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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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INTERVENSI MANUAL BLADDER WASHOUT DALAM MENGATASI RETENSI BEKUAN DARAH PADA PASIEN POST TURP: A LITERATURE REVIEW Asriyani Hamid; Elly L Sjattar; Abdul Majid
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.v4i2.858

Abstract

Benign Hyperplasia Prostate didefenisikan sebagai penyakit dengan disfungsi saluran kemih bagian bawah karena hiperplasia jinak prostat yang mengarah ke obstruksi saluran kemih bagian bawah. Trans Urethral Resection of The Prostate (TURP) merupakan salah satu tindakan pembedahan tertutup yang banyak dilakukan dengan komplikasi retensi bekuan darah. Manual bladder washout (MBW) adalah salah satu tindakan yang dilakukan untuk mengatasi retensi bekuan darah. Tinjauan literatur ini bertujuan untuk mengidentifikasi literatur yang mengeksplorasi intervensi MBW dalam mengatasi retensi bekuan darah pasien post TURP. Studi menggunakan desain literature review dan menggunakan database PubMed, ScienceDirect, ProQuest, Wiley, dan Google Schoolar. Kriteria inklusi dalam tinjauan ini adalah pasien post TURP, intervensi manual bladder washout, hasil publikasi tahun 2010 hingga 2019, full text, berbahasa Inggris. Sebanyak 588 artikel yang diidentifikasi, namun setelah menghapus artikel duplikat dan melihat kriteria inklusi dan eksklusi, didapatkan 5 artikel yang sesuai untuk dimasukkan ke dalam tinjauan. Studi yang telah dianalisis menjelaskan MBW secara signifikan mengatasi retensi bekuan darah dan menjadi pilihan yang efektif dalam mengatasi retensi bekuan darah. Berdasarkan analisis terhadap hasil dari lima artikel, disimpulkan bahwa MBW memiliki efek dalam mengatasi retensi bekuan darah pada pasien. MBW dapat dilakukan dan menjanjikan sebagai intervensi yang aman dan efektif dalam mengatasi retensi bekuan darah. 
PENGARUH PERAWATAN DAERAH PEMASANGAN INFUS TERHADAP KEJADIAN PHLEBITIS DI RS KOTA KISARAN Khairunnisa Batubara; Henrianto Karolus Siregar; Elvipson Sinaga; Resmi Pangaribuan
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.v4i2.1124

Abstract

Pada pasien rawat inap, pemasangan infus atau kateter vena perifer merupakan prosedurinvasif yang paling sering dilakukan. Pasien yang menerima terapi intravena selamadirawat di rumah sakit diperkirakan sekitar setengah dari keseluruhan pasien. Lebih dari90% pasien di rumah sakit menerima terapi intra vena melalui beberapa alat intravena(Chang & Peng, 2018). Komplikasi yang paling sering terjadi akibat terapi intravena yangditandai dengan pembengkakan, kemerahan, infiltrasi (kebocoran cairan dari vena),demam, nyeri, infeksi kulit lokal, dan infeksi aliran darah adalah phlebitis (Mihala et al.2018). Kemenkes RI (2017) menyatakan bahwa phlebitis adalah ditemukannya tanda-tanda kemerahan seperti terbakar, adanya pembengkakan, adanya rasa sakit apabiladilakukan penekanan, adanya ulkus sampai eksudat purulen atau keluarnya cairan jikaditekan pada daerah lokal tusukan infus.
NURSE READINESS TO PERFORM CARDIOPULMONARY RESUSCITATION DURING COVID 19 PANDEMIC Rita Kombong; Tri Nurmaningsih Hatala
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.v4i2.1187

Abstract

Coronavirus Disease 2019 (Covid 19) has become a global pandemic with rapid spread, resulting in an increase in the number of cases of illness and death, which is the responsibility of health workers, particularly nurses on the front lines. Nurses, on the other hand, are extremely vulnerable to transmission despite wearing personal protective equipment. This treatment necessitates planning, including the readiness of nurses to provide services, especially for critical patients (cardiac arrest) requiring cardiopulmonary resuscitation (CPR). Preparedness can reduce transmission to nurses by paying attention to standard cardiopulmonary resuscitation procedures in the pandemic era. The purpose of this study was to determine the preparedness of nurses to perform cardiopulmonary resuscitation based on their knowledge, attitudes, and skills during the Covid 19 pandemic era at dr. M Haulussy Hospital Ambon. A quantitative analytical study approach was used in this study, with a cross-sectional study design. The total number of samples in this study was 33, and the sampling technique used was Total Sampling. The results showed there was readiness with a p-value < (0.05), knowledge with a value of 0.660, attitude with a value of 0.559, and CPR skills of 1.000. The conclusion is that a nurse is well-prepared in terms of knowledge, attitudes, and skills. It is hoped that it will be useful to the hospital in developing plans and nursing interventions in overcoming this pandemic. Keywords: readiness, cardiopulmonary resuscitation, COVID 19, nurse.
HUBUNGAN ANTARA PENGETAHUAN DENGAN PERSEPSI DAN RESPON PERILAKU MAHASISWA DALAM UPAYA MEMUTUSKAN MATA RANTAI PENULARAN COVID-19 DI PERBATASAN NKRI-RDTL Pius A L Berek; Maria M. N. Nahak; Maria Fatimah W. A. Fouk; Maria Afnita Lelang; Christina Anugrahini; Kristofel Bere
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.v4i2.1218

