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kepuasan mahasiswa terhadap kualitas proses pembelajaran keperawatan anestesiologi di universitas ‘aisyiyah yogyakarta murdiyanto, joko; Bintari, Nia Ayu
Jurnal Formil (Forum Ilmiah) Kesmas Respati Vol 5, No 1 (2020)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (650.24 KB) | DOI: 10.35842/formil.v5i1.297

Abstract

Program Studi Keperawatan Anestesiologi merupakan program studi yang masih muda di Indonesia dan salah satu instansi penyedianya adalah Universitas ‘Aisyiyah Yogyakarta. Sebagai penyedia jasa pendidikan, dituntut tidak hanya menawarkan jasa dalam bentuk fisik saja, tetapi juga melayani mahasiswa lebih profesional sehingga mahasiswa merasakan kepuasan terhadap proses pembelajaran di jurusan yang telah dipilih. Penelitian ini bertujuan mengetahui tingkat kepuasan mahasiswa terhadap proses pembelajaran Keperawatan Anestesiologi di Universitas ‘Aisyiyah Yogyakarta, disamping itu untuk mengetahui variabel-variabel mana yang memberikan kepuasan kepada mahasiswa serta implikasi strategis hasil penelitian guna peningkatan kepuasan mahasiswa di masa mendatang.Penelitian ini menggunakan metode survey dengan kuesioner sebagai alat pengumpul data. Selanjutnya penelitian ini menggunakan pendekatan kuantitatif, rancangan studi cross-sectional dengan cakupan waktu bersifat one shot (satu titik waktu) dengan tipe data cross-section. Responden dalam penelitian ini adalah mahasiswa tingkat pertama Jurusan Keperawatan Anestesiologi Universitas ‘Aisyiyah Yogyakarta angkatan 2018/2019 berjumlah 125 orang. Data dianalisis dengan teknik deskriptif kuantitatif kemudian dikonversi dan disimpulkan ke dalam kesimpulan kualitatif.Dari kelima aspek yang dinilai yaitu aspek tangible (bukti fisik), aspek reliability (kehandalan), aspek responsiveness (ketanggapan), aspek assurance (jaminan), aspek emphaty (empati) terhadap kualitas proses pembelajaran Keperawatan Anestesiologi di Universitas ‘Aisyiyah Yogyakarta rata-rata mahasiswa sudah puas akan tetapi ada beberapa hal yang perlu dikaji dan tingkatkan lagi.
SURVEI MITIGASI RISIKO COVID-19 PADA TENAGA KESEHATAN DI DAERAH ISTIMEWA YOGYAKARTA Joko Murdiyanto; Heni Suryadi; Rina Nuryati; Tri Wijaya
Jurnal Kesehatan Kusuma Husada Vol. 12 No. 2, Juli 2021
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.255 KB) | DOI: 10.34035/jk.v12i2.743

