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Hubungan Pelaksanaan Perawatan Indweling Kateter dengan Kejadian Infkesi Saluran Kemih Melyza Perdana; Haryani Haryani; Khudazi Aulawi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 1, No 1 (2017)
Publisher : PSIK FKKMK UGM

Background: Nosocomial infection is the most common problem occurs among 9% of 1,4 million hospitalized patients in the world. Urinary tract infections (UTIs) account for up to 40% of nosocomial infections which are reported by acute-care hospitals every year. Objective: The objective of this study was to identify the association between indwelling catheter care and urinary tract infections in internal ward of Dr. Sardjito Hospital, Yogyakarta. Methods: This was a non experimental study with cross-sectional design. The subjects of this study were 27 patients who had indwelling catheter inserted in internal ward of Dr. Sardjito Hospital, Yogyakarta chosen by total sampling technique. Data were obtained from checklist that was arranged based on literature and catheter care procedures in Dr. Sardjito Hospital, Yogyakarta. Results: The results of the study showed that 18 of 27 patients who had indwelling catheter inserted had UTIs. The p value resulted from chi-square test was 0,023 (p<0,05). Statistically, this study showed that there was an association between indwelling catheter care and UTIs. There were some of catheter care procedures that had not well-implemented yet by the nurses, such as daily catheter care procedure (37%), hand washing before and after the procedure (49,4%), using gloves in every catheter contact (39,5%), cleaning the meatus and catheter with antiseptic (40,7%), and ensuring the catheter bag did not touch the oor (18,5%). Conclusion: There was an association between indwelling catheter care and UTIs in internal ward of Dr. Sardjito Hospital, Yogyakarta. ABSTRAKLatar belakang: Infeksi nosokomial merupakan masalah global dan menjangkau sekitar 9% lebih dari 1,4 juta pasien rawat inap di rumah sakit di seluruh dunia. Infeksi saluran kemih merupakan penyebab 40% dari semua infeksi nosokomial yang dilaporkan oleh rumah sakit perawatan akut tiap tahunnya. Kira-kira 10% dari pasien-pasien yang dirawat di rumah sakit terpasang kateter, memberikan populasi besar yang beresiko terhadap infeksi saluran kemih yang berhubungan dengan kateter. Tujuan: Untuk mengetahui hubungan pelaksanaan perawatan kateter dengan kejadian infeksi saluran kemih di Bangsal Penyakit Dalam RSUP Dr. Sardjito, Yogyakarta. Metode: Penelitian ini merupakan penelitian non-eksperimental menggunakan rancangan cross sectional. Subjek penelitian ini adalah pasien yang dipasang kateter di Bangsal Penyakit Dalam RSUP Dr. Sardjito, Yogyakarta yang diambil dengan teknik total sampling. Data dikumpulkan dengan menggunakan lembar observasi pelaksanaan perawatan yang disusun berdasarkan prosedur tetap dan dimodi kasi dengan teori yang ada. Hasil: Hasil penelitian menunjukkan bahwa 18 dari 27 pasien yang diobservasi mengalami infeksi saluran kemih. Dari hasil uji chi square didapatkan nilai p sebesar 0,023 (p<0,05). Secara statistik diketahui bahwa ada hubungan antara pelaksanaan perawatan kateter dengan kejadian infeksi saluran kemih. Belum semua tindakan perawatan kateter dilakukan 100% oleh perawat. Tindakan ini meliputi melakukan perawatan kateter satu kali setiap hari (37%), mencuci tangan sebelum dan sesudah tindakan (49,4%), menggunakan sarung tangan (39,5%), membersihkan daerah meatus dan ujung kateter dekat meatus dengan cairan antiseptik (40,7%), kantung penampung urin tidak menyentuh lantai (18,5%).Kesimpulan: Ada hubungan antara pelaksanaan perawatan indwelling kateter dengan kejadian infeksi saluran kemih di bangsal penyakit dalam RSUP Dr. Sardjito Yogyakarta.

