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EFEKTIVITAS PENERAPAN DISCHARGE PLANNING TERHADAP KESIAPAN PULANG DAN KEPUASAN PASIEN CONGESTIVE HEARTH FAILURE (CHF) DI MURNI TEGUH MEMORIAL HOSPITAL Sagala, Lam Murni Br.; Hasibuan, Muhammad Taufik Daniel
Jurnal Riset Hesti Medan Vol 4, No 2 (2019)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Congestive Hearth Failure (CHF) is one of the biggest contributors to death in the world. The recurrence of recurrence after hospitalization in CHF patients increases every year due to lack of knowledge of the disease, treatment to be undertaken and care after returning from health services. One effort that can be done in reducing the recurrence rate in patients with CHF yaiyu is by planning treatment activities that will be undertaken by patients starting from thebeginning of entering health services until planning to go home.Discharge Planning is a process that starts when a patient enters health services to return home from health services so that patients get continuous health care both in the healing process and in maintaining their health status until the patient feels ready to return to his environment and is satisfied with treatment that has been undertaken in health services. The purpose of this study was to determine the effectiveness of the application of discharge planning to the readiness of returning home and patient satisfaction of Congestive Heart Failure (CHF) patients at Murni Teguh Memorial Hospital. The research method that will be used in this study is Quasi Experiment (quasi-experimental) post test only non equivalent control group, where in this design there are no restrictions on randomization when entering subjects into the treatment group or the control group. The sample in this study were 90 respondents (45 treatment group respondents and 45 control group respondents). The sampling technique in this study with non probability techniques with consecutive sampling approach. Bivariate analysis is performed to test hypotheses or to determine the effectiveness of the relevant variables used are non-parametric statistics with the type of test mann withney t-test. The results of the study are significant if the p value is less than 0.05 (p value <0.05). The results of this study indicate that the application of discharge planning is effective in increasing the readiness and satisfaction of CHF patients.

PENGARUH HYPERTENTION SELF MANAGEMENT EDUCATION ( HSME) TERHADAP TEKANAN DARAH DI PUSKESMAS KABANJAHE Lam Murni Sagala
Indonesian Trust Health Journal Vol 2 No 1 (2019): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Hypertension is a persistent blood pressure with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The treatment of hypertension is highly depend on the information given by nurse to patients’ skills on self care management to modify and maintain effective behavior. These activities include self management in prescribed medication, health monitoring, adequate rest, stress management and prescribed diet and exercises. The purpose of this study was to determine the effect of Hypertension Self Management Education (HSME) on controlling blood pressure in hypertensive patients in the Kabanjahe health center.This research used the quasi experimental research, using pretest and posttest with control group design. The samples of research consisted of 40 respondents, and they were divided into two groups, namely: control group and intervention group. The data of research were analyzed by using the Paired T-test. The result of research shows that the p-values of Paired T-test of the experiment and control groups were 0.782 and 0.577 respectively whereas the p- value of Independent T-test was 0.001 (p <α; α = 0.05). Thus, there was an effect of Hypertention Self Management Education (HSME) on the control of blood pleasure of the patient hypertention, Community Health Center, Kabanjahe. The nurses, therefore, are suggested to extend the HSME to control the blood pleasure hypertention client and and utilize the HSME as a health promotion program. Hipertensi adalah tekanan darah persisten dengan tekanan darah sistolik di atas 140 mmHg dan tekanan darah diastolik di atas 90 mmHg. Perawatan hipertensi sangat tergantung pada informasi yang diberikan oleh perawat kepada keterampilan pasien tentang manajemen perawatan diri untuk memodifikasi dan mempertahankan perilaku yang efektif. Kegiatan-kegiatan ini termasuk manajemen diri dalam pengobatan yang diresepkan, pemantauan kesehatan, istirahat yang cukup, manajemen stres dan diet dan olahraga yang ditentukan. Tujuan penelitian ini untuk mengetahui pengaruh Hypertention Self Management Education (HSME) terhadap pengontrolan tekanan darah pasien hipertensi di puskesmas kabanjahe. Metode penelitian adalah quasi experimental dengan menggunakan metode pre-test and post-test with control group design. Sampel penelitian terdiri dari 40 responden, dan mereka dibagi menjadi dua kelompok, yaitu: kelompok kontrol dan kelompok intervensi. Data penelitian dianalisis dengan menggunakan Paired T-test. Hasil penelitian menunjukkan bahwa nilai-p dari uji-T Berpasangan dari eksperimen dan kelompok kontrol masing-masing adalah 0,782 dan 0,577 sedangkan p-nilai dari Independent T-test adalah 0,001 (p <α; α = 0,05). Dengan demikian, ada efek dari Edukasi Manajemen Diri Hipertensi (HSME) pada kontrol tekanan darah dari pasien hipertensi, Puskesmas, Kabanjahe. Oleh karena itu, perawat disarankan untuk memberikan penkes HSME untuk mengendalikan tekanan darah pasien hipertensi dan memanfaatkan HSME sebagai program promosi kesehatan.

