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Antiretroviral Side Effects on Adherence in People Living with HIV/AIDS Arisudhana, Gede Arya Bagus; Sofro, Muchlis Achsan Udji; Sujianto, Untung
Nurse Media Journal of Nursing Vol 8, No 2 (2018): (DECEMBER 2018)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.199 KB) | DOI: 10.14710/nmjn.v8i2.20742

Abstract

Background: Antiretroviral therapy is a lifelong treatment in people living with HIV/AIDS (PLWHA). Adherence is the key to the effectiveness of antiretroviral therapy. The administration of antiretroviral has some side effects that may affect patient adherence.Purpose: This study aimed to examine the impacts of antiretroviral side effects on adherence in PLWHA.Methods: This study used a correlational research design. The samples were 78 patients receiving antiretroviral therapy at the tropical disease and infection polyclinic in a hospital in Semarang. Purposive sampling was used to recruit the samples. Data on side effects of antiretroviral were obtained based on the patients’ reports, while data on adherence of pill consumption were obtained through the calculation of pills using pill count adherence rate. The collected data were analyzed using the Fisher’s exact test.Results: Results showed that the side effects of antiretroviral therapy influenced the antiretroviral adherence (p<0.001). Most of the side effects of antiretroviral reported by participants were nausea and dizziness. Some participants also reported weakness, difficult to concentrate, and diarrhea.Conclusion: The side effects of antiretroviral had negative impacts on patients’ antiretroviral therapy adherence. Therefore, nurses and health care providers of PLWHA should be able to recognize and give concern on antiretroviral side effect management.
PENGARUH EDUKASI EARLY WARNING SYSTEM (EWS) TERHADAP RESPON TIME PERAWAT DI IGD BRSUD KABUPATEN TABANAN Budiari, Ni Made; Susila, I Made Dwie Pradnya; Arisudhana, Gede Arya Bagus
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 16 No. 2 (2021): Jurnal Ilmiah PANNMED Periode Mei - Agustus 2021
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.289 KB) | DOI: 10.36911/pannmed.v16i2.1117

Abstract

Emergency patient care is a service that requires immediate service, namely fast, precise, and accurate to prevent death or disability. One of the indicators of service quality is in the form of response time, which is a process indicator to achieve the outcome indicator, namely survival. To achieve a fast response time, a systematic approach system is needed in dealing with patients who experience emergencies, one of which is by using the Early Warning System (EWS). This study aims to determine the effect of early warning system education on the response time of nurses in Emergency Room Tabanan Hospital. This study used an experimental method with a pre-experimental design (one-group pre-test-posttest design) involving 39 samples selected by total sampling technique. Data collection in providing EWS education is in the form of modules, and the research material is in the form of a clock used to measure the response time. Data analysis uses a computerized system with univariate and bivariate analysis. This study showed that the response time for nurses before the early warning system education was fast, namely 15 (39.5%). Most of the nurses' response time after the early warning system education was 26 (66.7%). The results of this study can be concluded that there is an effect of early warning system nurse education on the response time of nurses with a significance value (p) of 0.000.
PENGARUH EDUKASI KESEHATAN MELALUI MEDIA SOSIAL LINE TERHADAP SIKAP REMAJA PUTRI TENTANG PENCEGAHAN ANEMIA DEFISIENSI BESI DI SMP NEGERI 2 RENDANG Dewi, Ni Putu Tri Purnama; Susila, I Made Dwie Pradnya; Arisudhana, Gede Arya Bagus
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 16 No. 2 (2021): Jurnal Ilmiah PANNMED Periode Mei - Agustus 2021
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.104 KB) | DOI: 10.36911/pannmed.v16i2.1119

