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KOMPETENSI PERAWAT DAN PATIENT SAFETY DI RSUD PIRU KABUPATEN SERAM BAGIAN BARAT Irhamdi Achmad
Jurnal Kesehatan Terpadu (Integrated Health Journal) Vol 9 No 2 (2018): Jurnal Kesehatan Terpadu (Integrated Health Journal) November 2018
Publisher : Poltekkes Kemenkes Maluku

Patient safety in hospitals is a global issue and it is important to establish a safer and more comfortablesystem of nursing and health services in hospitals. Nursing care is expected to be of good quality anduseful in preventing incidents of unwanted events that can harm patients and hospitals. The reality inthe hospital even though the socialization and training of patient safety have been carried out by thehospital to nurses and health workers there are still cases of injured patients, patients falling and wrongtreatment. This study aims to determine the relationship of nurse competencies that was nursingstudies, nursing ethics, drug administration and measurement of vital signs with patient safety in PiruHospital in 2017. The type of research is descriptive analytic with design cross-sectional. Theinstrument used was a questionnaire, with a sample of 66 nurses at the Piru Hospital in Seram BagianBarat District. The results showed that there was a relationship between significant nursing assessmentcompetencies, nursing ethics, administration of drugs and the measurement of vital signs with patientsafety, at the Piru Hospital. Therefore nurses' knowledge and technical skills regarding patient safetythrough various socialization and training activities must be improved so that the safety and security ofpatients in hospital services is guaranteed and the hospital image becomes better. Keywords: Nurse competence, patient safety, hospital

PENGARUH PEMBERIAN TERAPI MUSIK KLASIK TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI DESA MOSSO MALUKU Usman Barus Ohorella; Irhamdi Achmad
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 2 No 1 (2022): Januari - Juni 2022
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v2i1.261

Backgroud: Hypertension defined as an increase in abnormal blood pressure and is measured at least on three different occasions, with a result of systolic pressure> 140 mmHg and diastolic> 90 mmHg. Stroke prevalence based on Basic Health Research (2018) of 10.9% (7 % in 2013) in population over 18 years, while for hypertension in population over 18 years at 34.1% (25.8% in 2013). The increasing prevalence of the number of sufferers of hypertension is due to the lack of public knowledge about the factors that trigger the disease and the lack of efforts in preventing this disease. prevention must be tried as much as possible by controlling risk factors for hypertension. This study aims to determine the effect of classical music therapy on reducing blood pressure in hypertensive patients in Mosso Village in 20120. Method: This study uses a Quasi experimental design with a pretest posttest control with group design approach. In this design there are two groups, namely the control group and the intervention group, with the approach of using Probability sampling with a total sample of 47 people with hypertension for each group. The results indicated a significant effect of classical music therapy on reducing blood pressure (systole / distole) in hypertensive patients between the intervention group (p <0.0001) when compared to the control group (systole) (p 0.045) diastole (p 0.002). Conclusion: Classical music therapy gives effect on blood pressure, so it can be recommended as a procedural standard in reducing blood pressure in hypertensive patients.

PENGARUH PENDIDIKAN KESEHATAN TERHADAP TINGKAT PENGETAHUAN PENDERITA HIPERTENSI TENTANG RISIKO STROKE DI DESA MOSSO KABUPATEN MALUKU TENGAH MALUKU Usman Barus Ohorella; Feby Adolf Metekohy; Irhamdi Achmad
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 1 No 2 (2021): Juli-Desember 2021
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Background: Stroke is an acute nerve function disorder caused by circulatory disorders on brain, symptoms according to the focal area of brain that is experiencing disorder. The prevalence of stroke increases with increasing in age. Stroke in male groups as high as female groups. The increasing number of people with cardiovascular disease and coronary heart disease (CHD) every year was due to lack of public knowledge about risk factors of heart disease and lack of efforts to prevent the disease. Prevention must be tried as far as possible by controlling the risk factors for cardiovascular disease and CHD. Objective: to determine the effect of health education on the level of knowledge of hypertensive patients about stroke risk in Mosso Village, Maluku. Method: This study used a Quasi experimental design with a pretest posttest with control group design approach. In this design there are two groups, control group and intervention group, with the Probability sampling (simple random sampling with a sample of 47 people with Hypertension patients for each group. Data was collected using questionnaire. Result: The results was statistically analysis with SPSS (paired t test and pooled t test) and showed a significantly differences in the average level of knowledge after the health education intervention in control group (mean diff. -6,936) and intervention group (mean diff. -6,574) (p <0,0001). Conclusion: It was concluded that health education was an effective method in increasing the level of knowledge of hypertension patient about the risk of stroke in Mosso village, Maluku Keyword: Stroke; Hypertension; Knowledge.

