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EVALUASI KEPATUHAN PERAWAT DALAM MELAKUKAN ASSESSMENT ULANG NYERI MENGGUNAKAN CRITICAL PAIN OBSERB TOOL (CPOT) Saputro, Heri; Anjarwati, Rina
Jurnal Kesehatan Vol 8 No 1 (2020): Jurnal Kesehatan
Publisher : STIKES Bethesda Yakkum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35913/jk.v8i1.183

Abstract

ABSTRACT Background: Pain reassessment with CPOT in ICU of Bethesda Hospital was effectively carried out in 2018. The implementation has not been routinely carried out and only carried out by nine nurses from 19 ICU nurses; there for the internal audit results on the quality of nursing care about pain management in October 2018 was 51% of the target of 100%. Objective: To conduct a descriptive evaluation of nurses' compliance in re-assessing pain using CPOT in ICU of Bethesda Hospital in 2019. Method: This study used a qualitative design with a phenomenological approach and sampling with a purposive sampling approach. This research was conducted with interview techniques to five participants. Data analysis used thematic analysis. Results: The results of this study indicate the majority of nurses' knowledge have not understood the parameters and interpretations of pain reassessment assessment using CPOT. The behavior of nurses in reassessing pain using CPOT is not in accordance with the SPO, not all nurses are involved with personal constraints yet all understand the reassessment of pain using CPOT, forgetfulness, room hassles and lack of commitment. Supervision of the head of the room has not been done routinely. Conclusion: The implementation of pain reassessment using CPOT in ICU of Bethesda Hospital in 2019 was not in accordance with SPO, not all nurses were involved because not all nurses understood CPOT, forgot, room hassles, lack of nurse commitment and supervisory leadership had not been routinely done. Suggestion: Bethesda Hospital is suggested to revise the CPOT form, re-socialize the pain reassessment using CPOT for nurses and improve the surveillance system of the head and head of the room. Keywords: reassessment - CPOT – nurse compliance
Analisis Faktor Kecemasan terhadap Tingkat Kecemasan Pasien Pre Operasi Hernia di Rumah Sakit Atik Setiawan Wahyuningsih; Heri Saputro; Prayoga Kurniawan
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 9, No 3 (2021): Agustus 2021
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.9.3.2021.613-620

Abstract

Berbagai penyebab kecemasan pada pasien pre operasi hernia antara lain situasi  seperti personal, lingkungan, maturasional, tingkat pendidikan, karakteristik stimulus, serta karakteristik Individu yan terdiri dari makna stresor bagi individu, sumber yang dapat dimanfaatkan dan respon koping, status kesehatan individu. Kecemasan pada penderita preoperative dapat menyebabkan peningkatan intensitas nyeri dan menyebabkan lama perawatan memanjang.  Tujuan penelitian ini adalah mengetahui faktor penyebab kecemasan terhadap tingkat kecemasan pasien hernia di Ruang Rawat Inap RS Bhayangkara Kota Kediri. Desain penelitian menggunakan non eksperimental dengan jenis survey analitik dan pendekatan cross secsional. Variabel independen faktor pengetahuan, budaya dan dukungan keluarga. Dependen adalah tingkat kecemasan. Populasi semua pasien pre operasi hernia  di Ruang Rawat Inap RS Bhayangkara Kota Kediri sebanyak 92 responden, menggunakan tehnik purposive sampling dengan kriteria usia 15-35 tahun dan didapatkan besar sampel 44 responden. Analisis statistik yang digunakan adalah spearman rank dengan α =0,05. Hasil penelitian berpengetahuan cukup yaitu sebanyak 21 pasien (47,7%). berbudaya sedang yaitu sebanyak 18 pasien (40,9%). dukungan keluarga sedang yaitu sebanyak 18 pasien (40,9%). cemas sedang yaitu sebanyak 21 pasien (47,7%),  uji spearman rank menyatakan bahwa p value (0,000)< α = 0,05, artinya ada hubungan  faktor pengetahuan, budaya dan dukungan keluarga terhadap tingkat kecemasan pada pasien hernia di Ruang Rawat Inap RS Bhayangkara Kota Kediri dan faktor yang paling dominan pengaruhnya terhadap kecemasan adalah faktor  budaya. Pengetahuan yang cukup mempengaruhi responden dalam memutuskan sikap menghadapi kecemasan preoperatif. Kebudayaan yang cukup mempengaruhi mempengaruhi responden mengatur skala kecemasan. Dukungan dan perhatian keluarga menenangkan responden sehingga kecemasan menurun.
The Correlation Between Stimulation, Nutritional Status and Child Development Heri Saputro; Intan Fazrin; Eva Agustina Yalestyarini
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.20596

