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PENENTUAN DURASI PEMBERIAN LOW-MOLECULAR-WEIGHT HEPARIN SECARA SUBKUTAN PADA PASIEN SINDROMA KORONER AKUT UNTUK MENGURANGI KEJADIAN DAN LUAS Emil Huraini; Dwi Novrianda
Ners Jurnal Keperawatan Vol 11, No 1 (2015)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.11.1.14-21.2015

: Penggunaan Low-Molecular-WeightHeparin(LMWH) secara subkutan telah direkomendasikan pada penatalaksanaan Sindroma Koroner Akut. Namun efek samping pemberian LMWH berupa memar terlihat pada 20,6 % sampai 88,9 % (de Campos, da Silva, Beck, Secoli & de Melo Lima, 2013). Perlu diketahui durasi terbaik penyuntikan LMWH secara subkutan yang dapat diaplikasikan dengan kejadian dan luas memar yang rendah. Tujuan penelitian ini adalah untuk mengidentifikasi perbedaan kejadian dan luas memar setelah 48 jam pada lokasi penyuntikan LMWHsecara subkutan pada pemberian dengan durasi 10 detik dengan durasi 20 detik. Penelitian quasi eksperimental dengan pendekatan posttest only Equivalen control group design ini dilakukan di Pusat Jantung Regional RS Dr M Djamil Padang. Sampel adalah 35 orang penderita Sindroma Koroner Akut yang mendapat terapi LMWH. Variabel independen adalah penyuntikan LMWH secara subkutan dengan durasi 10 detik dan dengan durasi 20 detik sedangkan variabel dependen adalah kejadian dan luas memar pada area penyuntikan LMWH secara subkutan setelah 48 jam. Analisa data dilakukan secara deskriptif dan dengan menggunakan uji Mann-Whithney. Derajat kemaknaan secara statistic ditetapkan pada nilai p=0,05.Hasil penelitian menunjukkan 54,29% responden dengan durasi penyuntikan 10 detik mengalami memar (2,86% mengalami memar besar) dibandingkan dengan 28,57% responden dengan penyuntikan 20 detik mengalami memar (2,86% mengalami memar besar). Terdapat perbedaan bermakna kejadian dan luas memar pada kedua kelompok (p=0,013). Durasi injeksi 20 detik dapat mengurangi kejadian dan luas memar pada penyuntikan LMWH secara subkutan

PROFIL STATUS GIZI ANAK BATITA (DI BAWAH 3 TAHUN) DITINJAU DARI BERAT BADAN/TINGGI BADAN DI KELURAHAN PADANG BESI KOTA PADANG Dwi Novrianda
Ners Jurnal Keperawatan Vol 11, No 1 (2015)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.11.1.9-13.2015

Masalah gizi merupakan masalah yang penting yang perlu diperhatikan pada anak batita karena kelompok yang paling rawan gizi. Penelitian ini bertujuan untuk mengetahui profil status gizi batita (1-3 tahun) ditinjau dari BB/TB di Kelurahan Padang Besi. Jenis penelitian ini adalah deskriptif.. Waktu penelitian dilakukan pada bulan Agustus 2010 sampai April 2011. Jumlah sampel sebanyak 109 orang ibu dan diambil secara proporsional random sampling. Analisa data dilakukan secara univariat menggunakan tabel distribusi frekuensi. Hasil penelitian menunjukkan bahwa 87,2 % status gizi batita normal dan 12,8 % status gizi kurus. Diharapkan petugas kesehatan yang ada di Puskesmas untuk lebih meningkatkan frekuensi promosi kesehatan seperti penyuluhan tentang status gizi batita agar pengetahuan, sikap dan tindakan ibu tentang gizi menjadi lebih baik, dan pentingnya monitoring status gizi batita ke Puskesmas

Efforts to Prevent Deviant Behavior in Identity and Sexual Orientation through Interactive Talk Show and Social Campaign in the Campus Environment Dwi Novrianda; Randy Refnandes; Agus Sribanowo; Fitri Mailani
Warta Pengabdian Andalas Vol 31 No 3 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.3.470-483.2024

