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STUDI DOKUMENTASI PADA KASUS PASIEN YANG MENINGGAL DENGAN COVID-19 DI RUANG INTENSIVE RUMAH SAKIT X [DOCUMENT ANALYSIS OF THE CASES OF PATIENTS WHO DIED FROM COVID-19 IN THE INTENSIVE CARE UNIT OF HOSPITAL X] Meliza Yuliana; Siti Nurbaity; Alice Pangemanan; Anthina Luturmas
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6949

Coronavirus-2019 is an infectious disease caused by SARS-CoV-2 and has been a pandemic for four years. Various patient characteristics are risk factors for the severity of the condition and increased mortality in patients with COVID-19. Research objectives: This study aims to describe the cases of patients who died from COVID-19 in the intensive care unit at Hospital X in Tangerang. A retrospective, quantitative descriptive design with a document analysis was carried out in this study. 81 medical records were selected using the purposive sampling method and analysed from January to October 2021. This study showed that an age >65 years was the most common age for a total of 32 (39.5%) patients. Furthermore, most of the respondents were male patients for a total of 51 (63%). There were 54 (66.7%) patients with severe symptoms, and 76 (93.8%) patients using ventilators. Hypertension and diabetes were the most common comorbidities, found among 14 (17.3%) patients. The results of respiratory acidosis was the most common condition in 33 (40.7%) patients. In addition, 58 (71.6%) patients detected pneumonia on chest CT scan. 75 (92.5%) patients had a D-dimer >1.0, 53 (63.4%) patients had a CRP >200, and 54 (66.7%) patients had a PCT <0.5. Conclusion: It is necessary to conduct research on the relationship between the characteristics of patients who died with COVID-19. BAHASA INDONESIA ABSTRAK Coronavirus-2019 adalah penyakit menular yang disebabkan oleh SARS-CoV-2 dan menjadi pandemic selama empat tahun. Berbagai karakteristik pasien menjadi faktor risiko keparahan kondisi dan peningkatan angka mortalitas pada pasien dengan COVID-19. Penelitian ini bertujuan untuk mengetahui gambaran kasus pasien yang meninggal dengan COVID-19 di ruang intensif rumah sakit X di Tangerang. Desain retrospektif deskriptif kuantitatif dengan studi dokumentasi dilakukan dalam penelitian ini. 81 rekam medis dipilih dengan metode purposive sampling dan dianalisis pada bulan Januari – Oktober 2021. Penelitian ini menunjukkan bahwa usia >65 tahun adalah usia terbanyak, yaitu sebanyak 32 (39.5%) pasien, dengan dominasi pasien laki-laki sebanyak 51 (63%) orang, dengan gejala berat sebanyak 54 (66.7%) pasien, serta sebanyak 76 (93.8%) pasien menggunakan ventilator. Hipertensi dan diabetes merupakan komorbid terbanyak, yaitu 14 (17.3%) pasien, dengan hasil asidosis respiratorik sebagai kondisi terbanyak, yaitu 33 (40.7%) pasien, gambaran pneumonia sebanyak 58 (71.6%) pasien pada pemeriksaan CT-scan thorax, 75 (92.5%) pasien dengan nilai D-dimer >1.0, 53 (63.4%) pasien dengan nilai CRP >200, dan sebanyak 54 (66.7%) pasien dengan nilai PCT <0.5. Saran untuk penelitian selanjutnya, perlu dilakukan penelitian terkait hubungan antar karakteristik pasien yang meninggal dengan COVID-19.

ORGANIZATIONAL CULTURE AND NURSES’ BEHAVIOUR IN IMPLEMENTING PATIENT SAFETY Santa Monika Sinurat; Septiani Simanullang; Solagratia Latumaerissa; Riama Marlyn Sihombing; Windy Sapta Handayani Zega
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.5367

