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DUKUNGAN KELUARGA DAN READMISI PASIEN PASCAOPERASI KATUP JANTUNG Adam, Muhamad; Artati, Artati; Herawati, Tuti; Nova, Prima Agustia; Mirharina, Irza
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 1 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i1.348

ABSTRAKOperasi katup jantung sering dilakukan, seiring dengan prevalensi penyakit jantung katup yang masih tinggi. Namun, setelah menjalani operasi, pasien mengalami readmisi dalam 1 bulan yang kemungkinan berkaitan dengan dukungan keluarga. Tujuan penelitian: Penelitian ini bertujuan mengidentifikasi hubungan dukungan keluarga dengan readmisi setelah pasien menjalani operasi katup jantung. Metode: Penelitian cross-sectional ini melibatkan 105 responden pascaoperasi katup jantung yang mengalami readmisi di Rumah Sakit Pusat Jantung Nasional Harapan Kita, Jakarta dengan menggunakan teknik consecutive sampling. Penelitian ini menggunakan kuesioner karakteristik responden, readmisi, dan dukungan keluarga. Analisis univariat dilakukan untuk mengetahui distribusi frekuensi dan analisis bivariat chi square untuk mengetahui kemaknaan hubungan dukungan keluarga dan readmisi. Hasil: Sebagian besar responden (46,7%) berada pada rentang usia pertengahan (45–59 tahun), jenis kelamin perempuan (52%) lebih banyak daripada laki-laki (47%), katup mitral (37,1%) dan aorta (31,4%) yang paling banyak dilakukan operasi. Sebagian besar responden (75%) mengalami dukungan keluarga yang nonsuportif dan sebagian besar responden (61%) setidaknya mengalami satu kali readmisi dalam 1 bulan. Terdapat hubungan yang bermakna antara dukungan keluarga dengan readmisi pasien pascaoperasi katup jantung (p = 0,019; α < 0,05). Diskusi: Dukungan keluarga dapat meningkatkan perilaku sehat dan proses pemulihan sehingga dapat mencegah terjadinya readmisi. Kesimpulan: Perawat dianjurkan mengkaji dukungan keluarga terhadap pasien yang direncanakan menjalani operasi katup jantung dan memberikan intervensi keperawatan yang diperlukan untuk meningkatkan dukungan keluarga dan mencegah readmisi. Penelitian lebih lanjut diperlukan untuk mengidentifikasi penyebab sebagian besar pasien pascaoperasi katup jantung mengalami dukungan keluarga yang nonsuportif.Kata Kunci: dukungan keluarga, katup jantung, pascaoperasi, readmisi pasien Family Support and Readmission After Heart Valve Surgery ABSTRACTHeart valve surgery is often performed, along with the high prevalence of valvular heart disease. However, after surgery, the patient is readmitted within 1 month, probably related to family support. Objective: This research aims to identify the correlation between family support and readmission after the patient undergoes heart valve surgery. Methods: This cross-sectional research involved 105 respondents after heart valve surgery who were readmitted at Harapan Kita National Heart Center Hospital, Jakarta. The respondents were taken using a consecutive sampling technique. This research employed a questionnaire on the characteristics of the respondents, readmission, and family support. Univariate analysis was used to identify the frequency distribution, and bivariate chi-square analysis was used to identify the significance of the correlation between family support and readmission. Results: Most of the respondents (46.7%) were in the middle age range (45-59 years), more female (52%) than male (47%), mitral valve (37.1%), and aorta (31.4%) was the most frequently operated on. Most respondents (75%) had non-supportive families, and most respondents (61%) experienced at least 1 readmission in 1 month. There was a significant correlation between family support and patient readmission after the heart valve surgery (p=0.019; <0.05). Discussion: Family support can improve healthy behaviour and the recovery process so that it can prevent readmissions. Conclusion: Nurses are recommended to assess family support in patients planning for heart valve surgery and provide necessary nursing interventions to increase family support and prevent readmission. Further research is needed to identify the cause of most post-heart valve surgery patients having non-supportive families.Keywords: Family support, heart valve, post-surgery, patient readmission

HUBUNGAN TINGKAT PENGETAHUAN MASYARAKAT TENTANG COVID-19 DENGAN PERILAKU PENCEGAHAN PENULARAN COVID-19 Lestari, Ni Kadek Yuni; Saraswati, Ni Luh Gede Intan
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 2 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i2.251

