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Prolonged infusion causes an increase in the incidence of phlebitis in hospitalized patients: a systematic review Muh. Ainul Falihin; Arief Bachtiar; Tri Johan Agus Yuswanto
Media Keperawatan Indonesia Vol 6, No 2 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.2.2023.166-171

Abstract

Infusion is a medical therapy carried out invasively using an effective method to supply fluids, electrolytes, nutrients, and drugs through the blood vessels. Intravenous therapy should be monitored continuously because fluid and electrolyte imbalances can endanger the patient. However, the long-term infusion can increase the occurrence of an infection in the blood vessels called phlebitis. This study literature aims to find evidence of a relationship between the duration of use of intravenous infusions and the incidence of phlebitis. The Study Literature method is a Systematic Literature Review. This Study Literature uses five research journals from the Google Scholar and PubMed databases. The analysis of 5 journals showed a relationship between the infusion length and phlebitis incidence. It is expected that the nurses on duty are expected to be able to pay attention to the time and date of the patient's intravenous infusion and replace the intravenous infusion no more than three days or 72 hours. Further researchers are expected to be able to develop this literature study using other study focuses, namely in the form of factors that can affect phlebitis and increase information, references, and insights in using Literature review as a reference for compiling the final project.
Efektifitas Pembersihan Lantai Kamar Operasi Zona 4 dan Jumlah Koloni Bakteri di Instalasi Bedah Sentral Fiashriel Lundy; Tavip Dwi Wahyuni; Tri Johan Agus Yuswanto
Jurnal Keperawatan Terapan Vol 3 No 2 (2017): Jurnal Keperawatan Terapan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v(3)i(2)y(2017).page:80-87

Abstract

Tujuan penelitian ini adalah untuk mengetahui keefektifan pembersihan lantai kamar operasizona 4 terhadap jumlah koloni bakteri di Instalasi Bedah Sentral (IBS) RSUD Ngudi Waluyo Wlingi.Desain penelitian yang digunakan dalam penelitian ini observatif analitik Cross Sectional. Sampeldari penelitian ini ialah lantai kamar operasi bersih terkontaminasi dan lantai kamar operasi kotoryang diambil dengan swab lantai pada 3 ronde di IBS RSUD Ngudi Waluyo Wlingi. Pengumpulan datamenggunakan lembar observasi jumlah koloni bakteri dan lembar observasi pembersihan lantai kamaroperasi zona 4. Hasil penelitian ini menunjukkan bahwa p value sebesar 0,004, yang berartibahwa ada efektivitas pembersihan lantai kamar operasi zona 4 terhadap jumlah koloni bakteri dilantai. Rekomendasi hasil penelitian ini ialah perlunya perhatian dalam hal melakukan pembersihanterutama lantai untuk menekan jumlah angka bakteri di lantai khususnya lantai kamar operasi zona 4.
E-health education intervention to increase dietary adherence among diabetic ulcer patients Alif Galih Pratama; Tri Johan Agus Yuswanto; Djamaluddin Ramlan
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 1 (2024): Volume 7 Number 1
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i1.243

Abstract

Background: Preventing complications of diabetes mellitus requires medical treatment and education. Diabetic ulcer is one of the complications of diabetes mellitus due to traumatized nephropathy. E-health education innovation makes it easy for patients to access education on how to prevent complications from diabetes mellitus. Purpose: Analyzing the effect of e-health education of diabetes mellitus based on the QR model website as a means of dietary compliance in grade 2 diabetic ulcer patients. Method: Employing true experimental pre-test post-test design with control group design. It involved 30 participants who were divided into 2 groups through simple random sampling. Saphiro-Wilk was used for data normality test and Man-Whitney was used for hypothesis testing with score difference test. This research was conducted at the Anak Lanang Wound Care Center Clinic, Semarang. Results: There was an increase in scores on dietary adherence between groups (64.13±2.82 vs 59.07±2.91). Both groups experienced an increase in scores, but the increase was greater in the intervention group given e-health education of diabetes mellitus compared to the control group given the Booklet. Conclusion: There is an effect of e-health education of diabetes mellitus on the level of dietary compliance in grade 2 diabetic ulcer patients. Suggestion: Future researchers are expected to develop database instrumentation and educational content for patients with diabetes mellitus.
The Smart Spin Wheel Educational Game Tool (ROPTAR) is an Alternative Screening Media Child Development Rita Yulifah; Tri Johan Agus Yuswanto
Aloha International Journal of Health Advancement (AIJHA) Vol 6, No 8 (2023): August
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha60804

