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Prevalence and characteristics of peptic ulcer in patients presenting with hematemesis and/or melena undergoing esophagogastroduodenoscopy: a descriptive study Hidayanto, Arif; Subrata, Sumarno Adi; Widiyanto, Puguh
Innovation in Health for Society Vol 5 No 1 (2025): January - June
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ihs.12514

Abstract

Peptic ulcers are a leading cause of upper gastrointestinal bleeding, with the highest incidence observed among men and the elderly. Esophagogastroduodenoscopy (EGD) is the gold standard diagnostic tool, offering sensitivity and specificity rates of up to 90% for identifying peptic ulcers. This study aimed to describe the characteristics of peptic ulcer cases in patients presenting with hematemesis and/or melena who underwent EGD at RSUD Temanggung in 2023. A quantitative descriptive design was utilized, employing retrospective data collection from medical records of patients who met the inclusion and exclusion criteria. A total of 23 medical records were analyzed. Among the 23 cases of hematemesis and/or melena, peptic ulcers were the most common diagnosis, accounting for 47.8% (11 cases). Erosive gastritis was the second most common diagnosis (39.1%, 9 cases), followed by esophageal varices (13.0%, 3 cases). Of the 11 patients diagnosed with peptic ulcers, 63.6% were aged over 60 years, 27.3% were aged 40–59 years, and 9.1% were aged 19–39 years. Regarding gender, 81.8% of peptic ulcer patients were male, and 18.2% were female. The majority (90.9%) of patients had ulcers classified as Forrest III, while 9.1% were classified as Forrest IIc. The most common nursing problems identified included ineffective tissue perfusion (36.4%), nausea (36.4%), and pain (27.2%). The findings highlight that the majority of peptic ulcer cases involved Forrest III ulcers, and key nursing concerns included managing ineffective peripheral tissue perfusion and nausea. This study underscores the need for targeted interventions to address these common nursing problems and improve patient outcomes in peptic ulcer management. Keywords: Endoscopy, esophagogastroduodenoscopy, hematemesis, melena, peptic ulcer
Hubungan Stres Kerja Perawat Dengan Perilaku Caring Di Rumah Sakit Umum Daerah Muntilan Sofiatun, Putri; Widiyanto, Puguh; Nugroho, Sri Hananto Ponco
Prosiding University Research Colloquium Proceeding of The 15th University Research Colloquium 2022: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Background: Nurses are one of the health workers from hospital services andbecome a benchmark in determining the quality of hospital health services. Incarrying out nursing duties, nurses must have a professional attitude startingfrom the physical, psychological, social, and spiritual aspects. Watson's theory ofhuman care reveals that caring is a form of relationship that is needed betweenthe giver and recipient of nursing care, to improve and protect patients, whichwill affect the patient's ability to recover. Caring behavior that is not good willhave an impact on decreasing service quality and client satisfaction, especially inhospitals, besides that it can reduce the number of client visits to health facilitiesand can later cause financial losses to health facilities, where the image of theinstitution is determined by the quality of service which will later be able toincrease client satisfaction and service quality. Objective: to determine therelationship between nurse work stress and caring behavior in MuntilanHospital. Methods: this type of research is descriptive correlation, with a crosssectional approach which data collection uses simple random sampling techniqueand the data is processed using the Spearman test with a sample of nurses in theinpatient room of Muntilan Hospital, totaling 47 nurses. Results: Spearman ranktest results show that there is a significant relationship between nurse workstress and caring behavior with a value (p=0.001 and r=-0.450). Conclusion:There is a relationship between nurse work stress and caring behavior withsufficient correlation strength.
Hubungan Dukungan Sosial dengan Burnout pada Perawat Rawat Inap RSUD Muntilan Magelang Matussilmiyuliyani, Ida; Widiyanto, Puguh; Masithoh, Robiul Fitri
Prosiding University Research Colloquium Proceeding of The 15th University Research Colloquium 2022: Mahasiswa (Student Paper Presentation) B
