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Effect of Crystalloid Preloading on Blood Pressure Stability in Cesarean Section Under Spinal Anesthesia: A Study at Regional General Hospital of Sekarwangi Danismaya, Irawan; Basri, Burhanuddin; Safariyah, Erna; Hamzah, Amir
Gema Lingkungan Kesehatan Vol. 23 No. 3 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i3.313

Abstract

Spinal anesthesia is a form of regional anesthesia administered by injecting a local anesthetic into the subarachnoid space and is commonly employed in cesarean section (C-section) procedures. One of its major side effects is hypotension, which, if not properly managed, can compromise uteroplacental perfusion and potentially result in fetal hypoxia, acidosis, and neonatal complications. Preoperative intravenous fluid administration is a preventive strategy aimed at stabilizing blood pressure by increasing central blood volume. This study aimed to examine the effect of preoperative fluid administration on blood pressure stability in C-section patients undergoing spinal anesthesia at the Regional General Hospital at Sekarwangi. A quantitative analytic approach with a pre-test and post-test design was employed. The study population consisted of 62 C-section patients who received spinal anesthesia within the last three months. Data were analyzed using the Paired Samples t-test. The results showed a statistically significant difference in blood pressure before and after fluid administration (p = 0.000 < 0.05), indicating that preoperative fluid administration had a significant effect on blood pressure stability. Future studies are recommended to employ research designs that better control for external variables and address the limitations of the present study.
Hubungan Perilaku Perawatan Kaki Dengan Terjadinya Komplikasi Diabetic Foot Ulcer Pada Pasien DM Tipe 2 Di RSUD Pagelaran Cianjur Tahun 2023 Siti Salsa Antik Maretna; Erna Safariyah; Sri Kurnia Dewi
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 4 No. 1 (2024): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v4i1.2949

Abstract

Diabetes Mellitus is a chronic disease characterized by an increase in blood sugar levels, the cause of which is unhealthy lifestyle behavior, lack of physical activity and stress, which can cause various chronic complications. A complication that is often found in sufferes with type 2 diabetes melilitus is diabetic foot ulcers which are open wounds on the surface of the skin of the feet. A further impact of diabetic foot ulcers is amputation. Prevention that can be done for these complications is to have good foot care behavior. Objective: Tis study was to determine the relationship between foot care behavior and the event of complications of diabetic foot ulcers in RSUD Pagelaran Cianjur. Methods: This study used analytic descriptive quantitative method with Cross-sectional technique with 30 respondents. Results: Based on the results of the analysis using the Chi-square statistical test obtained p = 0,000 < α = 0,05 then Ha is accepted, which means there is a relationship between foot care behavior and the event of complications of diabetic foot ulcers in patients whit type 2 diabetes mellitus in RSUD Pagelaran Cianjur . Conclusion: That there are is a significant relationship between foot care behavior and the event of complications of diabetic foot ulcers in patients whit type 2 diabetes mellitus in RSUD Pagelaran Cianjur. Suggestion: It is hoped that good foot care behavioe will be maintained by patients with type 2 diabetes mellitus so that complications of diabetic foot ulcesr can be prevented
Hubungan Peran Perawat Sebagai Edukator Dengan Kepatuhan Diet Pasien DM Tipe II di Ruangan Emerald Rumah Sakit Kartika Kasih Kota Sukabumi Nadia Nurdinilah; Erna Safariyah; Ernawati Hamidah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 4 No. 1 (2024): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v4i1.2950

Abstract

Diabetes mellitus (DM) in Indonesia ranks 7th out of 10 countries with a population of more than 10.8 million people in 2022. The feeling of boredom and boredom that appears in DM patients causes non-compliance with the diet they consume. Therefore, it is necessary to emphasize more on the role of nurses as educators. The purpose of this research is to determine the relationship between the role of nurses as educators and diet compliance in type II DM patients. This type of research is quantitative correlational, the number of 25 respondents used a Purposive Sampling technique, the instrument used was a questionnaire on the role of nurses with DM Diet, data analysis techniques using Univariate and Bivariate spearment-rank to test the statistical degree of relationship with a value of α=0.05. The research results were 19 respondents (76.0%) Almost all respondents stated that the role of nurses was good, based on Diet Compliance 15 respondents (60.0%) Some of the respondents stated that they were obedient, and there was a relationship between the Role of Nurses as Educators. With Diet Compliance in Type II Diabetes Mellitus Patients in the Emerald Room at Kartika Kasih Hospital, Sukabumi City with a value of ρ value = 0.076 > α = 0.05. It can be concluded that the importance of the role of nurses in providing education to patients and families regarding the dietary patterns of patients in hospital care as part of nursing care management.
What factors affect the recurrence of gastritis in adolescents: A case study of students at State Senior High School 1 Surade Saepul Alamsah, Mustopa; Safariyah, Erna; Danismaya, Irawan; Hamzah, Amir
Science Midwifery Vol 12 No 3 (2024): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i3.1636