HUBUNGAN PENGUNAAN ALAT PENYELAM TRADISIONAL DENGAN KEJADIAN BAROTRAUMA Irhamdi Achmad; Julaila Soulisa; Luthfy Latuconsina
GLOBAL HEALTH SCIENCE Vol 1, No 1 (2016): Maret 2016
Publisher : Communication and Social Dinamics (CSD)

Penyelam tradisional hanya mengandalkan cara tahan napas untuk menyelam, yang dikenal juga sebagai breath-hold diving. Hal yang sangat memprihatinkan adalah penyelam tradisional tidak menyadari berbagai akibat yang terjadi. Faktor ketidaktahuan akan metode menyelam yang benar dan aman, serta anggapan bahwa hal itu sudah menjadi hal biasa sejak jaman nenek moyang, bisa menjadi sumber musibah bagi penyelam tradisional. Ketika terjadi gangguan akut (mendadak seketika) saat aktivitas menyelam, ada anggapan ini adalah perbuatan “setan laut”. Tujuan penelitian ini adalah untuk menganalisis hubungan antara penggunaan alat penyelam tradisional dengan kejadian barotrauma di Dusun Waimuli Waikiku Desa Negeri Lima Thn 2013. Populasi penelitian cross sectional ini adalah masyarakat Dusun Waimuli Waikiku Desa Negeri Lima yang memiliki pekerjaan menyelam, dengan besar populasi 45 orang dan semua menjadi subyek penelitian. Data dikumpulkan melalui pengisian kuesioner, lalau dianalisis menggunakan Fisher exat test. Hasil analisis data menunjukkan bahwa ada hubungan antara penggunaan alat menyelam (kompresor dan kacamata) dengan kejadian barotrauma. Kata kunci: barotrauma, penggunaan alat menyelam, penyelam tradisional

MANEJEMEN PERAWATAN PASIEN TOTAL CARE DAN KEJADIAN INFEKSI NOSOKOMIAL DI RUANG ICU RSUD MASOHI TAHUN 2016 IRHAMDI ACHMAD
GLOBAL HEALTH SCIENCE Vol 2, No 1 (2017): Maret 2017
Publisher : Communication and Social Dinamics (CSD)

ABSTRAK Latar Belakang: infeksi masih merupakan penyebab tingginya angka kesakitan dan kematian di dunia. Salah satunya adalah infeksi nosokomial. Infeksi ini menyebabkan, 1,4 juta kematian setiap hari di seluruh Indonesia. Infeksi nosokomial diartikan sebagai infeksi yang diperoleh seseorang selama di rumah sakit. Di DKI Jakarta tahun 2004 9,8% pasien rawat inap mendapat infeksi nosokomial. RSUD Masohi rumah sakit Pemkab Maluku Tengah yang sementara melakukan pembenahan system pelayanan maupun sarana prasarana. Sehingga data infeksi nosokomial tidak terlaporkan sehingga sulit untuk mendeteksi kejadiannya sampai saat ini. Penelitian ini bertujuan untuk mengetahui hubungan manajemen perawatan pasien total care dengan kejadian infeksi nosokomial di ruang ICU RSUD Masohi tahun 2016 dengan Metode descriptive correlation menggunakan pendekatan croos sectional. Sampel adalah semua perawat yang bekerja di ruang ICU RSUD Masohi yaitu 15 orang. Menggunakan analisis non parametrik RankSpearman Hasil: Pada variable planning katagori baik 80%, kurang baik 20%, organisasi kategori baik 86,7%, kurang baik 13,3%, ketenagaan kategori baik 26,7%, kurang baik 73,3%, pengarahan kategori baik 53,3%, kurang baik 46,7% , pengawasan kategori baik 33,3%, kurang baik 66,7%, tindakan invasif kategori infeksi 20%, tidak infeksi 80% dan tindakan non invasif kategori infeksi 40% dan tidak infeksi 60%. Kesimpulan: Tidak ada hubungan signifikan antara planning, organisasi, pengawasan dengan infeksi nosokomial akibat tindakan invasif, dan ada hubungan signifikan antara ketenagaan, pengarahan dengan infeksi nosokomial akibat tindakan invasif serta tidak ada hubungan signifikan antara planning, organisasi, ketenagaan, pengarahan, pengawasan dengan infeksi nosokomial akibat tindakan non invasif. Kata Kunci: Manejemen, total care, infeksi nosokomial

PENGARUH ORAL HYGIENE TERHADAP PENCEGAHAN KEJADIAN VENTILATOR ASSOCIATED PNEUMONIA (VAP) DI RUANG ICU Risalt Defyanto Kusaly; Usman Barus Ohorella; Irhamdi Achmad; Feby Adolf Metekohy; Miftahul Khair Imran
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 2 No 2 (2022): Juli - Desember 2022
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v2i2.394