Abstract

Girls adolescent are in high risk of developing anemic. The high prevalence of the girl adolescents, proves that the low awareness of iron deficiency anemia. Education is one way to increase respondents' knowledge so that they can form positive attitudes and healthy behaviors. Social media can be used as an educational media that is quite effective in reaching young people. The purpose of this study was to determine the effect of health education through social media Line on the attitudes of adolescents about the prevention of iron deficiency anemia in SMP Negeri 2 Rendang. The research method used was quantitative pre-experimental design with One Group Pretest and Posttest Design. The population in the study were young women class VIII and XI in SMP Negeri 2 Rendang in the school year 2019/2020 with a sample of 105 students selected based on simple random sampling. Respondents received education twice a week for 5 weeks. The results showed that the attitudes of girl adolescents before being given education in sufficient category of 89.5% and after being given education was in good category of 19%. From the Wilcoxon sign rank test statistical results obtained Zhitung = 6,151> Ztable = 1,645 P value = 0,000 <? 0.05. it can be concluded that education through social media line can influence the attitudes of girl adolescents about the prevention of iron deficiency anemia.
Pengaruh metode problem based learning dengan teknik mind-mapping terhadap kemampuan penalaran klinis Gede Arya Bagus Arisudhana; Ni Luh Putu Dewi Puspawati
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 5, No 2 (2019): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.5.2.32-37

Abstract

Pendahuluan: Keberagaman kebutuhan perawatan pasien dan kompleksitas intervensi menuntut mahasiswa keperawatan mahir dalam keterampilan keperawatan dan clinical reasoninguntuk mengatasimasalah keperawatan pasien secaraefektif.Tujuan penelitian ini untuk mengetahui pengaruh metodeproblem based learning dengan mind mapping terhadap kemampuan penalaran klinis mahasiswa keperawatan. Metode: Penelitian ini merupakan penelitian pre eksperimen dengan pendekatan one group pretest posttes design, teknik sampling yang digunakan adalah simple random sampling dengan jumlah sampel 62 orang. Data diperoleh menggunakan instrument nursing clinical reasoning assessment tools,analisa data menggunakkan uji Wilcoxon signed rank test.Hasil: Hasil penelitian ini menunjukkan nilai zhitung6,274 dan nilai p=0,000. Simpulan:Terdapat pengaruh pemanfaatan metode problem based learning dengan mind mapping terhadap kemampuan penalaran klinismahasiswa keperawatan. Pemanfaatan metode belajar ini dapat digunakan untuk membantu mahasiswa keperawatan memahami masalah keperawatan pasien secara komprehensif.
PENGARUH PEER LEADER SUPPORT TERHADAP KEPATUHAN MINUM OBAT ORANG DENGAN HIV AIDS Gede Arya Bagus Arisudhana; Ni Putu Dita Wulandari; Nyoman Eta Risnawati; Desak Putu Cristine Monica
Jurnal Ners Indonesia Vol 12 No 2 (2022): MARET 2022
Publisher : Fakultas Keperawatan, Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/jni.12.2.134-141

Abstract

Adherence to taking medication was so important to suppress HIV suppression. Maintaining compliance can be done using a peer support intervention approach. The purpose of this study was to determine the effect of peer leader support on medication adherence of people living with HIV/AIDS. The research method used is one group pre-test post-test. The sample in this study was determined using a consecutive technique, with a total sample of 25 respondents. The Antiretroviral Adherence Scale was used to measure the adherence level. The peer leader support treatment procedure was based on empowerment, self-management, experience exploration, motivation, and problem-solving in a systematic way and administered for 14 weeks. The data analysis used paired t-test. The results showed that there was an increase in the average value of adherence before being given the intervention (3.04) and after being given the intervention (4.40). The bivariate analysis result obtained p-value < 0.000 (α = 0.05). Based on the value of p<α, the peer leader support was affected adherence to taking medication in PLWHA. It is necessary to conduct a peer intervention model to explore changes in viral load and CD4 cell values associated with ARV adherence
The effects of illness script method on clinical reasoning of undergraduate nursing students: A quasi-experimental study Gede Arya Bagus Arisudhana
Jurnal Ners Vol. 17 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i1.32565

