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All Journal Jurnal Keperawatan JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Ilmiah Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Avicenna : Journal of Health Research Journal of Health Technology Assessment in Midwifery International Journal of Health Science and Technology Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia
Prihatiningsih, Dwi
Universitas Aisyiyah Yogyakarta
Humanities Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Perawatan Diri Pada Pasien Gagal Jantung Prihatiningsih, Dwi; Sudyasih, Tiwi
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 4, No 2 (2018): Vol 4, No 2 (2018)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v4i2.13443

Abstract

ABSTRAKGagal jantung merupakan salah satu penyakit kardiovaskuler yang paling sering terjadi di seluruh dunia yang mengakibatkan tingginya angka mortalitas, morbiditas dan juga berdampak secara finansial terutama bagi lanjut usia. Rehospitalisasi merupakan masalah umum yang sering terjadi pada pasien gagal jantung yang sebagain besar disebabkan oleh keterlambatan dalam pengenalan gejala, pengobatan dan ketidakpatuhan diet serta kurangnya pengetahuan dan keterampilan dalam melakukan perawatan diri. Panduan penanganan gagal jantung menekankan pentingnya perilaku perawatan diri untuk menurunkan kekambuhan dan rehospitalisasi pada pasien gagal jantung. Penelitian ini bertujuan untuk menggambarkan perilaku perawatan diri pada pasien gagal jantung yang mengunjungi poliklinik jantung di RSUD Panembahan Senopati Bantul. Penelitian ini merupakan penelitian deskriptif quantitatif dengan menggunakan pendekatan cross sectional. Sampel berjumlah 74 responden yang merupakan pasien rawat jalan di poliklinik jantung pada bulan Juni hingga Juli 2018. Alat ukur yang digunakan adalah Self-Care of Heart Failure Index (SCHFI), (skor ≥70 poin=adekuat). Uji statistik chi-square digunakan untuk mengetahui hubungan antara factor sosiodemografi dengan perilaku perawatan diri pada pasien gagal jantung. Hasil penelitian ini menunjukkan bahwa perilaku perawatan diri pada sebagian besar responden masih belum adekuat dengan frekuensi perilaku perawatan diri adekuat yang masih rendah (pemeliharaan: 45±13.1 (7.7%), pengelolaan: 46±20.4 (13.0%) dan kepercayaan: 69±16.5 (38.5%)). Hanya satu faktor yaitu penyakit penyerta yang berhubungan dengan perilaku perawatan diri pada pasien gagal jantung pada dimensi kepercayaan diri. Hasil penelitian ini menunjukkan bahwa sebagian besar responden memiliki perilaku perawatan diri yang tidak adekuat seperti juga pada negara-negara lainnya sehingga diperlukan upaya untuk meningkatkan perilaku perawatan diri pada pasien gagal jantung. ABSTRACTHeart failure (HF) is one of the most prevalent cardiovascular diseases in the world which associated with significant mortality, morbidity, and huge financial burden, particularly among aging population. Rehospitalization remain a concern in the care of the heart failure patient which largerly associated with delay in symptoms recognition, treatment, diet non-compliance and also lack of knowledge and skills in heart failure self-care. Guideline on HF emphasize the important of self care in preventing symptoms and hospital readmission. This study aims to describe self-care behavior in a sample of heart failure patients. This is a descriptive cross-sectional study with non-probabilistic sample of 74 in an out-patient heart clinic from June-July 2018. Self-care was measured using the Self-Care of Heart Failure Index (SCHFI), (scores ≥70 points=adequate self-care). Chi-square test was conducted to test whether participant’s characteristics associated with self-care behavior among heart failure patients in three scales. The result shows that self-care was inadequate in most scales (self-care maintenance: 43.4±11.8, self-care management: 49.4±18.5 and self-care confidence: 68,6±14.5. Low frequencies of participants with adequate self-care also observed in the study (self-care maintenance: 5.4%, self-care management: 15.4%) and self-care confidence: 36.5%)). In self-care confidence subscale, higher scores of the SCHFI were associated with no comorbid conditions (p=0.01). None of the sociodemographic and clinical characteristics of the sample were associated with increased self-care in other 2 sub-scales. In conclusion, study shows that self-care in HF is inadequate, interventions aimed at improving self-care espescially in self-care maintenance sub-scale are greatly needed. Additional studies are needed to determine the best approach for this. 
Self-Care Behavior in Heart Failure Patients: Impact on Cardiovascular Health Profile Dwi Prihatiningsih; Widaryati Widaryati
Jurnal Keperawatan Vol. 12 No. 1 (2021): January
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.23 KB) | DOI: 10.22219/jk.v12i1.14783

