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Jurnal Ilmu Kesehatan

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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Hubungan Antara Inisiasi Menyusui Dini Dengan Kecepatan Waktu Pengeluaran Plasenta Pada Kala III Persalinan Di Ruang Dahlia I RSU USD Gambiran Kota Kediri Yunarsih Yunarsih; Dwi Rahayu
coba Vol 5 No 1 (2016): Nopember 2016
Publisher : Akademi Keperawatan Dharma Husada Kediri

Breaseeding (Early initiation) or the beginning of early breastfeeding is a natural process of restoring a human baby to suckle, by allowing the baby to find and suck the milk itself, within the first hour of the beginning of life. touch the baby's hands at the nipple and surrounding, sucking and licking a baby on the nipple stimulates the hormone oxytocin can help the uterus contract, helping expulsion of the placenta and reduce maternal bleeding. Normally, the placenta will be separated in less than 30 minutes after birth. The purpose of this study is the Knowing the relationship between early initiation of breastfeeding plasenta.Rancang spending time with the speed of this study was a cohort (longitudinal prospective). In this study, the speed of early initiation of breastfeeding in question are researchers doing early initiation of breastfeeding in a way after the baby is born and then dried body and the baby's head and placed the baby the mother's chest between the two breasts and then the mother and baby covered together. While time expulsion of the placenta (the third stage) is the time between the issuance of the fetus and placenta using random sampling and diambilsampelsebanyak tehniksampling 15 orangsesuaikriteriayang determined. To analyze the relationship between the relationship between early initiation of breastfeeding with spending time digunakanujistatistik T testdengan help SPSS20ForWindows.Berdasarkandari ujihasilanalisakorelasi T test using SPSS20 For Window obtained hasilp (0,037) < (0.05),a which means that H0 and H1 accepted meaning adahubunganyangsignifikanantarahubungan between breaseeding with placenta spending time at Dahlia Lounge I RSU USD Gambiran Kediri. This is because of the stimulation of the nipples when IMD stimulates oxytocin expenditures that increase the force of contraction uetus. In further research should consider other factors that increase the strength of uterine contractions. KeyWord: early breastfeeding initiation, speed removal of placenta

Hubungan Tingkat Pengetahuan Keluarga Tentang Demam Berdarah Dengan Motivasi Keluarga Terhadap Pencegahan Demam Berdarah Moh Alimansur; Fajar Rinawati; Angga Pradityo
coba Vol 2 No 1 (2013): Nopember 2013
Publisher : Akademi Keperawatan Dharma Husada Kediri

Substantively dengue can be prevented and there won’t be any dengue occurrence if people understand about the danger of this disease. Family can take action to exterminate aedes aegypti mosquito by eradicating its larva, such as at puddle with three actions (3M); draining (spreading abate powder), closing water saving, and burying unused things which retain water. This research was a correlational research. The population in this research was family who lives at Sumberkepuh Area of Getas District, Subdistrict of Tanjunganom. The numbers of samples were 135 respondents. The sampling method was using simple random sampling. The result of the analysis was showing that the family knowledge level at Sumberkepuh Area of Getas District, Subdistrict of Tanjunganom mostly (52.5%) have fair knowledge. The family motivation levels at Sumberkepuh Area of Getas District, Subdistrict of Tanjunganom mostly (68%) have strong motivation. The score of Kendall’s tau between knowledge and motivation was 0.622. It means that there was a significant correlation between knowledge level and motivation level. It is need the participation of all family members to maintain health. Such as by doing three actions (3M); draining, closing, and burying.

Peningkatan Kualitas Hidup Pada Penderita Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa Melalui Psychological Intervention Di Unit Hemodialisa Rsud Gambiran Kediri Dhina Widayati; Nove Lestari
coba Vol 3 No 2 (2015): Mei 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

