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Jurnal Ilmu Kesehatan

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Published by Akademi Keperawatan Dharma Husada Kediri

ISSN : 23031433 EISSN : 25797301 DOI : -

Core Subject : Health,

Nursing Public Health

Jurnal Ilmu Kesehatan Akper Dharma Husada Kediri bekerjasama dengan PPNI Kota Kediri merupakan Jurnal yang memuat naskah hasil penelitian maupun artikel ilmiah yang menyajikan informasi di bidang ilmu kesehatan, diterbitkan setiap enam bulan sekali pada bulan Nopember dan Mei

Arjuna Subject : -

Articles 353 Documents

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Pengaruh Konseling Kesehatan Terhadap Penurunan Tingkat Kecemasan Pasien TBC Paru Di Puskesmas Campurejo Kota Kediri Hengki Irawan
coba Vol 4 No 1 (2015): Nopember 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

Lung Tuberculosis germ. The treatment and supporting facilities have been available. The Government effort to overcome this disease by Directly Observed Treatment Shortcourse (DOTS). The old treatment and expensive cost caused the patient feels anxiety. The Nurse’s role is to overcome the anxiety through health counseling. It is a kind of method used to solve the patient’s problem. The research aims to know the influence of health counseling toward the reduction of anxiety level in lung TBC of the patient in Puskesmas Campurejo Kediri city. This research is called Pre-Experimental with One Group Pretest- Posttest design. The samples consists of 25 respondents, taken with Non Probability Sampling by type Pusposive Sampling Method, which new lung TBC patient’s. Variable Tuberculosis (TBC) is contagious disease caused by Mycobacterium measured in this research are patient’s anxiety level before and after given the health counseling. The result shows that before given the health counseling, 32% patient experience in low, middle, and high anxiety level, while 4% patient experience in panic. After given health counseling, the result shows that 44% patients experience in middle anxiety level, 36% patients experience in low anxiety level, 28% patients experience in high anxiety level. These data indicate that 28% respondents show the alteration in reduction of anxiety level, 72% do not show the alteration in reduction of anxiety level. The result shows that 80% respondents experience the alteration in reduction of anxiety level while 20% respondents do not experience this. Based on the results of Wilcoxon (α=5%), the level anxiety in health counseling of towards the reduction of anxiety level in Lung TBC of the patients. For the next research hope to make a contact and therapeuticall communication with patients. Key words: Lung TBC, anxiety level, health counseling

Pengaruh Pendidikan Kesehatan Dengan Metode Ceramah Plus Diskusi Dan Tugas (CPDT) Terhadap Pengetahuan Dan Sikap Remaja Putri Tentang Pencegahan Keputihan Di SMPN 29 Surabaya Erlita Kusuma R
coba Vol 1 No 1 (2012): Nopember 2012
Publisher : Akademi Keperawatan Dharma Husada Kediri

Flour albus incidents increase every year. Flour albus is a normal condition but it will be dangerous if flour albums becomes ill smelling, color of fluid, itching, and in a large amount. The low level of the female teenagers knowledge about flour albus prevention will cause negative attitudes. Lecture plus discussion and assignment (CPDT) methods used to accompany respondents on health education. This method was expected to change the knowledge and attitude of persons in order to increase his health quality. The research used pre experimental with one group pre post test design. Population subject of this research is the female teenagers. Questioner filled before and after the researcher give lecture plus discussion and assignment (CPDT) method to 14 respondents who fulfil the inclusion criteria. Independent variable is health education with lecture plus discussion and assignment (CPDT) method. Dependent variable is female teenagers knowledge and attitude. Data was collected and then analyzed by using Wilcoxon Signed Rank Test with significant value p≤ 0.05. `This results showed that there was effect of lecture plus discussion and assignment (CPDT) method on the female teenagers knowledge and attitude about flour albus prevention. Based on that results we can concluded that the lecture plus discussion and assignment (CPDT) method can be able to increase knowledge (p=0,001) and attitude (p=0,002). Adequate and effective information through lecture plus discussion and assignment (CPDT) method can increase knowledge. It will influence the positive attitude and action at daily activity. Hopefully, this research impact on decresing number of flour albus incidens in female teenagers through an effective health education methods.

