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PREDIKTOR STRES KELUARGA AKIBAT ANGGOTA KELUARGANYA DIRAWAT DI GENERAL INTENSIVE CARE UNIT Farhan, Zahara; Ibrahim, Kusman; Sriati, Aat
Majalah Kedokteran Bandung Vol 46, No 3 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (661.235 KB)

Abstract

Terdapat anggota keluarga yang dirawat di ruang perawatan intensif merupakan situasi yang dapat memicu stres pada keluarga. Faktor yang dapat memicu stres pada keluarga meliputi, perubahan lingkungan, aturan ruangan perawatan, perubahan status emosi keluarga, perubahan peran keluarga, perubahan kehidupan sehari-hari, perubahan finansial, serta sikap petugas kesehatan dalam pemberian informasi tentang kondisi kesehatan pasien. Penelitian ini menggunakan rancangan potong lintang. Subjek penelitian sebanyak 60 orang yang mewakili keluarga saat anggota keluarganya sedang dirawat di General Intensive Care Unit (GICU) Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung periode Maret?Mei 2012. Teknik sampling yang digunakan pada penelitian ini yaitu purposive sampling. Instrumen untuk mengukur prediktor stres disusun berdasarkan kajian teori dan modifikasi instrumen baku family inventory live events, sedangkan instrumen untuk mengukur stres keluarga menggunakan Depression Anxiety Stress Scale 42. Data dianalisis menggunakan uji chi-kuadrat dan analisis regresi logistik. Hasil penelitian menunjukkan faktor perubahan lingkungan, aturan di ruang perawatan, perubahan status emosi, dan perubahan kehidupan sehari-hari memiliki hubungan yang bermakna dengan terjadinya stres (nilai p berturut-turut sebesar 0,01, 0,04, dan 0,03). Simpulan, tidak ada satu pun prediktor yang paling dominan di antara enam prediktor stres keluarga yang dapat memprediksi terjadinya stres. Diharapkan perawat mampu mendeteksi dini masalah psikologis keluarga di ruang intensif dan lebih mengoptimalkan tindakan supportive-educative dalam bentuk pemberian konseling kepada keluarga.Kata kunci: Keluarga, prediktor, stresPredictors of Stress in the Family whose Family Member was Treated in General Intensive Care Unit Hospitalization of family member in intensive care can be a trigger of stress in the family. Several factors which could create a stressful situation in a family are changes of environment, rules in the ward, changes of family emotional status, changes of family member roles, changes of daily activities, changes in financial situation and health care workers' attitude when giving information on patient?s health status. This study was a cross-sectional study. The number of subjects included in this study were 60 representing families whose member was hospitalized in the General Intensive Care Unit (GICU) of Dr. Hasan Sadikin General Hospital (RSHS) Bandung during the period of March to May 2012. The sampling technique used was purposive sampling. The instrument used to measure the stress predictors was developed based on theoretical review and modification of family inventory live events standard instrument. Meanwhile, the instrument used for measuring the family stress was the Depression Anxiety Stress Scale 42. Data were analyzed using chi-square test and logistic regression. The results of this study showed environmental changes, rules in the ward, emotional status changes and daily activity changes significantly corelated with stress (p value 0.01, 0.04 and 0.03, respectively). In conclusion, none of the 6 family predictors dominantly predicts stress. Nurses are expected to do early detection on psychological family problems in intensive care unit and optimize supportive-educative treatment in the form of counseling for family members.Key words: Family, predictors, stress DOI: 10.15395/mkb.v46n3.316
PEMBERDAYAAN MASYARAKAT DALAM PENANGANAN KEGAWATDARURATAN PADA KORBAN BENCANA ALAM DI KABUPATEN GARUT Farhan, Zahara; Ratnasari, Devi; Rilla, Eldessa Vava
Abdimas Galuh Vol 3, No 2 (2021): September 2021
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v3i2.6037