PENGARUH PELATIHAN DAN PENERAPAN MODEL METODE ASUHAN KEPERAWATAN PROFESIONAL (MAKP) PRIMARY NURSING TERHADAP KUALITAS ASUHAN KEPERAWATAN DI RUMAH SAKIT KOTA MEDAN Hendry Kiswanto Mendrofa; Lammurni Sagala
Indonesian Trust Health Journal Vol 2 No 2 (2019): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Improving quality nursing care has become a major concern for all professional health care providers and consumers, research and literature on the quality of providing nursing care is still underdeveloped, especially in Indonesia. The model of primary nursing care (MAKP) nursing method is an assignment method where nurses are responsible to patients for 24 hours from the time the patient enters into discharge, this method embodies the independence of the nurses in implementing care and the model of primary nursing care (MAKP) method of nursing can increase the quality of nursing care services, the purpose of this study was to analyze the effect of the model of primary nursing care (MAKP) primary nursing methods on the quality of nursing care. This research is a Quasi Experimental Study with non-equivalent control group pretest-posttest design that is observing the effect of using the intervention and control groups without subject randomization. The population in this study were nurses who worked in inpatient and inpatient installations, the sampling technique in this study used purposive sampling technique. Data collection on the quality of nursing care using the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) instrument, based on the results of the Content Validity Index (CVI) test of the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) instrument was 0.98 and the results The reliability test of the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) questionnaire obtained a Cronbach Alpha value of 0.66. The results showed that there was an influence on the application of the primary nursing care professional model (MAKP) primary nursing on improving the quality of nursing care, based on the results of the independent t-test, it was found that the sig (2-tailed) value was 0.00 where <0.05, it could be concluded that there were differences Significant between the quality of nursing care in the intervention group with the quality of nursing care in the control group, it is recommended that all hospitals, especially in North Sumatra, apply the model of primary nursing care method (MAKP) in primary nursing in the implementation of nursing duties in the inpatient room. Abstrak Meningkatkan asuhan keperawatan yang berkualitas telah menjadi perhatian utama bagi semua penyedia layanan kesehatan profesional dan konsumen, penelitian dan literatur tentang kualitas pemberian asuhan keperawatan masih belum berkembang khususnya di Indonesia. Model metode asuhan keperawatan (MAKP) primary nursing merupakan metode penugasan dimana perawat bertanggung jawab kepada pasien selama 24 jam mulai saat pasien masuk sampai dengan keluar, metode ini mewujudkan kemandirian para perawat dalam melaksakan asuhan dan model metode asuhan keperawatan (MAKP) primary nursing dapat meningkatkan kualitas pelayanan asuhan keperawatan, Tujuan dari penelitian ini adalah menganalisis pengaruh model metode asuhan keperawatan profesional (MAKP) primary nursing terhadap kualitas asuhan keperawatan. Penelitian ini merupakan jenis penelitian Quasi Exsperimental Study dengan desain pretest-posttest non equivalent control group yaitu mengobservasi pengaruh dengan menggunakan kelompok intervensi dan kontrol tanpa randomisasi subjek. Populasi dalam penelitian ini yaitu perawat yang bekerja di instalasi rawat inap dan pasien rawat inap, teknik pengambilan sampel dalam penelitian ini menggunakan teknik purposive sampling. Pengumpulan data kualitas asuhan keperawatan menggunakan instrumen Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV), berdasarkan hasil uji Content Validity Index (CVI) instrumen Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV) adalah 0.98 dan hasil uji reliabilitas kuesioner Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV) didapatkan nilai Cronbach Alpha yaitu 0,66. Hasil penelitian menunjukkan bahwa ada pengaruh penerapan model metode asuhan keperawatan profesional (MAKP) primary nursing terhadap peningkatan kualitas asuhan keperawatan, berdasarkan hasil uji independend t-test di ketahui nilai sig (2-tailed) sebesar 0.00 dimana < 0.05 maka dapat disimpulkan bahwa ada perbedaan yang signifikan antara kualitas asuhan keperawatan pada kelompok intervensi dengan kualitas asuhan keperawatan pada kelompok kontrol, disarankan untuk seluruh rumah sakit khususnya wilayah sumatera utara menerapkan model metode asuhan keperawatan profesional (MAKP) primary nursing dalam pelaksanaan tugas keperawatan diruang rawat inap.

