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JURNAL ILKES (Jurnal Ilmu Kesehatan)
Published by Sekolah Tinggi Kesehatan Karya Husada Kediri
ISSN : 20871287     EISSN : 25499408     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal ILKES fokus pada penelitian bidang kesehatan dengan cakupan bidang ilmu Keperawatan, Kebidanan dan Gizi.
Arjuna Subject : -
Articles 204 Documents
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Efektivitas Cognitive Behavioral Therapy Dalam Memperbaiki Perilaku Makan Lansia Sofia Rhosma Dewi; Komarudin Komarudin; Novelin Annisa Fajriyah
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 11 No 2 (2020): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v11i2.158

Abstract

Abstrak Proses menua dapat berpengaruh terhadap pola kebiasaan makan sehat. Cognitive behavioral therapy (CBT) diketahui sebagai terapi psikologis yang terbukti efektif untuk mengatasi permasalah seperti depresi, ganggauan ansietas, penyalahgunaan makan, dan beberapa gangguan psikologis lainnya. Tujuan penelitian ini adalah untuk mengetahui keefektifan CBT dalam memperbaiki perilaku makan lansia. Penelitian ini merupakan penelitian quasi eksperimental dengan pendekatan pre and post test design. Kelompok perlakuan akan diberikan terapi berupa CBT sebanyak 5 sesi sedangkan kelompok kontrol diberikan penyuluhan. Populasi dalam penelitian ini adalah 14032 dengan populasi target sebesar 70 lansia yang terbagi menjadi 2 kelompok. Pengukuran perilaku makan dilakukan dengan kuisioner Dutch Eating Behavior Questionaire. Analisis keefektifan CBT menggunakan uji Mann Whitney dengan tingkat kemaknaan 0,05. Hasil penelitian menunjukkan terdapat perubahan rerata skor perilaku makan. Pada kelompok kontrol rerata skor emotional eating berubah dari 44,3143 menjadi 45,200; skor external eating 29,3714 menjadi 32,400; skor restrained eating berubah dari 36,8857 menjadi 30,1429. Pada kelompok perlakuan skor emotional eating sebelum tindakan adalah 44,8286 menjadi 40,2571; rerata skor external eating berubah dari 32,4857 menjadi 30, 1429; dan skor restrained eating berubah dari 26,7143 menjadi 23,9143. Hasil uji Mann Whitney menunjukkan p value 0,000 untuk emotional eating, p value 0,000 untuk external eating, dan p value 0,000 untuk restrained eating. Sehingga dapat disimpulkan CBT efektif dalam merubah perilaku makan lansia. CBT membantu lansia mengintegrasikan informasi baru dalam perilaku sehari hari Kata kunci: CBT, lansia, penyuluhan,perilaku makan
Multidimensi Kualitas Pelayanan Perawat Terhadap Kepuasan Pasien Basirun Al Ummah; Alamiarty Dyah Suminar; Teguh Al Wobowo
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 12 No 1 (2021): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v12i1.207

Abstract

Abstract Background, the quality of service is important by looking at the various dimensions of a person's needs. Multidimensional quality of service is important in nursing care services, many similar studies have been carried out, but this dimension emphasizes the dimensions that are fundamental to patient satisfaction. The purpose of this study was to see the effect of the dimensions of reliability, responsiveness, assurance, tangibility, empathy on patient satisfaction. Research Methods, the method of this research is descriptive quantitative with cross sectional approach, sampling by accidental sampling, the number of samples is 43 patients, the measuring instrument used is a questionnaire and is valid with a significance value <0.05 and the reliability test results state the data in this study is reliable. with a Chronbach Alpha value of 0.983 (> 0.60). Results and analysis of the discussion, namely; 1) there is an effect of reliability dimensions on patient satisfaction, this is based on the results of the analysis test with a significance value of 0.00 (p <0.05), which means that the reliability dimension increases responsiveness satisfaction increases patient satisfaction 3) there is an effect of assurance on patient satisfaction, the results of the analysis test with a significance value of 0.00 (p <0.05), which means that the assurance dimension increases patient satisfaction 4) there is a tangible effect on patient satisfaction, based on the results of the analysis test with a significance value of 0.00 (p <0.05) , which means tangible increases patient satisfaction and 5) there is an effect of empathy on patient satisfaction, based on the results of the analysis test with a significance value of 0.00 (p <0.05), which means that empathy is able to increase patient satisfaction. Conclusion, dimensions of reliability, responsiveness, assurance, tangible, empathy in patient care services can increase patient satisfaction. The service department must emphasize this service to provide satisfaction to patients. Keywords; Quality, service, satisfaction
Pengaruh Pelatihan Kader FPE (Family Psychoeducation) Terhadap Manajemen Stress Dan Beban Keluarga ODGJ (Orang Dengan Gangguan Jiwa) Di Wilayah Bantur Kabupaten Malang Dedi Kurniawan; Galuh Kumalasari
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 11 No 2 (2020): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v11i2.177