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Nurses are one of the health workers from hospital services who are the benchmark in determining the quality of hospital services. The nurse's task in helping and restoring the patient's condition must be in accordance with hospital standards so that it requires nurses to have sufficient health and energy. This condition can deplete the nurse's physical and emotional strength which causes burnout. Burnout that occurred at the Muntilan Hospital Magelang in 2019 was high. This burnout will affect the performance of nurses, causing the problem of decreasing the quality of hospital services. One of the efforts to improve the quality of service is to increase the work motivation of nurses. High work motivation will affect the performance of nurses. Good nurse performance has positive behavior that is able to support individual performance and organizational performance to improve better services. High social support will improve nurse performance. Aim : the goal in the study is to identify social suport with burnout in the RSUD Muntilan Magelang hospital. Method : the method in this study is a cross sectional survey with a quantitative design. The sample in this study were 45 nurses that are divided into 5 inpatient wards. Sampling used stratified random sampling. Collecting data in this study using a questionnaire via google form. In this study the data were statistically analyzed using the Spearman rank test. Results: Spearman rank test on the relationship of social support obtained a significance value of burnout of p = 0.233 (p>0.05) Conclusion: there is no significant correlation between social support and burnout in nurses in the inpatient room at Muntilan Hospital, Magelang Regency. There is no correlation between social support and burnout, but clinically, social support is still needed to anticipate burnout.
KEPATUHAN PERAWAT DALAM CUCI TANGAN SEBELUM DAN SESUDAH KONTAK DENGAN PASIEN BERDASARKAN REWARD PUNISHMENT Arifah, Zuba Nur; Widiyanto, Puguh; Ponco, Sri Hananto
Prosiding University Research Colloquium Proceeding of The 19th University Research Colloquium 2024: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Latar Belakang : Health Associated Infection (HAIs) merupakan infeksi yang didapatkan di rumah sakit yang dapat dibawa oleh perawat sehingga perawat berperan dalam pencegahan HAIs melalui cuci tangan. Melalui kepatuhan perawat serta diberikan sistem reward dan punishment dapat mempengaruhi kualitas pelayanan rumah sakit. Tujuan : Mengetahui hubungan reward punishment dengan kepatuhan cuci tangan perawat. Metode : Jenis penelitian kuantitatif, desain studi cross sectional, Teknik total sampling, pengumpulan data menggunakan kuisioner dan observasi. Populasi dan sampel berjumlah 44 perawat. Hasil : Nilai signifikan reward menggunakan uji-t parsial sebesar 0,002 dengan r 0,488, nilai sig punishment 0,004 dengan r 0,541. Kesimpulan ; Terdapat hubungan reward dan punishment dengan kepatuhan perawat dalam cuci tangan sebelum dan sesudah kontak dengan pasien.
Analysis of the application of professional nursing care to the team method and work stress of nurses in the hospital Savitri, Anggita Rahma; Widiyanto, Puguh; Suhariyanti, Enik
Borobudur Nursing Review Vol 1 No 1 (2021): Borobudur Nursing Review Vol 1 No 1 (January-June 2021)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/bnur.4896

Abstract

Background : Nurse uses some nursing care models during nursing process based on hospital policy. One of the models is team-base care. However, this model has some disadvantages and can lead work-related stress among nurses. When the work-related stress is out of control, it can cause decreasing in quality of nursing care. Objective : The aim of this study was to determine relationship between profesional team nursing care method and work-related stress among nursing in RSUD Muntilan in year 2020. Methods : This study was used a descriptive cross-sectional study design. Sample in this study was 128 participants using total sampling. To measure the variables, this study was used profesional team nursing care method questionnaire and nursing work stress questionnaire. The Spearmen-Rank test was used in this study for the bivariate analysis. Results : This study found that there was a relationship between between profesional team nursing care method and work-related stress among nursing in RSUD Muntilan (p-value 0.001; r -0.384). In this study, when nurses implemented profesional team nursing care method, nurses would have less work-related stress. Conclusion : Nurses and other health care providers can recognize related factors of work-related stress among nurses in hospital. Thus, the evaluation process related to nurse’s works should be considered the type of nursing care method that used in ward.