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EXPERIENCE OF NURSE ASSOSIATE TO IMPLEMENT TRIAGE IN EMERGENCY ROOM INSTALLATION Febrina, Wiwit; Sholehat, Indah Okzana
Jurnal Endurance Vol 3, No 1 (2018): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (75.776 KB) | DOI: 10.22216/jen.v3i1.2579

Abstract

Triageis a system of in the Emergency Room aims to select or classify all patients who need the help and assign priority handling. A study on the phenomena that occur on experience in performing triage nurse. Researchers use qualitative research design with phenomenology approach. The research was conducted at Emergency Installation of Dr. Achmad Mochtar Bukittinggi. Population and sample in this research is numbered 3 participants, the study was obtained by purposive sampling.. Instrument Participant of the research is the nurse in the room of the Emergency Room Installation, the research in this research is the researcher himself. The study of 3 participants gained six themes, namely: (1) skill Technically nurse triage, (2) the principle of triage, (3) the ability of sorting patients is still not effective, (4) infrastructure, (5) the impact of doing mistakes triage and (6) solutions for patient safety. Hospital and emergency room is recommended to add special training triage nurse triage, is expected to provide motivation for the triage nurse and triage nurse are expected to be in the room triage to be able to do sorting.Triage adalah suatu proses yang dilakukan di Instalasi Gawat Darurat . Tujuan Triage adalah mengelompokkan atau mengkategorikan semua pasien yang butuh pertolongan untuk menetapkan prioritas penanganannya. Penelitian ini dilakukan untuk mengetahui fenomena-fenomena yang terjadi mengenai pengalaman perawat dalam melaksanakan triage. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi yang dilakukan di Instalasi Gawat Darurat  RSUD Dr. Achmad Mochtar Bukittinggi. Populasi dan sampel dalam penelitian ini yaitu berjumlah 3 orang partisipan, penelitian tersebut diperoleh dengan teknik purposive sampling.. Instrumen Partisipan penelitian adalah perawat pelaksana diruangan Instalasi Gawat Darurat, penelitian dalam penelitian ini adalah peneliti sendiri. Hasil penelitian terhadap 3 partisipan diperoleh 6 tema, yaitu: (1) keterampilan teknikal perawat triage, (2) prinsip triage, (3) kemampuan dalam pemilahan pasien masih belum efektif, (4) sarana prasarana, (5) dampak dalam melakukan kesalahan triage, dan (6) solusi untuk keselamatan pasien. Rumah sakit dan Instalasi Gawat Darurat disarankan untuk menambahkan pelatihan khusus triage bagi perawat triage, di harapkan dapat memberikam motivasi bagi para perawat triage, serta  perawat triage diharapkan dapat selalu berada di ruang triage untuk dapat melakukan pemilahan.   
MODEL PENGENDALIAN KADAR GULA DARAH PENDERITA DIABETES MELLITUS Juwita, Lisavina; Febrina, Wiwit
Jurnal Endurance Vol 3, No 1 (2018): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.424 KB) | DOI: 10.22216/jen.v3i1.2768

Abstract

According to the International Diabetes Federation (IDF) there are 382 million people living with diabetes in the world by 2013. It is estimated that of the 382 million people, 175 million of whom remain undiagnosed, so the danger of developing progressive complications unwittingly and without prevention. Complications from diabetes can be prevented or delayed by keeping blood sugar levels are in the normal category so that metabolism can be well controlled. Blood sugar levels can be maintained by a healthy lifestyle. The purpose of this study was to determine the control of blood sugar levels by making healthy lifestyle in patients with diabetes mellitus type II in London in 2017: a grounded theory study. Participants in the study of 18 people. Intake of participants in this study begins with purposive sampling. The results showed the main concept of grounded theory is "Behavior Control Blood Sugar Levels". Forms of behavior in blood sugar control in this study consisted of a) the bodys response to changes result DM, b) forms of motivation patients with DM, c) Physical Activity DM patients, d) Compliance diet, e) Management DM therapy, f) Compliance controls, g) A healthy lifestyle DM family, h) Impact of changes in lifestyle. The results of this study can serve as a reference, especially for people with diabetes mellitus and family in order to implement the behavior of controlling blood sugar levels.  Menurut International Diabetes Federation (IDF) terdapat 382 juta orang yang hidup dengan diabetes di dunia pada tahun 2013. Diperkirakan dari 382 juta orang tersebut, 175 juta diantaranya belum terdiagnosis, sehingga terancam berkembang progresif menjadi komplikasi tanpa disadari dan tanpa pencegahan. Komplikasi akibat diabetes dapat dicegah atau ditunda dengan menjaga kadar gula darah berada dalam kategori normal sehingga metabolisme dapat dikendalikan dengan baik.  Kadar gula darah dapat dijaga dengan melakukan gaya hidup yang sehat. Tujuan penelitian ini adalah untuk mengetahui pengendalian kadar gula darah dengan melakukan gaya hidup sehat pada penderita diabetes mellitus tipe II di Bukittinggi tahun 2017: study grounded theory. Partisipan dalam penelitian sebanyak 18 orang. Pengambilan partisipan dalam penelitian ini diawali dengan purposive sampling. Hasil penelitian didapatkan Konsep utama dari grounded theory adalah “Perilaku Pengendalian Kadar Gula Darah”. Bentuk perilaku pengendalian gula darah dalam penelitian ini terdiri dari a) Respon tubuh terhadap Perubahan Akibat DM, b) Bentuk motivasi pasien DM, c) Aktivitas Fisik Pasien DM, d) Kepatuhan diet, e) Manajemen terapi DM, f) Kepatuhan melakukan kontrol, g) Gaya hidup sehat keluarga DM, h) Dampak perubahan gaya hidup. Hasil penelitian ini dapat menjadi referensi khususnya bagi penderita diabetes mellitus dan keluarga agar menerapkan perilaku pengendalian kadar gula darah. 
ANALISIS PERAN KELUARGA SEBAGAI PENGAWAS MINUM OBAT (PMO) PASIEN TB PARU Wiwit Febrina
HUMAN CARE JOURNAL Vol 3, No 2 (2018): Human Care Journal
Publisher : Universitas Fort De Kock