Pemberdayaan Kader Wanita Berkelanjutan Di Desa Pardamean Sibisa Kecamatan Ajibata Kabupaten Toba Samosir Dalam Upaya Peningkatan Kesehatan Dan Pencegahan Cancer Servix Dengan Metode One Volunter Five Patient: Pemberdayaan Kader Wanita Berkelanjutan Di Desa Pardamean Sibisa Kecamatan Ajibata Kabupaten Toba Samosir Dalam Upaya Peningkatan Kesehatan Dan Pencegahan Cancer Servix Dengan Metode One Volunter Five Patient Seriga Banjarnahor; Lam Murni Sagala; Eka Ristin Tarigan
Journal of Midwifery and Nursing Vol. 1 No. 3 (2019): Health Science
Publisher : Institute Of Computer Science (IOCS)

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Pendekatan dan pemerataan kesehatan pada masyarakat sangatlah penting dalam menjangkau target sasaran kesehatan melalui pemberdayaan masyarakat itu sendiri. Masalah kesehatan merupakan salah satu persoalan yang perlu mendapat perhatian khusus, dalam hal ini di Desa Pardamean Sibisa, Kecamatan Ajibata Kabupaten Samosir, karena semua orang mempunyai hak untuk dapat hidup sehat. Persoalan yang ditemukan di desa tersebut adalah masih banyak terdapat masyarakat yang tidak menyadari pentingnya kesehatan termasuk kesehatan genitalia, seperti kanker serviks dan pencegahannya karena merasa tabu dalam pemeriksaan kesehatan genitalia, dan bisa menjunjung tinggi adat istiadat suku batak toba serta jarak yang jauh dengan pelayanan kesehatan. Tim Pengabdian Kepada Masyarakat (PKM) turut serta dalam upaya pemberdayaan masyarakat melalui penguatan partisipasi Pemberdayaan kader wanita berkelanjutan. Metode pelaksanaannya terdiri dari: (1) Pembekalan pemberdayaan kader (2) Pelaksanaan Penyuluhan dan (3) Membuat komunikasi melalui media sosial. Pelaksanaan ini adalah adanya peningkatan pengetahuan para kader dari kurang baik menjadi baik, partisipasi masyarakat dalam mengikuti penyuluhan tinggi.. Dengan adanya kegiatan pemberdayaan kader wanita berkelanjutan yang terstruktur dan komprehensif, dapat mendukung terwujudnya peningkatan derajat kesehatan masyarakat di Desa Pardamean Sibisa, Kecamatan Ajibata Kabupaten Samosir. Solusi dari permasalahan diatas adalah merancang dan melaksanakan penyuluhan serta pendidikan kesehatan dengan memberikan informasi dan edukasi lewat pemberdayaan kader kesehatan yang bertujuan membantu meningkatkan cakupan pelayanan kesehatan kepada penduduk secara merata dan keseluruhan khususnya mengenai kesehatan reproduksi wanita yaitu kanker serviks untuk membantu menyelamatkan jiwa wanita dari ancaman kanker serviks dengan melakukan deeteksi dini. Pemberdayaa kader yang dilakukan adalah dengan melibatkan masyarakat disekitar tempat tinggal mereka supaya saling menginformasikan tentang penyakit kanker serviks dan deteksi dini kanker serviks serta saling memotivasi untuk mengecek kesehatan mereka ke layanan kesehatan yang tersedia. Pemberdayaan kader kesehatan yang akan dilakukan dengan melaksanakan pelatihan khusus kepada para kader dalam hal ini tiga puluh kader yang akan memabantu dalam penyebaran informasi dan deteksi dini kanker serviks tersebut.

