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Latihan Aktivitas (NYHA) Meningkatkan Hemodinamik pada Klien dengan Chronic Heart Failure Apriliani, Dyah Tri; Yuswanto, Tri Johan Agus; Sulistyowati, Dina Indrati Dyah
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk203

Abstract

Heart disease is a non-communicable disease that is included in the category of diseases that cause many deaths in the world. One of the consequences that often arise from heart disease is dyspnea and also shortness of breath which will later be directly related to the occurrence of activity intolerance in patients, it is necessary to carry out nursing care based on the activity level that the patient is still able to carry out. This study was conducted to determine the effect of implementing activity training on hemodynamic changes in patients with Chronic Heart Failure. This study applied a pretest-posttest with control group design, which involved 60 respondents who were divided into 3 groups namely the NYHA 1 intervention group, the NYHA 2 intervention group, and the control group which was a combination of NYHA 1 and NYHA 2. The pretest was carried out by measuring hemodynamics (pressure blood pressure, pulse, respiratory rate, oxygen saturation). Intervention in the NYHA 1 group was given light walking activity for 23 minutes, in the NYHA 2 group for 18 minutes and the control group was given 6SMWT activity or walking with a duration of 6 minutes. Each group was given diving treatment 3 times in 1 week. Posttest was carried out by measuring hemodynamics (blood pressure, pulse, respiratory rate, oxygen saturation) which was carried out after the respondent had rested for 15 minutes. Data analysis was performed using the Wilcoxon test to compare the hemodynamics before and after each treatment. On systolic blood pressure measurements, the p values were: control = 0.049, NYHA 1 = 0.000, NYHA 2 = 0.007. On measuring diastolic blood pressure, the p values were: control = 0.020, NYHA 1 = 0.001, NYHA 2 = 0.004. On pulse measurement, the p values were: control = 0.015, NYHA 1 = 0.003, NYHA 2 = 0.004. In measuring the respiratory rate, the p values were: control = 0.015, NYHA 1 = 0.005, NYHA 2 = 0.005. On oxygen saturation measurements, the p values were: control = 0.034, NYHA 1 = 0.000, NYHA 2 = 0.001. The conclusion in this study is that giving exercise activities improves hemodynamics in clients with Chronic Heart Failure.Keywords: chronic heart failure; hemodynamics; physical training ABSTRAK Penyakit jantung merupakan salah satu penyakit tidak menular yang masuk dalam kategori penyakit yang mengakibatkan banyak kematian di dunia. Salah satu akibat yang sering ditimbulkan dari penyakit jantung yakni dyspnea dan juga sesak nafas yang nantinya akan berhubungan langsung dengan terjadinya intoleran aktifitas pada pasien, maka perlu dilakukan asuhan keperawatan dengan berpedoman pada tingkat aktifitas yang masih mampu dilakukan oleh pasien. Penelitian ini dilakukan untuk mengetahui pengaruh penerapan latihan aktivitas terhadap perubahan hemodinamik pada pasien dengan Chronic Heart Failure. Penelitian ini menerapkan rancangan pretest-posttest with control group, yang melibatkan 60 responden yang dibagi menjadi 3 kelompok yaitu kelompok intervensi NYHA 1, kelompok intervensi NYHA 2, dan kelompok kontrol yakni gabungan antara NYHA 1 dan NYHA 2. Pretest dilakukan dengan pengukuran hemodinamik (tekanan darah, nadi, respiratory rate, saturasi oksigen). Intervensi pada kelompok NYHA 1 diberikan aktifitas berjalan ringan selama 23 menit, pada kelompok NYHA 2 selama 18 menit dan pada kelompok kontrol diberikan aktifitas 6SMWT atau berjalan dengan durasi 6 menit. Masing-masing kelompok diberikan perlakuan selam 3 kali dalam 1 minggu. Posttest dilakukan dengan pengukuran hemodinamik (tekanan darah, nadi, respiratory rate, saturasi oksigen) yang dilakukan setelah responden beristirahat selama 15 menit. Analisis data dilakukan menggunakan uji Wilcoxon untuk membandingkan hemodinamik masing-masing sebelum dan sesudah perlakuan. Pada pengukuran tekanan darah sistolik, nilai p adalah: kontrol = 0,049, NYHA 1 = 0,000, NYHA 2 = 0,007. Pada pengukuran tekanan darah diastolik, nilai p adalah: kontrol = 0,020, NYHA 1 = 0,001, NYHA 2 = 0,004. Pada pengukuran nadi, nilai p adalah: kontrol = 0,015, NYHA 1 = 0,003, NYHA 2 = 0,004. Pada pengukuran respiratory rate, nilai p adalah: kontrol = 0,015, NYHA 1 = 0,005, NYHA 2 = 0,005. Pada pengukuran saturasi oksigen, nilai p adalah: kontrol = 0,034, NYHA 1 = 0,000, NYHA 2 = 0,001. Kesimpulan pada penelitian ini adalah pemberian latihan aktivitas meningkatkan hemodinamik pada klien dengan Chronic Heart Failure.Kata kunci: chronic heart failure; hemodinamik; latihan fisik
Faktor-Faktor yang Berhubungan dengan Kejadian Post Anasthesia Shivering pada Pasien Pasca Spinal Anasthesia di RSUD Bangil Sholehah, Ummatus; Ciptaningtyas, Maria Diah; Yuswanto, Tri Johan Agus Agus
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/sf14404

