Jurnal Smart Keperawatan
The focus of this journal is the dissemination of information related to all nursing area including basic research in nursing, management nursing, emergency and critical nursing, medical surgical nursing, mental health nursing, maternity nursing, pediatric nursing, gerontological nursing, community nursing, family nursing education nursing, complementary and alternative medicine in nursing. Letters and commentaries of our published articles are welcome. All submitted contributions will undergo a peer-review process according to standardized criteria.
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Peran Kepala Keluarga Terhadap Penerapan Protokol Kesehatan Di Kabupaten Aceh Utara
Sabahul Badri;
Eridha Putra
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.485
Kepala keluarga memiliki peran penting sebagai pendidikdalam upaya mencegah penularan virus Covid-19, keluarga menjadi tempat yang rawan bagi penularan virus Corona.Kondisi seperti ini tentunya berbahaya bagi anggota keluarga, karenanya diperlukan antisipasi atau pencegahan dari terpaparnya Covid-19 didalam keluarga, salah satunya melalui peran kepala keluarga.Penelitian ini bertujuan untuk mengetahui peran kepala keluarga dengan penerapan protokol kesehatan di Desa Rawa Kecamatan Tanah Luas Kabupaten Aceh Utara.Penelitian kuantitatif ini dengan desain correlation analitik dengan teknik pengambilan sampel menggunakan random samplingpada53 kepala keluarga. Analisis uji statistic menggunakan Uji Chi-Square. Hasil penelitian menunjukkanbahwa sebanyak 39,6%peran kepala keluarga berada pada kategori kurang dansebanyak 69,8%kepala keluarga tidak menerapkan protokol kesehatan.Ada hubungan yang signifikan hubungan peran kepala keluarga terhadap penerapan protokol kesehatan di Desa Rawa Kecamatan Tanah Luas Kabupaten Aceh Utara dengan nilai (p value = 0,000; α = 0,05).Diharapkan untuk optimalisasi sosialisasi dan edukasi tentang protokol Covid-19 dan peran kepala keluarga dalam masyarakat dengan melibatkan tokoh adat, alim ulama dan tokoh masyarakat, mengoptimalkan gerakan sosialisasi dan penyebarluasan informasi penanganan Covid-19. Kata kunci:kepala keluarga; protokol; covid-19The Role Of Family Head On The Implementation Of Health Protocol In Aceh Utara RegencyAbstractThe head of the family has an important role as an educator in an effort to prevent the transmission of the Covid-19 virus; the family becomes a vulnerable place for the transmission of the Corona virus. One of which is through the role of the head of the family. This study was aimed to determine the role of the head of the family with the implementation of health protocols in Rawa Village, Tanah Luas District, North Aceh Regency. This quantitative study was an analytical correlation design with a sampling technique using random sampling of 53 families. Statistical test analysis used Chi-Square Test. The results showed that as many as 39.6% of the role of the head of the family were in the fewer categories and as many as 69.8% of the head of the family did not apply the health protocol. There is a significant relationship between the role of the head of the family on the implementation of health protocols in Rawa Village, Tanah Luas District, North Aceh Regency with a value (p value = 0.000; = 0.05). It is expected to optimize socialization and education about the Covid-19 protocol and the role of family heads in society by involving traditional leaders, religious scholars and community leaders, optimizing the socialization movement and disseminating information on handling Covid-19. Keywords: family head; protocol; covid-19
Penggunaan Media Komik Efektif Terhadap Kesiapsiagaan Siswa Dalam Menghadapi Bencana Tanah Longsor
IGA Ari Rasdini;
Ni Made Wedri;
VM Endang SP Rahayu;
Amelia Putri
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.465
