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Journal of Applied Nursing (Jurnal Keperawatan Terapan)
Published by Politeknik Kesehatan Kementerian Kesehatan Malang
ISSN : 24431125     EISSN : 24426873     DOI : https://doi.org/10.31290/jkt.v8i2.3717
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Keperawatan Terapan (e-Journal) is the official publication of Poltekkes Kemenkes Malang which contains articles of research results in the field of Applied Nursing. Jurnal Keperawatan Terapan (e-Journal) is published twice a year, in March and September. For writers who want to publish their work in Jurnal Keperawatan Terapan (e-Journal) is free of charge. If the author has difficulties to submit his work in this journal please contact admin (see contact support).
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 156 Documents
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PENGARUH PEMBERIAN SUSU KEFIR TERHADAP KADAR GLUKOSA DARAH LANSIA PADA PENDERITA DIABETES MELITUS TIPE 2 DI POSYANDU LANSIA DESA PANDANLANDUNG KABUPATEN MALANG Arvi Iftiyanti; Feriana Ira Handian; Sih Ageng Lumadi
Jurnal Keperawatan Terapan Vol 9 No 1 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/joan.v9i1.3874

Abstract

Efek metabolisme insulin pada penderita diabetes melitus memicu reaksi inflamasi yang menyebabkan reaksi radikal bebas, kerusakan sel reseptor dan kerusakan sel beta pankreas. Salah satu manfaat susu kefir bagi penderita DM yaitu dapat mengontrol kadar gula darah. Tujuan penelitian ini untuk mengetahui pengaruh susu kefir terhadap kadar glukosa darah puasa pada penderita Diabetes Melitus tipe 2 di desa pandanlandung kabupaten Malang. Desain penelitian menggunakan one group pretest – postest design. Pengambilan sampel menggunakan simple random sampling dengan jumlah sampel 33 responden.Kriteria inklusi responden yairu lansia penderita DM berumur 60-65 tahun, tidak mengkonsumsi obat insulin, dan mengontrol kadar gula darah dengan makanan. Pengukuran kadar gula darah menggunakan pengukuran gula darah puasa sebelum pemberian susu kefir. Kemudian, gula darah diukur kembali sesudah pemberian susu kefir. Dari hasil analisis dengan p value sebesar 2,265 (nilai signifikansi sebesar 0,030) terdapat pengaruh pemberian susu kefir terhadap kadar glukosa darah lansia pada penderita diabetes melitus tipe 2 di posyandu lansia desa pandanlandung kabupaten malang. Saran dari penelitian ini yaitu, peneliti selanjutnya dapat meneliti secara kualitatif adakah perubahan keluhan yang dirasakan setelah pemberian susu kefir lebih dari 1 hari pemberian susu kefir.
Paparan Perokok Pasif dalam Keluarga terhadap Risiko Terjadinya Asma Isnaeni DTN; Rossyana Septiasih
Jurnal Keperawatan Terapan Vol 3 No 2 (2017): Jurnal Keperawatan Terapan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v(3)i(2)y(2017).page:93-99

Abstract

Tujuan dari penelitian ini adalah untuk menganalisis pengaruh paparan asap rokok terhadaprisiko asma akibat terpapar asap rokok di tengah interaksi keluarga keluarga Polehan di desa Malang.Penelitian menggunakan Cross Sectional Study, dengan dua kelompok kasus (perokok pasif) dewasa(25 sampai 45 tahun) dan anak anak (10 sampai 17 tahun) dan dua kelompok kontrol kategori usia dengan purposive sampling. Risiko asma dalam kasus asap pasif diperoleh melalui analisis Odd Ratio. Uji pastiFisher untuk mengetahui efek paparan terhadap asap bekas. Hasil penelitian menunjukkan bahwa paparan asap rokok secara signifikan adalah salah satu penyebab asma pada kelompok perokok pasif dewasa, yang bertentangan dengan paparan merokok pasif pada anak-anak nampaknya cenderung sebagai faktor pencegahan (OR kurang dari 1), sehingga dapat direkomendasikan perlu divalidasi oleh penelitian yang sama pada kelompok anak.
PERBEDAAN INTENSITAS NYERI ANTARA PEMBERIAN TERAPI BACK MASSAGE DENGAN RELAKSASI GENGGAM JARI PADA PASIEN POST LAPARATOMI Rizky Tiara Damayanti; Isnaeni .; Joko Wiyono
Jurnal Keperawatan Terapan Vol 5 No 1 (2019): JURNAL KEPERAWATAN TERAPAN
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v5i1.671

