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PENGALAMAN PASIEN SINDROM GUILLAIN-BARRE (SGB) PADA SAAT KONDISI KRITIS DI RUANG INTENSIVE CARE UNIT (ICU) RSUP DR. HASAN SADIKIN BANDUNG Wahyu Rima Agustin
Jurnal Kesehatan Kusuma Husada Vol. 3 No. 2, Juli 2012
Publisher : Universitas Kusuma Husada Surakarta

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Abstract

ABSTRAK Pengalaman Pasien Sindrom Guillain-Barre Pada Saat Kondisi Kritis dipersepsikan berbeda oleh setiap pasien. Penelitian ini menggunakan penelitian kualitatif dengan pendekatan deskriptif fenomenologi. Tujuan penelitian ini adalah untuk mendeskripsikan secara mendalam pengalaman fisik, psikologis, spiritual dan sosial pasien Sindrom Guillain-Barre pada saat kondisi kritis di ruang Intensive Care Unit (ICU) RSUP dr. Hasan Sadikin Bandung. Penelitian ini melibatkan 4 partisipan Sindrom Guillain-Barre. Pasien yang menjadi partisipan adalah yang teridentifikasi mempunyai pengalaman dirawat diruang intensif dan mampu menceritakan pengalamannya. Pengumpulan data dilakukan dengan tehnik wawancara mendalam. Metode yang digunakan untuk analisa data yaitu metode Colaizzi. Setelah data dianalisa, peneliti dapat mengidentifikasi pengalaman pasien Sindrom Guillain-Barre, pada saat kondisi kritis. Terdapat 5 tema pengalaman fisik: badan lemah, sesak nafas, rasa baal, nyeri tenggorokan dan batuk. Ada 3 tema pengalaman psikologis: tidak percaya, sedih dan takut. Terdapat 2 tema pengalaman spiritual: seperti diambang kematian dan pasrah. Terdapat 3 tema pengalaman sosial: dukungan keluarga yang positif, tidak bisa berbicara dan tidak bisa berinteraksi. Hasil penelitian bermanfaat untuk meningkatkan sikap caring perawat pada pasien saat kondisi kritis, pada kebutuhan fisik, psikologis, spiritual dan sosial. Perawat tidak hanya berfokus dalam pemenuhan kebutuhan fisik saja tetapi kebutuhan psikologis, spiritual dan sosial sangat dibutuhkan sebagai upaya memberikan motivasi untuk sembuh pada pasien Sindrom Guillain-Barre. ABSTRACT The experiences of patients with Guillain-Barre Syndrome during a critical condition is perceived differently by different patients. This research used a qualitative research with a descriptive-phenomenological approach. The objective of this research was to deeply describe physical, psychological, spiritual, and social experiences of patients with Guillain-Barre Syndrome during a critical condition at dr. Hasan Sadikin Bandung Public Hospital’s Intensive Care Unit (ICU). This research involved 4 participants of Guillain-Barre Syndrome. Those patients who were selected as participants were identified as having an experience of being treated at an intensive room and capable of telling their experiences. Data collection was conducted by an in-dept interview technique. The method used for data analysis was Colaizzi method. After the data has been analyzed, the researcher could identify the experiences of patients with Guillain-Barre Syndrome during a critical condition. There were 5 themes of physical experiences: malaise, short-winded, numb, throat pain, and cough. There were three themes of psychological experiences: unbelief, distressing, and fearful. There were two themes of spiritual experiences: like being at the edge of dying and sense of submission. There were three themes of social experiences: positive family support, unable to speak, and enable to interact.The findings of research were useful for enhancing the caring attitude of nurses to their patients during a critical condition and to physical, psychological, spiritual, and social needs. Nurses should focus not only on the fulfillment of physical needs but psychological, spiritual, and social needs are also strongly needed as an attempt to provide a motivation to recovery to patients with Guillain-Barre Syndrome.
STUDI FENOMENOLOGI : PENDEKATAN PERAWAT DALAM MENGATASI KECEMASAN DAN KETAKUTAN PADA ANAK USIA PRA SEKOLAH AKIBAT HOSPITALISASI DI RUMAH SAKIT UMUM DAERAH KOTA SEMARANG R Rufaidah; Wahyu Rima Agustin
Jurnal Kesehatan Kusuma Husada Vol. 3 No. 2, Juli 2012
Publisher : Universitas Kusuma Husada Surakarta

