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All Journal Jurnal Keperawatan Jurnal Keperawatan Indonesia Jurnal NERS Nursing News : Jurnal Ilmiah Keperawatan Jurnal Ilmu Keperawatan dan Kebidanan Jurnal Penelitian Kesehatan Suara Forikes Journal of Public Health for Tropical and Coastal Region Journal of Applied Nursing (Jurnal Keperawatan Terapan) Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Borneo Nursing Journal (BNJ) Jurnal Keperawatan (JKEP) Jurnal Aisyah : Jurnal Ilmu Kesehatan Quality : Jurnal Kesehatan Yinyang: Jurnal Studi Islam Gender dan Anak Jurnal Kesehatan Kusuma Husada Jurnal Pendidikan Kesehatan (e-Journal) JOSAR (Journal of Students Academic Research) Health Gate Jurnal Info Kesehatan
Tri Anjaswarni
Poltekkes Kemenkes Malang
Religion Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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ANALISIS WAKTU PENCAPAIAN BROMAGE SCORE SETELAH EDUKASI MOBILISASI DINI: ANALYSIS OF TIME TO ACHIEVEMENT OF BROMAGE SCORE AFTER EARLY MOBILIZATION EDUCATION Sharon, Dinda Hapsari Cahya Mawar; Anjaswarni, Tri; Nataliswati, Tri; Hamarno, Rudi
Quality : Jurnal Kesehatan Vol. 18 No. 2 (2024): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v18i2.1820

Abstract

Bromage Score adalah metode yang digunakan untuk mengetahui waktu pemulihan setelah anestesi spinal sebagai indikator dalam membuat keputusan pemindahan pasien dari kamar operasi ke ruang perawatan. Bromage Score sering dikaitkan dengan mobilisasi dini karena dapat meningkatkan sistem sirkulasi darah dan merangsang sistem persyarafan. Saat ini belum ada penelitian yang mengukur pencapaian Bromage Score dalam bentuk intervensi atau perlakukan dengan menggunakan kelompok kontrol.  Tujuan penelitian ini menganalisis pengaruh dari edukasi mobilisasi dini terhadap waktu pencapaian bromage score. Metode penelitian quasi-experimental dengan desain two group posttest with control group. Populasinya semua yang operasi dengan spinal anestesi di ruang Diponegoro RSUD Kanjuruhan sejumlah 200 pasien, dengan besar sampel 56 orang dibagi menjadi kelompok perlakuan dan kelompok kontrol yang diambil dengan purposive sampling. Analisis uji menggunakan “t-test independent”. Hasil penelitian menunjukkan ada pengaruh signifikan pemberian edukasi mobilisasi dini terhadap waktu pencapaian Bromage Scorel padal pasien spinall anestesi dengan p-value = 0.000. Waktu pencapaian Bromage Score pada kelompok perlakuan lebih cepat dibandingkan kelompok kontrol. Rerata waktu pencapaian hingga skor 0 (mampu bergerak sepenuhnya) pada kelompok perlakuan 233.1 (3 jam 53 menit) menit, sedangkan kelompok kontrol 275.53 menit (4 jam 35 menit). Pasien yang operasi dengan spinal anestesi membutuhkan edukasi mobilisasi dini untuk meningkatkan sirkulasi dan merangsang sistem syaraf melalui latihan fisik ROM yang berpusat pada ekstremitas bawah setelah selesainya operasi agar waktu pemulihan bromage score lebih cepat.
The determinant factor of juvenile delinquency (path analysis model) Tri Anjaswarni
Yinyang: Jurnal Studi Islam Gender dan Anak Vol. 19 No. 2 (2024)
Publisher : Pusat Studi Gender dan Anak (PSGA) IAIN Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24090/yinyang.v19i2.12083

Abstract

There are many determinants of juvenile delinquency, one of them is technology. Technology is an integral part of modern society. However, misuse and uncontrolled use of technology may lead to negative impacts, one of which is juvenile delinquency. The objective of the study was to develop a determinant model of juvenile delinquency elicited from a path analysis. It was an observational study with a cross-sectional design. The sample size was 295 adolescents aged 12-19 years, consisting of adolescents at school and in the Juvenile Detention Centre (JDC). The data were taken a simple random sampling technique.. The analysis used Structural Equation Modelling. The determinants, which had a direct influence on juvenile delinquency were technology, peers, and lifestyle. Technology played a central role as the determinant that directly affected juvenile delinquency as many as 2.03 (203%). Digital technology may threaten adolescents as it can create and increase their delinquent behavior if its use is not controlled. The use of technology by adolescents needs to be supervised by parents and teachers together with nurses in community-based health practice.
Experiences of Patients with Type 2 Diabetes Mellitus on Self-Administered Insulin Injection Therapy Arista, Fadila Ayu; Abiddin, Andi Hayyun; Anjaswarni, Tri; Cabelin Jr, Rolando S
Health Gate Vol 3, No 2 (2025): APRIL 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3204

