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Upaya Penderita Kusta dalam Mencegah Peningkatan Derajat Kecacatan Arif Mulyadi; Tri Cahyo Sepdianto; Eva Mitayasari
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 Daffa Basandra Putra; Taufan Arif; Tri Cahyo Sepdianto; Maria Diah Ciptaningtyas
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
PENGARUH TEKNIK RELAKSASI BENSON TERHADAP KUALITAS TIDUR LANSIA HIPERTENSI DI WILAYAH KERJA PUSKESMAS KENDALSARI Adelia Novalina; Imam Subekti; Tri Cahyo Sepdianto
Jurnal Keperawatan Terapan Vol 9 No 1 (2023): Jurnal Keperawatan Terapan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i1.3412

Abstract

Hipertensi merupakan penyakit tidak menular yang menjadi salah satu penyebab kematian primer di dunia. Pasien dengan hipertensi umumnya mempunyai kualitas tidur yang buruk, jika pasien hipertensi memiliki kualitas tidur yang buruk maka akan mempengaruhi tekanan darah pasien. Terapi relaksasi benson bisa dijadikan metode penatalaksanaan non farmakologis bertujuan untuk meningkatkan pemenuhan kebutuhan istirahat dan tidur dan membantu meningkatkan kualitas tidur lansia. Tujuan penelitian ini untuk mengatahui pengaruh relaksasi relaksasi benson terhadap gangguan pola tidur lansia dengan hipertensi. Desain penelitian quasy eksperimental dengan pendekatan pre-test post-test design with control group. Metode pengambilan Sampel yang digunakan yaitu purposive sampling dengan 30 responden sebagai sampel. Analisis yang digunkan dalam penelitian adalah univariate dan bivariate dengan mengunakan Uji Wilcoxon . Hasil dari perhitungan Wilcoxon Signed Rank Test, dengan hasil signifikan 0,001. Yang artinya Ha diterima sehingga dapat disimpulkan pada kelompok intervensi ada pengaruh terapi relaksasi benson terhadap gangguan pola tidur lansia hipertensi di Wilayah Kerja Puskesmas Kendalsari. Penelitian selanjutnya disarankan menggunakan variabel lain atau faktor lain yang dihubungkan dengan teknik relaksasi benson.
PENGARUH KOMBINASI TERAPI FISIK BRANDT DAROFF DAN TERAPI MUSIK KLASIK TERHADAP PENURUNAN TINGKAT GEJALA VERTIGO DI WILAYAH KERJA PUSKESMAS SUKOWONO KABUPATEN JEMBER Dinda Ariyantika; Rudi Hamarno Poltekkes; Tri Cahyo Sepdianto; Nurul Hidayah
Jurnal Keperawatan Terapan Vol 9 No 1 (2023): Jurnal Keperawatan Terapan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/joan.v9i1.3964

Abstract

Vertigo is a disease that is very often found in the community, which is described by feeling dizzy, giddiness and unsteadiness. One of the actions that can be taken in reducing the level of vertigo symptoms is giving Brandt Daroff physical therapy and classical music therapy. The purpose of the study is to determine the effect of Brandt Daroff's physical therapy and classical music therapy on reducing the level of vertigo symptoms. The research method used was Pre Experimental Design with Intact – Group Comparison design. The respondents of this study were patients with vertigo. The participants of the study were determined using purposive sampling. The number of sample in this study were 30 people, which were divided into 15 people in the control group and 15 people in the treatment group. The results of the Independent T - Test statistical test obtained the value of Sig. (2 – tailed) p – value = 0.011 (p < 0.05) which means that there is an effect of giving Brandt Daroff physical therapy and classical music therapy in reducing the level of vertigo symptoms. Suggestions for further researchers are to pay more attention to other factors that can affect the level of vertigo symptoms. Suggestions for health workers in the future, this theory can be applied and taught to vertigo patients to reduce the level of vertigo symptoms.
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 Aulia Fatwarini; Budiono Budiono; Nurul Hidayah; Tri Cahyo Sepdianto; Edy Suyanto
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.
Gambaran Nyeri Pasien Terpasang Ventilator Mekanik Nindi Vika Lestari; Dewi Rachmawati; Tri Cahyo Sepdianto
Jurnal Keperawatan Malang Vol 9 No 1 (2024): 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.v9i1.256

Abstract

Background: The installation of a ventilator is a stressor that can cause discomfort and anxiety, potentially leading to complications and having serious impacts on the patient's condition. Objective: To determine the pain scale in patients with mechanical ventilators using the CPOT. Method: The design is descriptive, involving a sample of 30 individuals who meet the criteria of being ventilator-dependent on day 1 and classified as priority 1 critical patients. The sample was taken using an accidental sampling technique. The instrument used is the CPOT pain scale, which consists of four indicators: facial expressions, body movements, muscle tension, and compliance with the ventilator and vocalization (for non-intubated patients). Result: The research results showed that 60% of respondents experienced mild pain, 26.6% experienced moderate pain, and 13.3% experienced severe pain. These differences in pain levels are due to the varying interventions provided to the patients, which impacted physiological responses in the form of vital signs. Implication: It is recommended for nurses to identify the pain scale in patients attached to ventilators and provide psychotherapy to reduce pain so that patients can avoid complications. 
Diabetes Melitus Emergency Prevention Behavior: Hyperglycaemia With Health Belief Model Arina Ainul Fadlilah; Tri Cahyo Sepdianto; Dewi Rachmawati
Health Gate Vol 4, No 2 (2026): April, 2026
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4204