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Abstract

ABSTRAK Hospitalisasi adalah suatu keadaan krisis pada anak, saat anak sakit dan dirawat dirumah sakit. Kondisi tersebut merupakan stressor bagi anak, yang dapat menimbulkan kecemasan dan ketakutan pada anak dimana akan mempengaruhi perkembangan anak. Peran perawat disini sangat penting dalam meminimalkan dampak dari hospitalisasi, sehingga dibutuhkan suatu pendekatan untuk dapat memahami kebutuhan klien agar anak dapat berkembang kearah yang normal. Tujuan dari penelitian ini adalah untuk mengetahui pendekatan perawat dalam mengatasi kecemasan dan ketakutan pada anak usia pra sekolah akibat hospitalisasi di Ruang Anak Parikesit Rumah Sakit Umum Daerah Kota Semarang, dengan mengambil sampel sebanyak 3 responden. Penelitian ini menggunakan jenis penelitian kualitatif dengan pendekatan fenomenologi, data diperoleh dengan in-depth interview (wawancara mendalam) dan direkam dengan menggunakan tape recoder atas persetujuan reponden. Data-data yang sudah diperoleh kemudian di klasifikasikan dengan cara koding dan kategorising. Dari penelitian ini di dapatkan hasil bahwa pendekatan perawat dalam mengatasi kecemasan dan ketakutan pada anak usia pra sekolah adalah terfokus pada tiga pendekatan yaitu pendekatan pada anak, orang tua dan pendekatan dalam memodifikasi lingkungan. Kurangnya pendekatan pada anak dalam menciptakan lingkungan yang aman dan nyaman bagi anak, kurangnya meminimalkan perpisahan dengan orang tua, sibling dan teman serta perlukaan akibat prosedur medik atau keperawatan yang menyakitkan, dapat menyebabkan kecemasan dan ketakutan pada anak yang mengalami hospitalisasi. Keterbatasan tenaga perawat, sarana dan pra sarana, kurangnya waktu untuk mengadakan pendekatan karena beban kerja yang banyak merupakan kendala dalam mengadakan pendekatan pada anak untuk meminimalkan dampak dari hospitalisasi.
PENGETAHUAN PERAWAT TERHADAP RESPON HOSPITALISASI ANAK USIA PRA SEKOLAH Wahyu Rima Agustin
Jurnal Kesehatan Kusuma Husada Vol. 4 No. 1, Januari 2013
Publisher : Universitas Kusuma Husada Surakarta

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Abstract

ABSTRAK Sakit (illness) adalah penilaian individu terhadap pengalaman menderita suatu penyakit. Akibat perawatan di Rumah Sakit khususnya bagi pasien anak-anak bisa menimbulkan dampak baik terhadap Þ sik maupun psikologis diantaranya kecemasan, merasa asing akan lingkungan yang baru, berhadapan dengan sejumlah individu yang belum dikenal, perubahan gaya hidup dari yang biasa, serta harus menerima tindakan medik atau perawatan yang menyakitkan. Anak-anak yang dirawat lebih dari dua minggu memiliki resiko mengalami gangguan bahasa dan perkembangan ketrampilan kognitif, serta pengalaman buruk di Rumah Sakit sehingga dapat merusak hubungan dekat antara ibu dan anak. Perawatan anak di ruang anak sangat berbeda dengan perawatan orang dewasa maka untuk perawatan anak tidak cukup hanya terampil dalam melaksanakan prosedur keperawatan tetapi juga harus mempunyai minat, motivasi serta mengetahui tahap-tahap pertumbuhan dan perkembangan anak sesuai dengan umurnya. Karakteristik perkembangan anak usia pra sekolah antara lain egosentris, keras kepala, mulai belajar mencintai dari orang yang terdekat atau orang satu rumah, usia bermain dan anak sudah mulai belajar untuk bersosialisasi. Apabila anak usia pra sekolah menderita sakit dan harus dirawat di Rumah Sakit reaksi-reaksi yang muncul biasanya sangat kompleks dan bervariasi diantaranya regresi (rasa tergantung/tidak mau ditinggal), rasa takut, dan cemas, merasa dipisahkan dari keluarga, putus asa, dan protes . Perawat mampu mengidentiÞ kasi respon hospitalisasi anak usia pra sekolah yang dirawat di Rumah Sakit berdasarkan tingkat pengetahuannya. Pengetahuan perawat dipengaruhi oleh pendidikan, pengalaman kerja, minat dan motivasi Kata kunci: pengetahuan perawat, hospitalisasi, anak usia prasekolah ABSTRACT Illness is an individual assessment of the experience of suffering from a disease . As a result of hospitalization, especially for pediatric patients can have an impact both on the physical and psychological anxiety among others, will feel strange new environment, dealing with a number of individuals who have not known, lifestyle changes than usual, and had to receive medical action or painful treatments . Children who were cared more than two weeks at risk for developmental language disorders and cognitive skills, as well as a bad experience at the hospital so that it can damage the close relationship between mother and child. Child care in the nursery is very different from the adult care for child care is not enough just skilled in performing nursing procedures but should also have an interest, motivation and know the stages of growth and development of children according to age. Characteristics of the development of pre-school children, among others, an egocentric, stubborn, start learning to love from the nearest person or persons of the house, the age of the child has begun to play and learn to socialize . If the pre-school age children suffer from pain and had to be treated in hospital reactions that arise are usually very complex and varies among regression, fear, and anxiety, feeling separated from families, despair and protest. Nurses were able to identify the response of hospitalization hospitalization response pre-school children who were hospitalized in a knowledge based level. Knowledge of nurses is inß uenced by education, work experience, interests and motivations Keywords: knowledge of nursing, hospitalization, preschoolers
PENGARUH MICROFIBER TRIANGLE PILLOW TERHADAP KEJADIAN ULKUS DEKUBITUS PADA PASIEN IMMOBILISASI DI RUANG PERAWATAN RSUD SUKOHARJO Wahyu Rima Agustin; Wahyuningsih Safitri; O Oktavianus
Jurnal Kesehatan Kusuma Husada Vol. 6 No. 1, Januari 2015
Publisher : Universitas Kusuma Husada Surakarta

