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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Health Notions JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Jurnal Integrasi Kesehatan dan Sains INDOGENIUS Jurnal Pandu Husada Malacca Pharmaceutics
Cecep Triwibowo
Politeknik Kesehatan Kementerian Kesehatan Medan
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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PENGEMBANGAN INSTRUMEN CARING BERBASIS NEED ASSESMENT PADA PASIEN DAMPAK HOSPITALISASI DI BANGSAL PEDIATRIC INTENSIVE CARE UNIT RSUD DR PRINGADI MEDAN Triwibowo, Cecep
Jurnal Mutiara Kesehatan Masyarakat Vol 1 No 1 (2016): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (64.279 KB)

Abstract

Kata Kunci: Instrumen Caring
PENGARUH PENYULUHAN TERHADAP PENGETAHUAN DAN SIKAP IBU TENTANG ASI EKSKLUSIF DI POSYANDU CEMPAKA II PUSKESMAS PEMBANTU KWALA BEKALA MEDAN TAHUN 2015 Cecep, Triwibowo
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 1 No 1 (2016): Jurnal Kesehatan Masyarakat dan Lingkungan Hidup
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.24 KB)

Abstract

ASI eksklusif adalah pemberian air susu ibu kepada bayi 6 bulan pertama tanpa tambahan cairan lain, seperti susu formula, jeruk, madu, air teh, air putih, dan tambahan makanan padat, misalnya pisang, pepaya, bubur susu, bubur nasi, biskuit, tim, atau makanan lain selain ASI. Penelitian ini bertujuan untuk mengetahui pengaruh penyuluhan ASI Eksklusif terhadap pengetahuan dan sikap ibu tentang ASI Eksklusif di Posyandu Cempaka II Puskesmas Pembantu Kwala Bekala Medan tahun 2015. Jenis penelitian ini adalah Metode Quasi eksperimen dengan rancangan one group pretest-posttes, perlakuan adalah pemberian penyuluhan dan pembagian leaflet. Analisa hasil dilakukan dengan menggunakan paired sample t test. Hasil penelitian yang dilakukan terhadap 33 responden menunjukan bahwa pengetahuan sebelum dilakukan penyuluhan kesehatan (pre-test) 11 orang ibu memiliki pengetahuan baik (33.3%), 20 orang ibu memiliki pengetahuan cukup (60.6%), sedangkan 2 orang ibu memiliki pengetahuan kurang (6.1%), tetapi setelah diberikan penyuluhan kesehatan (post-test) pengetahuan ibu mengalami peningkatan menjadi baik 97% dan yang memiliki pengetahuan cukup 3%. Dan berdasarkan sikap sebelum dilakukan penyuluhan kesehatan (pre-test) sebanyak 16 orang ibu memiliki sikap positif (48.5%) dan 17 orang ibu memiliki sikap negatif (51.5%). Namun setelah diberi penyuluhan kesehatan (pos-test) adanya peningkatan dimana 29 orang ibu memiliki sikap positif (87.9%) dan yang memiliki sikap negatif menurun menjadi 4 orang ibu (12.1%). Dari hasil penelitian ini disimpulkan bahwa penyuluhan sebagai upaya promosi kesehatan memberikan pengaruh terhadap pengetahuan dan sikap ibu tentang ASI Eksklusif.Kata Kunci: Penyuluhan, ASI Eksklusif, Pengetahuan, Sikap
FAKTOR-FAKTOR YANG MEMPENGARUHI PENYEMBUHAN LUKA GANGRENE PADA PENDERITA DIABETES MELLITUS DI RUANG RAWAT INAP RSUD DR. PIRNGADI MEDAN Soep, Soep; Triwibowo, Cecep
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 10 No 2 (2015): Jurnal Ilmiah PANNMED Periode September-Desember 2015
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