Abstract

Diabetes mellitus is a global public health problem characterized by high mortality and prevalence. One type of pharmacological treatment for diabetes mellitus is insulin injection therapy. Experience in performing self-administered insulin injection therapy is still found obstacles that must be considered so as not to affect the effectiveness of insulin injection therapy. This study aims to determine the experience of patients with type 2 diabetes mellitus in carrying out insulin self-injection therapy. The research design used qualitative methods and data collection was carried out in the UPT Puskesmas Sukorejo and Sananwetan areas of Blitar City and the data collection time was carried out in March 2024. The data were analyzed by reducing the data, presenting the data in the form of transcripts and described descriptively. The research results showed that all participants had fulfilled the cognitive aspects as evidenced by knowing the definition and type of insulin used. In the affective aspect, it was stated that all participants felt comfortable and felt healthier when carrying out insulin injection therapy but there were mental problems when diagnosed with diabetes mellitus and when injecting insulin themselves. In the psychomotor aspect, all participants have performed insulin injection skills correctly but there are some mistakes that must be considered.
WORK FATIGUE OF OPERATING ROOM NURSES AND ITS CORRELATION WITH SLEEP QUALITY Anjaswarni, Tri -; Nissa, Luthfi Choirun; Sepdianto, Tri Cahyo; Bachtiar, Arief
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1994

Abstract

Work fatigue in operating room nurses is a critical issue that affects nurse performance and patient safety. Nurses who are exhausted show symptoms such as reduced activity levels, decreased motivation, sleep disturbances and difficulty concentrating. This condition has an impact on the quality of work of operating room nurses and is dangerous for patients. The purpose of this study to analyze the relationship between work fatigue and sleep quality among operating room nurses. This quantitative study utilized a correlational design, involving 20 respondents selected through a total sampling technique, comprising all operating room nurses at Karsa Husada Hospital Batu. Data analysis was conducted using a Spearman Rank Correlational test. The study found moderate levels of work fatigue and poor sleep quality among the participants. There is a significant relationship between work fatigue and sleep quality, with a p-value of 0.001 and r = 0.682, indicating a strong and positive correlation. This means that increased work fatigue resulting in poor sleep quality. Excessive activity in operating room nurses leads to work fatigue, resulting in poor sleep quality. It is recommended that operating room management adjust shift schedules according to worker capacity and provide adequate rest periods to reduce fatigue and improve sleep quality
Hubungan Eustress Distress Dan Mekanisme Koping Perawat Dengan Kepatuhan Pengisian Surgical Safety Checklist Di Instalasi Bedah Sentral RSUD Ngudi Waluyo Salsabila, Laily; Imam Subekti; Tri Anjaswarni; Ernawati, Naya
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.377

Abstract

Penelitian ini bertujuan mengetahui hubungan antara eustress, distress, dan mekanisme koping perawat dengan kepatuhan pengisian Surgical Safety Checklist (SSC) di Instalasi Bedah Sentral RSUD Ngudi Waluyo. Desain penelitian menggunakan kuantitatif cross-sectional dengan total sampling 34 perawat. Data dikumpulkan melalui Di-Eu-Stress State Scale (DESS), Ways of Coping Questionnaire (WCQ), dan lembar observasi SSC, kemudian dianalisis menggunakan uji korelasi Spearman. Hasil menunjukkan terdapat hubungan signifikan antara distress dan kepatuhan SSC (r = 0,428; p = 0,012) serta mekanisme koping dan kepatuhan SSC (r = 0,388; p = 0,024), sedangkan eustress tidak berhubungan signifikan (r = 0,077; p = 0,665). Disarankan penelitian selanjutnya mengeksplorasi lebih lanjut peran eustress dan distress serta pengamatan kepatuhan SSC dalam jangka waktu lebih panjang.
The Work Environment is Related to The Comfort Level of Nurses According to Kolcaba Theory in Central Surgical Installations Zalena, Sarah; Yuswanto, Tri Johan Agus; Supono, Supono; Anjaswarni, Tri
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss4.1566