Efektivitas Pemberian Pendidikan Kesehatan Terstruktur tentang Penggunaan Teknik Non Farmakologi untuk Mengurangi Nyeri Kanker Haryani Haryani; Melyza Perdana; Septa Adhi Hermawan; Malina Luthfiana
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 3, No 1 (2019)
Publisher : PSIK FKKMK UGM

Background: Pain is the most common symptoms suffered by cancer patients that can affect their daily activity and quality of life. Non pharmacological intervention to decrease pain often ignored.Objective: To determine the effectivity of structured health education of non pharmacological intervention to decrease cancer pain.Method: This is a quasi experimental research. The inclusion criteria were cancer patients who were more than 18 years old, suffered cancer pain (from 1-10 scale), and were on stage I-IV of cancer. Sixty eight subjects were recruited (34 for intervention group and 34 for control group). The booklet contains about how to treat non-pharmacology pain and management in the form of warm compress, cold compress, and relaxation techniques. Control group only use diary pain while usual care were provided for control group. Daily pain diary was filled by research subjects for three days. Brief Pain Inventory was given for both of two groups. Paired t test was used to compare pain score and ADL disturbance before and after intervention.Result: There were a significance decrease on both of pain score and daily activity disturbance before and after intervention in the intervention group (p= 0,000). There were not any significant different of pain score (p=0,762) and daily activity disturbance (p= 0,253) in control group. In addition, warm compress is the most nonpharmacological technique used by the intervention group.Conclusion: Providing structured health education of non-pharmacological intervention technique such as warm and cold compress, and relaxation is effective in reducing pain and ADL disorders in cancer patient. ABSTRAKLatar belakang: Nyeri adalah salah satu keluhan yang sering dirasakan penderita kanker. Nyeri yang timbul terus-menerus dan tidak ditangani secara adekuat dapat mengganggu aktivitas sehari-hari pasien dan menurunkan kualitas hidup pasien. Penanganan nyeri secara non-farmakologi sering diabaikan.Tujuan: Mengetahui efektivitas pemberian pendidikan kesehatan teknik non-farmakologi penanganan nyeri pada pasien kanker.Metode: Desain penelitian quasi eksperimen. Kriteria inklusi pasien kanker dengan umur >18 tahun, mengalami nyeri skala 1 – 10, stadium I-IV. Kriteria eksklusi adalah pasien yang mengalami gangguan jiwa. Subjek penelitian 68 orang (34 kelompok kontrol dan 34 kelompok perlakuan). Kelompok perlakuan diberikan booklet cara penanganan nyeri non-farmakologi dan demonstrasi teknik non-farmakologi berupa kompres hangat, kompres dingin, dan teknik relaksasi. Kelompok kontrol mendapatkan perawatan standar. Responden mengisi daily pain diary selama 3 hari dan mengisi kuesioner Brief Pain Inventory (BPI). Analisis data menggunakan distribusi frekuesi dan uji t test berpasangan untuk membandingkan skala nyeri dan tingkat gangguan aktivitas sehari-hari akibat nyeri sebelum dan sesudah pemberian intervensi.Hasil: Teknik non-farmakologi yang banyak digunakan oleh kelompok perlakuan adalah kompres hangat sebesar 56,67%. Terjadi penurunan rata-rata tingkat nyeri sebelum dan sesudah pemberian intervensi (p= 0,000) dan rata-rata tingkat gangguan ADL karena nyeri sebelum dan sesudah pemberian intervensi (p= 0,000). Tidak ada perbedaan tingkat nyeri (p=0,762) dan tingkat gangguan ADL (p= 0,253) pada kelompok kontrol.Kesimpulan: Pemberian pendidikan kesehatan terstruktur tentang penggunaan teknik non-farmakologi seperti kompres hangat, dingin dan relaksasi efektif dalam menurunkan nyeri dan gangguan ADL pada pasien kanker.