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (192.702 KB) | DOI: 10.32883/hcj.v3i2.66

Abstract

Menurut laporan WHO tahun 2013, diperkirakan terdapat 8,6 Juta kasus TB pada tahun 2012. Upaya pengendalian TB dilakukan dengan menerapkan strategi DOTS. Salah satu dari komponen DOTS (Directly Observed Treatment Short-course) adalah paduan OAT (Obat Anti Tuberkulosis) jangka pendek dengan pengawasan langsung. Untuk menjamin keteraturan pengobatan diperlukan seorang Pengawas Minum Obat (PMO). Keluarga dapat dijadikan sebagai PMO, karena dikenal, dipercaya dan disetujui, baik oleh petugas kesehatan maupun penderita, selain itu harus disegani, dihormati dan tinggal dekat dengan penderita serta bersedia membantu penderita dengan sukarela. Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi yang dilakukan di Puskesmas Ophir. Penelitian ini dilakukan dengan wawancara mendalam terhadap partisipan untuk mengeksplor peran keluarga sebagai Pengawas Minum Obat (PMO). Partisipan diambil secara purposive sampling berjumlah 8 orang terdiri dari 3 orang PMO, 3 Orang Pasien TB Paru, 1 Orang petugas TB Paru Puskesmas, 1 Orang Kepala Puskesmas. Hasil penelitian ini didapatkan adanya empat tema yaitu peran sebagai motivator sudah optimal, peran dalam mengingatkan pemeriksaan ulang sputum sudah optimal, peran pengawasan pengobatan sudah maksimal, sedangkan peran sebagai edukator belum maksimal. Disimpulkan bahwa peran keluarga sebagai PMO bagi pasien TB Paru dalam mengawasi, memotivasi, memastikan pemeriksaan ulang sputum, dan memberikan edukasi kepada pasien TB, akan membantu proses kesembuhan bagi pasien TB Paru. Puskesmas perlu meningkatkan sosialisasi dan penyuluhan terhadap PMO dan pasien TB Paru mengenai penyakit TB Paru serta melakukan monitoring dan evaluasi terkait feedback dari program TB Paru di masyarakat. Kata kunci : Peran Keluarga, Pengawas Minum Obat (PMO), TB Paru
The Effect of Hypnotherapy to Reduce Dysmenorrhea Pain Sherly Amelia; Ratna Dewi; Wiwit Febrina
Padjadjaran Acute Care Nursing Journal Vol 2, No 1 (2020): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (356.358 KB) | DOI: 10.24198/pacnj.v2i1.31995

Abstract

The Incidence of primary dysmenorrhea in Indonesia is around 54.89%, the remaining 45.11% is secondary dysmenorrhoea. Dysmenorrhoea in Parabek high school students out of 35 students, 25 students experience dysminor when menstruation. One of the non-pharmacological dysmenorrhoea treatments is hypnotherapy. Hypnotherapy is an easy, fast, effective, and efficient way to reach the subconscious mind. This study aims to determine the effect of hypnotherapy on dysmenorrhoea in high school students. The research method used was pre-experimental with are search design one group pre-test  post-test. The total population obtained was 117 people and the number of samples taken was 20 people, with a purposive sampling technique. Data collection was obtained directly from respondents using the measuring instrument Verbal Descriptor Scale (VDS). Data analysis was carried out in two stages, namely univariate and bivariate using the dependent t-test. The results showed that the average value of the dysmenorrhoea scale before the intervention was given was 6.50 and the average value after intervention was 1.35, there was an effect of hypnotherapy on dysmenorrhoea (t = 17.596, p-value= 0.001). Hypnotherapy can be suggested to be applied as a non-pharmacological measure to treat dysmenorrhea. .
KUALITAS TIDUR PASIEN DIABETES MELLITUS TIPE 2 Wiwit Febrina; Ratna Dewi; Wenny Lazdia; Rahmat Syukri; Putri Rahmadani; Lina Gusniati
Jurnal Endurance Vol. 8 No. 2 (2023): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22216/jen.v8i2.2349

