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Gambaran Persepsi Perawat dalam Pendokumentasian Pemasangan Infus Berbasis Komputer di Rumah Sakit X di Depok
Sianturi, Sondang Ratnauli;
Naibaho, Romasa
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3048
Documentation of the written nursing (paper-based documentation) is currently reported to be of very low quality and this also has an impact on public acceptance including other health professions on the professionalization of nursing. Computer-based nursing documentation is a combination of hospital computer systems and nursing documentation filled by nurses. The purpose of this study was to determine the description of the characteristics and perceptions of nurses in documenting computer-based infusion. The research method used is quantitative descriptive method. The sample in the study amounted to 150 respondents taken using total sampling. Data collection tools using questionnaires about the perception of nurses with a Likert scale. The results of the characteristic analysis showed that the frequency of female sex was 138 people (92%), the frequency of age was 21-40 years at the most 145 people (96.7%) and the frequency of education was Nursing Diploma 124 people (82.7%). Analysis of nurses' perceptions showed a good perception of 50% and a poor perception of 50%. The result showed that nurses need more information and supervision. Continuous evaluation and training are needed so that all nurses are expected to be exposed to computer-based documentation information and in need of reward and punishment for nurses in terms of computer-based documentation.
Manajemen Diet dan Kualitas Hidup Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis di Rumah Sakit
Asyrofi, Ahmad;
Arisdiani, Triana
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3063
Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) experience a decrease in physical health status that affects their quality of life. CKD patients need proper self-care management, including diet management to manage and maintain their health status. The purpose of this paper is to analyze the differences in the quality of life of CKD patients undergoing hemodialysis between the various dietary management they undertake. Method: cross-sectional study design, samples of all CKD patients undergoing hemodialysis were 60 respondents. Dietary management measures are the subscale Hemodialysis Patient's Self-care Management Scale (HPSMS): dietary regulatory; food safety; and therapeutic diet implementation. Quality of life using the Kidney Disease Quality of Life (KDQOL) SF 1.3 instrument. The univariate analysis uses the central tendency and proportion, and bivariate analysis uses the Fisher-exact test. Results: the average age of 47.3 years, 53.3% of men, the median value of HD 10.5 months long, 58.3% did not work. 83.3% poor diet management, safe 83.3% poor food, 68.3% poor therapeutic diet implementation, and 81.7% poor quality of life of CKD patients. There was a significant difference in the quality of life of CKD patients between various dietary arrangements, (p=0.0001), safe food (p=0.013), and implementation of a therapeutic diet (p=0.027). Conclusion: A good diet management has the opportunity to improve the quality of life of CKD patients.
Kompres Hangat dan Kompres Dingin Sebagai Alternatif Penanganan Nyeri Non Trauma Pada Pemain Futsal
Fadlilah, Siti;
Rahil, Nazwar Hamdani;
Amestiasih, Tia
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3065
Pain in futsal players experienced the highest incidence of 48.8% in each match. Non-pharmacological techniques are effective ways to relieve pain, including cold compresses and warm compresses. As a community nurse can apply the therapy for pre-hospital treatment. The study aims to determine the differences in the effectiveness of warm compresses and cold compresses against pain in futsal players in the Forza Futsal field in Yogyakarta. This type of research is an experimental research pre-posttest control group design. The sample in this study is a futsal player who experienced pain in the Forza Futsal Field totaling 32 respondents. The sampling technique used was consecutive sampling. The research instrument was the Bourbanais pain scale value. Analysis of research data using the Wilcoxon test and the Mann Withney test. the pre-posttest pain scale on the warm compress group was 4.00 and 2.00. The pre-posttest pain scale score of the cold compress group was 5.00 and 2.50. Bivariate test of pre-posttest pain scale score of warm compresses and cold compresses obtained p values ​​of 0,000 and 0,000. The posttest bivariate test between warm compresses and cold compresses showed a p-value of 0.683. There is the effect of warm compresses and cold compresses on pain in futsal players at Forza Futsal Field. There is no difference in the effectiveness of warm compresses and cold compresses against pain in futsal players at Forza Futsal Field.
Karakteristik Diabetic Foot Ulcer (DFU) pada Individu dengan Diabetes Mellitus (DM): Studi Deskripsi – Cross Sectional
Kusumaningrum, Niken Safitri Dyan;
Saputri, Afriana Dwi;
Kusuma, Henni;
Erawati, Meira
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3074
Diabetic Foot Ulcer (DFU) is one of the complications often experienced by patients with diabetes mellitus (DM). This is a serious problem that leads to disability, morbidity, and mortality among diabetic patients. However, in Indonesia, studies about DFU characteristics are very limited. This study aimed to describe DFU characteristics among patients with DM. A consecutive sampling involved patients who met inclusion criteria was performed in Tugurejo Hospital; Islamic Sultan Agung Hospital, and Dr. Moewardi Hospital. Their demographic characteristics, clinical condition, and wound appearances were noted and documented. Diabetic Foot Ulcer Assessment Scale (DFUAS) that consists of 11 characteristics was used to observe the wound features. The data were quantitatively analyzed to elucidate the result. A total of 73 patients participated in this study. It was revealed that 50.7% were females and 75.3% have been diagnosed with hyperglycemia. The average age of the respondents was 53.26 years. Observation of DFU characteristics showed that depth of wound was identified more in subcutaneous/ dermis to fatty tissue (40 patients; 54.8%) than in other layers. Moreover, our findings indicated that most of the respondents were identified at a severe level of the wound (55; 75.3%). It is concluded that DFU characteristics vary among patients with DM. Early identification and intensive surveillance are important to improve the management of DFU and to avoid lower limb amputation.
