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The Structured Discharge Planning Toward Patient's Readiness in Performing Colostomy Care Nurleli Nurleli; Roma Sitio; Rapitos Sidiq
Jurnal Keperawatan Vol. 12 No. 2 (2021): July
Publisher : University of Muhammadiyah Malang

Introduction: Colostomy patients face major changes in various aspects that occur due to lack of knowledge, preoperative preparation, and postoperative management. In addition, the implementation of discharge planning was generally in the form of a patient resume but does not evaluate the ability of patients and families to perform colostomy care independently. Objectives: This study aims to determine the effectiveness of structured discharge planning on the readiness of patients undergoing colostomy care. Methods: The descriptive-analytic study quasi-experimental approach post-test only with control group was designed to determine the effectiveness of structured discharge planning towards patient’s readiness in performing colostomy care. Data collection was carried out for 20 colostomy patients selected accidentally. Data analysis was performed by independent t-test. Results: The result found that patient’s readiness in performing colostomy care was significantly increased in the intervention group (p-value 0.008). Conclusion: The structured discharge planning which has been prepared at the beginning of the patient's hospitalization for colostomy patients’ regarding stoma care was highly needed to optimize the ostomate in carrying out colostomy care independently.

THE EFFECT OF HEALTH EDUCATION ON SELF EFFICACY ON POST STROKE PATIENTS IN BLUD RSU DR. ZAINOEL ABIDIN BANDA ACEH Roma Sitio; Said Devi Elvin; Nirwan Nirwan
Jurnal Ilmiah Keperawatan Vol 3 No 1 (2020): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

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Stroke is a cerebrovascular disease the second leading cause of death and the third leading cause of disability. Globally in 2018, 80 million people worldwide have strokes and 50 million survivors of strokes live with permanent disabilities. The percentage of stroke in Aceh in 2018 has reached 103 percent or above the national average of 93.4 percent. The impact of the high percentage of the number of people affected by stroke in Aceh has made the life expectancy of the people of Aceh to be low or only 67.8 years, below the national average of 71.5 years. Stroke has a large impact on physical, psychological and social functioning. Most people with stroke are faced with limitations in physical, psychological and social functions. This condition causes post-stroke depression which affects the inability to take care of themselves (self-care) such as bathing, dressing, toileting and making toilet and shower transfers. The purpose of this study was to determine the effect of psychoeducation-based health education on self-efficacy in post-stroke patients. The design used is quasi experement with control group. The sample in this study were post-stroke patients who went to the BLUD RSU dr. Zainoel Abidin Banda Aceh determined based on power analysis sampling. Data collection instruments in the form of Self Care Assessment Tool for Stroke Patients whose results be analyzed univariately and bivariately. The results showed that there were differences in self efficacy in post-stroke patients for the intervention group between before and after psychoeducation-based health education. Furthermore, it is known that there is no difference in self efficacy in post-stroke patients for the control group between measurement 1 and measurement 2. This study concludes that psychoeducation-based health education has been proven to be effective in increasing self-efficacy in post-stroke patients.

THE EFFECTIVENESS OF PROGRESSIVE MUSCLE RELAXATION (PMR) ON BLOOD GLUCOSE LEVELS WITH DIABETICS Roma Sitio; Ainal Mardhiah; Afdhal Afdhal; Taufik Taufik; Rapitos Siddiq; Isneini Isneini
Jurnal Ilmiah Keperawatan Vol 5 No 1 (2022): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v5i1.2424

