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Pengaruh Mobilisasi Dini Pasien Pasca Operasi Abdomen Terhadap Penyembuhan Luka dan Fungsi Pernafasan: Effect of Early Mobilization of Postoperative Abdominal Patients On Wound Healing and Respiratory Function Gusty, Reni Prima
NERS Jurnal Keperawatan Vol. 7 No. 2 (2011): NJK Volume 7, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v7i2.16

Abstract

Injury and pain resulted from surgery makes the patient too lazy to move so delays wound healing and leads respiratory complications mobilization is a prominent factor in accelerating wound healing and optimal postoperative respiratory function. Type of research is Quasi-experimental approach to posttest control group design. Research objectives were to determine the effect of early mobilization after abdominal surgery on wound healing and respiratory function. Sample were 40 patients who undergone abdominal surgery room in IRNA RSUP DR. M. Djamil Padang. Analysis using Mann Whitney test. The results showed there were significant differences in wound healing and respiratory function of patients with postoperative abdominal between groups that do not perform according to the procedure of early mobilization (control) with early mobilization group that according to the procedure (treatment) for major surgery with p = 0.000. There were no significant differences in respiratory function of patients post abdominal surgery between the control group with treatment for minor surgery with p = 0.067 and there were significant differences in wound healing of the patient post abdominal surgery between the control group with treatment for minor surgery with p = 0.000. Hospital is expected to provide facilities to the smooth extension of early mobilization after surgery and nurses implements early mobilization in nursing care plan for recovery wound and increase respiratory function.
Faktor-Faktor yang Berhubungan dengan Kecendrungan Turnover Perawat di Rumah Sakit Islam “Ibnu Sina” Yarsi Sumbar Bukittinggi: Factors Associated with Nurse Turnover Tendency Turnover of Nurses at the Islamic Hospital “Ibnu Sina” Yarsi Sumbar Bukittinggi Aryanto, Bambang; Gusty, Reni Prima; Arif, Yulastri
NERS Jurnal Keperawatan Vol. 7 No. 2 (2011): NJK Volume 7, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v7i2.23

Abstract

High turnover is a problem in the management of human resources at hospitals. The nurse turnover rate at Islamic Hospital "Ibn Sina" Yarsi Bukittinggi, West Sumatra, has tended to rise each year, with data from 2009 and 2010 showing rates of 21.3% and 24.3%, respectively. The purpose of this research is to identify factors associated with nurse turnover trends at Islamic Hospital "Ibn Sina" Yarsi Bukittinggi, West Sumatra. This research uses a descriptive analytic cross-sectional study approach. The sample consisted of 75 people, and data was collected using questionnaires. Data analysis was conducted using the Chi-Square test. The results showed that 54.7% of nurses had a tendency to leave the hospital. There was a relationship between external factors, namely the availability of jobs in other institutions, and the tendency to leave (p-value 0.039). However, no relationship was found between internal organizational factors (such as the size of the organization, leadership, compensation, job satisfaction, career development, job weights, centralization) and individual employee factors with the tendency to leave. To reduce nurse turnover, it is important for hospital administrators to review programs aimed at addressing the issue. Such programs should focus on improvements in nursing leadership, career development, and efforts to enhance job satisfaction for nurses.
Efektifitas Terapi Senam Stroke Terhadap Perbaikan Kemampuan Fungsional Pasien Paska Stroke: The Effectiveness of Stroke Exercise Therapy on the Improvement of Functional Ability in Post-Stroke Patients Basmara, Neri; Gusty, Reni Prima; Julita, Ema
NERS Jurnal Keperawatan Vol. 8 No. 1 (2012): NJK Volume 8, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v8i1.28

