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Application of the Theory of Planned Behavior to Identify Nursing Student's Intention to be a Bystander Cardiopulmonary Resuscitation Suis Galischa Wati; Titin Andri Wihastuti; Tina Handayani Nasution
NurseLine Journal Vol 6 No 1 (2021): May 2021
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v6i1.19228

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Background: Theory of Planned Behavior (TPB) is a social pshycological theory which explained that someone's tendency to behave is affected by their intention. This theory often used to predict behavioral intention in health workers by measuring some aspects such as attitude, subjective norm and self efficacy. As a prospective health worker who equipped with knowledge and skills about Cardiopulmonary Resuscitation (CPR) during education phase, nursing students are expected to have a good intentions to become bystander CPR in Out of Hospital Cardiac Arrest (OHCA). Aims: This study intends to apply TPB in identifying factors that influence nursing student’s intention to perform bystander CPR. Methods: This was a quantitative study with cross-sectional approach. The research population were undergraduate nursing student in Malang, while the 108 samples were taken using proportional sampling technique. Data were collected once using questionnaire included: attitude, subjective norm, self efficacy and intention to be a bystander CPR. Results: Chi-square test revealed that the relationship between independent variables and intention to be a bystander CPR were: attitude p=0,00, self efficacy p=0,00 and subjective norm p=0,00. The result of multivariate analysis with logistic regression showed that: attitude p=0,004 (OR=5,279), subjective norm p=0,001 (OR=5,824) and self efficacy p=0,001 (OR=5,709). Conclusion: There were significant relationship between attitude, subjective norm and self efficacy with intention, where subjective norm was the most dominant factor associated with intention of nursing student to be a bystander CPR.
Gambaran konstipasi pada pasien ICU Muhammad Hasanul Amal; Ifa Hafifah; Tina Handayani Nasution
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 2 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v11i2.659

Abstract

LATAR BELAKANG:Konstipasi adalah tidak adanya buang air besar (BAB) atau defekasi paling sedikit 3 hari perawatan di ruang Intensive Care Unit (ICU). Konstipasi yang sering disebabkan oleh Pasien ICU disebabkan oleh lamanya tirah baring dan juga asupan nutrisi diet serat yang kurang dan tidak sesuai dengan kebutuhan.TUJUAN: Untuk mengetahui gambaran konstipasi pada pasien ICU.METODE: Studi ini dilakukan dengan systematic review.Sepuluh literatur diidentifikasi dari empat basis data elektronik: Google Scholar, Plos One, Science direct dan portal garuda dalam rentang tahundari 2003-2018. Desan penelitiannya yaitu cohort dimana untuk populasinya yaitu pasien dewasa dimulai umur 26-46 tahun dan lansiadimulai umur 46-seterusnya. Penelitian ini outcomes yaitu karakteristik yang terdapat pada pasien ICU.HASIL: Berdasarkan 9 artikel yang dianalisis menggunakan instrumen JBI untuk literatur studi, bahwa semua pasien yang dirawat di ICU memiiki gambaran karakteristik konstipasi.KESIMPULAN: Studi literatur ini terkait konstipasi pada pasien di ICU meliputi pengertian konstipasi, faktor penyebab konstipasi, dan penatalaksanaan konstipasi pada pasien ICU. ABSTRACTBACKGROUND Constipation is the absence of defecation for at least 3 days of treatment in the Intensive Care Unit (ICU). Constipation often suffered by ICU patients is caused by the length of bed rest and also the lack of dietary fiber intake and is not suitable for the needs.OBJECTIVE To determine the description of constipation in ICU patients.METHODS This study was conducted using a systematic review. Ten articles related to the topic under study were identified taken from four electronic databases, namely; Google Scholar, Plos One, Science and Garuda for the years of 2003-2018. The research design used was a cohort in which the population was 26 – 46-year-old adult patients and the elderly from age 46 onwards. The outcome of this study was the characteristics of ICU patients. RESULT Based on 9 articles analyzed using the JBI instrument for the literature study, all patients admitted to the ICU had characteristic descriptions of constipation.CONCLUSION This literature study related to constipation in ICU patients included the definition of constipation, factors causing constipation, and constipation treatment in ICU patients.Keywords: Constipation, ICU, Patients
GAMBARAN PENGETAHUAN PERAWATAN PALIATIF PADA PERAWAT ICU DI RSUD ULIN BANJARMASIN Anissa Anissa; Ifa Hafifah; Tina Handayani Nasution
Coping: Community of Publishing in Nursing Vol 10 No 4 (2022): Agustus 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.786 KB) | DOI: 10.24843/coping.2022.v10.i04.p06