Abstract

Kegiatan penanganan bencana memerlukan adanya sinergitas antara semua pihak baik pemerintah, masyarakat maupun unsur lainnya. Mitra kegiatan ini adalah kader kesehatan dan karang taruna. Permasalahan mitra saat ini adalah; 1) kurangnya kemampuan masyarakat dalam memahami dan meningkatkan keterampilan penanggulangan korban bencana, dan 2) Pemahaman peran keluarga dalam menciptakan metode pengendalian diri agar tidak timbul depresi akibat bencana alam. Sasaran kegiatan ini adalah masyarakat Desa Mangkurakyat Kecamatan Cilawu Kabupaten Garut yang terdampak bencana alam banjir dan tanah longsor. Solusi yang ditawarkan untuk mengatasi permasalahan mitra antara lain; 1) meningkatnya pemahaman dan kemampuan masyarakat dalam melakukan tindakan penanganan kegawatdaruratan pada korban bencana alam, dan 2) meningkatnya pemahaman dan kemampuan masyarakat dalam menangani dampak psikologis akibat bencana alam. Metode pelaksanaan kegiatan ini dilakukan melalui pemberian penyuluhan dan pelatihan tentang penanganan kegawatdaruratan pada korban bencana alam yang dikemas dalam bentuk kegiatan pemberdayaan masyarakat. Kegiatan ini dilaksanakan selama 1 minggu pada bulan Desember 2020 kepada 50 orang peserta. Hasil dari kegiatan ini hampir seluruh peserta (82%) memiliki tingkat pengetahuan baik dan hampir seluruh peserta (94%) mampu melakukan penanganan kegawatdaruratan pada korban bencana alam setelah dilakukan kegiatan. Keberhasilan dari kegiatan ini dipengaruhi oleh kuatnya partisipasi masyarakat dalam pelaksanaan kegiatan, dimana tingginya masyarakat untuk ingin tahu terhadap informasi dan tingginya kemauan masyarakat untuk mengikuti kegiatan ini. Kegiatan pemberdayaan masyarakat ini mampu meningkatkan tingkat pengetahuan dan kemampuan masyarakat dalam menangani kegawatdaruratan pada korban bencana alam. Kegiatan pemberdayaan masyarakat ini dapat dijadikan salah satu alternatif untuk membantu pemerintah daerah dalam melaksanakan program penanggulangan bencana alam di Kabupaten Garut.
Faktor Predisposisi Masyarakat Tetap Tinggal Di Wilayah Resiko Tinggi Bencana Di Kabupaten Garut Zahara Farhan; Tantri Puspita; Devi Ratnasari; Cyntia Rianasari
Jurnal Surya Medika (JSM) Vol 6 No 1 (2020): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v6i1.1632

Abstract

Garut Regency is one of the areas that have the highest potential for disasters in West Java with the most frequent types of natural disasters, namely earthquakes, landslides, flash floods, and tsunamis. The impact of those disasters inflicts many casualties, infrastructure damage, loss of property, paralyzed life activities, and the emergence of various diseases. However, this does not affect the community to remain in high-risk areas due to several factors underlying the community to remain in the region such as; social factors, environmental factors, economic factors, and cultural factors. This study's aim was to find out the most dominant factors that motivate the community to remain in high-risk disaster areas in Garut Regency This study was used as a cross-sectional method with a sample of 120 families. The sampling technique was purposive sampling with logistic regression analysis. Spearman rank test results showed that social and economic factors were factors that have a community relationship still living in high-risk areas of disaster ( p values = 0.02 and 0.01, respectively), The logistic regression test results indicate that environmental factors were the most dominant factor for the community to remain living in a high-risk disaster area in Cibatu Sub-District, Garut Regency with a 2.265 Wald at a 95% significance level. Social factors were not proven to be the most dominant factors among the 4 other factors in the background of the community still living in high-risk areas of disaster in the District of Cibatu, Garut Regency.
Pengaruh Latihan Vokal terhadap Perubahan Kemampuan Menelan pada Pasien Stroke Infark di Ruang Cempaka Rumah Sakit Umum Daerah Dr. Slamet Garut Tahun 2015 Zahara Farhan
Jurnal Soshum Insentif Vol 1 No 1 (Oktober, 2018): Jurnal Soshum Insentif
Publisher : Lembaga Layanan Pendidikan Tinggi Wilayah IV

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.258 KB) | DOI: 10.36787/jsi.v1i1.33