Abstract

Stroke exercise physical therapy is routinely performed in Dr. M. Djamil Hospital with the purpose of increasing the functional abilities of stroke patients. This study aimed to determine the difference in effectiveness of exercise therapy twice a week and three times a week in improving the functional abilities of stroke patients. The study was conducted for four weeks using a quasi-experimental design with a non-randomized approach without a pretest-posttest control group design. The sample consisted of 22 respondents who experienced ischemic stroke. The instrument used for data collection was a sheet measuring functional ability based on the Barthel index scale. The analyses were performed using the Shapiro-Wilk normality test, paired t-test, and Mann-Whitney test. The results showed that exercise therapy can improve stroke patients' functional ability after stroke, with the mean of therapy exercise stroke twice and three times a week being 9.636 (p=0.000) and 10.909 (p=0.000), respectively. However, the difference in the increase in functional ability between the two groups of participants was not statistically significant (p-value = 0.198). Based on the findings of this study, it is suggested that the management of the department of Dr. M. Djamil Padang establish guidelines for this therapy in the form of SOPs, and that the frequency of stroke therapy be performed as calisthenics three times a week for optimum improvement of functional ability to be felt by patients who follow this therapy.
Pengaruh Pelatihan Komunikasi Asertif pada Perawat Pelaksana yang Mengalami Konflik Interpersonal terhadap Kinerjanya dalam Memberikan Asuhan Keperawatan di Ruang Rawat Inap RSUD Solok: The Effect of Assertive Communication Training on Nurses Experiencing Interpersonal Conflict on Their Performance in Providing Nursing Care in the Inpatient Room at Solok Regional Hospital Allfar End Honey; Reni Prima Gusty; Yulastri Arif
NERS Jurnal Keperawatan Vol. 8 No. 2 (2012): NJK Volume 8, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v8i2.76

Abstract

This study aims to determine the effect of assertive communication training on implementing nurse who experience interpersonal conflict on their performance in carrying out nursing care at the IRNA RSUD Solok. This type of research is a quasi experimental approaches one group pretest. Samples in this studies using total sampling technique, with a sample of 24 people. Interpersonal conflict is measured by questionnaires and respondents in providing nursing care was measured using the observation sheet. Were processed using statistical tests homogeneity. Marginal test obtained p = 0.00 ( 0.05 ) this shows there is a significant effect of training assertive communication on the performance of the experienced nurses managing interpersonal conflict in providing nursing care. Suggested to the hospital to provide training of assertive working environment for all nurses in staff development programs in an effort to improve the quality of nursing care in hospitals. Then to research in order investigation with another models in manage conflicts in organization.
Pengaruh Pelatihan Berprilaku Caring Terhadap Kemampuan Caring Mahasiswa Praktek Profesi Fakultas Keperawatan Unand di RSUP Dr.M.Djamil Padang : The Effect of Caring Behavior Training on Ability Caring Skills of Professional Practice Students of the Faculty of Nursing Unand at Dr.M.Djamil Hospital Padang Reni Prima Gusty
NERS Jurnal Keperawatan Vol. 9 No. 2 (2013): NJK Volume 9, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v9i2.117

Abstract

Caring nurse behavior will be guarantee quality care, because Caring is the essence of nursing between nurses means responsive to the clients . Therefore Unand nursing faculty seeks caring training to make students better prepared to provide quality nursing care when the practice of the profession and to produce graduates who are ready kerja.Penelitian examines the effect of training on kemampun caring Caring Professions School of Nursing Students Practice Unand . This type of research experimentation Quasi one-group pretest- posttest design. Students study subjects practice the profession in Dr M Djamil Padang Hospital numbered 22 peoples and spread across nine rooms are neurologi , pulmonary , male internal , female internal , high care unit, female surgical , male surgical , trauma centere and recovery room . Instruments is queationer that measure eight capability caring consist of hear clients with caring attentive, giving a sense of security, a touch, build trusting relationships, responsibility, information, sensitive to the client, and respecting the client . Students were trained for 2 days with bedside teaching methods. Analysis of the data processed using Marginal homogenity test to see the effect of training on kemampun caring Caring Professions School of Nursing Students Practice Unand . The results showed that there is an increased ability to behave in the caring professions students of the Faculty of Nursing Unand practice after the training given to the value of p = 0.000 . Using suggestions caring approach to training in small groups more able to improve psychomotor skills of students in the practice of land . And can be used by professionals as part of main graduation loaded
Pengaruh Latihan Yoga terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 : Effect of Yoga Exercise on Blood Sugar Levels of Diabetes Patients Mellitus Type 2 Leni Merdawati; Reni Prima Gusty; Rika Fatmadona; Esi Afrianti
NERS Jurnal Keperawatan Vol. 14 No. 1 (2018): NJK Volume 14, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v14i1.186