Patient safety is an essential indicator of healthcare quality. The initial interview indicated that within a month, there is always a patient safety incident such as patient falls and medication errors. The organizational culture, vision, mission, goals, and leadership style surely have an impact on a nurse's behaviour when it comes to patient safety. Many research studies discovered that the culture of organization inherent in nurses impacts the quality of hospital services, and nurses can reflect themselves as professional nurses with the organizational performance culture. This study aimed to find a correlation between corporate culture and nurse’s behaviour to patient safety. This study used a quantitative correlational method with a cross-sectional approach. The sample consisted of 191 nurses who had been selected through accidental sampling. The questionnaires on organizational culture and nurse’s behaviour in patient safety are distributed online via Google Forms and have been tested for its validity and reliability on 31 nurses. This study was conducted from March 29 to June 30, 2020. More than half of the respondents observed a bad organizational culture, and more than half of the nurses demonstrated poor behaviour in implementing patient safety. The Spearman correlation test revealed no significant relationship between corporate culture and nurse’s behaviour in adopting patient safety. The hospital administration can provide coaching in terms of socialization, training, mentorship, and supervision through the head nurse or team leader.

GAMBARAN STATUS LITERASI KESEHATAN IBU HAMIL DI PUSKESMAS TUMINTING MANADO [DESCRIPTION OF THE HEALTH LITERACY STATUS OF PREGNANT WOMEN IN TUMINTING HEALTH CENTER, MANADO] Maria Lupita Nena Meo; Rina M Kundre; Hendro J Bidjuni
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6131

Maternal health literacy is one of the main factors affecting the health and well-being of mothers during pregnancy. Maternal health literacy status will affect the ability of pregnant women to obtain, understand and use basic information about health and make the right health decisions for themselves and their babies. Researchers have not found published studies regarding the health literacy status of pregnant women in Manado City. Therefore, this study aims to provide an overview of maternal health literacy in pregnant women in basic health facilities. This research is a quantitative study with a survey design conducted at one of the community health centers in Manado City. The number of respondents who participated in this study were 90 pregnant women who were recruited using simple random sampling technique. Data was collected using the Maternal health literacy inventory in pregnancy (MHELIP) and analyzed using descriptive analysis. The results showed that 31 respondents (35%) were in extraordinary literacy status, 30 respondents (33%) were in sufficient literacy status, 15 respondents (17%) were in problematic literacy status, and 13 respondents (15%) were in inadequate literacy status. The results of the study found that most of the mothers were in extraordinary literacy levels and moderate literacy status. However, there was no significant difference at each level of literacy status of pregnant women. Health service providers have an important role in improving the literacy status of pregnant women, because mothers with limited literacy status rely on health workers as a source of health information.BAHASA INDONESIA ABSTRAK Literasi kesehatan ibu merupakan salah satu faktor utama yang mempengaruhi kesehatan dan kesejateraan ibu selama kehamilan. Status literasi kesehatan ibu akan mempengarhi kemampuan ibu hamil untuk memperoleh, memahami dan menggunakan informasi dasar tentang kesehatan serta membuat keputusan kesehatan yang tepat untuk dirinya sendiri dan bayinya. Peneliti belum menemukan kajian terpublikasi mengenai status literasi kesehatan ibu hamil di Kota Manado. Oleh karena itu penelitian ini bertujuan untuk memberikan gambaran literasi kesehatan maternal pada ibu hamil di fasilitas kesehatan dasar Penelitian ini merupakan penelitian kuantitatif dengan desain survey yang dilakukan di salah satu puskemas di Kota Manado. Jumlah responden yang berpartisipasi dalam penelitian ini adalah 90 ibu hamil yang direkrut dengan menggunakan teknik simple random sampling. Data dikumpulkan menggunakan Maternal health literacy inventory in pregnancy (MHELIP) dan dianalisis menggunakan analisis deskritif. Hasil penelitian menunjukan bahwa 31 responden (35%) berada dalam status literasi luar biasa, 30 responden (33%) berada dalam status literasi cukup, 15 responden (17%) berada dalam status literasi bermasalah, serta 13 responden (15%) berada dalam status literasi tidak memadai. Hasil penelitian menemukan bahwa sebagian besar ibu berada dalam tingkat literasi luar biasa dan status literasi cukup. Akan tetapi tidak ada perbedaan yang signifikan di tiap tingkat status literasi ibu hamil. Penyedia layanan kesehatan memiliki peran penting dalam meningkatkan status literasi ibu hamil, karena ibu dengan status literasi terbatas mengandalkan tenaga kesehatan sebagai sumber informasi kesehatan