Pengaruh Pendidikan Kesehatan Audiovisual terhadap Tingkat Aktivitas Fisik pada Populasi Berisiko Sindrom Metabolik di Wilayah Kerja Puskesmas Turi Sri Rahayu; Sri Mulyani; Melyza Perdana
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 2 (2018)
Publisher : PSIK FKKMK UGM

Background: Changes in unhealthy lifestyle and behavior, such as changes in patterns of food consumption and lack of physical activity, may increase the risk of metabolic syndrome. In order to reduce metabolic syndrome risk , promotional efforts such as health education with audiovisual media, may promote a higher level of physical activity.Objective: To determine the effect of health education with audiovisual media toward physical activity level among the metabolic syndrome risk-population in the working area of Turi Community Health Center (Puskesmas), Sleman.Method: This research was a quasi-experiment with a nonequivalent pre-test and post-test design control group. Participants in this research were 80 people who lived in Turi, which 38 people allocated in the intervention group and 42 people in the control group. An intervention used in this study was audiovisual media while the control group received booklet. This questionnaire used in this study was a questionnaire of physical activity GPAQ. T-test was used to determine the effect of audiovisual to physical activity before and after health education which was measured two weeks after the intervention.Result: Health education with audiovisual media affected the level of physical activity in the treatment group (p= 0,001) and the provision of booklets did not affect the physical activity of the control group (p= 0,326). There were differences in physical activity after the intervention between the groups that were given health education using audiovisuals compared to the provision of booklets (p= 0,001).Conclusion: There is an effect of audiovisual health education toward the level of physical activity on the metabolic syndrome risk-population. ABSTRAKLatar Belakang: Perubahan gaya hidup dan perilaku tidak sehat, seperti perubahan pola makan dan berkurangnya aktivitas fisik dapat meningkatkan risiko kejadian sindrom metabolik. Upaya promotif seperti pendidikan kesehatan dengan media audiovisual dapat dilakukan untuk meningkatkan aktivitas fisik dalam rangka mengurangi risiko kejadian sindrom metabolik.Tujuan: Mengetahui pengaruh pendidikan kesehatan dengan media audiovisual terhadap tingkat aktivitas fisik pada populasi risiko sindrom metabolik di wilayah kerja Puskesmas Turi Sleman.Metode: Penelitian ini merupakan penelitian quasi experiment dengan teknik non-equivalent pretest posttest design control group. Responden penelitian ini adalah masyarakat wilayah Turi yang berjumlah 80 orang yaitu 38 orang pada kelompok perlakuan dengan intervensi pendidikan kesehatan melalui media audiovisual dan 42 orang di kelompok kontrol dengan intervensi pendidikan melalui media booklet. Penelitian ini menggunakan kuesioner aktivitas fisik GPAQ. Analisis data menggunakan paired sample t-test untuk mengetahui pengaruh audiovisual terhadap aktivitas fisik sebelum dan sesudah pendidikan kesehatan yang diberi jarak selama dua minggu.Hasil: Pendidikan kesehatan dengan media audiovisual berpengaruh (p=0,001) terhadap aktivitas fisik pada kelompok perlakuan dan pemberian booklet tidak berpengaruh pada aktivitas fisik kelompok kontrol (p=0,326). Terdapat perbedaan aktivitas fisik setelah dilakukan tindakan antara kelompok yang diberikan pendidikan kesehatan menggunakan audiovisual dibandingkan pemberian booklet (p=0,001)Kesimpulan: Terdapat pengaruh pendidikan kesehatan menggunakan audiovisual terhadap tingkat aktivitas fisik pada populasi berisiko sindrom metabolik.