Abstract

Gastritis is very disruptive to daily activities, so it can result in decreased quality of life, and less productive. If gastritis is not treated properly, it will have an impact on the patient. Preventing gastritis should be done by reducing the factors that influence the occurrence of the disease. The purpose of this study was to determine the factors that influence gastritis recurrence in adolescents at SMAN I Surade. As for the type of research used is correlation descriptive observation. This study uses total sampling technique. The sample used in this study amounted to 40 adolescents who had gastritis or ulcer pain. This study used a questionnaire. The analysis method used is statistical test using Chi Squere. The results showed that there was a relationship between dietary factors with the frequency of gastritis recurrence of 0.035 <0.05, with a closeness of 0.453 in the moderate category. There is a relationship between stress factors with the frequency of gastritis recurrence of 0.021 <0.05, with a closeness of 0.473 in the moderate category. There is a relationship between dietary factors with the frequency of gastritis recurrence of 0.002 <0.05, with a tightness of 0.483 in the moderate category with the most influential factor on gastritis recurrence is the drug consumption factor.
Pengaruh Foot Exercise Terhadap Neuropati Motorik Pada Pasien DM Tipe 2 Di Wilayah Kerja Puskesmas Benteng Mareta Herdiyani; Erna Safariyah; Arfatul Makiyah
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 2 (2024): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i2.288

Abstract

Diabetes Mellitus is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia. DM can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. Foot exercise is a type of foot exercise performed by diabetics which can increase peripheral perfusion and thus prevent worsening of diabetic neuropathy. Foot exercise can also reduce the risk and progression of peripheral neuropathy because it can improve blood flow to the periphery, increase muscle strength and improve motor function. Objective: to determine the effect of foot exercise on motor neuropathy in type 2 DM patients. Method: The design in this study used a quasi-experimental approach using a one group pretest posttest design. The sample for this research was 18 respondents. Data analysis used the paired sample t-test. Results: based on the results of statistical tests using the Paired Samples t Test, the resulting P value is 0.000 < 0.05, where it can be concluded that there is an influence of foot exercise on Motor Neuropathy in type 2 DM patients. Conclusion: It can be concluded that there is an influence of foot exercise on Motor Neuropathy in type 2 DM patients in the working area of Benteng Sukabumi City Health Center.
Karakteristik Perawat Sebagai Pendidik Klinik Keperawatan (Clinical Instructor) dalam Proses Pembelajaran Klinik Sukaesih, Nunung Siti; Pramajati, Hikmat; Sopiah, Popi; Setiadi, Diding Kelana; Rahman, Aam Ali; Danismaya, Irawan; Safariyah, Erna; Tsurayya, Shafa Aghniya
Lentera : Jurnal Ilmiah Kesehatan dan Keperawatan Vol. 6 No. 1 (2023): LENTERA: Jurnal Ilmiah Kesehatan dan Keperawatan
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sukabumi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37150/jl.v6i1.1812

