Articles
Peningkatan Capaian Kompetensi Kognitif Mahasiswa Akper Pemkab Ponorogo Dengan Penerapan Peer-Assisted Learning (PAL)
Andriani, Wiwiek Retti;
Rosa, Elsye Maria;
Afandi, Moh.
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 3 (2017): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta
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DOI: 10.18196/ijnp.1368
Proses pembelajaran yang ditekankan saat ini adalah student centered learning, pembelajaran ini memberikan kesempatan mahasiswa untuk membangun sendiri pengetahuannya sehingga akan memperoleh pemahaman mendalam. Salah satu pembelajaran inovatif dengan strategi student centered learning yaitu Peer-Assisted Learning (tutor sebaya). Metode PAL mampu meningkatkan pemahaman (secara kognitif) pada tutor dan tutees, dikarenakan konsep-konsep dapat dijelaskan secara sederhana dengan menggunakan bahasa yang paling mudah difahami dan sesuai dengan level mahasiswa. Konsep ini dikenal sebagai konsep keselarasan kognitif (cognitive congruence). Tujuan penelitian ini adalah menganalisis penerapan metode peer-assisted learning (PAL) dalam meningkatkan pencapaian kompetensi kognitif mahasiswa.Penelitian ini menggunakan desain quasy experiment dengan rancangan pre and post-test with control group design. Tehnik sampling menggunakan simple random sampling, dengan sampel sejumlah 60 mahasiswa semester empat yang terbagi menjadi dua kelompok perlakuan dan kontrol. Instrumen penelitian menggunakan multiple choice question. Data dianalisis menggunakan t-test, dengan α = 0.05.Hasil uji statistik menunjukkan bahwa rata-rata nilai pre-test dan post-test mengalami perubahan signifikan (p value 0.000). Nilai rata-rata pre-test (42,40) termasuk dalam kategori tidak kompeten sedangkan nilai rata-rata post-test (84,27) sehingga termasuk dalam kategori kompeten. Sedangkan pada kelompok kontrol sebelum perlakuan nilai mean (40,67) termasuk dalam kategori tidak kompeten. Setelah mendapatkan intervensi non-PAL, nilai mean meningkat menjadi (69,60) termasuk kategori tidak kompeten.Penerapan peer-assisted learning berpengaruh signifikan untuk meningkatkan kompetensi kognitif mahasiswa.
The Effect of Egg White Consumption on the Healing of Perineal Wounds in Post Partum Mothers at Harjono Ponorogo Hospital
Yustina Purwaningsih;
Wiwiek Retti Andriani
Health Notions Vol 6, No 3 (2022): March
Publisher : Humanistic Network for Science and Technology (HNST)
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DOI: 10.33846/hn60302
Postpartum period is a period of reproductive organs recovery that undergoing major changes during pregnancy and childbirth, for example perineal tear recovery. Acceleration of perineal wound healing during the postpartum period is expected to prevent postpartum mother from infection. The research aimed to determine the effect of egg white consumption on the healing of perineal wounds in post partum mothers at Harjono Ponorogo Hospital. The research method is experiment with a population of postpartum mothers who suffered perineal wounds at Dr. HarjonoPonorogo Hospital, The sample in this research were 51 respondents which were divided into 3 groups, namely the control group, the first case group was giving 5 egg whites per day for 6 days and the second case group was giving 3 egg whites per day for 6 days. Each group consists of 17 respondents. Then the sample were analyzed using the che square statistical test. The results of the research is P volue 0.022 < from α 0.05. The result showed that there is a positive influence of egg white consumtion on postpartum maternal perineal wound healing. It is recommended for postpartum mothers to consume at least 3 egg whites a day to speed up the healing process of perineal wounds.Keywords: egg white; perineal wound healing; postpartum mothers
Exercise Habits and Family Disease History as Determinant of Activity Intolerance and ECG Patterns of Patients with Acute Coronary Syndrome (ACS)
Wiwiek Retti Andriani;
Agus Wiwit Suwanto;
Heru Wiratmoko;
Agung Eko Hartanto;
Sumy Dwi Antono;
Endang Purwaningsih;
Gandes Widya Hendrawati;
Mirza Failasufi;
Langgeng Cahyono
Health Notions Vol 6, No 4 (2022): April
Publisher : Humanistic Network for Science and Technology (HNST)
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DOI: 10.33846/%x