THE EFFECTS OF SECONDARY PREVENTION IN A PATIENT WITH CORONARY HEART DISEASE (CHD): A LITERATURE REVIEW Gratsia Victoria Fernandez
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6855

Coronary Heart Disease (CHD) is the most common form of cardiovascular disease and one of the leading causes of death worldwide. Considering that CHD is chronic in nature, adherence to secondary prevention measures is needed to prevent the development of CHD in a worse direction, such as disability and disease recurrence. This study aimed to review the literature on secondary prevention and its effect on a patient with CHD. The search of literature used predefined keywords through several databases, namely Scopus, ProQuest, Science Direct and SAGE Journal. The inclusions are articles in full text, written in English, and published within the last five years from 2019 - 2023. The exclusions are non-experimental research literature and those that do not describe the impact of second prevention. The results show that there are fifteen articles that met the inclusion criteria. The secondprevention can be given in various ways, and media can be used according to the patient's needs. This second prevention also provides many benefits for quality of life, self-efficacy, knowledge, adherence, self-care, health behavior, lifestyle, life orientation, optimism, physical activity, levels of anxiety and depression in patients controlling cholesterol levels and blood pressure. and reduce the occurrence of complications.

ASUHAN KEPERAWATAN PASIEN DENGAN SIROSIS HEPATIS DEKOMPENSATA: PENDEKATAN MODEL ADAPTASI ROY [NURSING CARE FOR PATIENTS WITH DECOMPENSATED CIRRHOSIS: AN APPROACH USING ROY'S ADAPTATION MODEL] Yulia Sihombing
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6785

Liver cirrhosis is a progressive chronic liver disease characterized by extensive degeneration and destruction of liver parenchymal cells. Patients with liver cirrhosis require quality management as the disease progresses and complications such as hepatic encephalopathy and upper gastrointestinal bleeding arises, which results in frequent hospitalizations. This study aims to obtain an overview of nursing care in an adult patient with decompensated liver cirrhosis using the Roy Adaptation Model. This research is a case study using the nursing process approach. Sampling was taken using purposive sampling technique. The results showed four nursing problems experienced by patients. There were three problems in physiological mode: ‘excess fluid volume’, ‘risk of bleeding’, ‘risk of injury’; and one problem in the role function mode which was ‘ineffective role performance’. The treatment given aimed to alleviate the condition, ability and participation of the patient/family members to manage the patient's condition. Skill enhancement of patients and family members the ability to manage health by patients and families facilitates the ability to adapt to changing health conditions as seen from the appropriate health behaviors displayed by patients and families. Providing health education and empowering health management by patients and their families by nurses are very important to improve adaptation thus the quality of life of patients with cirrhosis of the liver.BAHASA INDONESIA ABSTRAK Sirosis hepatis adalah penyakit hati kronis progresif yang dicirikan oleh degenerasi luas dan destruksi sel-sel parenkim hati. Pasien sirosis hepatis membutuhkan manajemen kualitas hidup seiring perjalanan penyakit dan komplikasi yang timbul, yakni ensefalopati hepatikum dan perdarahan saluran cerna atas yang mengakibatkan pasien sering menjalani rawat inap. Penelitian ini bertujuan untuk mendapatkan gambaran asuhan keperawatan pada 1 pasien dewasa dengan sirosis hepatis dekompensata menggunakan Model Adaptasi Roy. Metode penelitian ini menggunakan studi kasus dengan pendekatan proses keperawatan. Pengambilan sampling menggunakan teknik purposive sampling. Hasil studi mengidentifikasi 4 masalah keperawatan yang dialami pasien yakni tiga masalah pada mode fisiologis: kelebihan volume cairan, risiko perdarahan, risiko cidera; dan satu masalah pada mode fungsi peran yakni tidak efektif performa peran. Penanganan yang diberikan bertujuan untuk meringankan kondisi, kemampuan dan partisipasi pasien/keluarga untuk mengelola kondisi pasien. Peningkatan kemampuan pengelolaan kesehatan oleh pasien dan keluarga memfasilitasi kemampuan adaptasi terhadap perubahan kondisi kesehatan yang terlihat dari perilaku kesehatan yang tepat yang ditampilkan oleh pasien dan keluarga. Tindakan pemberian edukasi kesehatan dan pemberdayaan pengelolaan kesehatan oleh pasien dan keluarga sangat penting dilakukan untuk meningkatkan kualitas hidup pasien dengan sirosis hepatis.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERASAAN KELELAHAN KERJA PERAWAT RUANG RAWAT INAP [FACTORS RELATED TO INPATIENT NURSES' WORK FATIGUE] Rachelka Nugraheni; Desi Ramita Winda; Ineke Patrisia; Christie Lidya Rumerung
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6948