Abstract

ABSTRAK Latar belakang. Pembelajaran klinik atau lapangan adalah kegiatan pembelajaran yang diselenggarakan di lingkungan klinik termasuk di dalamnya adalah rumah sakit, klinik, rumah bersalin, puskesmas dan masyarakat. Pendidikan keperawatan sangat berkaitan erat antara pembelajaran di kelas dan pembelajaran di klinik, karena pembelajaran di klinik merupakan elemen yang sangat penting dalam pendidikan keperawatan. Pembelajaran klinik memfasilitasi peserta didik agar terpapar oleh berbagai macam aspek social, kultural, biologis, psikologis dan mental dalam merawat pasien. Pendidik klinik mempunyai tanggung jawab penting dalam memberikan motivasi untuk meningkatkan percaya diri mahasiswa. Tujuan. Memperoleh gambaran demografi pendidik klinik keperawatan dan memperoleh gambaran kepuasan pendidik klinik sebagai pendidik klinik keperawatan secara secara subjektif. Metodologi. Penelitian ini menggunakan metode penelitian deskriptif yang akan memberikan gambaran secara akurat mengenai karakteristik demografi pendidik klinik keperawatan dan tingkat kepuasannya sebagai pendidik klinik keperawatan. Subjek penelitian adalah pendidik klinik atau dalam keperawatan lebih dikenal dengan clinical instructor (CI) yang pernah atau sedang melaksanakan proses bimbingan klinik baik di rumah sakit ataupun di puskesmas dengan teknik total sampling yaitu sebanyak 60 responden. Hasil penelitian. Terdapat karakteristik clinical instructor yang bervariasi jumlah terbanyak adalah perempuan pada rentang usia >40- 50 tahun, mempunyai latar belakang pendidikan rata-rata S1 Keperawatan+Ners dengan pengalaman kerja pada rentang >5-10 tahun. Skala kepuasan pada rentang tinggi sehingga dapat disimpulkan mempunyai kepuasan yang tinggi pula. Kesimpulan. Mengingat pentingnya peran Clinical Instructor maka sangat perlu untuk diperhatikan kualifikasi clinical instructor yang terstandar. Dalam hal ini perlu di buat standar misalnya mengacu pada pendidikan di luar negeri bahwa clinical instructor harus ditentukan kualifikasi pendidikan, kemudian pengalaman bekerja sesuai dengan keahlian yang dimilikinya, dan mempunyai kemampuan untuk mengajar Kata kunci: Pendidik klinik; Clinical instructor; pembelajaran klinik ABSTRACT Background. Clinical or field learning is a learning activity that is held in the clinic environment including hospitals, clinics, maternity homes, health centres and community. Nursing education is closely linked to classroom learning and clinical learning, as clinical learning is a very important element of nursing education. Clinical learning facilitates learners to be exposed to a wide range of social, cultural, biological, psychological and mental aspects of caring for patients. Clinic educators play an important role in motivating students to increase their confidence. Purpose. Obtain a demographic picture of a nursing clinic educator and gain a subjective view of the clinical educator as a nursing clinic educator. Methodology. This study uses a descriptive research method that will provide an accurate picture of the demographic characteristics of a nursing clinic educator and its level of satisfaction as a nursing clinic educator. The research subjects were clinical educators or in nursing better known to clinical instructors (CI) who have been or are currently conducting clinical guidance in the hospital or the health centres with a total sampling technique of 60 respondents. The results of the research. There are clinical characteristics of the most varied instructors are women in the age range> 40-50, with a mean educational background of Bachelor of Nursing with work experience in the range> 5-10 years. Satisfaction scales at high ranges can be concluded to have high satisfaction. Conclusion. Given the importance of the Clinical Instructor's role then it is important to note that the clinical instructor's qualifications are up to date. In this case, it is necessary to set standards such as referring to overseas education that the clinical instructor should be determined by educational qualification, then experience working b his / her expertise, and ability to teach Keywords: Clinical educator; Clinical instructor; Clinical learning
Life Skills Development Training: Adaptation to New Habits and First Aid of Emergency on SLB Bhakti Pertiwi Safariyah, Erna; Irawan Danismaya; Amir Hamzah; Ria Andriani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v7iSpecial Edition.266

Abstract

Aims : People with disabilities are one of the groups that are vulnerable to contracting COVID-19. They have different self-isolation techniques from non-disabled people. So, it requires adjusting the needs and conditions of different disabilities. This effort also requires support from the surrounding, including schools. SLB Bhakti Pertiwi is one of the special schools located in Kecamatan Kadudampit, Kabupaten Sukabumi. The SLB has 34 students and 11 teachers. When other schools carry out online learning during the pandemic of COVID-19, SLB had its own obstacles to adapt because students with disabilities had difficulties following. To overcome this obstacle, the teacher visited each student’s home. However, this situation put the teachers or students at risk. To continue the learning process, efforts need to be made to help students and teachers adapt to new habits. In addition, teachers need to have first aid skills because persons with disabilities have several conditions that require appropriate and immediately treatment. As the special group community, SLB students become targets in this community service. This community service aims to develop basic skills in adapting to new habits as an effort to prevent COVID-19 and also handle emergencies. Design : This community service focus on life skills development training: adaptation to new habits and first aid of emergency on SLB Bhakti Pertiwi students and teachers. Methods : The methods used are counseling, simulation, watching video and fun games. Counseling and simulation are carried out on teachers in developing first aid skills in emergencies, while students are approached by watching videos and doing fun games. Results : The results showed that  80% students have started be able to simulate how to wash hands, wear masks and keep a distance. The teachers are able to re-simulate the first aid steps if a student has a seizure, drowns or experiences external bleeding due to a fall. However, not all students participated in this activity due to poor health conditions. Conclusions : Community service activities in the form of Life Skills Development Training: Adaptation of New Habits and Emergency First Aid have been carried out well within 8 meeting periods. This activity also received a good response from students and teachers. Students and teachers seemed enthusiastic in participating in this activity
Pengaruh Edukasi dengan Aplikasi Telenursing Berbasis Mobile terhadap Kualitas Hidup Pasien Diabetes Mellitus Tipe II Safariyah, Erna; Danismaya, Irawan; Az-Zahra, Fathia Frazna; Hamzah, Amir; Oktaviana, Marcella; Dayana, Resti Dwi; Permana, Restu Gede
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 04 (2025): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v14i04.3883