Acute Coronary Syndrome (ACS) occurs due to blockage of coronary blood vessels which causes a decrease in oxygen flow and advanced conditions has an impact on physical activity. Factors associated with activity intolerance and ECG patterns suc as: sex, age, education, history of previous illnesses, exercise habits, family history of illness. The study involved all patients diagnosed with NSTEMI in the ICCU room at RSUD Dr. Harjono, a sample of 30 respondents was selected using a consecutive sampling technique. This research was analyzed by multivariate analysis. The result of this research showed that factors that influence the tolerance of the activities of patients with coronary heart disease were sports habits and a history of previous illnesses. The respondent's habit of exercising affected the complaints that arise during the activity (each p-value was less tha 0.05). As conclusion, factors that affect the activity intolerance of coronary heart disease patients are physical exercise habits and family history of disease. Keywords: determinant factors; activity intolerance; ECG patterns; acute coronary syndrome
Increased Activity Tolerance based on Hemodynamic Status in Patients Coronary Heart Disease After Physical Rehabilitation of Phase I (Inpatient)
Wiwiek Retti Andriani;
Endang Purwaningsih
Media Keperawatan Indonesia Vol 3, No 1 (2020)
Publisher : Universitas Muhammadiyah Semarang
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DOI: 10.26714/mki.3.1.2020.1-9
Coronary Heart Disease (CHD) is caused by atheroma/plaque attached to the endothelial lining of the coronary arteries which causes blockages in oxygen and nutrient distribution to the tissues. This condition causes CHD patients to experience deficits in functional capacities, such as self-care ability, incapacity for performing the activity of daily living and also social activities. This study aims to analyze activity tolerance based on hemodynamic status (respiration, blood pressure, pulse frequency, oxygen saturation) in CHD patients after phase 1 physical rehabilitation (inpatient). The research method is quasy experiment one group pre-post-test research method. The results of data analysis using the Friedman test found that there was a significant effect on respiration on days 2, 3, systolic blood pressure on days 1 and 3, no significant effect on diastolic blood pressure, significant changes in oxygen saturation on days 1, 2, and 3, changes in pulse frequency on days 1 and 3.
Studi Literatur Asuhan Keperawatan Pada Klien Stroke Non-Hemoragik Dengan Risiko Gangguan Kerusakan Integritas Kulit
Anisa Vira Rahmayanti;
Wiwiek Retti Andriani
Tirtayasa Medical Journal Vol 1, No 1 (2021): November
Publisher : Universitas Sultan Ageng Tirtayasa
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DOI: 10.52742/tmj.v1i1.12502
Stroke merupakan gangguan fungsional otak fokal maupun global secara mendadak dan akut yang berlangsung lebih dari 24 jam dikarenakan defisit suplai darah yang diakibatkan oleh sumbatan sehingga disebut dengan stroke non-hemoragik. Gangguan aliran darah pada otak mengakibatkan rusaknya jalur motorik, sehingga memungkinkan disfungsi berupa hemiplagia atau hemiparesis. Kondisi bedrest menyebabkan tekanan pada suatu bagian tertentu yang berpotensi risiko kerusakan integritas kulit. Tujuan penelitian studi literatur ini untuk mengetahui asuhan keperawatan pada klien stroke non-hemoragik dengan risiko gangguan kerusakan integritas kulit. Kriteria hasil yang ditetapkan pada kedua jurnal yaitu integritas jaringan: kulit dan membran mukosa dengan indikator: integritas kulit yang baik bisa dipertahankan (sensasi, elastisitas, teperatur, hidrasi, pigmentasi), tidak ada luka/lesi pada kulit, perfusi jaringan baik, menunjukkan pemahaman dalam proses perbaikan kulit dan mencegah terjadinya cedera berulang, mampu melindungi kulit dan memperhatikan kelembaban kulit dan perawatan alami. Intervensi yang ditetapkan adalah pressure management yang diimplementasikan selama 5 hari pada jurnal 1 dan 8 hari jurnal ke-2. Hasil evaluasi dari masing-masing klien selama perawatan 5 dan 8 hari masalah teratasi sebagian dibuktikan dengan berkurangnya pigmentasi kemerahan pada area punggung dan pinggul, serta berkurangnya sensai panas pada area punggung dan pinggul. Pentingnya memahami dan mempelajari saat perawat memberikan edukasi tindakan preventif kerusakan integritas kulit pada klien bedrest guna menunjang gerakan pencegahan. Tindakan mandiri klien ataupun keluarga yang dapat dilakukan yaitu perawatan kulit dengan cara mengoleskan produk yang tidak memiliki kontra indikasi pada kondisi kulit, misal menggunakan produk bahan lotion/oil guna menjaga kelembaban kulit dan rutin memobilisasikan klien setiap 2 jam.
