Articles
Effect of Intradialytic Exercise on Haemodialysis Adequacy
Endrat Kartiko Utomo;
Erna Rochmawati
Jurnal Keperawatan Vol. 10 No. 1 (2019): JANUARI
Publisher : University of Muhammadiyah Malang
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DOI: 10.22219/jk.v10i1.6379
People with kidney failure should have hemodialysis therapy to survive. The effectiveness of hemodialysis therapy can be measured by calculating the value of dialysis adequacy: Kt/V and URR values. Intradialytic exercise is an exercise that can improve of dialysis adequacy. The purpose of this review is to report the results of related research on the effect of intradialytic exercise on dialysis adequacy. Relevant articles were search in PubMed, Science Direct and Google Scholar using this keywords intradialytic exercise and dialysis adequacy. Results: 12 articles ware included in the review and found various intradialytic exercises, intradialytic training time and length of intradialytic training. Exercises that can improve the adequacy of dialysis are static bike exercises, airogym and aerobics. While exercise resistance decreases the value of dialysis adequacy. We also found that the initial adequacy varied. Discussion: mild exercise can increase dialysis adequacy, in the first two hours of dialysis and minimum exercise was conducted two month. Currently no literature that recommend type and length of intradialytic exercise. Conclusion: intradialytic exercise can increase the value of dialysis adequacy, although it has increased, the mean value of adequacy before exercise is above standard. To confirm these findings, further research is needed to conducted exercise ware the value of adequacy under standard values.
Implementasi Patient Centered dan Palliative Care Pada Pasien Life Limiting Illness Di Rumah Sakit PKU Gamping Yogyakarta
Elsye maria rosa;
Erna Rochmawati;
Ekorini Sulistyowati
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 4, No 2 (2020): Agustus
Publisher : Universitas Muhammadiyah Surabaya
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DOI: 10.30651/aks.v4i2.2903
AbstrakLife limiting illness (LLI) adalah penyakit yang tidak memiliki harapan untuk dapat disembuhkan, bahkan kematian akan menjadi konsekuensi langsung dari penyakit yang dideritanya. Pendekatan komprehensif yang dapat diberikan pada pasien dengan Life limiting illness (LLI), untuk meningkatkan kualitas pelayanan yaitu dengan menerapkan Patient Centered Care dalam pemberian Perawatan Palliative. Tujuan Pengabdian masyarakat untuk meningkatkan kemampuan petugas kesehatan di RS dalam memberikan pelayanan bagi pasien LLI mengunakan pendekatan Patient Centered Care dan Palliative care. Metode yang digunakan untuk meningkatkan kemampuan petugas adalah dengan menggunakan pelatihan dan role play mengenai peran masing-masing profesi dalam memberikan asuhan kepada pasien LLI. Kemampuan petugas terlihat pada Kepatuhan petugas dalam melakukan pelayanan pada pasien LLI, terlihat pada hasil Kepatuhan pengisian rekam medis secara terpadu oleh semua petugas kesehatan. Hasil dari pengabdian masyarakat dengan menggunakan metode pelatihan dan role play ini secara signifikan mempengaruhi peningkatan kekampuan petugas dalam mengasuh pasien LLI. Hasil yang paling terlihat adalah pengisian rekam medis secara terpadu yang diisi oleh petugas kesehatan.Kata kunci: kepatuhan petugas; palliative care; patient centered care. The Implementation Patient Centered and Palliative Care In Life Limiting Illness Patients At PKU Gamping Yogyakarta Hospital AbstractLife limiting illness (LLI) is a disease that has no hope of being cured, even death will be a direct consequence of the illness. A comprehensive approach that can be given to patients with Life Limiting illness (LLI), to improve the quality of service is to apply Patient Centered Care in the provision of Palliative Care. Community service aims to improve the ability of health workers in hospitals to provide services for LLI patients using the Patient Centered Care and Palliative care approaches. The method used to improve officers can use to training and role play regarding the role of each profession in providing care to LLI patients. The ability of officers is seen in the Compliance of officers in providing services to LLI patients, seen in the results of Compliance in filling medical records in an integrated manner by all health workers. The results of community service by using training methods and role play significantly influence the increase in the ability of officers to care for LLI patients. The most visible result is filling medical records in an integrated manner filled by health workers.Keywords: compliance health service; palliative care; patient centered care.
