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Pengaruh Penggunaan Assesment Resiko HIV/AIDS terhadap Upaya Penata/Perawat Anestesi dalam Pelaksanaan Patient Safety;Universal Precautions Olfah, Yustiana; Mendri, Ni Ketut; Palestin, Bondan
Jurnal Kesehatan Vol 11, No 2 (2018): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jurnal kesehatan.v11i2.7535

Abstract

Latar Belakang : AIDS bukan penyakit, karena AIDS tidak menular. Yang menular adalah HIV yaitu virus yang menyebabkan tubuh mencapai masa AIDS. Virus ini terdapat dalam larutan darah, cairan sperma dan cairan vagina sehingga dapat menular melalui kontak darah/cairan tersebut bersumber dari Ditjen PP dan PL Kemenkes RI yang dilaporkan pada bulan September 2014 secara kumulatif HIV dan AIDS terhitung mulai 1 April 1987 sampai dengan 30 September 2014 total HIV 150.296 dan AIDS 55.799.Pemeriksaan laboratorium HIV/AIDS belum merupakan pemeriksaan rutin sebagai bagian dari persiapan operasi sehingga tentu dengan makin tingginya kejadian HIV/AIDS kalau tidak di deteksi akan sangat membahayakan bagi tim operasi yang kemungkinan besar mengalami paparan langsung dengan cairan tubuh pasien? walaupun telah dilindungi dengan pemakaian alat pelindung diri/APD. Sehingga untuk keamanan penata/perawat anastesi sangat diperlukan cara yang dapat membantu mengkaji resiko HIV/AIDS pada pasien untuk meningkatkan kehati-hatian dalam mencegah penularan dan pelaksanaan patient safety. Berdasarkan hasil studi pendahuluan dengan wawancara pada lima penata anestesi belum ada alat/ instrument selain dengan pemeriksaan laboratorium yang dapat membantu petugas kesehatan khususnya penata anestesi agar mampu mengkaji pasien beresiko atau tidak? terinfeksi HIV/AIDS, Dengan assesment resiko cara ini diharapkan persiapan operasi akan lebih hati hati dan optimal.Tujuan Penelitian? : Mengetahui ?pengaruh ?penggunaan Assesment Resiko terhadap Upaya Penata/Perawat Anestesi? dalam Pelaksanaan Patient Safety ;Universal Precautions di RSUD Provinsi Daerah Istimewa Yogyakarta (DIY).Metode Penelitian : Jenis penelitian Quasi eksperiment dengan rancangan Pre test Post test Design. Sampel penelitian dilakukan secara total sampling. ?Rancangan ini tanpa kelompok pembanding (kontrol) dengan pertimbangan terbatasnya jumlah penata/perawat anastesi yang ada di RSUD Provinsi DIY, pengisian kuesioner dilakukan dua kali. Pertama untuk mengetahui kemampuan penata/perawat anestesi dalam deteksi resiko HIV/AIDS pasien pada saat kunjungan pra nestesi serta upaya pelaksanaan patien safety;universal precautions ?sebelum diberikan Assesment Resiko dan kedua sesudah diberikan pelatihan menggunakan Assesment Resiko. Pengambilan sampel dilakukan secara total sampling dengan kriteria penata/perawat anestesi yang aktif dan bekerja di kamar operasi.? Data hasil pemeriksaan dianalisis secara diskriptif? dan secara analitik dengan bantuan komputer menggunakan uji T test dengan? taraf signifikan 0,05.Hasil Penelitian: Uji statistik bernilai 0,000 terdapat pengaruh penggunaan assesment resiko terhadap upaya penata/perawat anestesi dalam pelaksanaan patient safety; universal precautions di RSU Daerah Provinsi Daerah Istimewa Yogyakarta.
Program Kesehatan Melalui Pendekatan Interprofesional Colaboration (IPC) Menuju Desa Sehat Bebas Tuberkulosis Herawati, Lucky; Donsu, Jenita Doli Tine; Palestin, Bondan; Delima, Rosa; Yuniritha, Eva
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 6 No. 2 (2024): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v6i2.926