Tanah longsor merupakan bencana tahunan yang senantiasa melanda disebagian wilayah Indonesia. Terjadinya bencana tanah longsor dapat menimbulkan dampak yang sangat besar baik terhadap kehidupan maupun lingkungan. Berdasarkan data Pusat Vulkanologi dan Mitigasi Bencana Geologi terdapat 918 lokasi rawan tanah longsor yang tersebar diberbagai wilayah di Indonesia. Provinsi Bali merupakan salah satu wilayah yang rawan terhadap tanah longsor. Peningkatkan kesiapsiagaan terhadap bahaya tanah longsor, dapat mengurangi dampak yang ditimbulkan dari bencana tersebut. Penelitian ini bertujuan mengetahui pengaruh penggunaan media komik terhadap kesiapsiagaan siswa dalam menghadapi bencana tanah longsor. Jenis penelitian adalah pre-experimental design dengan rancangan one-roup pretest-posttest menggunakan teknik total sampling dengan jumlah sampel sebanyak 57 orang. Pengumpulan data dilakukan dengan menggunakan kuisioner kesiapsiagaan bencana tanah longsor dan dianalisa dengan uji paired t-test. Hasil penelitian menunjukkan bahwa skor rata-rata kesiapsiagaan siswa sebelum perlakuan 69,68 dan setelah perlakuan sebesar 76,63 dengan selisih rata-rata sebelum dan sesudah perlakuan sebesar 6,94 dengan p value 0,001 sehingga disimpulkan ada pengaruh penggunaan media komik terhadap kesiapsiagaan siswa dalam menghadapi bencana tanah longsor di SDN 1 Sukawana.Kata kunci: bencana tanah longsor; kesiapsiagaan; media komik The Use Of Comics On Student Preparedness In Facing Landslide DisasterABSTRACT Landslides are an annual disaster that always hits parts of Indonesia. The occurrence of landslides can have a huge impact on both life and the environment. Based on data from the Center for Volcanology and Geological Hazard Mitigation, there were 918 landslide-prone locations spread across various regions in Indonesia. Bali Province is one of the areas prone to landslides. Increasing preparedness against landslides can reduce the impact of the disaster. This study was aimed to determine the effect of using comic’s media on student preparedness in dealing with landslides. This type of research was a pre-experimental design with a one-group pretest-posttest design using a total sampling technique with a total sample of 57 people. Data was collected using a landslide disaster preparedness questionnaire, and it was tested by using a paired t-test. The results show the average score of students' preparedness before treatment is 69.68 and after treatment is 76.63 with an average difference before and after treatment of 6.94 with p-value = 0.001. It was concluded that there was an effect of using comic’s media on students' preparedness in dealing with landslides at SDN 1 Sukawana. Keywords: landslide disaster; preparedness; comics’ media
Pengaruh Tingkat Kepercayaan Masyarakat Tentang Covid-19 Terhadap Kepatuhan Menjalankan Protokol Kesehatan Pada Masa Pandemi Covid-19
Muslim Muslim;
Herlina A.N Nasution
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.504
Virus corona merupakan virus berbahaya yang menyerang saluran pernapasan dan menyebabkan demam tinggi, batuk, flu, sesak napas serta nyeri tenggorokan. Cara yang dapat dilakukan untuk mencegah tertularnya Covid-19 yaitu menjalankan protokol kesehatan. Di Kabupaten Aceh Utara masih banyak masyarakat tidak patuh untuk menjalankan protokol kesehatan tersebut. Hal tersebut dikarenakan banyak masyarakat belum begitu mempercayai penyakit Covid-19. Penelitian ini bertujuan mengidentifikasi pengaruh tingkat kepercayaan masyarakat tentang Covid-19 terhadap kepatuhan menjalankan protokol kesehatan pada masa pandemi Covid-19. Jenis penelitian ini yaitu quantitative dengan desain korelasi analitik dengan cross sectional. Pengambilan sampel dengan teknik convenience sampling dengan jumlah 175 responden. Analisis data secara uji Chi-Square. Hasil penelitian menunjukkan sebanyak 67,4% responden memiliki tingkat kepercayaan dalam kategori tidak percaya dan sebanyak 82,9% responden tidak patuh dalam menjalankan protokol kesehatan. Ada pengaruh tingkat kepercayaan masyarakat tentang Covid-19 terhadap kepatuhan menjalankan protokol kesehatan pada masa pandemi Covid-19 masyarakat di Desa Lueng Bata Kecamatan Baktiya Kabupaten Aceh Utara (p=0,000). Diharapkan kepada petugas kesehatan terutama perawat lebih optimal dalam memberikan pendidikan kesehatan untuk meningkatkan kepercayaan masyarakat tentang Covid-19 sehingga masyarakat patuh dalam menjalankan protokol kesehatan. Kata kunci: covid-19; kepatuhan; protokol kesehatan; tingkat kepercayaanThe Effect Of Community Trust Regarding Covid-19 On The Compliance Of Health Protocol Implementation