Abstract

Laparatomy is a frequent abdominal surgical procedure. The mostly problem during post surgery is pain accompanied by the appearance of physiological response. One of the nursing self care actions for non pharmacologic pain management and relaxing effects is back massage therapy and fingerhold relaxation. This study aims to determine the difference in pain intensity between back massage therapy with finger hold relaxation in patients undergoing laparotomy surgery at RSUD Ngudi Waluyo Wlingi. This research has been done ethical clearance test before result test. Design the research used comparative study with two groups pre test post test without control design. The sampling technique used is purposive sampling with 2 groups with 17 respondents each other. The test used in this study is the Paired T Test and Independent test. The results showed that the mean intensity of pain prior to back massage therapy was 4.21 and after back massage therapy to 3.19 whereas the mean intensity of pain before finger hold relaxation was 4.01 and after finger hold relaxation to 2.94. The result of paired t test statistic test showed that there was significant difference of pain intensity before and after back massage therapy and finger hand hold relaxation with p value is 0.000 and in independent test statistic test showed that there was no significant difference to the intensity pain between back massage therapy with finger hold relaxation with p value is 0.312 which means therapy and relaxation is able to decrease the intensity of pain. Thus back massage therapy and finger hand relaxation can be a reference and nursing intervention in the handling of post operative patients, especially Laparotomy. Keywords: Post Laparatomy, Pain Intensity, Back Massage Therapy, Finger Hold Relaxation. Laparatomi merupakan prosedur pembedahan pada abdomen yang sering dilakukan. Masalah yang sering timbul saat post operasi adalah nyeri sehingga timbul respons fisiologis. Salah satu tindakan mandiri keperawatan untuk manajemen nyeri secara non farmakologis dan memberikan efek relaksasi adalah terapi back massage dan relaksasi genggam jari. Penelitian ini bertujuan untuk mengetahui perbedaan intensitas nyeri antara pemberian terapi back massage dengan relaksasi genggam jari pada pasien yang mengalami pembedahan laparatomi di RSUD Ngudi Waluyo Wlingi. Penelitian ini sudah dilakukan uji kelayakan etik sebelum uji hasil. Desain Penelitian ini menggunakan comparative study dengan pendekatan two group pre test post test without control design. Teknik sampling yang digunakan adalah purposive sampling dengan sampel 2 kelompok masing-masing kelompok berjumlah 17 responden. Analisis yang digunakan dalam penelitian ini adalah uji Paired T Test dan uji Independent Test. Hasil penelitian menunjukkan rata-rata intensitas nyeri sebelum terapi back massage adalah 4,21 dan sesudah terapi back massage menjadi 3,19 sedangkan rata-rata intensitas nyeri sebelum relaksasi genggam jari adalah 4,01 dan sesudah relaksasi genggam jari menjadi 2,94. Hasil uji statistik paired t test menunjukkan bahwa terdapat perbedaan intensitas nyeri yang signifikan sebelum dan sesudah terapi back massage dan relaksasi genggam jari dengan nilai p sebesar 0,000 dan pada uji statistik independent test menunjukan bahwa tidak terdapat perbedaan yang bermakna terhadap intensitas nyeri antara pemberian terapi back massage dengan relaksasi genggam jari dengan nilai p sebesar 0,312 yang berarti terapi dan relaksasi ini mampu menurunkan intensitas nyeri. Dengan demikian terapi back massage dan relaksasi genggam jari dapat menjadi referensi dan intervensi keperawatan dalam penanganan pasien post operasi khususnya Laparatomi. Kata Kunci: Post Laparatomi, Intensitas Nyeri, Terapi Back Massage, Relaksasi Genggam Jari
EKSPLORASI PENGALAMAN KELOMPOK PEDULI KUSTA DI MASA PANDEMI : FOCUS GROUP DISCUSSION Ronal Surya Aditya; Ah Yusuf; Endang Soelistyowati
Jurnal Keperawatan Terapan Vol 7 No 2 (2021): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i2.2891