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Introduction:Developmental disorder could be affected by many factors, such as stimulation and nutritional status. This study aimed to determine the correlation between stimulation, nutritional and development of children aged 3 to 6 years old.Methods: The study design was an analytic survey with cross-sectional approach. Population was parents having children aged 3 to 6, as many as 419 in Sonorejo Village, the Work Area of the UPTD Puskesmas Grogol, Kediri Regency. Sample used were 109 respondents taken by simple random sampling technique. Independent variables were stimulation and nutritional status collected using questionnaire. Dependent variable was development of children aged 3 to 6 years old, collected using observation. Data were analyzed using ordinal regression test.Results: Results showed roughly half of respondents (52, 47.7%), with good stimulation, those with normal nutritional status 80 respondents (73.4%) and having appropriate development 88 respondents (80.7%). There was an effect caused by stimulation and nutritional status for development of children aged 3 to 6 years. Results  from the statistical test showed p value 0.000 for stimulation factor. This means that stimulation was a dominant factor for children's development.Conclusion: stimulation and nutritional status are very important for development of children aged 3 to 6 years old. This study suggested that parents should be more active in joining with health service centers so they can give an appropriate stimulation and increasing nutritional status for their children, so they can have   optimal growth and development.
Penurunan Tingkat Kecemasan Anak Akibat Hospitalisasi dengan Penerapan Terapi Bermain Heri Saputro; Intan Fazrin
JKI (Jurnal Konseling Indonesia) Vol. 3 No. 1 (2017): Jurnal Konseling Indonesia
Publisher : Universitas Kanjuruhan Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (517.944 KB) | DOI: 10.21067/jki.v3i1.1972

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Children who are sick and hospitalized have an impact, both physically and psychologically, such as anxiety, feeling alien to the new environment, dealing with unknown individuals, lifestyle changes and having to accept painful medical or medical treatment. The purpose of this study was to determine the decrease in anxiety of children treated in hospital with the provision of play therapy. This research is a pre experimental research using One Group Pretest-Posttest Design approach in pre-school age children. The study was aimed at hospitalized children who experienced anxiety during hospitalization, then 3-day intervention (play therapy), then re-examined anxiety levels in children, anxiety measurements using a modified Spence Children's Anxiety Scale Parent Report And has tested the validity. The results showed a decrease in child's anxiety after being given a play therapy intervention with a p value of 0.002.
The Effect of Giving Turmeric and Honey Boiled Water on the Incidence of Flour Albus in D-III Midwifery Students at the Indonesian Strada Institute of Health Sciences Heri Saputro; Jumiati Ester Binti Daud
Open Access Health Scientific Journal Vol. 3 No. 1 (2022): February 2022
Publisher : PT. Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v3i1.22

