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Jurnal Ilmu Keperawatan Medikal Bedah
Published by Persatuan Perawat Nasional Indonesia Jawa Tengah
ISSN : 23382058     EISSN : 26212986     DOI : -
Core Subject : Health,
Health Professions Nursing
Jurnal Ilmu Keperawatan Medikal Bedah (JIKMB) (p-ISSN 2338-2058 | e-ISSN 2621-2986 ) is an open access journal which publishes the scientific works for nurse practitioners and researchers. The articles of this journal are published every six months, that is on June and December (2 issues per year), and developed by the Persatuan Perawat Nasional Indonesia Jawa Tengah. The focus and scopes of the journal include adult nursing or medical surgical nursing.
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Articles 60 Documents
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DIABETES SELF MANAGEMENT DAN FAKTOR YANG MEMPENGARUHINYA PADA USIA DEWASA PERTENGAHAN Sucipto Dwitanta; Debie Dahlia
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 3 No. 2 (2020): November 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v3i2.603

Abstract

Diabetes mellitus is six main causes of death in the world. Diabetes mellitus that is not managed properly can run the risk of causing various long-term complications. Type 2 diabetes has a prevalence of 2 to 2.5 times more risk of heart disease accompanied by microvascular and macrovascular complications. Prevent various kinds of life-threatening complications in middle adulthood is to use the diabetes self management (DSM) approach. DSM desperately needs commitment to a very complex diabetes management regimen to achieve good glycemic control. This literature review aims to analyze factors affecting diabetes self management in type 2 diabetes in middle-age adult patients. The literature review used in this study uses journal related by searching in scientific-based databases, with keywords used middle-age adult - diabetes self-management - type 2 diabetes. Based on the literature results, several factors that can affect DSM in middle-aged adult patients include depression, self-efficacy, social support, and knowledge. Therefore, the importance of further research is to be able to see which factors are the most influential among the four factors, so that nurses can make plans to overcome these problems.
GAMBARAN SELF EFFICACY PADA PASIEN DIABETES TIPE 2 DI POLIKLINIK PENYAKIT DALAM RSUPN DR. CIPTO MANGUNKUSUMO JAKARTA Shanty Chloranyta
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 3 No. 2 (2020): November 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v3i2.604

Abstract

Self-efficacy is an individual's assessment of the ability to complete a given task. Diabetes self-efficacy is required to improve the outcome of diabetes management. This study aims to assess the ability of self-efficacy in diabetic patients using Diabetes Management Self Efficacy (DMSE). The research design used is descriptive method. The study was conducted at the Internal Medicine Polyclinic of Cipto Mangunkusumo Hospital Jakarta with 60 samples of type 2 diabetes patients using consecutive sampling technique. The measuring instruments used were demographic characteristics and Diabetes Management Self Efficacy (DSME). The results showed the characteristics of the respondents in the study were 57% women, the highest education was high school respondents (33%), the most complications were diabetic retinopathy (38%). Based on the mean age of type 2 diabetes respondents, namely 57.60 years, the average length of diabetes was 11.40 years, and the mean self-efficacy score was 59.0. Assessment of self-efficacy using DMSE can be used to assess self-efficacy in type 2 diabetes, so that it can make it easier for nurses to educate and counsel patients with type 2 diabetes related to self-efficacy so that it can improve selfmanagement in type 2 diabetes patients.
STUDI FENOMENOLOGI PENGALAMAN PERAWAT DALAM MERAWAT PASIEN SUSPECT COVID-19 May Dwi Yuri Santoso; Sunarto Sunarto; Supanti Supanti
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 1 (2021): Mei 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i1.617