Abstract

Spinal anesthesia is a type of anesthesia that is injected into the cerebrospinal fluid (CSF) when the patient is about to undergo surgery. Spinal anesthesia causes hypothermia which triggers shivering. Shivering is the body's attempt to increase heat production and increase body temperature. To determine the factors associated with the incidence of post-anesthesia shivering in post-spinal anesthesia patients. Correlation research with a cross sectional approach. The research sample is 73 respondents using accidental sampling data collection technique. This study used the Chi-Square test, point biserial and logistic regression test as statistical analysis tests. The results of the logistic regression test showed that the duration of surgery was the top factor in the modeling, then BMI and ambient temperature. Factors that were not included in the modeling were gender, age, ASA status, type of surgery, comorbidities, and preoperative body temperature. There is a relationship between body mass index, duration of surgery, ambient temperature and the incidence of post-anesthesia shivering and there is no relationship between gender, age, type of surgery, comorbidities, and preoperative body temperature with shivering. The duration of surgery is the factor that is most related to the incidence of post-anesthesia shivering in post-spinal anesthesia patientsKeywords: post-spinal anesthesia patients; shivering factors; post anaesthesia shivering ABSTRAK Spinal anasthesia adalah salah satu jenis anastesi yang disuntikkan ke cairan serebrospinal (csf) saat pasien akan menjalankan operasi. Anestesi spinal menyebabkan hipotermia yang memicu terjadinya shivering.  Shivering adalah upaya tubuh untuk meningkatkan produksi panas dan meningkatkan suhu tubuh. Untuk mengetahui faktor yang berhubungan dengan kejadian post anasthesia shivering pada pasien pasca spinal anasthesia. Penelitian korelasi dengan pendekatan cross sectional. Sampel penelitian berjumlah 73 responden dengan teknik pengambilan data accidental sampling. Penelitian ini menggunakan uji Chi-Square, point biserial dan uji regresi logistik sebagai uji analisis statistik. Hasil uji regresi logistik didapatkan hasil lama pembedahan merupakan faktor yang paling atas masuk pemodelan kemudia IMT dan suhu lingkungan. Faktor yang tidak masuk pemodelan yaitu jenis kelamin, usia, status ASA, jenis pembedahan, komorbid, dan suhu tubuh preoperasi. Ada hubungan antara faktor indeks masa tubuh, lama pembedahan, suhu lingkungan dengan kejadian post anasthesia shivering serta tidak ada hubungan antara jenis kelamin, usia, jenis pembedahan, komorbid, dan suhu tubuh pre operasi dengan kejadian shivering. Lama pembedahn merupakan faktor yang paling berhubungan dengan kejadian post anasthesia shivering pada pasien pasca spinal anasthesiaKata kunci: pasien pasca spinal anasthesia; faktor-faktor shivering; post anasthesia shivering
Intervensi PRICE (Protection, Rest, Ice, Compression, Elevation) Menurunkan Indeks Ankle Sprains pada Atlet Bola Voli di Kediri Rochmawati, Dewi; Yuswanto, Tri Johan Agus; Marsaid, Marsaid
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk106