Undergraduate Nurse Student’s Perceptions of Being Health Volunteer during Merapi Mountain Eruption 2010
Erna Rochmawati
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 11, No 1 (2011)
Publisher : Universitas Muhammadiyah Yogyakarta
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DOI: 10.18196/mmjkk.v11i1.924
This current study aimed to investigate undergraduate nurse students’ perceptions and experiences of being health volunteer during Mount Merapi eruption on 2010. A nonexperimental, descriptive design was used. A total sampling of 26 undergraduate nurse students who become health volunteers during Mount. Merapi eruption completed self administered questionnaire. The questionnaire which consisted open and closed ended questions was used to measure students’ self awareness and what they have learnt. Data were aggregated and analyzed using simple descriptive analysis. Result indicated that undergraduate nurse students had internal motivation of being health volunteers during disaster. This study found results of students’ self assessment of their knowledge and skills capability. Findings of this study contributes benefits, future impact of being health volunteers. Students’ perceptions and experiences during disaster underscores the importance factors in the promotion of disaster management competency in nursing education.
Patient Safety Incident Differences Between Accredited and not Accredited Primary Health Center
Arlina Dewi;
Nevi Seftaviani;
Erna Rochmawati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 8, No 3 (2019): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI
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DOI: 10.18196/jmmr.83109
The study aims to identify the differences of patient safety incident (PSI) by health workers in accredited and non-accredited Primary health care (PHC) by its frequency and severity of harm. This research used analytic crossectional method. A well-structured questionairre of 15 patients’ safety indicators was administered to collect response of Nurse and midwife in 3 accredited PHC and 3 non-accredited PHC about patients’ safety incident in last month. In the result, overall the incident happened more frequent in non-accredited PHC than in acrredited PHC which is statistically significant (CI 95%, p=0.002). Specifically, what the nurses handle is about medication (CI 95% p=0.018) and therapeutic treatment (CI 95% p=0.036). Also, it is about the education (CI 95% p=0.025) and documentation (CI 95% p=0.013). Still, two indicators of midwife’s treatment while transferring and about the education involved minor harm.
Efektifitas Edukasi TB melalui Booklet Berbahasa Tetun Terhadap Pengetahuan dan Sikap Keluarga Dalam Pencegahan Penularan TB Di Centru Saude Comoro, Dili, Timor Leste
Maria Goreti Owa;
Erna Rochmawati
Wiraraja Medika : Jurnal Kesehatan Vol 10 No 1 (2020): Wiraraja Medika : Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan
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DOI: 10.24929/fik.v10i1.931
ABSTRACT Pulmonary Tuberculosis or Tuberculosis is an infectious disease caused by the bacterium mycobacterium tuberculosis or commonly called TB bacteria. Most of these bacteria often attack the respiratory system namely the lungs, but this bacterium can also attack other bodily organ system. A long period of tuberculosis treatment result in some patients getting bored, due to the lack of knowledge of patients and families about the treatment of pulmonary tuberculosis. Educational media through the Tetun language booklet is an interesting design because in the booklet it contains sentences and images that are easy to understand and use the local language that is Tetun, so that it can motivate patients and families to read in order to increase knowledge and change attitudes of both families and patients in maintaining health and improving the quality of a healty life. Methods : using one group pre-post test design. Research Instrument : Questionnaire about family knowledge and attitudes in the prevention of pulmonary TB Result: Family knowledge increased before being given a booklet at the level of good family knowledge with a score of 92,% to 100 % after being given a booklet. Family attitudes also increased before being given a booklet at a sufficient level of family attitudes with a score 69,8% to 72,6% after being given a booklet. Wilcoxon signed test showed a significant increase in knowledge and family attitudes in preventing pulmonary TB transmission. Conclusion: TB education through the tetum language media booklet is effective to increasing knowledge and changing family attitudes in preventing TB transmission. Keywords: Education, Knowledge, Attitude, Tuberculosis