Pengaruh Senam Kaki Terhadap Perfusi Kaki Pada Pasien Diabetes Mellitus Di Wilayah Kerja Puskesmas Ngadiluwih Kabupaten Kediri Kun Ika Nur Rahayu
coba Vol 6 No 2 (2018): Mei 2018
Publisher : Akademi Keperawatan Dharma Husada Kediri

ABSTRAK Diabetes melitus salah satu gangguan sistem endokrin di sebabkan oleh adanya ketidakseimbangan antara persediaan dan kebutuhan insulin. Badan kesehatan dunia (WHO) memperkirakan pada tahun 2030 penyandang diabetes (DM) di Indonesia sebanyak 21,3 juta jiwa. Kondisi ini membuat Indonesia menduduki peringkat empat setelah Amerika Serikat, China, dan India (Asep, 2012). Berdasarkan survey awal penderita diabetes melitus di wilayah kerja Puskesmas ngadiluwih sebanyak 226 orang. Penderita diabetes melitus memiliki resiko 15% kaki diabetes. Senam kaki adalah kegiatan atau latihan yang dilakukan oleh pasien diabetes melitus untuk mencegah terjadinya luka dan membantu melancarkan peredaran darah bagian kaki. Tujuan penelitian ini adalah mengetahui pengaruh senam kaki terhadap perfusi kaki pada pasien diabetes mellitus di wilayah kerja Puskesmas Ngadiluwih Kabupaten Kediri tahun 2015. Rancangan penelitian ini adalah pre Eksperimental dengan pre – post test One Group desaign. Sampel pada penelitian ini adalah diabetes mellitus lebih dari 10 tahun dengan usia 30-60 tahun dan tidak memiliki ulkus dikaki. Jumlah sampel adalah 15 orang. Sampel yang diambil menggunakan purposive sampling. Data yang terkumpul Dianalisis dengan Wilcoxon Match Pair Test dengan tingkat kemaknaan p < 0,05. Hasil analisa data perfusi kaki sebelum dilakukan senam kaki sebagian besar mengalami obstruksi ringan (60%) dan setelah dilakukan senam kaki sebagian besar perfusi kaki menjadi normal (60%). Dari hasil uji statistik menggunakan Wilcoxon Match Pair Test didapatkan nilai ρ=0,001 dengan tingkat signifikan a <0.05. Sehingga ρ < a yang artinya ada pengaruh senam kaki terhadap perfusi kaki pada pasien diabetes di wilayah kerja Puskesmas Ngadiluwih Kabupaten Kediri tahun 2015. Sehingga disarankan bagi penderita DM baik tipe I maupun tipe II untuk rutin melakukan senam kaki guna mencegah terjadinya ulkus pada kaki. Kata kunci : Diabetes Melitus, Senam Kaki, Perfusi Kaki Abstract Diabetes Mellitus is one of endocrine system disorders. Diabetes mellitus is caused by the imbalance of needed and supply of insulin. WHO estimated that the DM patients will be 21,3 million in 2030. This condition will make the Indonesia become the fourth rank in the world after USA, China, and India (2012). Based on the early survey, the DM patients in Puskesmas Ngadiluwih was 222 person. The patients with DM had 15% risk of diabetic foot ulcers. The foot gym is an exercise which is performed by DM patients to avoid injury and fluent the blood circulation in the food. The purpose of this study was to identify the influence of foot gym toward the foot perfusion of DM patients in Puskesmas Ngadiluwih in Kediri in 2015. The research design was pre-experimental with pre-post test one grup design. The sample was selected by using purposive sampling. The inclusion criteria were the diabetes mellitus patients were required to have a minimum of 10 years of medical history in the database prior to the first diabetes diagnosis, the age of diabetes mellitus of patients were 30-60 years without foot ulcers. The data was analyzed by using Wilcoxon match pair test with p < 0,05. The results showed that before the foot fym, most of the respondents had light obstruction ( 60%) and after foot gym, most of the respondents had normal obstruction ( 60%). The results of bivariat analyzed showed that the p-value was 0,001 with significant < 0,05. Thus, the foot gym had influenced torward foot perfusion of DM patients in Puskesmas Ngadiluwih in 2015. Based on the findings, the DM patient type I and type II should perform the foot gym regulary to avoid the diabetic foot ulcers. Key word: Diabetes Mellitus, foot gym, foot perfusion