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According to Riskesdas findings from 2018, the prevalence of Diabetes Mellitus in Indonesia increased to 2%. In 2019, Indonesia ranked seventh among the countries with the highest prevalence of diabetes, with a population of 10.7 million.  The purpose of the study was to determine The Correlation Between Sleep Quality and Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus at Rasimah Ahmad Community Health Center, Bukitinggi in 2022.This study employed a descriptive analytic research design. In 2022, the population was all patients with diabetes Mellitus Type 2 at Rasimah Ahmad Community Health Center in Bukittinggi, with a total of 175 persons. Using an incidental sampling technique, 63 respondents who met the inclusion criteria were sampled. The study's findings revealed that 56 respondents with poor sleep quality were in the poor category, a majority of 52 respondents (92.9%) had high blood sugar levels (> 200 g/dl), and 7 respondents with good sleep were only slightly less than the same proportion of 3 respondents (42.9%) had a high blood glucose level (> 200 gr/dl). It is recommended that individuals with diabetes consult with healthcare professionals in order to assess the stability of their blood sugar levels and its impact on achieving appropriate sleep quality
PENGARUH TERAPI GUIDED IMAGERY TERHADAP TINGKAT NYERI PASIEN POST OPERASI CHOLELITIASIS Juwita, Lisavina; Rahmiwati, Rahmiwati; Putri, Rysadilla Cemrony; Dewi, Ratna; Febrina, Wiwit
REAL in Nursing Journal Vol 7, No 3 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i3.3296

Abstract

Nyeri pascaoperasi adalah salah satu gejala yang umumnya dialami pasien setelah menjalani pembedahan, sebagai respons tubuh terhadap kerusakan jaringan yang terjadi selama operasi. Penelitian ini bertujuan untuk menganalisis pengaruh terapi imajinasi terbimbing (Guided Imagery) terhadap tingkat nyeri pada pasien pascaoperasi kolelitiasis di RSUD Dr. Achmad Mocthar Bukittinggi pada tahun 2023. Penelitian menggunakan metode kuasi-eksperimen dengan desain pretest-posttest one group. Pelaksanaannya dilakukan pada Desember 2022, melibatkan 30 responden yang menerima terapi imajinasi terbimbing. Teknik pengambilan sampel adalah purposive sampling. Data dikumpulkan secara terkomputerisasi menggunakan Uji Wilcoxon Sign Test. Tingkat nyeri diukur berdasarkan Standar Luaran Keperawatan Indonesia (SLKI), dengan skala skor 6-30: 6-10 (meningkat), 11-15 (cukup meningkat), 16-20 (sedang), 21-25 (cukup menurun), dan 26-30 (menurun). Hasil analisis univariat menunjukkan rata-rata tingkat nyeri sebelum terapi adalah 23,3 (cukup menurun), sementara setelah terapi meningkat menjadi 28,067 (menurun) dengan nilai p sebesar 0,000. Kesimpulan dari penelitian ini adalah terapi imajinasi terbimbing (Guided Imagery) memiliki pengaruh terhadap penurunan tingkat nyeri pasien pascaoperasi kolelitiasis. Peneliti merekomendasikan agar penelitian selanjutnya melibatkan keluarga pasien dalam proses terapi untuk mendukung penerapan dan efektivitasnya
Efektivitas Pendidikan Kesehatan Terhadap Perilaku Cuci Tangan Pakai Sabun Dalam Upaya Pencegahan Covid-19 Adriani, Adriani; Oktavia, Sisi; Febrina, Wiwit
REAL in Nursing Journal Vol 4, No 2 (2021): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v4i2.1268