Perubahan gaya hidup menyebabkan terjadi pergeseran dari penyakit menular menjadi penyakit degeneratif yang dapat berkembang menjadi penyakit terminal, salah satunya adalah gagal ginjal akut yang dapat berkembang menjadi gagal ginjal konik (GGK). Pada stadium lanjut, pasien GGK tidak hanya mengalami berbagai masalah fisik tetapi juga masalah psikososial dan spiritual yang dapat mempengaruhi kualitas hidup pasien dan keluarganya. Perawatan paliatif dapat dilakukan melalui intevensi dengan pendekatan psikologis (psychological intervention) yang diharapkan mampu meningkatkan adaptasi dan motivasi pasien sehingga mampu membangun mekanisme koping yang efektif dan dapat meningkatkan kualitas hidupnya. Tujuan penelitian ini adalah untuk menganalisis pengaruh psychological intervention terhadap motivasi dan kualitas hidup pasien GGK Desain penelitian yang digunakan adalah pra yang menjalani teapi hemodialisa. experiment pre post test design. Besar sampel sebanyak 10 orang di peroleh melalui tehnik accidental sampling. Variabel independen adalah psychological intervention dan variabel dependen adalah motivasi dan kualitas hidup. Hasil analisis data tingkat motivasi melalui Wilcoxon Signed Ranks Test menunjukkan p=0,008 dan kualitas hidup melalui Paired t Test diperoleh nilai p=0,003. Psychological intervention yang dilakukan melalui relaksasi spiritual dalam setting kelompok ini mampu menciptakan peer group support sesama penderita penyakitnya (menerima), sehingga mampu membangun mekanisme koping yang efektif dan dapat meningkatkan kualitas hidupnya. Kesimpulan hasil penelitian ini bahwa psychological intervention dapat meningkatkan motivasi dan kualitas hidup pasien GGK. Saran bagi perawat di Unit Hemodialisa untuk menerapkan intervensi tersebut sebagai yang dapat meningkatkan motivasi mereka dalam beradaptasi terhadap salah satu upaya meningkatkan motivasi dan kualitas hidup pasien. Kata Kunci : psychological intevntion, motivasi, kualitas hidup, penderita GGK, hemodialsa

Faktor-Faktor Yang Mempengaruhi Sikap Pasangan Usia Subur (PUS) Melakukan Skrining Kanker Serviks Metode Iva Di Wilayah Kerja Puskesmas Kota Wilayah Utara Kota Kediri Ira Titisari; Triatmi Andri Yanuarini; Sumy Dwi Antono
coba Vol 5 No 2 (2017): Mei 2017
Publisher : Akademi Keperawatan Dharma Husada Kediri

The number of cases of cervical cancer in Kediri continues to increase, in 2004: 165 cases, 2005: 170 cases and 2006: 175 cases. Cumulative target achievement in 2009-2013 amounted to 12.16%. Coverage is still far below the annual target of Kediri has stepped fifth year that is equal to 80%.The purpose of this study was to analyze the factors that influence women's attitudes Couples of Childbearing Age for cervical cancer screening methods IVA in Puskesmas City area north of Kediri. Design research is analytic observational cross-sectional approach. The population is all Couples of Childbearing Age women aged 30-50 years in the region of Northern Regional Health Center in the amount of 400 samples of 50 people were taken by cluster random sampling. The analysis used bivariate correlation analysis Chi-square and multivariate analysis using multiple logistic regression.The result of this research is there is a relationship between knowledge (p-value = 0.00), resources (p-value = 0.001), family support (p-value = 0.001) and personal experiences (p-value = 0.016) with the attitude of women Couples of Childbearing Age did IVA cervical cancer screening method in Puskesmas City area north of Kediri and the factors that influence attitudes Couples of Childbearing Age woman doing IVA cervical cancer screening method in Puskesmas City area north of the town of Kediri is knowledge (p value = 0.003) with a big influence 2,176 .It can be concluded that the factors that influence women's attitudes Couples of Childbearing Age for cervical cancer screening methods IVA in Puskesmas City area north of Kediri is knowledge. Keywords: WomenCouples of Childbearing Age, Attitude, IVA

Model Clinical Skill Self Efficacy (CSSE) Terhadap Kompetensi Klinis Mahasiswa Keperawatan Didik Susetyanto Atmojo
coba Vol 4 No 2 (2016): Mei 2016
Publisher : Akademi Keperawatan Dharma Husada Kediri