Abstract

Stroke infarction occurs due to disturbances in neurological system such as loss of motor function, sensibility and loss of consciousness due to tissue death due to oxygen supply to the brain is disrupted. Manifestations are impaired ability to swallow. One of the interventions to address the impaired ability to swallow, namely vokal exercises. This study aimed to influence vokal exercises to changes in swallow ability stroke infarction in room Cempaka dr. Slamet Garut Hospital. This study was conducted in May - June 2015 in room Cempak dr. Slamet Garut Hospital using a quasi experimental design. The sampling technique used purposive sample of 10 respondent. Date collection used observation checklist sheet and direct observations of researchers. The hypothesis test usedis Mann-Whitney. Hypothesis test results showed there are significant (p 0.004) vokal exercises to changes in the patient's ability to swallow infarction stroke at Cempaka Room dr. Slamet Garut Hospital with a meanof the ability to swallow priorto the vokal exercises of 3.00 and after the vokal exercises of 5.50.The results could be used as reference material and consideration for physicians and nurses in dealing with stroke patients with impaired myocardial swallow function by doing vokal exercises.
Konsep Diri Pada Komunitas Punk di Kabupaten Garut Zahara Farhan; Gingin Sugih Permana; Devi Ratnasari; Aas Astriani
Jurnal Medika Cendikia Vol 7 No 02 (2020): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v7i02.149

Abstract

Self concept is the core of a person's personality development pattern that affects a person's personality traits or personality which is divided into five aspects including; body image, self ideal, self esteem, self role and self identity (Hariyanto, 2013). Punk community is a social image of street children whose existence is considered unsettling for residents. One of the factors causing their entry into the street environment is the low level of education. The low level of education possessed by the punk community has an impact on the emergence of uncontrolled behavior resulting in aggressive behavior (Tentama, 2013). The general objective of this study was to determine the self concept of the punk community in Garut Regency in 2018. The research design was descriptive, data collection was carried out in the District of Garut Kota on 95 punk children with a total sampling technique. Data collection using questionnaires and direct interviews. Data analysis with frequency distribution based on the median value of each aspect of self concept. The results showed that almost all of the self concept in the punk community (73.68%) was positive and almost half (26.32) was negative. The results of research on each aspect of the self concept of punk community showed that the body image was mostly (67.37%) positive, the ideal self was mostly (60%) positive, the self esteem was mostly (72.63%) high, the self role was half (50.53%) was negative, and self identity was mostly (53.68%) negative. The punk community values ​​themselves positively and feels more confident about doing activities in their daily lives and is able to accept themselves as they are. The negative stigma from society does not become an obstacle for them to behave well. The self concept of punk community in Garut Regency generally has a positive self concept
PEMANFAATAN GULA AREN SEBAGAI MEDIA PERAWATAN LUKA PADA PASIEN ULKUS DIABETIK DI KABUPATEN GARUT Devi Ratnasari; Zahara Farhan; Dani Sujana
Abdimas Galuh Vol 4, No 2 (2022): September 2022
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v4i2.8501

Abstract

Ulkus diabetik merupakan salah satu komplikasi yang paling umum dari diabetes mellitus tipe 2. Ulkus diabetes adalah luka terinfeksi yang berkembang di ekstremitas bawah. Metode perawatan luka kaki diabetik yang tepat akan meningkatkan penyembuhan luka. Salah satu upaya pengobatan komplemen untuk mencegah infeksi adalah perawatan luka dengan gula aren. Gula aren mengandung zat mirip antibiotik seperti vitamin C, riboflavin, vitamin A, dan asam askorbat. Tujuan kegiatan ini untuk meningkatkan kemampuan soft skill dan hard skill masyarakat khususnya keluarga dalam pemanfaatan gula aren sebagai media perawatan luka pada angota keluarganya yang mengalami luka ulkus diabetik. Metode pelaksanaan program dilakukan melalui kegiatan pelatihan dan pendampingan keluarga dalam memanfaatkan gula aren untuk merawat luka ulkus diabetik yang akan diaplikasikan langsung kepada pasien saat melakukan perawata luka. Kegiatan akan dilaksanakan selama 5 bulan tahun 2022 pada masyarakat yang berada di wilayah kerja puskesmas Wanaraja Kabupaten Garut. Luaran dan target capaian hasil dari kegiatan ini berupa publikasi pada jurnal nasional terakreditasi dan media massa online, serta video dokumentasi kegiatan yang dapat diakses melalui youtube channel. Luaran kegiatan ini berupa produk media perawatan luka ulkus diabetik dalam bentuk sediaan kemasan bahan medis habis pakai yang selanjutnya akan disertifikasikan dalam bentuk Hak Atas Kekayaan Intelektual (HaKI) atau paten sederhana dari Kementerian Hukum dan Hak Asasi Manusia (Kemenkum-HAM) Republik Indonesia. 
Effect Of The Combination Of Aloe Vera And Palm Sugar On The Improvement Of Diabetic Ulcers In Patients With Type 2 Diabetes Mellitus Devi Ratnasari; Zahara Farhan; Dani Sujana; Kurniawan Dewi Budiarti
Jurnal sosial dan sains Vol. 2 No. 10 (2022): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (923.529 KB) | DOI: 10.59188/jurnalsosains.v2i10.502