Pengaruh Pendidikan Kesehatan Audiovisual terhadap Konsumsi Energi Populasi Risiko Sindrom Metabolik di Wilayah Kerja Puskesmas Turi Dwi Wahyu Setiyarini; Sri Mulyani; Melyza Perdana
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 1 (2018)
Publisher : PSIK FKKMK UGM

Background: Metabolic syndrome is a risk factor for cardiovascular disease, diabetes type 2, and other complications. Metabolic syndrome prevalence is high in Indonesia. Energy intake is one factor affecting metabolic syndrome which resulting in many life-threatening complications. Health education is needed to prevent it by using audiovisual as the media.Objective: This study aimed to determine the effect of audiovisual health education on energy, protein, carbohydrate, fat, cholesterol, fiber, and sodium intake in population with metabolic syndrome risk in Turi Community Health Center in Yogyakarta.Methods: This research was a quasi-experimental with a non-equivalent pre-test and post-test design. Respondents for this research were 38 in intervention group (audiovisual) and 42 in the control group (booklet). Data collected through questionnaire on food recall 3x24 hour. Data were analyzed using paired t-test and Wilcoxon test to compare pre-test and post-test in one group and then, independent t-test and Mann Whitney to compare intervention and control group.Results: The median score of energy intake before audiovisual health education was given, reached 808 and 851,5 (p>0,5) respectively. While in the control group the median values were 820,2 and 812,5 after the activity (p>0,05). There was no significant difference from the post-test scores of the intervention and control groups (p> 0,05) in terms of energy, protein, carbohydrate, fat, cholesterol, fiber, and sodium.Conclusion: There is no significant effect of audiovisual health education on the intake of energy, protein, carbohydrate, fat, cholesterol, fiber, and sodium in population with risk for metabolic syndrome in Turi Community Health Center in Yogyakarta. ABSTRAKLatar Belakang: Sindrom metabolik merupakan sekumpulan gejala yang dapat menyebabkan terjadinya penyakit kardiovaskular, diabetes melitus tipe 2 dan komplikasi lainnya. Prevalensi sindrom metabolik di Indonesia cukup tinggi. Salah satu faktor yang berpengaruh terhadap sindrom metabolik adalah konsumsi energi. Pendidikan kesehatan diperlukan untuk mencegah sindrom metabolik yang semakin tinggi dan media audiovisual adalah media yang dinilai efektif untuk mengubah konsumsi energi.Tujuan penelitian: Untuk mengetahui pengaruh pendidikan kesehatan audiovisual terhadap konsumsi energi, protein, karbohidrat, lemak, kolesterol, serat dan sodium pada populasi dengan risiko sindrom metabolik di wilayah kerja Puskesmas Turi.Metode: Penelitian ini merupakan penelitian kuantitatif berjenis kuasi eksperimental dengan rancangan non-equivalent pre-test dan post-test. Responden berjumlah 38 pada kelompok perlakuan (audiovisual) dan 42 pada kelompok kontrol (booklet). Pengambilan data dilakukan dengan kuesioner Food Recall 3x24 jam. Analisis bivariat menggunakan uji komparatif paired t-test dan Wilcoxon test untuk membandingkan hasil pre-test dan post-test dalam satu grup dan independent t-test dan Mann Whitney untuk membandingkan kelompok perlakuan dan kelompok kontrol.Hasil: Nilai tengah skor intake energi sebelum pendidikan kesehatan audiovisual sebesar 808 dan sesudah 851,5 (p>0,05). Sementara pada kelompok kontrol nilai median 820,2 dan 812,5 sesudah kegiatan (p>0,05). Tidak ada perbedaan yang signifikan dari nilai post-test kelompok intervensi dan kontrol (p>0,05) dalam hal energi, protein, karbohidrat, lemak, kolesterol, serat, dan sodium.Kesimpulan: Tidak terdapat pengaruh yang signifikan pada pendidikan kesehatan audiovisual terhadap konsumsi energi, protein, karbohidrat, lemak, kolesterol, serat, dan sodium pada populasi dengan risiko sindrom metabolik di wilayah kerja puskesmas Turi.