Abstract

Children are human resource assets. To become a quality asset, it needs to be prepared from an early age for both growth and development. Stimulation, Detection, Early Growth and Development Intervention (SDIDTK) is one of the efforts to improve the quality of children by monitoring to optimize children's development regularly and periodically from an early age. Development monitoring is carried out using the standard Pre-Screening Development Questionnaire (KPSP). The use of KPSP during and as a result of the development of KPSP in the form of an Android application is one-way, so that children, parents and the user community are passive. This research is development research (research and development) which aims to develop a standardized child development assessment instrument, namely KPSP and determine the feasibility of development results. This research uses a prototype development model. Data collection used a questionnaire sheet, expert testing was carried out by two people, namely a growth and development specialist and a media expert, data analysis was descriptive. The development of a standardized instrument is based on the form, number of questions and algorithm. The results of development research are educational game products whose suitability has been tested by experts and by product users. Evaluation of development trial results: 1) the form of the 8 components has an overall average of 91% in the good category, 2) the content of the addition of 9-10 questions to 12 questions, 3) the algorithm of the 6 evaluation components with a minimum score of 87 and a maximum score of 92 is considered positive. The average development quality results according to users in terms of functionality, efficiency and usability were 93.33% in the good category. The effectiveness test results obtained were p=0.001 (p < 0.005). So it can be concluded that the development of the Pre-Developmental Screening Questionnaire (KPSP) in the form of an educational game tool is suitable for use as a tool to help monitor children's growth and development. Keywords: development; pre-screening questionnaire; smart spin wheel educational game tool (ROPTAR)
Interpersonal relationship communication training according to Peplau theory improves nursing team cooperation in the operating room of Haji Hospital, East Java Province, Surabaya Yuswanto, Tri Johan Agus; Andriani, Wahyu; Sepdianto, Tri Cahyo; Anjaswarni, Tri
Jurnal Keperawatan Vol. 15 No. 02 (2024): July
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v15i02.34931

Abstract

Introduction: Interpersonal communication is a competency that must be possessed to foster cooperation. Failure in communication will reduce cooperation, which will impact the quality of service, especially in the operating room. Objectives: The aim of this research is to prove the effect of interpersonal relationship communication training according to Peplau's theory on nursing team collaboration in the operating room of the Haji Hospital, East Java Province. Methods: The quasi-experimental research method uses a pre-test-post-test control group design. The independent variable is interpersonal communication training. The dependent variable is the collaboration of the nursing team in the operating room. Data analysis using Wilcoxon and Mann-Whitney tests. The sample consisted of 25 nurses, with 13 in the treatment group and 12 in the control group. Results: The results of the Wilcoxon signed rank test for the treatment group were p = 0.002 ≤  = 0.05. There was a significant difference between the pre-test and post-test results in the treatment group. In the control group, the Wilcoxon test obtained p = 1.00 ≥  = 0.05, meaning there was no difference between the pre-test and post-test results. In the Mann-Whitney U test post-test for the treatment and control groups, the p value was 0.004 ≤ = 0.05, indicating that there is an influence of interpersonal relationship communication training on nursing team collaboration. Conclusion: Nurses' interpersonal communication in the operating room is very important to improve teamwork. Nurses are expected to improve interpersonal communication and teamwork.
Masa Kerja, Frekuensi Kerja, Durasi Kerja, dan Paparan Limbah Medis berhubungan dengan Status Kesehatan: Penelitian Observasional pada Perawat Ruang Operasi Sa’adah, Nabila Nida; Pertami, Sumirah Budi; Yuswanto, Tri Johan Agus
Health Information : Jurnal Penelitian Vol 15 No 2 (2023): Mei-Agustus
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v15i2.1074