Abstract

Abstrak Penanganan masalah kesehatan jiwa telah bergeser dari hospital-based menjadi community-based psychiatric services. Masalah kesehatan jiwa sering kali memiliki 'efek riak' bagi keluarga, menciptakan ketegangan, ketidakpastian, stres, dan terkadang perubahan signifikan keluarga dalam menjalani hidup mereka. Penelitian ini bertujuan mengetahui pengaruh pelatihan kader FPE terhadap manajemen stres dan beban keluarga ODGJ. Quasi experiment pre-test dan post-test design with comparison group dengan purposive sampling yang dilakukan di wilayah Puskemas Bantur dan Puskesmas Bululawang. Responden dibagi dalam kelompok intervensi 6 kader 30 keluarga binaan menerima pelatihan FPE dan kelompok kontrol 6 kader 30 keluarga binaan menerima pendidikan kesehatan konvensional. Kedua kelompok keluarga binaan dilakukan pengukuran manajemen stres dan beban keluarga pre dan post. Hasil penelitian menunjukan bahwa terdapat perbedaan yang signifikan rerata skor stres (p=0.001), namun tidak terdapat perbedaan signifikan pada rerata skor beban keluarga ODGJ (p=0.295), signifikan jika p<0.05. Perbedaan nilai beban keluarga pre-post pada kelompok kontrol cenderung tetap bahkan terdapat peningkatan. Secara statistik terapi kader FPE berpengaruh positif terhadap stres keluarga ODGJ, namun tidak terdapat perbedaan signifikan pada rerata skor beban keluarga. Kata Kunci : psikoedukasi, kader, stres, beban keluarga.
Analisis Efektivitas Biaya Kombinasi Risperidone-Clozapine Dengan Risperidone-Olanzapine Pada Pasien Skizofrenia Tiara Sani Ardiana; Delina Hasan; Ahmad Fuad Afdhal; Lahargo Kembaren
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 12 No 1 (2021): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v12i1.203

Abstract

Abstract Schizophrenia is a severe mental disorder characterized by significant distortions in thoughts and perceptions, accompanied by inappropriate emotions Antipsychotics are the mainstay of schizophrenia and require a long healing time and require high adherence to treatment. Most alternative antipsychotic therapies require pharmacoeconomic studies, particularly Cost Effectiveness Analysis which is useful in balancing patients’ expenditure by determining alternative treatments. The purpose of this study was to determine the effectiveness, eficiency and unit cost of the antipsychotic drug combination risperidone-clozapine dan risperidone-olanzapine. This research method used cross-sectional, analytical descriptive design and data collection is carried out prospectively from the medical record of schizophrenics, while detailed data on treatment costs are obtained from the financial section of inpatients at the hospital Dr. H. Marzoeki Mahdi Bogor from May to July 2019. The results of the study showed that the effectiveness of the largest antipsychotic combination therapy to increase the value of GAF was the combination of risperidone-olanzapine by 36 patients with an average difference in Initial GAF and Final GAF of 14.11, while the combination of risperidone-clozapine ie as many as 35 patients with an average difference in value Initial and Final GAF of 10.06. While the cost effectiveness based on the increase in final GAF value in the combination of risperidone-clozapine antipsychotic and risperidone-olanzapine antipsychotic combination in sequence is IDR.6,312,800. and IDR. 5,628,684. This value can be obtained from the calculation of the unit cost, the calculation of costs incurred in real where the cost is calculated for the service unit. It can be concluded that the risperidone-olanzapine antipsychotic combination is more cost effective than the risperidone-clozapine antipsychotic combination. Keywords: antipsychotics, effective and efficient, risperidone-clozapine combination, risperidone-olanzapine combination, schizophrenia.
PENGARUH PENERAPAN SELF AFFIRMATION TERHADAP PENURUNAN BODY DISSATISFACTION PADA REMAJA AKHIR Andika Siswoaribowo; Muhammad Taukhid; Dellia Paramita
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 11 No 2 (2020): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v11i2.171