Abstract

Tenaga Kesehatan merupakan salah satu profesi yang paling beresiko untuk terjangkit infeksi COVID-19. Tingginya angka morbiditas dan mortalitas tenaga kesehatan menjadi perhatian khusus bagi pemerintah dan organisasi profesi terkait, sehingga perlu dilakukan survey terkait perilaku tenaga kesehatan dalam masa pandemic COVID 19. Penelitian ini bertujuan untuk mendsikripsikan mitigasi tentang perilaku tenaga kesehatan selama pandemi COVID 19. Penelitian menggunakan metode deskriptif survei dengan responden yaitu tenaga kesehatan di Wilayah Darah Istimewa Yogyakarta yang terapapar COVID 19. Analisa data menggunakan deskriptif kuantitatif. Hasil penelitian menunjukkan dari 111 responden didapatkan hasil untuk physical distancing, menggunakan masker, dan cuci tangan pakai sabun selama di rumah yaitu 73%, 55%, 99,1% sedangkan saat di masyarakat hasilnya 87,3%, 99,1%, 94,3%. Sewaktu di fasilitas kesehatan tempat bekerja, responden 48,1% bisa menjaga jarak > 1 m, sedangkan penggunaan APD mencapai 95,5%. Ada beberapa alasan Tenaga Kesehatan tidak menggunakan APD, diantaranya tidak tersedia (16,7%), lupa (8,3%) tidak sempat (8,3%), tidak lengkap (41,5%) dan lainnya seperti tidak menangani pasien, tidak kontak langsung dengan pasien terkonfirmasi COVID 19 (25,2). Ruang ganti APD masih banyak yang jadi satu antara ruang pemakaian dan pelepasan (41,3%). Dari sisi imunitas sejumlah responden tidak mengkonsumsi makanan tambahan (38%) dan multivitamin (14,8%) untuk meningkatkan daya tahan tubuh ketika terpaksa harus terpapar Covid-19. Kesimpulannya disiplin penerapan protokol kesehatan masih rendah baik ketika memberikan pelayanan kepada pasien maupun saat di rumah, hal ini tentu menjadi potensi besar terjadi transmisi dari penderita. Health workers are one of the professions most at risk for contracting COVID-19 infection. The high rate of morbidity and mortality of health workers is a special concern for the government and related professional organizations, so it is necessary to conduct a survey related to the behavior of health workers during the COVID 19 pandemic. This study aims to describe the mitigation of the behavior of health workers during the COVID 19 pandemic. The study uses a descriptive method survey with respondents, namely health workers in the Special Blood Region of Yogyakarta who were exposed to COVID 19. Data analysis used quantitative descriptive. The results showed that from 111 respondents, the results for physical distancing, using masks, and washing hands with soap while at home were 73%, 55%, 99.1% while in the community the results were 87.3%, 99.1%, 94 ,3%. While at the health facility where they work, 48.1% of respondents can maintain a distance of > 1 m, while the use of PPE reaches 95.5%. There are several reasons why health workers do not use PPE, including unavailability (16.7%), forgetting (8.3%) not having time (8.3%), incomplete (41.5%) and others such as not handling patients, no direct contact with confirmed COVID-19 patients (25,2). There are still many PPE changing rooms that are one between the use and removal rooms (41.3%). In terms of immunity, a number of respondents did not consume additional food (38%) and multivitamins (14.8%) to increase their immune system when forced to be exposed to Covid-19. In conclusion, the discipline of implementing health protocols is still low both when providing services to patients and at home, this is certainly a great potential for transmission from patients.Keywords: personal protective equipment; the Covid-19 pandemic; health workers.
PENGARUH ELEVASI KAKI TERHADAP KESTABILAN TEKANAN DARAH PADA PASIEN SECTIO CAESAREA DENGAN SPINAL ANESTESI Dwi Inggar Pratiwi Octavirani; Joko Murdiyanto
Jurnal Kesehatan Kusuma Husada Vol. 14 No. 1, Januari 2023
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v14i1.983

Abstract

Hipotensi merupakan suatu kondisi dimana terjadi penurunan pada tekanan darah arteri yang mencapai >20% dibawah nilai absolut atau dasar dari tekanan darah sistolik dibawah 90% atau Mean Arterial Pressure yang berada dibawah 60 mmHg. Hipotensi menjadi salah satu efek yang ditimbulkan karena spinal anestesi yang dilakukan pada wanita hamil memiliki angka kejadian hipotensi sekitar 80%. Penelitian ini bertujuan untuk mengetahui pengaruh elevasi kaki terhadap kestabilan tekanan darah pada pasien sectio caesarea dengan spinal anestesi. Penelitian ini menggunakan metode literature review dan melakukan pencarian literatur menggunakan metode PICOST menggunakan 2 database yakni Pubmed dan Google Scholar. Jurnal yang digunakan pada penelitian ini yakni jurnal dengan rentang waktu sepuluh tahun terakhir (2012-2021). Elevasi kaki pada pasien sectio caesarea dengan spinal anestesi menunjukkan bahwa tindakan elevasi kaki yang dilakukan setelah dilakukan spinal anestesi dapat mengurangi kejadian hipotensi. Elevasi kaki mempunyai keefektifan dalam mengatasi ketidakstabilan tekanan darah setelah spinal anestesi dan elevasi kaki efektif dapat membantu dalam mengatasi hipotensi atau penurunan tekanan darah pada elevasi kaki 400 atau 450. Elevasi kaki kurang efektif dalam mengatasi hipotensi atau penurunan tekanan darah jika elevasi kaki hanya 300 walaupun dapat meningkatkan tekanan darah namun tidak banyak karena tidak cukup dalam mendorong darah yang terkumpul pada perifer sirkulasi sentral atau ekstremitas bawah. Hypotension is a condition where there is a decrease in arterial blood pressure that reaches > 20% below the absolute or base value of systolic blood pressure below 90%, or the MAP (Mean Arterial Pressure) value which is below 60 mmHg. Hypotension is one of the effects because spinal anesthesia performed on pregnant women has an incidemce of hypotension of around 80%. This study aims to determine the effect of leg elevation on blood pressure stability in sectio caesarea patients with spinal anesthesia based on literature searches. This study applied a literature review method, and a literature search with the PICOST method used 2 databases, namely Pubmed and Google Scholar. The journals used in this study were journals with a time span of the last ten years (2012-2021). Elevation of the legs in sectio caesarea patients with spinal anesthesia shows that the leg elevation after spinal anesthesia can reduce the incidence of hypotension. Leg elevation is effective in overcoming blood pressure instability after spinal anesthesia, and effective leg elevation can help in overcoming hypotension or a decrease in blood pressure at a leg elevation of 400 and 450. Leg elevation is less effective in treating hypotension or a decrease in blood pressure if the leg elevation is only 300 although it can increase blood pressure but not much because it is not enough to push the blood that collects in the peripheral central circulation or lower extremities.
HUBUNGAN SELF- EFFICACY DENGAN KECEMASAN MAHASISWA UNIVERSITAS ‘AISYIYAH YOGYAKARTA MENGHADAPI DOPS SAAT PRAKTIK KLINIK LAPANGAN Joko Murdiyanto; Suesti Suesti; Heri Puspito; Cindi Claudia
KOSALA : Jurnal Ilmu Kesehatan Vol. 11 No. 2 (2023): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v11i2.307