Abstract

The improvement of clinical reasoning in nursing students is a benchmark for students' abilities in carrying out nursing care. Disease script-based learning can help students recognize the information. The purpose of this study was to determine the effect of illness scripts on the clinical reasoning ability of nursing students. The research design used was a quasi-experimental approach with a non-equivalent approach with a control group. The sampling technique used consecutive techniques. The number of samples in each group is 35 respondents, data collection using Clinical Reasoning Assessment Tools. Data analysis using Wilcoxon Signed Rank test. The results of this study indicate that there is an increase in the clinical reasoning ability of nursing students in the experimental group from the average value of 40.6 to 50.3. Most of the respondents in the experimental group had clinical reasoning at the intermediate learner level. The results of the Wilcoxon test showed that the Z-count value in the experimental group was 5.092 with a p-value = <0.001. It can be concluded that there is an effect of illness scripts method on the clinical reasoning ability of nursing students.
Pengalaman Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di RSD Mangusada: Life Experience of Chronic Kidney Failure Patients who Underwent Hemodialysis in Mangusada Regional Hospital Putu Eva Cahyanti; Putu Wira Kusuma Putra; Gede Arya Bagus Arisudhana
Caring : Jurnal Keperawatan Vol. 10 No. 1 (2021): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (408.096 KB) | DOI: 10.29238/caring.v10i1.626

Abstract

The Indonesian Renal Registry (IRR) notes that in 2015 a total of 30,554 patients who had chronic kidney disease with stage V had to undergo hemodialysis. Hemodialysis in patients with chronic kidney disease is one method to prevent death and extend life expectancy for people with chronic kidney disease. This study aimed to determine life experience of chronic kidney failure patients who underwent hemodialysis. This study used a phenomenological study design with sampling technique used purposive sampling. The results of research conducted can be identified and grouped with several themes, namely 1) early psychological responses diagnosed with chronic kidney failure, 2) physiological changes in the body, 3) family support during hemodialysis, 4) spiritual changes due to hemodialysis. This study can conclude that patients with chronic kidney failure who deny hemodialysis will replace changes in pshychological, physiological, and spiritual. Family support is very important to improve morale during hemodialysis repair. It is hoped that the research can become evidence based on the provision of services and care to patients with chronic kidney failure that underwent hemodialysis.
PERISAI DIRI (PELATIHAN KELOMPOK REMAJA HINDARI SEX BEBAS DAN PERNIKAHAN DINI) Made Ririn Sri Wulandari; Gede Arya Bagus Arisudhana; Made Tangkas; Made Oktaviani Bulan Trisna; Ni Luh Indri Astuti; Ni Made Sri Utari
Jurnal WIDYA LAKSMI (Jurnal Pengabdian Kepada Masyarakat) Vol. 1 No. 1 (2021): Jurnal WIDYA LAKSMI (Jurnal Pengabdian Kepada Masyarakat)
Publisher : Yayasan Lavandaia Dharma Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.283 KB)

Abstract

Masa tahap perkembangan remaja memiliki masa perkembangan yang pesat baik fisik maupun psikologis. Masa remaja juga sering terjadi krisis identitas yang membuat remaja bingung untuk menentukan benar atau salah tindakan yang dilakukannya. Remaja merupakan salah satu potensi yang besar sebagai kelompok produktif, namun jika seorang remaja kehilangan arah maupun salah dalam bergaul maka menyumbang angka tertinggi dalam kerentanan terhadap perilaku menyimpang dan beresiko. Tujuan dari pelaksanaan pengabdian kepada masyarakat ini adalah untuk membentuk kader remaja di Banjar Batu Culung, Kerobokan dan mengurangi angka kejadian pernikahan dini serta seks bebas dikalangan remaja. Pelatihan diberikan kepada 30 anak remaja selama 3 hari pemberian materi dan selama 1 bulan untuk pendampingan peer education kepada remaja lainnya di lingkungan sekitar yang belum mendapatkan pelatihan. Hasil dari kegiatan yang dilakukan bahwa tedapat peningkatan pengetahuan kader dari 43% menjadi 57% terkait kesehatan reproduksi secara menyeluruh. Evaluasi akhir keberhasilan pelatihan ini adalah tim pelaksana mampu menyiapkan peer education yang baik untuk masyarakat sekitar terutama remaja.
Pengaruh Edukasi Kesehatan Berbasis Short Message Service (SMS) Terhadap Self Care Management Pada Pasien Tuberkulosis Di Kabupaten Klungkung: The Effect of SMS-Based Health Education Towards Self-Care Management Experienced by Tuberculosis Patients in Klungkung Regency Ni Putu Ayu Sumertini; Gede Arya Bagus Arisudhana; Putu Wira Kusuma Putra
Journal Nursing Research Publication Media (NURSEPEDIA) Vol. 1 No. 1 (2022): Journal Nursing Research Publication Media (NURSEPEDIA)
Publisher : Yayasan Lentera Mitra Lestari

