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Determinan Faktor Yang Berhubungan Post Anesthesia Shivering (PAS) Pada Pasien Post Operasi Sectio Caesarea Dengan Spinal Anestesi Di IBS RSUD Ngudi Waluyo Tsaniyah Septi Ahillah; Fitriana Kurniasari Solikhah; Naya Ernawati; Taufan Arif; Tri Johan Agus Yuswanto
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.406

Abstract

Post Anesthesia Shivering (PAS) merupakan komplikasi umum pasca anestesi spinal pada pasien sectio caesarea yang dapat meningkatkan konsumsi oksigen, risiko hipoksemia, dan memperpanjang masa pemulihan. Penelitian analitik cross-sectional ini bertujuan menganalisis faktor determinan PAS di IBS RSUD Ngudi Waluyo. Data dikumpulkan melalui observasi dan dokumentasi dari sampel pasien post sectio caesarea, kemudian dianalisis menggunakan uji chi-square dan regresi logistik ganda metode backward likelihood ratio. Hasil analisis bivariat menunjukkan empat variabel memenuhi kriteria untuk analisis multivariat: suhu lingkungan (p=0,080), status fisik ASA (p=0,005), komorbid (p=0,004), dan lama pembedahan (p=0,014). Analisis regresi logistik multivariat mengungkapkan komorbiditas sebagai faktor dominan dengan p=0,001 dan Exp(B)=12,065 (95% CI: 1,980-75,602), menunjukkan pasien dengan komorbid memiliki risiko 12 kali lebih besar mengalami PAS. Simpulan penelitian ini menegaskan bahwa suhu lingkungan, status ASA, komorbid, dan lama operasi merupakan faktor yang berpengaruh terhadap kejadian PAS, dengan komorbiditas sebagai determinan paling dominan. Temuan ini merekomendasikan perlunya skrining komprehensif dan intervensi preventif khusus pada pasien dengan komorbiditas untuk menurunkan insidensi PAS pasca anestesi spinal.
Hubungan Burnout Syndrome Dengan Perilaku Caring Perawat Menurut Teori Watson Di RSUD Mardi Waluyo Kota Blitar Tri Lestari Wulandari; Naya Ernawati; Tri Johan Agus Yuswanto; Nurul Hidayah
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23102

