Purwati Purwati
Poltekkes Tanjungkarang

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

Jaminan Kesehatan Nasional (JKN) dan Kepuasan Layanan Kesehatan Reproduksi National Health Insurance and Reproductive Health Service Satisfaction Dwi Agustanti; Anita Anita; Purwati Purwati; Kodri Kodri
JURNAL KEPERAWATAN RAFLESIA Vol 4 No 1 (2022): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengkulu
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.724 KB) | DOI: 10.33088/jkr.v4i1.743

Abstract

Women's health problems in Indonesia are still in the spotlight and concern. Maternal mortality did not show a decline but instead increased to 305 deaths per 100,000 live births. Since the COVID-19 outbreak was declared a national disaster on February 29, 2020, the government recommended that all health services focus on and prioritize handling COVID-19 and other health problems. others that are considered medical emergencies, thus changing the priority of health services reduces Sexual and Reproductive Health (KSR) services. This study aimed to determine the relationship of the National Health Insurance (JKN) with satisfaction with reproductive health services. This study used a quantitative method with a cross-sectional design. The sample were 257 respondents who meet the criteria, namely aged between 20 - 50 years and use women's health services (reproductive) in health facilities in Bandar Lampung City. The test used univariate with frequency distribution and bivariate test with Chi Square. The results found that more respondents used JKN in women's health services, 184 people (71.6%), more respondents said they were satisfied with women's health services, 129 people ( 50.2%). There was no relationship between the use of JKN with women's health service satisfaction (p value 0.891). Suggestions for the Poltekkes institution to increase participation in the coverage of JKN participation in the community, especially women in the city of Bandar Lampung.
Pengaruh Mobilisasi Dini terhadap Proses Penyembuhan Luka pada Pasien Post Operasi Laparatomi di Rsud. Jend. Ahmad Yani Kota Metro Provinsi Lampung Rifki Adi Sugara; Aprina Aprina; Purwati Purwati
Malahayati Nursing Journal Vol 5, No 4 (2023): Volume 5 Nomor 4 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i4.9550

Abstract

ABSTRAK World health organization (WHO) (2013), total penderita dengan kegiatan oprasi menembus angka kenaikan yang begitu penting. Pada tahun 2011 terdapat 140.000.000 penderita disemua rumah sakit mendunia, serta pada tahun 2012 kira-kira mengalami kenaikan menjadi 148.000.000 orang. Kegiatan oprasi di Indonesia pada tahun 2012 menembus 1.200.000 orang (WHO dalam Sartika, 2013). Tujuan dalam karya ilmiah ini yaitu melihat adakah pengaruh mobilisasi dini terhadap tahap pemulihan luka penderita setelah operasi laparatomi. Karya ilmiah ini memakai kuantitatif. non probability sampling ialah Teknik sampling yang dipakai dalam karya ilmiah ini. Besar sempel dalam karya ilmiah ini 30 responden yang terbagi menjadi 15 golongan kontrol serta 15 golongan intervensi. Analisis pada karya ilmiah ini memakai analisis univariat dan bivariat. Variabel independent dalam karya ilmiah ini ialah mobilisasi dini. Hasil penelitian menjelaskan bila nilai rata-rata tahap pemulihan luka pada golongan kontrol ialah 10.40, rata-rata tahap pemulihan luka pada golongan intervensi ialah 13.47. perbedaan nilai rata-rata tahap pemulihan luka responden setelah intervensi mobilisasi dini pada golongan intervesi yang diberikan mobilisasi dini ialah 11.07 sedangkan yang tidak diberi intervensi mobilisasi dini ialah 9.20. Nilai rata-rata tahap pemulihan luka setelah intervensi mobilisasi dini pada golongan intervensi yang diberikan mobilisasi dini adalah 13.4667 dan pada pengukuran skor rata-rata tahap pemulihan luka yang tidak diberi intervensi mobilisasi dini ialah 11.0667. Kesimpulan uji statistik memakai uji t dependen didapati p-value 0,000 (0,5), dengan demikian bisa dikatakan bila terdapat pengaruh mobilisasi dini mengenai tahap pemulihan luka. Kata Kunci: Post Operasi, Mobilisasi Dini, Penyembuhan Luka  ABSTRACT According to the World Health Organization (WHO) (2013), the total number of patients undergoing surgery is sufficient for a significant increase. In 2011 he had 140 million patients in all hospitals worldwide, and in 2012 that number increased to 148 million. His activity in Indonesia in 2012 reached 1.2 million (WHO in Sartika, 2013).This scientific study aims to determine the impact of early mobilization on the wound healing stage in patients after open surgery. Quantitative research. Non-probabilistic sampling is the sampling technique used in this study. This scientific study has a sample size of her 30 respondents divided into 15 control groups and 15 intervention groups. Univariate and bivariate analyzes are used in the analysis of this scientific study. The independent variable in this scientific study is initial mobilization.The results of this study explain  a mean wound healing score of 13.47 in the intervention group and a mean wound healing score of 10.40 in the control group. The mean difference in wound healing stage scores for respondents after the early mobilization intervention in the intervention group who received the early mobilization intervention was 11.07 compared to 9.20 for those who did not receive the early mobilization intervention. The intervention group with early mobilization had a mean wound healing stage of 13.4667 after the early mobilization intervention, and he measured a mean wound healing stage without the early mobilization intervention of 11.0667. Conclusions from statistical tests using dependent t-tests yielded p-values 0.000. 0.000. (0.5), so it can be said that there is an effect of early mobilization of wound healing. Keywords: Post Operation, Early Mobilization, Wound Healing
Pendampingan Home Care “Pasca Operasi Seksio Caesarea” di Praktik Mandiri Perawat Kota Bandar Lampung Purwati Purwati; Aprina Aprina; Titi Astuti; Anita Anita
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 10 (2026): Volume 9 Nomor 10 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i10.27729