During Covid-19 PandemicsAbstractCorona virus is a dangerous virus that attacks the respiratory tract and causes high fever, cough, flu, shortness of breath and sore throat. One way to prevent the spread of COVID-19 is to follow health protocols. In North Aceh District, there are still many people who do not comply with the health protocol. This is because many people do not really believe in the Covid-19 disease. This study was aimed to identify the effect of the level of public trust about Covid-19 on compliance with health protocols during the Covid-19 pandemic. This type of research was quantitative analytical correlation design with cross sectional. Sampling technique used convenience sampling technique with a total of 175 respondents. Data analysis used Chi-Square test. The results showed that 67.4% of respondents had a level of trust in the distrust category and as many as 82.9% of respondents did not comply with health protocols. There is an influence on the level of public trust about Covid-19 on compliance with health protocols during the Covid-19 pandemic in Lueng Bata Village, Baktiya District, North Aceh Regency (p = 0.000). It is hoped that health workers, especially nurses, are more optimal in providing health education to increase public trust about Covid-19 so that people obey in carrying out health protocols. Keywords: covid-19; obedience; health protocols; level of confidence
Demontrasi Penggunaan First Aid Kits Terhadap Peningkatan Pengetahuan dan Skills Siswa Dalam Penanganan Cedera Di Sekolah
Dewi Rachmawati
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.515
Cedera sering terjadi pada anak terutama saat di sekolah. Cedera menyebabkan kecacatan bahkan kematian anak, sehingga siswa harus mampu memberikan pertolongan atau upaya penanganan cedera. Tujuan penelitian untuk mengetahui pengaruh demonstrasi penggunaan first aid kits terhadap peningkatan pengetahuan dan skills siswa dalam penanganan cedera di sekolah. Desain penelitian adalah quasy-experimental metode one group pretest-posttest design. Sampel berjumlah 42 orang, dengan teknik proportionate stratified random sampling. Instrumen untuk mengukur pengetahuan menggunakan kuesioner dan keterampilan dengan lembar observasi dan analisa data menggunakan paired sample t-test. Hasil menunjukkan nilai rata-rata pengetahuan dan keterampilan sebelum intervensi adalah 12,95 dan 53,14. Setelah dilakukan intervensi nilai rata-rata pengetahuan dan keterampilan adalah 18,64 dan 68,12 dengan p value 0.000 yang artinya ada pengaruh demonstrasi penggunaan first aid untuk meningkatkan pengetahuan dan keterampilan siswa. Demonstrasi yang dilakukan peserta didik akan memperoleh pengalaman melalui percontohan atau pertunjukan dan memberikan 70% pemahaman dan daya ingat terkait keterampilan yang diperagakan. Kata kunci: demonstrasi; first aid kits; pengetahuan; skills Demonstration Of The Use First Aid Kits To Improve Student's Knowledge And Skills In Injury Management At SchoolAbstractInjuries are common in children, especially at school. Injuries cause disability and even death of children, in case, that student must be able to provide assistance or efforts to treat injuries. The purpose of the study was to determine the effect of demonstrations on the use of first aid kits to increase students' knowledge and skills in handling injuries at school. The research design was a quasy-experimental one group pretest-posttest design method. The sample was 42 people, with proportionate stratified random sampling technique. Instruments to measure knowledge used questionnaires and skills with observation sheets and data analysis using paired sample t-test. The results showed that the average value of knowledge and skills before the intervention was 12.95 and 53.14. After the intervention, the average value of knowledge and skills was 18.64 and 68.12 with a p value of 0.000, which means that there was an effect of demonstration of using first aid to improve students' knowledge and skills. Demonstrations carried out by students are able to gain experience through demonstrations or performances and provide 70% understanding and memory related to the skills being demonstrated. Keywords: demonstration; first aid kits; knowledge; skills