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Background: Vaginal discharge (flour albus) is a white fluid that comes out of the vagina in excess and can cause complaints such as itching and burning in the intimate area. Efforts in handling flour albus can use traditional medicine, namely turmeric and honey. This study aimed to determine whether there is an effect of giving turmeric and honey boiled water to the incidence of flour albus in D-III Midwifery students at the Indonesian Strada Institute of Health Sciences.Methods: This study uses a pre-experimental method with the type of research design is one group pre test post test. The population in this study were all D-III Midwifery students at the Indonesian Strada Institute of Health Sciences and the sample was taken using a purposive sampling method with a total of 30 respondents. The data analysis technique used to test the hypothesis is the Wilcoxon test and data collection using a questionnaire.Results: The results of data analysis showed that the significance level was 0.000 < = 0.05 so that H0 was rejected and H1 was accepted. Thus, there was an effect of giving turmeric and honey boiled water to the occurrence of flour albus in D-III Midwifery students at IIK Strada Indonesia.Conclusion: There is an Effect of Giving Turmeric and Honey Boiled Water on the Incidence of Flour Albus in D-III Midwifery Students at IIK Strada Indonesia
Implementation of Screening for Child Growth and Development Heri Saputro; Septiana Rahmawati; Murtiningsih Murtiningsih; Nugroho Zahrowaana Muslim; Ferdinand Arinto Kadege
Comment: an International Journal of Community Development Vol 1 No 3 (2019)
Publisher : Perkumpulan Peneliti Ilmu Lingkungan - Green Visioneers

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.776 KB)

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Growth occurs simultaneously with development. In contrast to growth, development is the result of the interaction of the maturity of the central nervous system with the organs it influences, for example the development of the neuromuscular system, speech, emotions and socialization. The implementation of this activity was carried out at the Permata Playhouse in Kediri City. Activities are carried out in a day. Activities are carried out using weight scales, microstructure, and child development questionnaires. From the results, some children experience delays in growth and development. The importance of the role of parents and health workers in monitoring and preventing growth and development problems
The Effect of High Fiber Consumption Patterns on Lowering Cholesterol Levels Low Density Lipoprotein: Literature Review Heri Saputro; Lutfi Ema Rifani
Open Access Health Scientific Journal Vol. 2 No. 2 (2021): August 2021
Publisher : PT. Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v2i2.20

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Background: Hypercholesterolemia can cause blockages in blood vessels and heart. Not infrequently people with hypercholesterolemia will experience myocardial infarction in the heart which leads to death. Changes in lifestyle are characterized by consuming less fiber-containing foods which have an impact on increasing LDL cholesterol levels in the blood. This study aimed to determine the effect of the application of high fiber consumption patterns on the reduction of cholesterol levels. Method: Literature review from the Google Scholar database, Pubmed published from 2010 to 2020, and manually select articles that are relevant to the research statement and use the keywords high fiber consumption patterns and hypercholesterolemia. Results: From the results of the literature review conducted, it was found that there were 10 related articles that met the criteria. Results: The results of the search are obtained by consuming a high-fiber diet (avocado, guava and dragon fruit, carrots and tomatoes, etc.) which produce nutrients and antioxidants such as anthocyanins, flavonoids, lycopene, PUFA, MUFA, niacin, fiber, vitamin C and phytosterols which can help lower LDL cholesterol levels and increase HDL. Conclusion: There is a relationship between the pattern of consumption of high-fiber foods to decrease cholesterol levels. With a high-fiber consumption pattern, it can bind bile acids and then excreted together with feces, this acid can reduce LDL cholesterol levels.
Analysis of the Family's Role on the Status of Weight and Height of Children at Pelita Hati Early Childhood Education Eny Susilowati; Heri Saputro; Prima Dewi Kusumawati; Joel Rey Ugsang Acob
Open Access Health Scientific Journal Vol. 3 No. 2 (2022): August 2022
Publisher : PT. Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v3i2.29