Abstract

The desire to appear perfect was more experienced by women’s. Various attempts to look beautiful and attractive, when expectations and efforts are inappropriate with reality it will cause dissatisfaction or Body Dissatisfaction. Self Affirmation is one of the strategies to restore a satisfaction or self-esteem and increase self-awareness so as not to compare herself. This study was aimed to determine the effect of applying Self Affirmation to reducing Body Dissatisfaction in adolescents. The design of this research was used a quasi-experimental within approach pre-test post-test with control group design and used purposive sampling method, which obtained 56 respondents who divided into treatment groups (n=28) and control groups (n=28). This research was carried out 3 times in 1 week by measuring Body Dissatisfaction before giving intervention on the 1st day (pre-test) and after giving the last intervention on the 3rd day (post-test). The results of the analysis used Mann Whitney test showed that Pv=0.000 (Pv<α=0,05), meaning that there were an effect of the applying Self Affirmation to decrease Body Dissatisfaction. The factor that has the most influence is social media, because media more accentuating the physical beauty with a slim body and brighter skin, especially in this modern era social media users are most dominated by adolescents. So it will be easy for adolescents to feel dissatisfied with their body or has been called Body Dissatisfaction. In conclusion, Self-Affirmation reduces Body Dissatisfaction in a person.
Dampak Penurunan Energi Terhadap Kelelahan Perawat Pada Masa Bencana Pandemic Covid-19 Heru Suwardianto; Lilik Setiawan
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 12 No 1 (2021): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v12i1.208

Abstract

Abstract The COVID-19 pandemic causes increased burdens and anxiety when performing tasks for long periods of time and can lead to decreased energy and ultimately psychosocial fatigue. The aim of the study was to analyze the Decrease in Energy and Nurse Fatigue during the COVID-19 Pandemic Disaster. Research design using cross sectional. The study population was all nurses in Kediri City, the research sample was several nurses who were taken by accidental sampling technique. The independent variable of this research was the decrease in energy, the dependent variable of this research was the fatigue of nurses. The statistical test used the Spearmen rho test with α <0.05. The results showed that most respondents had a decrease in energy from mild to extreme (57%) and the majority of respondents experienced fatigue from mild to total fatigue (72.1%). The results showed that there were 2.3% of nurses who experienced extreme energy reduction with exhaustion or total fatigue. The results of statistical tests with Spearman's rho obtained Ρ value <0.001, which means that there is a significant relationship between decreased energy and fatigue. Lack of energy is related to the fatigue that occurred in nurses during the COVID-19 Pandemic, so prevention is needed so that nurses can carry out energy management so that it does not cause an impact from nurse fatigue. Keywords: Decrease in energy, fatigue of nurses, COVID-19 Pandemic Disaster
PENGARUH PEMBERIAN KITOSAN DAN QUERSETIN TERHADAP KANDUNGAN ASAM LEMAK BEBAS / FREE FATTY ACID (FFA) SOTO DAGING Frenky Arif Budiman; Tutut Pujianto
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 11 No 2 (2020): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v11i2.178

