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HUBUNGAN MOTIVASI PERAWAT DENGAN PELAKSANAAN TINDAKAN PERAWATAN ORAL HYGIENE PADA PASIEN DI RUANG ICU Riandhyanita, Febi; Asyrofi, Ahmad; Setianingsih, Setianingsih
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 7 No 1 (2017): April
Publisher : LPPM STIKES KENDAL

ABSTRAK Pendahuluan: Oral hygiene merupakan salah satu tindakan keperawatan yang dilakukan agar kondisi rongga mulut tetap bersih dan segar sehingga terhindar dari infeksi. Pelaksanaan oral hygiene membutuhkan motivasi dari perawat. Motivasi adalah segala hal yang mendorong seseorang untuk melakukan sesuatu.Motivasi terdiri dari  dua yaitu motivasi intrinsik yang berasal dari dalam diri individu dan motivasi ekstrinsik yang berasal dari luar individu. Metode: Tujuan penelitian ini untuk mengetahui hubungan antara motivasi perawat dengan pelaksanaan tindakan perawatan oral hygiene pada pasien di ruang Intensive Care Unit (ICU). Desain penelitian ini menggunakan deskriptif analitik, dengan jenis cross sectional, sejumlah 35 responden yaitu perawat yang bekerja diruang ICU menggunakan teknik total sampling. Peneliti melakukan analisis univariat menggunakan distribusi frekuensi, tendensi central, ukuran penyebaran, dan bivariat menggunakan Uji Chi-Square. Hasil: Hasil penelitian menunjukkan motivasi intrinsik diperoleh nilai p value 0,003 (p  ? 0,05), sedangkan motivasi ekstrinsik diperoleh nilai p value 0,007 (p  ? 0,05), sehingga keduanya dapat disimpulkan terdapat hubungan antara motivasi perawat dengan pelaksanaan tindakan perawatan oral hygiene pada pasien di ruang ICU. Diskusi: Hasil penelitian ini menyarankan, sebaiknya memberikan reward/penghargaan kepada perawat untuk meningkatkan motivasinya dalam tindakan oral hygiene di ruang ICU.   Kata kunci: Motivasi Intrinsik, Motivasi Ekstrinsik, Oral Hygiene   ABSTRACT Introduction: Oral hygiene is one of the nursing action caried out so that the condition  of the oral cavity are kept clean and fresh, so avoid infection. Implementation of oral hygiene requires motivation of nurses. Motivation is everything that drives someone to do something. Motivation is composed of two that is intrinsic motivation that comes from inside the individual, and then extrinsic motivation that comes from outside individual. Methods: The purpose of the study was to examine the relationship between motivation nurse with the implementation of oral hygiene care measures for patient in the Intensive Care Unit (ICU). This study design using descriptive analytical, with a kind of croos sectional, a number of respondents is 35 nurses working at ICU room using total sampling technique. Researchers conducted univariat analysis using frequency distribution, central tendency, measures of dispersion, and bivariate using Chi-Square test. Results: The results showed that the value of intrinsic motivation ? value of 0,003 (? ? 0,005), where as extrinsic motivation obtained ? value of 0,007 (? ? 0,005), so that both can be concluded there is a relationship nurse motivation with implementation of oral hygiene care measures in patients in the ICU. Discussion: This results of this study suggested, should give reward/awards to nurses to improve oral hygiene motivation to act in the ICU.   Keywords: Intrinsic Motivation, Extrinsic Motivation, Oral Hygiene.

PERBEDAAN LATIHAN KEKUATAN OTOT PASIEN PASCA STROKE YANG MEMPEROLEH BERBAGAI DUKUNGAN KELUARGA Wakhidah, Nur; Asyrofi, Ahmad; Prasetya, Hendra Adi
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 9 No 3 (2019): Juli
Publisher : LPPM STIKES KENDAL