Abstract

Wabah Covid-19 saat ini menjadi pandemi global di seluruh penjuru dunia. Perawat merupakan pekerjaan yang paling sering terpapar penyakit dan infeksi. Tenaga keperawatan adalah salah satu tenaga pelayanan kesehatan yang paling sering berinteraksi selama 24 jam berada disamping pasien. Ketakutan dan kecemasan perawat dapat mempengaruhi kemauan dan ketulusan dalam bekerja. Penelitian ini bertujuan untuk mengeksplorasi pengalaman perawat dalam merawat pasien suspect Covid-19. Penelitian ini menggunakan rancangan (design) penelitian kualitatif dengan pendekatan fenomenologi. Pengumpulan data dengan cara indepth interview. Partisipan adalah perawat yang bertugas di ruang isolasi Covid-19 berjumlah 6 orang pastisipan. Pengambilan sampel dilakukan dengan cara purposive sampling. Instrumen penelitian menggunakan pedoman wawancara dan alat perekam berupa handphone. Analisis dilakukan dengan metode Colaizzi. Dari hasil penelitian teridentifikasi empat tema utama : 1) Kecemasan perawat. 2) Loyalitas perawat. 3) Perasaan perawat. 4) Upaya mengurangi risiko tertular. Hasil penelitian menunjukan bahwa perawat selama merawat suspect Covid-19 masih diliputi kecemasan. Untuk itu diperlukan adanya dukungan sosial, bimbingan rohani dan spiritualitas serta pelatihan-pelatihan mengenai Covid-19.   The Covid-19 outbreak is now a global pandemic throughout the world. Nurses are the jobs most often exposed to diseases and infections. Nursing staff is one of the health care workers who most frequently interact for 24 hours beside the patient. Nurse fear and anxiety can affect willingness and sincerity at work. This study aims to explore the experience of nurses in treating patients suspect Covid-19. This study uses a qualitative research design with a phenomenological approach. Data collection by indepth interview. Participants were nurses on duty in the Covid-19 isolation room totaling 6 participants. Sampling is done by purposive sampling. The research instrument used interview guidelines and recording devices in the form of mobile phones. The analysis was carried out using the Colaizzi method. From the results of the study identified four main themes: 1) Nurse anxiety. 2) Nurse loyalty. 3) Nurse's feelings. 4) Efforts to reduce the risk of contracting. The results showed that nurses while caring for suspect Covid-19 were still overcome by anxiety. For this reason, social support, spiritual and spiritual guidance and training on Covid-19 are needed.
PENGARUH PAPARAN CAHAYA TERANG TERHADAP KONDISI FISIOLOGIS PASIEN YANG DIRAWAT DI RUANG ICU Nabilla Oktaviani Nurlitasari; Dian Hudiyawati
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 1 (2021): Mei 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i1.670

Abstract

Background: Patients in the ICU are exposed to 24 hours of light exposure to abnormally low light levels during the day and constant light disturbances throughout the night. Prolonged abnormal light exposure can impact the circadian rhythm, which may indirectly affect the patient's physiological condition. Objectives: This literature review aims to determine the effect of light exposure on the physiological condition of patients in the ICU, including heart rate, mean arterial pressure (MAP), body temperature and sleep quality and offer possible alternative options. Methods: Qualitative synthesis by collecting research articles for the last five years from Google Scholar, Science Direct, Scopus, Medline, CINAHL, PubMed, and ProQuest. Results: There were 5 international journals with experimental and observational research designs. Abnormal light exposure in the ICU has an effect on increasing the heart rate and decreasing the quality of sleep of the patient. Conclusion: Compared to a decrease in nighttime light levels, an increase in artificial light during the day may be more promising to support the improvement of the patient's physiological condition.
EFEKTIVITAS MIRROR THERAPY TERHADAP PENINGKATAN KEKUATAN OTOT PADA PASIEN POST STROKE: LITERATUR REVIEW Arista Maisyaroh; Kharisma Nur Azizah; Achlis Abdillah; Rizeki Dwi Fibriansari
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 1 (2021): Mei 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i1.713