ABSTRAKPengetahuan dan pemahaman diperlukan oleh seluruh lapisan masyarakat dalam upaya pencegahan penularan virus Covid-19. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan tentang Covid-19 dengan perilaku pencegahan penularan Covid-19. Metode: Desain penelitian ini ialah kuantitatif korelasional dengan pendekatan cross sectional. Penelitian ini menggunakan sampel berjumlah 82 orang. Instrumen penelitian menggunakan kuesioner yang telah valid dan reliable dan analisis data penelitian menggunakan uji rank Spearman. Hasil: sebanyak 52 responden (63,4%) mempunyai tingkat pengetahuan kategori cukup dan 47 responden (57,3%) mempunyai perilaku pencegahan kategori baik. Dari hasil uji statistik rank Spearman diperoleh p = 0,024 (< 0,05) yang berarti ada hubungan tingkat pengetahuan masyarakat tentang Covid-19 dengan perilaku pencegahan penularan Covid-19 di lingkungan Padangtegal, Mekarsari, wilayah kerja Puskesmas Ubud 1. Diskusi: Perilaku sangat ditentukan oleh tingkat pemahaman serta pengetahuan masyarakat sehingga diperlukan upaya peningkatan pengetahuan dari berbagai aspek. Kesimpulan: Unit pelayanan kesehatan diharapkan tetap memberikan edukasi kepada masyarakat tentang penerapan protokol kesehatan di era new normal.Kata Kunci: pengetahuan, penularan Covid-19, perilaku pencegahan Correlation Between Level of Public Knowledge About Covid-19 and Preventive Behavior Towards Transmission of Covid-19ABSTRACTAll levels of society need knowledge and understanding to prevent the transmission of COVID-19. Objective: This research aims to identify the correlation between the level of knowledge about COVID-19 and the preventive behaviour towards the transmission of COVID-19. Methods: The research employed a correlational quantitative design with a cross-sectional approach. It used a sample of 82 people. The research used an instrument in the form of a valid and reliable questionnaire, and the research data were analyzed using the Spearman rank test. Results: 52 respondents (63.4%) had sufficient knowledge, and 47 respondents (57.3%) had good preventive behaviour. The Spearman rank statistical test results indicated p = 0.024 (<0.05), meaning that there was a correlation between the level of public knowledge about COVID-19 and the preventive behaviour towards the transmission of COVID-19 at Padangtegal Mekarsari under the working area of the Ubud Public Health Center 1. Discussion: Behaviour is primarily determined by the level of public understanding and knowledge, so it is necessary to enhance knowledge from various aspects. Conclusion: Health service units are expected to continue educating the public about implementing health protocols in the new normal era.Keywords: Knowledge, Transmission of COVID-19, Preventive Behavior

Efektivitas Model Pendekatan Manajemen Coaching Bimbingan Akademik Terhadap Indeks Prestasi Mahasiswa Jurusan Keperawatan Rusmini, Rusmini; Emilyani, Desty; Dramawan, Awan
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 1 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i1.364

ABSTRAKManajemen coaching dalam penyelenggaraan Tridharma Perguruan Tinggi, khususnya dalam bimbingan akademik bertujuan mendorong inisiatif, memberikan penghargaan, dan menstimulasi kreativitas mahasiswa. Tujuan penelitian: mengetahui efektivitas model manajemen coachingbimbingan akademik terhadap indeks prestasi (IP) mahasiswa. Metode: Desain penelitian quasi experiment. Sampel dipilih dengan tehnik purposive sampling sejumlah 30 orang mahasiswa dari Jurusan Keperawatan Poltekkes Kemenkes Mataram di kelas Mataram sebagai kelompok perlakuan dan 30 orang mahasiswa dari Jurusan Keperawatan Poltekkes Kemenkes Mataram di kelas Bima sebagai kelompok kontrol. Data menggunakan IP semester II dan semester III. Intervensi yang dilakukan ialah pembimbingan akademik berdasarkan manajemen coaching untuk kelompok perlakuan dan metode konvensional untuk kelompok kontrol selama 1 semester. Analisis data untuk menguji perbedaan efektivitas kedua kelas tersebut menggunakan uji independet t-test dengan tingkat kemaknaan α:0,05. Hasil: Terdapat perbedaan efektivitas pencapaian nilai sesudah penerapan model manajemen coaching di kelas Mataram dan metode konvensional di kelas Bima dengan hasil p value 0,000. Diskusi: Manajemen coachingdapat membangun komunikasi yang intens dengan mahasiswa, semakin coach memiliki hubungan yang dekat dengan coachee maka akan timbul kepercayaan sehingga tujuan bersama akan lebih cepat tercapai. Saran: Diharapkan penelitian terkait pembimbingan akademik dengan pendekatan manajemen coaching dapat dilakukan dengan sampel yang lebih besar. Kata Kunci: indeks prestasi, manajemen coaching Effectiveness of Academic Guidance Coaching Management Model on Nursing Department Students' Grade Point Average ABSTRACTCoaching management in implementing the Three Pillars of Higher Education, especially in academic guidance, aims to encourage initiative, provide rewards, and stimulate student creativity. Objective: To identify the effectiveness of the academic guidance coaching management model on students’ grade point average (GPA). Methods: This research employed a quasi-experimental research design. Samples were selected using the purposive sampling technique, consisting of 30 students from the Nursing Department of Poltekkes Kemenkes Mataram in the Mataram class as the treatment group and 30 students from the Nursing Department of the Poltekkes Kemenkes Mataram in the Bima class as the control group. The data used GPAs from semester II and semester III. The interventions carried out were academic guidance based on coaching management for the treatment group and conventional methods for the control group for 1 semester. Data analysis to test the differences in the effectiveness of the two classes used an independent t-test with a significance level of α:0.05. Results: There was a difference in the effectiveness of attaining grades after applying the management coaching model in the Mataram class and the conventional method in the Bima class with a p-value of 0.000. Discussion: Coaching management can build intense communication with students. The more the coach has a close relationship with the coachee, the more trust will develop so that common goals will be achieved more quickly. Suggestion: It is expected that research on academic guidance with a management coaching approach can be conducted with a larger sample.Keywords: grade point average, management coaching

