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Journal : Nursing Current : Jurnal Keperawatan

Deskripsi Pengetahuan Perawat tentang Identifikasi Pasien yang Benar di Satu Rumah Sakit Swasta Indonesia Bagian Tengah [The Descriptive Study on Nurses' Knowledge Of The Right Identification Of Patients in A Private Hospital In Central Indonesia] Ramot Helpri Pandiangan; Yenni Ferawati Sitanggang; Theresia Theresia
Nursing Current: Jurnal Keperawatan Vol 6, No 1 (2018): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v6i1.1348

Abstract

Patient safety is a system used in hospitals that make nursing care becomes more secure. Systems that can prevent injuries arising from errors in performing the action The accurate implementation of patient identification is one of the components in patient safety. As a nurse, it is crucial to have a good knowledge of patient identification according to hospital’s regulation.The purpose of this research was to know the description of nursing knowledge about identification patients in the inpatient room Private Hospital in Central Indonesia. This study used quantitative descriptive method it cross sectional approach which uses the technique of total sampling. Population in this study was 20 nurses in inpatient Private Hospital in Central Indonesia .This study uses the instrument in the form of a questionnaire that contained 24 questions using a scale Guttman consisting of positive questions and negative questions. This research was conducted in October-November 2017. This study showed by as many as 19 nurses (95%) of the 20 respondents have the level of knowledge of good and 1 nurse (5%) of the 20 respondents have a sufficient level of knowledge. For further research, the researcher recommends a randomized control trial design on a larger number of samples in order to obtain more accurate results. That way, you can see what part of the information in the topic of identifying patients who are still of low value with more objective. In the end, this can be an input for hospital managers to provide training that focuses on improving the knowledge of nurses. BAHASA INDONESIA Keselamatan pasien merupakan suatu sistem yang dipakai di rumah sakit yang menjamin asuhan keperawatan menjadi lebih aman. Sistem yang dapat mencegah cedera yang diakibatkan kesalahan dalam melakukan tindakan. Ketepatan dalam melakukan identifikasi pasien merupakan komponen pertama dalam sistem keselamatan pasien. Perawat harus memiliki pengetahuan yang baik tentang identifikasi pasien sesuai dengan standar yang telah ditetapkan oleh rumah sakit.Tujuan penelitian ini yaitu mengetahui gambaran pengetahuan perawat tentang identifikasi pasien yang benar di ruang rawat inap rumah sakit swasta di Indonesia Tengah. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan cross sectional. Sampel penelitian ini adalah 20 perawat di ruang rawat inap rumah sakit swasta di Indonesia bagian Tengah yang diambil berdasarkan teknik total sampling. Instrumen penelitian ini adalah kuesioner yang terdiri dari 24 pertanyaan menggunakan skala Guttman yang terdiri dari pertanyaan positif dan pertanyaan negatif. Penelitian ini dilakukan pada bulan Oktober November 2017. Hasil penelitian ini menunjukkan bahwa sebanyak 19 perawat (95%) dari memiliki tingkat pengetahuan baik dan 1 perawat (5%) memiliki tingkat pengetahuan yang cukup. Untuk penelitian selanjutnya, peneliti merekomendasikan desain randomized control trial pada jumlah sample yang lebih besar agar didapatkan hasil yang lebih akurat. Dengan begitu, dapat dicermati bagian informasi apa di dalam topik identifikasi pasien yang masih bernilai rendah dengan lebih objektif. Pada akhirnya, hal tersebut dapat menjadi masukan bagi pengelola RS untuk memberikan pelatihan yang berfokus peningkatan pengetahuan perawat.
CORRELATION BETWEEN MENARCHEAL AGE WITH MENSTRUAL HEALTH AWARENESS AMONG COLLEGE STUDENTS IN A PRIVATE UNIVERSITY Dora Samaria; Theresia Theresia; Doralita Doralita
Nursing Current: Jurnal Keperawatan Vol 7, No 1 (2019): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v7i1.2164

Abstract

Adolescent females who had their menarche experience cognitive and psychological development. In that period, it takes adolescents’ awareness of menstrual health in order to behave appropriately and maintains the quality of health. This study aims to identify the correlation between menarcheal age and menstrual health awareness. This research used cross-sectional design done to 117 female students of Economic Education Study Program in Universitas Pelita Harapan from October to November 2017. This research used purposive sampling method. Data were analyzed using Spearman Correlation Test. The results showed that there was a significant correlation between menarcheal age and menstrual health awareness. It can be concluded that adolescents female who had their menarche at normal age (12-14 years) had increased menstrual health awareness. It is recommended for future research to use quasi-experimental or randomized controlled trial study on larger sample size.
THE IMPACT OF HANDS ON PUMPING ON THE LEVEL OF BREAST MILK PRODUCTION ON POST PARTUM MOTHERS Leni Marlina; Dora Samaria; Theresia Theresia
Nursing Current: Jurnal Keperawatan Vol 7, No 1 (2019): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v7i1.2200