Abstract

Background: Diabetic ulcer treatment with aloe vera and palm sugar is one of the treatment measures to prevent infection in diabetic ulcers. Aloe vera contains auxin, gibber-relin, anthraquinone, and vitamins A, C, and E as an anti-inflammatory, antipyretic, antioxidant, antiseptic, antimicrobial, as well as antiviral.  Aloe vera can diffuse properly and can withstand the loss of body fluids from the surface of the skin so that moisture is maintained, while palm sugar contains vitamin C, Riboflavin, vitamin A, and ascorbic acid as antibiotics and improves the tissue work system which can weaken and kill bacteria that cause infections in diabetic ulcers. Purpose: The purpose of this study was to determine the effect of the combination of aloe vera and palm sugar on the improvement of diabetic ulcers in patients with type 2 diabetes mellitus. Method: One group pretest and posttest design research design in one subject group with a total sample of 8 people, sampling technique using consecutive sampling, the research was carried out in August 2022 at the Wanaraja health center, Garut Regency Results:  Based on the results of the study, it is known that the highest activity that occurs in Macaca fascicularis at Sangeh Tourism Object is in the behavior of moves (moving) with a percentage of 17%, and Grooming behavior (Looking for lice) by 15%, then for other activities such as rest (rest) by 14  %, mating 8%, feeding 13%, social 14%, agonistic 13%, for behavior with the lowest percentage of sleep (sleep) of 6%. Conclusion: Conclusion of the study, the combination of aloe vera and palm sugar affects the improvement of diabetic ulcers in patients with type 2 diabetes mellitus
The Effect Of Wound Care With Palm Sugar On Diabetic Ulcer Repairing In Type 2 Diabetes Patients Devi Ratnasari; Eva Daniati; Eti Suliyawati; Zahara Farhan
Eduvest - Journal of Universal Studies Vol. 1 No. 12 (2021): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1692.519 KB) | DOI: 10.59188/eduvest.v1i12.303

Abstract

Diabetic ulcers are one of the most common complications of type 2 diabetes mellitus. Diabetic ulcers are infected sores that develop in the lower extremities. Proper diabetic foot wound care methods will improve wound healing. One of the efforts to treat the complement to prevent infection is wound care with palm sugar. Palm sugar contains antibiotic-like substances such as vitamin C, riboflavin, vitamin A, and ascorbic acid. Dr. Slamet Garut's study aims to determine the effectiveness of wound care with palm sugar media against the repair of diabetic ulcers in patients with type 2 diabetes mellitus after hospitalization in 2021. The study used a quasi experimental research design with one group pretest and posttest design (Pre-action) and one group of subjects receiving palm sugar therapy on diabetic ulcer wounds (Post-action). The researcher used consecutive sampling techniques, samples that met the inclusion criteria could have 8 people. The wounds were treated with palm sugar for two weeks. The findings revealed that wound care with palm sugar had an effect on the repair of diabetic ulcers in patients with type 2 diabetes mellitus, with a Pvalue = 0.000. Then it is possible to conclude that treating wounds with palm sugar affects the improvement of diabetic ulcers.
PEMBERDAYAAN KARANG TARUNA DALAM PENCEGAHAN PENULARAN COVID-19 MELALUI MEDIA WHATSAPP BLAST DAN CANVA DI KABUPATEN CIAMIS Zahara Farhan; Engkus Kusnadi; Devi Ratnasari; Dani Sujana
Abdimas Galuh Vol 5, No 1 (2023): Maret 2023
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v5i1.10112