Abstract

Abstract: Objectives: To explore the experience of leprosy care groups during a pandemic Method Phenomenological approach with focus group discussion. 15 respondents with purposive sampling technique. The analysis in Collaizi is simple, clear and detailed enough to be used in this research. Results Consists of 3 themes, namely: activity restrictions, programs cannot run, lack of mastery of technology and produces 8 sub-themes, namely: less than optimal coordination, limited activities, fear of gathering, restrictions on gathering rules, all online, insufficient power, difficult signal, HP for school children. Conclusion the pandemic period is a difficult time for leprosy care groups, so the rules, lack of technology and lack of information related to technology make the leprosy care group program stagnant. Suggestion it is necessary to form a small group to support the program, as well as socialize the application for leprosy groups Abstrak: Tujuan: Mengeksplorasi pengalaman kelompok peduli kusta di masa pandemic. Metode Pendekatan fenomenologi dengan diskusi kelompok terfokus. 15 responden dengan teknik purposive sampling. Analisis dalam Collaizi cukup sederhana, jelas dan rinci untuk digunakan dalam penelitian ini. Hasil terdiri dari 3 tema, yaitu pembatasan aktifitas, program tidak bisa berjalan, kurangnya penguasaan teknologi dan menghasilkan 8 subtema, yaitu koordinasi kurang optimal, kegiatan dibatasi, takut berkumpul, aturan pembatasan berkumpul, semua serba online, kuata tidak mencukupi, susah sinyal, HP untuk anak sekolah. Kesimpulan masa pandemic merupakan masa sulit bagi kelompok peduli kusta, sehingga aturan, kurangnya teknologi dan kurangnya informasi terkait teknologi membuat program kelompok peduli kusta stagnan. Saran perlu dibentuk kelompok kecil untuk mendukung program, serta sosialisasi aplikasi untuk kelompok kusta.
Studi Penaganan Pre Hospital Stroke Pada Keluarga EDI - YUSWANTORO; Rahayu Niningasih; Mimik Christiani
Jurnal Keperawatan Terapan Vol 8 No 1 (2022): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v8i1.2929

Abstract

Abstrak: Stroke merupakan gangguan fungsional otak yang terjadi mendadak dengan tanda dan gejala klinik baik fokal atau global selama lebih dari 24 jam yang menimbulkan kematian akibat gangguan peredaran darah di otak. Penanganan cepat dan tepat merupakan salah satu kunci penting mengurangi kematian dan meminimalkan kerusakan otak yang ditimbulkan oleh stroke. Keberhasilan penanganan kondisi pre hospital stroke pada keluarga dipengaruhi peran dan tingkat pengetahuan keluarga dalam mendeteksi serangan stroke. Tujuan penelitian mengetahui gambaran penanganan pre hospital yang dilakukan oleh keluarga mulai dari deteksi dini, pengiriman maupun rujukan cepat. Penelitian merupakan penelitian deskriptif survei dengan subyek penelitian sebanyak 50 responden. Tehnik pengambilan sampel menggunakan tehnik Acidental Sampling. Penelitian diawali pengisian kuesioner oleh responden selanjutnya data hasil penelitian dianalisis menggunakan analisis univariat untuk memperoleh distribusi frekuensi dari masing-masing variabel. Gambaran penanganan pre hospital stroke pada keluarga rerata dalam kategori cukup. Penanganan awal deteksi dini kategori cukup 31 (62 persen), pengiriman pasien kategori cukup 43 (86 persen) dan transportasi 26 (52 persen). Dan data cenderung mengarah ke kategori kurang daripada ke kategori baik. Adanya kecenderungan kurang baik penanganan pre hospital stroke pada keluarga dari segi deteksi dini, pengiriman pasien dan transportasi. Edukasi pada masyarakat diperlukan untuk meningkatkan pemahaman masyarakat terhadap penanganan pre hospital stroke.
Hubungan Lama Paparan Polutan Udara Dengan Saturasi Oksigen Pada Karyawan SPBU Di Wilayah Kabupaten Blitar Alkhalifa Amin
Jurnal Keperawatan Terapan Vol 4 No 2 (2018): JURNAL KEPERAWATAN TERAPAN
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v(4)i(2)y(2018).page:138 - 147