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Perawatan paliatif diberikan sejak diagnosis ditegakkan agar masalah fisik, psikososial, serta spiritual dapat diatasi lebih dini. Perawat merupakan salah satu staf tenaga kesehatan yang berperan penting, kurangnya pengetahuan paliatif akan menimbulkan kurangnya kualitas pelayanan perawatan yang diberikan. Penelitian ini bertujuan untuk melihat gambaran pengetahuan perawatan paliatif pada perawat ICU di RSUD Ulin Banjarmasin. Metode yang digunakan adalah deskriptif kuantitatif. Teknik sampling yang digunakan adalah non probability sampling dengan purposive sampling. Sampel penelitian 32 orang perawat pelaksana di ruangan intensif RSUD Ulin Banjarmasin. Instrumen menggunakan lembar data demografi dan kuesioner PCQN-I. Analisis data menggunakan univariat. Hasil menunjukkan kategori pengetahuan kurang 21 orang (65,6%) dan kategori pengetahuan cukup 11 orang (34,4%). Sebagian besar responden belum pernah mengikuti pelatihan paliatif dan belum memahami konsep umum paliatif.
PENGARUH EKSTRAK DAUN KERSEN (Muntingia calabura) TERHADAP DERAJAT ERITEMA PADA PROSES INFLAMASI MARMUT (Cavia porcellus) DENGAN LUKA BAKAR DERAJAT II DANGKAL Muhammad Rosyidul `Ibad; Tina Handayani Nasution; Sri Andarini
Journal of Nursing Science Update (JNSU) Vol. 1 No. 2 (2013)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (303.798 KB)

Abstract

Insiden luka bakar cukup tinggi di masyarakat, salah satu perawatan untuk luka bakar adalah penggunaan  cairan Normal Saline steril. Normal Saline adalah larutan fisiologis yang aman digunakan dalam kondisi apapun, mampu menyediakan lingkungan fisiologis bagi luka namun  tidak dapat melawan terjadinya infeksi.  Daun kersen (Muntingia calabura) diidentifikasi memiliki berbagai efek farmakologis, antara lain antiinflamasi dan antiseptik. Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh ekstrak daun kersen terhadap derajat eritema pada marmut (Cavia porcellus) dengan luka bakar derajat II dangkal. Penelitian ini merupakan penelitian murni dengan rancangan pretest and posttest control group design. Sampel terdiri dari 2 kelompok masing-masing 9 ekor marmut, yaitu kelompok kontrol Normal Saline steril (kelompok 1), ekstrak daun kersen (kelompok 2). Variabel yang diteliti adalah Derajat eritema Inflamasi. Uji statistik T-Test Independent menunjukkan hasil adanya pengaruh signifikan  p=0,002 (p<0,05) didalam penelitian ini kelompok dengan ekstrak daun kersen lebih cepat kemampuannya dalam menurunkan eritema daripada kelompok dengan Normal Saline. Berdasarkan hasil tersebut dapat disimpulkan bahwa terdapat pengaruh dalam pemberian ekstrak daun kersen terhadap derajat eritema pada proses inflamasi pada luka bakar derajat II dangkal. Melalui penelitian ini maka ekstrak daun kersen dapat digunakan sebagai alternatif antiinflamasi yang diberikan secara topikal.   Kata kunci:      Ekstrak Daun Kersen, Derajat Eritema Inflamasi, Luka Bakar Derajat II Dangkal
ANALISIS FAKTOR YANG MEMPENGARUHI KEMANDIRIAN PADA PASIEN CEDERA KEPALA YANG PERNAH DIRAWAT DI IGD RSUD DR. R. KOESMA TUBAN Moh. Ubaidillah Faqih; Ahsan Ahsan; Tina Handayani Nasution
Journal of Nursing Science Update (JNSU) Vol. 5 No. 1 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1561.856 KB)