Analysis of Learning Application of Interprofessional Education in Nursing Graduate Students with Medicine, Pharmaceutical and Nutrition in COVID-19 Era Lenny Lusia Simatupang; Seriga Banjarnahor; Regina Marintan Sinaga; Lam Murni Sagala
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 12 (2022): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i12.110

Introduction: Interprofessional Education method is one of approaches in carrying out one or more interdisciplinary educational process in order to maintain the practice of each discipline. Interproffesional Education can be used to discuss health issues and certain cases which occur in the community so that through these interprofessional discussions, appropriate solutions can be found that can be applied effectively and efficiently. Method: Descriptive analytic research design with a cross sectional exploration was applied in this research. The total number of sample units used was randomly selected in which all population elements having the same opportunities to be selected. They were 4 study programs. Objective: Cross-sectional research design that aims to find out the picture of IPE Learning Methods. Result and Discussion: The result showed that the four-study program succeeded in applying Interprofessional Education (IPE) method of learning in the sixth semester during COVID-19 pandemic. Conclusion: Conclusion of this research is an interprofessional education approach for undergraduate nursing, medicine, pharmacy and nutrition in the COVID-19 pandemic era, with four study programs available through Interprofessional Education (IPE) in Semester Six

PENGARUH PISANG AMBON PADA PASIEN HIPERTENSI TERHADAP MENURUNKAN TEKANAN DARAH DI RUANG RAWAT INAP RUMAH SAKIT AMINAH KOTA TANGERANG Kurnia Novianda; Lam Murni Sagala
KOLONI Vol. 1 No. 4 (2022): DESEMBER 2022
Publisher : Universitas Pahlawan Tuanku Tambusai

Blood pressure is the pressure of the blood flowing in the arteries when our heart beats, usually 60 to 70 times in 1 minute while at rest (sitting or lying down) blood is pumped to and through the arteries. The purpose of this study was to determine the effect of consuming Ambon bananas on reducing blood pressure in the inpatient room of Aminah Hospital, Tangerang City. Method. This type of research is quantitative using quasi-experimental methods with one group pre-test post-test design, the sampling technique uses total sampling technique. The population in this study were all hypertensive patients in the inpatient room of Aminah Hospital, Tangerang City, namely a total population of 15 respondents. Data collection used an observation sheet with the paired sample t-test data analysis method. the results of the systolic blood pressure t-test before and after being given therapy showed a p-value of 0.000. This means that Ambon bananas can significantly reduce systolic and diastolic blood pressure in people with hypertension. Giving ambon bananas before breakfast in people with hypertension can reduce blood pressure. Keywords: Ambon Banana, Blood Pressure, Hypertension

HUBUNGAN TINGKAT PENGETAHUAN ORANG TUA TENTANG VAKSIN COVID-19 DENGAN PELAKSANAAN VAKSINASI COVID-19 PADA ANAK USIA 6-11 TAHUN DI SD SWASTA 1 KLUMPANG Fauziah Khairunnisa Lubis; Lam Murni Sagala
Indonesian Trust Nursing Journal Vol 1 No 1 (2023): Indonesian Trust Nursing Journal
Publisher : STIKes Murni Teguh