Abstrak Latar Belakang: Ventilator Associated Pneumonia (VAP) Merupakan infeksi nosokomial pneumonia yang terjadi setelah 48 jam pada pasien dengan pemasangan ventilator mekanik, baik melalui pipa endotrakeal maupun pipa trakeostomi. Tujuan: Tujuan penelitian ini adalah untuk mengetahui apakah ada pengaruh pemberian oral hygiene terhadap pencegahan kejadian ventilator associated pneumonia (VAP) berdasarkan hasil penelusuran pustaka. Metode: Studi pustaka (Literature Review). Sumber data pencarian menggunakan Google Scholar dan PubMed, artikel dengan topik уang diterbitkan dalam bahasa Indonesia dan bahasa Inggris dari tahun 2017-2022. Hasil: Hasil kajian pustaka pada 10 artikel penelitian yang menуatakan bahwa oral hygiene berpengaruh pada pengurangan kejadian VAP. Oral Hygiene mampu mencegah kolonisasi faringeal dan mencegah perkembangan laju patogen VAP. Kesimpulan: oral hygiene berpengaruh pada pengurangan kejadian VAP. Sehingga di Rekomendasikan penggunaan larutan Chlorehexidine (CHX) menjadi larutan yang paling banyak digunakan dan paling efektif dalam perawatan mulut. Kata Kunci: Pneumonia, Oral Hygiene, VAP, ICU

PENERAPAN TERAPI MADU MENGGUNAKAN METODE MOIST WOUND HEALING PADA KASUS DIABETIC LEG ULCER DI WILAYAH KERJA PUSKESMAS MASOHI Ohorella, Usman Barus; Lewenussa, Rupaida; Achmad, Irhamdi; Khair, Andi Miftahul; Metekohy, Feby Adolf
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 3 No 2 (2023): Juli - Desember 2023
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v3i2.489

Background: Diabetic leg ulcer is a chronic injury caused by peripheral neuropathy and repetitive pressure that results in tissue damage to part or all of the leg area under high pressure. To overcome this, treatment is needed with the application of honey as part of the Moist Wound Healing method. Moist Wound Healing is a wound care method with moist principles that can support cells in the wound healing process. Objective: to see the effectiveness of honey in the Application of Wound Care Procedures Using the Moist Wound Healing Method in Diabetic Leg Ulcer Cases. Method: case study design with descriptive design. Respondents consisted of 2 people who had met the criteria of the researcher. Results: there was a decrease in the REEDA score (Redness, Edema, Ecchymosis, Discharge, Approximation) of respondent 1 from the score (5) to (2), respondent 2 from the score (5) to (2), with an average decrease of 66%. With the state of the ulcer, there is no odor, or exudate, as well as the presence of tissue granulation. Conclusion: the moist wound healing method with honey is effectively used in the treatment of diabetic ulcers. Keywords: Diabetic Leg Ulcer, Wound Care, REEDA, Moist Wound Healing

UPAYA PENINGKATAN KESIAPSIAGAAN MASYARAKAT TERHADAP BENCANA GEMPA BUMI DAN TSUNAMI DI INDONESIA : LITERATUR RIVIEW Ohorella, Usman Barus; Tantri, Kaliana; Imran, Andi Miftahul Khair; Achmad, Irhamdi; Metekohy, Feby Adolf
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 4 No 1 (2024): Januari - Juni 2024
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v4i1.464

Background: Disaster preparedness is something that all people in Indonesia should have. Because various kinds of disasters are threats that can claim lives, property, and public facilities. Purpose: This systematical review was created to be able to provide information regarding community preparedness and the methods used to improve it. Method: Systematical Review. Search data sources use Google Scholar and PubMed, articles on topics published in Indonesian and English from 2018-2023. Results: The results of the literature review obtained 10 articles that match the inclusion criteria which provide the results of various methods provided to increase disaster preparedness including disaster counseling, leaflets/booklets, simulations, etc. Conclusion: various methods can be given as an effort to increase community preparedness. Recommendation: Providing education must continue to be carried out to train community preparedness for earthquake and tsunami disasters.