DUKUNGAN SOSIAL BERHUBUNGAN DENGAN TINGKAT STRES PEKERJA PADA MASA QUARTER LIFE CRISIS Oktaviana, Diva Aisyah; Wardani, Ice Yulia
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 2 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i2.367

ABSTRAKPekerja dewasa muda rentan mengalami quarter life crisis ketika sulit mencapai tugas perkembangannya. Dukungan sosial rendah menjadi faktor individu untuk mengalami stres. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial dengan tingkat stres pekerja pada masa quarter life crisis pekerja di DKI Jakarta. Metode: Penelitian ini menggunakan metode kuantitatif deskriptif korelasi dengan pendekatan cross sectional pada 389 pekerja di DKI Jakarta usia 20–30 tahun yang diambil pada bulan Maret 2022. Instrumen yang digunakan ialah multidimensional scale of perceived social support untuk dukungan sosial dan job stress scale untuk mengukur tingkat stres pekerja. Analisis data chi-square dilakukan menggunakan SPSS 26. Hasil: temuan penelitian ini menggambarkan 54% pekerja memiliki tingkat dukungan sosial rendah dan 68,6% pekerja mengalami stres sedang. Hasil analisis membuktikan adanya hubungan dukungan sosial dengan tingkat stres pekerja di DKI Jakarta (p = 0,001) yang menunjukkan pekerja cenderung memiliki dukungan sosial rendah dengan tingkat stres sedang hingga tinggi. Diskusi: Perawat menyarankan perusahaan untuk memberikan anggaran tambahan bagi kesehatan jiwa pekerja dan mengajak pekerja untuk memperhatikan kesehatan jiwanya. Hasil penelitian dapat menjadi pertimbangan untuk menambah bahan pembelajaran pada mata ajar Keperawatan. Kesimpulan: Penelitian ini diharapkan memberikan informasi bagi pekerja dan perusahaan mengenai hubungan dukungan sosial dengan tingkat stres pekerja pada masa quarter life crisis. Peneliti merekomendasikan adanya skrining kesehatan jiwa pekerja secara rutin, menambahkan materi quarter life crisis bagi mahasiswa keperawatan, dan perusahaan bekerja sama dengan layanan kesehatan jiwa untuk merujuk pekerja yang membutuhkan, serta menciptakan lingkungan suportif.Kata Kunci: dukungan sosial, pekerja, quarter life crisis, stres kerja Social Support Correlated with Workers' Stress Levels During the Quarter-Life Crisis ABSTRACTYoung adult workers are vulnerable to experiencing a quarter-life crisis when it is difficult to achieve developmental tasks. Low social support becomes an individual factor in experiencing stress. Objective: This research aims to identify the correlation between social support and the stress level of workers during the quarter-life crisis of workers in DKI Jakarta. Methods: This research employed a quantitative descriptive correlation method with a cross-sectional approach to 389 workers in DKI Jakarta aged 20-30 years who were taken in March 2022. It employed instruments in the form of the multidimensional scale of perceived social support for social support and the job stress scale to measure workers’ stress levels. Chi-square data analysis was performed using SPSS 26. Results: The findings of this research indicated that 54% of workers had low levels of social support, and 68.6% of workers experienced moderate stress. The analysis results proved a correlation between social support and workers’ stress level in DKI Jakarta (p = 0.001), indicating that workers tended to have low social support with moderate to high stress levels. Discussion: Nurses suggested the company provide an additional budget for the mental health of workers and invited workers to pay attention to their mental health. The research results can be considered to add learning materials to nursing subjects. Conclusion: This research is expected to provide information for workers and companies regarding the correlation between social support and workers' stress levels during the quarter-life crisis. The researcher recommends regular mental health screening of workers, the addition of quarter-life crisis material for nursing students, companies to work with mental health services to refer workers in need, and the creation of a supportive environment.Keywords: social support, workers, quarter life crisis, work stress

PENGARUH PENGELOLAAN PENGOBATAN TERHADAP KEPATUHAN MINUM OBAT PADA PASIEN HEMODIALISIS DENGAN HIPERTENSI: STUDI KASUS Serafina, Regina Nathalia; Wahyuni, Tatik Dwi; Wicaksana, Anggi Lukman
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 1 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i1.299