Abstract

Volleyball is a complex game, which requires special and regular practice to master. Problems that arise when playing volleyball are finger injuries, knee pain, elbow abrasions, shoulder injuries and ankle injuries. The most common injury is ankle sprain, which is usually when first aid is massage and ice compresses, then taken to alternative medicine. In fact, first aid must really be understood by athletes because it can speed up recovery, so that athletes can return to their normal activities. One of the right first aid is to use the PRICE intervention (Protection, Rest, Ice, Compression, and Elevation). This study aims to determine the effect of the PRICE intervention on the ankle sprains index in volleyball athletes in Kediri. This study applied a pretest-posttest with control group design, which involved 132 volleyball athletes from 7 clubs, selected by purposive sampling technique. The results showed that there was an improvement in scores in the intervention group after being given the PRICE intervention. The Wilcoxon Signed Ranks Test showed p-value of 0.000. It was concluded that the PRICE intervention could improve the ankle sprains index in volleyball athletes in Kediri.Keywords: PRICE intervention; ankle sprain index; volleyball athlete ABSTRAK Bola voli adalah permainan yang kompleks, yang membutuhkan latihan khusus dan rutin untuk dapat menguasainya. Masalah yang timbul saat bermain bola voli yaitu cedera pada jari tangan, nyeri pada lutut, lecet pada siku, cedera pada bahu dan cedera pada pergelangan kaki. Cedera yang paling sering terjadi adalah ankle sprain, yang biasanya saat pertolongan pertama adalah dipijat dan dikompres es, selanjutnya dibawa ke pengobatan alternatif.  Padahal, pertolongan pertama harus benar-benar difahami oleh atlet karena dapat mempercepat pemulihan, sehingga atlet dapat beraktifitas lagi seperti semula. Salah satu pertolongan pertama yang tepat adalah menggunakan intervensi PRICE (Protection, Rest, Ice, Compression, dan Elevation). Penelitian ini bertujuan untuk mengetahui pengaruh intervensi PRICE terhadap indeks ankle sprains pada atlet bola voli di Kediri. Penelitian ini menerapkan rancangan pretest-posttest with control group, yang melibatkan 132 atlet bola voli dari 7 klub, yang dipilih dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa ada perbaikan skor pada kelompok intervensi setelah diberikan intervensi PRICE. Uji Wilcoxon Signed Ranks Test menunjukkan nilai p = 0,000. Disimpulkan bahwa intervensi PRICE dapat memperbaiki indeks ankle sprains pada atlet bola voli di Kediri.Kata kunci: intervensi PRICE; indeks ankle sprain; atlet bola voli
Terapi Kombinasi Diabetic Self Management Education (DSME) Dengan Senam Kaki Diabetik Terhadap Ankle Brachial Index (ABI) Pada Penderita Diabetes Tipe II Fatmasari, Diyah; Ningsih, Rastia; Yuswanto, Tri Johan Agus
Medica Hospitalia : Journal of Clinical Medicine Vol. 6 No. 2 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.353 KB) | DOI: 10.36408/mhjcm.v6i2.389