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Covid-19 vaccination is essential in protecting children's health. School age child is vulnerable age to infected disease because the Covid-19 vaccination is important to give toschool age child to increase child’s immunity. The phenomenon that happened is still there are parents who are a level of knowledge still not enough about the vaccine for children 6-11 years old, so that causes refusal to vaccinate their children. The purpose of this study is to knowthe Parent’s Knowledge Level about Covid-19 Vaccination on Child Age 6-11 Years at Klumpang Private Elementary School 1. The research design usedcross sectional. With purposive sampling technique. The Sample of this study this is 75 respondents. Respondent’s Knowledge Level about Covid-19 vaccination on children 6-11 years old is 45 respondents (60%) with good knowledge and 30 respondents (40%) Less knowledge. It concluded that parents with a child aged 6-11 years old at Klumpang Private Elementary School 1 have knowledge levelis not enough about Covid-19 vaccination. The importance for education to increase parental knowledge about the benefit of Covid-19 vaccination through various sources of information so that children can quick get Covid-19 vaccination. Abstrak Vaksinasi Covid-19 merupakan hal penting dalam usaha melindungi Kesehatan anak. Anak usia sekolah merupakan usia yang rentan terinfeksi penyakit, oleh sebab itu vaksinasi Covid-19 sangat penting di berikan kepada anak usia sekolah dengan tujuan meningkatkan imunitas pada anak. Fenomena yang terjadi adalah masih ada orang tua yang tingkat pengetahuannya masih kurang tentang vaksin pada anak usia 611 tahun sehingga menyebabkan adanya penolakan anaknya untuk di vaksin. Tujuan penelitian yaitu mengetahui Tingkat Pengetahuan Orang Tua tentang Vaksinasi Covid-19 pada Anak Usia 6-11 Tahun di SD Swasta PAB 1 Klumpang. Desain penelitian yang digunakan adalah cross sectional dengan teknik purposive sampling. Sampel penelitian ini berjumlah 75 responden. Tingkat Pengetahuan Responden tentang vaksinasi Covid19 pada anak usia 6-11 tahun terdapat 45 responden (60%) pengetahuan baik dan 30 responden (40%) pengetahuan kurang. Disimpulkan bahwa orang tua dengan anak usia sekolah 6-11 tahun di SD Swasta PAB 1 Klumpang memiliki tingkat pengetahuan kurang tentang vaksinasi Covid-19. Pentingnya edukasi untuk meningkatkan pengetahuan orang tua tentang manfaat vaksinasi Covid-19 melalui berbagai sumber informasi sehingga anak bisa segera menerima vaksinasi Covid-19.

HUBUNGAN KEPATUHAN MENJALANI HEMODIALISA DENGAN QUALITY OF LIFE PADA PASIEN GAGAL GINJAL KRONIK DI RUMAH SAKIT AMINAH TANGERANG Nursaid Nursaid; Lam Murni Sagala
Indonesian Trust Nursing Journal Vol 1 No 1 (2023): Indonesian Trust Nursing Journal
Publisher : STIKes Murni Teguh

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Chronic Kidney Disease (CKD) patients with Glomerular Filtration Rate (GFR) < 15 ml/min/1.73m2 should undergo renal replacement therapy, one of which is hemodialysis. Compliance with hemodialysis is needed to achieve success in treatment so that it can support the patient's quality of life. The decrease in the quality of life of CKD patient is caused by changes in health during hemodialysis. This study aims to determine the relationship between compliance with hemodialysis and quality of life in patients with chronic kidney failure at Aminah Hospital Tangerang. The population of this study were all CKD’s patients undergoing hemodialysis at Aminah Hospital Tangerang with a total sample of 42 samples taken using purposive sampling technique. The research method used is correlation research with a cross sectional approach and data analysis using the Spearman rank test. From the results of the analysis of the Spearman rank test, the results obtained from the value of Sign. = 0.042 < = 0.05, which means that there is a relationship between adherence to hemodialysis therapy and quality of life in patients with chronic kidney failure at Aminah Hospital Tangerang. The results of this study are expected to be a reference in developing knowledge and understanding of hemodialysis treatments. Abstrak Pasien Chronic Kidney Disease (CKD) dengan tingkat Laju Filtrasi Glomerular (LFG) < 15 ml/menit/1,73m2 harus melakukan terapi pengganti ginjal, salah satunya hemodialisa. Kepatuhan menjalani hemodialisa diperlukan untuk mencapai keberhasilan dalam pengobatan sehingga dapat menunjang quality of life pasien. Penurunan quality of life pasien CKD disebabkan karena perubahan kesehatan selama menjalani hemodialisa. Penelitian ini bertujuan untuk mengatahui Hubungan Kepatuhan Menjalani Hemodialisa Dengan Quality of Life Pada Pasien Gagal Ginjal Kronik Di Rumah Sakit Aminah Tangerang. Populasi penelitian ini adalah semua pasien CKD yang menjalani hemodialisa di Rumah Sakit Aminah Tangerang dengan jumlah sampel sebanyak 42 sampel yang diambil dengan menggunakan teknik purposive sampling. Metode Penelitian yang digunakan yaitu penelitian korelasi dengan pendekatan cross sectional dan analisa data menggunakan uji rank Spearman. Dari hasil analisa uji rank Spearman diperoleh hasil nilai dari Sign. = 0,042 < α = 0,05, yang berarti bahwa ada hubungan antara kepatuhan menajalani terapi hemodialisa dengan quality of life pada pasien gagal ginjal kronik di Rumah Sakit Aminah Tangerang. Hasil penelitian ini diharapkan menjadi referensi dalam mengembangkan pengetahuan dan pemahaman mengenai perawatan hemodialisa