Abstract

ABSTRAK Pelayanan Home Care merupakan salah satu bentuk pelayanan keperawatan yang dapat memenuhi kebutuhan ibu pasca operasi seksio caesarea melalui pemberian asuhan secara langsung di rumah. Pengembangan pelayanan tersebut sekaligus menjadi peluang kewirausahaan bagi perawat dalam mengembangkan praktik mandiri yang profesional, sehingga diperlukan peningkatan pengetahuan dan keterampilan perawat dalam memberikan pelayanan Home Care pasca operasi seksio caesarea. Kegiatan ini bertujuan meningkatkan pengetahuan, keterampilan, dan kesiapan peserta dalam memberikan pelayanan Home Care pasca operasi seksio caesarea serta mengembangkan kemampuan kewirausahaan berbasis praktik mandiri perawat. Kegiatan dilaksanakan melalui pelatihan dan pendampingan kepada 10 peserta yang meliputi pemberian materi, diskusi, demonstrasi, praktik keterampilan, serta implementasi pelayanan Home Care secara langsung pada pasien pasca operasi seksio caesarea di rumah. Evaluasi pengetahuan dilakukan menggunakan pre-test dan post-test dengan instrumen 30 soal, sedangkan keterampilan dievaluasi melalui praktik dan pendampingan langsung. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan peserta setelah mengikuti pelatihan. Nilai pre-test berada pada rentang 18–27, sedangkan nilai post-test meningkat menjadi 27–30. Seluruh peserta mengalami peningkatan nilai setelah pelatihan dan beberapa peserta mencapai nilai sempurna. Tiga peserta dengan hasil terbaik, yaitu R1, R2, dan R3, memperoleh reward sebagai bentuk apresiasi atas pencapaian dan partisipasi selama kegiatan. Implementasi pelayanan secara langsung menunjukkan bahwa peserta mampu menerapkan keterampilan pelayanan Home Care pasca operasi seksio caesarea dengan pendampingan. Pelatihan dan kewirausahaan pelayanan Home Care pasca operasi seksio caesarea berbasis praktik mandiri perawat dapat meningkatkan pengetahuan dan keterampilan peserta serta memberikan pengalaman praktis dalam mengembangkan pelayanan keperawatan berbasis rumah. Kegiatan ini berpotensi mendukung pengembangan praktik mandiri perawat yang profesional, inovatif, dan berkelanjutan. Kata kunci: Home Care, Seksio Caesarea, Praktik Mandiri Perawat, Kewirausahaan, Pelatihan.  ABSTRACT Home Care services  are a form of nursing services that can meet the needs of mothers after cesarean section through direct care at home. The development of these services is also an entrepreneurial opportunity for nurses in developing professional independent practices, so it is necessary to increase the knowledge and skills of nurses in providing Home Care services  after cesarean section. This activity aims to improve the knowledge, skills, and readiness of participants in providing Home Care services after cesarean section as well as developing entrepreneurial skills based on nurses' independent practices. Research The activity was carried out through training and mentoring to 10 participants which included providing materials, discussions, demonstrations, skill practices, and the implementation of Home Care services  directly to patients after cesarean section surgery at home. Knowledge evaluation was carried out using pre-test and post-test with a 30-question instrument, while skills were evaluated through practice and direct mentoring. The results of the evaluation showed an increase in the participants' knowledge after participating in the training. The pre-test score  was in the range of 18–27, while the post-test score  increased to 27–30. All participants experienced an increase in scores after the training and some participants achieved perfect scores. The three participants with the best results, namely R1, R2, and R3, received rewards as a form of appreciation for their achievements and participation during the activity. The implementation of direct services showed that participants were able to apply Home Care service skills  after cesarean section with assistance. Conclusion: Training and entrepreneurship of postoperative home care services based on  nurses' independent practice can improve participants' knowledge and skills and provide practical experience in developing home-based nursing services. This activity has the potential to support the development of professional, innovative, and sustainable nursing independent practices. Keywords: Home Care, Caesarean Section, Nurse Independent Practice, Entrepreneurship, Training.