Nurses are medical personnel who provide nursing care to patients. Nurses need extra energy in doing work, so they are prone to fatigue. The data of unstructured interviews revealed that eight out of ten nurses experienced work fatigue.These nurses found it to be easily anxious, angry, and difficult to concentrate. The purpose of this study was to determine the relationship between age, gender, years of service, work shifts, nutritional status, and health conditions with feelings of work fatigue in inpatient nurses. The study used a descriptive quantitative method with a population of 70 inpatient nurses. Total sampling technique was utilized, resulting in 70 respondents. The research has indeed considered and passed the research ethics. The study used a standardized questionnaire to measure the feelings of work fatigue. Based on the chi-square statistical test, it was found that there was no relationship between gender, length of work, work shifts and health conditions with feelings of work fatigue, where the p-value of each factor was > 0.05. While the statistical test for age and nutritional status factors using the Spearman Rank correlation test showed that there was no relationship between age and feelings of work fatigue, with a value of significance 0.682 > 0.05. Furthermore, there was a relationship between nutritional status and feelings of work fatigue, with a value of significance 0.025 < 0.05. Qualitative research needs to be carried out further to be able to see in more detail the factors that influence feelings of burnout. BAHASA INDONESIA ABSTRAK Perawat merupakan tenaga medis yang memberikan asuhan keperawatan kepada pasien. Perawat membutuhkan tenaga ekstra dan maksimal dalam melakukan pekerjaan, sehingga rentan menimbulkan kelelahan. Hasil wawancara tidak terstruktur diperoleh data yaitu delapan dari sepuluh perawat mengalami kelelahan kerja, perawat-perawat tersebut merasa sulit berkonsentrasi, mudah cemas, dan mudah marah. Tujuan penelitian ini ingin mengetahui hubungan antara faktor usia, jenis kelamin, masa kerja, shiftkerja, status gizi dan kondisi kesehatan dengan perasaan kelelahan kerja perawat rawat inap. Penelitian menggunakan metode kuantitatif deskriptif dengan populasi 70 responden perawat rawat inap, menggunakan teknik sampling total sampling sehingga responden sebanyak 70 responden. Penelitian memperhatikan etik-etik penelitian dan telah lolos etik . Penelitian menggunakan kuesioner baku alat ukur perasaan kelelahan kerja. Berdasarkan uji statistik chisquare didapatkan tidak terdapat hubungan antara jenis kelamin, masa kerja, shiftkerja dan kondisi kesehatan dengan perasaan kelelahan kerja, dimana nilai p-valuemasing-masing faktor > 0,05. Sedangkan uji statistik untuk faktor usia dan status gizi menggunakan uji korelasi RankSpearman diperoleh hasil tidak terdapat hubungan antara umur dengan perasaan kelelahan kerja diperoleh nilai signifikansi 0,682 > 0,05 dan adanya hubungan status gizi dengan perasaan kelelahan kerja diperoleh nilai signifikansi 0,025 < 0,05. Penelitian kualitatif perlu dilakukan lebih lanjut untuk bisa melihat lebih detail faktor yang memengaruhi perasaan kelelahan kerja.