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The International Diabetes Federation (IDF) states that more than 371 million people in the world aged 20 79 years have diabetes mellitus (DM). While Indonesia is the 7th country with the highest prevalence of diabetes, in the world. Diabetes mellitus has become a widespread epidemic, primarily because of the increasing prevalence and incidence of type 2 diabetes. DM can increase of the morbidity and mortality associated with cardiovascular disease, blindness, kidney disorders, neurological disorders and amputation. Physical activity such as yoga is a key element in the prevention and management of type 2 diabetes, The purpose of this study was to identify the effectiveness of Yoga exercise on decreasing blood sugar levels in Type 2 DM patients. This study used an experimental approach with non equivalent group comparison pre and post test design. The study subjects consist of 40 patients as experimental group and 40 patients as control group. All patient in experimental group were guided by yoga expert for reguler practice with supervision for 3 days. The result of this study show average of blood glucose level in experimental group was 217.05mg/dl with deviation standart 56,735mg/dl, while in the control group was 256.85mg/dl with deviation standart 34.04mg/dl. There was highly significant differences blood glucose average between experimental and control group (p=0,000). Yoga exercise is effective in reducing the blood glucose level on type 2 DM Patients and higly recommended as one of treatment for promotive care.
Tingkat Pengetahuan Perawat Dan Penerapan Ventilator Associated Pneumonia Bundle Di Ruang Perawatan Intensif: Nurses' Knowledge Level and Implementation of Ventilator Associated Pneumonia Bundle in the Intensive Care Unit Sri Idawati; Emil Huriani; Reni Prima Gusty
NERS Jurnal Keperawatan Vol. 13 No. 1 (2017): NJK Volume 13, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v13i1.220

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According to the Quality and Performance Report Benefits for Society Committee on Prevention and Control of Hospital Infection in 2014 found numerical Infections Ventilator Associated Pneumonia (VAP) 18.17 %, and in the last six months there were as many as 85.1% of patients in the ICU who use mechanical ventilation. Available protocol were not in accordance with the VAP bundle. Nurse was inconsistent in applying nursing intervention for VAP prevention. Research objective was to investigate orcrelation of knowledge of healthworkers with application of VAP prevention in ICU Hospital Dr. M. Djamil Padang. The research design was a descriptive cross sectional with total sample of 33 respondents. Analysis of the data by univariate and bivariate analysis. The results showed that 60 % of healthworkers had a high level of knowledge and 93.3 % of healthworkers performance in accordance with application of VAP Bundle. There was a significant relationship between knowledge level and the application of VAP Bundle in ICU (p= 0.001). Based on the research, suggested that the hospital is expected to provide variation or special training of nursing dissemination journal critical especially action mechanical ventilation so that the nurses can add insight into the latest knowledge of science so as to increase the quality of nurses. For management of room in order to establish SOP VAP Bundle to be always applied by the nurses in preventing the incidence of VAP.
Faktor-faktor yang Berhubungan dengan Distress Emosional pada Caregiver Perempuan dengan Anggota Keluarga yang Mengalami Gangguan Jiwa: Factors Associated with Emotional Distress in Female Caregivers with Mentally Ill Family Members Ira Erwina; Reni Prima Gusty; Monalisa
NERS Jurnal Keperawatan Vol. 12 No. 1 (2016): NJK Volume 12, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v12i1.234

Abstract

Caring for mental patients can be done by families and health professionals. The family is the closest to patients with mental disorders, referred as caregiver. Caregiver always give support for patient care. Caring for patients with mental disorders will make caregivers vulnerable to emotional problems such as anxiety, depression and worries. The purpose of this study was to determine the emotional distress experienced by female caregiver and the characteristics and its relationship with mental patients. Design of this research is analytic survey with purposive sampling technique. The total sample of 86 respondents, data were collected using questionnaires. The results of the data obtained and tested using correlation analysis. The result is women caregivers for experiencing emotional distress is 7.73 (77.3%), and there is a relationship between the family situation (caregiver relationship and supervision) to emotional distress, and there is no relationship between the characteristics of caregivers and the characteristics of mental disorder patients with emotional distress. Advised the caregiver to seek information and to improve the ability to solve problems.
Studi Fenomenologi Pengalaman Orang Hiv/Aids (Odha) Dalam Mendapatkan Dukungan Keluarga di Yayasan Lantera Minangkabau Support Padang: Phenomenological Study of the Experience of People with HIV/Aids (Odha) in Getting Family Support at Yayasan Lantera Minangkabau Support Padang Reni Prima Gusty; Mutia Farlina; Alfitri
NERS Jurnal Keperawatan Vol. 11 No. 1 (2015): NJK Volume 11, Number 1
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v11i1.278