Pengaruh Pendidikan Paud Terhadap Tingkat Perkembangan Anak Usia Toodler Di Paud Diponegoro Dsn. Pucanganom Ds. Sukorejo Kec. Gurah Kab. Kediri Susi Erna Wati; Siti Aizah
coba Vol 5 No 1 (2016): Nopember 2016
Publisher : Akademi Keperawatan Dharma Husada Kediri

Child development is the increased ability of the structure and function of the body is more complex. 48% of Indonesian children experiencing delays in development. The quality of child development is influenced by several factors, one of which is a stimulation or education. The method used is comparative analytic with cross sectional approach. The population is all children age (1-3 years) .In RW 05 Dsn. Pucanganom Ds. Sukorejo by 41 children. The sample was selected at the time the respondent was at the time of the study a number of 26 children Collecting data using KPSP sheet. Data were analyzed using Mann Whitney U-Test. The results showed that almost all (80%) of children who attend early childhood development that are tailored and most (62.5%) of children who do not follow early childhood development that are dubious. After doing the calculation using the Mann Whitney U-Test values obtained significant asymetri 0,017. So we can conclude there is a difference between the development of children who attend early childhood education and do not follow the Early Childhood Education. Recommendations from this study is expected to hold a health officer introduction of the Early Childhood Education program for the improvement of child development at the Posyandu, polindes and other community activities. Keywords: early childhood education, child development

Pengalaman Perawat Dalam Merawat Pasien Perilaku Kekerasan Yang Disebabkan Halusinasi Di Ruang Melati Rsj Dr. Radjiman Wediodiningrat Lawang Sulistyono Sulistyono; Indah Winarni; Heni Dwi Windarwati
coba Vol 2 No 2 (2014): Mei 2014
Publisher : Akademi Keperawatan Dharma Husada Kediri

The high numbers of patients with an angry expression of asertif with a history of violent behavior that average caused hallucinations, need to get attention and serious handling for all parties concerned especially the nurse on duty in rsj dr. Radjiman wediodiningrat lawang. This is because the patients in acute conditions as mentioned above. may harm or threaten the safety of the patient or the safety of others. Research purposes which is to dig experience nurse in giving an orphanage nursing in patients behavior violence caused hallucinations in melati room rsj dr. Radjiman wediodiningrat lawang. The method of this research is to use qualitative research designs with descriptive phenomenology of approach. Participants who participated in this research as many as four people room nurse melati rsj dr. Radjiman wediodiningrat lawang. The result of analisi with the methods colaizzi against the transcript verbatim produce three themes the steps the preformance of the process of nursing, self-awareness, and empathy. A conclusion that obtained from the results of this research is a nurse in to treating a patient behavior violence caused hallucinations there has been a cycle is turning which is that of self- awareness, empathy, and carry out steps in the process of nursing. The institution clinic should increase the capability of perawatnya especially in treating patients in the condition of acute or crisis Key words: patients with violent behavior, nurse experience, qualitative

Study The Impact Of Disturbance Fulfillment Sexuality Needs After Heart Attack On Acute Myocardial Infarction In Men Patients On Cardiac Poly Clinic Dr. Iskak Hospital Tulungagung Eko Arik Susmiatin; Rika Yolanda Sari
coba Vol 6 No 1 (2017): Nopember 2017
Publisher : Akademi Keperawatan Dharma Husada Kediri