ABSTRAKHipertensi menjadi kondisi penyulit terbanyak pada pasien yang menjalani hemodialisis. Namun, sering dijumpai ketidakpatuhan dalam pengobatan. Tujuan penelitian: Menggambarkan upaya pengelolaan pengobatan berdasarkan evidence-based practice dengan cara menguji coba intervensi pengelolaan pengobatan terhadap tingkat kepatuhan minum obat pasien hemodialis. Keluhan utama pasien: Penelitian ini menggunakan pendekatan studi kasus. Tn. S, 25 tahun, rutin menjalani hemodialisis dua kali/minggu, sering mengalami sakit kepala, penglihatan kabur, serta diketahui tidak menjalani pengobatan sesuai anjuran. Pasien terdiagnosis gagal ginjal kronis (GGK) stadium V e.c hipertensi sejak tahun 2017. Sejak saat itu pasien rutin melakukan hemodialisis dua kali seminggu di unit Hemodialisis RSUP Dr. Sardjito, Yogyakarta. Secara umum, terdapat penurunan fungsi ginjal dan penurunan indikator hematologi. Hasil: Data rekaman medis Tn. S dicatat dalam lembar pencatatan, termasuk penggunaan Morisky medication adherence scale (MMAS-8) untuk kepatuhan pengobatan. Pengukuran tekanan darah dan indikator hemodialisis dilakukan pemantauan secara berkala. Upaya pengelolaan obat dilakukan dengan mengatur obat sesuai jadwal, memantau konsumsi obat harian, serta mengirimkan SMS pengingat dan motivasi kepada pasien untuk meminum obat tepat waktu selama dua minggu. Setelah dilakukan intervensi, terjadi peningkatan skor MMAS-8 (pre = 4,5, post = 5,75). Rerata tekanan darah selama dilakukan intervensi menjadi terkontrol, terutama prehemodialisis (M = 148/91 mmHg). Upaya pengelolaan pengobatan yang dilakukan menunjukkan hasil yang baik sejalan dengan temuan evidence based practice. Pasien juga merasa puas dan berkenan melakukannya secara mandiri. Kesimpulan: Terdapat peningkatan tingkat kepatuhan minum obat pasien dan terkendalinya tekanan darah pasien. Intervensi yang dilakukan dapat digunakan sebagai acuan perawat dalam mengelola pasien hemodialisis dengan masalah ketidakpatuhan minum obat.Kata Kunci: kepatuhan minum obat, hipertensi, hemodialisis, pengobatan, polifarmasi Effect of Medication Management on Medication Adherence in Hemodialysis Patients with Hypertension: A Case Study ABSTRACTHypertension is the most common complicating condition in patients undergoing hemodialysis. However, medication non-adherence is often found. Objective: To describe medication management efforts based on evidence-based practice by testing medication interventions on the level of medication adherence in hemodialysis patients. Main complaints of the patient: This research employed a case study approach. Mr. S, 25 years old, underwent hemodialysis twice a week, had frequent headaches and blurred vision, and was known not to have received medication as recommended. The patient was diagnosed with stage 5 chronic kidney disease (CKD) e.c hypertension in 2017. Since then, the patient had routinely undergone hemodialysis twice a week at the Hemodialysis unit of Dr. Sardjito Hospital, Yogyakarta. In general, there was a decrease in renal function and a decrease in hematological indicators. Results: Medical record data of Mr. S was recorded in the logs, including the Morisky medication adherence scale (MMAS-8) for medication adherence. Blood pressure and hemodialysis indicators were monitored periodically. Medication was managed by scheduling medicine, combining daily medicine, and sending reminders and motivational SMS to the patient to take medicine on time for two weeks. After the intervention, there was an increase in the MMAS-8 score (pre = 4.5, post = 5.75). The mean blood pressure during the intervention was controlled, especially during prehemodialysis (M = 148/91 mmHg). The medication management indicated good results in line with evidence-based practice findings. Patients also felt satisfied and happy to do it independently. Conclusion: There is an increase in the patient's medication adherence level, and the patient's blood pressure is well controlled. The interventions can be used as a reference for nurses in managing hemodialysis patients with the problem of medication non-adherence.Keywords: medication adherence, hypertension, hemodialysis, medication, polypharmacy

EFEKTIVITAS MEDIA POSTER TERHADAP KEPATUHAN MINUM OBAT PASIEN HIPERTENSI DI PUSKESMAS RAWAT INAP ALABIO Maimunah, Maimunah; Tasalim, Rian; Hidayat, Ahmad
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 2 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i2.355