Limited understanding regarding healthy relationships, religious implications, the impact of LGBTQ occurrences, psychological susceptibilities associated with LGBTQ, and inappropriate approaches towards LGBTQ individuals can heighten one's susceptibility towards developing LGBTQ tendencies or mental disorders. This initiative, referred to as IbDM, will be executed with the utilization of a social campaign approach and interactive talk shows, to cultivate positive awareness and effective strategies for addressing and preventing the rise in LGBTQ transmission. The social campaign involve distributing pamphlets and pocketbooks about LGBTQ matters across all faculties in Unand, serving as a reminder and platform for introspection in anticipation of LGBTQ transmission. Additionally, incorporating interactive and captivating talk show activities featuring knowledgeable speakers will enable the dissemination of understanding, thereby enhancing the academic community's awareness in a more profound manner. The content presented during these activities will encompass various aspects of LGBTQ, including social and religious dimensions, cultural and legal considerations, and health-related perspectives. This activity has provided an overview of the perceptions of students involved as participants regarding LGBTQ behaviour. All participants (100%) view LGBTQ as deviant behavior, the importance of the role of parents in building children's character and identity, and the large influence of the social environment as a barrier to LGBTQ. Therefore, it is important for the role of policymakers at the central and regional government levels, leaders of higher education institutions, the academic community, health practitioners, and other fields to be able to work together in enforcing strict legal regulations against LGBTQ, socializing the impact of sexual identity and orientation deviation, strengthening the role parents and social environment as deterrents to deviant sexual identity and orientation behavior.

Efforts to Prevent Deviant Behavior in Identity and Sexual Orientation through Interactive Talk Show and Social Campaign in the Campus Environment Dwi Novrianda; Randy Refnandes; Agus Sribanowo; Fitri Mailani
Warta Pengabdian Andalas Vol 31 No 3 (2024)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.31.3.470-483.2024

Limited understanding regarding healthy relationships, religious implications, the impact of LGBTQ occurrences, psychological susceptibilities associated with LGBTQ, and inappropriate approaches towards LGBTQ individuals can heighten one's susceptibility towards developing LGBTQ tendencies or mental disorders. This initiative, referred to as IbDM, will be executed with the utilization of a social campaign approach and interactive talk shows, to cultivate positive awareness and effective strategies for addressing and preventing the rise in LGBTQ transmission. The social campaign involve distributing pamphlets and pocketbooks about LGBTQ matters across all faculties in Unand, serving as a reminder and platform for introspection in anticipation of LGBTQ transmission. Additionally, incorporating interactive and captivating talk show activities featuring knowledgeable speakers will enable the dissemination of understanding, thereby enhancing the academic community's awareness in a more profound manner. The content presented during these activities will encompass various aspects of LGBTQ, including social and religious dimensions, cultural and legal considerations, and health-related perspectives. This activity has provided an overview of the perceptions of students involved as participants regarding LGBTQ behaviour. All participants (100%) view LGBTQ as deviant behavior, the importance of the role of parents in building children's character and identity, and the large influence of the social environment as a barrier to LGBTQ. Therefore, it is important for the role of policymakers at the central and regional government levels, leaders of higher education institutions, the academic community, health practitioners, and other fields to be able to work together in enforcing strict legal regulations against LGBTQ, socializing the impact of sexual identity and orientation deviation, strengthening the role parents and social environment as deterrents to deviant sexual identity and orientation behavior.

Health Education on Risk Factors of Primary Dysmenorrhea and Anemia in Adolescent Girls at SMP Negeri 31 Padang Lili Fajria; Ira Mulya Sari; Yelly Herien; Meri Neherta; Deswita; Vetty Priscilla; Hermalinda; Arif Rohman Mansur; Dwi Novrianda; Mutia Farlina; Wedya Wahyu; Yanti Puspita Sari
Warta Pengabdian Andalas Vol 32 No 2 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.2.250-257.2025