Analisis Stigma Terhadap Penderita Gangguan Mental Dikalangan Mahasiswa D-III Keperawatan Taufik Taufik; Aulina Adamy; Marthoenis Marthoenis; Said Devi Elvin; Roma Sitio; Munazar Munazar
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 5 No 2 (2020): JURNAL KESEHATAN MASYARAKAT DAN LINGKUNGAN HIDUP
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Stigma is a situation in which giving someone else a slave that unwittingly demean someone who has been socially discredited. During this time when students see or meet people with mental disorders, they are still afraid and they call the mental disorders people as a crazy man. Stigma can cause people with mental disorders to feel ashamed, blame themselves, despair, and reluctant to seek or receive help. This type of research is analytic descriptive using a cross sectional study design. The sample of this research is the D-III Nursing Banda Aceh students and the Nursing Students at Academy Iskandar Muda Banda Aceh, Data collection was conducted on 06-12 February 2020. Then the data were analyzed by univariate analysis, bivariate analysis with chi square test, and multivariate analysis with using logistic regression test. The results showed that the stigma of Nursing D-III students was high for people with mental disorders (59.11%) and there was a relationship between triggering factors and student stigma. Trigger factors based on stereotypes (p = 0.001), blame (p = 0.001), prejudice (p = 0.001), authoritarianism (p = 0.001), lack of awareness (p = 0.001) and social judgment (p = 0.007). The factors that showed the most significant relationship were stereotypes (p = 0.001 OR 4.44), prejudice (p = 0.001 OR 37.20) and authoritarianism (p = 0.001 OR 6.20). It can be concluded that Nursing D-III students still have a high stigma towards people with mental disorders and they are expected to increase their understanding of mental disorders. Also the education management needs to improve scientific activities or training that are more focused on mental disorders. if the stigma can not be removed, especially on students or health workers in general, it will be very difficult to reduce the number of people with mental disorders (recovered).

KUALITAS HIDUP PASIEN KANKER SERVIKS: PENGALAMAN PASIEN SUKU BATAK TOBA Roma Sitio; Dewi Elizadiani Suza; Siti Saidah Nasution
Idea Nursing Journal Vol 7, No 1 (2016): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKKanker seviks menimbulkan masalah tersendiri bagi perempuan yang mengalaminya karena kanker ini berhubungan dengan perubahan pada organ reproduksi perempuan sehingga akan berdampak pada kualitas hidup penderitanya. Penelitian ini bertujuan untuk menggali makna kualitas hidup pasien kanker serviks: pengalaman pasien suku Batak Toba. Penelitian ini merupakan studi fenomenologi deskriptif. Pengumpulan data dilakukan dengan indept interview dan fieldnote. Patisipan berjumlah 12 orang suku Batak Toba yang dipilih dengan teknik purposive sampling. Wawancara dilakukan di rumah sakit, peneliti terlebih dahulu melakukan kontrak. Hasil wawancara dianalisis dengan metode pendekatan Colaizzi. Hasil analisis penelitian ditemukan 6 tema yaitu: perubahan aktivitas fisik, efek samping terapi, perubahan psikologis, perubahan interaksi sosial, dampak budaya, dan kegiatan spiritual. Berdasarkan hasil penelitian, disarankan agar perawat dapat memberikan pelayanan keperawatan bagi perempuan yang menderita kanker serviks untuk meningkatkan kualitas hidupnya dengan memperhatikan faktor budaya karena budaya dapat mempengaruhi aspek harapan, kesehatan dan penyakit.Kata kunci: kualitas hidup, kanker serviks, suku Batak Toba. ABSTRACTCervical cancer has a specific problem in women who undergo it because of the change in their reproductive organ which will eventually influence their life quality. The objective of the research was to analyze the meaning of life quality in Batak Toba cervical carcer patients. The research was a descriptive phenomenological study. The data were gathered by conducting in - depth interviews and field notes. There were 12 Batak Toba participans, taken by using purposive sampling technique. Interviews were conducted in the hospital by having cantract before the interviews took place. The result of interviews was analyzed by using Collaizzi approach. The result of the research showed that there were six themes: change in physical activity, side effect of the therapy, psychological change, social interaction change, cultural change and spiritual activity. It is commended that nurses provide nursing care for cervical cancer women in order to increase their life quality by paying attention to cultural factor because culture can influence the aspects of hope, health and sickness.Keywords: Quality of Life, Cervical Cancer, Batak Toba Ethnic Group

PEMBERIAN ROM AKTIF TERHADAP TINGKAT KEMAMPUAN ADL DASAR PADA PASIEN POST OPERASI FRAKTUR EKSTREMITAS BAWAH DENGAN TINDAKAN ORIF DI RSUD DR. ZAINOEL ABIDIN BANDA ACEH Taufik; Roma Sitio; Said Devi Elvin; Zakiah Reubiyana
JOURNAL KEPERAWATAN Vol. 1 No. 1 (2022): February 2022
Publisher : Poltekkes Kemenkes Aceh

