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Penambahan Berat Badan antara Dua Waktu Hemodialisa pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di RSD Mardi Waluyo Kota Blitar Sepdianto, Tri Cahyo; Suprajitno, Suprajitno; Usmiati, Erna
Journal of Ners and Midwifery Vol 4 No 1 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v4i1.ART.p064-069

Abstract

The Interdialysis Weight Gain more than 5 % of weight dry can result in negative towards patients of them hypotension , edema , shortness of breath , lightheaded and can lead to the death .Research objectives is to find interdialysis weight gain in Chronic Kidney Disease Patients. A method in this research use descriptive design .Population in this study all patients of chronic kidney disease who get hemodialisa in installation hemodialisa RSD mardi waluyo blitar are 89 peoples , uses the technique total population. Data collection is performed by measuring weight patients after hemodialisa ago and before hemodialisa next .This research result that weight gain between the two time lightweight hemodialysis 60,7%, 12,4% on average, and 26,9% of danger . Extra weight category of danger caused because patients do not adhere to diet. Recommendations from the study is expected to become an evaluation for installation hemodialisa RSD Mardi Waluyo Blitar to increase intervention on patients who get hemodialisa .
Upaya Penderita Kusta dalam Mencegah Peningkatan Derajat Kecacatan Mulyadi, Arif; Sepdianto, Tri Cahyo; Mitayasari, Eva
Journal of Ners and Midwifery Vol 4 No 3 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v4i3.ART.p186-191

Abstract

Kusta adalah penyakit kronik yang terutama menyerang kulit dan saraf tepi serta mengakibatkan ulserasi mutilasi dan deformitassehingga dapat menimbulkan masalah sosial, psikologis, dan ekonomis.. Tujuan penelitian ini mengetahui upaya penderita kusta dalam mencegah peningkatan derajat kecacatan. Metode penelitian ini adalah deskriptif dengan populasi seluruh penderita kusta yang mengikuti Kelompok Perawatan Diri (KPD) di Puskesmas Sutojayan dan Ponggok kabupaten Blitar. Jumlah sampel sebanyak 26 orang diambil dengan teknik sampling jenuh. Pengumpulan data dilakukan dengan kuesioner dan observasi. Hasil penelitian menunjukkan bahwa upaya yang dilakukan penderita kusta dalam mencegah peningkatan derajat kecacatan kusta meliputi 42.3% kategori baik, 50% kategori cukup, dan sisanya 7.7% dalam kategori kurang. Upaya pencegahan kecacatan akibat kusta yang kurang dilakukan adalah senam kaki maupun jari tangan untuk mencegah kekakuan pada bagian tersebut. Rekomendasi penelitian ini diharapkan peran Puskesmas dan tenaga kesehatan untuk meningkatkan dukungan dan motivasi kepada penderita kusta dalam melakukan upaya pencegahan derajat kecacatannya.
Positive Effect of Chewing Gum and Early Mobilization on Intestinal Peristalsis Putra, Daffa Basandra; Arif, Taufan; Sepdianto, Tri Cahyo; Ciptaningtyas, Maria Diah
Journal of Ners and Midwifery Vol 10 No 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i1.ART.p092-099

Abstract

Decreased intestinal peristalsis due to anesthesia before laparotomy surgery can result in inhibition of nerve impulses to the intestinal muscles, paralytic ileus can occur and inhibition of the work of the intestine itself. The purpose of this study was to determine the effect of chewing gum and early mobilization on intestinal peristalsis after laparotomy surgery. The research design used a quasi-experimental. The sampling technique used purposive sampling with 32 respondents divided into 2 groups. The treatment group was given an intervention of chewing gum and early mobilization, while the control group was given an intervention according to standard operating hospital procedures, namely tilting right and left and given 2 spoons of drinking after the patient was fully conscious in the room. The independent variables were chewing gum and early mobilization. The dependent variable was intestinal peristaltic. This study used univariate analysis to determine the characteristics of respondents. The bivariate analysis used paired t test and independent t test. The paired t test in the pre-posttest in the control group was 0.000, while the pre-posttest in the treatment group was 0.000. Independent T test on the post-test of the treatment group with the post-test of the control group of 0.000. There was an effect of chewing gum and early mobilization intervention on intestinal peristalsis in post laparotomy patients. Chewing gum and early mobilization can stimulate hormones in the gastrointestinal system such as gastrin, secretin, gastric inhibitory polypeptide, cholecystokinin, motilin, and enteroglukagon which will increase intestinal peristalsis
WORK FATIGUE OF OPERATING ROOM NURSES AND ITS CORRELATION WITH SLEEP QUALITY Anjaswarni, Tri -; Nissa, Luthfi Choirun; Sepdianto, Tri Cahyo; Bachtiar, Arief
Jurnal Keperawatan Vol 10 No 1 (2025): May
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v10i1.1994