Adolescence is a transition period from childhood to adulthood, where in adolescent girls it is marked by menstruation, breast enlargement, hips, and so on. As a result of these changes, adolescent girls are at risk of experiencing nutritional deficiencies in their bodies which can lead to anemia. Anemia is a condition where there is a lack of hemoglobin levels in the body, the impact of which will be seen now and in the future. Dysmenorrhea is also the most common disorder experienced by women, especially adolescents, during the menstrual cycle. Dysmenorrhea can have an impact on daily activities, but many adolescent girls still do not know the factors related to the occurrence of primary dysmenorrhea, so health education is needed. The purpose of this activity was to provide health education about the risk factors for primary dysmenorrhea and anemia in adolescent girls and to conduct Hb level checks. This community service activity was carried out by providing education with slides and videos related to the risk factors for primary dysmenorrhea and anemia in 100 female students at SMP N 31 Padang. Adolescents will complete a knowledge and attitude questionnaire regarding anemia and primary dysmenorrhea before and after the intervention. The results of this activity showed an increase in knowledge and attitudes of adolescent girls regarding the risk factors for primary dysmenorrhea and anemia. The results of Hb examinations in adolescent girls found that 6% of adolescent girls had anemia. It is hoped that this health education can be carried out periodically so that young women can have the right knowledge and a positive attitude in dealing with problems such as dysmenorrhea or anemia.

Parental Resilience Determinants in Children with Cancer in Indonesia: A Path Analysis Novrianda, Dwi; Jamil, Mohd.; Rita, Rauza Sukma
Nurse Media Journal of Nursing Vol 14, No 3 (2024): (December 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i3.54943

Background: Determining parental resilience in children with cancer is essential to ensuring parents’ involvement in caring for children in hospitals. Existing quantitative research evaluates factors influencing resilience in mothers but has not fully explored the determinants of resilience in parents of children with cancer. Studying parents more broadly is essential, as contemporary caregiving roles increasingly involve both mothers and fathers, offering a more comprehensive understanding of family dynamics.Purpose: This study aimed to analyze the determinants of parental resilience in children with cancer.Methods: Correlational research with a cross-sectional design was conducted in the pediatric ward of a tertiary hospital in Indonesia. A total of 102 parents of children with cancer were recruited using consecutive sampling. Data were collected using a demographic questionnaire, the 10-item Connor Davidson Resilience Scale (10-item CDRC), the Hert Hope Index (HHI), the International Personality Item Pool – Big Five Factor Markers 50 (IPIP-BFM-50), Parenting Stress Index (PSI), and the Survey of Family Environment (SFE). Quantitative data were analyzed using path analysis.Results: The results showed that the mean (SD) of the resilience score was 27.20 (5.79), personality 102.44 (19.11), hope 24.80 (6.04), parenting stress 39.22 (10.15), coping 39.84 (9.81), and family environment 84.57 (21.87). Resilience was directly influenced by hope (p=0.000), family environment (p=0.001), and coping (p=0.051). Personality indirectly influenced resilience (p=0.004). Path analysis revealed a Chi-square value of 0.000, a Root Mean Squared Estimate of Approximation (RMSEA) of 0.286, and values for the Normed Fit Index (NFI), Comparative Fit Index (CFI), Incremental Fit Index (IFI), and Goodness-of-Fit Index (GFI) were nearly close to 1, indicating the model had a nearly good fit.Conclusion: Parental resilience was determined by hope, family environment, and coping. Strengthening these factors can enhance resilience and support better outcomes for families and children with cancer.

Pengalaman Emosional Anak Usia Sekolah Melalui Menggambar di Bangsal Anak RS Dr.M.Djamil Padang: Emotional Experience of School-age Children Through Drawing in The Pediatric Ward of Dr.M.Djamil Hospital Padang Novrianda, Dwi; Putri Lenggogeni, Devia
NERS Jurnal Keperawatan Vol. 7 No. 2 (2011): NJK Volume 7, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v7i2.22

Hospitalisation is often stressful for children and sometimes are not able to verbally expressed. Drawing is a non-verbal communication techniques that can be used for exploring the emotional experience of children who are hospitalised with a non-threatening way. The purpose of this study was to determine the emotional experience of school-age children through drawing on the children’s ward of Dr. M. Djamil Hospital in Padang. This study used qualitative methods with phenomenological approach. The study found three main themes: (1) a variety of reasons participants about the image created, (2) participants’ response to a pleasant experience, and (3) participants’ response to the sad and painful experience. It can be concluded that the expression of the emotional experience of school age children who are hospitalised through the drawing can deliver their thoughts and feelings and their response to emotional experience in the hospital something that is not fun.