Abstract

Latar belakang: Diabetes melitus tipe II merupakan salah satu penyakit tidak menular yang dapat menyebabkan kematian dan memiliki risiko tinggi terjadi komplikasi. Penatalaksanaan empat pilar diabetes tipe II meliputi edukasi, terapi gizi medis, latihan jasmani dan intervensi non farmakologi. Salah satu penanganan non-farmakologi yang sering dilakukan adalah Diabetic Self Management Education (DSME) dan senam kaki diabetik, tetapi kombinasi keduanya belum pernah di teliti. Gabungan beberapa terapi disebut terapi kombinasi. Penelitian ini bertujuan untuk mengetahui pengaruh terapi kombinasi DSME dan senam kaki terhadap Ankle Brachial Index (ABI) pada penderita diabetes tipe II. Metode: Desain penelitian adalah penelitian Experimental dengan rancangan pretest-posttest control group design. Kelompok intervensi di beri terapi kombinasi DSME dengan senam kaki dan kelompok kontrol dengan pemberian Range of Motion (ROM). Teknik sampling non-probability dengan metode consecutive sampling dengan 48 responden yang terbagi dalam 2 kelompok. Hasil Rerata ABI kelompok Intervensi dan Kontrol sebelum perlakuan adalah 0,84 mmHg dan 0,82 mmHg, sedangkan setelah perlakuan adalah 1,09 mmHg dan 0,89 mmHg. Uji independent t test menunjukkan nilai p value 0,000 berarti ada perbedaan rerata selisih ABI kedua kelompok. Kesimpulan kombinasi Diabetic Self Management Education (DSME) dengan senam kaki efektif dalam peningkatan Ankle Brachial Index (ABI) pada penderita diabetes tipe II. Kata kunci : Diabetes Melitus, Diabetic Self Management Education (DSME), senam kaki diabetik, Ankle Brachial Index. COMBINATION THERAPY OF DIABETIC SELF MANAGEMENT EDUCATION (DSME) WITH DIABETIC FOOT EXERCISE TOWARDS ANKLE BRACHIAL INDEX (ABI) ON PATIENTS DIABETIC TYPE II Background: Type II diabetes mellitus is a non-infectious disease which cause death and have a high risk complications. Management of 4 pillars of type II diabetes includes education, medical nutrition therapy, physical exercise and non pharmacological interventions. One of the non-pharmacological treatments is the combination of Diabetic Self Management Education (DSME) and diabetic foot exercises. Study aims is to determine effect of a combination of Diabetic Self Management Education (DSME) with diabetic foot exercises on Ankle Brachial Index (ABI) in type II diabetics patients. Method: Research design was Quasy Experimental with pretest-posttest control group design. Intervention group was 24 patients type II diabetic with therapy combination of DSME and foot exercises, the control group was given Range of Motion (ROM) as therapy. Results: Mean of ABI intervention and control group before treatment are 0.84 mmHg and 0.82 mmHg, while after treatment are 1.09 mmHg and 0,89 mmHg Independent t test shows p value 0.000, that there is a differences of mean of ABI both group. It can be concluded that combination of DSME with foot exercises is effective to increase Ankle Brachial Index (ABI) at patients type II diabetics. Keywords: Diabetes Melitus, Diabetic Self Management Education (DSME), diabetic foot exercises, Ankle Brachial Index.
The Effect of Logotherapy on Grieving Stage in End Stage Renal Disease Clients Arslan Kamil Aries; Yuswanto, Tri Johan Agus; taadi, Ta'adi
Jurnal Kesehatan dr. Soebandi Vol 12 No 1 (2024): Jurnal Kesehatan dr. Soebandi
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v12i1.649

Abstract

Kidney failure is a disease caused by progressive damage to kidney function and generally cannot be recovered. Chronic kidney failure not only causes physiological disturbances to the client but can also cause psychological disorders, such as grieving. Providing psychological implementation can help clients to get through this period. This study aimed to determine whether there is an effect of logotherapy on the stage of grieving in clients with end stage renal disease. This study used a randomized, pretest-posttest design. The number of study sample in this study were 32 respondents who were divided into two groups, including the treatment group and the control group. The sampling technique used was simple random sampling. The results of hypothesis testing indicate that there is an effect of giving logotherapy to the stages of denial, anger, bargaining, depression, and acceptance with a p-value < 0.05, which means that there is an effect of giving logotherapy to the grieving stage of clients with end-stage renal disease. There is an effect of giving logotherapy on the stage of grieving in clients with end stage renal disease. This research is expected to be one of the references in the application of logotherapy to overcome the psychological problems of clients with end stage renal disease.
Workload and Coping Strategies Correlated with Burnout Syndrome in Operating Room Nurses Mohammad Afandi; Arif, Taufan; Sumirah Budi Pertami; Tri Johan Agus Yuswanto
Journal of Ners and Midwifery Vol 11 No 1 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i1.ART.p105-112

Abstract

Operating room nurses are at risk of burnout. They face many stressors, such as the workload that must be finished. Using coping strategies that are adaptive to the situation will allow nurses to cope with their stressors. This research aimed to determine the correlation between workload and coping strategies with burnout syndrome in operating room nurses. The method used correlational research with cross-sectional approach. The population in this study was operating room nurses at Karsa Husada Batu Hospital. The number of samples was 26 nurses based on the total sampling technique. The data was collected from the workload questionnaire, ways of coping questionnaire, and Maslach burnout inventory. The data was analyzed using Spearman rank correlation test. The univariate analysis results showed that most of the respondents had a light workload, 16 people (61.5%), the most of respondents used problem-focus coping, 17 people (65.4%), and most respondents experienced low burnout syndrome, 16 people (61.5%). The bivariate analysis showed that workload had a correlation with burnout syndrome (p = 0.000) and coping strategies had a correlation with burnout syndrome (p = 0.032). A light workload and the use of problem-focused coping will reduce work stress experienced by nurses so that the development of burnout does not occur
The Influence of Health Education Based on Health Belief Model Theory on Behavior to Prevent Postoperative Complications Janah, Indra Ayu Miftakhul; Yuswanto, Tri Johan Agus; Sepdianto, Tri Cahyo; Suprajitno, Suprajitno
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i3.3798