Masalah fisik yang muncul pada pasien stroke yaitu hilangnya kesadaran selama stroke, inkontinensia, kelumpuhan atau kelemahan otot, sehingga pasien mengalami gangguan gerak karena adanya kerusakan susunan saraf pada otak dan kekakuan pada otot dan sendi. Penelitian bertujuan untuk mengetahui perbedaan latihan kekuatan otot pasien pasca stroke yang memperoleh berbagai dukungan keluarga. Desain penelitian ini adalah study komparatif adalah menggunakan metode Cross-Sectional. Sampel dalam penelitian ini sebanyak 54 responden dan menngunakan teknik consecutive sampling. Alat yang digunakan pada penelitian ini adalah kuesioner Perceived Social Support-Family Scale (PSS-Fa) dan kuesioner latihan kekuatan otot. Pengambilan data dilakukan di ruang Poli Syaraf RSUD Dr. H. Soewondo Kendal pada 15 responden menggunakan teknik consecutive sampling. Tidak ada perbedaan antara latihan kekuatan otot pasien pasca stroke yang memperoleh dukungan keluarga baik dan dukungan kurang dengan nilai p value 0,727.   Kata kunci : dukungan keluarga, latihan kekuatan otot, pasca stroke   DIFFERENCE OF EXERCISE STRENGTHS OF THE MUSCLE OF POST-STROKE PATIENTS THAT GET VARIOUS FAMILY SUPPORT   ABSTRACT Physical problems that arise in stroke patients are loss of consciousness during stroke, incontinence, paralysis or muscle weakness, so that patients experience movement disorders due to damage to the nervous system in the brain and stiffness in the muscles and joints. The study aimed to determine the differences in muscle strength training of post-stroke patients who received various family support. The design of this study is a comparative study using the Cross-Sectional method. The sample in this study were 54 respondents and used consecutive sampling technique. The tool used in this study was the Perceived Social Support-Family Scale (PSS-Fa) questionnaire and muscle strength training questionnaire. Data collection was carried out in the Neurology Room of the RSUD Dr. H. Soewondo Kendal for 15 respondents using consecutive sampling technique. There was no difference between muscle strength training in post-stroke patients who received good family support and less support with a p value of 0.727.   Keywords: family support, muscle strength training, post stroke

SELF-CARE MANAJEMEN GLUKOSA DAN PENGENDALIAN DIET SEBAGAI UPAYA PENGENDALIAN KADAR GLUKOSA DARAH PENYANDANG DIABETES MELLITUS Asyrofi, Ahmad; Arisdiani, Triana; Widiastuti, Yuni Puji
Jurnal Ilmiah Kesehatan Keperawatan Vol 14, No 3 (2018): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v14i3.349

The phenomenon of the number of people with diabetes mellitus (DM) in theworld today is increasing along with socio-cultural changes, and the largenumber of people with DM who are undiagnosed becomes increasinglypotential to cause further complications. Self-care glucose management anddietary control are part of the pillars in DM care. The aim of the study was todetermine differences in blood glucose management and dietary controlbetween uncontrolled glycemic (HbA1c > 7%) and controlled glycemic(HbA1c â‰¤ 7%). The study uses a case control design. The sample of this studywas DM patients with adult and elderly age of 104 samples including: 52uncontrolled glycemic groups and 52 controlled glycemic groups, withconvinience techniques. The research tool uses Diabetes Self-ManagementQuestionnaire (DSMQ) subscale glucose management and dietary control.Data analysis using Mann-Whitney U Test. The results showed significantdifferences in glucose management (p = 0.034) and dietary control (p = 0.001)between uncontrolled glycemic groups and controlled glycemic groups.Recommended for people with diabetes mellitus to improve glucosemanagement self-care activities and dietary control to control glycemic(HbA1c â‰¤ 7). Subsequent research needs to look for factors that predict glucosemanagement and dietary control for people with diabetes.

Manajemen Diet dan Kualitas Hidup Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis di Rumah Sakit Asyrofi, Ahmad; Arisdiani, Triana
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/nursing.v7i2.3063

Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) experience a decrease in physical health status that affects their quality of life. CKD patients need proper self-care management, including diet management to manage and maintain their health status. The purpose of this paper is to analyze the differences in the quality of life of CKD patients undergoing hemodialysis between the various dietary management they undertake. Method: cross-sectional study design, samples of all CKD patients undergoing hemodialysis were 60 respondents. Dietary management measures are the subscale Hemodialysis Patient's Self-care Management Scale (HPSMS): dietary regulatory; food safety; and therapeutic diet implementation. Quality of life using the Kidney Disease Quality of Life (KDQOL) SF 1.3 instrument. The univariate analysis uses the central tendency and proportion, and bivariate analysis uses the Fisher-exact test. Results: the average age of 47.3 years, 53.3% of men, the median value of HD 10.5 months long, 58.3% did not work. 83.3% poor diet management, safe 83.3% poor food, 68.3% poor therapeutic diet implementation, and 81.7% poor quality of life of CKD patients. There was a significant difference in the quality of life of CKD patients between various dietary arrangements, (p=0.0001), safe food (p=0.013), and implementation of a therapeutic diet (p=0.027). Conclusion: A good diet management has the opportunity to improve the quality of life of CKD patients.