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Cedera kepala akibat kecelakaan lalulintas merupakan penyebab utama disabilitas dan mortalitas. Functional Independence Measure (FIM) merupakan salah satu pengukuran kemandirian pasien cedera kepala. Beberapa faktor yang dicurigai adalah usia, mekanisme cedera, skor awal GCS, hipotensi, diameter pupil dan reaksi cahaya, CT scan, konsumsi alkohol, dan lama perawatan. Tujuan penelitian ini adalah mengetahui faktor yang mempengaruhi kemandirian pasien cedera kepala. Penelitian ini bersifat analitik observasional dengan menggunakan rancangan retrospektif terhadap107 sampel rekam medis RSUD dr. R. Koesma Tuban dari periode Januari-April 2016. Teknik sampling yang digunakan adalah teknik cluster random sampling dengan kriteria inklusi dan ekslusi. Instrumen yang digunakan lembar checklist dan lembar FIM. Analisis menggunakan uji koefisien kontingensi dan regresi logistik. Hasil uji regresi logistik menunjukan faktor yang mempengaruhi adalah GCS (p=0,996) dan Pupil (p=0,077). Persamaan yang didapat y = 0,357 + 19,434 (GCS) + 2,041 (Pupil). Hasil uji Hosmer and Lameshow menunjukan kalibrasi yang baik (p=1,000), nilai AUC menunjukan bahwa 93,6% persamaan regresi yang diperoleh mampu membedakan kemandirian pasien cedera kepala berdasarkan variabel GCS dan pupil, sisanya yaitu 6,4% dipengaruhi oleh faktor lain. Skor GCS yangrendah pada awal cedera berhubungan dengan prognosa yang buruk, sedangkan abnormalitas fungsi pupil, gangguan gerakan ekstraokular, pola-pola respons motorik yang abnormal seperti postur fleksor dan postur ekstensor, juga memprediksikan outcome yang buruk setelah cedera kepala.Kesimpulan dari penelitian ini adalah Skor awal GCS dan Pupil menjadi faktor yang dominan berpengaruh terhadap kemandirian. Oleh karena itu, perawat perlu meningkatkan manajemen pasien cedera kepala pada fase emergency dengan tidak mengabaikan pengukuran GCS dan Pupil.Kata Kunci: Kemandirian, Cedera Kepala, Functional Independence Measure (FIM)
ANALYSIS OF FACTORS AFFECTING BEHAVIORAL INTENTION OF NURSING STUDENT AS BYSTANDER CARDIOPULMONARY RESUSCITATION (CPR) ON HANDLING OUT OF HOSPITAL CARDIAC ARREST (OHCA) IN MALANG Suis Galischa Wati; Titin Andri Wihastuti; Tina Handayani Nasution
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5067.097 KB) | DOI: 10.21776/ub.jik.2017.005.02.11

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The incident of Out of Hospital Cardiac Arrest (OHCA) increased every year. One of effort to enhance survival rate due to the incident is by increasing the number of bystander CPR. Besides of a good knowledge and skill about CPR, the tendency of someone for willing or unwilling to behave as a bystander CPR is strongly influenced by their behavioral intention. The aims of this research was to analyze various factors that influence behavioral intention of nursing students to become a bystander CPR. This was a cross-sectional study with proportional sampling tecnique. As a sample of this study were 108 students from various nursing institution in Malang. Multivariat analysis with logistic regression was used to identify the most dominant factor which influencing behavioral intention. Logistic regression showed the following result: age p=0,341, OR=1,683; gender p=0,022, OR=3,113; CPR experience=0,327, OR=1,808 and knowledge: p=0,007, OR=3,101. The result of this study conclude that knowledge about CPR is the most dominant predictor factor in influencing behavioral intention.
Effect of Woolen Cloth to Maintain Temperature 39°C of Crystaloid Fluid Ringer Lactate at Room Temperature 18°C Helna Fitriana; Abdurrahman Wahid; Tina Handayani Nasution; Gia Eka Negara
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.599 KB) | DOI: 10.21776/ub.jik.2021.009.01.8