Based on data from the WHO, in 2013 there were 1.3 million people suffering from fractures due to traffic accidents. Fracture patients have limitations in carrying out their daily activities and active ROM exercises need to be done. The purpose of the study was to determine the effect of giving active ROM on the level of basic ADL ability in postoperative lower extremity fracture patients with ORIF action at RSUDZA Banda Aceh in 2018. The research design used in this study was Quasi Experiment with Static Group Comparison, Sampling in this study conducted by purposive sampling technique totaling 20 respondents. Data was collected using the basic ADL observation sheet. The results showed that the basic ADL ability scores in the intervention group were mostly in the mild dependency category, as much as 60%, while in the control group many were in the moderate dependency category, as much as 40%. Basic ADL in postoperative lower extremity fracture patients with ORIF action in Raudhah 6 and Raudhah 7 RSUDZA Banda Aceh (p = 0.008) which means Ha is accepted and H0 is rejected. The importance of doing active ROM for postoperative lower extremity fracture patients with ORIF action to help the healing process. It is hoped that nurses will provide an explanation of active ROM exercises as a permanent activity in an effort to prevent loss of body function abilities.

ASUHAN KEPERAWATAN PADA PASIEN DENGAN POST OPERATIF HERNIA INGUINALIS : STUDI KASUS Afdhal Muchtar; Roma Sitio; Yeni Rimadeni; Naylul Muna
JOURNAL KEPERAWATAN Vol. 1 No. 1 (2022): February 2022
Publisher : Poltekkes Kemenkes Aceh

Inguinal hernia is defined as a lump of an organ through the inguinal cleft in the abdominal wall. According to the World Health Organization (WHO), in 2010-2015 hernia patients reached nearly 20 million cases and there were 20 million cases of inguinal hernia surgery every year. In Indonesia, it is estimated that there are 300 thousand cases. Based on data obtained from the HCU Room at RSUD Dr. Zainoel Abidin Banda Aceh, from January 2020 to April 2021, there were 14 cases. The purpose of this study was to determine the implementation of nursing care for Mrs. T with postoperative inguinal hernia in the HCU Room of Dr. Zainoel Abidin Hospital Banda Aceh in 2021. In compiling this case study the author uses a descriptive method with a nursing process approach which includes assessment, nursing diagnoses, nursing planning, implementation and evaluation. The results of nursing care were obtained after 3x24 hours the client's pain complaints decreased from a scale of 6 to 4, respiratory status was 18 x/m, daily activities were still assisted. Based on the results of the final evaluation, it was concluded that Mrs. T's problem was partially resolved for the diagnosis of acute pain and activity intolerance. As for the ineffective breathing pattern, the problem is resolved. The suggestions given are expected to improve communication and obtain more accurate data, so that nursing care can be carried out appropriately.

Faktor Penularan Covid-19 pada Kontak Erat di Wilayah Kerja Puskesmas Darul Imarah Kabupaten Aceh Besar Afdhal Afdhal; Erlangga Galih Zulva Nugroho; Roma Sitio; Yeni Rimadeni; Cut Mutiah; Berwi Fazri Pamudi
Malahayati Nursing Journal Vol 4, No 12 (2022): Volume 4 Nomor 12 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v4i12.8309

