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All Journal Jurnal Maternitas Kebidanan Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan)
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Politeknik Kesehatan Kementerian Kesehatan Medan
Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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EFEKTIFITAS MEKANISME KOPING TERHADAP TINGKAT KECEMASAN PADA PASIEN GAGAL GINJAL KRONIK DALAM MENJALANI TERAPI HEMODIALISA DI RUANG HEMODIALISA RSUD. DR. PIRNGADI MEDAN TAHUN 2020 Megawati, Megawati
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 15 No 1 (2020): Jurnal Ilmiah PANNMED Periode Januari-April 2020
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (525.663 KB) | DOI: 10.36911/pannmed.v15i1.646

Abstract

Gagal ginjal kronik makin banyak menarik perhatian dan makin banyak dipelajari, karena walaupun sudah mencapai tahap gagal ginjal terminal, penderita masih dapat hidup panjang dengan kualitas hidup yang cukup baik bahkan baik. Yang disebut dengan gagal ginjal terminal adalah keadan dimana ginjal sudah tidak dapat menjalankan fungsinya lagi. (Lumenta, 1992). Mekanisme koping adalah cara yang dilakukan individu dalam menyelesaikan masalah, menyesuaikan diri dengan perubahan, serta respon terhadap situasi yang mengancam. Dalam melakukan terapi hemodialisa pada pasien gagal ginjal kronik yang sering dijumpai adalah cemas atau kecemasan. Kecemasan kekhawatiran yang tidak jelas dan menyebar, yang berkaitan dengan penyebaran yang tidak pasti dan tidak berdaya serta keadaan emosi yang tidak memiliki objek spesifik. Tujuan penelitian ini adalah untuk mengetahui efektifitas mekanisme koping terhadap tingkat kecemasan pada pasien gagal ginjal kronik dalam menjalani terapi hemodialisa di Ruang Hemodialisa RSUD. Dr. Pirngadi Medan Tahun 2020. Jenis penelitian bersifat Deskriptif Analitik dengan desain Cross Sectional. Metode pengambilan sampel dengan Tekhnik Purposive Sampling, besar sampel yang diteliti sebanyak 37 orang. Dari hasil uji  statistik Chi-Square dengan tingkat kemaknaan 95% dengan menggunakan program SPSS menunjukkan bahwa ada efektifitas yang bermakna antara mekanisme koping terhadap tingkat kecemasan pasien yakni koping dukungan sosial dengan nilai p = 0,02 < 0,05 dan sumber spiritual dengan nilai p = 0,01 < 0,05. Mekanisme koping dukungan sosial dan sumber spiritual memiliki efektifitas terhadap tingkat kecemasan pasien. Ini menunjukkan bahwa dukungan sosial dan sumber spiritual pasien yang kurang akan mempengaruhi gangguan mental sehingga menimbulkan kecemasan. Disarankan Bagi pasien gagal ginjal kronik yang menjalani terapi hemodialisa agar lebih banyak mencari informasi, baik dari media cetak maupun elektronik sehingga lebih tahu tentang pelayanan.
Pengaruh Faktor Psikologis dan Dukungan Organisasi terhadap Kinerja Perawat di Rumah Sakit Umum Lukas Hilisimaetano Teluk Dalam Nias Selatan Tahun 2018 apriani krista witer laia apriani
Jurnal Maternitas Kebidanan Vol. 5 No. 1 (2020): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v5i1.1126

Abstract

ABSTRACT. Nursing committee report on the performance of nurses in completing nursing service documents reached 33.5% (2010 files) from 6,000 files in 2017. The number of nurses who have certification is 30% (36 nurses) out of 120 nurses. The still low completeness of nursing service documents is one of the nurses' performance in providing nursing care. The research objective was to analyze the influence of psychological factors (knowledge, attitudes, and motivations) and organizational support (training and development, facilities, interpersonal relationships) on the performance of nurses in the Lukas Hilisimaetano General Hospital in Teluk Dalam, South Nias in 2018. The type of this research is an analytic survey with an approach cross sectional. The population was all nurses who worked at Lukas Hilisimaetano General Hospital in Teluk Dalam, South Nias, with 120 people and 92 samples. Data were analyzed univariately, bivariate using chi-square and multivariate using multiple logistic regression tests at a significance level of 5%. The results showed psychological factors of nurses were categorized were not good (56.5%), organizational support factors were not good (58.7%) and nurses' performance was good (54.3%). Psychological factors (p 0.012), and organizational support (p 0.002) affect the performance of nurses. Organizational support factor Exp (B) value of 4,599 more strongly influences nurses' performance than psychological factors. It is recommended to hospital management in improving nurse performance by providing opportunities for training, seminars, further education to improve abilities and skills. Propose criteria for the size of the incentives and rewards received based on the nurse's performance and evaluate the nurse's performance continuously. Keywords: Psychological, Organizational Support, Nurse Performance
PENGARUH PERAWATAN MENGGUNAKAN BALUTAN BASAH TERHADAP PENYEMBUHAN LUKA GANGREN DI PUSKESMAS MULIOREJO TAHUN 2020 Megawati Megawati
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 5, No 2 (2020): Nopember 2020
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.127 KB) | DOI: 10.30829/jumantik.v5i2.7028

Abstract

Treatment measures in patients with gangrene wounds are used to protect the underlying tissue and further damage in order to accelerate tissue formation. By: using semipermeable dressing to prevent dryness and maintain good tissue, not attached, impermeable to bacteria, able to maintain high humidity at the site of injury while also releasing excessive exudate. The purpose of this study was to determine the effect of treatment measures using wet dressing to accelerate the healing of Gangren Wounds in the Muliorejo Health Center. This type of research is Pre Experimental Design with One Shot Case Study design. The method of taking samples by means of Accidental Sampling and the results of research that has been done, the level of wound healing speed in Gangren Wound patients is to use a wet dressing with a value of 16-20 (fast) of 7 people while with a value of 1-15 (slow) of 3 person. From the results of a statistical test with a significant P <0.05 using computerized P values obtained: 0,000 which is smaller and 0.05 and it can be concluded that there is an influence of the wet dressing on the acceleration of healing of Gangren Wounds in the Muliorejo Public Health Center. Nursing care and continuing interventions using wet dressing as often as possible on gangrene wounds.Keywords: acceleration of healing, gangren wound, nursing care, intervention, wet wrap treatment
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