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Abstract

Gangrenous wound healing is a state of gangrenous wounds experienced by patients with diabetes mellitus who said recovered and not recovered already passed the stage of the physiological process of wound healing gangrenous. Wound healing is a condition of the wound which has undergone phase of the physiological process of wound healing to say cured or not cured. Gangrenous wound healing is influenced by age, nutrition, wound care. The general objective of this study to determine the  factors that affect wound healing in diabetes mellitus gangrene in inpatient hospital DR.Pirngadi Medan in 2015. This research uses descriptive method with cross sectional study design. With accidential sampling techniques, sample size studied 20 respondents. Data collected by using observation sheets and questionnaires. The data obtained were analyzed manually through editing, coding, and tabulating presented in frequency distribution. Conclusion: gangrenous wound healing respondents said recovered as many as 17 people (85%), based on age ie 40-50 years as many as 10 people (50%) based nutrients are met as many as 14 people (70%), based on those wounds care done correctly by 20 (100%).
PERBEDAAN EFEKTIFITAS ANTARA LATIHAN FISIK DAN PROGRESSIVE MUSCLE RELAXATION (PMR) TERHADAP PENURUNAN KADAR GULA DARAH PUASA PADA PENDERITA DIABETES MELITUS TIPE 2 Casman, Casman; Fauziyah, Yulia; Fitriyana, Ikha; Triwibowo, Cecep
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 10 No 2 (2015): Jurnal Ilmiah PANNMED Periode September-Desember 2015
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

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Abstract

Diabetes Mellitus (DM) type 2 is one of metabolism problems caused by resistance or deficiency of insulin with common symptoms of hiperglycemia where the value of Fasting Blood Sugar (FBS) concentrate higher than 125 mg/dL. Physical exercise and PMR is recommended effort for DM  patient to reduce FBS concentrate. This research is conducted to know difference of effectiveness between physical exercise with PMR to reduction of FBS concentrate of DM type 2 patient in area of work Suraneggala Primary Health Center Cirebon Regency. This research used pra experiment with approach was one group pretest posttest design. Samples in research is 30 respondents selected used purposive sampling (15 respondents were given treatment of physical exercise, DM gymnastics 3 times per week for four month and 15 respondents were given treatment of PMR 2 times per day in the morning and afternoon for six days respectively). One session of exercise lasted 30 minutes. The  result of this research showed effectiveness between physical exercise effective with PMR to reduction of FBS concentrate is not difference, which suggest independent t test the value of p=0,927 (p>0,05). Physical exercise and PMR has same influence to reduce of FBS concentrate, the value of p=0,000. Means of FBS concentrate after physical exercise decreased from 171,93 to 121,73 mg/dL, means of FBS concentrate after PMR also decreased from 204,04 to 155,47 mg/dL. The conclusion of this research showed effectiveness between physical exercise with PMR to reduction of FBS concentrate in Diabetes Mellitus Type 2 patient is not difference.
Aerobic Exercise Decrease Cholesterol Levels in Type 2 Diabetes Mellitus Patients Triwibowo, Cecep; Nurjannah, Evi; Fitriyana, Ikha; Fauziyah, Yulia
Jurnal Keperawatan Soedirman Vol 13, No 1 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.1.759

Abstract

Elevated  cholesterol  level is one of  the risks  for cardiovascular disease  in diabetes mellitus. Exercise is one of therapy in patients with diabetes mellitus. The purpose of this study is to determine the effect of exercise on decrease cholesterol levels in patients with diabetes mellitus. This study used pre-post test one group design. Twenty-two patients with diabetes mellitus followed the intervention which is a twice a week exercise for 4 weeks. Cholesterol levels were measured before and after exercise. Data were analyzed by  dependent T-test. Cholesterol  levels in patients with  diabetes  mellitus before  the exercise reached 261.18±49.013 mg/dL and after intervention decreased to 224.41±26 mg/dL. Dependent t-test showed differences in cholesterol levels before and after exercise in patients with diabetes mellitus (p<0.05). Exercise can lower cholesterol levels in patients with diabetes mellitus.
Pengaruh Relaksasi Benson terhadap Penurunan Nyeri Paska Bedah pada Pasien Transurethral Resection of the Prostate. Sueb, Sueb; Triwibowo, Cecep
Jurnal Keperawatan Soedirman Vol 11, No 3 (2016)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2016.11.3.647