Abstract

Perawat ruang operasi merupakan tenaga kesehatan yang beresiko terkena paparan limbah medis.. Tujuan penelitian ini adalah untuk mengetahui hubungan masa kerja, frekuensi, durasi dan paparan limbah medis dengan status kesehatan. Metode yang digunakan dalam penelitian ini adalah cross sectional dengan besar sampel adalah 19 responden. Teknik pengambilan sampel ialah total sampling. Analisis data menggunakan analisis univariat dan bivariat dengan uji Spearman Rank. Hasil penelitian menunjukkan adanya hubungan antara masa kerja dengan status kesehatan (0,006 < 0,05) ada hubungan antara frekuensi dan status kesehatan (0,024 <  0,05) dan ada hubungan antara durasi dan status kesehatan (0,001 <  0,05) dan ada hubungan antara paparan limbah dan status kesehatan (0,020 < 0,05). Berdasarkan hasil penelitian di atas dapat disimpulkan bahwa masa kerja, frekuensi, durasi dan paparan limbah medis (ruang OK) berhubungan dengan status kesehatan perawat. Sehingga diharapkan perawat dapat menjaga status kesehatannya dengan cara melindungi diri saat bekerja dan rutin melakukan cek kesehatan secara berkala.
Efektifitas One Student One Family Dalam Pencegahan Kedaruratan Malaria Pada Balita Abselian, Umbu Putal; Yuswanto, Tri Johan Agus; Ramlan, Djamaluddin
Health Information : Jurnal Penelitian Vol 15 No 3 (2023): September-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v15i3.1217

Abstract

Penyakit malaria masih menjadi ancaman kesehatan bagi masyarakat Indonesia khususnya di Kabupaten Sumba Timur. Salah satu upaya yang dilakukan melalui pendampingan One Student One Family (OSOF) yang melibatkan mahasiswa perawat sebagai pendamping keluarga yang mempunyai balita menderita malaria. Adapun kegiatan pendampingan OSOF meliputi penemuan kasus, pemantauan keteraturan minum obat, cara merawat balita yang sakit, follow up, serta pendidikan kesehatan tentang malaria dan pencegahannya. Tujuan penelitian ini untuk menggambarkan pengetahuan, sikap dan perilaku keluarga Balita dalam pencegahan kedaruratan Malaria pada kelompok intervensi dan kelompok kontrol. Metode penelitian pre-eksperimen dengan rancangan pre-test dan post-test control group design. Sampel penelitian berjumlah 40 responden dibagi dalam kelompok intervensi dan kelompok kontrol, dengan analisis non parametrik t-tes. Pada kelompok intervensi menggunakan metode OSOF, pada kelompok kontrol menggunakan SPO malaria. Hasil penelitian menunjukan bahwa pendampingan OSOF sangat efektif terhadap peningkatan pengetahuan, sikap dan perilaku keluarga dalam mencegah kedaruratan malaria pada balita dengan p=0.000 (p<0.05). Kedua kelompok responden sama-sama mengalami peningkatan nilai setelah perlakuan, namun peningkatan nilai lebih besar pada kelompok intervensi yang menggunakan metode OSOF. Kesimpulannya ada pengaruh pendampingan OSOF terhadap pengetahuan, sikap dan perilaku dalam mencegah kedaruratan malaria pada Balita.
Hubungan Derajat Merokok dengan Aldrete score pada Pasien Post General Anestesi YUSWANTO, TRI JOHAN AGUS; PRIMANINGSIH, DEWI; Bachtiar, Arief .; SEPTDIANTO, TRI CAHYO
Health Information : Jurnal Penelitian Vol 16 No 3 (2024): September-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v16i3.1536

Abstract

Ringkasan: Latar Belakang: Merokok mempengaruhi sirkulasi dan pernapasan pasien pasca operasi yang merupakan komponen penilaian Aldrete score. Pemulihan pasca anestesi umum memerlukan monitoring ketat untuk mencegah komplikasi dan morbiditas. Tujuan: Menganalisis hubungan antara derajat merokok dengan Aldrete score pada pasien post operasi dengan general anestesi. Metode: Penelitian korelasional dengan pendekatan cross sectional terhadap 67 responden perokok aktif yang menjalani operasi general anestesi di RSUD Karsa Husada Batu. Pengambilan sampel menggunakan purposive sampling. Data dikumpulkan menggunakan kuesioner Indeks Brinkman dan lembar observasi Aldrete score. Analisis statistik menggunakan uji korelasi Spearman Rank. Hasil: Terdapat hubungan signifikan antara derajat merokok dengan Aldrete score (p=0,001) dengan koefisien korelasi -0,754, menunjukkan korelasi kuat arah negatif. Semakin tinggi derajat merokok, semakin rendah nilai Aldrete score. Simpulan: Derajat merokok berhubungan dengan penurunan Aldrete score pada pasien post general anestesi. Saran: Tenaga kesehatan perlu memperhatikan riwayat merokok dan monitoring ketat fase pulih sadar pasien perokok.
Terapi Pernapasan Buteyko dapat Menurunkan Derajat Asma Wardani, Retno Wisnu; Yuswanto, Tri Johan Agus; Sulastyawati, Sulastyawati; Marsaid, Marsaid
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk201