Penurunan Kecemasan Keluarga Pasien Stroke Dengan Family Centered Empowerment Model
Christina Dewi Prasetyowati;
Sri Wahyuni
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.477
Stroke merupakan keadaan yang terjadi akibat adanya gangguan suplai darah ke otak yang awal timbulnya mendadak, progresi cepat berupa defisit neurologis fokal yang berlangsung 24 jam atau langsung menimbulkan kematian. Dampak dari stroke selain bagi pasien juga menimbulkan dampak psikologis kecemasan bagi keluarga pasien dari ketidaksiapan keluarga dalam merawat pasien stroke. Kecemasan pada keluarga dapat diatasi dengan pemberian edukasi berbasis family centered empowerment model. Penelitian ini bertujuan untuk mengetahui penurunan kecemasan keluarga pasien stroke dengan family centered empowerment model di RSUD Gambiran Kota Kediri. Desain penelitian menggunakan pra experiment dengan rancangan one group pretest and posttest design. Pengambilan sampel secara non probability sampling dengan teknik accidental sampling yang berjumlah 54 orang. Pengumpulan data menggunakan kuesioner kecemasan HARS dan dianalisa dengan uji Wilcoxon Signed Ranks Test. Hasil menunjukkan nilai p = 0,000 yang artinya ada pengaruh family centered empowerment model terhadap penurunan kecemasan keluarga pasien stroke. Kata Kunci : family centered empowerment model; kecemasan; keluarga; strokeAnxiety Reduction Of Family Patients With Stroke And Family Empowerment Centered ModelAbstractStroke is a condition that occurs due to disruption of blood supply to the brain which has a sudden onset, rapid progression in the form of a focal neurological deficit that lasts 24 hours or immediately causes death. The impact of stroke in addition to the patient also causes psychological effects of anxiety for the patient's family from the family's unpreparedness in caring for stroke patients. Anxiety in the family can be overcome by providing education based on the family centered empowerment model. This study was aimed to determine the decrease in family anxiety of stroke patients with the family centered empowerment model at Gambiran Hospital, Kediri City. The research design used a pre-experimental design with a one group pretest and posttest design. The Sampling was taken by non-probability sampling with accidental sampling technique, totaling 54 people. Data was collected using the HARS anxiety questionnaire and analyzed using the Wilcoxon Signed Ranks Test. The results showed the value of p = 0.000 which means that there is an effect of family centered empowerment model on reducing family anxiety of stroke patients.Key Word: family centered empowerment model; anxiety; family; stroke
Studi Kualitatif : Identifikasi Kebutuhan Perawatan Bayi BBLR di Rumah Dengan Pendekatan Family Centered Maternity Care
Ratna Widhiastuti;
Susi Muryani
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.476
Bayi Berat Badan Lahir Rendah (BBLR) memerlukan perawatan lebih khusus dibandingkan dengan bayi lahir dengan berat badan normal, hal ini terlihat dari beberapa ibu yang kembali ke RSI Muhammadiyah Tegal karena ibu kurang memahami tentang perawatan bayi BBLR di Rumah. Family Centered Maternity Care (FCMC) adalah perawatan yang berpusat pada keluarga dengan memberikan perawatan bagi wanita dan keluarga mereka yang mengintegrasikan kehamilan, persalinan, persalinan, dan perawatan bayi ke dalam kontinum kehidupan keluarga.Tujuan penelitian ini untuk mengidentifikasi kebutuhan perawatan bayi BBLR di rumah dengan pendekatan family centered maternity care secara studi kualitatif. Penelitian dilakukan di RSI PKU Muhammadiyah Tegal. Metode dengan kualitatif dengan design studi kasus menggunakan ibu dan keluarga yang bayi BBLR sebanyak 9 orang dan focus group discussion (FGD) pada 7 perawat perinatologi. Berdasarkan hasil analisa Colaizzi didapatkan beberapa tema yaitu dukungan keluarga untuk meningkatkan kepercayaan diri ibu merawat bayi BBLR, strategi pemenuhan kebutuhan nutrisi, strategi mencegah terjadinya hipotermia, upaya mencegah terjadinya infeksi, home visit perawat. Peningkatan perhatian untuk menjaga bayi BBLR tetap hangat dalam bentuk FCMC berintergrasi pada ibu, keluarga serta perawat dapat mengoptimalkan perawatan Bayi BBLR di