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Abstract

ABSTRAKLuka dekubitus adalah ulserasi akibat tekanan yang lama, biasanya terjadi pada pasien yang mengalami imobilitas. Penyebab dari luka dekubitus yaitu tekanan, gesekan dan kelembaban. Intervensi yang dilakukan dengan microfiber triangle pillow. Microfiber triangle pillow bersifat 10 kali lebih halus dari sutra dan 30 kali lebih halus dari katun, sehingga gaya gesek yang menimbulkan ulkus dikubitus dapat diminimalkan. Microfiber triangle pillow juga dapat menyerap air 7 kali lebih banyak dari berat aslinya, sehingga keadaan kulit pasien selalu kering dan tidak terjadi maserasi yang menimbulkan ulkus dikubitus. Tujuan penelitian adalah untuk menganalisa pengaruh microfiber triangle pillow terhadap kejadian ulkus dikubitus pada pasien immobilisasi di ruang perawatan RSUD Sukoharjo. Desain penelitian adalah pre-eksperiment dengan one group pre-test dan post-test design. Penelitian dilakukan di ruang perawatan RSUD Sukoharjo. Peneliti memilih sampel berdasarkan kriteria inklusi dengan menggunakan tehnik purposive sampling dengan jumlah sampel 5 orang. Hasil penelitian menunjukkan responden dengan jenis luka grade 1 sebanyak 4 orang dan responden dengan jenis luka grade 3 sebanyak 1 orang. Hasil observasi dianalisis menggunakan uji T berpasangan apabila data berdistribusi normal dan apabila data berdistribusi tidak normal analisa data dengan menggunakan uji Wilcoxon.Kata kunci: microfiber triangle pillow, ulkus dekubitus, immobilisasiABSTRACTUlcerated sores Pressure sores are caused by the pressure of time, usually occurs in patients with immobility. The cause of decubitus sores ie pressure, friction and moisture. Intervention with microfiber pillow triangle. Microfiber pillow triangle is 10 times finer than silk and 30 times finer than cotton, so that the frictional forces that cause ulcers dikubitus can be minimized. Microfiber triangle pillow also can absorb more water 7 times its weight in water, so the state of the patient’s skin is always dry and does not occur that cause ulcers dikubitus maceration. The purpose of this study was to analyze the influence of the triangle microfiber pillow on the incidence of ulcers in patients dikubitus immobilization in the treatment room Sukoharjo hospitals. The study design used was a pre-experiment with one group pre-test and post-test design. Research carried out in the treatment room Sukoharjo hospitals. Researchers selected a sample based on the inclusion criteria using purposive sampling technique with a sample of 5 people. The results show respondents by type of injury grade 1 of 4 people and respondents with this type of injury grade 3 by 1 person. The results of observations has been analyzed using a paired T test if the data were normally distributed and if the data is not normally distributed data analysis using the Wilcoxon test.Keywords: microfiber triangle pillow, decubitus ulcers, immobilization
PENGARUH TERAPI RELAKSASI PROGRESIF TERHADAP PENURUNAN TINGKAT INSOMNIA PADA LANSIA DI PANTI WREDA DHARMA BAKTI KASIH SURAKARTA Wahyuningsih Safitri; Wahyu Rima Agustin
Jurnal Kesehatan Kusuma Husada Vol. 6 No. 1, Januari 2015
Publisher : Universitas Kusuma Husada Surakarta