NURSING RESEARCH PRIORITIES IN INDONESIA AS PERCEIVED BY NURSES Lely Lusmilasari; Yupin Aungsuroch; Widyawati Widyawati; Sunisa Sukratul; Joko Gunawan; Melyza Perdana
Belitung Nursing Journal Vol. 6 No. 2 (2020): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: To promote excellence in nursing research, setting research priorities is needed to meet the need of community aligned with the national context. Unfortunately, limited number of studies has examined nursing research priorities in Indonesia. Objective: To identify nursing research priorities in Indonesia from the perspectives of nursing experts. Methods: This was a descriptive qualitative study. Focus group discussion was conducted among participants who were purposively selected (n = 13). Data were analyzed using a consensus-based method. Results: The top ten research priority lists were identified. The priorities were nurse competence, quality of nursing care in nursing services, nursing policy, nurse work environment, nurse mobility, interprofessional education and collaboration, teaching learning evaluation, nursing career, complementary therapy in nursing, and technology and informatics in nursing. Conclusion: Findings of this study could be used as the basis of direction for development of future research in Indonesia.

Hubungan antara Dukungan Sosial dan Aktivitas Fisik pada Kelompok Risiko Sindrom Metabolik di Wilayah Kerja Puskesmas Turi Sleman Imah Nur Chasanah; Melyza Perdana
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 3 (2018)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.44268

Background: Hypertension and diabetes mellitus cases, as part of the metabolic syndrome, are increasing in the working area of Puskesmas Turi. One of the preventive efforts is promoting physical activity. On the other hand, physical activity is influenced by internal and external factors, such as social support from the environment.Objective: To determine the relationship between social support and physical activity in the risk group for metabolic syndrome in the working area of Puskesmas Turi, Sleman Regency.Methods: This study was a descriptive correlational study with a cross-sectional design. The research respondents were 87 people categorized in metabolic syndrome risk group with inclusion criteria, i.e. BMI ≥ 23; abdomen circumference >90 cm for male and >80 cm for female; and aged 30 to 60 years. Data collected using the International Physical Activity Questionnaire (IPAQ) questionnaire to measure the level of physical activity and to measure the level of social support was using social support and exercise surveys. Data was analyzed using univariate analysis and Spearman Rank.Result: The level of physical activity of most of the respondents were 43,8% (moderate). Respondents received social support mostly from friends rather than family members. Spearman Rank score for testing the correlation between social support (from family and friend) and respondents’ physical activity achieved r = -0,117; p = 0,282 and r = 0,036; p = 0,740.Conclusion: There is no significant relationship between social support and physical activity in the metabolic syndrome risk groups in the working area of Puskesmas Turi, Sleman Regency.ABSTRAKLatar belakang: Kasus hipertensi dan diabetes sebagai bagian dari sindrom metabolik, mengalami peningkatan dari tahun ke tahun di wilayah kerja Puskesmas Turi. Oleh karena itu, penting untuk dilakukan suatu pencegahan agar menekan angka sindrom metabolik. Salah satunya dengan melakukan aktivitas fisik. Aktivitas fisik, dipengaruhi faktor internal dan eksternal, seperti dukungan sosial dari lingkungan.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara dukungan sosial dengan aktivitas fisik pada kelompok risiko sindrom metabolik di wilayah kerja Puskesmas Turi Kabupaten SlemanMetode: Penelitian ini merupakan penelitian korelasional dengan rancangan cross sectional. Subjek penelitian adalah 87 orang yang termasuk dalam kategori kelompok risiko sindrom metabolik dengan kriteria inklusi, IMT ≥ 23; lingkar perut >90 cm pada pria dan >80 cm pada wanita; dan berusia 30 sampai 60 tahun. Proses pengambilan data menggunakan kuesioner International Physical Activity Questionnaire (IPAQ) untuk mengukur tingkat aktivitas fisik dan Social Support and Exercise Survey untuk mengukur tingkat dukungan sosial. Analisis data yang digunakan adalah analisis univariat dan Spearman Rank.Hasil: Aktivitas fisik sebagian besar kelompok risiko sindrom metabolik sebesar 43,7% atau termasuk dalam tingkat aktivitas fisik sedang. Dukungan sosial dari teman lebih tinggi dibandingkan dukungan sosial dari keluarga. Dari hasil uji Spearman Rank, didapatkan hubungan dukungan sosial keluarga dan teman terhadap aktivitas fisik sebesar r=-0,117; p=0,282 dan r=0,036; p=0,740.Kesimpulan: Tidak ada hubungan yang bermakna antara dukungan sosial dengan aktivitas fisik pada kelompok risiko sindrom metabolik di wilayah kerja Puskesmas Turi Kabupaten Sleman.