Abstract

The danger of postoperative complications can prolong the healing process so prevention is needed by improving patient behavior. Health education based on the Health Belief Model can be applied to improve behavior based on patient perceptions. This research aims to prove the effect of health education based on the Health Belief Model theory on behavior to prevent postoperative complications with spinal anesthesia. This research used a True Experiment design with a Pretest-Posttest Control Group Design approach involving 60 respondents taken using a simple random sampling technique. The results of the analysis prove that there is an influence of health education based on the Health Belief Model theory on behavior to prevent postoperative complications with spinal anesthesia. The health education provided increases respondents' knowledge about preventing post-operative complications, and with the knowledge they have, it encourages respondents to improve their attitudes and behavior in preventing postoperative complications with spinal anesthesia.
Edukasi Kesehatan dengan Teknik Model SECI Meningkatkan Self Care Management dan Kepatuhan Cairan Pasien Gagal Ginjal dengan Hemodialisis Luluk Mamluatul Ulumy; Tri Johan Agus Yuswanto; Djamaluddin Ramlan
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14201

Abstract

Chronic kidney disease contributes to the world burden of disease with a mortality rate of 850,000 people per year. Patients said they lacked motivation to go on a diet, and patients said they were tired of taking large amounts of medication over and over again. They think that hemodialysis therapy can overcome the problems they are experiencing without having to go on a diet. This causes more than 50% of patients to experience interference and return to hemodialysis prematurely. So research is needed that aims to determine the effect of health education using the SECI model technique on self-care management and fluid adherence in patients with chronic kidney disease. This study used a pretest-posttest with control group design, which involved 58 respondents, who were divided into two groups (intervention and control). The selfcare management and adherence level of both groups was compared with independent sample t-test. The results of the analysis showed that the value of p = 0.000, so it was interpreted that there were differences in selfcare management and adherence between the two groups. It was concluded that health education using the SECI model technique could improve self-care management and fluid adherence in patients with chronic kidney failure on hemodialysis.Keywords: self care; fluid adherence; SECI ABSTRAK Penyakit ginjal kronis berkontribusi terhadap beban penyakit dunia dengan angka kematian 850.000 orang per tahun. Pasien mengatakan bahwa mereka kurang termotivasi untuk melakukan diet, dan pasien mengatakan mereka lelah minum obat dalam jumlah besar terus menerus. Mereka beranggapan bahwa terapi hemodialisis dapat mengatasi masalah yang mereka alami tanpa harus melakukan diet. Hal ini menyebabkan lebih dari 50% pasien mengalami gangguan dan kembali menjalani hemodialisis sebelum waktunya. Maka diperlukan penelitian yang bertujuan untuk mengetahui pengaruh edukasi kesehatan menggunakan teknik model SECI terhadap selfcare management dan kepatuhan cairan pada pasien penyakit ginjal kronik. Penelitian ini menggunakan rancangan pretest-posttest with control group, yang melibatkan 58 responden, yang terbagi menjadi dua kelompok (intervensi dan kontrol). Self care management dan tingkat kepatuhan dari kedua kelompok dibandingkan dengan independent sample t-test. Hasil analisis menunjukkan bahwa nilai p = 0,000, sehingga ditafsirkan bahwa ada perbedaan selfcare management dan kepatuhan antara kedua kelompok. Disimpulkan bahwa edukasi kesehatan dengan teknik model SECI dapat meningkatkan self care management dan kepatuhan cairan pasien pasien gagal ginjal kronik dengan hemodialisis.Kata kunci: self care; kepatuhan cairan; SECI
Beban Kerja Perawat dan Kepatuhan Pelaksanaan Surgical Safety Checklist di Rumah Sakit Fransisca Mareta D A; Arief Bachtiar; Tri Johan Agus Yuswanto
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk202