Hubungan Jenis Kelamin dan Lama Sakit dengan Kejadian Depresi Pada Lansia Penderita Hipertensi
Yuniartika, Wachidah;
Bima Murti, Tiara
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3076
Decreasing and changing physical conditions, the change in mental status as depression that often ignored, and diseases that often appear like hypertension are commonly found in the elderly, and it is a health problem that requires special attention because it will affect all aspects of life in the elderly. The purpose of this study was to determine the relationship between sex and duration of illness with the level of depression in the elderly with hypertension. The method used is descriptive quantitative with cross sectional approach. The study population was all elderly with hypertension at the Penumping Public Health Center with a sample of 54 people taken by accidental sampling. Data was collected using a research instrument in the form of a Geriatric Depression Scale (GDS) questionnaire and analyzed using a correlative test that is a Kendall tau analysis. Correlative test results between sex and depression level showed a correlation value of 0.294 with p-value (p) = 0.028, which means there is a significant relationship between sex and depression level. Correlative test between the duration of hypertension and the level of depression showed a correlation value of 0.382 with p-value (p) = 0.004, which means there is a significant relationship between the duration of hypertension and the level of depression. Discussion : The occurrence of the degeneration process in the elderly can cause physical changes and changes in the social environment such as a low economy, loss of family members, inability to fill roles in society and risk of disease. Female sex is the highest proportion and high life expectancy compared to men, so hypertension sufferers mostly occur in elderly women. Anxiety in elderly people with hypertension is caused due to the tendency to take a relatively long treatment, the risk of complications and can shorten life. The conclusion is that there is a relationship between sex and duration of illness and the level of depression in the elderly with hypertension.
Gambaran Fungsi Paru Pada Penduduk yang Tinggal di Zona Erupsi Merapi, Dusun Meces, Sleman, DIY
Puspasari, Scholastica Fina;
Fistra Aryu Brata Dewi, Andria
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3078
Respiratory disease is the leading cause of mortality. One cause that affects lung damage is environmental factors. The International Agency for Research on Cancer states that the air has been contaminated with carcinogenic substances including volcanic ash that consequence the harmful effects. Mount Merapi is a high volcanic activity mountain located in the Special Region of Yogyakarta. Around Merapi, there are dense settlements so that volcanic particles will be inhaled and will cause respiratory problems. The study aims to determine the lung function in the population living in the Merapi zone. The study uses a quantitative method involving 32 respondents located at 15 Km from Merapi’s slope. Data collection was carried out for one week by the cross-sectional study. Descriptive data analysis on the short-term effects of volcanic ash exposure found that 50% of respondents experienced runny nose, 92.9% dry cough, 71.4% respiratory tract irritation at two weeks after exposure. Long-term effects found that 35.7% of respondents experienced cough with phlegm, 32.1% wheezing, 50% dyspnea, 50% shortness of breath gradation 5 according to MRC scale, and 82.1% experienced PEFR value decrease. Researchers suggest to routine health screening so that early detection of lung function can be reduced especially in the Merapi eruption zone.
