periode 30 Maret-30 April 2015 di RSUD Banyumas dan diperoleh 32 keluarga. Instrumen penelitian ini menggunakan kuesioner HARS yang telah dimodifikasi. Analisis data menggunakan uji t berpasangan. Hasil: Rerata skor kecemasan keluarga saat pasien menjalani rawat inap adalah 20, sedangkan rerata skor kecemasan keluarga saat pasien menjelang pulang adalah 15,18. Hasil uji t berpasangan antara skor kecemasan keluarga saat pasien menjalani rawat inap dan menjelang pulang diperoleh nilai p=0,000 (p < 0,05).   Kesimpulan: Ada perbedaan skor kecemasan keluarga pasien gangguan jiwa, dimana skor kecemasan keluarga saat pasien gangguan jiwa menjalani rawat inap lebih besar dibandingkan dengan skor kecemasan keluarga saat pasien menjelang pulang dari Instalasi Pelayanan Kesehatan Jiwa Terpadu.
Faktor-Faktor yang Mempengaruhi Burnout pada Wanita Bekerja di Kabupaten Banyumas Swasti, Keksi Girindra; Ekowati, Wahyu; Rahmawati, Eni
Jurnal Keperawatan Soedirman Vol 12, No 3 (2017)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2017.12.3.738

Abstract

The globalization era has given many changes in some aspects of life such as women participation in work field. There are women can perform their potential ability in doing their work. The effects of doing their role, women oftentimes feel weary not only physical but also mental and emotional therefore it can influence their work performance and personal life. This condition is called by “burnout”. Burnout is influenced by individual, environment and cultural factor. Based on that problem, the researcher is interested to find out some factors that influence burnout for working women in Banyumas Regency. This research is quantitative by descriptive analysis design and the sample is chosen by simple random sampling. The relationship between characteristic of respondent demography and burn out was analyzed by Chi-Square and Sommers d test. The result of analysis are 55% respond are mild burnout and 42,5% are moderate burnout. Level of education, kind of work, amount of income and work duration are some factors that influence burnout for working women in Banyumas Regency. Based on that fact, it is needed some efforts to prevent sustainable burnout.
Hubungan Sikap dan Posisi Kerja dengan Low Back Pain pada Perawat Di RSUD Purbalingga Fatoni, Himawan; Handoyo,; Swasti, Keksi Girindra
Jurnal Keperawatan Soedirman Vol. 04 No. 3 (2009)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2009.4.3.242

Abstract

Low back pain is one of musculoskeletal disorder that is caused by inappropriate body activity. Several factors that contribute towards low back pain are age, obesity, body mass index and pregnancy. However, the most contributing factor toward low back pain is inappropriate position during activity. Some nurses’ activities also have potentially risk towards low back pain for example during lifting their patients and performing activity at operation room The purpose of this research is to show whether the correlation of job posture and position with low back pain by the nurses of Regional Hospital of Purbalingga The research was descriptive analysis with cross sectional approach. Of 32 respondents fulfilling inclusion criteria were chosen through purposive sampling method. The variable of the research was job posture and position as the independent variable and low back pain as dependent one. The research instrument was Ovako Working Posture Analysis System (OWAS) for testing job posture and position, meanwhile laseque test was tool for testing low back pain. Chi Square statistic test was used to show the correlation of job posture and position with low back pain. The result shows that 10 respondents have job posture and position that was possible for causing musculoskeletal injuries and 6 respondents were suffering low back pain. Chi Square statistic test results ?2count = 1,208, the value was lower than ?2table for ? = 0.05 which is 3.841, thus it was concluded that there was not correlation between job posture and position with low back pain. There was not correlation between job posture and position with low back pain suffered by the nurses of Regional Hospital of Purbalingga
Hubungan Tingkat Pengetahuan Kesehatan Reproduksi terhadap Perilaku Seksual Remaja pada Siswa SMA di Kecamatan Baturraden dan Purwokerto Wijayanti, Rahayu; Swasti, Keksi Girindra; Rahayu, Eva
Jurnal Keperawatan Soedirman Vol. 02 No. 2 (2007)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2007.2.2.124

Abstract

The adolescent’s reproduction health is a trend issue in their community and it becomes one of primary project of “BKKBN”. If Adolescence doesn’t get right and proper information, they will fall on into negative side from it, such as: free sex, unwanted pregnancy, abortion, and suffer from HIV/AIDS. The purpose of this study was to know the relation between knowledge of adolescent’s reproduction health toward adolescent’s sexual behavior in student of senior high school around sub district Purwokerto and Baturaden. The population’s research was students of six senior high school in sub district Purwokerto and Baturaden. The sample’s research was taken from 367 students according inclusive criteria. Data analysis method uses the distribution frequency and Perason Correlation’s Statistic test. Result of research: Respondents who have good knowledge category about adolescent’s reproduction health is 86, 7%, Respondents who have enough knowledge category is 12%, and Respondents who have least knowledge category 0, 8%. While, the result of grade sexual behavior: Respondents who have good sexual behavior category is 72, 8%, Respondents who have enough sexual behavior category is 24, 2% and Respondents who have least sexual behavior category is 2, 7%. The obtained result of statistic test using Pearson Correlation is r=0,179, p=0,001. It’s indicated that there is a meaningful relation between knowledge of adolescent’s reproduction health and adolescent’s sexual behavior
Penurunan Ansietas Dalam Menghadapi Ujian Nasional Pada Siswa Kelas XII SMAN X Melalui Pemberian Terapi Suportif Swasti, Keksi Girindra; Helena C.D., Novy; Pujasari, Hening
Jurnal Keperawatan Soedirman Vol. 08 No. 2 (2013)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2013.8.2.479