Abstract

Diabetes melitus emergencies are drastic changes in blood sugar levels that result in a decrease in consciousness if no prevention is taken. The Health Belief Model is a health behaviour theory to understand individual health behaviour including six basic components (Perceived Vulnerability, Perceived Severity, Perceived Benefits, Perceived Barriers, Cues to Action, self-efficacy. This study was conducted to determine the prevention behaviour of diabetes melitus emergencies: hyperglycemia with the Health Belief Model approach. This research uses descriptive method. The sample size was 30 DM patients who were taken with purposive sampling technique. Data collection using a questionnaire of preventive behaviour of diabetes melitus emergencies: belief-based hyperglycaemia as many as 19 questions. Data analysis technique using univariate analysis. A total of 46.7% of DM patients have a vulnerable risk of hyperglycaemia, 40% of DM patients have a severe risk of hyperglycaemia, 50% of DM patients have a beneficial risk of hyperglycaemia, 36.7% of DM patients have a risk of obstacles, 50% of DM patients have a capable risk of hyperglycaemia, 50% of DM patients have a risk of hyperglycaemia encouragement all tend to prevent hyperglycaemia. Diabetes melitus emergency prevention behaviour: hyperglycaemia tends to prevent hyperglycaemia because they are aware of the importance of controlling blood sugar levels, afraid of the dangers of diabetes complications, feel the benefits of treatment and a healthy lifestyle, motivated to behave healthily, supported by counseling and family support, high motivation in preventing hyperglycaemia.
Description of Stress Level of Diabetes Mellitus Patients with Hyperglycemia Yeyen; Dewi Rachmawati; Tri Cahyo Sepdianto
Journal of Ners and Midwifery Vol 13 No 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i1.ART.p028-039

Abstract

Diabetes mellitus with hyperglycemia is a concern because it can cause short-term and long-term complications. Ineffective stress management can affect the difficulty of controlling blood sugar levels. The purpose of this study was to describe of the stress level of diabetes mellitus patients with hyperglycemia. The research design method used a quantitative descriptive, with a purposive sampling technique and the total sample 39 respondents with inclusion criteria, namely that patients with hyperglycemia with their blood sugar levels ≥ 250 mg/dl and accompanied by comorbidities such as stroke, Chronic Kidney Disease (CKD), or acute coronary syndrome. The data collection instrument used is DASS−42 questionnaire sheet consists of 14 stress statement with a total of 42 questions with indicator difficulties in relaxing, nerve passion, and easily sad or agitation, and impatience. 0 assessment if yo never, score 1 if sometimes, score 2 if often, score 3 if always. The results were grouped when the normal stress was: 0−14, mild stress: 15−18, moderate stress: 19−25, severe stress: 26−33, dan very hard: >34. Based on the results showed that 48.72% (19 people) had a moderate stress level category, mild stress of 33.33% (13 people), severe stress of 12.82% (5 people) and normal stress of 5.13% (2 people). Based on the results of this study, factors that cause moderate stress levels due to age factors, prolonged 1−5 years, and irregular treatment.
Efektivitas Health Education Berdasarkan Teori Health Promotion Model Dan Strategi Self Monitoring Terhadap Kepatuhan Penatalaksanaan Hipertensi Pada Pasien Hipertensi Aprilia; Tri Cahyo Sepdianto; Marsaid Marsaid; Imam Subekti
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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

Abstract

Objective: Currently, many hypertension sufferers tend not to comply with their prescribed treatment. Low adherence to hypertension treatment is a significant obstacle in hypertension management. This study aims to analyze the effectiveness of health education and self-monitoring strategies on hypertension management compliance. Methods: The study used a quasi-experimental design with a two-group pre-post test approach, involving 40 respondents who were divided into treatment and control groups through purposive sampling. Health education used booklets and animated videos. The adherence instrument used the MMAS-8, while monitoring of signs, symptoms, and risk factors was recorded using a hypertension control card. Data analysis was performed using the Wilcoxon test and the Mann–Whitney test. Results: The results of the study showed that in the pre-test, the average level of compliance of the treatment group was low (5) and the control group was low (2.52). In the post-test, the average level of compliance of the treatment group increased significantly (7.51) and the control group remained low (1.83). The Wilcoxon test results obtained a p value = 0.00 (<0.05), meaning there was a significant difference in the level of compliance pre and post in the treatment group. Meanwhile, the Mann-Whitney test results obtained a p value = 0.000 < (0.05), meaning there was a significant difference in the level of compliance post between the two groups, so it was concluded that Health education based on the Health Promotion Model and self-monitoring strategies were proven effective in increasing compliance with hypertension management. Conclusion: It is hoped that community health centers and health workers can implement health education using booklets and videos to increase understanding of hypertension management and use the Self-Control Card to monitor signs, symptoms and risk factors in hypertension sufferers.
WORK FATIGUE OF OPERATING ROOM NURSES AND ITS CORRELATION WITH SLEEP QUALITY Tri - Anjaswarni; Luthfi Choirun Nissa; Tri Cahyo Sepdianto; Arief Bachtiar
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