Pemberdayaan Perempuan Kader PTM-DM Si Manis di Masa Pandemi Covid-19
Wiwiek Retti Andriani;
Fiky Niswati Yuslihah;
Dewi Ikhfina Karima
National Multidisciplinary Sciences Vol. 1 No. 4 (2022): Proceedings SEMNAS PSW 2021
Publisher : Universitas Muhammadiyah Jember
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DOI: 10.32528/nms.v1i4.111
Pandemi Covid-19 memberikan dampak besar pada semua aspek pelayanan di masyarakat, terutama layanan kesehatan. Pelayanan Posbindu atau Prolanis selama pandemic Covid-19 tidak dapat dilaksanakan sehingga lansia dengan Penyakit Tidak Menular (PTM) terutama Diabetes Melitus (DM) tidak bisa mendapatkan pelayanan maksimal. Kader PTM-DM memiliki peran besar dalam penanganan PTM-DM di masyarakat. Tujuan kegiatan untuk meningkatkan kemampuan Kader Si Manis dalam membantu self-manajemen and self-care behavior pasien DM. Pemberdayaan perempuan Kader PTM-DM melalui edukasi diawali dengan pre-test dan diakhiri post-test. Hasil menunjukkan peningkatan pengetahuan (40%) tentang peran kader dalam pendampingan program si Manis, pengetahuan tentang syarat menjadi kader meningkat (30%), dan pengetahuan tindakan yang bisa dilakukan kader di Posbindu PTM-DM meningkat (50%). Kemampuan mengenali faktor risiko, mampu mengenali 3 faktor dari 6 faktor (50%). Kemampuan dalam mengukur lingkar perut dan menghitung IMT meningkat (20-30%). Diperlukan tindak lanjut edukasi dan pendampingan pada Kader PTM-DM Si Manis terutama 5 Pilar Tatalaksana DM.
COVID-19 DI DESA KUTUWETAN KECAMATAN JETIS KABUPATEN PONOROGO
Wiwiek Retti Andriani;
Endang Purwaningsih;
Fiky Niswati Yuslihah;
Dewi Ikhfina Karima
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 6 No 1 (2022): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang
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DOI: 10.31290/j.idaman.v(6)i(1)y(2022).page:13-18
PTM-DM cadres have a big role in handling DM in the community. During the Covid-19 pandemic, the role of cadres is very much needed to help DM sufferers to carry out self-care. This is because, during the Covid-19 Pandemic, Posbindu or Prolanis services were not carried out. This community service activity aims to help PTM-DM Si Manis cadres improve their ability to control PTM through education and assistance to cadres about the management of DM patients with the 5 Pillars of DM.
EDUKASI TENTANG COVID-19 DAN ADAPTASI ERA NEW-NORMAL LIFE DI DESA KUTUWETAN KECAMATAN JETIS KABUPATEN PONOROGO
Wiwiek Retti Andriani;
Agus Wiwit Suwanto
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 5 No 1 (2021): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang
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DOI: 10.31290/j.idaman.v(5)i(1)y(2021).page:11-19
The government's policy of removing large-scale social restrictions (PSBB) and the existence of a new-normal life policy have generated mixed perceptions and responses in the people of Kutuwetan Village, Jetis District, Ponorogo Regency. Many residents do not comply with the health protocol regarding wearing masks and washing hands on the grounds that there are new-normal recommendations (normal life). This is related to public knowledge of Covid-19 and how to live healthy behavior in the new-normal life. Therefore, community empowerment is very necessary to increase knowledge so that there is a change in people's behavior to reduce the transmission of Covid-19. The purpose of this activity is to change people's behavior by increasing knowledge and empowering the community. The activities carried out are in the form of structured education in several sessions for sub-district and village officials, representatives of community leaders, representatives of TP-PKK mothers, and representatives of Karang Taruna in Kutuwetan Village. The results of the implementation of the activities were evaluated using a questionnaire that was measured pre-post, with the average result of the pre-test score being 95% in the category of sufficient knowledge, while the post-test results the test obtained 70% good knowledge category, then there is an increase in knowledge about Covid-19 and how to prevent it as well as changes in people's behavior in clean and healthy living which is seen from washing hands, wearing masks, keeping a distance. The output of the activity is in the form of journal publication. The follow-up evaluation was carried out with the Kutuwetan Village Satgas (task-force) Covid-19.