ABSTRAKPenderita hipertensi akan menjalani program pengobatan yang lama dan ini memberikan dampak pada ketidakpatuhan untuk melaksanakan program terapi. Salah satu faktor dari kepatuhan adalah pengetahuan yang dapat diberikan dengan menggunakan media poster. Penderita hipertensi akan mudah memahami materi yang disampaikan melalui media poster. Tujuan penelitian: Mengetahui efektivitas sebelum dan sesudah pemberian media poster terhadap kepatuhan minum obat pasien hipertensi di Puskesmas Rawat Inap Alabio. Metode: Penelitian ini menggunakan pra-experimental design dengan one group pretest-posttest. Sampel adalah pasien yang menderita hipertensi di Puskesmas Rawat Inap Alabio berjumlah 30 orang. Teknik pengambilan sampel ialah purposive sampling. Hasil pretest dan posttest diukur menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan uji Wilcoxon. Hasil: Sebelum diberikan poster, pengetahuan tentang kepatuhan minum obat antihipertensi responden dalam kategori pengetahuan sedang sebanyak 16 orang (53,3%). Sesudah diberikan intervensi menggunakan media poster pengetahuan responden meningkat dalam kategori pengetahuan baik sebanyak 23 orang (76,4%). Penggunaan media poster terhadap pengetahuan memberikan dampak pada kepatuhan minum obat antihipertensi di Puskesmas Rawat Inap Alabio (p-value 0,000 < 0,05). Diskusi: Peningkatan hasil penelitian dari pretest ke posttest menunjukkan bahwa pemberian media poster memberikan dampak dalam meningkatkan kepatuhan pasien minum obat antihipertensi. Artinya, jika seseorang tidak melakukan pencegahan hipertensi, itu akan memengaruhi kesehatannya. Oleh sebab itu, kepatuhan minum obat antihipertensi merupakan aspek penting yang memengaruhi kesehatan pasien hipertensi. Simpulan: Puskesmas Rawat Inap Alabio dapat menggunakan media poster yang telah dibuat saat memberikan pendidikan kesehatan. Perawat juga dapat berperan sebagai care provider, educator,dan health promotor sehingga dapat meningkatkan pengetahuan tentang kepatuhan minum obat antihipertensi pada penderita hipertensi agar dapat melakukan asuhan hipertensi secara mandiri.Kata Kunci: hipertensi, kepatuhan, pengetahuan, poster Effectiveness of Poster Media on Medication Adherence in Hypertensive Patients at Inpatient of Alabio Public Health Center ABSTRACTHypertensive patients will undergo a long treatment program, impacting non-adherence to the therapy program. One of the adherence factors is knowledge that can be extended through poster media. Hypertensive patients will easily understand the material presented through poster media. Objective: To identify the effectiveness of poster media on medication adherence in hypertensive patients at the Inpatient of Alabio Public Health Center. Methods: This research employed a pre-experimental design with one group pretest-posttest. The samples were 30 hypertensive patients at the Inpatient of Alabio Public Health Center. They were taken using purposive sampling. The pretest and posttest results were measured using a questionnaire with tested validity and reliability. Data were analyzed using the Wilcoxon test. Results: Before the poster was given, 16 respondents (53.3%) had sufficient knowledge of adherence to taking antihypertensive medication. After being given an intervention using poster media, 23 respondents (76.4%) had good knowledge. The use of poster media on knowledge impacted adherence to antihypertensive medication at the Inpatient of Alabio Public Health Center (p-value 0.000 <0.05). Discussion: The increase of research results from pretest to posttest shows that the poster media has an impact on increasing patients’ adherence to taking antihypertensive medication. It implies that if a person does not do the prevention of hypertension, it will affect his health. Therefore, adherence to taking antihypertensive medication is an important aspect that affects the health of hypertensive patients. Conclusion: The Inpatient of Alabio Public Health Center can use poster media when providing health education. Nurses can also act as care providers, educators, and health promoters to increase knowledge about adherence to taking antihypertensive medication in hypertensive patients so they can exercise hypertension care independently.Keywords: hypertension, adherence, knowledge, poster

USABILITAS DAN KEPUASAN PENGGUNA APLIKASI SMART-HPV SEBAGAI MEDIA EDUKASI UNTUK PENGETAHUAN TENTANG VAKSINASI HPV Lismidiati, Wiwin; Candra, Novela Eka; Widyawati, Widyawati
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 1 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i1.336