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Background: Child health problems are a major problem in Indonesia, especially those related to nutrition in children under five. This can cause barriers to the child's height and weight. This study aimed to analyze the influence of the role of the family on the weight and height status of children.Methods: This research design is an observational quantitative research with a cross sectional approach with the focus of his research directed at analyzing the independent variable the role of the family on the dependent variable of weight and height status in children at PAUD Pelita Hati Karangrejo Tulungagung using linear regression statistical test with a sample of 35 respondents were taken by using Simple Random Sampling technique.Results: The results of the study found that almost half of the respondents had a moderate category of family roles as much as 16 respondents (45,7%). Almost half of the respondents have body weight in the normal category as much 16 respondents (45,7%) and most of the respondents have a normal height category of 20 respondents (57,1%). Results of data analysis using Test Linear Regression on the weight variable that the p-value is 0.00 0 < 0.05 then H0 is rejected and H 1 is accepted so it can be concluded that there is an influence of the role of the family on the weight status of children in PAUD Pelita Hati Karangrejo Tulungagung. Meanwhile, in the height variable, the p-value is 0.045 <0.05, so H0 is rejected and H1 is accepted , so it can be concluded that there is an influence of the role of the family on the height status of children in PAUD Pelita Hati Karangrejo Tulungagung.Conclusion: Parents can monitor their child's growth and also provide foods that are high in fiber such as fruits and vegetables, foods that contain lots of protein such as meat and tempeh, drinks that contain lots of calcium such as milk so that children can grow optimally
Children Growth Analysis Reviewed From Nutrition Status Of Children Age 0-5 Years Heri Saputro; Kristoforus Tnomel; Atik Setiawan Wahyuningsih; Joel Rey Ugsang Acob
Open Access Health Scientific Journal Vol. 4 No. 1 (2023): February 2023
Publisher : PT. Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v4i1.35

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Background: Deviation of growth and development may occur if there are obstacles or interruptions in the process from intrauterine to adulthood. Deviations dap good at giving clinical manifestations of abnormalities in growth with or without developmental abnormalities. The purpose of the study to determine the effect of nutritional status on head growth in children 0-5 years.Methods: The design study is observational analytic with cross sectional approach. Respondents were taken using simple random sampling technique. Population in this research all toddlers in Kelurahan Tosaren Kediri as many as 327 children. Sample as many as 77 children under five. Independent variable is nutritional status, dependent variable of head growth. Results of statistical analysis using simple linear regression test.Results: The result of this research showed that almost all children under 5 years old in Tosaren Village with good nutrition status were 67 respondents (87.0%), almost all children under 5 years old in Tosaren Village with the appropriate head growth of 65 respondents (84, 4%) out of a total of 77 respondents. The results of data analysis showed that the level of significance p value = 0.000 thus H1 accepted which means there is influence between nutritional status and infant head growth tosaren 0-5 years in the village.Conclusion: Nutritional status with 0-5 year toddler growth head in tosaren sub-district, where the better the nutritional status of the toddler the better the growth of toddler head, this is because with good nutrition status of toddler eat body requirement of nutrition fulfilled, so growth of head of toddler good.
Analysis of Knowledge Factors and Attitudes Affecting Behavior Health Handling Behavior In Preschool Children Heri Saputro; Ndamung Matalu
Journal for Quality in Public Health Vol. 3 No. 2 (2020): Journal for Quality in Public Health
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v3i2.181

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Behavioral engagement of the mother to the child needs to be understood in taking a treatment or therapeutic action that can reduce body temperature in children and behavioral handling in influencing factors knowledge and attitude that can help in the handling of fever. The purpose of this study to determine the factors of knowledge and attitude of mothers that affect the behavior of home fever handling in preschool children in the work area UPTD Community Health Clinik Cement District Kediri.The design of this research is observation / survey with cross-sectional approach. Total sampling technique. Samples in this study all the mothers as much as 45 people. Independent variable to be studied is Knowledge, attitude of dependent variable is handling behavior. The statistical test used is logistic regression.The result of the research showed that mother's knowledge on fever handling behavior in the category was 17 respondents (37,8%), positive category was 21 respondents (46,7%). From the analysis of data knowledge shows the value of P value = 0.021 <α 0.05 so that H1 is accepted which means there is influence of mother's knowledge on fever handling behavior and attitude show value P value = 0,017 <α 0,05 so that H1 accepted which mean there is influence of mother attitude on the behavior of fever handling. The statistic overal result (0,012) <α (0,005) means there is influence of knowledge, attitude, simultaneously to behavior of home fever handling at preschool children at UPTD Community Health Clinik Cement District Kediri.Handling fever is influenced by knowledge and attitude of mother because in determining child recovery process determined from mother understanding about prevention of bacteria, virus and microorganism and mother response in effort to prevent fever by giving warm compress therapy or pemeberian of febrifuge to reduce body temperature