The Difference of Sodium Intake, Physical Activities and Psychological Problems of Patients Suffering from Hypertension in Rural and Urban Areas Heny Suseani Pangastuti; Melyza Perdana; Dewi Agustina Wati; Hatifah Ihsanda Tien Melati; Rizki Latifah
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 3, No 1 (2018): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Introduction: The patients suffering from hypertension require treatment to prevent the complications by performing both pharmacological and non-pharmacological hypertension management. This research aims at revealing the difference of sodium intake, physical activities, and psychological problems in patients suffering from hypertension in rural and urban areas. Methods: This descriptive-quantitative research employs a cross sectional design. The research was conducted at Gondokusuman Community Health Center 1 as the representation from the urban areas and Cangkringan Community Health Center as the representation from the rural areas. There were 81 patients from rural areas and 74 from urban areas. Data were collected using a consecutive sampling technique with Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), Global Physical Activity Questionnaire (GPAQ) and Depression, Anxiety, Stress Scale 42 (DASS 42). The data analysis was conducted using both chi-square test and independent t-test. Results: The result of independent t-test for sodium intake was at p = 0.669 (p > 0.005). The result of analysis using chi-square test for physical activity was at p = 0.000 (p < 0.05). The result of analysis using chi-square test for depression level is at p = 0.964 (p > 0.05), anxiety level at p = 0.005 (p < 0.05) and stress level at p = 0.846 (p > 0.05). Conclusions: There are some differences in physical activities and anxiety levels in patients suffering from hypertension in rural and urban areas.

Pengaruh Pendidikan Kesehatan Audiovisual terhadap Konsumsi Natrium pada Populasi dengan Risiko Tinggi Sindrom Metabolik di Puskesmas Turi Kharina Nur Shabrina; Sri Mulyani; Melyza Perdana
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 3, No 2 (2019)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.44261

Background: Breastmilk is the most important baby food especially in the first months of life. The achievement level of exclusive breastfeeding in 2014 at Pati Regency was 30.4%, moreover Trangkil District was the lowest among others which was achieved 6,4%. Karanglegi Village belongs to Trangkil District. Mother’s knowledge is one of the hindrance to highten breastfeeding achievement level. Thus, health education through demonstration method is expected to increase mother's knowledge.Objective: To identify the effect of health education using demonstration method to increase the knowledge on breastfeeding management in pregnant women in Posyandu Karanglegi, Pati Regency.Methods: The study was a quantitative research type with Quasi-experimental research design using One Group pre-test and post-test. The research subjects were 14 pregnant women selected by purposive sampling. Visual aid was used during health education delivery. A questionnaire was used to asses knowledge on breastfeeding management in pregnant women and Wilcoxon Test was applied for analysis.Results: There was an increase in the mean of pretest and posttest values from 9,42 to 10,78. Statistical analysis of the mean values of total pretest and posttest showed p = 0,012 (p <0,05) which means that there was a statistically significant difference in respondents' knowledge before and after obtaining health education by demonstration method.Conclusion: The average value of breastfeeding management knowledge after being given a health education with demonstration method is higher than before given health education.ABSTRAKLatar belakang: ASI adalah makanan bayi yang paling penting, terutama pada bulan-bulan awal kehidupan. Cakupan pemberian ASI eksklusif tahun 2014 di Kabupaten Pati masih tergolong rendah, khususnya Kecamatan Trangkil (6,4%). Desa Karanglegi termasuk dalam wilayah Kecamatan Trangkil. Salah satu hal yang menghambat pemberian ASI eksklusif adalah tingkat pengetahuan ibu yang rendah. Pemberian pendidikan kesehatan menggunakan metode demonstrasi, diharapkan dapat meningkatkan pengetahuan ibu. Tujuan: Untuk mengetahui pengaruh pendidikan kesehatan dengan metode demonstrasi terhadap tingkat pengetahuan tentang manajemen pemberian ASI pada ibu hamil di Posyandu Karanglegi, Kabupaten Pati.Metode: Jenis penelitian kuantitatif pre-eksperimen dengan desain one group pretest and posttest. Subjek penelitian sebanyak 14 ibu hamil yang dipilih dengan teknik purposive sampling. Pendidikan kesehatan dilakukan dengan bantuan alat peraga. Instrumen penelitian menggunakan kuesioner untuk mengukur pengetahuan ibu. Analisis data menggunakan uji Wilcoxon test.Hasil: Terdapat peningkatan nilai mean pengetahuan ibu pada saat pretest dan posttest dari 9,42 menjadi 10,78. Analisis statistik terhadap nilai mean total pretest dan posttest menunjukkan hasil p=0,012 (p<0,05), berarti terdapat perbedaan yang bermakna secara statistik pada pengetahuan responden sebelum dan sesudah mendapatkan pendidikan kesehatan dengan metode demonstrasi.Kesimpulan: Pendidikan kesehatan dengan metode demonstrasi efektif meningkatkan skor pengetahuan ibu.