Pengaruh Terapi Dzikir Terhadap Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2
Sitti Fatimah M. Arsad;
Erna Rochmawati;
Arianti Arianti
Wiraraja Medika : Jurnal Kesehatan Vol 10 No 1 (2020): Wiraraja Medika : Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan
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DOI: 10.24929/fik.v10i1.942
Abstract Diabetes mellitus is a chronic disease with metabolic disorders in the form of increased blood glucose levels caused by disruption of insulin secretion or insulin efficacy. Management of diabetes can be done by pharmacology or nonphamacology therapy. One of the nonpharmacological therapies is dhikr therapy. The study design used quasy experiment with the control group pre-post test design. The collected samples are 40 diabetes patients with simple random technique. The research sample was divided into 2 groups,control and intervention group, each of which was 20 respondents. Data analysis uses independent t-test. The results showed that dzikir therapy of sentences thayibah, asmaul husna and prayers performed every day for 2 weeks could significantly reduce patients blood glucose levels (p = 0.000) or p <0.05. Key Words : Dhikr Therapy, Blood Glucose Level, Type 2 Diabetes Melitus
PEMBERDAYAAN KADER MUDA MUHAMMADIYAH PEDULI PERAWATAN PASIEN DI RUMAH (KAMPER)
Arianti Arianti;
Erna Rochmawati
Prosiding Seminar Nasional Program Pengabdian Masyarakat 2020: 9. Manajemen Rumah Sakit Era Pandemi Covid-19
Publisher : Universitas Muhammadiyah Yogyakarta
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DOI: 10.18196/ppm.39.120
Meningkatnya populasi pasien penyakit tidak menular yang berdampak pada kualitas hidup baik bagi pasien dan keluarga menjadi bidang garap yang belum tersentuh di masyarakat. Yogyakarta merupakan provinsi yang memiliki angka penyakit kronis yang tinggi, seperti kanker, penyakit paru obstruktif kronik, HIV AIDS, diabetes mellitus, dll. Kondisi tersebut memerlukan perawatan paliatif dan perawatan jangka panjang di rumah sakit ataupun di rumah. Perawatan di rumah menjadi tantangan bagi keluarga yang tinggal bersama pasien. Oleh sebab itu, keluarga sebagai pemberi perawatan utama membutuhkan ilmu dan keterampilan perawatan pasien paliatif di rumah. Tujuan dari pengabdian masyarakat ini adalah terbentuknya kader kesehatan Muhammadiyah Sedayu yang siap menjadi mitra bagi institusi pelayanan kesehatan untuk meningkatkan kualitas hidup pasien penyakit kronis dan terminal. Kami mengajak LazisMU Sedayu sebagai mitra dalam pengabdian ini. Metode berupa pelatihan terstruktur sebanyak 3 kali pertemuan selama Februari-Maret 2020,. Hasilnya adalah terdapat 19 calon kader yang terbukti komitmen dalam menyelesaikan pelatihan sampai selesai. Hasil pretest didapatkan 3 (15%) calon kader cukup memahami cara perawatan keluarga yang sakit di rumah, sedangkan 16 (85%) belum memahami cara perawatan keluarga yang sakit di rumah. Hasil post-tes didapatkan 19 (100%) calon kader mampu melakukan redemonstrasi pada keterampilan yang diajarkan. Pengabdian masyarakat KAMPER terbukti mampu meningkatkan pengetahuan dan kemampuan merawat calon kader masyarakat dalam perawatan kesehatan pada keluarga dengan kebutuhan paliatif di rumah.
Dressing Madu Pada Perawatan Diabetic Foot Ulcers
Eka Firmansyah Pratama;
Erna Rochmawati
Jambura Nursing Journal Vol 1, No 2: July 2019
Publisher : Universitas Negeri Gorontalo
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DOI: 10.37311/jnj.v1i2.2475
Diabetes mellitus (DM) atau disebut diabetes saja merupakan penyakit gangguan metabolik menahun akibat pankreas tidak memproduksi cukup insulin atau tubuh tidak dapat menggunakan insulin yang di produksi secara efektif. Madu adalah cairan kental manis yang dihasilkan oleh lebah, bahan ini telah lama di gunakan sebagai obat dan penelitian yang dilakukan pada penelitian dekade terakhir telah menunjukkan manfaat yang besar dari madu. Tujuan review untuk mengkaji lebih lanjut pengaruh penggunaan madu dalam pertumbuhan jaringan baru (granulasi) pada luka, khususnya DFU. Metode pencarian artikel yang relevan menggunakan database PubMed dan search engine Google Schoolar. Hasil tujuh artikel masuk dalam tinjauan literatur. Penggunaan madu telah terbukti dapat menyembuhkan luka diebetik serta memperpendek periode pengobatan. Efek anti bakteri dari madu dapat membantu mengatasi infeksi pada luka dan anti inflamasinya dapat mengurangi nyeri serta meningkatkan sirkulasi yang berpengaruh pada proses penyembuhan. Kesimpulan: dressing menggunakan madu lebih aman dan lebih efektif untuk perawatan DFU juga memperpendek periode pengobatan, meningkatkan tingkat pembersihan bakteri dan mengurangi resiko amputasi.