Abstract

Stroke menyebbkan deficit neurologis yang dapat menurunkan fungsi muskoloskeletal. Mirror Therapy berperan pada penggunaan ilusi optic cermin yang memberikan stimulasi visual pada otak sehingga dapat mempengaruhi peningkatan otot terhadap fungsi motorik ekstremitas. Oleh karena itu. literature review ini bertujuan untuk menentukan efektivitas mirror therapy pada peningkatan kekuatan otot pasien post stroke. Metode pada penyusunan Literature review menggunakan PRISMA checklist dan PICOS dalam penyeleksian menentukan kriteria inklusi. Data sekunder yang didapatkan berasal dari jurnal bereputasi baik nasional maupun internasional dengan bahasan yang sudah ditentukan. Cara pengumpulan data dengan enam database elektronik: EBSCO, Springer, PubMed, Science Direct serta Taylor&Francis. Ditemukan 1.278 artikel, Setelah disaring dari tahun 2016-2020. Artikel menjadi 1.270 dengan bahasa inklusi. kemudian, diperiksa duplikasi, terdapat 42 artikel dieksklusi. Menyeleksi dengan judul dan abstrak berjumlah 942 artikel tidak sesuai area studi. artikel berjumlah 268 bukan fulltext. Total artikel yang dapat direview berjumlah 20 artikel. Hasilnya, mirror therapy efektif diberikan pada semua pasien jenis stroke dengan hemiparesis. Mirror therapy efektif dilaksanakan selama 15-60 menit sehari, frekuensi 3-5 hari perminggu 2 hingga 12 minggu dengan syarat kekuatan otot minimal 2 dan ambulasi antara 3-5. Mirror therapy juga dapat mempengaruhi penurunan rasa nyeri ekstremitas pada pasien.Stroke is a neurological deficit that can decrease the function of the musculoskeletal. Mirror therapy, as a role in the use of visual optic illusion, gives the visual brain stimulation and can influence muscle growth in motor functions of extremes. The literature review is intended to determine the effectiveness of mirror therapy in patients' increased muscle strength. The methods used PRISMA checklist, and PICOS in alignment identified the criteria of inclusion. Data collection with six electronic databases: EBSCO, Springer, Pubmed, Science Direct, And Taylor&Francis. Found 1,278 articles, passed through 2016-2020. The report came to 1,270 with inclusions. Then, duplicated, there are 42 separate articles excommunicated. Screening on title and abstract totaling 942 articles out of context. Article number 268 instead of the full text. A total of 20 items could be reviewed. The result, effective mirror therapy is administered to all types of patients with hemiparasitic. Mirror therapy performed 15-60 minutes a day, frequency 3-5 days a week 2-12 weeks with a minimum muscle strength two, and ambulation between 3-5. Mirror therapy can also affect the patient's loss of limb pain.  
ANALISIS HUBUNGAN FAKTOR DEMOGRAFI, FAKTOR PENYAKIT, DAN FAKTOR PSIKOLOGIS DENGAN MAKNA SPIRITUAL PENGALAMAN SAKIT Nurhayati Nurhayati; Rohman Azzam; Mustikasari Mustikasari
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 1 (2021): Mei 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i1.723

Abstract

ABSTRACT The prevalence of HIV/AIDS is increasing in almost all over the world, the most incidence is in productive age. High community stigma and discrimination, has a negative impact on people living with HIV/AIDS (PLWHA) and the wider life. Objective: Identify the relationship between demographic factors (age, gender, latest education, occupation, religion, economic status, marital status), disease factors (initial diagnosis, opportunistic infections, medication adherence), and psychological factors (anxiety and depression) with meaning, spiritual experience of illness in PLHIV in East Jakarta. This study used a cross sectional study design with consecutive sampling involving 225 respondents at the Bhayangkara Hospital Level I R. Said Sukanto, Jakarta. The independent t test obtained the age factor with a p value of 0.043, meaning that there was a relationship between age and the spiritual meaning of the experience of illness. Chi square test on the factors of gender, recent education, employment, religion, economic status, marital status, early diagnosis, opportunistic infections, adherence to taking medication, anxiety and depression obtained p value> 0.05 means that there is no relationship between these factors and meaning, spiritual experience of illness. Opportunistic infection is a dominant factor related to the spiritual meaning of the experience of illness. There is a relationship between age and the spiritual meaning of the experience of illness, and opportunistic infections are the dominant factor related to the spiritual meaning of the experience of pain. Suggestion: It is necessary to do further research based on initial diagnosis or duration of HIV infection.
EFEKTIVITAS PERILAKU CERDIK DAN PATUH CEGAH STROKE BERULANG Fransiska Anita Ekawati Rahayu Sapang; Yunita Carolina; Anita Sampe; Felisima Ganut
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 1 (2021): Mei 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i1.779