Abstract

Introduction: Heart failure is a complex syndrome with characteristic symptoms of shortness of breath, fatigue, and signs of fluid retention. Self-care is the cornerstone of successful heart failure management. The cardiovascular health profile is a direct indicator of successful self-care. Objectives: The objective of the study was to examine the association between self-care and the cardiovascular health profile including smoking status, body mass index, total cholesterol, blood pressure and blood glucose level. Methods: This study is a cross-sectional study of heart failure patients at PKU Muhammadiyah hospital of Yogyakarta between August to October 2020 with sample of 100 participants. Chi square test was used to test the relationship between the two variables. Results: The finding shows that self-care management is the dimension with the highest level of self-care (96.2%) and self-care confidence is the lowest percentage of adequate self-care (13.0%). Among five cardiovascular health profile, smoking status is the highest metric with an ideal percentage (95.0%) and the lowest percentage was blood glucose metric (14.0%). The results of the correlation test between self-care and the total cardiovascular health profile showed no significant relationship between the two variables. However, there was one dimension of self-care, namely self-care maintenance which has a significant relationship with total cholesterol levels with a value of p = 0.008. Conclusions: It is important to provide individualized health education to help the patients to improve their self-care and cardiovascular health profile in heart failure patients.
Electrocardiogram interpretation skills among healthcare professional and related factors: A Review on Myocardial Infraction cases Dwi Prihatiningsih; Alison Hutton
Journal of Health Technology Assessment in Midwifery Vol 1, No 2 (2018): November
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.714 KB) | DOI: 10.31101/jhtam.796

Abstract

Acute Coronary Syndrome (ACS) is a major cause of death and disability worldwide. In spite of the advance of many other diagnostic techniques of biomarkers and imaging, the 12-lead electrocardiogram (ECG) remains the gold standard for early identification and management of ACS. The aim of this study was to determine the HCPs interpretation skills on 12 lead ECG especially in Myocardial Infarction cases. Primary research of ECG interpretation skill of HCPs and related factors were identified by searching electronic databases and bibliographies. Sixteen articles were identified based on inclusion and exclusion criteria. Variations were found on ECG interpretations among HCPs. Moreover it was found that training, experience seniority and AMI mimicking pattern influence ECG interpretation skills among HCPs and decision making for thrombolytic therapy.
FAKTOR DETERMINAN YANG MEMPENGARUHI STUNTING PADA BALITA : SCOPING REVIEW Rezka Zahra Humaira; Nurul Hidayah; Dwi Indah Wulandari; Dini Asrika Devi; Marcelis Stia Anggraini; Ana Dwi Prihatiningsih; Dhesi Ari Astuti; Ita Suryani
Avicenna : Journal of Health Research Vol 5, No 2 (2022): OKTOBER
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/avicenna.v5i2.686

Abstract

Identification of self-care practices in patients with hypertension during the COVID-19 pandemic Widaryati Widaryati; Dwi Prihatiningsih; Ade Putranto Prasetyo Wijiharto Tunggali; Kamilia Naulufar
International Journal of Health Science and Technology Vol 4, No 3 (2023): April
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v4i3.2813