EFEKTIVITAS LATIHAN ROM DAN BOLA KARET TERHADAP PENINGKATAN KEKUATAN MENGGENGGAM DAN FUNGSI MENGGENGGAM PADA PASIEN STROKE DI RSUD SLEMAN
Ardin S Hentu;
Erna Rochmawati;
Erfin Firmawati
MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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DOI: 10.30989/mik.v7i2.235
Background: Stroke is the third leading cause of death after coronary heart disease and cancer. In stroke patients the main problem that will arise is the damage / death of brain tissue. Signs of the occurrence of damage to brain tissue is paralysis. Range of Motion and Rubber Ball Exercises are Rehabilitation that can be given. This exercise can tone the acupuncture points of the hands that indirectly signal to the sensory part of the nerve to be delivered to the brain. Objective: To know the increase in grasping power and grasping functions in stroke patients after Range of Motion and rubber ball motion exercises. Methods: The design used in this study is experimental quasy, using a control group. This research was conducted in RSUD Sleman. The sample in this study were 26 respondents divided into two groups. Sampling using purposive sample technique. Result : The results of this study indicate an increase in the value of grasping muscle strength and grasping functions in Range of Motion and Rubber ball exercise. Conclusion : Range of Motion exercises and rubber ball movement are effective in improving the value of muscle strength grasping and grasping functions. In expecting further research can increase the number of respondents. Keyword : Grasping Power, Grasping Function, Range of Motion, Rubbing Ball, Stroke.
Pencegahan Penyakit Degeneratif Melalui Gerakan Sehat Berbasis Masjid (REHATSIMAS)
Erna Rochmawati
JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) VOL. 3 NOMOR 2 SEPTEMBER 2019 JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat)
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)
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DOI: 10.30595/jppm.v3i2.4523
Peningkatan fungsi masjid selain untuk sarana ibadah dapat dilakukan untuk peningkatan kesehatan umat. Kegiatan ini menggabungkan tindakan pencegahan (edukasi, olahraga dan deteksi dini) dengan meningkatkan fungsi masjid untuk kesehatan umat. Tujuan kegiatan adalah tercapainya upaya preventif terhadap resiko terjadinya penyakit degeneratif dan resiko komplikasi pada masyarakat, deteksi dini dan senam kaki. Metode yang digunakan adalah memberikan pendidikan kesehatan, pemeriksaan tekanan darah dan kadar gula darah, dan pelaksanaan senam kaki. Pendidikan kesehatan dilakukan dua kali, yaitu dalam kelas besar dan individu yang mengalami hasil skrining abnormal. Skrining dilakukan dengan menggunakan tensimeter dan glucotest, sedangkan senam dilakukan dalam kelompok kecil. Hasil kegiatan menunjukkan peserta mengetahui tanda dan gejala serta penatalaksanaan hipertensi.Terdapat produk berupa dua leaflet tentang hipertensi dan penatalaksanaanya. Hasil skrining 1 dan 2 lebih dari 50% tekanan darahnya melebihi batas normal (>130/90 mmHg). Dari segi ketrampilan, didapatkan 5 peserta dapat melakukan redemonstrasi senam kaki dengan baik. Kegiatan ini perlu dilanjutkan dengan cara peer education dan pemilihan champion dari warga setempat untuk meningkatkan kepatuhan terhadap penatalaksanaan hipertensi dan diabetes mellitus.