Abstract

Latar belakang: Pandemi covid-19 menyebar sangat pesat dan belum ditemukan obat yang spesifik sehingga masyarakat lebih rentan tertular karena kurangnya pengetahuan dan persepsi serta praktik perilaku tidak memadai. Tujuan: mengidentifikasi hubungan pengetahuan dengan persepsi dan perilaku mahasiswa dalam memutuskan mata rantai penularan covid-19. Metodologi: Desain kuantitatif dengan pendekatan cross sectional, dilakukan pada Desember 2020. Instrumen pengetahuan, persepsi dan perilaku telah dilakukan uji validitas dan reliabilitas, nilai alfa chronbach 0,697-0,793. Karakteristik responden dianalisis dengan statistik deskriptif, sedangkan hubungan antar variabel menggunakan uji chi square dengan tingkat signifikansi p<0,05. Hasil: 502 responden menyelesaikan survei, rata-rata berumur 21,14 tahun (2,56), terbanyak perempuan (69,7%). Terdapat 67,1% mendapatkan informasi covid-19 melalui media sosial. Mayoritas memiliki pengetahuan memadai, namun 47,4% memiliki pengetahuan kurang. Dilaporkan pula persepsi dan perilaku negatif terkait upaya memutuskan mata rantai penularan covid-19, masing-masing 44,6% dan 50,4%. Sekitar 73,11% menyatakan bahwa antibiotik dan vaksin tidak efektif menghambat penyebaran covid-19. Hasil uji chi square menunjukkan tidak ada hubungan antara pengetahuan dengan persepsi (p=0,900) dan perilaku memutuskan mata rantai penularan covid-19 (p=0,781). Kesimpulan: Penting untuk meningkatkan pengetahuan dan keyakinan masyarakat untuk memutuskan mata rantai penularan covid-19. Mahasiswa memiliki peran penting sebagai agen pengubah di masyarakat untuk memutuskan mata rantai penularan covid-19.
POLA HIDUP DENGAN KEJADIAN OBESITAS: LITERATURE REVIEW Made Mahaguna Putra; Ni Nyoman Intan Saraswati; Ni Made Raningsih
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 1 (2022): Mei 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v5i1.1166

Abstract

Obesity is an abnormal condition characterized by an excessive increase in body fat, generally deposited in the subcutaneous tissue, around the organs, and sometimes infiltrated into the organs. Obesity occurs due to changes in lifestyle, for example, drinking a lot, smoking habits, consuming lots of fatty foods, consuming fast food (fast food) a lot, and low physical activity. The main factors causing central obesity are increased food intake and decreased energy expenditure. Physical activity is also associated with central obesity. It is known that regular physical exercise can lead to a significant decrease in body fat tissue. This is because physical exercise can increase fat-free tissue mass and reduce fat tissue mass.   
GAMBARAN SURGICAL APGAR SCORE (SAS) PERIOPERATIF PADA PASIEN LAPARATOMI DI RUANG INSTALASI BEDAH SENTRAL RUMAH SAKIT UMUM DAERAH AJIBARANG Edi Wibowo; Made Suandika; Martyarini Budi
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 1 (2022): Mei 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v5i1.1219

Abstract

Post-laparotomy complications include bleeding, severe pain, and even death. This can be reduced by effective perioperative management. One of them is by applying the Surgical Apgar Score (SAS) which contains hemodynamic information and intraoperative blood loss. The aim of the study was to determine perioperative SAS in laparotomy patients. Using a cross-sectional descriptive research design, this study took 21 respondents with quota sampling technique. The research instrument uses the SAS assessment sheet with data analysis using a frequency distribution. The results showed that most of the sample characteristics were late elderly (> 55 years) (28.6%) with female gender (66.7%). More than half of the sample (76.2%) had an SAS score in the moderate risk category. While the highest rates of morbidity and mortality (7/21) at 12.2% and 1.9%. The most SAS scores in laparotomy patients were in the moderate risk category.
KORELASI FATIGUE DENGAN DEMOGRAFI, SKALA PERFORMA DAN INDEK MASA TUBUH PADA PASIEN KANKER DEWASA Achmad Fauji; Sara Tania; Ade Suryani; Retno Purwanti; Susan Yulia
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 1 (2022): Mei 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v5i1.1310