Abstract

The exclusive breastfeeding in Indonesia has not yet reached the national level target. Data from Private Hospital in West Jakarta found that there were only 60% of mothers who gave exclusive breast feeding in 2016, 38% of whom said they were unsuccessful due to low breast milk. The method that can be used to increase milk production is Hands on Pumping (HOP) technique, HOP is a technique of flushing the breast milk by relying on the strength of our thumb and index finger. To observe the effect of HOP on breast milk production in post partum mothers. We employed a quasi experimental design with pre and post test design, with the control group. The sample size was 68 mothers post multiparous partum with criteria 34 as the HOP experimental group and 34 post partum mothers as the control group (without HOP). On the third day of the intervention group there was a significant increase in breast milk production from the first day. The experimental group received HOP intervention (34 mothers) with a rise of 121.08 ml. This means that there is a difference in milk production before and after treatment. On the third day, the results of the p value are 0,000, with p value <0.05, which brought to the conclusion that there was an influence of HOP on breast milk production. HOP can significantly increase milk production. Next researcher is recommended to conduct similar research by paying attention to other factors that also affect breast milk production, such as psychological, nutrition, maternal breast conditions, and hormones.
GUILLAIN-BARRE SYNDROME HANDLING CASE REPORT WITH PLASMAFERESIS THERAPY[LAPORAN KASUS PENANGANAN SINDROM GUILLAIN-BARRE DENGAN TERAPI PLASMAFERESIS] Theresia Theresia
Nursing Current: Jurnal Keperawatan Vol 5, No 2 (2017): December
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v5i2.1700

Abstract

Guillain-Barré Syndrome (GBS) is a serial of syndromes manifested as an acute inflammation of poliradiculoneuropathy as a result of weakness and decreased reflexes with various clinical variations found. Epidemiological data for the SGB case as a disease of the nervous system disorder did show the number of events that are less significant globally and nationally. Infection as a trigger factor for GBS is still high in tropical countries such as Indonesia. In Indonesia, GBS data on research Description of GBS Patients with Erasmus GBS Outcome Score (EGOS) method at RSUPN Cipto Mangun Kusumo since 2010 until 2014 got the number of new cases of SGB per year in RSUPNCM that is 7.6 cases and occurred throughout the year. New cases that occur are quite low but the trigger factors such as infection Mycoplasma pneumonia are high enough. This can be the concern of health workers including nurses to understand the GBS case and how to handle it. The purpose of this paper provides information to fellow nurses (practice, education, and research), patients and families and lay peoples that are interested in the case to better understand the case of Guillain Barre Syndrome and the treatment of Plasmapheresis. The method used in this article is a narrative of nursing records in 1 patient diagnosed with GBS with plasmapheresis therapy in the inpatient ward at RS X Private Hospital in South Jakarta. The process of improving the clinical condition corresponds to some clinical trials that occur in the literature that the condition of respiratory failure does not occur, extreme muscle paralysis may be reduced, an abillity to swallow is also getting better.BAHASA INDONESIA Sindrom Guillain-Barré (SGB) merupakan sekumpulan sindrom yang termanifestasikan sebagai inflamasi akut poliradikuloneuropati sebagai hasil dari kelemahan dan penurunan refleks dengan berbagai variasi klinis yang ditemukan. Data epidemiologi untuk kasus SGB sebagai penyakit gangguan sistem saraf memang menunjukkan angka kejadian yang kurang signifikan secara global maupun nasional. Infeksi sebagai faktor pemicu SGB masih tinggi terjadi di negara tropik seperti Indonesia. Di Indonesia sendiri data SGB pada penelitian Deskripsi Luaran Pasien SGB dengan metode Erasmus GBS Outcome Score (EGOS) di RSUPN Cipto Mangun Kusumo sejak tahun 2010 hingga tahun 2014 didapat jumlah kasus baru SGB pertahun di RSUPNCM yaitu 7,6 kasus dan terjadi sepanjang tahun dan tidak mengenal musim. Data jumlah kasus baru yang terjadi memang tergolong rendah namun faktor pemicu infeksi seperti Mycoplasma pneumonia cukup tinggi. Hal tersebut dapat menjadi perhatian para tenaga kesehatan termasuk perawat untuk dapat memahami kasus SGB dan penanganannya. Tujuan penulisan ini memberikan informasi bagi rekan perawat (lahan praktik, pendidikan, maupun penelitian), pasien dan keluarga serta orang awam yang tertarik dengan kasus ini untuk lebih memahami kasus Sindrom Guillain Barre dan penanganan Plasmaferesis. Metode yang digunakan adalah pemaparan secara naratif catatan keperawatan pada 1 orang pasien yang terdiagnosa SGB dengan terapi plasmaferesis di ruang rawat inap di RS Swasta X di Jakarta Selatan. Proses perbaikan kondisi klinis sesuai dengan beberapa uji klinis yang tedapat di literatur yaitu kondisi gagal nafas tidak terjadi, paralisis otot ekstrimitas dapat berkurang, kemampuan menelan juga semakin membaik.
MANAJEMEN RESPIRASI PASIEN THROMBUS VENA MESENTERIKA-PORTA DAN SUSPEK LIMFOMA: STUDI KASUS [RESPIRATION MANAGEMENT OF MESENTERIC-PORTAL VEIN THROMBUS PATIENTS WITH SUSPECTED LYMPHOMA: A CASE STUDY] Agatha Permata; Avina Anugrahni; Christin Natalia; Theresia Theresia
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6788