Abstract

Diabetes mellitus merupakan salah satu penyakit metabolik kronik dan salah satu penyakit penyebab kematian di Indonesia. Pilar penatalaksanaan DM tipe 2 meliputi aspek edukasi, latihan jasmani dan intervensi farmakologis. Tujuan dari penelitian ini adalah mengembangkan edukasi terhadap penderita Diabetes mellitus tipe II melalui pendekatan teknologi dan informasi berupa telenursing berbasis mobile. diharapkan dengan pengembangan edukasi ini dapat meningkatkan Kualitas hidup pasien DM Tipe II. Desain pada penelitian ini adalah Kuasi Eksperimen Pretest-Postest Control Group Design. Dengan populasi penelitian seluruh pasien DM Tipe II yang sedang melakukan pengobatan di Puskesmas Lembursitu. sampel pada kelompok eksperimen dan pada kelompok kontrol masing-masing berjumlah 18 orang. Cara pengambilan sampel dengan teknik purposive sampling. Kualitas hidup pasien DM tipe II sebelum diberikan intervensi edukasi dengan aplikasi telenursing berbasis mobile pada kelompok intervensi rata-rata sebesar 82,82 dengan kualitas hidup sedang, dan sesudah diberikan intervensi rata-rata sebesar 85,76 dengan kualitas hidup tinggi. Uji Paired Samples Test menunjukkan P value 0,030 < 0,05, dimana dapat disimpulkan bahwa terdapat pengaruh strategi edukasi dengan aplikasi telenursing berbasis mobile terhadap kualitas hidup pasien diabetes mellitus tipe II pada kelompok intervensi. Hasil penelitian ini menunjukkan pengaruh positif pada kualitas hidup pasien, sehingga aplikasi ini bisa dijadikan sebagai salah satu bagian dari program perawatan rutin untuk pasien diabetes.
Analisis Bias Kognitif Masyarakat Terhadap Informasi Hoax Tentang COVID-19 Tarwati, Kartika; Danismaya, Irawan; Safariyah, Erna
Jurnal Keperawatan 'Aisyiyah Vol. 9 No. 1 (2022): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (427.195 KB) | DOI: 10.33867/jka.v9i1.323

Abstract

nformasi yang diterima oleh masyarakat selama masa pandemi COVID-19 tidak selalu benar. Salah satu bentuk yang muncul pada saat menerima berita hoax adalah bias kognitif. Bias kognitif dipengaruhi oleh memori seseorang. Sehingga keputusan atau respon yang diberikan banyak bergantung pada pengetahuan, emosi, dan pengalaman. Terdapat lima jenis bias kognitif yang dibahas pada penelitian ini. Tujuan dari penelitian ini adalah untuk menganalisis jenis bias kognitif yang muncul pada masyarakat saat menerima informasi hoax mengenai COVID-19. Metode yang digunakan pada penelitian ini adalah deskripsi analisis. Tempat yang dipilih untuk dilakukannya penelitian ini adalah Kecamatan Lembursitu di Kota Sukabumi. Pada saat penelitian ini dilakukan, Kota Sukabumi sedang berada pada PPKM Level 4. Terdapat 396 responden yang telah dipilih menggunakan purposive sampling untuk menjawab 20 pertanyaan yang telah diberikan dalam bentuk google form. Hasil yang diperoleh adalah ada lima bias kognitif yang muncul. kelima jenis bias kognitif tersebut adalah neglecting probability, social proof, Dunning-Kruger bias,confirmation bias dan bandwagon effect. Kelimanya muncul pada responden dengan rentang usia 10-59 tahun. Sementara itu, hanya neglecting probability dan bandwagon effect yang muncul pada masyarakat dengan rentang usia 60-69. Kondisi tersebut dapat dipengaruhi oleh tingkat literasi dari masyarakat Lembursitu yang masih perlu ditingkatkan lagi dan juga penggunaan dari sosial media yang aktif. Oleh karena itu, Pemerintah Kota Sukabumi dengan terus memberikan informasi terbaru dan akurat melalui sumber informasi yang mudah diakses masyarakat dan penguatan dibidang literasi bagi masyarakat
Pengaruh senam hipertensi terhadap kualitas tidur lansia Abidinsah, Zainal; Safariyah, Erna; Hasanah, Siti Mustagfirotul; Jannah, Ropiatul; Hamzah, Amir
Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Vol. 16 No. 02 (2025): Jurnal Ilmu Kesehatan Bhakti Husada: Health Science Journal
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/y02yqa78