Abstract

Work fatigue in operating room nurses is a critical issue that affects nurse performance and patient safety. Nurses who are exhausted show symptoms such as reduced activity levels, decreased motivation, sleep disturbances and difficulty concentrating. This condition has an impact on the quality of work of operating room nurses and is dangerous for patients. The purpose of this study to analyze the relationship between work fatigue and sleep quality among operating room nurses. This quantitative study utilized a correlational design, involving 20 respondents selected through a total sampling technique, comprising all operating room nurses at Karsa Husada Hospital Batu. Data analysis was conducted using a Spearman Rank Correlational test. The study found moderate levels of work fatigue and poor sleep quality among the participants. There is a significant relationship between work fatigue and sleep quality, with a p-value of 0.001 and r = 0.682, indicating a strong and positive correlation. This means that increased work fatigue resulting in poor sleep quality. Excessive activity in operating room nurses leads to work fatigue, resulting in poor sleep quality. It is recommended that operating room management adjust shift schedules according to worker capacity and provide adequate rest periods to reduce fatigue and improve sleep quality
The Effect Of Hot Pack Administration On The Incidence Of Shivering Postoperative Laparatomy With Spinal Anesthesia at Wava Husada Hospital: Pengaruh Pemberian Hot Pack Terhadap Kejadian Shivering Post Operasi Laparatomi Dengan Spinal Anestesi Di Rs Wava Husada Fatwarini, Aulia; Budiono, Budiono; Hidayah, Nurul; Sepdianto, Tri Cahyo; Suyanto, Edy
Jurnal Keperawatan Terapan Vol 11 No 1 (2025): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v11i1.5373

Abstract

Shivering, which often occurs after spinal anesthesia if left unchecked can worsen postoperative conditions, causing perioperative hypothermia. The purpose of this study was to determine the effect of giving hot packs on the incidence of shivering after laparatomy surgery with spinal anesthesia. The research method used Quasi Experimental Two Group Pretest-Posttest Design. Non-probability sampling technique with accidental sampling type totaling 38 respondents, with Shapiro wilk normality test and wilcoxon rank-sum test. The research instrument used an electric hot pack, the intervention was given once for 15 minutes on the right and left forearms. Research in the treatment group showed that most of them experienced shivering. The results of the Wilcoxon rank-sum test in the intervention group were (p = 0.000), in the Mann Whitney test with the results (p = 0.000) which means there is an effect of giving before and after hot packs on the degree of shivering in patients post laparatomy surgery with spinal anesthesia. Giving hot packs is proven to have an effect in reducing shivering and increasing body temperature in postoperative laparatomy patients with spinal anesthesia. This simple intervention can help improve patient comfort and recovery after surgery. It is expected that health workers use hot packs as an action to overcome shivering.
Pelaksanaan Self Monitoring of Blood Glucose pada Pasien DM Tipe 2 di Kota Blitar: Bahasa Indonesia Sepdianto, Tri Cahyo
Jurnal Keperawatan Malang Vol 4 No 1 (2019): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v4i1.80