Abstract

Secara global penyakit degeneratif adalah penyebab kematian yang utama. WHO memaparkan ada sebanyak 57 juta orang meninggal dunia pada tahun 2008, penyakit degeneratif adalah penyumbang penyebab kematian tersebut sebanyak 36 juta jiwa (66,7 %) yang juga menjadi penyebab kematian penduduk dengan usia yang lebih muda. Sebanyak Lebih dari dua pertiga dari semua populasi secara global orang dengan penyakit degeneratif (kanker, jantung, strooke dan diabetes) akan meninggal dunia. Makanan yang rasanya enak umumnya bukan termasuk jenis makanan yang sehat. Makanan yang terasa enak (gurih) disebabkan karena di dalam makanan tersebut banyak mengandung lemak, seperti makanan yang berasal dari daging kambing, sapi, ayam, dan lain-lain. Mengkonsumsi lemak hewani maupun lemak nabati secara berlebihan bisa menimbulkan obesitas, penyakit jantung, hipertensi, dan lain-lain. Penelitian ini adalah peneltian eksperimental laboratorik dengan pre post test only control group design. Populasi dalam penelitian ini adalah penjual soto daging yang ramai di wilayah Kabupaten Kediri dengan pengambilan sampel penjual soto daging diambil secara random sampling. Variabel bebas dalam penelitian ini adalah Quercetin dan kitosan sedangkan variabel terikatnya adalah kandungan asam lemak bebas yang terdapat dalam soto daging. Penambahan kitosan dan quersetin secara bersamaan pada soto daging dapat menurunkan kandungan asam lemak bebas / free fatty acid (FFA) lebih baik dibandingakan dengan diberikan terpisah. Perlunya dilakukan penelitian lanjutan dengan menggunakan hewan coba yang diberikan kitosan dan quersetin yang diberi pakan tinggi lemak untuk mengetahui efek langsung setelah dimetabolisme oleh tubuh.
Efek Penambahan Tepung Daun Kelor Pada Fermentasi Tempe Terhadap Kadar Vitamin C Dan N-Amino Tempe Kelor (PELOR) Cucuk Suprihartini; Arya Ulilalbab; Frenky Arif Budiman
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 12 No 1 (2021): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v12i1.204

Abstract

Abstract Tempe is nicknamed the miracle food, this is due to the processing of soybeans into tempe through the fermentation process of rhizopus sp. The fermentation process increases protein digestibility, because it breaks down protein into simple amino acids. In addition, there is a synthesis of vitamin B12, unsaturated fatty acids, and antioxidant compounds. While the moringa leaves are nicknamed the miracle leaves, they have a high nutritional content. Moringa leaves actually contain very high amounts of vitamin A, vitamin C, vitamin B, calcium, potassium, iron and protein, which are easily digested and assimilated by the human body. Vitamin C reduces ferric iron to ferrous in the small intestine so that it is easily absorbed. By combining these two miraculous ingredients, it aims to increase the vitamin C levels in tempeh and study whether there is an effect of adding Moringa leaf flour to the n-amino levels of Moringa leaf tempe. This research is an experimental research with a completely randomized design. Treatment by adding Moringa leaf flour to soybean tempe and the dependent variables were levels of vitamin C and levels of N-Amino in tempe moringa. The concentrations of adding Moringa flour in this study were 0%, 2% and 4%. Analysis of vitamin C using iodimetric method and n-amino test using formol titration method. The average results of the vitamin C test on tempeh with the addition of Moringa leaf flour were as follows: 0% of 0.38%, 2% of 0.69% and 4% of 0.84%, the results of statistical tests with ANOVA showed a statistically significant effect. Significantly, there was a significant increase in vitamin C levels, while the results of the n-amino test were on average 0% of 0.56%, 2% of 0.72% and 4% of 0.78%, the results of statistical tests with ANOVA did not exist significant effect, but there was a tendency to increase levels of n-amino with the addition of Moringa leaf flour. The addition of Moringa leaf flour to the process of making tempeh can be another alternative to meet the needs of vitamin C. Keywords: vitamin C, N-amino, moringa leaves, tempeh
Dampak Pendekatan Sprititual Terhadap Kepatuhan Pencegahan Penyebaran Virus Covid-19 Winda Nurmayani; Syamdarniati Syamdarniati; Dewi Nur Sukma Purqoti
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 11 No 2 (2020): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v11i2.183