GAMBARAN PELAKSANAAN TINDAKAN ORAL HYGIENE PADA PASIEN DI RUANG INTENSIVE CARE UNIT (ICU) Setianingsih, Setianingsih; Riandhyanita, Febi; Asyrofi, Ahmad
Jurnal Perawat Indonesia Vol. 1 No. 2 (2017): November 2017
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

AbstrakOral hygiene merupakan salah satu tindakan keperawatan yang dilakukan agar kondisi rongga mulut tetap bersih dan segar sehingga terhindar dari infeksi. Oral hygiene juga mampu mengurangi jumlah mikroorganisme dan pengumpulan organisme yang mengalami translokasi serta kolonisasi di dalam mulut. Pasien di ruang ICU sangat berisiko terkena infeksi. Tujuan penelitian ini untuk mengetahui gambaran pelaksanaan tindakan perawatan oral hygiene pada pasien di ruang Intensive Care Unit (ICU). Desain penelitian ini menggunakan deskriptif sejumlah 35 responden yaitu perawat yang bekerja diruang Intensive Care Unit (ICU) menggunakan teknik total sampling. Pelaksanaan tindakan perawatan oral hygiene dalam kategori kurang sebanyak 21 responden (60,0%). Hal tersebut dipengaruhi oleh ketidakseimbangan antara rasio perawat dengan pasien, fasilitas dalam pelaksanaan oral hygiene masih belum memadai, dan perawat juga belum memahami sepenuhnya bagaimana pelaksanaan oral hygiene yang sesuai dengan standar operasional prosedur. Hasil penelitian ini menyarankan, sebaiknya memberikan reward/penghargaan kepada perawat untuk meningkatkan motivasinya dalam tindakan oral hygiene di ICU. Kata kunci : Oral Hygiene, Intensive Care Unit, Perawat AbstractDescription of Implementation Oral Hygiene in Patients in the ICU room.Oral hygiene is one of the nursing actions carried out so that the condition of the oral cavity remains clean and fresh so as to avoid infection. Oral hygiene is also able to reduce the number of microorganisms and the collection of organisms that experience translocation and colonization in the mouth. Patients in the ICU room are very at risk for infection. The purpose of this study was to determine the description of the implementation of oral hygiene in patients in the Intensive Care Unit (ICU). This study design using descriptive analytical 35 respondents, a number of respondents is 35 nurses working at Intensive Care Unit (ICU) room using total sampling technique. The implementation of oral hygiene care measures in the less category as many as 21 respondents (60.0%). This is influenced by the imbalance between the ratio of nurses and patients, facilities in the implementation of oral hygiene are still inadequate, and nurses also do not fully understand how the implementation of oral hygiene is in accordance with standard operating procedures. The results of this study suggest, should give rewards / awards to nurses to improve oral hygiene motivation to act in the ICU. Keywords: Oral Hygiene, Intensive Care Unit, Nurses

A Metronome Guide to High Quality Cardiac Pulmonary Resuscitation in Nursing Laboratory Learning Darwati, Lestari Eko; Prasasti, Selly; Setianingsih, Setianingsih; Asyrofi, Ahmad
Babali Emergency and Disaster Research Vol. 1 No. 2 (2023): December
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bedr.2023.1219