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Abstract

ABSTRAKPenuaan merupakan proses fisiologis dalam kehidupan manusia, yang ditandai dengan adanya kondisi yang mengalami penurunan daya tahan tubuh dan fungsi tubuh. Pengaruh proses menua dapat menimbulkan berbagai masalah baik secara fisik-biologik, mental maupun sosial ekonomis. Gangguan tidur atau insomnia merupakan salah satu permasalahan yang sering dialami lansia. Terapi relaksasi progresif diharapkan dapat memberikan kondisi tubuh yang rileks dan bebas dari ketegangan sehari-hari sehingga dapat membantu lansia untuk dapat tertidur dan mempertahankanya. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh terapi relaksasi progresif terhadap penurunan tingkat insomnia pada lansia di Panti Wreda Dharma Bakti Kasih Surakarta. Metode penelitian adalah pre-eksperiment dengan one group pre-test dan post-test design. Pengumpulan data dilakukan sebelum dan sesudah pemberian intervensi terapi relaksasi progresif. Sampel penelitian sejumlah 30 orang dengan teknik pengambilan sampel purposive sampling. Instrumen penelitian untuk mengetahui tingkat insomnia menggunakan kuesioner KSPBJ (Kelompok Studi Psikiatri Biologi Jakarta) Insomnia Rating Scale yang berjumlah 11 pertanyaan. Analisa data dengan dengan menggunakan uji Wilcoxon. Hasil penelitian menunjukkan ada pengaruh terapi relaksasi progresif terhadap penurunan tingkat insomnia pada lansia di Panti Wreda Bakti Kasih Surakarta dengan p value 0,0001. Berdasarkan hasil penelitian, terapi relaksasi progresif dapat dijadikan sebagai bahan pertimbangan dalam memilih intervensi bagi lansia yang mengalami insomnia.Kata kunci: lansia, insomnia, terapi relaksasi progresifABSTRACTAging is a physiological process in human life, which is characterized by the existence of conditions that decrease the immune system and body functions. The influence of the aging process can cause a variety of problems both physical-biological, mental, social and economical. Sleep disturbance or insomnia is one of the problems often experienced by the elderly. Progressive relaxation therapy is expected to provide a relaxed body condition and free from everyday tensions that can help the elderly to be able to fall asleep and to hold them. The purpose of this study was to determine the effect of progressive relaxation therapy to decrease the level of insomnia in the elderly in nursing homes Dharma Bakti Kasih Surakarta. The research method is a pre-experiment with one group pre-test and post-test design. Data collection was performed before and after administration of therapeutic intervention progressive relaxation. The research sample of 30 people with a purposive sampling technique. Research instrument to determine the level of insomnia using a questionnaire KSPBJ (Biological Psychiatry Study Group Jakarta) Insomnia Rating Scale which consists of 11 questions. Analysis of the data by using the Wilcoxon test. The results showed no effect of progressive relaxation therapy to decrease the level of insomnia in the elderly in nursing homes Bakti Kasih Surakarta with p value of 0.0001. Based on the research results, progressive relaxation therapy can be used as consideration in selecting interventions for the elderly who experience insomnia.Keywords: elderly, insomnia, progressive relaxation therapy
Pengaruh Posisi Pronasi terhadap Derajat Keparahan Acute Respiratory Distress Syndrome (ARDS) pada Pasien Covid-19 Setiyawan Setiyawan; Wahyu Rima Agustin; Noviana Nur Zaidah
Faletehan Health Journal Vol 9 No 02 (2022): Faletehan Health Journal, July 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i02.415