ABSTRAKSmart-HPV merupakan aplikasi yang berfungsi sebagai media pendidikan kesehatan untuk meningkatkan pengetahuan mengenai HPV dan vaksinasi HPV. Belum diketahui mengenai usabilitas dan kepuasan aplikasi Smart-HPV pada siswa sekolah menengah atas. Tujuan Penelitian:Mengetahui gambaran usabilitas dan kepuasan terhadap Smart-HPV terkait pengetahuan tentang vaksinasi HPV pada remaja di sekolah menengah atas. Metode: Penelitian kuantitatif deskriptif dengan rancangan penelitian cross sectional. Penelitian dilakukan dari Februari 2020–April 2021. Sampel penelitian ialah siswa SMA yang memiliki PIK-KRR di Kota Yogyakarta yang menggunakan Smart-HPV sebagai media edukasi untuk meningkatkan pengetahuan terkait vaksinasi HPV. Pemilihan sampel menggunakan consecutive sampling. Pengumpulan data menggunakan kuesioner technology acceptance model (TAM) yang terdiri atas perceived ease of use (PEOU) untuk kemudahan penggunaan aplikasi Smart-HPV dan perceived usefulness (PU) untuk kebermanfaatan penggunaan aplikasi. Data dianalisis secara univariat. Hasil: Sebagian besar rata-rata usabilitas dan kepuasan terhadap desain aplikasi dinilai mudah (75%) dan bermanfaat (88,9%). Rata-rata uji validitas muka terkait aplikasi Smart-HPV sebesar 95,9%. Diskusi: Aplikasi Smart-HPV diminati oleh siswa dan terbukti kemanfaatannya sebagai media edukasi untuk pengetahuan terhadap vaksinasi HPV. Kesimpulan: Aplikasi Smart HPV efektif meningkatkan pengetahuan dan kepuasan tentang vaksinasi HPV pada remaja di sekolah. Remaja diharapkan mampu memanfaatkan aplikasi Smart-HPV sebagai media pembelajaran yang memudahkan dalam memperoleh informasi terkait HPV dan vaksin HPV.Kata Kunci: perceived ease of use, perceived usefulness, smartphone, vaksinasi HPV Usability and User Satisfaction of SMART-HPV Application as an Educational Medium for Knowledge about HHPV Vaccination ABSTRACTSmart-HPV is an application that serves as a health education medium to increase knowledge about HPV and HPV vaccination. The usability and satisfaction of the Smart-HPV application in high school students have not been identified. Objective: To identify the usability and satisfaction of Smart-HPV related to knowledge about HPV vaccination in adolescents at high schools. Methods: This research employed descriptive quantitative research with a cross-sectional research design. It was conducted from February 2020–April 2021. The research samples were high school students who had PIK-KRR in Yogyakarta City and used Smart-HPV as an educational medium to increase knowledge about HPV vaccination. The samples were selected using consecutive sampling. Data were collected using the technology acceptance model (TAM) questionnaire, which consisted of perceived ease of use (PEOU) for the ease of use of Smart-HPV application, and perceived usefulness (PU) for the usefulness of using the application. Data were analyzed univariately. Results: Most of the average usability and satisfaction regarding the application design were easy (75%) and useful (88.9%). The average face validity test related to the Smart-HPV application was 95.9%. Discussion: Students were interested in the Smart-HPV application, and its usefulness as an educational medium for knowledge of HPV vaccination was proven. Conclusion: Smart HPV application effectively increases knowledge and satisfaction about HPV vaccination in adolescents at school. Adolescents are expected to be able to take advantage of the Smart-HPV application as a learning medium so that obtaining information related to HPV and the HPV vaccine will be easier.Keywords: perceived ease of use, perceived usefulness, smartphone, HPV vaccination

MOBILISASI BERTAHAP PASCA-SECTIO CAESARIA: STUDI KASUS DI RSUD dr. HARYOTO LUMAJANG Wahyuningsih, Sri; Hayati, Nurul; Fibriansari, Rizeki Dwi; Ulfa, Maria
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 2 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i2.351