Abstract

Exposure to air pollutants (benzene) in the SPBU environment is very influential to oxygen saturation, especially operators on filling point. The purpose of this study is to determine the relationship between the duration of exposure to air pollutants with oxygen saturation in SPBU employees in Blitar district. Design in this research is analytic correlation with Cross Sectional approach. The population of all employees of filling stations amounted to 43, the sample used amounted to 30 by purposive sampling technique. The results of the analysis using Spearman test. The results showed that oxygen saturation in gas station employees worked more than 6 months to less than 5 years, normal oxygen saturation (57%), mild hypoxia (7%), and moderate hypoxia (3%). For gas station employees who work between 5 years to 10 years, normal oxygen saturation (10%) and those with mild hypoxia (3%). And for SPBU employees who work more than 10 years of normal oxygen saturation (10%), who have mild hypoxia (7%), and those with moderate hypoxia (3%). The conclusion of this study there is a relationship between long exposure to air pollutants with oxygen saturation at SPBU employees in Blitar District with p value is 0,033. Recommendations for subsequent researchers to conduct research by using blood gas analysis.
Pengaruh Pemakaian Ethyl Chloride Spray Terhadap Tingkat Nyeri Pada Pasien Hemodialisis Dengan Insersi Fistula Arterio Venous Di Klinik Utama Bali Husada Cipta Chanti Ni Kadek Lisyawati; I Putu Artha Wijaya; A.A. Kompiang Ngurah Darmawan
Jurnal Keperawatan Terapan Vol 6 No 01 (2020): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v6i01.1457

Abstract

Hemodialysis is one of the therapies for patients with chronic kidney failure in the form of the process of cleaning blood from metabolic products that are no longer needed by the body by filtering that is done outside the human body, using a dialysis machine as a kidney replacement known as renal replacement therapy. Hemodialysis requires the access of the hemodialysis machine to connect with the patients blood vessels so that the insertion of the fistula in the arteries and veins in each action and cause pain. One way to reduce the level of pain during fistula insertion is by spraying ethyl chloride spray in the area of the arteries and veins to be carried out fistula insertion. The purpose of this study was to determine the effect of using ethyl chloride spray on pain levels in hemodialysis patients with fistula insertion of arterio venous at the Main Clinic of Bali Husada Cipta Chanti. This research method uses pre experiment with the one group pre test post test design. The sampling technique used was simple random sampling without replacement with a total sample of 69 respondents. The instrument used to measure the level of pain is the Numerical Rating Scale. The research data were analyzed with Wilcoxon signed rank test with p value is 0,000, so that it can be concluded that there is an effect of using ethyl chloride spray on pain levels in hemodialysis patients with insertion fistula in arterio venous at Main Clinic Bali Husada Cipta Chanti.
Model Pencegahan Kekambuhan pada Klien Gangguan Jiwa ditinjau dari Aspek Keluarga ganif djuwadi; Dyah Widodo
Jurnal Keperawatan Terapan Vol 7 No 1 (2021): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i1.3234