Abstract

Latar belakang: praktik klinik merupakan salah satu cara agar calon tenaga kesehatan dapat menerapkan ilmu yang telah didapatkan selama proses belajar mengajar dengan melibatkan pasien secara langsung. DOPS (Direct Observational Procedural Skills) merupakan metode yang digunakan untuk melakukan penilaian evaluasi hasil pembelajaran mahasiswa keperawatan saat praktik klinik lapangan. Tujuan penelitian: untuk mengetahui hubungan self efficacy dengan kecemasan mahasiswa keperawatan dalam menghadapi DOPS (Direct Observational of Procedural Skills) saat praktik klinik lapangan di ruang operasi. Subyek dan metode: penelitian ini menggunakan deskriptif korelasi dengan rancangan cross sectional. Hasil penelitian: uji Sperman rank untuk mengetahui hubungan antara self-efficacy dengan kecemasan didapatkan hasil sig 0,027 (p<0,05) dengan correlation coefecient -0,291 yang artinya terdapat hubungan signifikan antara self-efficacy dengan kecemasan mahasiswa dalam menghadapi DOPS. Berdasarkan hasil analisis dapat disimpulkan terdapat hubungan yang signifikan dengan kekuatan yang cukup dan tidak searah antara self-efficacy dengan kecemasan, dimana semakin tinggi self-efficacy mahasiswa dalam menghadapi DOPS maka akan semakin rendah kecemasan yang dirasakan.   Kata kunci: efikasi diri, kecemasan   Background: clinical practice is a way for prospective health workers to apply the knowledge they have acquired during the teaching and learning process by involving patients directly. DOPS is a method used to evaluate the learning outcomes of nursing students during field clinical practice. This research aims to determine the relationship between self-efficacy with anxiety of Nursing students take on DOPS (Direct Observational Procedural Skills) during field clinical practice at the central surgery instalation. Subjects and method: this study used a descriptive correlation with a cross-sectional design. The results of the Sperm rank test to find out the relationship between self-efficacy and anxiety obtained sig 0.027 (p<0.05) with a correlation coefficient of -0.291, it means there is a significant relationship between self-efficacy and student anxiety taking on DOPS with sufficient strength and not in the same direction. The conclusion from this study is that there is a significant relationship with sufficient strength, where the higher the student's self-efficacy in dealing with DOPS, the lower the anxiety felt.   Keywords: anciety, self efficacy
Pembentukan satgas covid-19 dalam persiapan pembelajaran tatap muka di SMP Muhammadiyah 1 Gamping Murdiyanto, Joko; Rohmah, Astika Nur; Puspito, Heri; Dewi, Ratih Kusuma
Hasil Karya 'Aisyiyah untuk Indonesia Vol. 2 No. 1 (2022): Oktober
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (569.273 KB) | DOI: 10.31101/hayina.2451