ABSTRACT Prevention of spreading COVID 19 in the house level requires awareness of family members in implementing health protocols. The aim of this study is to analyze the factors of Covid-19 transmission in Close Contacts case. The research design used is quantitative analysis with a case control. The sample in this study was 100 people who got close contacts of confirmed cases, consisting of 50 respondents of close household contacts as case group and 50 respondents of close non-household contacts as control group. Researcher used questionnaire as research instrument. The result showed that the independent variables that were highly significant infected with Covid-19 in close contacts were age, knowledge, disease history, implementation of health protocols and occupancy density where the value of OR > 1. In this study it can be concluded that the factors such as age, knowledge, disease history, implementation of health protocols and occupancy density have high risk of contaminating Covid-19 in close contact cases. Keyword : Covid-19, Transmission, Close Contact ABSTRAK Pencegahan penyebaran virus COVID-19 di level rumah tangga perlu adanya kesadaran anggota keluarga/ART dalam menjalankan protokol Kesehatan. Tujuan penelitian ini yaitu untuk menganalisis faktor-faktor penularan Covid-19 pada Kontak Erat. Desain penelitian yang digunakan adalah analitik kuantitatif dengan pendekatan case control. Sampel dalam penelitian ini sebanyak 100 orang kontak erat dari kasus konfirmasi yang terdiri dari 50 kontak erat serumah (household) sebagai kelompok case dan 50 responden kontak erat non serumah yang merupakan sebagai kelompok kontrol. Peneliti menggunakan instrumen penelitian berupa kuesioner. Hasil penelitian menunjukkan bahwa variabel independent yang sangat signifikan dengan tertular Covid-19 pada kontak erat yaitu variabel umur, pengetahuan, riwayat penyakit, penerapan prokes dan kepadatan hunian dimana nilai OR > 1. Pada penelitian ini dapat disimpulkan bahwa faktor umur, pengetahuan, Riwayat penyakit, penerapan protokol kesehatan dan kepadatan hunian berisiko tinggi tertular Covid-19 pada kasus kontak erat. Kata Kunci : Covid-19, Penularan, Kontak Erat

Analisis Stigma Terhadap Penderita Gangguan Mental Dikalangan Mahasiswa D-III Keperawatan Taufik Taufik; Aulina Adamy; Marthoenis Marthoenis; Said Devi Elvin; Roma Sitio; Munazar Munazar
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 5 No 2 (2020): JURNAL KESEHATAN MASYARAKAT DAN LINGKUNGAN HIDUP
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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

Stigma is a situation in which giving someone else a slave that unwittingly demean someone who has been socially discredited. During this time when students see or meet people with mental disorders, they are still afraid and they call the mental disorders people as a crazy man. Stigma can cause people with mental disorders to feel ashamed, blame themselves, despair, and reluctant to seek or receive help. This type of research is analytic descriptive using a cross sectional study design. The sample of this research is the D-III Nursing Banda Aceh students and the Nursing Students at Academy Iskandar Muda Banda Aceh, Data collection was conducted on 06-12 February 2020. Then the data were analyzed by univariate analysis, bivariate analysis with chi square test, and multivariate analysis with using logistic regression test. The results showed that the stigma of Nursing D-III students was high for people with mental disorders (59.11%) and there was a relationship between triggering factors and student stigma. Trigger factors based on stereotypes (p = 0.001), blame (p = 0.001), prejudice (p = 0.001), authoritarianism (p = 0.001), lack of awareness (p = 0.001) and social judgment (p = 0.007). The factors that showed the most significant relationship were stereotypes (p = 0.001 OR 4.44), prejudice (p = 0.001 OR 37.20) and authoritarianism (p = 0.001 OR 6.20). It can be concluded that Nursing D-III students still have a high stigma towards people with mental disorders and they are expected to increase their understanding of mental disorders. Also the education management needs to improve scientific activities or training that are more focused on mental disorders. if the stigma can not be removed, especially on students or health workers in general, it will be very difficult to reduce the number of people with mental disorders (recovered).

KONSEP DIRI BERKORELASI DENGAN BODY IMAGE PADA PASIEN OPEN REDUCTION INTERNAL FIXATION (ORIF) Roma Sitio; Khalimatun Sa’ziah Putri
Journal Keperawatan Vol. 2 No. 1 (2023): February 2023
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58774/jourkep.v2i1.16

A fracture is a break in the continuity of the bone, bone tissue, or cartilage which is generally caused by force. The operative treatment in fracture cases is Open Reduction Internal Fixation (ORIF). Patients after ORIF installation often have psychological problems. One of them is self-concept, namely body image, self-identity, self-ideal, and self-esteem. The purpose of this study was to determine the relationship between self-concept and body image in ORIF patients at Meuraxa Hospital Banda Aceh, the relationship between self-esteem and body image in ORIF patients, the relationship between self-identity and body image in ORIF patients, the relationship between self-role and body image in ORIF patients. This study uses the Chi-Square correlation method with = 0.05. The results of this study showed that P-value = 0.000 <0.05 so the Ho hypothesis was rejected, meaning that there was a significant relationship between self-concept and body image in ORIF patients at Meuraxa Hospital Banda Aceh.

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