rumah. Kata Kunci : Bayi BBLR; family centered; maternity care, motherQualitative Study: Identification Of Low Birth Weight Baby Care Needs At Home With Family Centered Maternity Care ApproachAbstractBabies with low birth weight require more special care than babies born with normal weight; this can be seen from some mothers who return to RSI Muhammadiyah Tegal because mothers do not understand how to care for low birth weight babies at home. Family Centered Maternity Care (FCMC) is family-centered care providing care for women and their families that integrates pregnancy, childbirth, childbirth, and infant care into the continuum of family life. The purpose of this study was to identify the care needs of low birth weight baby at home with a family centered maternity care approach in a qualitative study. The research was conducted at Muhammadiyah Hospital Tegal. Qualitative method with case study design was used in 9 mothers and families of low birth weight babies and focus group discussion on 7 perinatology nurses. Based on the results of Colaizzi's analysis, several themes were found, namely family support to increase mother's confidence in caring for low birth weight babies, strategies to fulfill nutritional needs, strategies to prevent hypothermia, efforts to prevent infection, nurse home visits. Increased attention to keeping low birth weight babies warm in the form of Family Centered Maternity Care with interaction with mothers, families and nurses can optimize the care of low birth weight babies at home. Keywords: low birth weight babies; family center; maternity care; mother
Analisa Pengetahuan Masyarakat Tentang Penggunaan Disinfektan Terhadap Sikap Pencegahan Penyebaran COVID-19
Eni Marlina Sofiana;
Cornelia Dede Yoshima Nekada;
Tia Amestiasih
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.494
Masyarakat merupakan salah satu elemen penting yang memiliki peran sebagai agen perubahan. Hadirnya masyarakat dalam bidang pencegahan penyebaran COVID-19 ini maka diharapkan dapat memiliki tingkat pengetahuan dan sikap pencegahan yang baik di suatu wilayah tersebut. Penelitian ini bertujuan untuk menganalisa pengetahuan masyarakat tentang penggunaan disinfektan terhadap sikap pencegahan penyebaran COVID-19 di Dusun 05 Tanjung Asri Braja Emas Way Jepara Lampung Timur. Metode yang digunakan yaitu kuantitatif, dengan desain penelitian cross sectional, pendekatan deskriptif analitik. Populasi sebanyak 87 responden. Instrumen menggunakan kuisioner dan dianalisis menggunakan uji Somers’D. Hasil ditunjukan pengetahuan responden tentang penggunaan disinfektan sebagian besar dalam kategori cukup. Sikap pencegahan penyebaran COVID-19 sebagian besar dalam kategori negatif. Hasil uji bivariat dengan p value 0,010 yang artinya ada hubungan tingkat pengetahuan masyarakat tentang penggunaan disinfektan terhadap sikap pencegahan penyebaran COVID-19 didusun 05 Tanjung Asri Braja Emas Way Jepara Lampung Timur. Kata kunci: pengetahuan;,sikap; desinfektan; pencegahan penyebaran covid-19The Relationship Between Community’s Knowledge Levels About The Use Of Disinfectants And Attitudes Towards Covid-19 Spread PreventionAbstractSociety is one important element that has a role as an agent of change. The presence of the community in the field of preventing the spread of COVID-19 is expected to have a good level of knowledge and prevention attitudes in an area. This study was aimed to analyze public knowledge about the use of disinfectants to prevent the spread of COVID-19 in Dusun 05 Tanjung Asri Braja Emas Way Jepara, East Lampung. The method used was quantitative, with a cross sectional research design, analytical descriptive approach. The population was 87 respondents. The instrument used a questionnaire and analyzed using the Somers'D test. The results show that the respondents' knowledge of the use of disinfectants is mostly in the sufficient category. Attitudes to prevent the spread of COVID-19 are mostly in the negative category. The results of the bivariate test with a p value of 0.010 which means that there is a relationship between the level of public knowledge about the use of disinfectants to the attitude of preventing the spread of COVID-19 in the 05 Tanjung Asri Braja Emas Village, Way Jepara, East Lampung. Keywords: knowledge; attitude; disinfectant; prevention of the spread of covid-19