HUBUNGAN MEKANISME KOPING DENGAN PERILAKU KEKERASAN VERBAL ORANG TUA TERHADAP ANAK USIA SEKOLAH PADA SALAH SATU DESA DI SULAWESI UTARA [The Relationship between Coping Mechanisms and Parents' Verbal Abuse with School Age Children in a Village in North Sulawesi] Anggun Sitinjak; Heni Monalita Simangunsong; Jessica Queentia Kaeng; Maria Veronika Ayu Florensa; Marini Indrya Purwani
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6950

Parents play a very big role in the life of their children, including their education. Good assistance during the school years will have an impact on children's development. Based on an initial survey conducted by researchers, it was shown that parents commit various forms of verbal abuse to school-age children when accompanying their children in studying. The purpose of this study was to determine the relationship between coping mechanisms and the verbal abuse behavior of parents towards school-age children in a village in North Sulawesi. This research method uses a correlational quantitative method with a cross sectional design. The population studied is parents who have school-age children in a village in North Sulawesi. Sampling in this study using a purposive sampling technique with a total of 50 respondents. The questionnaire used was the Brief Cope and the verbal violence questionnaire which was adapted from the Korean Verbal Abuse Questionnaire. Data analyzed using univariate and bivariate tests with the Spearman rho correlation test. The results obtained were that there was no relationship between coping mechanisms that focused on emotions and parental verbal violence (p-value = 0.461) and there was no relationship between problem-focused coping mechanisms and parental verbal violence against school-age children in one of the villages in North Sulawesi (p-value = 0.269). The recommendations from this study are that parents should have good knowledge of coping mechanisms and train their ability to control their emotions so that verbal abuse in children can be avoided. BAHASA INDONESIA ABSTRAK Orang tua memiliki peran yang sangat besar dalam kehidupan anak, termasuk pendidikannya. Pendampingan yang baik selama masa sekolah akan berdampak pada perkembangan anak. Berdasarkan survei awal yang telah dilakukan oleh peneliti menunjukkan bahwa orang tua melakukan berbagai bentuk kekerasan verbal pada anak usia sekolah ketika mendampingi anaknya belajar. Tujuan penelitian ini yaitu untuk mengetahui hubungan mekanisme koping dengan perilaku kekerasan verbal orang tua terhadap anak usia sekolah pada salah satu desa di Sulawesi Utara. Metode penelitian ini menggunakan metode kuantitatif korelasional dengan desain cross sectional. Populasi yang diteliti yaitu orang tua yang memiliki anak usia sekolah pada salah satu desa di Sulawesi Utara. Pengambilan sampel pada penelitian ini menggunakan teknik purposive sampling dengan jumlah responden sebanyak 50 orang. Kuesioner yang digunakan yaitu Brief Cope dan kuesioner kekerasan verbal yang diadaptasi dari Korean Verbal Abuse Questionnaire. Data dianalisis menggunakan uji univariat dan bivariat dengan uji Spearman rho correlation. Hasil yang didapatkan yaitu tidak ada hubungan antara mekanisme koping yang berfokus pada emosi dengan kekerasan verbal orang tua (p-value = 0,461) dan tidak ada hubungan antara mekanisme koping yang berfokus pada masalah dengan kekerasan verbal orangtua terhadap anak usia sekolah pada salah satu desa di Sulawesi Utara (p-value = 0,269). Rekomendasi dari penelitian ini diharapkan orang tua sebaiknya memiliki pengetahuan yang baik tentang mekanisme koping dan melatih kemampuan dalam mengontrol emosi sehingga kekerasan verbal pada anak bisa dihindari.

MANAJEMEN RESPIRASI PASIEN THROMBUS VENA MESENTERIKA-PORTA DAN SUSPEK LIMFOMA: STUDI KASUS [RESPIRATION MANAGEMENT OF MESENTERIC-PORTAL VEIN THROMBUS PATIENTS WITH SUSPECTED LYMPHOMA: A CASE STUDY] Agatha Permata; Avina Anugrahni; Christin Natalia; Theresia Theresia
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6788