Teknologi Elektronis Pengkajian Nyeri Kronis pada Anak-anak dan Remaja: Electronic Technology for Chronic Pain Assessment in Children and Adolescents Dwi Novrianda
NERS Jurnal Keperawatan Vol. 8 No. 1 (2012): NJK Volume 8, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v8i1.32

Chronic pain in children and adolescents is a problem that can affect every aspect of individual functions. The big change in the quality of life of a child dealing with chronic pain. Impaired function generally occurs i.e., sleeping, employment, social functioning, and daily activities. Monitoring of chronic pain should be a concern to the clinician in monitoring the way the pain so as to provide effective care and treatment. Pain is a subjective thing and needs expressed by individuals who experience such pain. One method of assessment of chronic pain in children and adolescents that can be applied in clinical practice is the use of electronic pain diary that combines handheld hardware technology advances such as smartphones and PDAs with pain assessment software program innovations that have proven their quality index. In order to use this application to apply the necessary attention to the ethical aspects, financial aspects of the tools and training, aspects of change in perspective on the importance of understanding the chronic pain patient in order to change behavior.

Faktor – Faktor yang Mempengaruhi Kecemasan Orang Tua pada Anak Pra-operasi Di Ruang Bedah Anak : Factors Affecting Parental Anxiety in Children Pre-operative in Pediatric Surgery Dwi Novrianda; Hermalinda; Musymiratul Fauziah
NERS Jurnal Keperawatan Vol. 15 No. 1 (2019): NJK Volume 15, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v15i1.165

Noncompliance with fluid restriction is a problem in patients undergoing hemodialysis. The impact suchs pulmonary edema increases the risk of cardiovascular disorders, and hypertension. This study aims to determine the relationship of family support and the length of dialysis with adherence to fluid restriction in patients with Chronic Renal Failure (CRF) in the RST. Reksodiwiryo Padang. This type of analytic descriptive research with cross-sectional design. Data collection was conducted in August 2018 in the RST hemodialysis unit room Dr. Reksowidiryo Padang. The population was all patients with CRF who underwent hemodialysis therapy with an average visit of 42 patients. Sampling by means of the total population. Data were collected using questionnaires and documentation studies, processed computerically. Univariate analysis with frequency distribution and bivariate with chi-square test significance of 0.05. The results showed that 76.2% were not adherent to limiting fluid, 52.4% did not get family support, 66.7% were in the old category of running dialysis. There was a significant relationship between family support (p = 0.030) and dialysis time (p = 0.001) with fluid restriction compliance. It was concluded that there was a relationship between family support and the length of dialysis with fluid restriction compliance. It is suggested to officers to include, educate, and motivate patients with their families regarding fluid restrictions, describe the impact, and give enthusiasm in carrying out dialysis therapy and provide alternatives that can be done for fluid replacement in controlling thirst.

Mukositis Oral dan Kualitas Hidup Spesifik–Mukositis Oral pada Anak Kanker yang Menjalani Kemoterapi: Oral mucositis and quality of life-specific Oral mucositis in children Cancer Patients Undergoing Chemotherapy Dwi Novrianda; Yulastri Arif
NERS Jurnal Keperawatan Vol. 13 No. 1 (2017): NJK Volume 13, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v13i1.224

One of the side effects generally occur during chemotherapy is oral mucositis. Disorders due to oral mucositis often affects the psychological and decreased quality of life of children. Therefore, It is important to determine the relationship of oral mucositis in cancer patients undergoing chemotherapy and quality of life related to oral mucositis. This research was descriptive analytic with cross sectional approach. Respondents in this study were children with cancer who were undergoing chemotherapy in Chronic Ward Pediatric Inpatient RSUP Dr. M. Djamil Padang. The strategy used in determining the sample was consecutive sampling amounted to 132 people. Data were collected through questionnaires that Oral Mucositis Daily Questionnaire (OMDQ) and Oral Mucositis-specific Quality of Life (OMQoL). The results showed an average of 6.55 years old respondents, the majority of the male sex, and had been diagnosed with acute lymphocytic leukemia. 40% Respondents had experienced severe oral mucositis (a score of 2, 3, and 4) and have mild to severe limited activity primarily eating, drinking and swallowing. The average total score of the quality of life specific-oral mucositis was 58.61. Subscale diet and swallowing occupy the lowest scoring average and below the total score were 55.00 and 55.75. There were no significant differences quality of life specific-oral mucositis between mild and severe mucositis (p> 0.05). It is expected the professional nurse can identify conditions early oral mucous membrane of cancer patients and evaluate the implementation of oral mucositis intervention through-specific quality of life assessment of oral mucositis.

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