Basic human needs is the most basic physiological needs, including sexual needs in it. Sexual fulfillment in the husband-wife not everything can be done well because of several factors, one of them due to heart disease (acute myocardial infarction). AMI patients are usually the same as the other pair, really wants her sexual needs fulfilled, but they are afraid to do it because they fear an attack recurrence. Impacts that could result from unfulfilled sexual needs including couples will quickly get angry or suspicious, unhappy, cynical, psychological relation between husband and wife is getting worse, decreasing the frequency of coitus, having psychosomatic illness. The research objective was to determine the impact of sexual fulfillment disorders after cardiac arrest in patients with acute myocardial infarction (AMI) in men Poly Clinic Heart Dr.Iskak Hospital Tulungagung. The study design used is descriptive design. Population of outpatients each month reaches 5-8, the sample used 8 people, taken with accidental sampling technique. Results of research obtained from all respondents stating no interference effects occur sexuality needs. This is due to the coping meccanism of the respondent and couple, and mutual understanding, and the support the family, so there is no impact of interference sexuality needs.Expected partner (wife) will understand situation the disturbed husband after Acute Myocardial Infarction attack occurred, and should be more active respondents also asked the doctor when the control, so the impact was not to happen. And for nurses, should provide health education about sexuality needs of post-heart attack.

Perbedaan Dukungan Keluarga Terhadap Ibu Yang Memberikan ASI Eksklusif Dan Non ASI Eksklusif Di Wilayah Kerja Puskesmas Sukorame Kecamatan Mojoroto Kota Kediri Eny Sendra; Mika Mediawati; Amalia Afifi
coba Vol 5 No 1 (2016): Nopember 2016
Publisher : Akademi Keperawatan Dharma Husada Kediri

Exclusive breastfeeding has some benefits from some sides for the babies and their mothers. The intensity of exclusive breastfeeding at Puskesmas Sukorames’ work area in Kediri is still low and need some efforts to increase it. The objective of this research is to know the differences of family support towards mother who breastfeed exclusively and non-exclusively in Puskesmas Sukorames’ Work Area Mojoroto District Kediri City. This research used Retrospective approach and Case Control project which exclusive breastfeeding as the case and non-exclusive breastfeeding as the control group. Population used in this research were 335 exclusive breastfeeding respondents and 255 non-exclusive breastfeeding respondents by using Multi Stage Random Sampling was gotten 22 samples for exclusive breastfeeding and 11 samples for non-exclusive breastfeeding. Variable research was measured by a quisionaire consist of ten family supports. The result of Exact Fisher analysis was gotten p counted =0,09andα=0,05 (p counted > α) means H0 was accepted dan Ha was refused.The conclusion of this research was most of the respondent had high support to mother who breastfeed exclusively and the other most samples had low support to mother who breastfeed non-exclusively. So, there are no differences of family supports towards mother who breastfeed exclusively and non-exclusively in Puskesmas Sukorames’ Work Area Mojoroto District Kediri City. Keywords:Exclusive Breastfeed, Family, Family Support, Mother.

Efektifitas Pemberian Serbuk Jahe (Zingiber Officinale) Terhadap Tingkatan Mual Muntah Pada Ibu Hamil Finta Isti Kundarti; Dwi Estuning Rahayu; Reni Utami
coba Vol 4 No 1 (2015): Nopember 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