Abstract

Penelitian bertujuan menjelaskan pengaruh terapi suportif terhadap ansietas siswa dalam menghadapi UN. Menggunakan desain quasi experiment pre-post test with control group. 82 sampel dipilih secara purposive sampling. Instrumen berupa kuesioner data demografi dan pengukuran skala ansietas yang valid dan reliabel. Analisis data menggunakan independent ttest, dependent t-test dan regresi linier ganda. Hasil menunjukkan penurunan ansietas pada kedua kelompok (p-value 0,000 < α 0,025) dengan selisih score ansietas kelompok intervensi (0,821) dan kelompok kontrol (0,454). Penurunan ansietas dipengaruhi oleh terapi suportif, jenis kelamin dan penghasilan orang tua, dengan peluang perubahan 27,9%. Terapi direkomendasikan untuk mengatasi ansietas pada siswa yang menghadapi UN.
Eksplorasi Perasaan Ibu yang Mengalami Stres Pasca Abortus Spontan di RSUD Cilacap Ningtyas, Ratna; Nani, Desiyani; Swasti, Keksi Girindra
Jurnal Keperawatan Soedirman Vol. 05 No. 3 (2010)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2010.5.3.309

Abstract

Pregnancy was a natural condition which was desired by a women, but sometimes the problem of pregnancy occurred unpredictable, such as spontaneous abortion. Women who got spontaneous abortion tends to have high risk psycological nuisance after abortion, which is stress after abortion. This research aimed to explore of mother�s feeling and the factors that caused to stress spontaneous after abortion at regional hospital of Cilacap regency. The method used on this research was qualitative descriptive. The research was done at four districts of reginal hospital in Cilacap regency working area. The districts were Gunung Sumping Gumilir, Jeruk Legi, and Donan. There were five persons as the participants who got stressed after spontaneous abortion. The result of the research showed that the factor of age could cause tostress because the old age was so much harder and at risk to have child. Factors caused to spontaneous abortion on mother after abortion was the cause to pregnancy traume and cause to pathologist of mother�s uterus. The low economic level could cause to stress. Someone whose the economic status was low, could support them to get harder stressed.so much easily. The factor of pregnancy status could cause to stress, abortion of the first baby made women see the importance of pregnancy status to become a mother. So that, abortion of the first child was very special looses. The factor of pregnancy age could cause to stress toward the pregnancy age that was so much higher if they got spontaneous abortion caused to stress spontaneous after abortion. The age that was getting older, things caused to abortion, low economic level, the pregnancy status of the first child, and the pregnancy period could cause to make stress on women of spontaneous after abortion at regional hospital in Cilacap regency working area.
Hubungan Kemampuan Sosialisasi dengan Keterbukaan Diri Siswa Kelas VIII Saputri, Lintang Dewi; Triyanto, Endang; Swasti, Keksi Girindra
Jurnal Keperawatan Soedirman Vol. 07 No. 1 (2012)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2012.7.1.342

Abstract

The socialization ability is a person�s ability when interacting with others people the community. In times of social change, students seeking self-identity. In search of identity is they must have the socialization ability to open their self. The purpose of this reasearch is to identify relationship the ability with self disclosure in students class VIII at SMP Giripuro Sumpiuh. This was quantitative non-experimental method with crossectional approach reasearch. The population was 121 student class VIII at SMP Giripuro Sumpiuh, then the responden is 55 students were selected as sample choosen by purposive sampling. The data analysis used Chi square. Chi square test show that 39 students (70.9%) have good socialization ability, 28 students are good socialization skills but keterbukaan diri enough. While students who have less social skills were 7 students (12.7%), two student self disclosure is high. The results of statistical analysis Chi square test obtained that there is a significant�s relationship between the ability to socialize with student�s self disclosure. There was significant relation between the socialization ability and self disclosure in VIII class students at SMP Giripuro Sumpiuh.
Faktor-faktor yang Mempengaruh SIndrom Pre-Menopuuse di Desa Senon, Kecamatan Kemangkon, Kabupaten Purbalingga Sejati, Waluyo; Handoyo,; Swasti, Keksi Girindra
Jurnal Keperawatan Soedirman Vol. 03 No. 1 (2008)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2008.3.1.160

Abstract

Premenopause syndrom is the period 4-5 years before menopause. Study was held in Holland show that the woman in 42-62 years old are 17% have hot flushing complaint, and 40% have a bad menstrual cycle. This condition will increase until 60% when 1-2 years before menopause. The aim of this study is to know the influences of physical factors, psyche factors, habit factors, and knowledge factors and also a dominant influence factor to the premenopause syndrom in Senon, Kemangkon, Purbalingga. This is analysis study that use corelation study (χ2 analysis) and continued with logistic regretion analysis. The subjects of this study are 30 respondents who included in inclusion criterias. From 30 respondents, there are 23 respondents who have premenopause syndrom, 22 respondents who have physical factors, 13 respondents who have psyche factors, 15 respondents who have habit factors, and eight respondents have a good knowledge about premenopause syndrom. From four factors, there are three factors (physical factors, psyche factors and knowledge factors) that have significant influences to the premenopause syndrom, with significant value for each factors are p<0,0001; p<0,038 dan p<0,025. Habit factors not give a significant influence to the premenopause syndrom (p<0,084). Based on logistic regretion analysis, we know that there is no dominant influence factor to the premenopause syndrom in Senon, Kemangkon, Purbalingga. Physical factors, psychological factors and knowledge factors have significant influences to the premenopause syndrom. However, habitual factors did not give a significant influence to the premenopause syndrom. There is no dominant influence factor to the premenopause syndrom at Senon, Kemangkon, Purbalingga