Abstract

Action postoperatively of transurethral resection of the prostate can cause pain and trauma. The use of non-pharmacological and pharmacology therapy can be used to reduce pain intensity in patients post-surgery. Relaxation Benson is a non-pharmacological therapy involving patient confidence factor for achieving health and welfare conditions is higher. The purpose of this study is to determine the effect of Benson relaxation of the reduction in pain intensity in patients with postoperative TURP. This study is a experiment with approaches randomized Pretest-Posttest Control Group Design. The sampling technique using total sampling 14 patients with TURP actions were divided into 2 groups: control group by administering analgesics and treatment groups by administering analgesics and relaxation Benson. Data were analyzed using paired t-test and independent T-Test. The results showed that administration of analgesics can not reduce pain intensity in patients TURP with a P value of 0156. Combination therapy of Benson relaxation and administration of analgesics can reduce pain intensity in patients TURP with a P value of 0.002. T independent test confirms that the combination therapy of relaxation Benson and giving analgesics can reduce pain intensity in patients TURP compared to only the provision of analgesia with a P value of 0.017. Conclusion The combination therapy Benson relaxation and giving analgesics can reduce pain intensity in patients with postoperative TURP.
Handover Sebagai upaya Peningkatan Keselamatan Pasien (Patient Safety) di Rumah Sakit Triwibowo, Cecep; Yuliawati, Sulhah; Husna, Nur Amri
Jurnal Keperawatan Soedirman Vol 11, No 2 (2016)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2016.11.2.646

Abstract

Communication on various information about the patient's progress is a fundamental component in patient safety. Transfer information in handover is essential to ensure the effectiveness and safety in patient care. The purpose of this research is to know the a relationship between handover with patient safety. The methods of this research used analytic correlative with cross sectional approach. This research used total sampling that is 62 nurses at Sidawangi Hospital West Java Province. Collecting data using closed questionnaire. Data were analyzed using chi square. The result of research showed 53.2 % nurses is implement handover included of good category and 51.6%  patient safety included of good category. Statistical test showed a significant relationship between the implementation of the handover with patient safety in the hospital with a P value of 0.04. The conclusion that the handover contribute to patient safety in hospitals.
Family Empowerment with SEDAP Method (Sharing, Education and Practice) in Improving the Quality of Life in Lung Tuberculosis Patients Lestari Lestari; Cecep Triwibowo; Ida Nurhayati; Nita Andriani Lubis
Health Notions Vol 5, No 3 (2021): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50308

Abstract

Introduction: Family empowerment might be considered asan effort to strengthen the role and knowledge of familywith TB patients. Objective: Proving the effectiveness of family empowerment with SEDAP (Sharing, Education, and Practice) method to improve the quality of life in pulmonary tuberculosis patients. Methods: Mixed methods research, qualitative research was done using FGD approach, while pre-post control group design was used for the quantitative research. Thirty-eighttrials of TB patients were divided into 2 groups: intervention group where family empowerment was introduced using the SEDAP method and control group. Qualitative data were collected using a recording device which would be transcripted, followed by keyword observation and analysis. Quantitative data were obtained using SGRQ questionnaires, both on knowledge and quality of life variables. Qualitative data were analyzed by interactive models, whereas quantitative data by independent samples t-tests and paired samples t-test. Results: Three main domains (knowledge, attitude, and behavior) were obtained from the FGD results, along with the keywords analyzed from each domain. Knowledge domain was associated with TB causes and routes of transmission, attitude was related to the negative stigma on TB patients, and lastly, behaviour was linked with patients’ forgetfulness in taking medication and the side effects occurred due to the medication. P-value
PENGEMBANGAN INSTRUMEN CARING BERBASIS NEED ASSESMENT PADA PASIEN DAMPAK HOSPITALISASI DI BANGSAL PEDIATRIC INTENSIVE CARE UNIT RSUD DR PRINGADI MEDAN Cecep Triwibowo
Jurnal Mutiara Kesehatan Masyarakat Vol 1 No 1 (2016): Jurnal Mutiara Kesehatan Masyarakat
Publisher : Program Studi Kesehatan Masyarakat Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (64.279 KB)