INTERVENSI KEPERAWATAN SENAM KAKI DIABETIK UNTUK PENCEGAHAN ULKUS KAKI DIABETIK PADA PASIEN DIABETES MELITUS TIPE II DI WILAYAH KERJA PUSKESMAS MASOHI ACHMAD, IRHAMDI; Resiloy, Jesicha; Imran, Andi Miftahul Khair; Ohorella, Usman Barus; Metekohy, Feby Adolf
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 4 No 1 (2024): Januari - Juni 2024
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v4i1.569

Increasing prevalence of type II diabetes mellitus (DM) leads to various complications, including diabetic foot ulcers, which can risk amputation. Diabetic foot exercise nursing intervention is considered effective as a preventive measure. This study aims to describe the implementation of this intervention in the Masohi Community Health Center. Using a case study design, the subjects included two patients with type II DM for 5-10 years. Data collection involved interviews, vital sign measurements, and diabetic foot ulcer risk assessment using Inlow's 60-Second Diabetic Foot Screening Tool before and after the intervention. The results showed that the first subject experienced a reduction in diabetic foot ulcer risk scores from 8 to 6 on the left foot and from 5 to 3 on the right foot, alongside a decrease in random blood glucose levels (GDS) from 387 mg/dL to 255 mg/dL. For the second subject, the ulcer risk score decreased from 5 to 3 on the left foot and from 8 to 6 on the right foot, with GDS dropping from 339 mg/dL to 250 mg/dL. These findings indicate that diabetic foot exercise effectively reduces ulcer risk and aids in blood glucose control. This study is expected to provide a reference for community health centers and educational institutions in implementing diabetic foot exercise nursing interventions for the prevention of diabetic foot ulcers in type II DM patients.

Penerapan Intervensi Keperawatan Pemberian Aromaterapy Esensial Oil Mawar Untuk menurunkan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Masohi patty Iha, Mawada; Achmad, Irhamdi; Metekohy, Feby Adolf; Khair, Andi Miftahul; Ohorella, Usman Barus
Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) Vol 4 No 2 (2024): Juli - Desember 2024
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkit.v4i2.561

Abstrak Pendahuluan: Hipertensi Adalah Keadaan Tekanan Darah Dipembuluh Darah Meningkat. Seseorang Dikatakan Mengalami Tekanan Darah Apabila Hasil Pengukuran Tekanan Sistolik Lebih Dari 140 Mmhg Dan Tekanan Diastolik Lebih Dari 90 Mmhg.Ada Beberapa Tujuan: Penelitian Adalah Untuk Menggambarkan Pelaksanaan Penerapan Prosedur Dengan Menggunakan Aromaterapi Mawar Untuk Menurunkan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Masohi Metode: Penelitian Ini Menggunakan Metode Deskriptif Kuantitatif Dengan Desain Studi Kasus, Subjek Penelitian Sebanyak 2 Subjek Dengan Kriteria Insklusi Didiagnosis Hipertensi Oleh Dokter (Grade1-2), Dan Kooperatif. Hasil: Setelah Dilakukan Penerapan Prosedur Aromaterapy Esensial Oil Mawar Selama 5 Hari Didapatkan Tekanan Darah Kedua Responden Sama Mengalami Penurunan Pada Responden Pertama Dari Tekanan Darah 160/100 Mmhg Menjadi 130/84 Mmhg, Dan Responden Kedua Dari Tekanan Darah 170/88 Mmhg Menjadi 130/76 Mmhg Kesimpulan: Berdasarkan Hasil Penelitian Tentang Penerapan Prosedur Pemberian Aromaterapi Esesnsial Oil Mawar Untuk Menurunkan Tekanan Darah Pada Penderita Hipertensi Di Wilayah Kerja Puskesmas Masohi, Dapat Disimpulkan Bahwa Penerapan Aromaterapi Esensial Oil Mawar Ini Dapat Memberikan Efek Relaksasi , Mengurangi Stress Dan Menurunkan Tekanan Kata Kunci: Aromaterapi Esensial Oil Mawar, Hipertensi Abstract Introduction: Hypertension Is A Condition Where Blood Pressure In The Blood Vessels Increases. A Person Is Said To Have Blood Pressure If The Systolic Pressure Measurement Results Are More Than 140 Mmhg And Diastolic Pressure Is More Than 90 Mmhg. Objective: The Research Describes Implementing Procedures Using Rose Aromatherapy To Lower Blood Pressure In Hypertension Sufferers In The Masohi Health Center Working Area. Method: This Research Uses A Quantitative Descriptive Method With A Case Study Design, 2 Research Subjects With The Inclusion Criteria Being Diagnosed With Hypertension By a doctor (grade 1-2), and cooperative. Results: After applying the rose essential oil aromatherapy procedure for 5 days, it was found that the blood pressure of both respondents had the same decrease in the first respondent from blood pressure of 160/100 MmHg to 130/84 MmHg, and the second respondent from blood pressure of 170/88 MmHg to 130/ 76 MmHg Conclusion: Based on the results of research regarding the application of rose oil essential aromatherapy procedures to reduce blood pressure in hypertension sufferers in the Masohi Community Health Center working area, it can be concluded that the application of rose oil essential aromatherapy can provide a relaxing effect, reduce stress and reduce pressure. Keywords: Rose essential oil aromatherapy, hypertension

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