Abstract

Overuse of asthma medications and overdosage can exacerbate the degree of asthma. So there are several alternative treatments, one of which is buteyko respiratory therapy. The purpose of this study was to determine the effect of buteyko breathing therapy on the degree of asthma. The design of this study was a non-equivalent group, which used a control group and an experimental group that was treated with buteyko breathing therapy. This study involved 25 asthma sufferers who were selected by total population sampling. Differences in asthma status between before and after treatment were analyzed using paired sample t-test. The results showed that there was a difference in the degree of asthma between before and after treatment in the experimental group with a value of p = 0.000, meaning that the degree of asthma had decreased significantly. It was concluded that buteyko breathing therapy is effective for reducing or controlling the degree of asthma.Keywords: buteyko respiratory therapy; asthma degree; asthma patient ABSTRAK Penggunaan obat asma yang terlalu dan kelebihan dosis dapat memperberat derajat asma. Maka ada beberapa penanganan alternatif, salah satunya adalah terapi pernapasan buteyko. Tujuan penilitian ini adalah untuk mengetahui pengaruh terapi pernapasan buteyko terhadap derajat asma. Rancangan penelitian ini adalah non-equivalent group, yang menggunakan kelompok kontrol dan kelompok eksperimen yang diberi perlakuan dengan terapi pernapasan buteyko. Penelitian ini melibatkan 25 penderita asma yang dipilih secara total population sampling. Perbedaan status asma antara sebelum dan sesudah perlakuan dianalisis menggunakan paired sample t-test. Hasil penelitian menunjukkan adanya perbedaan derajat asma antara sebelum dan sesudah perlakuan pada kelompok eksperimen dengan nilai p = 0,000, artinya derajat asma mengalami penurunan secara signifikan. Disimpulkan bahwa terapi pernapasan buteyko efektif untuk untuk mengurangi atau mengontrol derajat asma.Kata kunci: terapi pernapasan buteyko; derajat asma; pasien asma
Aromaterapi Jahe Efektif menurunkan Post Operative Nausea and Vomiting pada Pasien Post General Anestesi di RSUD Kanjuruhan Asriani, Nilam Suci; Yuswanto, Tri Johan Agus Agus; Arif, Taufan
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 4 (2023): Oktober - Desember 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14407