Abstract

Be the people living with HIV as heavy thing in life, to confront these conditions people living withHIV desperately need family support as main support to overcome various problems that appear about theircondition such as complex diseases, psychological distress, stigma and discrimination.. But not all the PLWHAget support they need. The purpose of this research is to exploration, understand and describe the experience ofPLWH get family support. Qualitative design research with approach of descriptive Phenomenology. Datacollection with the interview on 5 participants in the Yayasan Lantera Minangkabau. Data analysis using theCollaizi technique. The research found seven themes, PLWHA has rejected response the diagnosis of HIV/AIDSand received response the diagnosis of HIV/AIDS. The family has rejected response when known the familymembers diagnosed of HIV/AIDS and received response the diagnosis of HIV/AIDS. Family support they need,family support they received and family support they received as they need. Family support they need such asemotional support, instrumental support, and informational support. The most family support wich need ofPLWHA is emotional support such as attention, support, affection and peace. Four participants has been gettingfamily support they need and one participant yet optimized family support he need,,it cause participant notready to tell another family about HIV status related the factors of risk and condition of family health. Based onthe themes expected for family to provide support that is full of empathy, received and understanding theconditions of PLWHA and get right information about HIV/AIDS.
Pemberian Latihan Rentang Gerak Terhadap Fleksibilitas Sendi Anggota Gerak Bawah Pasien Fraktur Femur Terpasang Fiksasi Interna Di RSUP. Dr. M. Djamil Padang Reni Prima Gusty; Armayanti
NERS Jurnal Keperawatan Vol. 10 No. 2 (2014): NJK Volume 10, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v10i2.323

Abstract

Gangguan fleksibilitas sendi anggota gerak bawah merupakan masalah yang sering terjadi padapasien fraktur femur pasca operasi pemasangan fiksasi interna. Upaya yang dapat dilakukan untuk mencegahgangguan ini dintaranya adalah melakukan latihan rentang gerak sendi sedini mungkin. Tujuan penelitian adalahmengetahui pengaruh pemberian latihan rentang gerak terhadap kelenturan sendi anggota gerak bawah pada pasienfraktur femur terpasang fiksasi interna. Rancangan penelitian menggunakan Quasy Eksperiment dengan pendekatanPosttest Only Control Group. Sampel adalah pasien fraktur femur post fiksasi interna hari ke dua sebanyak 20responden, dibagi dalam dua kelompok yaitu 10 responden mendapat latihan rentang gerak (eksperimen) dan 10responden melakukan latihan rentang gerak tidak sesuai aturan penelitian (kontrol). Instrument menggunakangoniometer. Perlakuan Latihan gerak dilakukan 2 kali sehari pagi dan sore hari selama 5 hari dengan durasi 15menit. Data dianalisa dengan uji statistik Mann Whitney. Hasil penelitian pada kelompok eksperimen didapatkanrata-rata kelenturan sendi setelah diberikan latihan rentang gerak yaitu fleksi sendi panggul 68,5 derajat, fleksi sendilutut 61 derajat, dorsofleksi pergelangan kaki 12,5 derajat dan plantarfleksi pergelangan kaki 47 derajat, sedangkanpada kelompok kontrol didapatkan rata-rata fleksi sendi panggul 45,5 derajat, fleksi sendi lutut 15,5 derajat,dorsofleksi 1,5 derajat dan plantarfleksi 33,5 derajat. Berdasarkan uji statistik Mann Whitney didapatkan p=0,000<0,05 yang menunjukkan ada perbedaan derajat kelenturan sendi pada kelompok eksperimen dibanding dengankelompok kontrol. Kesimpulan lebih besar peningkatan derajat kelenturan sendi pada kelompok eksperimendibanding dengan kelompok kontrol. Disarankan lakukan latihan gerak sendi post operasi fiksasi hari kedua (sedinimungakin) sehingga dapat mencegah terjadinya kekakuan pada sendi pada pasien fraktur femur terpasang fiksasi interna.