Abstract

Wabah Covid-19 sudah manjadi pandemi di seluruh dunia dan berdampak pada sistem pendidikan di Indonesia. Selama ini pembelajaran sekolah dilaksanakan secara daring dan rencananya akan dilaksanakan secara luring sehingga diperlukan persiapan untuk mendukung proses pembelajaran tersebut. Pengabdian masyarakat, yang merupakan salah satu perwujudan tri dharma perguruan tinggi, dilaksanakan di SMP Muhammadiyah 1 Gamping, bertujuan untuk melakukan persiapan sekolah dalam melaksanakan pembelajaran tatap muka di masa pandemic Covid-19. Tahapan kegiatan ini adalah observasi dan identifikasi masalah mitra, memberikan solusi kepada mitra, pembuatan media edukasi, sosialisasi dan pelatihan serta evaluasi dan monitoring. Hasil kegiatan Pengabdian masyarakat ini yaitu adanya peningkatan pengetahuan terkait dan sikap dalam pelaksaanaan protokol kesehatan di SMP Muhammadiyah 1 Gamping selama pembelajaran tatap muka.
Level of physical fitness of member of Indonesian Medical Association in Bantul, Yogyakarta Ihsana, Nuni; Yuniasih, Dewi; Putri, Rachma Greta Perdana; Annisa, Annisa; Tejosukmono, Ario; Heriyanto, Mochammad Junaidy; Pamungkasih, Wahyu; Rokhmah, Budi Nur; Murdiyanto, Joko
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Physical inactivity contributed to 7.2% of all-cause mortality. Many research demonstrates that the integration of physical activity and exercise into daily routine prevents chronic disease and lowers mortality. This study aims to assess the physical fitness of members of the Indonesian Medical Association in the Bantul region using a descriptive from secondary data. The subjects were 38 members of the Indonesian Medical Association. Physical fitness data was obtained using the Rockport One Mile Walking Test. Body Mass Index (BMI) is also calculated to describe excessive body fat. The majority of participants are female (52.63%) and participants dominant age ranged between 19 and 44 years old (50%). The participants aged 18 years old showed good physical fitness. The results in participants aged 19 to 44 years were more varied, there were 8 participants, 7 participants, 3 participants 1 participant had fair, good, poor, and very poor physical fitness, respectively. Physical fitness in participants aged 45 to 59 years were 9 and 5 participants showed good and fair physical fitness, respectively. The subjects aged >59 years old have 2 people with good physical fitness and 1 person with fair physical fitness. None of the participants with BMI status underweight, normal weight, or overweight showed poor physical fitness, while participants with obesity had poor and very poor physical fitness. Physical fitness is a multidimensional concept and is related to regular activity.
EFFECTS OF EARLY MOBILIZATION EDUCATION ON PAIN INTENSITY AMONG POST-CAESAREAN PATIENTS AT PKU MUHAMMADIYAH BANTUL HOSPITAL OF YOGYAKARTA Lutfi, Haerul; Murdiyanto, Joko
Seroja Husada: Jurnal Kesehatan Masyarakat Vol. 1 No. 5 (2024): Seroja Husada: Jurnal Kesehatan Masyarakat
Publisher : Seroja Husada: Jurnal Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Caesarean section surgery causes pain and results in changes to tissue continuity due to the incision. If such pain is not controlled, it can prolong the healing process and lead to complications in respiration, excretion, circulation, and other systemic functions. Early mobilization is necessary to promote blood circulation as soon as possible and to facilitate recovery or relief of post-operative pain following a Caesarean section. Objective: This study aimed to investigate the effects of early mobilization education on pain intensity among post-Caesarean section patients at PKU Muhammadiyah Bantul Hospital, Yogyakarta. Method: This study used quantitative method with pre-experimental design approach, specifically the one-group pretest-posttest design. The sampling technique was consecutive sampling, with 30 respondents who met the inclusion and exclusion criteria. Data collection was conducted using the VAS pain scale, and data analysis was done using the Wilcoxon signed-rank test. Results: The Wilcoxon signed-rank test results showed p-value 0.01 < α (0.05), which indicates that the null hypothesis (Ho) is rejected and the alternative hypothesis (Ha) is accepted. Pre-test results showed that the highest level of pain among post-Caesarean section patients was mild pain, experienced by 19 patients (63.3%). Meanwhile, post-test results indicated that all 30 patients (100%) experienced mild pain. Conclusion: Early mobilization education has a significant effect on reducing pain intensity among post-Caesarean section patients at PKU Muhammadiyah Bantul Hospital, Yogyakarta. Recommendations: Future researchers should conduct experimental or quasi-experimental studies to compare pain intensity between patients who receive early mobilization education and those who do not.
PERBEDAAN KADAR TRIGLISERIDA PADA PENDERITA HIPERTENSI BERDASARKAN PERBEDAAN WAKTU PEMBEKUAN SEBELUM DISENTRIFUGASI Yutikasari Karepesina, Aisyah; Agustin Amalia, Arifiani; Murdiyanto, Joko
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.33273

