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<![CDATA[HEALTH EDUCATION DIET GLUTEN FREE CASEIN FREE TERHADAP KEPATUHAN IBU DAN PERILAKU HIPERAKTIF ANAK AUTIS ]]>
<![CDATA[Retno Twistiandayani]]>;
<![CDATA[Elly Ferawati]]>
<![CDATA[ Journals of Ners Community Vol 10 No 1 (2019): Journals of Ners Community ]]>
Publisher : <![CDATA[Fakultas Ilmu Kesehatan Universitas Gresik ]]>
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DOI: 10.55129/jnerscommunity.v10i1.843
<![CDATA[Anak autis yang disertai dengan hiperaktif tidak hanya aktif dalam gerakan tetapi juga emosi yang naik turun, marah, mengamuk bahkan gangguan tidur. Diet GFCF merupakan salah satu jenis terapi untuk anak autis karena dapat mengurangi hiperaktivitas pada anak autis atau bahkan hilang. Masih banyak oang tua yang tidak mengetahui tentang diet GFCF dan ada juga yang mengetahui tetapi tidak konsisten bahakan tidak diterapkan. Tujuan penelitian ini adalah menjelaskan pengaruh health education tentang diet GFCF terhadap kepatuhan ibu dan perilaku hiperaktif anak autis.Metode penelitian yang digunakan adalah pra experimental One Group Pra-Post Test Design, dengan tehnik purposive sampling sebanyak 20 ibu anak autis dengan hiperaktif. Variabel independen pada penelitian ini adalah health education tentang diet GFCF sedangkan variabel dependen adalah kepatuhan ibu tentang diet GFCF dan perilaku hiperaktif anak autis. Data dikumpulkan menggunakan observasi dengan lembar kuesioner. Analisa data menggunakan Wilcoxon Sign Rank Test dengan nilai signifikasi ?<0,05.Hasil uji statistik dengan Wilcoxon Sign Rank Test pada kepatuhan ibu didapatkan p=0,000 yang artinya ada pengaruh healh education tentang diet GFCF terhadap kepatuhan ibu. Sedangkan pada perilaku hiperaktif didapatkan p=0,000 yang artinya ada pengaruh perubahan kepatuhan ibu pada perilaku hiperaktif anak autis.Health education yang diberikan kepada ibu dapat meningkatkan kepatuhan ibu tentang diet GFCF pada anak autis. Sedangkan setelah terjadi perubahan kepatuhan pada ibu tentang diet GFCF sangat berpengaruh positif dengan berkurangnya perilaku hiperaktif pada anak autis.Kata kunci: Diet GFCF, Kepatuhan Ibu, Perilaku Hiperaktif, Anak AutisDOI: 10.5281/zenodo.3549137]]>
<![CDATA[PERBEDAAN KADAR HEMOGLOBIN SEBELUM DAN SESUDAH DONOR DARAH DENGAN PEMERIKSAAN METODE POCT (Point of Care Testing): Hemoglobin, Blood Donation, POCT Method ]]>
<![CDATA[Rosidah]]>;
<![CDATA[Retno Twistiandayani]]>;
<![CDATA[Indah Vauzyana]]>;
<![CDATA[Edy Agustian Yazid]]>
<![CDATA[ Jurnal Penelitian Multidisiplin Vol. 1 No. 1 (2022): Jurnal Penelitian Multidisiplin ]]>
Publisher : <![CDATA[Jurnal Penelitian Multidisiplin ]]>
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<![CDATA[Hemoglobin is a metalloprotein, which is an iron-containing protein in red blood cells that functions as a carrier of oxygen from the lungs throughout the body. Blood donation is the process of transferring blood or blood elements from one person to the circulatory system of another. The purpose of this study was to determine the difference in hemoglobin levels before and after blood donation by examining the POCT (Point of Care Testing) method. The characteristics analyzed were hemoglobin levels before and after blood donation. The results of this study showed that the average hemoglobin level before blood donation was 14,654 gr/dl and the average hemoglobin level after blood donation was 14,289 gr/dl. From the results of data analysis using the SPSS program, the results obtained are sig (2-tailed) 0.002. Because sig (2-tailed) < , 0.002 <0.05, H0 is rejected and H1 is accepted. Thus, the results obtained are that there are differences in hemoglobin levels before and after blood donation using the POCT (Point of Care Testing) method. The difference in the amount of hemoglobin in the donor is caused by several factors, such as gender, age, weight, and others.]]>
<![CDATA[PENGARUH PEMBERIAN SUSU KEDELAI TERHADAP KELANCARAN PRODUKSI ASI PADA IBU MENYUSUI ]]>