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Background: Covid-19 causes respiratory problems and inflammation of the lungs. This disease is caused by a viral infection. The implementation of hand washing with soap carried out in elementary schools for the prevention of Covid-19 has not been carried out properly because the UKS program is not running optimally and has not received health education. This study aims to determine the effectiveness of health education on the knowledge and actions of washing hands with soap in an effort to prevent Covid-19 in elementary schools. Methods: This research was analytical descriptive research with Quasi Experiment approach with One Group Pre-test and Post-test design. A sample of 20 students using total sampling of students in grades V and VI, data processing using non-parametric tests (Wilcoxon and Paired T test). Results: The results showed that the average knowledge of students before the intervention was 6.15 and the average knowledge after the intervention was 6.9 with p value = 0.003, the average action before the intervention was 2.65, the average after the intervention was 4.6 with p value = 0.000. Conclusion: Based on the results of the study, it was concluded that health education was effective in the knowledge and actions of washing hands with soap as an effort to prevent Covid-19 in elementary schools. It is hoped that the health education method can be used in health education programs for students' knowledge and actions in an effort to prevent Covid-19. Keywords: Covid-19, Health Education, Knowledge, Skills
Caring Behavior of Caregivers During The Satisfy of Basic Needs in The Elderly Febrina, Wiwit; Said, Farida Mohd; Rezkiki, Fitrianola; Rahmiwati, Rahmiwati; Lazdia, Wenny
REAL in Nursing Journal Vol 8, No 1 (2025): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v8i1.1977

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Background: Entering old age, a person experiences a process of changing body functions both physically and psychologically, which can cause the elderly to have difficulty in achieving their basic needs. The Caring behavior is a form of support that caregivers can provide to the elderly in an effort to protect, improve, maintain, or devote a sense of humanity by helping someone achieve a better aspect. This study aimed to determine the caring behavior of caregivers in satisfying basic needs for the elderly at West Sumatera Province in 2022. Methods: This study was conducted from March until July in 2022. The type of this study was quantitative by using a descriptive study. The population of this study was all the elderly as recipients of caring behavior directly from caregivers. By using total sampling, 53 people were chosen as the sample. The data was collected by using a questionnaire about the caring behavior of caregiver. Results: From the results, it was found that as many as 33 people (62.3%) of respondents stated that the caring behavior of caregivers was included in the good category. Conclusion: From the results of this study, it is expected that caregivers can improve the process of caring for the elderly in achieving more optimal basic satisfy through effective communication between caregivers and the elderly.
Tingkat Ketergantungan Gadget Pada Anak Usia Sekolah di Kota Bukittinggi Febrina, Cory; Dewi, Sandra; Mariyana, Rina; Febrina, Wiwit
REAL in Nursing Journal Vol 4, No 3 (2021): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v4i3.1511

Abstract

Background: The use of gadgets is one of the shortcuts for parents in accompanying their children as caregivers. At the age of adolescence in the pandemic era, it becomes a primary need to use gadgets in the online learning process, but the health impacts, including anemia, decreased role functions, decreased behavioral control, and sexual behavior deviations need to be a concern.  Purpose:This study aims to determine the distribution of gadget addiction. Methods:  This uses descriptive analytic. The research sample was teenagers who were taken by multistage random sampling and who met the inclusion criteria were 50 respondents. Data collection in this study used an instrument using the Smartphone Addiction Scale (SAS) questionnaire. Results: results showed most gadget addiction is dependence level Low (46%), the level of dependence moderate (34%), very low level of dependence (18%), high dependency level (2%). Conclusion: There is a need for holistic nursing interventions for individuals and families with gadget addiction based on the level of dependence, it takes the participation of schools and the community in providing education on the negative impact of gadget addiction. Keywords: Addiction, Gadget, Adolescents
Pain Management on Elderly People: Caregivers Readiness on Managing Pain at Home Kartika, Imelda Rahmayunia; Sa'adiah, Halimahtun; Febrina, Wiwit
REAL in Nursing Journal Vol 7, No 1 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i1.2960

Abstract

Background: The diseases that appear in the elderly tend to create excessive and chronic pain with the prevalence of pain occurs in people over 65 years of age. Families as caregivers have to pay more attention to the condition of the elderly so that they need readiness and skills on managing pain at home. Caring on the elderly was very complex and requires patience, including in pain treatment. This study was to overview the family readiness on managing pain for the elderly people.Methods: This study used an analytic descriptive design with a sample of 98 caregivers who cared for the elderly with pain at home. The research instrument used the Nursing Outcomes Classification on a 5-likert scale which asked about family readiness in caring for the family. Data analyzed by using descriptive frequency analysis.Results: A total of 53 people (54.1%) caregivers stated that they were not prepared to care for elderly people with pain at home. It was explained that caregivers mostly stated that they did not know about the disease process of elderly pain and the recommended treatment procedures on managing the pain (each mean of 1.923 and 2.000). Meanwhile, caregivers generally accepted the condition as taking on the role of home care (mean: 3.317).Conclusion: It was concluded that caregivers tended to not have the readiness in taking care of elderly pain at home. It is expected that caregivers can increase knowledge about pain management and be ready to provide home care to the elderly.Keywords: Pain management, caregivers, readiness, elderly, home