Introduction : Nursing student faced difficulties during clinical practice at the hospital, clinic and community. This research goal was to improved the nursing students competency using clinical skill self efficacy model. Methods: The study design of this research was exploratory survey with cross sectional approach, and quasy experiment. The samples were recruited from second years nursing students of Akper Dharma Husada Kediri that selected using simple random sampling technique, in total of 83 students. This research’s variables were beliefs, the clinical skill self efficacy and nursing student’s competency. The data were collected by using questionnaires and observation, data analyze by PLS and Wilcoxon sign rank test and Mann whitney. Results and Analysis: The result showed that individuals factors affected beliefs with path coeficient 0.387 and t- statistic value 4.769, psychological factors affected belief with path coeficient 0,492 and t- statistic value 5,984, beliefs factors influenced to thread with path coefficient 0,820 and t- statistic value 21,727 , thread influenced CSSE with path coefficient 0,506 and t-statistic value 5,927 , There were significant influenced on the implementation of a Clinical Skill Self Efficacy Model on nursing student clinical competency. Discuss and Conclusion: improved student competency using CSSE is carried out by building individual, psychologist, beliefs, thread factors.. The result on a dressing competency showed significant improved on communication, knowledge and psychomotor. Clinical skill self efficacy model can be applied on every clinical competency. Key words : Beliefs, CSSE, Clinical Competency

Effect of timing cord clamping on a vaginally delivered infant of a primigravida in terms of the incidence of hyperbilirubinemia Maria Magdalena Setyaningsih; Wisoedhanie Widi Anugrahanti
coba Vol 3 No 2 (2015): Mei 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

Delayed cord clamping leads to the increased level of haematocrite and victocytes which is high risk of hyperbilirubinemia . This study is to determine if there is an effect of timing of cord clamping relating to the incidence of hyperbilirubinemia on newborn, and to create formulating the standard procedures in maternal interventions related to the timing of cord clamping, another objective is preventing interventions of its occurrence when the clamping is performed immediately after birth. Crossectional study was applied design of the research. Population and samples included infants spontaneus by healthy primigravidas.Two trials were included, 20 participants of each received interventions of cord clamping more than equalivalent 1 minute and less than 1 minute followed by bilirubin assessment 48 hours after birth, and analysed by using Linier Regression. There is no significant effect of timing of cord clamping on newborn with regard to hiperbilirubinemia, because the effect of the clamping on bilirubin level reaches up to 68.2%, while the other 31.8% of the varying levels are affected by other factors. There is a need to conduct other relevant studies aimed to prevent hyperbilirubinemia starting from antenatal to postnatal stage. Key Words: Jaundice, Newborn, Hyperbilirubinemia, Time of Clamping, Primigravidas

Studi Fenomenologi : Pengalaman Pasien Prioritas Paling Rendah Pada Klasifikasi Triage Di IGD RSUD Dr. Iskak Tulungagung Elfi Quyumi Rahmawati; Retty Ratnawati; Fransiska Imavike
coba Vol 2 No 1 (2013): Nopember 2013
Publisher : Akademi Keperawatan Dharma Husada Kediri

While many patients present simultaneously, triage is an important function in the ER in sorting patients based on severity. Patients with lower priority will wait longer for assessment and treatment. The purpose of this study was to explore the experience of patient at the lowest priority in the emergency department. Methods of this research conducted with a qualitative approach appropriate design philosophy of Heidegger's interpretive Obtained from this purposive sampling technique 5 participants. Analysis of the data from this study uses an interpretive approach to the analysis of Van Manen found the core theme based comfortable for a patient in the ER. Experience this convenience in the form of five primary themes of experience in handling by workers, delivery of information by officers, ethics officers, environment and procedural in the ER. Based on these results it is recommended for health care workers in the emergency room to further improve communication, information, and education on patient lowest priority, or the formation of a special team that is responsible for communication problems. Key words : patients with lower priority, experience, qualitative

Faktor-Faktor yang Mempengaruhi Kejadian Asfiksia pada Bayi Baru Lahir di RS Aura Syifa Kabupaten Kediri Sumi Dwi Antono
coba Vol 6 No 2 (2018): Mei 2018
Publisher : Akademi Keperawatan Dharma Husada Kediri