Introduction: Cardiac arrest is the first cause of death in the world. The quality of compression during CPR given to someone experiencing cardiac arrest greatly influences their survival. Nursing students have an important role in rescue efforts. The low quality of compression during CPR simulations in the nursing laboratory for nursing students is the basis for the need for innovation to improve it. A metronome is a tool that can be used because it can produce rhythmic and clear beats with a programmed frequency. The aim of this study was to determine the effect of using a metronome on chest compression speed during CPR. Methods:The study used quasi Experiment pretest post-test without control groups. The sample was female students from the Nursing Study Program. The sampling technique uses purposive sampling. Results:The research results showed that the pre-intervention average was 126 x/minute and the post-intervention average was 117 x/minute. The Wilcoxon test results obtained a p value of 0.036 (p <0.05), which means that there is an influence of metronome use on chest compression speed. Conclusion: A metronome can be used as a guide to achieve standardized chest compression speeds in nursing laboratory learning. Key words: CPR, chest compression, metronome speed

Senam Hipertensi dan Relaksasi Genggam Jari Berpengaruh terhadap Penurunan Tekanan Darah Penderita Hipertensi Arisdiani, Triana; Asyrofi, Ahmad; Fariza, Ira
Jurnal Keperawatan Vol 16 No 3 (2024): Jurnal Keperawatan: September 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i3.1769

Senam hipertensi dan relaksasi genggam jari merupakan terapi yang perlu diterapkan pada penderita Hipertensi karena dapat menurunkan tekanan darah dan secara tidak langsung dapat menurunkan angka kejadian hipertensi. Terapi tersebut lebih menghemat biaya serta dapat dilakukan secara mandiri oleh penderita. Berdasarkan studi pendahuluan di Puskesmas Ngampel terdapat banyak penderita hipertensi dan masih banyak masyarakat yang belum tahu tentang terapi ini. Tujuan penelitian ini adalah untuk mengetahui pengaruh penerapan senam hipertensi dan relaksasi genggam jari terhadap penurunan tekanan darah penderita hipertensi. Desain penelitian ini adalah quasi eksperiment non equivalent control group pre-post test design. Sampel penelitian sebanyak 102 responden yang dibagi 3 kelompok masing-masing 34 responden. Pemilihan kelompok meggunakan teknik consecutive sampling. Instrumen penelitian berupa lembar observasi, sphygmomanometer serta stetoskop yang telah terkalibrasi, Standar Operasional Prosedur (SOP) senam hipertensi dan relaksasi genggam jari. Data dalam penelitian ini diuji analisis menggunakan Wilcoxon dan Mann-Whitney. Hasil uji statistic didapatkan bahwa senam hipertensi dan relaksasi genggam jari berpengaruh terhadap penurunan tekanan darah pada penderita hipertensi. Berdasarkan hasil penelitian diharapkan penderita hipertensi dapat menerapkan senam hipertensi dan relaksasi genggam jari dalam kehidupan sehari-hari untuk mengontrol tekanan darahnya.

Hubungan Pengalaman Perawatan Intensif dengan Pemenuhan Kebutuhan Keluarga Pasien Setianingsih, Setianingsih; Setyawan, Anggis Angelriska; Darwati, Lestari Eko; Asyrofi, Ahmad
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6553

Keluarga pasien yang dirawat di ruang ICU seringkali menghadapi tekanan psikologis dan emosional akibat keadaan pasien yang kritis. Pengalaman yang mereka alami selama perawatan intensif dapat berdampak pada pandangan mereka mengenai pemenuhan kebutuhan selama mendampingi pasien. Tujuan penelitian ini untuk mengeksplorasi hubungan antara pengalaman perawatan intensif dengan pemenuhan kebutuhan keluarga pasien di ruang ICU. Penelitian ini menggunakan pendekatan kuantitatif dengan teknik pengambilan sampel accidental sampling dan desain cross sectional. Data dikumpulkan melalui kuesioner K3PI (Kuesioner Kebutuhan Keluarga Pasien di Ruang Perawatan Intensif) yang di isi oleh 53 responden yang memiliki anggota keluarga yang dirawat di ICU. Analisa data penelitian menggunakan univariat dan bivariat dengan uji chi square. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara pengalaman perawatan intensif dengan pemenuhan kebutuhan keluarga pasien di ruang ICU (p-value ˃ 0,05). Meskipun demikian, pengalaman yang dialami oleh keluarga selama menemani pasien di ICU sangat berpengaruh terhadap persepsi mereka tentang pemenuhan kebutuhan. Oleh karena itu, tenaga kesehatan perlu memperhatikan aspek emosional dan informasi yang diterima oleh keluarga agar dapat meningkatkan kualitas pelayanan di ruang ICU.

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