ABSTRAKPasca-sectio caesarea (SC), pasien diharapkan melakukan mobilisasi secara bertahap untuk mencegah bahaya fisiologis dan psikologis yang mungkin dapat terjadi. Namun, masih sedikit informasi yang melaporkan tentang pelaksanaan mobilisasi dini di lapangan. Tujuan penelitian: Menggambarkan asuhan keperawatan pada pasien pasca-SC, khususnya pada aspek hambatan mobilitas fisik. Keluhan utama: Pasien 1 (21 tahun) ditemani suami datang ke RS atas rujukan puskesmas. Mereka sudah memahami bahwa harus melahirkan secara SC karena panggul sempit. Selanjutnya, dilakukan operasi SC dengan anestesi lumbal, insisi melintang, luka ± 10 cm. Pasien 1 mengalami anemia sehingga dilakukan transfusi darah. Pasien 2 (32 tahun), datang ke RS ditemani suami, dirujuk karena panggul sempit dari puskesmas, kemudian dilakukan operasi SC dengan anestesi lumbal, insisi melintang, luka ± 10 cm. Pengkajian melalui wawancara, obervasi, pemeriksaan fisik, dan studi dokumentasi. Hasil:Intervensi untuk mobilisasi dilakukan setelah tindakan operasi selesai secara bertahap selama tiga hari perawatan. Hari pertama dilakukan pemberian informasi dan ambulasi awal di tempat tidur. Hari kedua pengaturan posisi semi-fowler, membantu perpindahan, latihan keseimbangan berdiri, berjalan. Hari ketiga pasien melakukan aktivitas mandiri tanpa bantuan, penyuluhan perawatan di rumah setelah operasi. Diskusi: Peran perawat pada pasien dengan melakukan mobilisasi secara bertahap serta berkolaborasi dengan tenaga kesehatan yang lain dapat mendukung percepatan pasien melakukan tindakan mobilisasi secara mandiri. Simpulan: Perawat perlu meningkatkan mobilisasi pasien secara bertahap dengan memerhatikan faktor ibu dan keluarga. Perawat disarankan meningkatkan pengetahuan, misalnya mengenai ERAC dan dalam proses asuhan keperawatan menggunakan rangkaian standar pelayanan untuk penyelenggaraan praktik keperawatan di Indonesia, yaitu SDKI, SIKI, SLKI, dan SPO.Kata kunci: mobilisasi dini, sectio caesaria Gradual Mobilization in Post Cesarean Section: A Case Study at Dr. Haryoto Hospital of Lumajang ABSTRACTAfter the caesarean section (CS), patients are expected to mobilize gradually to prevent physiological and psychological hazards. However, there is still little information reporting about the implementation of early mobilization. Objective: to describe nursing care in post-CS patients, especially regarding physical mobility barriers. Primary complaint: Patient 1 (21 years old), accompanied by her husband, came to the hospital based on the referral of the Public Health Center. They already understood that they had to give birth by cesarean section because the pelvis was narrow. Next, SC surgery was performed with lumbar anesthesia, transverse incision, and wound ± 10 cm. Patient 1 was anemic, so a blood transfusion was performed. Patient 2 (32 years) came to the hospital accompanied by her husband and was referred by the Public Health Center because of a narrow pelvis; then, an SC operation was performed with lumbar anesthesia, transverse incision, and wound ± 10 cm. Assessment through interviews, observations, physical examinations, and documentation studies. Results: interventions for mobilization were performed after the surgery was completed in stages for 3 days of treatment. On the first day, information was given and early ambulation was performed in bed. On the second day, the activities included adjusting semi-Fowler's position, assisting the movement, exercising balanced standing, and walking. On the third day, the patient did independent activities without assistance and counseling on home care after surgery. Discussion: The nurses play a role by gradually mobilizing patients and collaborating with other health workers to support patients' acceleration to mobilize independently. Conclusion: Nurses need to increase patient mobilization gradually by paying attention to maternal and family factors. Nurses are advised to increase knowledge, for example, about ERAS and the nursing care process by using a series of service standards for implementing nursing practice in Indonesia, namely SDKI, SIKI, SLKI, dan SPO.Keywords: early mobilization, cesarean section

HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT STRES TENAGA KESEHATAN SELAMA MASA PANDEMI COVID-19 DI PUSKESMAS Fortuna, Fithrotunnada; Ahsan, Ahsan; Kristianingrum, Niko Dima
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 1 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i1.310

ABSTRAKWorld Health Organization (WHO) mendeklarasikan status pandemi virus Covid-19. Virus tersebut tidak hanya menyebabkan masalah fisik, tetapi juga masalah psikologis, seperti halnya stres, yang kerap terjadi pada tenaga kesehatan, sebagai frontliner dalam menghadapi pandemi. Sehingga penting untuk mencari dan menganalisis koping yang tepat untuk mengatasi hal tersebut dengan tujuan untuk mengurangi tingkat stres dan mengoptimalkan pelayanan. Tujuan penelitian: Untuk menganalisis hubungan antara tingkat stres dan dukungan keluarga pada tenaga kesehatan selama masa pandemi Covid-19. Metode: Penelitian ini menggunakan desain cross sectional. Peneliti mengambil sampel dengan teknik total sampling, dengan total responden sejumlah 35 orang, menggunakan instrumen perceived stress scale (PSS) dan dukungan keluarga yang telah valid dan reliabel. Data dianalisis dengan uji korelasi rank Spearman. Hasil: dukungan keluarga paling besar berada pada kategori tinggi (62,9%) dengan mean tertinggi berada pada domain emosional sebesar 13,06. Sebanyak 57,1% responden mengalami stres sedang. Analisis hubungan dukungan sosial dan tingkat stres didapatkan nilai koefisien korelasi sebesar –0,569 dan p value 0,000. Diskusi: Semakin tinggi dukungan keluarga, akan semakin rendah tingkat stres yang dirasakan oleh tenaga kesehatan. Kesimpulan: Keluarga dengan anggota keluarga seorang tenaga kesehatan sebaiknya memberikan dukungan dalam bekerja, terutama dalam bentuk dukungan sosial. Selain untuk mengurangi tingkat stres pada tenaga kesehatan, dukungan ini juga diharapkan dapat membantu tenaga kesehatan dalam memberikan pelayanan secara maksimal.Kata Kunci: Covid-19, dukungan keluarga, puskesmas, stres, tenaga kesehatan Correlation Between Family Support and Health Workers' Stress During the Covid-19 Pandemic at Public Health Centre ABSTRACTThe World Health Organization (WHO) declared the status of the Covid-19 virus pandemic. The virus does cause not only physical problems but also psychological problems, such as stress, which often occurs in health workers, who are the front liners in dealing with a pandemic. Therefore, it is crucial to identify and analyze the proper coping to overcome this issue to reduce stress levels and optimise services. Objective: To analyze the correlation between stress levels and family support for health workers during the Covid-19 pandemic. Methods: This research used a cross-sectional design. Researchers took samples using total sampling technique, with 35 respondents, using the valid and reliable perceived stress scale (PSS) and family support instruments. Data were analyzed by Spearman's rank correlation test. Results: Most family support was in the high category (62.9%), with the highest mean being in the emotional domain at 13.06. 57.1% of respondents experienced moderate stress. The analysis of the correlation between social support and stress levels obtained a correlation coefficient of -0.569 and a p-value of 0.000. Discussion: The higher the family support, the lower the health workers' stress level. Conclusion: Families with family members who are health workers should support their work, especially in the form of social support. In addition to reducing stress levels for health workers, this support is also expected to help health workers provide maximum service.Keywords: Covid-19, family support, public health centre, stress, health workers