PENGARUH HYPERTENTION SELF MANAGEMENT EDUCATION ( HSME) TERHADAP TEKANAN DARAH DI PUSKESMAS KABANJAHE Lam Murni Sagala
Indonesian Trust Health Journal Vol 2 No 1 (2019): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v2i1.23

Hypertension is a persistent blood pressure with systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The treatment of hypertension is highly depend on the information given by nurse to patients’ skills on self care management to modify and maintain effective behavior. These activities include self management in prescribed medication, health monitoring, adequate rest, stress management and prescribed diet and exercises. The purpose of this study was to determine the effect of Hypertension Self Management Education (HSME) on controlling blood pressure in hypertensive patients in the Kabanjahe health center.This research used the quasi experimental research, using pretest and posttest with control group design. The samples of research consisted of 40 respondents, and they were divided into two groups, namely: control group and intervention group. The data of research were analyzed by using the Paired T-test. The result of research shows that the p-values of Paired T-test of the experiment and control groups were 0.782 and 0.577 respectively whereas the p- value of Independent T-test was 0.001 (p <α; α = 0.05). Thus, there was an effect of Hypertention Self Management Education (HSME) on the control of blood pleasure of the patient hypertention, Community Health Center, Kabanjahe. The nurses, therefore, are suggested to extend the HSME to control the blood pleasure hypertention client and and utilize the HSME as a health promotion program. Hipertensi adalah tekanan darah persisten dengan tekanan darah sistolik di atas 140 mmHg dan tekanan darah diastolik di atas 90 mmHg. Perawatan hipertensi sangat tergantung pada informasi yang diberikan oleh perawat kepada keterampilan pasien tentang manajemen perawatan diri untuk memodifikasi dan mempertahankan perilaku yang efektif. Kegiatan-kegiatan ini termasuk manajemen diri dalam pengobatan yang diresepkan, pemantauan kesehatan, istirahat yang cukup, manajemen stres dan diet dan olahraga yang ditentukan. Tujuan penelitian ini untuk mengetahui pengaruh Hypertention Self Management Education (HSME) terhadap pengontrolan tekanan darah pasien hipertensi di puskesmas kabanjahe. Metode penelitian adalah quasi experimental dengan menggunakan metode pre-test and post-test with control group design. Sampel penelitian terdiri dari 40 responden, dan mereka dibagi menjadi dua kelompok, yaitu: kelompok kontrol dan kelompok intervensi. Data penelitian dianalisis dengan menggunakan Paired T-test. Hasil penelitian menunjukkan bahwa nilai-p dari uji-T Berpasangan dari eksperimen dan kelompok kontrol masing-masing adalah 0,782 dan 0,577 sedangkan p-nilai dari Independent T-test adalah 0,001 (p <α; α = 0,05). Dengan demikian, ada efek dari Edukasi Manajemen Diri Hipertensi (HSME) pada kontrol tekanan darah dari pasien hipertensi, Puskesmas, Kabanjahe. Oleh karena itu, perawat disarankan untuk memberikan penkes HSME untuk mengendalikan tekanan darah pasien hipertensi dan memanfaatkan HSME sebagai program promosi kesehatan.