Mesenteric Vein Thrombosis (MVT) is described as a condition where a blood clot forms in the mesenteric vein, which potentially leads to intestinal infarction. Common clinical manifestations of MVT include abdominal pain, constipation, anorexia, nausea and vomiting, melena, and fever. Meanwhile, specific manifestations cover pressure-induced abdominal pain, abdominal distension, and ascites. In this case study, the patient's oxygen saturation remains in the range of 90-91% in room air. Decreased oxygen saturation implies the need for respiratory management to prevent medical emergencies due to respiratory decline. The management of this nursing care is to prevent decreased respiratory conditions and detect worsening respiratory conditions in patients with MVT, portal vein thrombus, and suspected lymphoma. Mr. M (40 years old) with abdominal pain et causa mesenteric and portal vein thrombosis, lymphoma suspect complained of abdominal pain, distended, and tenderness for 1.5 months, as well as intolerable pain complemented with nausea for one week. Patient’s oxygen saturation remains in 90-91% on the first 2 days of case study. Abdominal CT- Scan indicates pancreatitis, lymphoma suspect, pleural effusion on right and left lung base, and compression atelectasis on left lung lobe. No respiratory decline after 3 days of case study (no additional respiratory muscles utilized, nostrils breathing, chest retraction, oxygen saturation <90%, peripheral nor central cyanosis, decreased consciousness). Respiratory management is effective in preventing respiratory decline. Further studies needed to explore more about MVT and its nursing implication in Indonesia.BAHASA INDONESIA ABSTRAK Thrombus vena mesenterika atau Mesenteric Vein Thrombosis (MVT) adalah kondisi terbentuknya bekuan darah di vena mesenterika, dengan bahaya infark usus. Manifestasi klinis thrombus vena mesenterika akut yang paling sering muncul adalah adanya nyeri abdomen, konstipasi, anoreksia, mual, muntah, melena dan demam. Manifestasi klinis secara spesifik pada abdomen terdapat nyeri tekan pada abdomen, distensi abdomen, dan asites. Pada studi kasus ini, saturasi oksigen pasien pada room air 90-91%. Adanya penurunan oksigen menjadi indikasi tindakan keperawatan yang berfokus pada kondisi respirasi dan oksigenasi pasien dengan melakukan manajemen respirasi. kelolaan asuhan keperawatan ini yaitu mencegah penurunan kondisi pernapasan dan mendeteksi perburukan kondisi pernapasan pernapasan pada pasien MVT, thrombus vena porta, dan suspek limfoma. Pasien Tn.M usia 40 tahun dengan abdominal pain et causa thrombus vena mesenterika-porta suspek limfoma mengatakan keluhan perut terasa keras, begah, nyeri sejak lebaran dalam kurun kurang 1,5 bulan, dan perut mulai nyeri hebat, mual dan tidak bisa tertahankan sejak satu minggu. Pada pemeriksaan vital sign pada hari kedua hingga hari ketiga pengkajian, saturasi oksigen pasien secara room air berada pada 90-91%. Hasil CT Scan menunjukkan pankreatitis dan suspek lymphoma, efusi pleura kanan dan kiri paru, serta kompresi atelektasis di lapang paru kiri pasien. Manajemen repsirasi dilakukan selama tiga hari dan tidak ditemukan adanya perburukan kondisi pernapasan. Penerapan manajemen respirasi yang dilakukan selama tiga hari tidak ditemukan adanya perburukan kondisi pernapasan (tidak ada penggunaan otot bantu napas, tidak ada pernapasan cuping hidung, tidak ada retraksi dada, saturasi oksigen <90%, sianosis perifer/sentral, maupun penurunan kesadaran). Manajemen respirasi dapat dilakukan untuk mencegah adanya perburukan kondisi pernapasan.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KECEMASAN MAHASISWA PROFESI NERS DALAM MENGIKUTI PRAKTIK KLINIK KEPERAWATAN [FACTORS ASSOCIATED WITH THE LEVEL OF ANXIETY OF NURSING STUDENTS IN PARTICIPATING IN NURSING CLINICAL PRACTICE] Muthia Nufus Fadhilah; Ani Haryani; Yeni Binteriawati; Herna Alifiani
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6951