<![CDATA[Khoiroh Umah]]>;
<![CDATA[Retno Twistiandayani]]>;
<![CDATA[Debbryna Rosa Aprilyanti]]>
<![CDATA[ Journals of Ners Community Vol 13 No 5 (2022): Jurnal of Ners Community ]]>
Publisher : <![CDATA[Fakultas Ilmu Kesehatan Universitas Gresik ]]>
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DOI: 10.55129/jnerscommunity.v13i5.1847
<![CDATA[ASI merupakan suatu emulasi lemak dalam larutan protein, laktosa, dan garam organik yang disekresi oleh kedua kelenjar payudara dan makanan terbaik untuk bayi umur 0-6 bulan. Manfaat ASI bagi bayi adalah sebagai nutrisi, meningkatkan daya tahan tubuh bayi dan mengembangkan kecerdasan. Faktor yang dapat mempengaruhi produksi ASI yaitu nutrisi dan gizi ibu yang dimakan oleh ibu. Salah satu cara untuk meningkatkan produksi ASI yaitu mengkonsumsi susu kedelai. Penelitian ini bertujuan untuk mengetahui produksi ASI sebelum dan sesudah diberikan susu kedelai dan menganalisis pengaruh pemberian susu kedelai terhadap kelancarsn produksi ASI pada ibu menyusui. Penelitian ini adalah Quasi Eksperiment dengan bentuk rancangan Two Group Pre-Post Test Design. Pengambilan sampel menggunakan teknik purposive sampling dimana sampel yang diambil sebanyak 16 responden. Variabel independen adalah susu kedelai, variabel dependen produksi ASI. Data dikumpulkan menggunakan lembar observasi kemudian dianalisis menggunakan uji paired sample T test dan independent sample T test. Hasil uji paired sample T test pada kelompok perlakuan yang diberi intervensi susu kedelai selama 1 minggu diperoleh nilai p=<,001 sedangkan pada kelompok kontrol yang tidak diberi intervensi susu kedelai nilai p=0,009. Hasil uji independent sample T test menunjukkan (p=<,001). Nilai p<0,05 maka ada tingkat perbedaan rata-rata post test pada kelompok perlakuan dan kelompok kontrol. Berdasarkan hasilnya, petugas kesehatan dapat memberikan penyuluhan kepada ibu menyusui terkait mengkonsumsi susu kedelai sebanyak 250 ml selama 1 minggu setiap pagi dan sore dapat melancarkan produksi ASI.]]>
<![CDATA[PENGARUH UJI KOMPETENSI DALAM JENJANG KARIR TERHADAP MOTIVASI PERAWAT UNTUK PENINGKATAN KOMPETENSI DI RS PETROKIMIA GRESIK GRHA HUSADA ]]>
<![CDATA[Retno Twistiandayani]]>;
<![CDATA[Lilik Wijayanti]]>;
<![CDATA[Tejo Trisno]]>
<![CDATA[ Journals of Ners Community Vol 11 No 1 (2020): Journals of Ners Community ]]>
Publisher : <![CDATA[Fakultas Ilmu Kesehatan Universitas Gresik ]]>
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DOI: 10.55129/jnerscommunity.v11i1.1046
<![CDATA[Ketidaksesuaian antara kompetensi perawat dengan tugas atau pekerjaan yang dilakukan sehari-hari, menjadikan suatu tantangan RS Petrokimia Gresik Grha Husada dalam melakukan uji kompetensi dalam jenjang karir perawat. Tujuan penelitian untuk menganalisis pengaruh uji kompetensi dalam jenjang karir terhadap motivasi perawat untuk peningkatan kompetensi di Rumah Sakit Petrokimia Gresik Grha Husada.Penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode eksperimental dengan pendekatan the pre and post test control group design. Populasi dalam penelitian adalah semua perawat di RSPGGH sebanyak 50 perawat. Teknik pemilihan sampel menggunakan total sampling sesuai dengan kriteria inklusi sebesar 24 baik pada kelompok perlakuan dan kelompok kontrol. Metode analisis yang digunakan univariat, bivariat dengan uji paired t-test, independent t-test dan koefisien determinan.Hasil penelitian menyatakan bahwa rata-rata motivasi perawat sesudah dilakukan perlakuan rata-rata motivasi perawat pada kelompok perlakuan meningkat sebesar 10,09 menjadi 100,67. Adanya pengaruh uji kompetensi dalam jenjang karir terhadap motivasi perawat untuk peningkatan kompetensi (p = 0,020). Nilai koefisien determinasi sebesar 0,471 yang menunjukkan uji kompetensi memiliki pengaruh kontribusi sebesar 22,22% terhadap motivasi perawat untuk peningkatan kompetensi, sedangkan sisanya 77,78% dipengaruhi oleh faktor-faktor lainnya.Berdasarkan hasil penelitian disarankan untuk menerapkan jenjang karir yang jelas mulai dari mapping, uji kompetensi sampai pada kredensialing perawat untuk memberikan pengakuan dan penghargaan perawat sehingga bisa memotivasi perawat dalam peningkatan kompetensiKata Kunci: Jenjang Karir, Motivasi Perawat, Uji KompetensiDOI: 10.5281/zenodo.4738394]]>