Abstract

Abstrak Latar belakang: Berbagai upaya dalam rangka pencegahan, pengobatan dan sebagainya pun telah dilakukan dalam mencegah penyebaran virus corona, hingga lockdown dan physical distancing di kota-kota besar.Kedispilinan masyarakat dalam menjalankan physical distancing akan sangat berpengaruh dalam langkah meredam penyebaran virus corona. Sayangnya, masih banyak masyarakat yang belum disiplin menerapkan pembatasan interaksi fisik terebut. Beberapa orang menolak larangan tersebut dengan berdalih bahwa kekuasaan Tuhan dan takdir Tuhan akan mampu melindungi dari pandemik, meskipun tidak dilakukan usaha yang memadai. Tujuan: Penelitian ini untuk mengetahui dampak pendekatan spiritual terhadap kepatuhan pencegahan penyebaran virus covid 19. Metode: Survei tentang “DampakPendekatan Spiritual Terhadap Kepatuhan Pencegahan Penyebaran Covid-19” dilaksanakan berdasarkan metode pengumpulan data secara online yang dimulai tanggal 5-10 Mei 2020. Responden adalah masyarakat yang domisili di Nusa Tenggara Barat dengan membagikan kuesioner yang diisisecara online sebanyak 306 orang. Dimensi yang diukur meliputi spiritual dan kepatuhan pencegahan penyebaran Covid-19. Data dianalisis menggunakan uji chi-square. Hasil dan pembahasan didapatkan bahwa responden yang mempunyai spiritual baik dan berperilaku patuh sebanyak 89 orang (57,8%), sedangkan responden dengan spiritual kurangbaik dan tidak patuhsebanyak 75 orang (49,3%). Analisis lanjut mendapatkan bahwanilai p-value sebesar 0,255 yang berarti bahwa tidak terdapat hubungan antara spiritual dengan kepatuhan pencegahan penularan Covid-19. Kesimpulan: TidakTerdapat hubungan antara spiritual dengan kepatuhan pencegahan penularan Covid-19.
Beban Kerja dan Lingkungan dengan Stres Kerja Perawat di Rawat Inap RSJ. Prof. M. Ildrem Sumatera Utara Evalina Perangin Angin; Zulfendri Zulfendri; Siti Saidah Nasution
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 12 No 1 (2021): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v12i1.209

Abstract

Abstract Work stress on nurses is a common problem that often occurs in the world of work. Nurses who care for patients with mental disorders tend to experience higher stress than general nurses. This study aimed to determine the relationship between workload and environment and work stress of nurses. This study used a quantitative cross-sectional approach. This study amounted to 105 mental nurses who served in inpatient with accidental sampling. The results of this study found that the workload of 5 respondents (4.8%) with a light workload, 75 respondents (71.4%) moderate, and 25 respondents (23.8%) heavy. The results of the univariate analysis found 34 respondents (32.4%) who reported that their work environment was in the moderate category and 71 respondents (67.6%) were good. The results of the univariate analysis showed that 6 respondents (5.7%) experienced mild stress, 54 respondents (51.4%) had moderate stress, and 45 respondents (42.9%) experienced severe stress. The results of the bivariate analysis with the Gamma correlation test found a positive significant relationship with a very strong relationship strength (p <0.05, r = 0.916) where as many as 51 respondents (68.0%) experienced moderate workload with moderate work stress and were found a negative significant relationship with a strong relationship strength (p <0.05, r = -0.607) where as many as 42 respondents (59.2%) experienced moderate stress in a good work environment. Researchers suggest that the availability of nurses must be adjusted and the workload given must be adjusted to their capacity, while the work environment requires additional lighting to carry out activities optimally, healthy, safe, and comfortable. Keywords: Workload, work Environment, Mental Nurse Work Stress

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