Abstract

Self Monitoring of Blood Glucose is an examination of blood sugar carried out by patient themselves. The purpose of this study is to decribe the implementation of the Self Monitoring of Blood Glucose. The study design with a sample of 30 people. Questionnaire and observation are used for data collection. The result showed that patients who performed Self Monitoring of Blood Glucose were 50% (15 patients) (n=30) had a blood sugar profile in the normal range when fasting blood sugar was 53% (8 patients) and 2 haours post prandial were 73% (11 patients) with a place of execution at home and health services as much as 47% (14 patients). The purpose of this Carlsen study is to help patient to control their blood sugar profile.
Anxiety Levels in Diabetes Mellitus Patients with Diabetic Foot Ulcers Abiddin, Andi; Aldila Setiawan; Tri Cahyo Sepdianto
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Unmanaged diabetes can lead to various serious complications, one of which was the occurrence of diabetic foot ulcers. When patients experienced diabetic ulcers, it triggered anxiety. The aimed of this study was to determine the anxiety levels of diabetic patients with diabetic foot ulcers. The design of this study used a descriptive quantitative design with a population of 30 inpatients in the Wijaya Kusuma ward at Dr. Soedono Hospital, Madiun. The sampling used in this study was total sampling, and the method used to measure anxiety in this study was the “Hamilton Anxiety Rating Scale” (HARS), conducted from April 29 to May 4, 2024. The results found that more than half of the patients were female, and patients with anxiety levels were entirely in the severe anxiety category, with a small portion of patients aged 51-70 years experiencing severe anxiety. The study results showed that there was mild to severe anxiety in diabetic patients with diabetic foot ulcers, which was related to factors such as age, wound severity, and patient age. With this research, it was expected that healthcare professionals, especially doctors, nurses, and also the patients' families, could provide support and motivation to the patients to prevent excessive anxiety
Design of Hyacinth Dressings as an Alternative to Sterile Wound Covers in Diabetes Mellitus Wounds Anam, Agus Khoirul; Sepdianto, Tri Cahyo; Aviyanti, Desyta Dwiyana
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3406

Abstract

Diabetic Wounds are a complication of diabetes that requires optimal care in a hospital and can cause serious complications and require significant costs. The method used in this study is Research and Development, the research procedure uses the ADDIE model which consists of 5 stages including Analysis, Design, Development, Implementation. The number of participants was 14 people consisting of 2 diabetic wound patients, 10 nurses from the Mitra Medika Clinic, 2 expert validators, namely doctors from the Mitra Medika Clinic and a supervisor of a diploma three Nursing lecturer in Blitar. Based on the results of the research conducted in stages, in the final stage the expert validator assessor stated that the product was suitable for use with a criterion value of 81%-100%. So that the product resulting from this study can be an Alternative Sterile Wound Cover for Diabetic Wounds so as to accelerate wound healing that is easily available, affordable and environmentally friendly.
The Ability of The Adaptation Process According to Callista Roy's Theory is Related to Work Stress in Nurses in The Operating Room Andriani, Selfiyah; Yuswanto, Tri Johan Agus; Sepdianto, Tri Cahyo; Anjaswarni, Tri
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss4.1567

Abstract

Nurses in the operating room feel that they lack concentration in carrying out surgery because fatigue during emergency operations can result in increased work stress. The process of adaptation is a way that affects behavior in managing stress. The purpose of the study was to prove that there is a relationship between the ability of the adaptation process according to Callista Roy's theory in nurses with work stress in the operating room of Mardi Waluyo Hospital Blitar. This research method is quantitative using a cross-sectional design. The study sample was 28 nurses in the operating room with the total sampling technique. The independent variable of adaptability of the adaptation process was measured with the questionnaire sheet and the dependent variable of work stress was measured with the DASS 42 questionnaire sheet. Data analysis using Spearman test. The research results show that the ability of the adaptation process was mostly moderate in 17 people (60.7%) and work stress was almost half that of normal stress in 12 people (42.9%). The conclusion is there is a significant relationship between the ability of the adaptation process and nurses' work stress with a p-value of 0.001≤0.05 meaning that there is a significant relationship between the ability of the adaptation process with work stress in nurses in the operating room, the direction of the relationship from r count -0.577* is strongly correlated with the direction of negative relationships, meaning that the increasing adaptability the lower the level of work stress.