Studi Literatur Asuhan Keperawatan Pada Klien Stroke Non-Hemoragik Dengan Risiko Gangguan Kerusakan Integritas Kulit
Anisa Vira Rahmayanti;
Wiwiek Retti Andriani
Tirtayasa Medical Journal Vol 1, No 1 (2021): November
Publisher : Universitas Sultan Ageng Tirtayasa
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DOI: 10.62870/tmj.v1i1.12502
Stroke merupakan gangguan fungsional otak fokal maupun global secara mendadak dan akut yang berlangsung lebih dari 24 jam dikarenakan defisit suplai darah yang diakibatkan oleh sumbatan sehingga disebut dengan stroke non-hemoragik. Gangguan aliran darah pada otak mengakibatkan rusaknya jalur motorik, sehingga memungkinkan disfungsi berupa hemiplagia atau hemiparesis. Kondisi bedrest menyebabkan tekanan pada suatu bagian tertentu yang berpotensi risiko kerusakan integritas kulit. Tujuan penelitian studi literatur ini untuk mengetahui asuhan keperawatan pada klien stroke non-hemoragik dengan risiko gangguan kerusakan integritas kulit. Kriteria hasil yang ditetapkan pada kedua jurnal yaitu integritas jaringan: kulit dan membran mukosa dengan indikator: integritas kulit yang baik bisa dipertahankan (sensasi, elastisitas, teperatur, hidrasi, pigmentasi), tidak ada luka/lesi pada kulit, perfusi jaringan baik, menunjukkan pemahaman dalam proses perbaikan kulit dan mencegah terjadinya cedera berulang, mampu melindungi kulit dan memperhatikan kelembaban kulit dan perawatan alami. Intervensi yang ditetapkan adalah pressure management yang diimplementasikan selama 5 hari pada jurnal 1 dan 8 hari jurnal ke-2. Hasil evaluasi dari masing-masing klien selama perawatan 5 dan 8 hari masalah teratasi sebagian dibuktikan dengan berkurangnya pigmentasi kemerahan pada area punggung dan pinggul, serta berkurangnya sensai panas pada area punggung dan pinggul. Pentingnya memahami dan mempelajari saat perawat memberikan edukasi tindakan preventif kerusakan integritas kulit pada klien bedrest guna menunjang gerakan pencegahan. Tindakan mandiri klien ataupun keluarga yang dapat dilakukan yaitu perawatan kulit dengan cara mengoleskan produk yang tidak memiliki kontra indikasi pada kondisi kulit, misal menggunakan produk bahan lotion/oil guna menjaga kelembaban kulit dan rutin memobilisasikan klien setiap 2 jam.
PENGETAHUAN DALAM MENGONTROL KADAR GULA DARAH PASIEN DIABETES MELITUS TIPE 2 (DMT2)
Andriani, Wiwiek Retti;
Handayani, Intan Dwi
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2024): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro
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DOI: 10.14710/jkm.v12i1.38286
Diabetes mellitus is a chronic disease characterized by unstable blood sugar levels. One of the causes of instability in blood sugar levels in people with diabetes mellitus is the lack of knowledge caused by the lack of information obtained. The purpose of the study was to provide nursing care to clients with type 2 diabetes mellitus with knowledge deficits in controlling blood sugar levels at the Jambon Ponorogo Health Center. The research method applied is descriptive qualitative in the form of a case study. Data collection techniques through interviews and questionnaires KDDQ (Knowledge of Diabetic Diet Questionnaire). The results of the study found that the client had a low level of knowledge, behavior was not as recommended, the client asked about diabetes mellitus, especially in controlling blood sugar levels. The nursing diagnosis established is a knowledge deficit. Nursing interventions according to SIKI: Health education that has been implemented for 3 days using lecture, question and answer, and discussion methods delivered through video media and leaflets. The result criteria set are that the level of knowledge increases with the indicator that the client is able to answer the KDDQ questionnaire and achieves a good level of knowledge, is able to explain the material presented again, and is able to apply the material in everyday life. After being given implementation for 3 days, the patients knowledge can be evaluated, which was initially <60% in the poor knowledge category into a good knowledge category >80%. Health Education using videos and leaflets can increase the knowledge of Type 2 DM clients and it is hoped that clients will be able to control their blood sugar levels by changing their behavior in regulating eating patterns in daily life according to the education provided.