Abstract

The COVID-19 pandemic has exacerbated chronic disease conditions and health disparities, especially in patients with hypertension. Hypertension is the most comorbid disease that increases the risk of worsening and even death in people with Covid-19. Although this disease has a fairly large mortality rate, the practice of independent care carried out by patients can reduce the risk of death by 50% compared to those who do not. This research aims to find out the practice of self-care and related factors in patients with hypertension during the COVID-19 pandemic in the working area of Puskesmas Gamping II Yogyakarta. This research is a cross-sectional study involving 46 respondents with hypertension aged 35 years, and over. The research process was carried out offline by implementing health protocols. Data were collected using the Hypertension Self-Care Activity Level Effects Scale (H-SCALE) questionnaire. The results of this study showed that all participants did not drink alcohol (100%). More than half of the participants had good adherence to physical activity (76.1%), nonsmoking (73.9%), and weight management (58.7%). The lowest self-care practices were dietary adherence (32.6%) and medication (34.8%). Based on data analysis with the Chi-Square test, two factors influence the self-care practice of patients with hypertension: education level associated with adherence to avoiding smoking (p = 0.05) and employment status associated with compliance with weight management (p = 0.01). The results of this study still show that most people with hypertension still experience obstacles in carrying out independent care, especially in diet and taking medication. The restriction of services by healthcare centers during the pandemic and the fear and worry of hypertensive patients affect the compliance of hypertensive patients in conducting health checks at healthcare centers.
Role Of the Midwife in The Use of Ultrasonography (USG) Equipment in Antenatal Care (ANC) Service: A Scoping Review Dini Asrika Devi; Lilik Hanifah; Ana Dwi Prihatiningsih; Andari Wuri Astuti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (743.975 KB) | DOI: 10.30604/jika.v7i4.1283

Abstract

Ultrasonography (USG) is one of the technological tools in the health sector, especially in midwifery. Midwives are recommended to be able to use technology in the field of midwifery to reduce maternal and child mortality, especially in Indonesia. The aim of this literature study is to determine the role of midwives in the use of ultrasonography (USG) equipment in Antenatal Care (ANC) services. The method used in this literature study is scoping review, the literature search in this study uses 3 health journal databases (PubMed, ProQuest, ScienceDirect). For the selection of articles obtained based on predetermined inclusion and exclusion criteria, using a Prisma Flowchart for the flow of article selection, and doing by critical appraisal using the Mixed Methods Appraisal Tool (MMAT) instrument. The results of the review of a total search of 2,018 articles then found 10 articles that were included in the aim and criteria of the literature study that were set. The articles obtained from various countries consist of quantitative, qualitative, and mix method studies, which obtained 3 themes and 5 sub-themes, namely benefits, curriculum development, and factors that influence the use of ultrasonography (USG) by midwives. It can be concluded that from a review of 10 articles, the need for training and additional curriculum for midwives can use ultrasonography (USG) to determine early pregnancy status and detect abnormalities in a pregnant woman. Abstrak: Ultrasonografi (USG) merupakan salah satu alat teknologi dalam bidang kesehatan khususnya kebidanan. Bidan dianjurkan untuk bisa menggunakan teknologi dalam bidang kebidanan untuk mengurangi angka kematian ibu dan anak terutama di Indonesia. Tujuan dari studi literatur ini untuk mengetahui peran bidan dalam penggunaan alat ultrasonografi (USG) dalam pelayanan Antenatal Care (ANC). Metode yang digunakan dalam studi literatur ini yaitu scoping review, pencarian literatur dalam studi ini menggunakan 3 database jurnal kesehatan (PubMed, ProQuest, ScienceDirect). Untuk sleksi artikel yang didapat berdasarkan kriteria inklusi dan eksklusi yang telah ditentukan, menggunakan Prisma Flowchart untuk alur penyeleksian artikel, serta dilakukannya critical apparaisal dengan menggunakan instrumen Mixed methods Appraisal Tool (MMAT). Hasil review dari total pencarian sebanyak 2.018 artikel, kemudian ditemukan 10 artikel yang masuk kedalam tujuan dan kriteria studi literatur yang ditetapkan. Artikel yang didapat berasal dari berbagai negara yang terdiri dari penelitian kuantitatif, kualitatif, dan mix method study, yang didapatkan 3 tema dan 5 subtema yaitu manfaat, pengembangan kurikulum, dan faktor yang berpengaruh dalam penggunaan ultrasonografi (USG) oleh bidan. Dapat disimpulkan bahwa dari ulasan 10 artikel, perlunya pelatihan dan penambahan kurikulum untuk bidan bisa menggunakan ultrasonografi (USG) guna untuk mengetahui secara dini status kehamilan dan deteksi kelainan pada wanita hamil.
Comprehensive home based diabetic wounds care program during covid-19 pandemic in Yogyakarta Wantonoro Wantonoro; Dwi Prihatiningsih; Endang Koni Suryaningsih Endang Koni Suryaningsih
Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia Vol. 1 No. 6 (2021)
Publisher : Peneliti Teknologi Teknik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59247/jppmi.v1i6.29