Abstract

Nurse workload is all activities or activities carried out by a nurse while serving in a nursing service unit, which is one of the factors that influence compliance in the implementation of the surgical safety checklist. So research is needed which aims to determine the relationship between nurse workload and adherence to the implementation of surgical safety checklists at Mardi Waluyo Hospital Blitar. The design of this study was cross-sectional, involving 21 respondents who were selected using the total population sampling technique. The data that had been collected was analyzed using the Spearman Rank correlation test. The results showed that the most workload was moderate (39%), and the most compliance with the implementation of the surgical safety checklist was in the non-compliant category (80.4%). The p value was 0.000, with a correlation coefficient = 0.873. It can be concluded that there is a relationship between the workload of nurses and adherence to the implementation of the surgical safety checklist at Mardi Waluyo Hospital Blitar.Keywords: nurse workload; obedience; surgical safety checklist ABSTRAK Beban kerja perawat merupakan seluruh kegiatan atau aktivitas yang dilakukan oleh seorang perawat selama bertugas di suatu unit pelayanan keperawatan, yang merupakan salah satu faktor yang mempengaruhi kepatuhan dalam pelaksanaan surgical safety checklist. Maka diperlukan penelitian yang bertujuan untuk mengetahui hubungan antara beban kerja perawat dengan kepatuhan pelaksanaan surgical safety checklist di Rumah Sakit Mardi Waluyo Blitar. Rancangan penelitian ini adalah cross-sectional, yang melibatkan 21 responden yang dipilih dengan teknik total population sampling. Data yang telah terkumpul dianalisis menggunakan uji korelasi Spearman Rank. Hasil penelitian menunjukkan bahwa beban kerja paling banyak adalah level sedang (39%), dan kepatuhan pelaksanaan surgical safety checklist paling banyak adalah pada kategori tidak patuh (80,4%). Nilai p adalah 0,000, dengan koefisien korelasi = 0,873. Dapat diambil kesimpulan yaitu terdapat hubungan antara beban kerja perawat dengan kepatuhan pelaksanaan surgical safety checklist di Rumah Sakit Mardi Waluyo Blitar.Kata kunci: beban kerja perawat; kepatuhan; surgical safety checklist
Pengembangan Instrumen Prediktor Risiko Gagal Ginjal pada Pasien Diabetes Mellitus Tipe 2 Desy Rinawaty; Tri Johan Agus Yuswanto; Mardiyono Mardiyono
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk107

Abstract

Type 2 Diabetes Mellitus is a chronic disease that occurs due to decreased insulin secretion by the pancreas gland. Instrument development is an activity that builds or arranges instruments to produce new instruments. The purpose of this study was to develop a predictor instrument in the form of a questionnaire to determine the risk of kidney failure in patients with type 2 diabetes mellitus. The study design was posttest only with a control group, involving 50 respondents selected by purposive random sampling technique. The results showed that CVI = 0.93, with a high reliability value of 0.75. The sensitivity = 100% and the specificity = 88%. The identification of the KFRS instrument score obtained an average value = 17.74 with the percentage of patients at risk of 100%, while the identification of the SCORED instrument score obtained an average value = 5.04 with the percentage of patients at risk = 84%. It was concluded that KFRS can be used to detect the risk of kidney failure.Keywords: instrument development; risk of kidney failure; type 2 diabetes mellitus ABSTRAK Diabetes Mellitus tipe 2 merupakan suatu penyakit kronis yang terjadi karena penurunan sekresi insulin oleh kelenjar pankreas. Pengembangan instrumen merupakan suatu kegiatan yang membangun atau menyusun instrumen yang dilakukan untuk menghasilkan instrumen baru. Tujuan penelitian ini adalah untuk mengembangkan instrumen prediktor yang berbentuk kuesioner untuk mengetahui adanya risiko gagal ginjal pada pasien diabetes mellitus tipe 2. Rancangan penelitian ini posttest only with control group, yang melibatkan 50 responden yang dipilih dengan teknik purposive random sampling. Hasil penelitian menunjukkan bahwa CVI = 0,93, dengan nilai reliabilitas yang tinggi yaitu 0,75. Nilai sensitivitas adalah 100% dan nilai spesifisitas adalah 88%. Identifikasi skor instrumen KFRS didapatkan nilai rata-rata = 17,74 dengan persentase pasien beresiko sebesar 100%, sedangkan identifikasi skor instrumen SCORED didapatkan nilai rata-rata = 5,04 dengan persentase pasien beresiko = 84%. Disimpulkan bahwa KFRS dapat digunakan untuk mendeteksi adanya risiko gagal ginjal.Kata kunci: pengembangan instrumen; risiko gagal ginjal; diabetes mellitus tipe 2
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