Abstract

The impact of recurrent stroke is heavier than the first attack because it increases mortality and disability which adds to the economic burden, decreases the quality of life of post-stroke patients. Lifestyle changes that cause recurrent stroke have an impact on reducing human resource productivity. The government program through GERMAS, namely CERDIK and PATUH programs was modified by researchers to prevent recurrent strokes by behaving in a healthy behavior used online and offline booklet media. This study aims to determine the effectiveness of providing health education on the CERDIK and PATUH lifestyle to prevent recurrent stroke in post-stroke patients. This research design was quasi-experiment pre and post-test without control. Sampling was done using the non-probability sampling technique by accidental sampling. The sample in this study amounted to 20 respondents. The questionnaire used was the questionnaire on the health behavior of CERDIK and PATUH to prevent recurrent strokes and the risk form for stroke events. The statistic test used Wilcoxon with the value of p=0.002 (p < 0.05) which means there is an effect of education on the behavior of stroke sufferers in preventing recurrent stroke. Then the risk of stroke event with the value of p=0.001 (p < α) which means there is an effect of education on preventing the risk of recurrent stroke. Therefore, it is hoped that post-stroke patients can be given health education on the CERDIK and PATUH behavior to prevent recurrent strokes.
ANALISIS KOMPETENSI RESPON BENCANA PADA PERAWAT DI PUSKESMAS KABUPATEN BIREUEN, ACEH Cut Husna; Ardela Putri Azhari; Ahyana
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 1 (2021): Mei 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i1.893

Abstract

Indonesia adalah negara dengan tingkat kerentanan secara geologis dan berisiko tinggi terhadap ancaman tsunami, gempa bumi, erupsi gunung berapi, dan longsor. Tingginya frekuensi kejadian bencana di Indonesia, dan juga provinsi Aceh membutuhkan respon bencana yang efektif dari penyedia pelayanan kesehatan seperti perawat. Puskesmas sebagai pusat kesehatan primer harus dapat merespon secara efektif pada kondisi terjadinya kegawatdaruratan atau bencana. Perawat sebagai garda terdepan penyedia pelayanan kesehatan harus memiliki kompetensi yang adekuat dalam merespon kejadian bencana. Kompetensi perawat pada respon bencana meliputi pelayanan pada masyarakat, pelayanan pada individu dan keluarga, pelayanan pada gangguan psikologis, dan pelayanan pada kelompok rentan. Tujuan penelitian ini untuk menilai kompetensi respon bencana pada perawat pada dua Puskesmas di Kabupaten Bireuen, Aceh. Jenis penelitian adalah studi deskriptif dengan desain cross sectional study. Populasi dari penelitian ini adalah seluruh perawat pada dua Puskemas tersebut. Sampel penelitian berjumlah 42 orang yang ditetapkan berdasarkan metode total sampling. Alat pengumpulan data adalah kuesioner dalam bentuk skala dichotomous terdiri 43 item pertanyaan, dan dinyatakan lulus uji vailidatas dan reliabilitas instrumen. Data penelitian dianalisis menggunakan analisis univariat. Hasil penelitian secara umum menunjukkan kompetensi perawat pada dua Puskesmas tersebut pada kategori baik (92,86%), terdiri dari pelayanan pada masyarakat kategori cukup (42,86), pelayanan pada individu dan keluarga kategori baik (80,95%), pelayanan masalah psikologis kategori baik (97,62%), dan pelayanan pada kelompok rentan pada ketegori baik (61,90%). Direkomendasikan kepada perawat di Puskesmas agar meningkatkan kompetensi respon bencana khususnya pelayanan pada kelompok rentan seperti dengan kecacatan fisik dan mental, lansia, wanita hamil, anak-anak, dan tahanan dengan mengikuti program pelatihan kebencanaan dan kegawatdaruratan untuk penanganan masalah spesifik pada kelompok tersebut.
INTERVENSI KEPERAWATAN UNTUK MENURUNKAN KECEMASAN ANGGOTA KELUARGA PASIEN SELAMA PERIODE INTRAOPERATIVE Haura Labibah Salsabil Sulaksono; Reni Sulung Utami
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 2 (2021): November 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i2.613