Abstract

General anesthesia can cause side effects such as post operative nausea and vomiting. This study aims to determine which is more effective between early mobilization and ginger aromatherapy for post operative nausea and vomiting in post general anesthesia patients at Kanjuruhan Hospital B. The research method used was "quasy experimental" with a "three group pretest posttest with control group design" approach. The sampling technique in this study used the non probability sampling technique with a purposive sampling approach. Where the sample in this study were 33 people divided into 3 groups. Determination of respondents based on the inclusion criteria of post general anesthesia patients who experienced PONV. The independent variables of this study were early mobilization and ginger aromatherapy while the dependent variable was post operative nausea and vomiting. The data collection technique uses the respondent's observation sheet. The analytical test used was the Wilcoxon signed rank test, Mann Whitney U and Kruskal Wallis. The results of the Wilcoxon signed rank test statistical test showed significant differences in the early mobilization group with a p-value of 0.004 (p <0.05) and in the ginger aromatherapy group with a p-value of 0.002 (p <0.05). Early mobilization and aromatherapy had an effect on reducing PONV, but ginger aromatherapy was more effective than early mobilization.Keywords: early mobilization; ginger aromatherapy; post operative nausea and vomiting; general anesthesia ABSTRAK General anestesi dapat menyebabkan efek samping berupa post operative nausea and vomiting. Penelitian ini bertujuan untuk mengetahui mana yang lebih efektif antara mobilisasi dini dan aromaterapi jahe terhadap post operative nausea and vomiting pada pasien post general anestesi di RSUD Kanjuruhan. Metode penelitian yang digunakan yaitu “quasy experimental” dengan pendekatan “three group pretest postest with control group design” Teknik pengambilan sampel dalam penelitian ini menggunakan teknik non probability sampling dengan pendekatan purposive sampling. Dimana sampel dalam penelitian ini adalah sebanyak 33 orang dibagi menjadi 3 kelompok. Penentuan responden berdasarkan kriteria inklusi pasien post general anestesi yang mengalami PONV. Variabel bebas dari penelitian ini adalah mobilisasi dini dan aromaterapi jahe sedangkan variabel terikatnya ialah post operative nausea and vomiting. Teknik pengumpulan data menggunakan lembar observasi responden. Uji analisis yang digunakan adalah uji wilcoxon signed rank test dan mann whitney u. Hasil uji statistic wilcoxon signed rank test menunjukkan perbedaan signifikan pada kelompok mobilisasi dini dengan p-value 0.004 (p<0.05) dan pada kelompok aromaterapi jahe dengan p-value 0.002 (p<0.05). Mobilisasi dini dan aromaterapi berpengaruh dalam menurunkan PONV, namun aromaterapi jahe lebih efektif dibandingkan mobilisasi dini.  Kata kunci: mobilisasi dini; aromaterapi jahe; post operative nausea and vomiting; general anestesi
Co-Authors ABSELIAN, UMBU PUTAL Alif Galih Pratama Andriani, Selfiyah Andriani, Wahyu Apriliani, Dyah Tri Arief Bachtiar Arief Bachtiar Arif, Taufan Arif, Taufan Arifin, Hidayat Arslan Kamil Aries Asriani, Nilam Suci Bachtiar, Arief . Bagas Iman Bahreisy Cici Desiyani Ciptaningtyas, Maria Diah Desy Rinawaty Diyah Fatmasari Djamaluddin Ramlan Djamaluddin Ramlan Djamaluddin Ramlan, Djamaluddin Dyah Widodo Eko Adi Putra Elfa Lailatul Izza Elfa Lailatul Izza Febrina Secsaria Handini Ferry Efendi Fiashriel Lundy Lundy Fransisca Mareta D A FRANSISKUS SALESIUS ONGGANG Gede Dalem Gilang Mahajaya Putra Heffy Maulidiyah Wardah Heru Santoso Wahito Nugroho I Ketut Gama I Ketut Sudiantara I Wayan Mustika Imam Subekti Intan Rizki Dwi Saputri Janah, Indra Ayu Miftakhul Jane Leo Mangi Joko Pitoyo Kamilus Mamoh Kusnanto Kusnanto Kusnanto Kusnanto Lailiyatul Mufidah Luluk Mamluatul Ulumy Luthfiyuddin Musthofa Mardiyono, Mardiyono Marsaid, Marsaid Marsaid, Marsaid Matje Meriati Huru Mohammad Afandi Muh. Ainul Falihin Nadia Sari Nadia Sari Ngesti W. Utami Ni Wayan Rusni Ningsih, Rastia Nursalam, Nursalam Nurul Hikmatul Qowi Pertami, Sumirah Budi Pertami, Sumirah Budi Prakosa, Mira Melynda PRIMANINGSIH, DEWI Rita Yulifah Rita Yulifah Rochmawati, Dewi Roni Yuliwar Rudi Hamarno Sanglar Polnok Sa’adah, Nabila Nida SEPTDIANTO, TRI CAHYO Sholehah, Ummatus Solikhah, Fitriana Kurniasari Sugianto Hadi Sujono, Annisa Juliani Sulastyawati, Sulastyawati Sulistyowati, Dina Indrati Dyah Suparji Suparji Supono Supono Supono Supono Suprajitno Suprajitno, Suprajitno taadi, Ta'adi Tanjung Subrata Tanko Titus AUTA Tanto Hariyanto Tavip Dwi Wahyuni Tavip Dwi Wahyuni Tri Anjaswarni Tri Cahyo Sepdianto Trisna Sumadewi Wardani, Retno Wisnu Zalena, Sarah