Abstract

In Indonesia, the association between fatigue and predictors of fatigue has nearly never been studied, particularly in adult cancer patients. This research is part of a larger research project to predict the prevalence of fatigue in adult people with cancer. The objective of this study was to determine the relationship between fatigue, respondent characteristics, and the performance scale among adult cancer patients in one-day care units. This study is a quantitative correlation investigation using a cross-sectional design with correlation and t-tests. Sixty-seven participants were selected from the medical records of adult cancer patients who met the criteria. Research findings indicated that there was no correlation between age, gender, type of cancer, ECOG (Eastern Cooperative Oncology Group) Performance Scale, and body mass index on the incidence of fatigue in adult cancer patients (Pvalue = 0.684; 0.977; 0.38; 0.224; 0.284), although there was a significant correlation between a previous fatigue and the occurrence of recent fatigue (Pvalue = 0.000). This study may be utilized as a basis for future studies on adult cancer patients experiencing fatigue in hospital settings.
HUBUNGAN ANTARA PENGETAHUAN DENGAN PENCEGAHAN TUBERKULOSIS PARU OLEH KELUARGA DI SUMBA BARAT Fiane de Fretes; David Kondi
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 1 (2022): Mei 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v5i1.1314

Abstract

Family is one of the support systems to deliver health care during Tb Treatment. Families are involved as a Pengawas Minum Obat (PMO), accompany patients during medical check up, financial support, fulfill nutritional needs, and prevent bacterial transmission among family members. Preventing behaviour of Tuberculosis including maintaining personal hygiene, maintaining the environment, and Bacillus Calmette-Guerin (BCG) Immunization. The involvement of the family is proposing to decrease the decline of Tb incidence. However, there are eight (8) patients who do not comply with Tb treatment in 2018, increasing from the previous year. The aim of this research is to find a relationship among family knowledge about Tb with preventing Tb in West Sumba. The sampling method is using purposive sampling technique to 100 people in pre-research term, then the obtained data will be analyzed using Completely Randomized Design (CRD), and the conclusion will be drawn with 5% of meaningfulness interval. Validity and reliability of the questionnaire will be tested through SPSS Statistic version 25 software. This study that analyzed by Completely Randomized Design (CRD), shows that respondents had known the information related to pulmonary tuberculosis seen from the Fcount is greater than the Ftable with significant levels of 5% and 1%, while on the prevention of transmission of pulmonary tuberculosis didn’t show its relationship as seen from the Fcount is smaller than the Ftable with significant levels of 5% and 1%. Hence, from this study it can be concluded that even respondents had known the information related to pulmonary tuberculosis, but families in West Sumba had not done prevention towards pulmonary tuberculosis transmission.
STRATEGI PENINGKATAN MANAJEMEN DIRI PASIEN PENYAKIT GINJAL TAHAP AKHIR YANG MENJALANI HEMODIALISIS Fida' Husain; Ida Nur Imamah; Dadi Hamdani
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 1 (2022): Mei 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v5i1.1525

Abstract

End-stage kidney disease (ESRD) has an impact on the sufferer's physical, psychological, social, and spiritual well-being. These problems can reduce the quality of life of ESRD patients undergoing hemodialysis. This requires the patient to be fully involved, both in management and therapeutic decision-making, symptom management, and self-care. This literature review aims to describe various programs to improve the self-management skills of ESRD patients undergoing hemodialysis. The articles used in this literature review are sourced from the CINAHL, MEDLINE, and Google Scholar electronic databases with the keywords self-management, self-care, adherence, ESRD, and hemodialysis with inclusion criteria: published in 2015-2020, full text, using English or Indonesian, and experimental studies conducted on hemodialysis patients. Eight articles were obtained discussing programs that can be used to improve self-management of ESRD patients undergoing hemodialysis, including education and counseling programs, self-management programs, self-efficacy training, self-monitoring programs, and social support. The differences between each program include the time and technical implementation, while the similarities are that each program cannot be separated from education for providing health information to patients. Providing structured education and involving social support can be used as a program to improve self-management in ESRD patients undergoing hemodialysis.
FAKTOR LINGKUNGAN YANG BERKORELASI DENGAN KUALITAS TIDUR PASIEN KRITIS DI RUANG PERAWATAN INTENSIF (INTENSIVE CARE UNIT/ICU) Erlangga Galih Zulva Nugroho; Heryanto Adi Nugroho; Abdurrahman Abdurrahman; T. Iskandar Faisal; Afdhal Afdhal; Nana Rochana
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 1 (2022): Mei 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v5i1.1532

Abstract

Rest and sleep are basic requirements needed by all people. Everyone needs a good quality of rest and sleep to be able to repair or restore the body and maintain the health, including critically ill patients in Intensive Care Unit. Rest and sleep are influenced by several factors such as the disease process, environmental, psychological stress, and medications. However environmental factors are factors that can be modified directly in order to meet this requirement. The purpose of this study is to determine the relationship between environmental factors and the quality of sleep in critically ill patients in the Intensive Care Unit of Semarang. This type of research was quantitative descriptive with correlational design. The data collection method was cross sectional. The samples in this study included 60 people. The results showed that the mean of environmental factors and sleep quality were 88,28 ± 29,76 dan 13,50 ± 4,9 respectively.There was a relationship between environmental factors and the quality of sleep critically ill patients in the ICU with p-value 0.009 (p-value <0.05). The better the environmental factors that are in the ICU the better the sleep quality of critical patients. It is suggested that the hospitals could manage the most disturbing noise caused by other patients to improve the quality of these critically ill patients.

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