Efektifitas Musik Nature sounds dan Dzikir Terhadap Penurunan Tingkat Depresi Pasien Kanker Payudara
Wahyuningsih, Indah Sri;
Endah Janitra, Fitria;
Melastuti, Erna
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3084
Depression is one of the psychological responses experienced by breast cancer patients. One of the actions to reduce the psychological impact of breast cancer patients is with music therapy. Music effects can calm the soul, provide comfort, calm, so that arises a sense of enthusiasm and positive thoughts. The music used in this study is nature sounds. This music is very close to the environment and each individual recognizes the sounds of nature so that it is more easily and efficiently applied. Natural sound music with a combination of dzikir can be used as an alternative therapy to improve the mental status of breast cancer patients who experience depression. This study aims to determine the effect of combination therapy of nature sound and dhikr on the level of depression in breast cancer patients. The method used in this study is a quasi-experimental approach with a pre-equivalent non-equivalent without control group approach, to see differences in the average level of depression before and after giving a combination of music therapy and dhikr. Giving music therapy is given with a rhythm of 60-80 bpm, stable, low frequency and relaxing melody has been done 2 times a week. The data was processed with SPSS statistical software version 20.0 with normality test and paired t test. The results showed that the majority of patients aged 36-45 years (46.7%) and undergoing 3rd cycle chemotherapy (33.3%). Natural sound music therapy and dzikir significant to reduce depression scores with p value = 0.001. In conclusion, this study proves that nature sounds music therapy effectively to reduce depression scores in breast cancer patients
Pengaruh Empowerment Terhadap Pengambilan Keputusan Perawat: Kajian Literature Review
Pashar, Imran;
Dwiantoro, Luky
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3097
The ability to make ethical problem decisions is a requirement for nurses to carry out the professional nursing practice. Decision making is a systematic approach to resolve a problem. World Health Institution in 2017 identified 98.000 patients died every year because of bad decision making. One strategy in the transformation of organizations in health services today is empowerment. Empowerment is a leadership design that can influence a nurse in decision making. The study aims to know the influence of empowerment leadership on the nurse’s decision making. The method in this paper is a literature review. Search for research articles using a database of sciences from Google Scholar, Science Directs, Clinical Key and the final results found 10 articles to be reviewed. Results: 5 empowerment resources can be used by nurses in improving decision making. The empowerment that contains reward, coercive, expert, referent, and legitimate can be used by nurses in improving decision making Result: 5 sources of empowerment can be used by nurses in improving decision making. The empowerment that contains reward, coercive, expert, referent, and legitimate can be used by nurses in improving decision making. Empowerment leadership style can be an alternative way to improve the quality of nurse decision making. Reward and coercive can influence experience, an expert can influence facts and rational, a referent can affect intuition, and legitimate can affect authority.
Pemberian Akupresur Kombinasi Titik BL32 dan LI4, Titik BL32 dan Sp6 Untuk Menurunkan Intensitas Nyeri Persalinan
Mukhoirotin, Mukhoirotin;
Mustafida, Hidayatul
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3118
Labor pain is a physiological condition that most experienced by all women giving birth. Labor pain of the active phase is caused by cervical dilatation and distention of the uterine corpus. The purpose of this study was to determine the differences of acupressure effect on the combination of BL32 (Ciliao) and LI4 (Hegu) points with BL32 (Ciliao) and SP6 points (Sanyinjiao) toward the intensity of labor pain. The research design used Quasy Experiment with the approach of Pretest-Posttest Control Group Design with the Purposive Sampling technique. The population of this study was all maternity women at PMB Siti Zulaikah Jogoroto Jombang. The sample in this study was 22 respondents who include to the inclusion and exclusion criteria. The pain scale instrument used was the Numeric Rating Scale (NRS). The data were analyzed by using Paired T-Test and Independent T-Test with α ≤ 0.05. The results have shown that there was an effect of acupressure in both intervention groups on the intensity of labor pain with a value of p = 0.000 (p <0.05). There were no differences in the influence between the two intervention groups (4.09 ± 1.044 vs 4.82 ± 0.982; p = 0.108 (p>0.05). Acupressure on BL32 (Ciliao) and LI4 (Hegu) point combinations with BL32 points (Ciliao) and SP6 point (Sanyinjiao) effectively reduce the intensity of labor pain so it can be used as an alternative non-pharmacological intervention in reducing labor pain intensity.
Pengaruh Konsumsi Cookies Kerang Dara (Anadara Granosa) terhadap Perubahan Kadar Haemoglobin Wanita Usia Subur
Abdullah, Vera Iriani;
Haumahu, C.H
Journal of Holistic Nursing Science Vol 7 No 2 (2020)
Publisher : Universitas Muhammadiyah Magelang
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DOI: 10.31603/nursing.v7i2.3126
In the world, around 1.62 billion people have low HB levels, around 30.2% occur in the group of women aged 15-49. In Indonesia, anemia cases rank 4th in the top 10 most disease groups. Prolonged iron deficiency can cause anemia, so it needs to be treated immediately so it doesn’t continue into pregnancy age which can cause complications until maternal and perinatal death. Papua has an abundance of marine wealth; one of those is Kerang Dara. Through this study, researchers wanted to explore the health benefits of nature. The aim is to see the effect of Consumption of Kerang Dara Cookies (Anadara Granosa) on Changes of Hemoglobin Levels of in Woman of Childbearing Age as an Effort to Prevent Anemia in District Aimas, Klaigit Village. Type of this research is quasi-experimental by pretest-posttest control group design method. The population of all the women of Childbearing who live in Klaigit Village, with a total sample of 14 people divided into 2 groups: control and intervention. Data collection techniques using random sampling. The time of data collection occurred for 2 weeks, starting from September 20th to October 4th. The results based on statistical tests using T-Test, then the value 884 is greater than the value of the table 0.05, then the conclusion is there is an Effect of Consumption Kerang Dara Cookies (Anadara Granosa) Towards the Increased of Woman of Childbearing Hemoglobin Levels in Klaigit Village in District Aimas in 2019.