Abstract

ABSTRACT Nurses play a vital role in healthcare services, but the high workload makes them vulnerable to burnout, which can lead to a decline in caring behavior. According to Watson's theory, caring encompasses physical, emotional, and spiritual aspects; however, burnout can hinder its optimal implementation. This study aims to determine the relationship between burnout syndrome and caring behavior of nurses based on Watson's theory in operating room nurses and Dahlia ward inpatient nurses at Mardi Waluyo Regional General Hospital in Blitar City. This study used a cross-sectional design. The population included all operating room and inpatient nurses in the Dahlia ward at Mardi Waluyo Regional Public Hospital, Blitar City. A total of 52 respondents were selected using a total sampling technique. Data were analyzed using the Spearman rank correlation test. The findings showed a significant relationship between burnout syndrome and caring behavior among operating room and Dahlia ward inpatient nurses at Mardi Waluyo Hospital, with a p-value of 0.000 0.05. Nearly half of the respondents (38.5%) experienced a low level of burnout syndrome, and almost half (28.8%) demonstrated good caring behavior. The correlation coefficient showed an r-value of 0.894, indicating a very strong correlation between burnout syndrome and nurses’ caring behavior. The positive correlation result suggests that the lower the level of burnout syndrome, the better the caring behavior demonstrated by the nurses. Hospital management is expected to pay greater attention to efforts in preventing burnout syndrome among nurses, as this condition has been proven to significantly affect nurses’ caring behavior. Considering that Watson’s theory emphasizes that true caring arises from the nurse’s full presence and emotional balance, strategies are needed to support nurses’ psychological stability, such as excellent service training and work rotation. Keywords: Burnout Syndrome, Caring Behavior, Nurse.     ABSTRAK Perawat berperan penting dalam pelayanan kesehatan, namun tingginya beban kerja membuat mereka rentan mengalami burnout, yang berdampak pada menurunnya perilaku caring. Menurut teori Watson, caring mencakup aspek fisik, emosional, dan spiritual, namun burnout dapat menghambat penerapannya secara optimal. Penelitian ini bertujuan untuk mengetahui hubungan antara burnout syndrome dengan perilaku caring perawat berdasarkan teori Watson pada perawat kamar operasi dan rawat inap ruang Dahlia di RSUD Mardi Waluyo Kota Blitar. Metode penelitian yang digunakan cross sectional. Populasi penelitian yakni seluruh perawat kamar operasi dan rawat inap ruang Dahlia RSUD Mardi Waluyo Kota Blitar dengan jumlah sampel 52 orang menggunakan teknik total sampling. Analisis data penelitian menggunakan uji spearman rank correlation. Menunjukkan ada hubungan antara burnout syndrome dengan perilaku caring pada perawat kamar operasi dan rawat inap ruang Dahlia di RSUD Mardi Waluyo Kota Blitar, nilai p=0,0000,05 hampir setengah responden (385%) mengalami burnout syndrome rendah dan hampir setengah responden (28,8%) memiliki perilaku caring baik. Koefisien korelasi menunjukkan nilai r=0,894 bahwa ada hubungan antara burnout syndrome dengan perilaku caring perawat mendapatkan hasil korelasi sangat kuat. Hasil korelasi menunjukkan nilai positif semakin rendah burnout syndrome maka semakin baik perilaku caring yang dimiliki perawat.Diharapkan agar pihak manajemen rumah sakit lebih memperhatikan upaya pencegahan burnout syndrome pada perawat, karena kondisi ini terbukti berpengaruh signifikan terhadap perilaku caring perawat. Mengingat teori Watson menekankan bahwa caring sejati lahir dari kehadiran penuh dan keseimbangan emosional perawat, maka dibutuhkan strategi untuk mendukung stabilitas psikologis perawat, seperti pelatihan excellent service dan rotasi ruang kerja. Kata Kunci: Burnout Syndrome, Perilaku Caring, Perawat
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.
Analisis Beban Dan Stres Kerja Perawat Hubungannya Dengan Keseimbangan Kehidupan Kerja Perawat Perioperatif: Analisis Beban Dan Stres Kerja Perawat Hubungannya Dengan Keseimbangan Kehidupan Kerja Perawat Perioperatif Hikmatul Zainiyah; Tri Anjaswarni; Tri Johan Agus Yuswanto; Kissa Bahari
Jurnal Keperawatan Terapan Vol 11 No 2 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i2.6047