Abstract

Abstrak Melalui program pemerintah maka tuberculosis menjadi salah satu masalah yang harus mendapat perhatian khusus dan pendampingan dari berbagai disiplin ilmu. Pengabdian masyarakat bertujuan untuk menerapkan Iptek dari penelitian tuberculosis dengan pendampingan program kesehatan melalui pemberdayaan masyarakat dalam pendekatan Interprofessional Collaboration (IPC) menuju desa sehat bebas Tuberkulosis, di Desa Panggungharjo. Kolaborasi antara bidang kesehatan lingkungan untuk menjaga lingkungan tetap aman dan nyaman, bebas kuman tuberkulosis melalui gerakan buka jendela. Bidang keperawatan, memberikan pelayanan preventif, kuratif dan promotif dalam menurunkan angka morbiditas dan mortalitas. Bidang gizi, memberikan penguatan asupan tinggi kalori tinggi protein (TKTP) dalam meningkatkan daya tahan tubuh. Bidang fisioterapi memberikan menguatan fungsi paru melalui latihan refleksi kaki dan senam pernapasan. Kesimpulan bahwa kegiatan pengabdian masyarakat melalui pendekatan Interprofessional Collaboration menuju desa sehat memberikan dampak positif terhadap masyarakat, pemerintah dan petugas kesehatan dalam upaya sinergi.
Tension and pulse at Intubation before and after 5 minutes on Neurology Patients with General Anaesthesia Donsu, Jenita Doli Tine; Herawati, Lucky; Palestin, Bondan; Pratiwi, Reza Dwi; Hutasoit, Mastha
Riset Informasi Kesehatan Vol 14 No 1 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i1.917

Abstract

Background: General anesthesia is still the best choice for neurosurgery, even it must be maintained so that the airway remains open. Airway management measures that can be carried out in several ways include intubation using laryngoscopy. There may be an increase in the hemodynamic response, namely blood pressure and pulse rate starting from 5 seconds after intubation. However, it is still being debated by experts. The aim of this study was to determine blood pressure and pulse frequency after being given Fentanyl and after the 5th minute of intubation in neurosurgical patients under general anesthesia. Method: An observational research design, 30 neurosurgical patients using fentanyl 2 mcg/kg BW and intubation techniques. The variables measured were blood pressure and pulse frequency after being given Fentanyl and after 5 minutes of intubation. The instruments used were an intra-anesthetic Hemodynamic Observation Sheet, a watch, and a bedside monitor. Data was analyzed using the independent T-test with a level of confidence of 95%. Results: The results showed that there was an increase in the average Systolic blood pressure (p-value 0.009) and pulse frequency (before intubation) and after intubation at the 5th minute (p-value 0,000). Conclusion: The study can trigger anesthesia experts to look forward to this problem appropriately
Pengukuran Skala Body Image dan Edukasi Kesehatan Stop Body Shamming pada Remaja Iskandar, Yustiana Olfah; Siswati, Tri; Palestin, Bondan; Azizah, Ellen Nur; Sari, Anisa Kartika
JOURNAL OF PHILANTHROPY: The Journal of Community Service Vol. 1 No. 2 (2023): Journal of Philanthropy, July 2023
Publisher : Samodra Ilmu: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58353/jop.v1i2.134

Abstract

Adolescence is a period of life transition from children to adults. In this periodes there are many changes in both emotional, physical condition, interests, and behavior patterns. The changes that occur often make teenagers not ready to understand so that self-dissatisfaction occurs. The existence of self-dissatisfaction with one's physical condition causes negative feelings to arise so that one considers a non-ideal physical condition as a deficiency. This will trigger teenagers to do body shaming. If the stigma of body shaming is not immediately eradicated, it will result in teenagers being prone to mental health disorders such as anxiety and prone to stress. In addition, adolescents are also prone to obesity and cardiovascular disease due to psychological conditions experienced. By looking at these problems, community service is carried out which aims to determine body image in adolescents so that it is hoped that body shaming actions can be prevented. Community service activities were carried out at SMA N 1 Tempel, attended by 128 students from first grade of high school. Activities carried out in the form of filling out the body image scale using a g-form questionnaire and providing education on the prevention of Body Shamming to students. The results of the questionnaire showed that the body shamming that occurred in SMA N 1 Tempel adolescents was in the less category as much as 55%. With sufficient knowledge, it is hoped that adolescents will be able to have a good self-concept and be able to make efforts to prevent body shaming.
The Effect of the Assistance Model on Adherence to Treatment of Drug Resistant Tuberculosis (RO TB) Patients Winarti Rinawati, Sri Arini; Palestin, Bondan; Ardesa, Yopi Harwinanda
Caring : Jurnal Keperawatan Vol. 13 No. 2 (2024): September
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v13i2.1647