Abstract

Kurangnya informasi kepada masyarakat menjadi salah satu faktor penyebab kurangnya masyarakat dalam menerapkan protokol kesehatan pencegahan Covid-19. Peran serta masyarakat sebagai ujung tombak dalam memutus mata rantai penyebaran Covid-19 dapat dilakukan melalui penyebaran informasi secara cepat, tepat, mudah, dan akurat melalui pemanfaatan media whatsapp blast dan canva tentang pencegahan penularan covid-19 dengan menitikberatkan peran serta dan potensi karang taruna desa. Tujuan kegiatan ini untuk meningkatkan kemampuan soft skill dan hard skill karang taruna dalam pemanfaatan teknologi informasi kesehatan untuk mencegah penularan covid-19. Metode pelaksanaan program dilakukan melalui kegiatan pelatihan dan pendampingan karang taruna desa dalam menggunakan aplikasi pembuatan media informasi yang akan ditransformasikan kepada masyarakat. Kegiatan ini dilaksanakan selama 2 minggu pada bulan Januari tahun 2022 di Desa Buniseuri Kecamatan Cipaku Kabupaten Ciamis. Hasil kegiatan ini hampir seluruh peserta (88%) memiliki tingkat pengetahuan baik, dan hampir seluruh peserta (93%) mampu menggunakan dan memanfaatkan media whatsapp blast dan canva dalam pencegahan penularan covid-19. Keberhasilan dari kegiatan ini dipengaruhi oleh kuatnya partisipasi masyarakat dalam pelaksanaan kegiatan yang didasari oleh tingginya rasa ingin tahu dan motivasi masyarakat tentang pencegahan penularan covid-19 melalui media online berbasis teknologi informasi. Kegiatan pemberdayaan ini mampu meningkatkan tingkat pengetahuan dan kemampuan karang taruna dalam mencegah penularan covid-19 di Desa Buniseuri Kecamatan Cipaku Kabupaten Ciamis. Kegiatan pemberdayaan masyarakat ini dapat dijadikan salah satu alternatif untuk membantu pemerintah daerah dalam melaksanakan program 5 S dalam pencegahan penularan covid-19 di Kabupaten Ciamis.
Pemeriksaan C-Reactive Protein (CRP) Kualitatif dan Semi Kuantitatif pada Penderita Tuberkulosis Astari Nurisani; Mamay Mamay; Meti Rizki Utari; Zahara Farhan; Wisnu Arya Pratama
Jurnal Kesehatan Vol. 10 No. 2 (2022): Oktober: Health Journal "Love That Renews"
Publisher : Sekolah Tinggi Ilmu Kesehatan Santo Borromeus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55912/jks.v10i2.99

Abstract

Infeksi akibat bakteri tuberkulosis akan mengakibatkan peradangan didalam tubuh yang akan merangsang munculnya C-Reactive Protein sebagai biomarker peradangan. C-Reactive Protein (CRP) merupakan molekul polipeptida kelompok pentraxin yang diproduksi di hati dan dikontrol oleh sitokin khususnya Interleukin-6 (IL-6). CRP bermanfaat untuk memonitor perkembangan penyakit. Konsentrasi CRP berhubungan dengan tingkat keparahan penyakit,infeksi dan efek pengobatan. Tujuan penelitian ini adalah untuk melihat gambaran kadar CRP (C-Reactive Protein) pada penderita tuberkulosis di RSUD Dr. Slamet Garut. Pemeriksaan CRP dilakukan secara kualitatif dan semi kuantitatif. Hasil pemeriksaan CRP pada 30 sampel yang telah diperiksa didapat hasil positif sebanyak 24 orang (80%), dan negatif sebanyak 6 orang (20%). Berdasarkan hasil pemeriksaan diperoleh kadar CRP pada pasien tuberkulosis positif didapat hasil beragam antara 6 mg/L sampai 192 mg/L. Hasil penelitian ini menggambarkan adanya respon inflamsi CRP terhadap infeksi bakteri tuberkulosis. Saran dalam penelitian ini adalah data penelitian ini digunakan sebagai data acuan penelitian selanjutnya dalam pemeriksaan CRP metode kuantitatif mengenai gambaran kadar CRP sebelum dan sesudah pengobatan..