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1300.196 KB) | DOI: 10.55887/nrpm.v1i1.1

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Latar Belakang: Self care management merupakan kegiatan yang dilakukan individu melalui usaha dari diri sendiri untuk merawat dirinya untuk mengurangi dampak baik secara fisik maupun psikologis menderita TB. Kemampuan pasien untuk melaksanakan self care management, pasien membutuhkan informasi tentang penyakit yang dideritanya serta cara perawatannya dilakukan melalui supportive dan educative nursing yang dirancang dengan tepat sehingga pasien mudah memahami dan mengingat informasi yang disampaikan melalui pemanfaatan teknologi telepon seluler (mobile phone). Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh edukasi kesehatan berbasis SMS terhadap self care management pada pasien TB. Metode: Metode penelitian yang digunakan adalah kuantitatif pre eksperimental dengan rancangan one groups pretest-posttest design. Penelitian ini melibatkan 30 responden yang dipilih dengan teknik sampel consecutive sampling. Masing-masing responden menerima layanan pesan singkat sebanyak 2 hari sekali selama 5 minggu. Self care management diukur dengan menggunakan kuesioner sebelum dan setelah intervensi. Hasil: Self care management pada pasien TB sebelum diberikan edukasi kesehatan berbasis media SMS sebanyak 18 orang (60%) dalam kategori kurang, setelah diberikan edukasi kesehatan berbasis media SMS sebanyak 20 orang (66,7%) dalam kategori baik. Terdapat pengaruh edukasi kesehatan berbasis media SMS terhadap self care management pada pasien TB dengan nila p = 0,001. Kesimpulan: Penelitian ini disimpulkan edukasi kesehatan berbasis media Short Message Service (SMS) berpengaruh signifikan terhadap self care management pada pasien TB
Hubungan Dukungan Sosial Dengan Self Esteem Pada Orang Dengan HIV/AIDS: The Correlation Between Social Support And Self-Esteem Of People With HIV/AIDS Ni Kadek Widyantari Giri; Gede Arya Bagus Arisudhana; Putu Wira Kusuma Putra
Journal Nursing Research Publication Media (NURSEPEDIA) Vol. 1 No. 1 (2022): Journal Nursing Research Publication Media (NURSEPEDIA)
Publisher : Yayasan Lentera Mitra Lestari

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (984.463 KB) | DOI: 10.55887/nrpm.v1i1.2

Abstract

Latar Belakang: Masalah kesehatan HIV/AIDS menjadikan dampak yang buruk pada psiokososial yaitu self esteem. ODHA sering mengalami stigma dan diskriminasi di masyarakat sehingga membuat ODHA mengalami harga diri rendah (low self esteem). Salah satu penanganan penurunan self esteem adalah memberikan dukungan sosial. Dukungan sosial memberikan motivasi yang positif dan kepercayaan diri yang baik kepada seseorang yang mengalami masalah psikologis. Dukungan sosial ini dapat diberikan oleh keluarga, sahabat atau teman, pasangan hidup maupun masyarakat. Tujuan: Untuk mengetahui hubungan dukungan sosial dengan self esteem pada ODHA. Metode: Penelitian ini merupakan jenis penelitian kuantitatif dengan metode deskriptif kolerasi dengan pendekatan cross sectional. Sampel ditentukan dengan teknik consecutive sampling dengan besar sampel 55 reponden. Penelitian dilaksanakan 8 minggu. Alat pengumpulan data berupa kuisioner, pada dukungan sosial dapat diukur menggunakan kuesioner Medical Outcome Study Social Support Survey (MOS-SSS) dan self esteem dapat diukur menggunakan kuesioner Rosenberg Self Esteem Scale (RSES) dengan uji analisis Kendall Tau.  Hasil: Hasil penelitian menunjukkan bahwa hasil koefisien kolerasi sebesar 0,834 dengan p-value 0,0001 (p kurang dari 0,05) yang berarti ada hubungan dukungan sosial dengan self esteem pada ODHA. Hal ini menunjukkan bahwa semakin tingginya dukungan sosial maka semakin tinggi pula harga diri terhadap ODHA, demikian sebaliknya. Kesimpulan: Dukungan sosial menjadi salah satu cara untuk meningkatkan harga diri ODHA