Abstract

Coronavirus disease 2019 (COVID-19) is an acute respiratory disease which can be exacerbated by Acute Respiratory Distress Syndrome (ARDS), multiple organ failure, septic shock, and acute heart failure requiring intensive care. Prone position can play its role in the prevention of those impairments. This study aimed to describe the role of prone position in the management of Covid-19 patients. This is a quantitative study with a quasi-experimental and one group pre-test post-test design. The samples were 32 covid-19 patients treated in Intensive Care unit (ICU) with Non-Invasive Ventilation (NIV) as respondents selected by a consecutive sampling technique. The data analysis used Wilcoxon test. The instruments were Lung Injury Score (LIS) and the parameter result observation sheets from the bedside monitors. The results showed that prone position could reduce the severity of ARDS in COVID-19 patients. Prone position can be recommended as a nursing intervention in adult COVID-19 patients who experience respiratory disorders.
Relationship Between Daily Animal Protein Consumption with Anemia Status in Pregnant Women at the Masaran 1 Health Center Anitha Kusumawati; Ratih Dwilestari Puji Utami; Wahyu Rima Agustin
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 6 No. 4: October 2024
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v6i4.6420

Abstract

One of the hemodynamic problems due to the lack of adequate nutritional intake that is often experienced by pregnant women is anemia (Mariana, 2018). The incidence of anemia or lack of blood in pregnant women in Indonesia according to Riskesdas 2018 is 48.9%, with 84.6% of anemia occurring at the age of 15-24 years, at the age of 2534 by 33.7%, and by the age of 35-44 by 33.6%. The function of protein during pregnancy is as a means of transporting iron that will compose hemoglobin in the blood. Pregnant women with insufficient protein intake will experience anemia as much as 28.6% and the number of pregnant women who have good protein intake and not anemia will be 53.1%. The result of the bivariate analysis of the p-value value was .000. The value is less than 0.05 so it can be concluded that there is a relationship between daily animal protein consumption and anemia status in pregnant women at the Masaran I Health Center
STUDENTS’ ARGUMENTATION TEXT ANALYSIS IN INDONESIA USING APPRAISAL APPROACH (APPRECIATION) Dessy Dwijayanti; Atika Lisamawati; Wahyu Rima Agustin
Acceleration: Multidisciplinary Research Journal Vol. 2 No. 04 (2024): Acceleration: Multidisciplinary Research Journal
Publisher : PT Akselerasi Karya Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70210/amrj.v2i04.86

Abstract

This research is qualitative descriptive research with a fixed case study that has the following objectives: to describe students' opinions in the text about "Services in Private Hospitals are better than services in State Hospitals". Hence after, to determine and describe data expressions included in the appraisal category. Furthermore, to describe data expressions included in appraisal appreciation. The data in this study were obtained through document analysis and Focus Group Discussion (FGD). The instruments in this study were documentation and interviews. In the study, 444 data were found. The 403 data were included in the category of Appraisal assessment types: Appreciation-Valuation. The data obtained were divided into 2 types of assessments, 1) assessment of Private Hospital and State Hospital services, 2) assessment of Private Hospital and State Hospital facilities. From these findings, the average expression used by students to describe Private Hospital services was; quality and so on 20 data, professional 22 data, faster 12 data, fast 10 data, quality 20 data, friendly 8 data, more friendly 10 data, friendly 8 data, more friendly 10 data, efficient 22 data, great 13 data, good 19 data, and bad 1 data. Based on the study, it was found that there were shortcomings in the results of the argumentative text produced by students. When asked to write an argumentative text, students in giving their opinions were still not persuasive. There are fundamental differences that students must understand regarding the differences between opinion texts and argumentative texts, namely: the purpose of making the text.  
Pengaruh Pelatihan Metode Prices Terhadap Pengetahuan Dan Keterampilan Penanganan Cedera Strain Pada UKM KNC-Emergency Erna Handayani; Wahyu Rima Agustin; Innez Karunia Mustikarani; Singgih Nugroho; Noerma Shovie Rizqiea
TRIAGE Jurnal Ilmu Keperawatan Vol 11 No 1 (2024)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/triage.v11i1.1107

Abstract

Strain injuries are injuries caused by excessive stretch or tear of the muscles or tendons, calves, groin, hamstring muscles, back and legs. The first 24 hours of treatment can use Protect, Rest, Ice, Compression, Evaluation, and Support for this method (PRICES) will be given as quickly as possible. The type of research conducted is quantitative pre-experimental with the Quasy Experimental method with a one group pretest - posttes Without Control Group Design, namely given a pretest then given treatment in the form of material with PPT media and given training in the PRICES method, then given a posttest which serves to analyze the level of knowledge and skill level. This study used a sample of 37 respondents. In this study using Wilcoxon test analysis. The results of the study prove that the data obtained have significant changes in knowledge and skills after being given material and training on the PRICES method for KNC-E members with a p value of 0.000. The conclusion that can be drawn is that providing material and training on the PRICES method can improve the knowledge and skills of KNC-E members.