Abstract

Workload and stress for nurses in hospitals, especially in operating rooms, are conditions that require special attention. This is important because nurses working in operating rooms face high work demands, which can cause stress. If not managed properly, this stress can have a negative impact on nurses' performance and work-life balance. Objective: This study aims to analysis the relationship between workloads and work-related stress with the quality of work-life balance among perioperative nurses at Lavalette Hospital in Malang. Methodology: This study employs a correlational design with a cross-sectional approach. The study population consists of all perioperative nurses at Lavalette Hospital in Malang, using total sampling involving 34 respondents. Data analysis used the Spearman's rank correlation test. Research results: There was a significant relationship between workload and work-life balance with a p-value of 0.001 (< 0.05) and a correlation coefficient of r = -0.535 (strong relationship). Similarly, there was a significant relationship between work stress and work-life balance with a p-value of 0.002 (< 0.05) and r = -0.514 (strong relationship). The negative correlation indicates that the higher the workload and work stress experienced, the lower the level of work-life balance among perioperative nurses. Conclusions and Recommendations: Ongoing efforts are needed from nurses to enhance their competencies, implement effective time management, and optimize work stress management. For healthcare institutions, it is recommended to regularly enhance nurses' capacity through training, provide performance- based rewards, and establish effective communication regarding career progression
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 (2025): August 2025
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)
Co-Authors , Marista Fiana ABSELIAN, UMBU PUTAL Ade Komariah Aida Nuriyanti Putri Alif Galih Pratama Aliya Fitri Rahmadina Andriani, Selfiyah Andriani, Wahyu Apriliani, Dyah Tri Arief Bachtiar Arief Bachtiar Arief Bahtiar Arif, Taufan Arif, Taufan Arifin, Hidayat Arslan Kamil Aries Arslan Kamil Aries Asriani, Nilam Suci Auridsa Nihlahani Azmi, Elvina Eka Nur Bachtiar, Arief Bachtiar, Arief . Bagas Iman Bahreisy Balqis, Janessa Fatiha Bisma Cici Desiyani Cinta Septanium Krisno Putri Ciptaningtyas, Maria Diah Desy Rinawaty Dina Indrati Dyah Sulistyowati Diyah Fatmasari Diyah Fatmasari Djamaluddin Ramlan Djamaluddin Ramlan Djamaluddin Ramlan, Djamaluddin Dyah Widodo Eko Adi Putra Elfa Lailatul Izza Elfa Lailatul Izza Ernawati, Naya Febrina Secsaria Handini Ferry Efendi Fiashriel Lundy Lundy Fransisca Mareta D A FRANSISKUS SALESIUS ONGGANG Gede Dalem Gilang Mahajaya Putra Gita Kostania Hariez, Tsalits Maulidah Heffy Maulidiyah Wardah Heru Santoso Wahito Nugroho Hikmatul Zainiyah I Ketut Gama I Ketut Sudiantara I Wayan Mustika Ikhsania Ikhsania Imam Subekti Intan Rizki Dwi Saputri Janah, Indra Ayu Miftakhul Jane Leo Mangi Joko Pitoyo Joko Wiyono Joko Wiyono Juwita Asfi Wibowo Kamilus Mamoh Kamso, Sudijanto Karuniriati , Tyas Alfi Kissa Bahari Komang Trisna Sumadewi Kundarti, Finta Isti Kusnanto Kusnanto Kusnanto Kusnanto Lailiyatul Mufidah Lestari, Mimin Lukman Perdana Sofyan Luluk Mamluatul Ulumy Luthfiyuddin Musthofa Mardiyono, Mardiyono Maria Diah Ciptaning Tyas Marsaid marsaid Martzarini, Virginia Matje Meriati Huru Mohammad Afandi Muh. Ainul Falihin Nadia Sari Nataliswati, Tri Naya Ernawati Naya Ernawati Ngesti W. Utami Ni Wayan Rusni Ningsih, Rastia Nursalam, Nursalam NURUL HIDAYAH Nurul Hikmatul Qowi Pertami, Sumirah Budi Prabawa, Artha Prakosa, Mira Melynda PRIMANINGSIH, DEWI Putro, Edi Utomo Rachmad Satriya Illahi Raihan, Moh Fadhil Rastia Ningsih Reni Wahyu Triningsih Rita Yulifah Rita Yulifah Rochmawati, Dewi Roni Yuliwar Rudi Hamarno Rudi Hamarno Rudi Hamarno Sanglar Polnok Sari, Yunita Indah Sa’adah, Nabila Nida SEPTDIANTO, TRI CAHYO Shofiyah Karimah Sholehah, Ummatus Solikhah, Fitriana Kurniasari Sri Wahyuni Badjuka Sugianto Hadi Sujono, Annisa Juliani Sulastyawati, Sulastyawati Suparji Suparji Supono Supono Supono Supono Suprajitno Suprajitno, Suprajitno Suprapti, Suprapti Supriandi, Supriandi Ta'adi taadi taadi, Ta'adi Tanjung Subrata Tanko Titus AUTA Tanto Hariyanto Tavip Dwi Wahyuni Tavip Dwi Wahyuni Tiana Rachmadita Tri Anjaswarni Tri Cahyo Sepdianto Tri Lestari Wulandari Tris Eryando Tsaniyah Septi Ahillah Utama, Nang Randu Wardani, Retno Wisnu Widya, Fina Wiwin Martiningsih Wulandari, Elfitra Dwi Zalena, Sarah