<![CDATA[TERAPI MENDENGARKAN MUROTTAL AL-QURAN SURAT AL FATIHAH DAN SURAT AR RAHMAN TERHADAP STRES KECEMASAN DAN DEPRESI PADA PASIEN CKD V YANG MENJALANI HEMODIALISIS ]]>
<![CDATA[Retno Twistiandayani]]>;
<![CDATA[Akbar Rochmat Prabowo]]>
<![CDATA[ Journals of Ners Community Vol 12 No 1 (2021): Journals of Ners Community ]]>
Publisher : <![CDATA[Fakultas Ilmu Kesehatan Universitas Gresik ]]>
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DOI: 10.55129/jnerscommunity.v12i1.1327
<![CDATA[Pasien Chronic Kidney Disease (CKD) yang secara rutin menjalani hemodialisis biasanya mengalami Stress, Cemas dan Depresi. Tujuan penelitian ini untuk mengetahui pengaruh terapi mendengarkan murottal Al Quran surat Al Fatihah dan surat Ar Rahman terhadap stres, cemas, dan depresi pada pasien CKD V yang menjalani Hemodialisis di RSUD Ibnu Sina kabupaten Gresik. Penelitian ini merupakan penelitian kuantitatif dengan metode quasi experiment dengan rancangan penelitian pre-post test control group design. Teknik pengambilan data menggunakan purposive sampling. Sampel berjumlah 40 pasien hemodialysis terbagi 2 kelompok yaitu 20 pasien kelompok perlakuan dan 20 pasien kelompok kontrol. Variabel independen dalam penelitian ini adalah terapi mendengarkan murottal Al Quran surat Al Fatihah dan surat Ar Rahman sedangkan variabel dependen adalah stres, cemas, dan depresi. Data diambil menggunakan lembar kuesioner DASS-42. Penelitian ini menggunakan uji Mann Whitney. Hasil penelitian menunjukkan dengan uji Mann Withney pada kelompok perlakuan dan kontrol pada stress menunjukkan nilai p = 0,004 (α < 0.050) artinya ada perbedaan, untuk cemas menunjukkan nilai p = 0,005 (α < 0.050) artinya ada perbedaan, kemudian untuk Depresi menunjukkan hasil nilai p = 0,014 (α < 0.050) artinya ada perbedaan. Sehingga secara keseluruhan dapat dinyatakan ada perbedaan stress, cemas dan depresi antara kelompok perlakuan dan kontrol. Dan dapat disimpulkan murottal Al Quran berpengaruh signifikan terhadap stress, cemas dan depresi. Terapi mendengarkan murottal Al Quran surat Al Fatihah dan surat Ar Rahman dapat menurunkan tingkat stress, cemas, dan depresi pada pasien CKD V yang menjalani Hemodialisis. DOI: 10.5281/zenodo.5226094]]>
<![CDATA[The Effect of Clinical Pathway Socialization with Explicit Instruction Methods on Nurse Compliance in the Implementation of the COVID-19 Clinical Pathway ]]>
<![CDATA[Retno Twistiandayani]]>;
<![CDATA[Daviq Ayatulloh]]>;
<![CDATA[Meli Candra Kinarti]]>
<![CDATA[ Fundamental and Management Nursing Journal Vol. 5 No. 1 (2022): VOLUME 5 ISSUE 1 2022 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/fmnj.v5i1.37987
<![CDATA[Introduction: Clinical pathway is an integrated concept in the form of preventing unnecessary care, medication errors or other harmful incidents. Strategies to improve nurse compliance on clinical pathways have widely implemented. However, the effectiveness was found to be inconsistent. This study aimed to determine the effect of the socialization of the explicit instruction method on nurse compliance in the implementation of the COVID-19 clinical pathway. Method: This research method applied a pre-experimental research design with one group pretest-posttest design. The sampling technique used total sampling with a sample of 24 respondents from September to November 2021. The dependent variable was the socialization of the clinical pathway with the explicit instruction method.The independent variable was nurse compliance in the implementation of the COVID-19 clinical pathway. Data was taken by means of observation using a clinical pathway checklist instrument which was then analyzed using the Wilcoxon Signed Ranks Test with sig