Abstract

According to WHO the number of clients with mental disorders will continue to increase until it reaches 450 million people worldwide in 2013. The number of mental disorders from the Basic Health Research in 2013 found East Java 2.2 per mile are in fourth place severe mental disorder in Indonesia. Client care mental disorders so it takes patience, the role of the family is very important because the family is the key to development and progress of the client. The general objective of the research is to find a model of prevention of recurrence in clients with mental disorders from the family aspect. This type of study design was cross-sectional, with a sample of some families who live with mental illness clients in East Java appropriate inclusion criteria, with a sample size of 205 people taken by consecutive sampling technique. Time data collection on October-November 2016 in the outpatient clinics of Mental Health Hospital Dr. Radjiman Wediodiningrat Lawang. Collecting data using a questionnaire which is based on the theory of Imogene M. King. Analisis data using SEM path analysis test with an alpha of 0.05. The result showed causal pathway model fit prevention of recurrence that: 1) Line indirect interaction effect on the prevention of relapse, as it passes communication variables; 2) Line of time there are two paths that is directly to the prevention of recurrence and indirect pathways through the role of the family; 3) Line perception indirect effect on the prevention of recurrence, because it should be the role of the family. The role of the family have the most powerful influence among the other variables in the prevention of recurrence with estimated value of 0.634. Suggested models on the prevention of recurrence prevention of mental disorders client aspect of this family can be used as the basic for the promotion of health, with emphasis on aspects of the family, especially the role of the family, interaction and communication that is based on the perception of the condition of mental disorders as well as the availability of family time for the client.
Teknik Aseptik Antiseptik Petugas Kamar Operasi Dengan Irisiko Infeksi Luka Operasi Pada Pasien Bedah Mayor Joko Pitoyo; Isnaeni DTN; Miftachul Isnandar
Jurnal Keperawatan Terapan Vol 4 No 1 (2018): Jurnal Keperawatan Terapan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v(4)i(1)y(2018).page:6-13

Abstract

Teknik aseptik antiseptik didasarkan pada pengandaian bahwa infeksi berasal dari luar,yang kemudian masuk ke dalam tubuh. Penelitian ini bertujuan untuk mengetahui hubungan teknik aseptik antiseptik petugas kamar operasi dengan risiko infeksi luka operasi pada pasien bedah mayor di RSUD Ngudi Waluyo Wlingi. Desain yang digunakan penelitian ini adalah deskriptif analitik. Subyek penelitian terdiri dari 30 responden. Pengambilan sampel menggunakan Nonprobability Sampling. Hasil penelitian menunjukkan Tindakan teknik aseptik-sebagian besar sesuai dengan prosedur 68 persen. Kemudian kejadian risiko infeksi luka operasi pada pasien bedah mayor yaitu 8 (27 persen) responden. Kemudian hasil uji PLS (partial least squares) didapatkan hubungan yang signifikan antara tindakan aseptik-antiseptik dengan risiko infeksi luka operasi memiliki koefisien jalur sebesar minus 0,361. Dimana hubungan nya adalah signifikan (t sebesar 1,279 dan p sebesar 0,006).
Hubungan Indeks Massa Tubuh (IMT) dan Jenis Operasi dengan Waktu Pulih Sadar Pada Pasien Post Operasi Dengan General Anestesia di Recovery Room RSUD Bangil Devi Afina Azmi; Joko Wiyono; Isnaeni DTN
Jurnal Keperawatan Terapan Vol 5 No 2 (2019): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v5i2.991

Abstract

Management of postoperative patients with general anesthesia is very important. Postoperative patients with general anesthesia that are not properly managed can go through delays in conscious recovery. Delay in conscious recovery in postoperative patients with general anesthesia can be caused by dosing that is not appropriate to the patient's condition based on body mass index and type of operation. This study aimed to determine the relationship of body mass index (BMI) and type of operation with time of conscious recovery in postoperative patients with general anesthesia in the Recovery Room at Bangil Hospital. The research design used is correlation analysis. The sample was 37 people using quota sampling according to the inclusion criteria. The research instruments used were the body mass index, type of operation and time to recover consciously observation sheet. The method of data analysis used Pearson Test where the results showed that the body mass index and type of operation with time of recovery were relatively small (10.8%), there are 4 people go through a delay in recovering consciously with a significant value of 0,000 and 0.020 which means there is a relationship between body mass index and the type of operation with recovering consciously in postoperative patients with general anesthesia in the Recovery Room at Bangil Hospital. From the results of the study, it is expected that the hospital can improve the management and observation of postoperative patients by giving a dose of anesthetic according to the patient's condition. Keywords: Body Mass Index, Type of Operation, Conscious Recover Time, Postoperative, General Anesthesia

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