Abstract

   ABSTRACT Background: Drug resistant Tuberculosis (TB RO) patients need external support from others in the form of patient assistance in order to realize quality and patient-centered TB services. Objective: Knowing the results of the influence of the mentoring model on TB RO patients in DIY. Method: Is a quasi-experimental study of 30 RO TB patients in the Special Region of Yogyakarta, with the aim of knowing the level of knowledge and demographic characteristics of RO TB patients. This research has been declared ethically feasible based on KEPK Number e-KEPK / POLKESYO / 0619 / VIII / 2022. Result: TB RO patients are mostly ? 45 years old with male gender. There was a relationship between knowledge of adherence to RO TB treatment as evidenced by pearson tests showing significant results between the two variables, with a p value = 0.000 (<0.01). The mentoring model carried out has a significant influence on adherence to RO TB treatment. As evidenced by the results of mann Whitney's test and analysis, there is a value of 0.037 (<0.05). Conclusion: Knowledge provides a significant impact on adherence to RO TB treatment.       INTISARI Latar Belakang: Pasien Tuberkulosis resisten obat (TB RO) memerlukan dukungan eksternal yang berasal dari orang lain berupa pendampingan pasien agar dapat mewujudkan pelayanan TB yang berkualitas dan berpusat pada pasien. Tujuan: Mengetahui hasil pengaruh model pendampingan kepada pasien TB RO di DIY. Metode: Merupakan studi quasi eksperimen terhadap 30 pasien TB RO di wilayah Daerah Istimewa Yogyakarta, dengan tujuan mengetahui tingkat pengetahuan dan karakateristik demografi pasien TB RO. Penelitian ini telah dinyatakan layak secara etik berdasarkan KEPK Nomor e-KEPK/POLKESYO/0619/VIII/2022. Hasil: Pasien TB RO sebagian besar berusia ? 45 tahun dengan jenis kelamin laki-laki. Terdapat hubungan antara pengetahuan terhadap kepatuhan pengobatan TB RO yang dibuktikan dengan uji pearson menunjukkan hasil signifikan antara kedua variabel tersebut, dengan nilai p= 0.000 (<0.01). Model pendampingan yang dilakukan memberikan pengaruh yang signifikan terhadap kepatuhan pengobatan TB RO. Dibuktikan dengan hasil uji dan analisis Mann Whitney, terdapat value sebesar 0.037 (<0.05). Kesimpulan: Pengetahuan memberikanpengaruh yang signifikan terhadap kepatuhan pengobatan TB RO.
Giving Celery Leaf Boiled Water in Lowering Blood Pressure in the Elderly with Essential Hypertension Donsu, Jenita Doli Tine; Hapsari, Ayu Putri; Palestin, Bondan
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3662

Abstract

One of the non-communicable diseases is a cardiovascular disease that causes the 5th highest death in Indonesia, characterized by a person's condition of having an abnormal increase in blood pressure in the arteries. This study was to determine the administration of celery leaf decoction water in lowering blood pressure in the elderly with essential hypertension in Sidoluhur village, the working area of the Godean I Health Center, Sleman Regency. The type of quantitative with a quasi-experimental approach of pretest-posttest control group design 2 groups on February 6-March 02, 2024 for the elderly with essential hypertension. The data collection techniques carried out by the researcher using primary data and secondary data totaling 110 respondents and data analysis using the wilcoxon sign rank test. The pre-test intervention group had morning systolic blood pressure 154.40 mmHg, morning diastolic blood pressure 79.86 mmHg. The average blood pressure of the elderly on the post-test 145.98 mmHg, afternoon systolic blood pressure and afternoon diastolic blood pressure 89.91 mmHg. The control group pre-test 152.32 mmHg morning systolic blood pressure, morning diastolic blood pressure 81.73 mmHg. The average blood pressure of the elderly in the post-test 144.78 mmHg, afternoon systolic blood pressure and afternoon diastolic blood pressure 85.80 mmHg. The results of bivariate analysis of the intervention group with a p-value of <0.05 and a control group with a p-value of <0.05. There is an effect of giving celery leaf boiled water on lowering blood pressure in the elderly with essential hypertension.