p <0.05. Results: the results of this study prove that there was a significant effect of providing socialization. Explicit instruction method on nurse compliance showed a significant impact on the implementation of the COVID-19 clinical pathway with a value (p = 0.008) with a compliance rate of 83%. Conclusions: Compliance with the established clinical pathway increase quality of health care service. This study found explicit instruction method effectively increase nurse compliance on the COVID-19 clinical pathway. Studies measuring explicit instruction in combination with other methods that strengthen nurse compliance with clinical pathway are crucial to be conducted.]]>
<![CDATA[PENGARUH TERAPI MUSIK GAMELAN JAWA TERHADAP TINGKAT PENURUNAN INSOMNIA PADA LANSIA ]]>
<![CDATA[Umah, Khoiroh]]>;
<![CDATA[Twistiandayani, retno]]>
<![CDATA[ Jurnal Penelitian Multidisiplin Vol 2 No 6 (2023): JURNAL PENELITIAN mULTIDISIPLIN ]]>
Publisher : <![CDATA[Jurnal Penelitian Multidisiplin ]]>
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DOI: 10.58705/jpm.v3i1.246
<![CDATA[Music therapy is an attempt to improve physical and mental quality with sound stimuli that are beneficial to physical and mental health. Music therapy is done by playing Javanese gamelan music to lower insomnia levels in the elderly. The purpose of this study was to explain the influence of Javanese gamelan music therapy to the level of insomnia decreased in the elderly.This research uses Pre Experimental method in one group (One Group Pre test-Post test Design) Sampling method using purposive sampling The amount of population in this study as 30 respondents while the sample taken as many as 16 respondents who intervened using Javanese gamelan music therapy. Javanese gamelan music performed 3x / week for 2 weeks at night before sleep Independent variables of Javanese gamelan music therapy Dependent variable is insomnia The data were collected using KSPBJ-IRS questionnaire Data analysis using Wilcoxon Signed Rank Test with a default value <0.05.The results showed that before intervention the average value of insomnia decreased 3.12 and after intervention the average value of insomnia decrease level 2.31 significant value (2-tailed) = 0.00 which means that (a count) <0,05 then H1 accepted and H0 rejected means there is influence of Javanese gamelan music therapy to the level of insomnia decreased in the elderly.]]>
<![CDATA[Edukasi Kesehatan dalam Upaya Menurunkan Kejadian Stroke Berulang pada Pasien Hipertensi ]]>
<![CDATA[Prayoga, Dimas Hadi]]>;
<![CDATA[Twistiandayani, Retno]]>;
<![CDATA[Manan, Abdul]]>;
<![CDATA[Wijayati, Lilik]]>
<![CDATA[ Jurnal Abdimas Jatibara Vol 3, No 1 (2024): Jatibara Vol.3 No.1 Agustus 2024 ]]>
Publisher : <![CDATA[STIKES Yayasan RS.Dr.Soetomo ]]>
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DOI: 10.29241/jaj.v3i1.1994
<![CDATA[Introduction: Hypertension is a disease that initiates various degenerative diseases which is generally a condition without symptoms, where high blood pressure in the arteries can cause the risk of developing cardiovascular-related diseases such as stroke, kidney failure, heart attack and kidney damage. To increase patient understanding in carrying out independent care at home, health education is needed that discusses caring for stroke patients at home. The aim of this community service is to provide health education to increase patient knowledge in an effort to reduce the incidence of recurrent stroke. Method: The method used in this community service is to provide intervention in the form of health education. Evaluation of community service uses pre-test and post-test knowledge methods. Number of participants 20 people Results: This community service is related to providing education to increasing knowledge of stroke patients. . Conclusion: The application of education can be carried out as a preventive and promotive effort for stroke patients so that patients can carry out treatment independently at home and reduce the incidence of recurrent strokes]]>