Clinical learning aims to facilitate students in deepening, testing, and applying the concepts of the subject matter in clinical practice. Additionally, clinical learning also aims to develop students' psychomotor, intellectual, and attitude skills in creating care plans for patients. However, during clinical practice, students often experience anxiety, especially when they are in unfamiliar rooms and confronted with demanding patient families who have doubts about the nursing actions performed by the students. The purpose of this study is to identify factors associated with the level of anxiety among professional nursing students in participating in nursing clinical practice at Faletehan University. The research adopts a cross-sectional design methodology. The study population consists of all nursing professional students at Faletehan University, totaling 124 students. A total sampling technique was used, resulting in 124 respondents as the research sample. The results of the univariate analysis indicate that 54.8% of the respondents experience mild anxiety, 55.6% of the respondents have inadequate knowledge, 59.7% of the respondents have supportive family support, and 54.8% of the respondents perceive the hospital environment as unfavorable. The bivariate analysis using chi squared reveals that factors associated with anxiety among professional nursing students are knowledge (P value 0.000), family support (P value 0.000), and the hospital environment (P value 0.000). It is recommended to focus on the factors of knowledge, hospital environment, and family support, as well as to motivate students to enhance their knowledge and the nursing process. This approach is expected to assist students in overcoming anxiety and improving the quality of their clinical practice.BAHASA INDONESIA ABSTRAK Pembelajaran klinik memiliki tujuan untuk mempermudah mahasiswa dalam mendalami, menguji, dan mengaplikasikan konsep materi dalam praktek klinik. Selain itu, pembelajaran klinik juga bertujuan untuk mengembangkan pengetahuan psikomotor, intelektual, dan sikap mahasiswa dalam membuat asuhan kepada pasien. Namun, dalam pelaksanaan praktik klinik, seringkali mahasiswa mengalami kecemasan, terutama saat mereka berada di ruangan yang baru dan dihadapkan dengan keluarga pasien yang rewel serta kurang percaya terhadap tindakan keperawatan yang dilakukan oleh mahasiswa praktik. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan tingkat kecemasan mahasiswa profesi Ners dalam mengikuti praktik klinik keperawatan di Universitas Faletehan. Penelitian menggunakan metode desain cross sectional. Sampel penelitian ini seluruh mahasisawa Ners berjumlah 124 responden dengan menggunakan teknik total sampling. Hasil analisis univariat menunjukkan bahwa sebanyak 54,8% responden mengalami kecemasan ringan, 55,6% responden memiliki pengetahuan yang kurang baik, 59,7% responden memiliki dukungan keluarga yang mendukung, dan 54,8% responden merasa lingkungan RS kurang baik. Hasil analisis bivariat mengunakan uji chi kuadrat menunjukkan bahwa faktor-faktor yang berhubungan dengan kecemasan mahasiswa profesi Ners adalah pengetahuan (P value 0.000), dukungan keluarga (P value 0.000), dan lingkungan RS (P value 0.000). Diharapkan untuk memfokuskan perhatian terhadap faktor pengetahuan, lingkungan RS, dukungan keluarga, serta memotivasi mahasiswa untuk meningkatkan pengetahuan dan proses tindakan keperawatan. Hal ini diharapkan dapat membantu mahasiswa mengatasi kecemasan dan meningkatkan kualitas praktik klinik.

PASIEN KANKER PARU DENGAN SUPERIOR VENA CAVA SYNDROME (SVCS): LAPORAN KASUS ASUHAN KEPERAWATAN [CASE REPORT OF NURSING CARE FOR LUNG CANCER PATIENTS WITH SUPERIOR VENA CAVA SYNDROME (SVCS)] Agnes Ardhia Garini; Anesya Aprilya Nahumury; Antonia Niken Rillya Aruan
Nursing Current: Jurnal Keperawatan Vol 11, No 1 (2023): June
Publisher : Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/nc.v11i1.6745