Uji Validitas dan Reliabilitas pada Instrumen Kidney Disease Quality of Life-36 (KDQOL-36) pada Pasien dengan Hemodialisis Muhammad Cahyono Tito Hudoyo; Melyza Perdana; Sri Setiyarini
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 5, No 1 (2021)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.81530

Background: The health condition or quality of life of patient with hemodialysis should be monitored continuously by health worker. KDQOL-36 is a specific instrument for reviewing the quality of life of patient with renal failure. A valid and reliable KDQOL-36 instrument is needed to measure the quality of life of patient with chronic kidney disease.Â Objective: To determine the validity and reliability of the Indonesian version of the KDQOL-36 intrument. Method: This was psychometric study to assess content validity and reliability. The research was conducted at Hemodialysis Unit of Academic Hospital of Gadjah Mada University, Yogyakarta. Respondents were patients who underwent hemodialysis. The research instrument was KDQOL-36 Indonesian version. Validity test was run by 3 doctors specializing in kidney disease and hypertension, 2 clinical renal nurses, and 1 academician. Testing reliability used internal consistency. Result: Based on the statistical test, the CVI value was 1,00 and the coefficient value of Cronbach's Alpha KDQOL-36 Indonesian version was 0,708. Conclusion: The Indonesian version of the KDQOL-36 is a valid and reliable instrument.ABSTRAKLatar belakang: Pasien yang menjalani hemodialisis harus dipantau kondisi atau kualitas hidupnya secara terus-menerus oleh petugas kesehatan. KDQOL-36 merupakan instrumen khusus yang penting untuk menilai kualitas hidup pasien gagal ginjal. Diperlukan instrumen KDQOL-36 yang valid dan reliabel untuk mengukur kualitas hidup pasien dengan penyakit ginjal kronis. Tujuan: Untuk mengetahui validitas dan reliabilitas KDQOL-36 versi Bahasa Indonesia. Metode: Penelitian ini adalah penelitian psikometri untuk menilai validitas isi dan reliabilitas. Penelitian dilakukan di Unit Hemodialisis Rumah Sakit Akademik Universitas Gadjah Mada, Yogyakarta. Responden adalah pasien yang menjalani hemodialisis. Instrumen penelitian yang digunakan adalah KDQOL-36 versi Bahasa Indonesia. Validitas isi diuji oleh 3 dokter spesialis penyakit ginjal dan hipertensi, 2 perawat renal klinis, dan 1 akademisi. Pengujian reliabilitas menggunakan internal consistency.Â Hasil: Berdasarkan uji statistik, didapatkan nilai CVI adalah 1,00 dan nilai koefisien Cronbachâ€™s Alpha KDQOL-36 versi bahasa Indonesia adalah 0,708. Kesimpulan: KDQOL-36 versi bahasa Indonesia merupakan instrumen yang valid dan reliabel.Â