Abstract

Patients with COVID-19 disease who have comorbidities are strongly correlated with increased disease severity and significantly increased risk of death. Diabetes Mellitus is one of important risk factor and contributes to the severity and mortality of patients with COVID-19. Patients with chronic wounds have delayed treatment during the COVID-19 pandemic. Therefore, management of patients with chronic wounds should be improved during this pandemic. Home based wound care and education program for the family caregiver is proposed to solve the problem. Eight participants were completed this program. Evaluation of wound for each patient were conducted (at the first meeting and four- or five-months follow-up) using the diabetic foot ulcer assessment scale (DFUAS). In general, the wound depth, wound size, infection, granulation, necrotic being better compared in the first assessment. Home-based care, and education for patients and family caregiver program have benefit for diabetic wound care management during Covid-19 pandemic in this area (Yogyakarta, Indonesia). The comprehensive with multidiscipline approach are recommended for future work.  
HUBUNGAN EFIKASI DIRI DAN PERAWATAN DIRI PADA PASIEN DENGAN HEMODIALISA Devi, Erina Ivanka; Prihatiningsih, Dwi; Widaryati, Widaryati
Jurnal Ilmiah Kesehatan Vol 13, No 1 (2024): Jurnal Ilmiah Kesehatan
Publisher : Universitas Muhammadiyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52657/jik.v13i1.2269

Abstract

Hemodialisa merupakan sebuah terapi yang dilakukan guna mempertahankan hidup pasien dengan gagal ginjal kronis. Pasien dengan gagal ginjal kronis diharuskan untuk memperhatikan perawatan dirinya. Perawatan diri merupakan upaya aktif yang dilakukan untuk mempertahankan kesehatan dan berespon terhadap aktivitas sehari-hari. Penelitian ini bertujuan untuk mengetahui hubungan efikasi diri dan perawatan diri pada pasien dengan hemodialisa. Penelitian ini merupakan penelitian kuantitatif dengan rancangan deskriptif korelasi dengan pendekatan cross sectional. Penelitian ini melibatkan 56 pasien yang menjalani hemodialisa di RS PKU Muhammadiyah Gamping. Teknik pengambilan sampel yang digunakan yaitu non probality sampling. Pengambilan data pada penelitian ini menggunakan instrumen General Self Efficacy Scale untuk mengukur efikasi diri dan kuesioner Self-Care of CKD Index untuk mengukur perawatan diri pada pasien dengan hemodialisa. Uji statistik yang digunakan pada penelitian ini adalah uji kendall tau. Hasil penelitian ini menunjukkan bahwa 50% responden memiliki efikasi diri dalam kategori sedang dan sebagian besar responden (87,5%) memiliki perawatan diri yang juga dalam kategori sedang. Hasil uji korelasi menunjukkan terdapat hubungan yang signifikan antara efikasi diri dan perawatan diri (p=0.010, r=0.246). Hasil penelitian ini menunjukkan bahwa semakin tinggi efikasi diri maka semakin tinggi pula perawatan diri pada pasien dengan hemodialisa.
Co-Authors Alison Hutton Astuti, Andari Wuri Devi, Erina Ivanka Dhesi Ari Astuti, Dhesi Ari Dini Asrika Devi Dini Asrika Devi Dwi Indah Wulandari Endang Koni Suryaningsih, Endang Koni Hutton, Alison Ita Suryani Kamilia Naulufar Lilik Hanifah Marcelis Stia Anggraini Nurul Hidayah Rezka Zahra Humaira Sudyasih, Tiwi Tunggali, Ade Putranto Prasetyo Wijiharto Wantonoro Wantonoro, Wantonoro Widaryati Widaryati Widaryati Widaryati