<![CDATA[Hubungan Quality of Nursing Work Life terhadap Kepatuhan Pendokumentasian Bundle Prevention Phlebitis ]]>
<![CDATA[Dwi Prameswari, Riski]]>;
<![CDATA[Ayu Angraini, Dwi]]>;
<![CDATA[Ayatulloh, Daviq]]>;
<![CDATA[Twistiandayani, Retno]]>
<![CDATA[ Indonesian Academia Health Sciences Journal Vol 5 No 1 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Surabaya ]]>
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DOI: 10.30651/inahes.v5i1.23395
<![CDATA[Introduction: Incomplete documentation often occurs as a result of nurses' non-compliance in carrying out professional work, where documents should have completeness and accuracy in accordance with standard operating procedures in hospitals. The aim of this research is to analyze the relationship between quality of nursing work life (QNWL) and compliance with phlebitis prevention bundle documentation. Methods: Quantitative research with a cross sectional approach conducted in February 2024 at RSUD Ibnu Sina Gresik. The sample size was 148 respondents from 203 populations recruited using probability type cluster random sampling. The independent variable is QNWL and the dependent variable is compliance with phlebitis prevention bundle documentation. Correlation test using spearmen rho with SPSS version 22 software. Results: The research results showed that the QNWL of nurses was in the sufficient category at 75% and compliance with documentation of the pheblitis prevention bundle was mostly in the adequate category at 44.6%. The results of the correlation test show that there is a significant relationship, namely p-value 0.001 (p<0.05). The Correlation Coefficient value is 0.261, which means there is a strong correlation between QNWL and compliance with phlebitis prevention bundle documentation. Conclusion: This research provides the view that improving the quality of life of nurses' performance will increase nurses' compliance in carrying out phlebitis prevention bundle documentation.]]>
<![CDATA[Hubungan Motivasi dengan Kinerja Perawat di Ruang Instalasi Perawatan Rumah Sakit ]]>
<![CDATA[Ayatulloh, Daviq]]>;
<![CDATA[Twistiandayani, Retno]]>;
<![CDATA[Basri, Ahmad Hasan]]>
<![CDATA[ Indonesian Academia Health Sciences Journal Vol 2 No 1 (2021): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Surabaya ]]>
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DOI: 10.30651/inahes.v2i1.23397
<![CDATA[Work motivation is motivated by the need in a person to influence the person's behavior, High motivation a person is expected to lead to positive behaviors that will ultimately result in good performance in the work. One that is often the cause of reduced performance is the lack of internal and external motivation in the work. The design of this study using cross-sectional methods. The sampling method used is Probability Sampling. Samples taken by 35 respondents are nurses who work in the Inpatient Room RSI Sakinah Mojokerto, in May 2014. Research data was taken using a questionnaire. After the tabulated data were analyzed using the Spearman Rho test with significance level 0.05. The results showed motivation of nurses working in the high category by 23 respondents (65.7%), medium category by 8 respondents (22.9%) and low category by 4 respondents (11.4%). Performance nurse with excellent categories by 20 respondents (57.1%), both as a category 4 respondents (11.4%), pretty much as 5 categories of respondents (14.3%), less as category 2 respondents (5.7% ), and less so by 4 categories of respondents (11.4%). While the results obtained from the statistical tests no correlation with the performance of work motivation nurses with correlation value of 0.728 with a significance level of 0.000 (ρ <0.05). Seeing these results it is necessary to coaching head office and nurse by providing training to improve motivation and performance so nurses can lead to good service and a good image for the hospital in the community.]]>