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Fluid resuscitation with 39ᵒC is one of the main therapies for hypovolemic (hemorrhagic) shock patients to prevent complications. In this time, we already have tools to keep the fluid warm, but not all health services have these tools.  To find out the effectiveness of using woolen cloth against the temperature of Ringer Lactate 39°C crystalloid fluid at room temperature 18°C. This study used a pre-experimental method, with a static group comparison approach, with 4 Ringer Lactate liquid samples divided into 2 groups, namely groups using wool cloth and those not using woolen cloth. Data collected through observation sheets. Data analyzed using the Mann Whitney test. With this p value (0.00001) <α (0.05), it can be concluded that there is a significant difference between the use of woolen cloth and those that do not use woolen cloth. The woolen cloth is effective to slow down the decrease in temperature of the crystalloid liquid Ringer Lactate 39ᵒC at room temperature 18ᵒC. The difference in temperature changes in the Ringer Lactate crystalloid fluid is influenced by several things including humidity, ambient temperature, and additional material used.
Thermos Ability in Maintaining Crystalloid Liquid Temperature (Ringer’s Lactate and Normal Saline 0,9%): an Alternative in Maintaining Resuscitation Fluid Temperature Ninda Saputri; Abdurrahman Wahid; Tina Handayani Nasution; Gia Eka Negara
Journal of Nursing Science Update (JNSU) Vol. 9 No. 2 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.774 KB) | DOI: 10.21776/ub.jik.2021.009.02.6

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Haemorrhagic shock should be treated with fluid therapy at 390°C to avoid hypothermia. Storage of infusion fluid in a rice thermos is one method to maintain the temperature of the infusion fluid. This study aimed to determine the effect of using a thermos to maintain a temperature of 390C crystalloid liquid (ringer lactate and normal saline 0,9%) at a room temperature of 250C. This research method uses experimental quantitative (pre-experimental) with a one-shot case study design. Six bottles of Ringer's lactate and six bottles of normal saline 0,9% were warmed to 390C, then stored in a rice thermos at 250C and the temperature changes were measured for 6 hours. A digital thermometer was used to take measurements. The Mann-Whitney test was used to analyze the data. The results show that the temperature of Ringer's lactate fluid was reduced by an average of 4,60C, and normal saline was reduced by an average of 4,30C. There was a significant difference in temperature changes in the ringer's lactate fluid and normal saline 0,9% (p=0,000;α=0,05). The results of the study were that the rice thermos was able to maintain the temperature of ringer's lactate fluid at 390C for 96 minutes and normal saline 0,9% for 78 minutes, while to prevent hypothermia (360C) ringer's lactate fluid for 4 hours 59 minutes and normal saline 0,9 % for 4 hours 55 minutes.
The Needs of Covid-19 Patients Admitted In Intensive Care Unit Based On Cultural Aspect Ifa Hafifah; Tina Handayani Nasution
Faletehan Health Journal Vol 9 No 02 (2022): Faletehan Health Journal, July 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i02.359

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A lot of needs of intensive care unit (ICU) patients were not met due to the limited time of interaction between patients and health workers. The unfulfilled needs of the patient further made their immune system weaken so that they took longer time to recover. The purpose of this study was to explore the needs of Covid-19 patients treated in ICU based on cultural aspects. This research used qualitative approach with descriptive phenomenological design. The data collection used google form. The samples were 5 nurses who treated Covid-19 patients in ICU, who were selected by using purposive sampling technique. Five major themes were generated by thematic content analysis, namely: (1) fulfillment of patients’ physical needs; (2) fulfillment of patient's psychological needs; (3) fulfillment of patient's cultural needs; (4) fulfillment of patient's spiritual needs; (5) fulfillment of patient's social needs. The researchers recommended further research on patients’ need questionnaire and expected health workers to meet the needs of patients physically, psychologically, spiritually, socially, and culturally.
GAMBARAN LENGTH OF STAY BERDASARKAN TINGKAT PRIORITAS DI INTENSIVE CARE UNIT RSUD ULIN BANJARMASIN Ni Wayan Siti; Ifa Hafifah; Tina Handayani Nasution
Coping: Community of Publishing in Nursing Vol 10 No 6 (2022): Desember 2022
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/coping.2022.v10.i06.p14

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Patient admitted to the intensive care unit were categorized into four admission indications, namely patients with priority one, two, three and four. Patients classified as priorities three and four have longer ICU care compared to priorities one and two. This study aims to determine the description of the Length of Stay (LOS) based on the priority level in ICU of Ulin Hospital Banjarmasin. The sampling technique in this study used a non-probability sampling with consecutive sampling. The sample in this study amounted to 31 patients. The results showed that the average age value was 41 years. The majority respondents were female, namely 19 people. Most of the patients admitted to the intensive care room at the Ulin Banjarmasin Hospital were priority 1 patients, from 31 people there were 17 patients who entered priority 1 criteria. The longest LOS was the post craniotomy tumor patient with LOS of 22 days. The number of ICU rooms is very limited and is not proportional to patients who neeed treatment in the intensive care unit, so priority criteria are used to determine patients who deserve treatment in the ICU.