Hubungan Kecemasan Terhadap Sikap Masyarakat Di Era New Normal Covid-19
Dewi Sartika Mustari;
Fitriani Fitriani;
Mayang Sari
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.489
Corona virus Disease 19 atau biasa disingkat dengan Covid-19 merupakan virus yang menginfeksi sistem pernafasan dan bisa menyebabkan kematian. Akibatnya virus ini timbul kecemasan di masyarakat, terutama Ketika ada potensi tertular yang tinggi dan potensi kematian yang terus menigkat. Penelitian ini bertujuan untuk mengetahui hubungan kecemasan dengan sikap masyarakat di era new normal Covid-19. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional.yang dilaksanakan bulan Mei-Juni 2021 di masyarakat Desa Galesong Baru Takalar, jumlah sampel 97 responden dengan teknik sampling yaitu probability sampling dan dianalisa secara chi square. Hasil menunjukkan bahwa masyarakat yang cemas 29,9% dan bersikap kurang baik sebanyak 70,1% dalam menyikapi covid-19. Dengan p value 0,000 < α 0,05 sehingga disimpulkan bahwa ada hubungan kecemasan dengan sikap masyarakat di era new normal covid-19. Kata Kunci: kecemasan; sikap; Covid-19The Relationship Of Anxiety With Community Attitude In The New Normal Era Of Covid-19 In The Village AreaAbstractCorona virus Disease 19 is a virus that infects the respiratory system and can cause death. As a result, this virus raises anxiety in the community, especially when there is a high potential for infection and the potential for death continues to increase. This study was aimed to determine the relationship between anxiety and people's attitudes in the new normal era of Covid-19. This research was a quantitative study with a cross sectional research design. It was conducted in May-June 2021 in the community of Galesong Baru Takalar Village, the number of samples was 97 respondents with a sampling technique, namely probability sampling and analyzed by chi square. The results show that 29.9% of people are anxious and 70.1% are not good at responding to COVID-19. With a p value of 0.000 < 0.05, it can be concluded that there is a relationship between anxiety and people's attitudes in the new normal era of covid-19. Keywords: anxiety; attitude; Covid-19
Pemberian Teknik Valsava Manuver Terhadap Intensitas Nyeri Penusukan Arteriovenous Fistula (AVF) Pasien Hemodialisa
Mahruri Saputra;
Sabahul Badri
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.482
Arteriovenous fistula (AVF) merupakan akses vaskuler eksternal sebagai tempat penusukan berulang pada pasien hemodialisa yang menyebabkan nyeri berulang. Pemberian teknik valsava manuver salah satu terapi nonfarmakologi yang dapat digunakan untuk menurunkan nyeri berulang penusukan AVF. Penelitian ini bertujuan mengidentifikasi pemberian teknik valsava manuver terhadap intensitas nyeri penusukan AVF pasien hemodialisa. Penelitian kuantitatif ini dengan desain quasi experiment pre and post one sampel test. Pengambilan sampel dengan teknik consecutive sampling pada 33 orang. Analisis data menggunakan paired t-test. Hasil menunjukkan sebelum dilakukan teknik valsava manuver skala nyeri penusukan AVF adalah 4,82 (SD=1,402) dan sesudah dilakukan teknik valsava manuver skala nyeri penusukan AVF adalah 3,45 (SD=1,301). Ada perbedaan skala nyeri penusukan AVF sebelum dan sesudah pemberian teknik valsava manuver pasien hemodialisa dengan p value 0,000. Diharapkan pemberian teknik valsava manuver dapat menjadi intervensi mandiri keperawatan dalam menurunkan nyeri penusukan sehingga kenyamanan pasien hemodialis meningkat.Kata kunci: arteriovenous fistula; hemodialisa; nyeri penusukan, valsava manuverValsava Manuver Techniques To Pain Intensity Arteriovenous Fistula (AVF) Pain In Hemodialized PatientsAbstractArteriovenous fistula (AVF) is an external vascular access as a site for repeated punctures in hemodialysis patients which causes recurrent pain. The Valsalva maneuver is one of the non-pharmacological therapies that can be used to reduce repeated AVF stabbing pain. This study was purposed to identify the effectiveness of the Valsalva maneuver technique in reducing the intensity of AVF stabbing pain in hemodialysis