Lung cancer is a collection of genetic alterations that result in the proliferation of respiratory epithelial cells.One of the complications of lung cancer is Superior Vena Cava Syndrome (SVCS) which arises due to obstruction of the superior vena cava by thrombus. The main priority in the care of lung cancer patients is to meet the their needs and to reduce the perceived complaints. In addition, if pulmonary complications occur with SVCS, nurses must be aware of common clinical manifestations, such as dyspnea and edema in the upper chest, arms, neck, and face. A 53-year-old man with post-craniotomy and biopsy-suspected occipital metastases extra presented with dry cough, weakness, and shortness of breath that worsened when he laid on his back and improved slightly when he sat, as well as swelling in the upper chest, arms, neck, and face. The patient was administered heparin 5000 U/24 hours after being diagnosed with meta-brain lung cancer and SVCS. Cancer infiltrates the mediastinal space, compresses the superior vena cava, and results in SVCS in the patient. The patient immediately administered an anticoagulant, such as heparin, based on the results of the assessment and supporting examinations. In addition, nurses provided nursing care based on the patient's response, such as managing dyspnea and assisting patients and families on how to minimize the side effects of heparin use. Patients with lung cancer should receive heparin due to the high risk of thrombosis followed by SVCS,which is also called as an oncology emergency. Nurses must continue to monitor the patient's condition and fulfill their educational responsibilities.BAHASA INDONESIA ABSTRAK Kanker paru adalah kumpulan perubahan genetik pada sel epitel saluran pernapasan yang mengakibatkan proliferasi sel. Salah satu komplikasi dari kanker paru adalah Superior Vena Cava Syndrome (SVCS) yang timbul akibat obstruksi vena kava superior oleh trombus. Peran utama dalam perawatan pasien kanker paru adalah memenuhi kebutuhan pasien maupun untuk mengurangi keluhan yang dirasakan. Selain itu, jika komplikasi pasien paru dengan SVCS, perawat harus memperhatikan manifestasi klinis yang sering terjadi pada pasien seperti dispnea maupun edema dibagian atas dada, lengan, leher dan wajah. Seorang laki-laki usia 53 tahun post kraniotomi dengan biopsi suspect metastase oksipital dextra datang dengan keluhan batuk tanpa adanya produksi sputum, dan lemas. Pasien juga mengalami perburukan sesak napas saat posisi supine dan sedikit membaik dalam posisi duduk serta adanya edema pada bagian superior mediastinum, lengan, leher dan wajah. Pasien terdiagnosa kanker paru metastasis otak dengan SVCS. Pasien mendapat terapi heparin 5000 U/24 jam. Kanker yang menginvasi ruang mediastinum dan menekan/menghimpit vena kava superior dan menyebabkan SVCS pada pasien. Hasil pengkajian dan pemeriksaan penunjang pasien mengarahkan pelaksanaan antikoagulan (heparin) dengan segera. Asuhan keperawatan dilakukan antara lain: pengelolaan dispnea dan mengajarkan pasien dan keluarga cara meminimalisir efek samping dari penggunaan heparin. Kanker paru sangat berpotensi terjadinya trombosis diikuti dengan adanya SVCS yang menjadi kegawatdaruratan onkologi sehingga pasien harus diberikan heparin. Perawat sangat perlu melakukan monitoring kondisi pasien melakukan perannya sebagai edukator.

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Contact Name
Ni Gusti Ayu Eka

Contact Email
gusti.eka@uph.edu

Phone
+628121902239

Journal Mail Official
nursingcurrent@uph.edu

Editorial Address
Fakultas Keperawatan Universitas Pelita Harapan Lippo Karawaci, Tangerang, Banten, Indonesia 15811 Phone: 021 5460901 Fax: 021 5460910 Email: nursingcurrent@uph.edu

Location
Kota tangerang,

Banten

INDONESIA

Abstract

Abstract

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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ni Gusti Ayu Eka

Contact Email gusti.eka@uph.edu

Phone +628121902239

Journal Mail Official nursingcurrent@uph.edu

Editorial Address Fakultas Keperawatan Universitas Pelita Harapan Lippo Karawaci, Tangerang, Banten, Indonesia 15811 Phone: 021 5460901 Fax: 021 5460910 Email: nursingcurrent@uph.edu

Location Kota tangerang, Banten INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ni Gusti Ayu Eka

Contact Email
gusti.eka@uph.edu

Phone
+628121902239

Journal Mail Official
nursingcurrent@uph.edu

Editorial Address
Fakultas Keperawatan Universitas Pelita Harapan Lippo Karawaci, Tangerang, Banten, Indonesia 15811 Phone: 021 5460901 Fax: 021 5460910 Email: nursingcurrent@uph.edu

Location
Kota tangerang,

Banten

INDONESIA