Abstract

Latar Belakang: Hipertensi adalah penyakit yang tidak menular yang semakin umum terjadi. Pada lansia, hipertensi dapat mengakibatkan penurunan kualitas tidur, sehingga perlu ada usaha nonmedis untuk memperbaiki kualitas tidur, salah satunya melalui senam hipertensi. Penelitian ini bertujuan untuk mengeksplorasi dampak senam hipertensi terhadap kualitas tidur lansia yang mengalami hipertensi.Metode: Jenis penelitian yang digunakan adalah kuasi eksperimen dengan pendekatan pre test dan post test pada satu kelompok. Pengumpulan data dilakukan dengan mengukur kualitas tidur sebelum intervensi yang diberikan dalam bentuk video senam hipertensi, dengan intervensi dilakukan dua kali seminggu selama empat minggu, yang diakhiri dengan penilaian kualitas tidur ulang. Total populasi yang terlibat adalah 30 lansia dengan hipertensi. Analisis data memakai teknik Wilcoxon.Hasil: Hasil analisis data menunjukkan p-value sebesar 0,000<0,005, yang menunjukkan bahwa ada pengaruh senam hipertensi terhadap kualitas tidur pada individu dengan hipertens.Kesimpulan: senam hipertensi memberikan dampak positif terhadap kualitas tidur pada penderita hipertensi
Co-Authors Abdul Kosim, Abdul Abidinsah, Zainal Alamsyah, Azhar Zulkarnain Alamsyah, Mustopa Saepul Amir Hamzah Amir Hamzah Amir Hamzah Amir, Mayasyanti Dewi Andriyani, Siti Um Um Anggiani, Sarah Anggun Fajar Ramadhani Arfatul Makiyah Arfatul Makiyah Ariani Nurahmawati Asmarawanti, Asmarawanti Azhar Zulkarnain Alamsyah Azhar, Willy Abiyyu Budhiana, Johan Burhanuddin Basri Dayana, Resti Dwi Desti Oktaviani Devia Widianty Dhinny Novryanthi Dian Andriani, Dian Dwi Anggraeni Puspitasari Egi Mulyadi Eneng Azizaturrahmy Aziza Eneng Hilda Handayani Eriza, Eriza Ernawati Hamidah Fathia Frazna Az-Zahra Fitriani, Rani Hadi Abdillah Hasanah, Siti Mustagfirotul Hendar Hendar, Hendar Hendri Hadiyanto Henri Setiawan Heri Priatna Hikmat Pramajati I Gusti Bagus Wiksuana Ilham Muhfi Irawan Danismaya Irwan Danismaya Jannah, Ropiatul Kartika Tarwati Liawati, Nunung Lidiyawati, Herlina Mareta Herdiyani Mila Nirmalasari Moh Maskur Fuad Atoilah Muhammad Chandra Syahputra Mulya, Sandef Gesa Mulyadi, Egi Mustopa Saeful Alamsyah Mustopa Saepul Alamsah Nadia Nurdinilah Nazia Nabila Novitriawati, Anita Oktaviana, Marcella Permana, Restu Gede Purnairawan, Yosep Raden Zuhra Aliyah Danial Rahayu, Rita Ramdhani, Suci Ria Andriani Ria Andriani Rini Anggraeni Risma Sri Mulyati Saepul Alamsah, Mustopa Salsabilla, Nadya Setiadi, Diding Kelana Siti Salsa Antik Maretna Siti Ulfa Sopiah, Popi SRI KURNIA DEWI St. Nurhaifa Alkhoiriyah Sukaesih, Nunung Siti Sulaeman, Muhammad Fauzi Teten Tresnawan Tri Utami Tsurayya, Shafa Aghniya Waluya, Ady Yeni Yulianti Zainal Abidinsah Zainal Abinisah