Abstract

Mesenteric Vein Thrombosis (MVT) is described as a condition where a blood clot forms in the mesenteric vein, which potentially leads to intestinal infarction. Common clinical manifestations of MVT include abdominal pain, constipation, anorexia, nausea and vomiting, melena, and fever. Meanwhile, specific manifestations cover pressure-induced abdominal pain, abdominal distension, and ascites. In this case study, the patient's oxygen saturation remains in the range of 90-91% in room air. Decreased oxygen saturation implies the need for respiratory management to prevent medical emergencies due to respiratory decline. The management of this nursing care is to prevent decreased respiratory conditions and detect worsening respiratory conditions in patients with MVT, portal vein thrombus, and suspected lymphoma. Mr. M (40 years old) with abdominal pain et causa mesenteric and portal vein thrombosis, lymphoma suspect complained of abdominal pain, distended, and tenderness for 1.5 months, as well as intolerable pain complemented with nausea for one week. Patient’s oxygen saturation remains in 90-91% on the first 2 days of case study. Abdominal CT- Scan indicates pancreatitis, lymphoma suspect, pleural effusion on right and left lung base, and compression atelectasis on left lung lobe. No respiratory decline after 3 days of case study (no additional respiratory muscles utilized, nostrils breathing, chest retraction, oxygen saturation <90%, peripheral nor central cyanosis, decreased consciousness). Respiratory management is effective in preventing respiratory decline. Further studies needed to explore more about MVT and its nursing implication in Indonesia.BAHASA INDONESIA ABSTRAK Thrombus vena mesenterika atau Mesenteric Vein Thrombosis (MVT) adalah kondisi terbentuknya bekuan darah di vena mesenterika, dengan bahaya infark usus. Manifestasi klinis thrombus vena mesenterika akut yang paling sering muncul adalah adanya nyeri abdomen, konstipasi, anoreksia, mual, muntah, melena dan demam. Manifestasi klinis secara spesifik pada abdomen terdapat nyeri tekan pada abdomen, distensi abdomen, dan asites. Pada studi kasus ini, saturasi oksigen pasien pada room air 90-91%. Adanya penurunan oksigen menjadi indikasi tindakan keperawatan yang berfokus pada kondisi respirasi dan oksigenasi pasien dengan melakukan manajemen respirasi. kelolaan asuhan keperawatan ini yaitu mencegah penurunan kondisi pernapasan dan mendeteksi perburukan kondisi pernapasan pernapasan pada pasien MVT, thrombus vena porta, dan suspek limfoma. Pasien Tn.M usia 40 tahun dengan abdominal pain et causa thrombus vena mesenterika-porta suspek limfoma mengatakan keluhan perut terasa keras, begah, nyeri sejak lebaran dalam kurun kurang 1,5 bulan, dan perut mulai nyeri hebat, mual dan tidak bisa tertahankan sejak satu minggu. Pada pemeriksaan vital sign pada hari kedua hingga hari ketiga pengkajian, saturasi oksigen pasien secara room air berada pada 90-91%. Hasil CT Scan menunjukkan pankreatitis dan suspek lymphoma, efusi pleura kanan dan kiri paru, serta kompresi atelektasis di lapang paru kiri pasien. Manajemen repsirasi dilakukan selama tiga hari dan tidak ditemukan adanya perburukan kondisi pernapasan. Penerapan manajemen respirasi yang dilakukan selama tiga hari tidak ditemukan adanya perburukan kondisi pernapasan (tidak ada penggunaan otot bantu napas, tidak ada pernapasan cuping hidung, tidak ada retraksi dada, saturasi oksigen <90%, sianosis perifer/sentral, maupun penurunan kesadaran). Manajemen respirasi dapat dilakukan untuk mencegah adanya perburukan  kondisi pernapasan.