patients. This quantitative research was a quasi-experimental pre and post one sample test design. Sampling technique used consecutive sampling technique on 33 people. Data analysis using paired t-test. The results showed that before the Valsalva maneuver the AVF stabbing pain scale was 4.82 (SD=1.402) and after the Valsalva maneuver the AVF stabbing pain scale was 3.45 (SD=1.301). There is a difference in the AVF stabbing pain scale before and after the Valsalva maneuver technique for hemodialysis patients with a p value of 0.000. It is hoped that the Valsalva maneuver technique can be an independent nursing intervention in reducing stabbing pain so that the comfort of hemodialysis patients increases. Keywords: Arteriovenous fistula, hemodialysis, stabbing pain, valsalva maneuver
Hubungan Lama Menderita Dengan Kejadian Neuropati Diabetikum Pada Pasien Diabetes Melitus
Maria Karolina Selano
Jurnal Smart Keperawatan Vol 8, No 2 (2021): Desember 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang
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DOI: 10.34310/jskp.v8i2.505
Organisasi Internasional Diabetes Federation (IDF) memperkirakan terdapat 463 juta orang pada usia 20-79 tahun di dunia menderita diabetes mellitus (DM) tahun 2019 atau setara dengan angka 9,3% dari total penduduk pada usia yang sama. Berdasarkan jenis kelamin, IDF memperkirakan prevalensi DM tahun 2019 yaitu 9% pada perempuan dan 9,65% pada laki-laki. Prevalensi diabetes meningkat seiring penambahan umur menjadi 19,9% atau 111,2 juta orang (umur 65-79 tahun). Angka diprediksi meningkat hingga 578 juta di tahun 2030 dan 700 juta di tahun 2045. Pusat Data dan Informasi PERSI (Perhimpunan Rumah Sakit Indonesia), prevalensi penderita DM dengan komplikasi neuropati sebesar lebih dari 50%. Tujuan untuk mengetahui hubungan lama menderita dengan kejadian neuropati diabetikum pada pasien diabetes melitus Metode secara deskriptif analitik dengan pendekatan cross sectional dan tehnik pengambilan sampel menggunakan purposive sampling sejumlah 84 responden/ pasien diabetes melitus tipe 1 dan tipe 2. Instrumen menggunakan kuesioner dan monofilament test dan data dianalisa dengan uji statistik chi-square. Hasil didapatkan 71 responden (84,5 %) yang lama menderita DM < 5 tahun, 46 responden (54,8%) mengalami neuropati diabetikum dan nilai Asymp Sig 0,942 (P-value = 0,005). Karena nilai 0,942 > 0,005, maka disimpulkan tidak ada hubungan yang signifikan antara lama menderita dengan kejadian neuropati diabetikum.Kata kunci : diabetes melitus; lama menderita; neuropati diabetikumThe Relationship Of Long Suffering With The Event Of Diabetic Neuropaty In Diabetes Mellitus PatientsAbstractThe International Diabetes Federation (IDF) estimates that there are 463 million people aged 20-79 years in the world suffering from diabetes mellitus (DM) in 2019, equivalent to 9.3% of the total population at the same age. Based on gender, IDF estimates that the prevalence of DM in 2019 is 9% in women and 9.65% in men. The prevalence of diabetes increases with increasing age to 19.9% or 111.2 million people (aged 65-79 years). The figure is predicted to increase to 578 million in 2030 and 700 million in 2045. According to the PERSI Data and Information Center (Indonesian Hospital Association), the prevalence of DM sufferers with neuropathic complications is more than 50%. The purpose of this study was to determine the relationship between length of stay and the incidence of diabetic neuropathy in patients with diabetes mellitus. Descriptive analytical method with a cross sectional approach and sampling technique used purposive sampling with a total of 84 respondents/patients with type 1 and type 2 diabetes mellitus. The instrument used a questionnaire and monofilament test and data. analyzed by chi-square statistical test. The results showed that 71 respondents (84.5%) had long suffered from DM < 5 years, 46 respondents (54.8%) had diabetic neuropathy and the Asymp Sig value was 0.942 (P-value = 0.005). Because the value is 0.942 > 0.005, it is concluded that there is no significant relationship between the length of suffering and the incidence of diabetic neuropathy.Keywords: diabetes mellitus; long suffering; diabetic neuropathy