Nausea and vomiting is a common disorder experienced by 50% of pregnant women in the first trimester of pregnancy. Efforts to reduce the symptoms can be with food or drinks containing ginger. Ginger has antiemetic and anxiolytic activity. The aim of this study was to determine the effectiveness of ginger to decrease nausea and vomiting in pregnant women 0-16 weeks gestation. The type of research design used is quasy Experimental design. The population in this study were all pregnant women 0-16 weeks gestation who experience nausea and vomiting as many as 24 people in the sub-district Puskesmas Wonorejo Ngadiluwih Kediri. The sample in this study 24 people with using cluster random sampling and systematic sampling. The instrument used was a questionnaire and rhodes INVR. Analysis of the results using Wilcoxon Match Pairs Test test results obtained p value 0.033 <0.05 then H0 is rejected so that there are differences decrease nausea and vomiting in pregnant women 0-16 weeks gestation who were not given the ginger and ginger. In conclusion the effective administration of ginger powder to decrease nausea and vomiting in pregnant women aged 0-16 weeks. Suggested for health workers to use ginger as a treatment alternative for reducing nausea and vomiting inpregnant women.Keywords: Giving of ginger powder, decrease of nausea and vomiting, pregnant women

Perbedaan Estimasi Volume Perdarahan Antara Metode Tes Hemoglobin Dengan Metode Visual Estimasi Pada Ibu Postpartum Ardi Panggayuh; Jupriyono Jupriyono
coba Vol 5 No 2 (2017): Mei 2017
Publisher : Akademi Keperawatan Dharma Husada Kediri

Error into account bleeding may contribute to an underestimation of the actual postpartum hemorrhage, postpartum hemorrhage late to recognize. This is especially prominent in order to deal with inadequate facilities where deliveries take place at home and the estimated blood loss using equipment that can not be trusted. In the order of these services, blood may be spilled on the floor, bags, and seep into the ground floor. In addition, estimates of maternal postpartum hemorrhage by midwives generally done by visual estimation, although the method is less accurate. In addition, it is often mixed with amniotic fluid and sometimes with urine, making it difficult to visually estimate by less skilled midwife. The purpose of research is to analyze the difference between the volume of bleeding hemoglobin test method with visual estimation. The population is pregnant women who entered the active phase of labor in BPM " Agustin Dwi Wahyuni ", in accordance with the specified inclusion criteria. Samples were taken from the majority population by purposive sampling, totaling 25. The instrument used to measure the hemoglobin level is HB meter "Family Doctor), the value of Hb levels during the first stage inpartu and Hb value after 2 hours post partum in g / dL. To find out the difference in volume between the test methods hemoglon bleeding by visual estimation used parametric statistical tests that the t-test, with significance α 0:05. The results were analyzed by t-test obtained t count 1,215 <t table 2,145, so it concluded that the differences in methods estimate the amount of bleeding did not lead to differences in the average estimate of the amount of bleeding at 2 hours postpartum. Keywords: Hemoglobin Test, Visual Estimation

Pengaruh Metode Mentorship Perawat Terhadap Kemampuan Caring Mahasiswa Maria Magdalena Setyaningsih; Sr. Felisitas; Maria Prieska Putri P. A
coba Vol 4 No 2 (2016): Mei 2016
Publisher : Akademi Keperawatan Dharma Husada Kediri

Initial study conducted by the researcher on nurse students undertaking clinical practice shows that the nurse students are not yet competent in nursing care. Previous study conducted by Setyaningsih and Sutiyarsih (2015) shows that 47.6% of nurses have enough ability to guide nurse students. In response to the current facts and phenomena, a method of mentorship may be a breakthrough for the nurse candidates to achieve nursing competence. The purpose of this study is to discover how how mentorship affects nurses in terms of the AKPER X students’ capability in nursing care at RS x. This is an experimental study using post test only study design. A sample of 31 students at AKPER X was used by using purposive sampling technique. Data analysis is done through product moment correlation test proceeded with linear regression analysis. Research shows that 100% of the nurses are able to conduct mentorship, 100% of the students have caring capability. The result of the product moment correlation test shows that there is positive correlation between the two variables , and the result of linear regression analysis shows the effect of nurse mentorship on students’ capability of nursing care. Analysis of the results of the study indicates that the main factor that affects the nurse mentorship is the age, while the main factor that affects students’ nursing care ability is age and sex. Based on the study result, researchers suggests that Hospital management improve the mentors’ competence in guiding students. Key words : mentorship, nurses, caring capability, students

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