Abstract

The work environment in a company plays a crucial role in employee performance. A positive work environment can enhance employee performance, while a poor work environment can negatively impact it. Kolcaba's Comfort Theory emphasizes that comfort is a primary focus in improving workplace conditions. This study aimed to analyze the relationship between the work environment and the comfort level of nurses working in operating rooms. The research method used a quantitative study employed a cross-sectional approach to identify the relationship between independent and dependent variables simultaneously. A quantitative approach was used to study objective phenomena, while the cross-sectional design examined the connection between variables through a single round of data collection. Spearman’s rho statistical test was used to analyze the data. The results study with the Spearman’s rho test indicated a correlation coefficient of 0.683 with a significance level of 0.00, demonstrating a very strong and significant relationship between the work environment and the comfort level of nurses. The analysis showed that a better work environment was associated with higher comfort levels experienced by nurses. The study concluded that there is a significant and positive relationship between the work environment and the comfort level of nurses in operating rooms. Improving the work environment leads to increased comfort levels, enabling nurses to work more effectively.
The Ability of The Adaptation Process According to Callista Roy's Theory is Related to Work Stress in Nurses in The Operating Room Andriani, Selfiyah; Yuswanto, Tri Johan Agus; Sepdianto, Tri Cahyo; Anjaswarni, Tri
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss4.1567

Abstract

Nurses in the operating room feel that they lack concentration in carrying out surgery because fatigue during emergency operations can result in increased work stress. The process of adaptation is a way that affects behavior in managing stress. The purpose of the study was to prove that there is a relationship between the ability of the adaptation process according to Callista Roy's theory in nurses with work stress in the operating room of Mardi Waluyo Hospital Blitar. This research method is quantitative using a cross-sectional design. The study sample was 28 nurses in the operating room with the total sampling technique. The independent variable of adaptability of the adaptation process was measured with the questionnaire sheet and the dependent variable of work stress was measured with the DASS 42 questionnaire sheet. Data analysis using Spearman test. The research results show that the ability of the adaptation process was mostly moderate in 17 people (60.7%) and work stress was almost half that of normal stress in 12 people (42.9%). The conclusion is there is a significant relationship between the ability of the adaptation process and nurses' work stress with a p-value of 0.001≤0.05 meaning that there is a significant relationship between the ability of the adaptation process with work stress in nurses in the operating room, the direction of the relationship from r count -0.577* is strongly correlated with the direction of negative relationships, meaning that the increasing adaptability the lower the level of work stress.
Co-Authors Abiddin, Andi Hayyun Ah. Yusuf Ahmad Zakaria Andriani, Selfiyah Andriani, Wahyu Arief Bachtiar Arista, Fadila Ayu Atti Yudiernawati, Atti Budi Anna Keliat Cabelin Jr, Rolando S Ditya Nurul Asikin edy suyanto Ernawati, Naya Gunawan Gunawan H Harsono Hardy, Syaifoel Harsono, H Imam Subekti Imelia Rohmatul Laidiyana Karliyn Ayu Angelina Marpaung Kissa Bahari Kuswulandari, Shanti Lucia Retnowati Luknis Sabri Manda, Tyithania Agustria Maria Diah Ciptaning Tyas, Maria Diah Muhammad Miftachul Ulum Nissa, Luthfi Choirun Novita Dewi Nurul Pujiastuti Pertami, Sumirah Budi Prasetyo Suko Widodo Ragil Catur Adi W. Ridhoyanti Hidayah Ridhoyanti Hidayah, Ridhoyanti Rudi Hamarno Salsabila, Laily Sapuat Sapuat Sarimun Sarimun Sharon, Dinda Hapsari Cahya Mawar Sri Andarini Sri Andarini Sri Mugianti Sri Mugianti Sri Widati Sri Winarni Supono Supono Susi Milwati Tista Venuzela Tri Cahyo Sepdianto Tri Johan Agus Yuswanto Triani Rosanti Widodo, Prasetyo Suko Wijinarti, Wiwin Sri Wiwin Sri Wijinarti Wiyono, Joko Yanti, Dina Dama Zalena, Sarah