Abstract

Background: Surgery can cause anxiety of family member because uncertainty during awaiting surgery. Nursing intervention is needed to reduce anxiety of family member during intraoperative period. Objective: To identify strategies or nursing intervention in alleviating anxiety of family member of patient during intraoperative period. Method: This is literature review. Authors search article in electronic database such as SpringerLink, Scopus, EBSCOhost, Semantic Scholar, Portal Garuda and web search engine Google Scholar. The inclusion criteria of article are full text, quantitative research, in English or Indonesian language, year of publication was 2010 – 2020, and article’s topic in accordance with the research problem area. Results: Thirty – four articles were obtained and only nine articles were eligible to be included in this review. The review shows that anxiety level of family member during intraoperative decline after being given an intervention. The nursing intervention are providing information cards, providing information and visiting hours, watching TV, audiovisual orientation, and sending text messages. Conclusion: There are several nursing interventions that can be implemented by nurses to reduce family members’ anxiety during intraoperative period. Providing information to the family is very important and beneficial during intraoperative period.  Latar Belakang: Tindakan pembedahan dapat mengakibatkan kecemasan pada keluarga pasien karena ketidakpastian selama menunggu operasi. Intervensi keperawatan diperlukan untuk menurunkan kecemasan keluarga pasien selama periode intraoperative.  Objektif: Untuk mengidentifikasi strategi atau intervensi keperawatan dalam menurunkan kecemasan keluarga pasien selama periode intraoperative. Metode: Studi ini merupakan literature review. Peneliti melakukan penelusuran artikel secara elektronik melalui SpringerLink, Scopus, EBSCOhost, Semantic Scholar, Portal Garuda dan mesin pencari Google Scholar. Pemilihan artikel ditetapkan berdasarkan kriteria inklusi, yaitu full teks, design penelitian kuantitatif, berbahasa Inggris atau Indonesia, tahun publikasi 2010 – 2020, dan artikel sesuai dengan topik masalah penelitian. Hasil: Sebanyak 34 artikel didapatkan dan 9 artikel yang memenuhi kriteria inklusi. Hasil review menunjukkan rata – rata tingkat kecemasan keluarga pasien mengalami penurunan setelah mendapatkan intervensi keperawatan. Intervensi keperawatan yang dapat menurunkan kecemasan keluarga pasien selama menunggu operasi meliputi pemberian kartu informasi, pemberian informasi dan kunjungan, menonton TV, orientasi audiovisual, dan pengiriman pesan teks. Kesimpulan: Perawat dapat memberikan beberapa bentuk intervensi keperawatan untuk menurunkan kecemasan keluarga pasien selama periode intraoperative. Pemberian informasi kepada keluarga sangat penting dan bermanfaat selama fase intraoperative.  
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN STATUS HIDRASI MAHASISWA PROGRAM PROFESI NERS FAKULTAS ILMU KEPERAWATAN UNIVERSITAS INDONESIA Liya Arista; Abdul Aziz Wahyudin
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 4 No. 2 (2021): November 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v4i2.669

Abstract

Stunting atau tinggi badan di bawah normal masih menjadi masalah kesehatan anak diIndonesia. Stunting merupakan Melakukan aktivitas di daerah tropis memerlukan asupancairan harian yang cukup. Asupan cairan sangat diperlukan karena memiliki fungsi pentingseperti berperan dalam pelarut berbagai senyawa dan molekul, berperan dalam pengaturansuhu tubuh, sebagai pelumas pada sendi, sebagai media transportasi, dan juga untukmempertahankan struktur dan fungsi normal sel. Apabila hidrasi tubuh mengalamiketidakseimbangan kurang cairan (dehidrasi) atau kelebihan cairan (overhidrasi) akanmenyebabkan terganggunya kesehatan (Sulistomo et al,. 2014). Dehidrasi didefinisikansebagai keadaan defisit air di dalam tubuh, yakni ketika tubuh kehilangan cairan melebihi daricairan yang di konsumsi (Sembulingam, 2012). Keseimbangan cairan tubuh merupakanjumlah cairan yang masuk dan keluar dalam porsi yang seimbang. Melalui mekanismekeseimbangan, manusia berusaha supaya cairan dalam tubuh selalu berada dalam jumlahyang tetap (Almatsier, 2009).

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