PENGARUH PELATIHAN DAN PENERAPAN MODEL METODE ASUHAN KEPERAWATAN PROFESIONAL (MAKP) PRIMARY NURSING TERHADAP KUALITAS ASUHAN KEPERAWATAN DI RUMAH SAKIT KOTA MEDAN Hendry Kiswanto Mendrofa; Lammurni Sagala
Indonesian Trust Health Journal Vol 2 No 2 (2019): Indonesian Trust Health Journal
Publisher : Universitas Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v2i2.40

Improving quality nursing care has become a major concern for all professional health care providers and consumers, research and literature on the quality of providing nursing care is still underdeveloped, especially in Indonesia. The model of primary nursing care (MAKP) nursing method is an assignment method where nurses are responsible to patients for 24 hours from the time the patient enters into discharge, this method embodies the independence of the nurses in implementing care and the model of primary nursing care (MAKP) method of nursing can increase the quality of nursing care services, the purpose of this study was to analyze the effect of the model of primary nursing care (MAKP) primary nursing methods on the quality of nursing care. This research is a Quasi Experimental Study with non-equivalent control group pretest-posttest design that is observing the effect of using the intervention and control groups without subject randomization. The population in this study were nurses who worked in inpatient and inpatient installations, the sampling technique in this study used purposive sampling technique. Data collection on the quality of nursing care using the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) instrument, based on the results of the Content Validity Index (CVI) test of the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) instrument was 0.98 and the results The reliability test of the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) questionnaire obtained a Cronbach Alpha value of 0.66. The results showed that there was an influence on the application of the primary nursing care professional model (MAKP) primary nursing on improving the quality of nursing care, based on the results of the independent t-test, it was found that the sig (2-tailed) value was 0.00 where <0.05, it could be concluded that there were differences Significant between the quality of nursing care in the intervention group with the quality of nursing care in the control group, it is recommended that all hospitals, especially in North Sumatra, apply the model of primary nursing care method (MAKP) in primary nursing in the implementation of nursing duties in the inpatient room. Abstrak Meningkatkan asuhan keperawatan yang berkualitas telah menjadi perhatian utama bagi semua penyedia layanan kesehatan profesional dan konsumen, penelitian dan literatur tentang kualitas pemberian asuhan keperawatan masih belum berkembang khususnya di Indonesia. Model metode asuhan keperawatan (MAKP) primary nursing merupakan metode penugasan dimana perawat bertanggung jawab kepada pasien selama 24 jam mulai saat pasien masuk sampai dengan keluar, metode ini mewujudkan kemandirian para perawat dalam melaksakan asuhan dan model metode asuhan keperawatan (MAKP) primary nursing dapat meningkatkan kualitas pelayanan asuhan keperawatan, Tujuan dari penelitian ini adalah menganalisis pengaruh model metode asuhan keperawatan profesional (MAKP) primary nursing terhadap kualitas asuhan keperawatan. Penelitian ini merupakan jenis penelitian Quasi Exsperimental Study dengan desain pretest-posttest non equivalent control group yaitu mengobservasi pengaruh dengan menggunakan kelompok intervensi dan kontrol tanpa randomisasi subjek. Populasi dalam penelitian ini yaitu perawat yang bekerja di instalasi rawat inap dan pasien rawat inap, teknik pengambilan sampel dalam penelitian ini menggunakan teknik purposive sampling. Pengumpulan data kualitas asuhan keperawatan menggunakan instrumen Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV), berdasarkan hasil uji Content Validity Index (CVI) instrumen Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV) adalah 0.98 dan hasil uji reliabilitas kuesioner Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV) didapatkan nilai Cronbach Alpha yaitu 0,66. Hasil penelitian menunjukkan bahwa ada pengaruh penerapan model metode asuhan keperawatan profesional (MAKP) primary nursing terhadap peningkatan kualitas asuhan keperawatan, berdasarkan hasil uji independend t-test di ketahui nilai sig (2-tailed) sebesar 0.00 dimana < 0.05 maka dapat disimpulkan bahwa ada perbedaan yang signifikan antara kualitas asuhan keperawatan pada kelompok intervensi dengan kualitas asuhan keperawatan pada kelompok kontrol, disarankan untuk seluruh rumah sakit khususnya wilayah sumatera utara menerapkan model metode asuhan keperawatan profesional (MAKP) primary nursing dalam pelaksanaan tugas keperawatan diruang rawat inap.

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