Asphyxia neonatorum is a spontaneous and regular respiratory failure at birth. Asphyxia is a major cause of stillbirth and neonatal death. It could be caused by several factors, among others the Pre-labor Rupture Of Membrane (PROM), pregnancy over time, fetal weight is not appropriate during pregnancy, breech position, birth less months, neglected labour, and amniotic fluid mixed with meconium. This study aims to determine what risk factors affect the incidence of asphyxia in newborns in RS Aura Syifa Kediri District. The type of this research was an observational analytics with cross sectional design, and used a chi-square and fisher's exact test to determine the relationship. Probability sampling with systematic random sampling method was used as the sampling technique. The populations in this study were all infants who were diagnosed asphyxia in Aura Syifa Hospital of Kediri District. The samples were 61 respondents who meet the inclusion and exclusion criteria. Results obtained from the fisher’s exact test with value (α 5% = 0,05 is 1) P-value factor PROM 0,207; 2), P-value factors of pregnancy over time 0,068; 3), P-value factor Low Birth Weight (LBW) 0,077; 4), P-value factor breech position 0,253. In a nutshell, it can be concluded PROM, pregnancy over time, Low Birth Weight (LBW) and breech location does not have a significant relationship with the incidence of asphyxia in newborns in RS Aura Syifa Kediri District. Keywords: Asphyxia, LBW, pregnancy over time, PROM, breech

Corelation Anemia Status With Learning Achievment Of The Second Level Under Graduate Students Of Dharma Husada Nursing Academy Kediri Puguh Santoso
coba Vol 4 No 1 (2015): Nopember 2015
Publisher : Akademi Keperawatan Dharma Husada Kediri

experience by individuals. One of the internal factors that have a correlation with learning achievement is Another factor related with a physical condition that impairs the ability to learn, one of which is anemia. This research aim to analyze the correlation between anemia status on the sekond-level of undergraduate students of Dharma Husada Nursing Academy Kediri. Population of this research was the third-level of undergraduate student of Dharma Husada Nursing Kediri academic year of 2014 / 2015, which consists of two classes. Samples were taken using simple random sampling technique and found 91 subjects. Haemoglobin level data was obtained using cyanmethemoglobin measurement method and learning achievement data was obtained using learning documentation. Data were analyzed with bivariate tests using simple regression with a confidence level of 95% (α=5%). of the second-level undergraduate students of Dharma Husada Nursing Academy Kediri (p=0,014). achievement of the second-level undergraduate students of Dharma Husada Nursing Academy Kediri. Contribution anemia status on learning achievement were 2,9%, while 97,1% were related to another factor that were not analyzed in this research. Keywords: Students, Anemia Status, Learning Achievement

Pengaruh Posisi Merangkak Terhadap Kemajuan Persalinan Kala I Fase Aktif Pada Primigravida Di BPS Ny.Endang Sumaningdyah Kota Kediri Rahajeng Siti Nur Rahmawati; Ira Titisari; Susanti Pratamaningtyas
coba Vol 3 No 1 (2014): Nopember 2014
Publisher : Akademi Keperawatan Dharma Husada Kediri

The research were reported that 15,4% woman which in complication in labour, where the complication active phase length is mostly experienced by primigravida. On course hand knee position estimated can assist to turn around fetus, shortening conjugata vera and improve room of flank so that good for quicken progress of labour. Intention of this research is to know effect of hand knee position to quicken progress of I active phase at primigravida at BPS.Endang Sumaningdyah Kediri. Research desaign used correlation. Selected by Sampel is mother of primigravida in I active phase at BPS.Endang Sumaningdyah Kediri. Technique sampling used total sampling. Amount of sampel criteria is counted 10 responded. Technique data collecting responded using observation sheet and partograf which filled by researcher. Analysis data used Fhiser Exact’s Test with level of significant 5%. Result of which is got P ( 0,033 ) <  ( 0,05) so that can be conclusion that there is effect of hand knee position to quicken progress I active phase at primigravida at BPS Endang Sumaningdyah Kediri. Suggestion for next research to be more comprehend about factors director to progress of labour and to research place to be can continue the habitual in suggesting mother to use hand knee position to quicken labour process. Key word: hand knee position , quicken progress of labour, first active phase

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