Abstract

Hipertensi dapat terjadi karena terganggunya profil lipid. Gangguan profil lipid yang terjadi yaitu peningkatan kadar trigliserida. Prosedur pra analitik yang dilakukan pada pemeriksaan laboratorium yaitu pembuatan serum. Berdasarkan survei di lapangan saat pemeriksaan trigliserida terdapat perbedaan perlakuan pada tahap pra analitik untuk mendapatkan serum. Berdasarkan permasalahan tersebut maka perlu dilakukan penelitian terhadap kesesuaian prosedur pada tahap pra analitik. Metode penelitian menggunakan pre experimental dengan desain yang digunakan yaitu one group pretest posttest design. Populasi dari penelitian berjumlah 150 orang. Sampel yang digunakan berjumlah 33 sampel dengan dua kali perlakuan. Pengambilan sampel menggunakan metode purposive sampling. Penggunaan sampel darah berdasarkan perbedaan waktu pembekuan sebelum disentrifugasi merupakan variabel independent, sedangkan variabel dependent yaitu pemeriksaan trigliserida pada penderita hipertensi. Metode pengumpulan data menggunakan data primer. Analisis data uji normalitas menggunakan Shapiro-wilk dan uji signifikasi menggunakan Wilcoxon. Perbedaan selisih pada perlakuan sampel berdasarkan waktu pembekuan didapatkan hasil sebesar 7,07%. Uji normalitas (Shapiro-wilk) didapatkan hasil tidak terdistribusi normal. Uji signifikansi (Wilcoxon) didapatkan hasil Asymp Sig (2-tailed) sebesar 0.000. Berdasarkan hasil penelitian dapat disimpulkan terdapat perbedaan yang signifikan kadar trigliserida pada pasien hipertensi berdasarkan perbedaan waktu pembekuan sebelum disentrifugasi.
PENGENDALIAN MUTU PEMERIKSAAN KOLESTEROL SERUM KONTROL KOMERSIAL BERDASARKAN WAKTU PENUNDAAN Altian Nandasari, Fizi; Aryani, Titin; Murdiyanto, Joko
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.33275

Abstract

Each phase in laboratory examination is at risk of contributing errors that can affect the results. Quality control using control materials is useful for ensuring the accuracy of laboratory examination, one of which is cholesterol examination.  This study aims to determine results of quality control with control materials that are immediately examined and delayed 7 hours at room temperature (20-25°C) in cholesterol testing. This study used quantitative methods and quasi experimental design. The sample in this study was commercial control serum and used primary data collection techniques with cross sectional approach. Variables in this study are the length of delay as independent variable and cholesterol levels as dependent variable. Kolmogorov-Smirnov normality test and Independent Sample T-Test significance test were used to analyze the data. Quality control analysis was performed using Levey-Jennings chart and Westgard Rules. The difference between 0 and 7 hours cholesterol examination was 0,44% and the significance test result of p = 0,010 showed that there was significant difference between 0 and 7 hours cholesterol examination. The quality control results of 0-hour cholesterol examination followed Wesgard 12S warning rule and control serum that was delayed for 7 hours at room temperature had results that followed Westgard 12S, 22S and 13S rules. There is a significant difference in cholesterol examination with control serum that is examined immediately and delayed for 7 hours, and delay control serum for 7 hours can cause random and systematic errors.
Building a Code Stroke at Hospital without CT-scan Facilities Wisni, Anggrieni; Nurhidayati, Eni; Anton, Secendry R.; Alifah, Nur; Murdiyanto, Joko
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5489

Abstract

Purpose: To determine the medical and management steps for building a code stroke at Rizki Amalia Medika Hospital. Methodology: his research is a descriptive qualitative study using a case report approach using observation and interview methods. Observations were carried out at in January-June 2024. The sample was obtained by purposive sampling method. Results: Landscape analysis is carried out on internal and external factors. The creation of a multidisciplinary team involves medical and nonmedical service units. The stroke protocol is carried out starting from pre-hospital, emergency unit, stroke code activation and administration of alteplase therapy for ischemic stroke. Training and education are carried out internally and externally to the hospital. Community socialization and education involve public campaigns and collaboration between elements. Improving the quality and analysis of data focuses on collecting medical data, medical audits, and feedback loops. In January to June 2024, there were 7 ischemic stroke visits with 57% receiving alteplase therapy. The success of alteplase therapy in ischemic stroke patients at Rizki Amalia Medika Hospital was 100%. Conclusion: Building a code stroke requires a comprehensive approach. By prioritizing rapid stroke identification and treatment, hospitals can significantly improve patient outcomes.