Abstract

Hospitalisasi adalah suatu keadaan krisis pada anak, saat anak sakit dan dirawat di rumah sakit. Keadaan ini terjadi karena anak mengalami perubahan dari keadaan sehat dan rutinitas lingkungan serta mekanisme koping yang terbatas dalam menghadapi stresor. Stresor utama dalam hospitalisasi adalah perpisahan, kehilangan kendali dan nyeri. Caring efektif bila dilakukan melalui hubungan interpersonal sehingga dapat memberikan asuhan mandiri, menetapkan kebutuhan personal, dan memberikan kesempatan untuk pertumbuhan personal pasien. Manifestasi perilaku caring perawat berdasarkan meningkatkan pembelajaran dan pengajaran interpersonal adalah menciptakan lingkungan yang kondusif untuk pemberian pendidikan kesehatan sesuai kebutuhan pasien, menjelaskan keluhan secara rasional dan ilmiah, meyakinkan pasien tentang kesediaan perawat untuk memberikan informasi. Populasi dalam penelitian ini yaitu keluarga pasien di ruang PICU Rumah Sakit dr Pringadi Medan berdasarkan jumlah kunjungan pasien dalam satu bulan yaitu sejumlah 17 Orang. Jumlah informan studi kualitatif yaitu 7 orang. Sedangkan tehnik pengambilan sampel pada penelitian kuantitatif menggunakan accidental sampling dan besar sampelnya menggunakan total sampling. Jumlah sampel dalam penelitian kuantitatif adalah 10 orang. Kebutuhan caring di ruang PICU terdiri dari empat indicator yaitu 1) kejelasan dalam memberikan informasi, 2) perhatian dan memotivasi, 3) ramah, sopan, dan adil, 4) kompeten . Dihasilkan instumen carin di Ruang PICU dengan jumlah pernyataan 20 item dan yang memenuhi kriteria validitas dan reabilitas bejumlah 19 item. Uji validitas diperoleh dari 20 pernyataan, 19 pernyataan dinyatakan valid dengan nilai r>0.632 dan 1 pernyataan tidak valid dengan nilai r<0.632. Uji reabilitas diperoleh bahwa pernyataan dinyatakan reliable dengan nilai alpha cronbach 0.950.
PENGARUH PENYULUHAN TERHADAP PENGETAHUAN DAN SIKAP IBU TENTANG ASI EKSKLUSIF DI POSYANDU CEMPAKA II PUSKESMAS PEMBANTU KWALA BEKALA MEDAN TAHUN 2015 Triwibowo Cecep
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 1 No 1 (2016): Jurnal Kesehatan Masyarakat dan Lingkungan Hidup
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.24 KB)

Abstract

ASI eksklusif adalah pemberian air susu ibu kepada bayi 6 bulan pertama tanpa tambahan cairan lain, seperti susu formula, jeruk, madu, air teh, air putih, dan tambahan makanan padat, misalnya pisang, pepaya, bubur susu, bubur nasi, biskuit, tim, atau makanan lain selain ASI. Penelitian ini bertujuan untuk mengetahui pengaruh penyuluhan ASI Eksklusif terhadap pengetahuan dan sikap ibu tentang ASI Eksklusif di Posyandu Cempaka II Puskesmas Pembantu Kwala Bekala Medan tahun 2015. Jenis penelitian ini adalah Metode Quasi eksperimen dengan rancangan one group pretest-posttes, perlakuan adalah pemberian penyuluhan dan pembagian leaflet. Analisa hasil dilakukan dengan menggunakan paired sample t test. Hasil penelitian yang dilakukan terhadap 33 responden menunjukan bahwa pengetahuan sebelum dilakukan penyuluhan kesehatan (pre-test) 11 orang ibu memiliki pengetahuan baik (33.3%), 20 orang ibu memiliki pengetahuan cukup (60.6%), sedangkan 2 orang ibu memiliki pengetahuan kurang (6.1%), tetapi setelah diberikan penyuluhan kesehatan (post-test) pengetahuan ibu mengalami peningkatan menjadi baik 97% dan yang memiliki pengetahuan cukup 3%. Dan berdasarkan sikap sebelum dilakukan penyuluhan kesehatan (pre-test) sebanyak 16 orang ibu memiliki sikap positif (48.5%) dan 17 orang ibu memiliki sikap negatif (51.5%). Namun setelah diberi penyuluhan kesehatan (pos-test) adanya peningkatan dimana 29 orang ibu memiliki sikap positif (87.9%) dan yang memiliki sikap negatif menurun menjadi 4 orang ibu (12.1%). Dari hasil penelitian ini disimpulkan bahwa penyuluhan sebagai upaya promosi kesehatan memberikan pengaruh terhadap pengetahuan dan sikap ibu tentang ASI Eksklusif.Kata Kunci: Penyuluhan, ASI Eksklusif, Pengetahuan, Sikap
Co-Authors Casman, Casman Elfina Elisabeth Surbakti Evi Nurjannah Fitriani Fitriani Fitriyana, Ikha Fitriyana, Ikha Harijun Husna, Nur Amri Ida Nurhayati Irma Linda Lestari Martina Siregar, Nurani Nani Zulfikar Nasution, Johani Dewita Nita Andriani Lubis Nurbaiti Nurbaiti Rismahara Lubis Soep Sueb, Sueb Tinah . Wardati Humaira Yulia Fauziyah Yulia Fitri Yuliawati, Sulhah