HUBUNGAN EFIKASI DIRI DENGAN KEPATUHAN DIET PADA PASIEN HIPERTENSI GRADE I Olpah, Munirah; Riduansyah, Muhammad; Manto, Onieqe Ayu Dhea
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 7, No 3 (2022)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v7i3.362

ABSTRAKHipertensi merupakan penyakit kronis yang sering ditemukan di Indonesia. Diperkirakan pada 2025 akan ada 1,5 miliar orang terkena hipertensi serta setiap tahun ada 9,4 juta orang meninggal akibat hipertensi dan komplikasi. Efikasi diri dalam kepatuhan dipengaruhi adanya interaksi yang kompleks dari individu dan lingkungan sekitarnya. Tujuan penelitian: Mengetahui hubungan efikasi diri dengan kepatuhan diet pada pasien hipertensi grade I di Puskesmas Sungai Turak. Metode: Desain deskriptif korelasi dengan cross sectional. Sampel ialah pasien hipertensi grade I di Puskesmas Sungai Turak berjumlah 92 orang. Teknik pengambilan sampel adalah purposive sampling. Pengumpulan data menggunakan kuesioner efikasi diri dan kepatuhan diet yang telah valid dan reliabel. Analisis data menggunakan uji chi-square. Hasil: Hasil penelitian menunjukkan efikasi diri pada kategori tinggi 59,79% dan kepatuhan diet pada kategori patuh 71,74%. Analisis data menggunakan uji chi-square didapatkan signifikansi p-value 0,032. Diskusi: Efikasi diri membuat seseorang berpotensi untuk berperilaku sehat dan kepatuhan pasien dalam menjalankan diet penting dalam mengontrol tekanan darah. Kesimpulan: Diharapkan perawat memberikan edukasi kepada pasien sebagai care provider, educator, dan health promotor sehingga meningkatkan pengetahuan pasien dan membentuk sikap positif untuk meningkatkan efikasi diri dan kepatuhan diet pada pasien hipertensi grade I dalam mengontrol pola diet yang dianjurkan. Dengan demikian, pasien dapat melakukan asuhan hipertensi secara mandiri dan mencegah komplikasi.Kata Kunci: efikasi diri, hipertensi grade I, kepatuhan diet Correlation Between Self-Efficacy and Dietary Adherence in Patients with Grade I Hypertension ABSTRACTHypertension is a chronic disease that is often found in Indonesia. It is estimated that in 2025, there will be 1.5 billion people affected by hypertension, and 9.4 million people will die from hypertension and complications yearly. The complex interaction of individuals and the surrounding environment influences self-efficacy in adherence. Objective: To identify the correlation between self-efficacy and dietary adherence in patients with grade I hypertension at the Sungai Turak Public Health Center. Methods: This research employed descriptive correlation design with cross-sectional. The samples were patients with grade I hypertension at the Sungai Turak Health Center, numbering 92. They were taken using purposive sampling. Data were collected using a valid and reliable self-efficacy and dietary adherence questionnaire. Data were analyzed using the chi-square test. Results: The results showed that self-efficacy was high by 59.79%, and dietary adherence was adherent by 71.74%. The data analysis using the chi-square test indicated a significant p-value of 0.032. Discussion: Self-efficacy made a person potential to have healthy behavior, and patient adherence to the diet was important in controlling blood pressure. Conclusion: It is expected that nurses educate patients as care providers, educators, and health promoters to increase patient knowledge and take a positive attitude to increase self-efficacy and dietary adherence in patients with grade I hypertension in controlling the recommended dietary pattern. Therefore, patients can take hypertension care independently and prevent complications.Keywords: self-efficacy, grade I hypertension, dietary adherence

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Home Page

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Editorial Address Sekretariat DPP PPNI Graha PPNI Jl. Lenteng Agung Raya No 64, Kec. Jagakarsa, RT 006 RW O8, Jakarta Selatan

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Abstract

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Contact Name
Elsi Dwi Hapsari

Contact Email
elsidhapsari2@gmail.com

Phone
+6287839259788

Journal Mail Official
elsidhapsari2@gmail.com

Editorial Address
Sekretariat DPP PPNI Graha PPNI Jl. Lenteng Agung Raya No 64, Kec. Jagakarsa, RT 006 RW O8, Jakarta Selatan

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INDONESIA