Hubungan Skor Depresi dengan Kualitas Hidup Pada Pasien dengan Penyakit Ginjal Kronis yang Menjalani Hemodialisis Kintan Ayu Kartika Putri; Melyza Perdana; Sri Warsini
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 3, No 3 (2019)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.88700

Background: Repeated hemodialysis therapy in end-stage chronic kidney disease often leads to various physical and also psychological challenges. The significant mental challenges affecting the quality of life among patients with chronic kidney disorder is depression. Objective: Determine the relationship between the level of depression and the quality of life among patients with chronic kidney disorder undergoing hemodialysis at PKU Muhammadiyah Hospital, Yogyakarta. Method: This study was a correlational analytical research using cross-sectional approach that conducted at PKU Muhammadiyah Hospital of Yogyakarta from March to May, 2018. As many as 114 respondents were recruited using consecutive sampling technique. The instruments were the Beck Depression Inventory II (BDI II) questionnaire to measure depression scores and the Kidney Disease Quality of Life 36 (KDQOL 36) questionnaire to assess patientâ€™s quality of life. Further data analysis was conducted using Spearman. Result: 28,94% of the respondents were diagnosed with depression with an average score of 12,06. The highest to lowest scores of quality of life were obtained in the symptom and problem domain, disease burden domain, followed by the physical quality of life domain in order. The significance of the Spearman analysis for the overall quality of life domains was p=0,000, detailed for physical domain Â (r = -0,441), mental domain (r = -0,380), disease burden domain (r = -0,457), symptom and problem domain (r = -0,477), and disease effect domain (r = -0,449). Conclusion: Depression scores have a meaningful correlation with the overall quality of life domains of patients with chronic kidney failure that experiencing hemodialysis at PKU Muhammadiyah Hospital of Yogyakarta.ABSTRAKLatar belakang: Terapi hemodialisis yang berulang pada penyakit ginjal kronis stadium akhir kerapkali menyebabkan berbagai permasalahan fisik maupun mental. Salah satu permasalahan mental yang sangat berdampak pada kualitas hidup pasien yang mengalami penyakit ginjal kronis adalah depresi. Tujuan: Â mengetahui hubungan antara tingkat depresi dan kualitas hidup pasien yang mengalami penyakit ginjal kronis dan sedang menjalani hemodialisis di Rumah Sakit PKU Muhammadiyah, Yogyakarta. Metode: Penelitian ini merupakan penelitian korelasional dengan pendekatan cross-sectional. Yang telah dilaksanakan di RS PKU Muhammadiyah, Yogyakarta Â mulai Maret hingga Mei, 2018. Sebanyak 114 orang pasien dilibatkan dalam penelitian berdasarkan teknik consecutive sampling. Instrumen yang dipakai berupa Beck Depression Inventory II (BDI II) questioner untuk mengukur depresi, dan kuesioner Kidney Disease Quality of Life 36 (KDQOL 36) untuk menilai kualitas hidup pasien. Analisis data selanjutnya dilakukan dengan menggunakan Spearman Rank. Hasil: 28,94% responden terdiagnosis mengalami depresi dengan skor rata-rata sebesar 12,06. Dari kelima domain kualitas hidup, perolehan nilai dari domain tertinggi ke domain terendah adalah domain gejala dan masalah, domain beban penyakit, disusul dengan domain fisik kualitas hidup secara berurutan. Signifikansi analisis Spearman terhadap keseluruhan domain kualitas hidup adalah sebesar p=0,000, terperinci untuk domain kualitas hidup fisik (r = -0,441), domain psikologis (r = -0,380), domain beban dari penyakit (r = -0,457), domain masalah dan gejala (r = -0,477), serta domain dampak penyakit (r = -0,449). Kesimpulan: Derajat depresi memiliki korelasi yang bermakna dengan keseluruhan domain kualitas kehidupan pasien dengan penyakit gagal ginjal kronis yang sedang melakukan hemodialisis di Rumah Sakit PKU Muhammadiyah, Yogyakarta.Â

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