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Jurnal Aisyah : Jurnal Ilmu Kesehatan

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Published by Universitas Aisyah Pringsewu

ISSN : 25024825 EISSN : 25029495 DOI : 10.30604/jika

Core Subject : Health,

Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.

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Influence of Brief Psychoeducation Using Audio Video to Depression Score in Patients with Diabetic Foot Ulcer Priyono, Djoko; Putri, Triyana Harlia; Fradianto, Ikbal; Yulanda, Nita Arisanti; Sukarni, Sukarni; Akhmad, Arif Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Diabetes mellitus is one of the most common diseases today. It will cause several complications, one of which is a diabetic foot wound. The effects of this complication will affect psychological conditions in the form of depression. Depression can be handled using a psychosocial approach, one of which is psychoeducation intervention. The provision of psycho-educational interventions can use a variety of media so that the educational material presented is more attractive and can be received as much as possible. This study aimed to determine if there is an effect of brief psychoeducation using audio-video on depression score in a patient with a diabetic foot ulcer. This research used a quasi-experimental study with a pretest and posttest approach with the control group. The sample consisted of 32 respondents, divided into 2 groups of intervention and control groups. Samples were taken using purposive sampling. The instrument used was the Beck Depression Inventory (BDI) questionnaire. The data were analyzed using the Wilcoxon and Mann Whitney tests. The results showed that there was a difference in the average depression score between the control and intervention groups with a p-value less than 0.05. Psychoeducation using audio-video can help reduce depression in diabetic foot ulcer patients.Abstrak: Diabetes melitus merupakan salah satu penyakit yang paling banyak diderita saat ini. Diabetes melitus akan mengakibatkan terjadinya beberapa komplikasi, salah satunya luka kaki diabetik. Efek dari komplikasi ini akan mempengaruhi kondisi psikologis berupa depresi. Depresi dapat ditangani dengan menggunakan pendekatan psikososial, salah satunya intervensi psikoedukasi. Pemberian intervensi psikoedukasi dapat menggunakan berbagai media agar materi edukasi yang disampaikan lebih menarik dan dapat diterima semaksimal mungkin. Penelitian ini menggunakan kuasi eksperimen dengan pendekatan pretest and posttest with control group. Sampel berjumlah 32 responden, dibagi menjadi 2 kelompok intervensi dan kelompok control. Sampel diambil menggunakan purposive sampling. Instrumen yang digunakan adalah kuesioner Beck Depression Inventory (BDI). Data dianalisis menggunakan uji Wilcoxon dan Mann Whitney. Hasil menunjukkan bahwa terdapat perbedaaan rata-rata skor depresi antara kelompok kontrol dan intervensi dengan nilai p kurang dari 0,05. Psikoedukasi menggunakan video audio dapat membantu mengurangi depresi pada pasien diabetic foot ulcer.

Inovation for Nurses Burnout Intervention: A Systematic Review Asih Devi Rahmayanti; Kuswantoro Rusca Putra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Burnout was defined as a critical problem found in nurses which could deliver a though impact on their life quality and decrease of nursing quality that was proven by the existence of economic problem within the healthcare system. However, a variety of nursing interventions which were aimed to reduce this nurse problem varied and aimed to define this issue. This research was aimed to examine and conclude the study and discussion of nurse burnout in order to improve nursing performance output. This research was categorized into a systematic review which exerted Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines which was aimed to identify the researches on intervention taken for nurse burnout case. The researcher has independently searched these following scientific databases: ProQuest, Science Direct, and EBSCO for the preliminary researches that have been published between 2015-2020 in order to analyze and evaluate those researches which suited to the recent inclusion criteria. Based on the databases search of about 1273 articles, 12 researches have met to the criteria and were involved in this review. From the total of 12 researches, 8 researches have used randomized controlled testing, thus, the result should be deduced with carefully. According to the previous researches, the intervention on nurse burnout was conducted to improve the result of nursing performance through different programs as education, mindfulness therapy session, support, and increased involvement, also communication. Based on the selected researches in this recent review, it showed that an effective intervention for nurse burnout could be either performed individually or in groups and should consider some possible causes, so it could combine to several therapeutic instruments. This review suggested that the future intervention should concern on a more holistic approach by exerting the broader range of intervention techniques.

Experience Of Nurses In Providing Emergency Services In Ponelo Island: A Qualitative Study Pomalango, Zulkifli B.
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

An emergency involves many aspects, such as health workers, families, medical equipment and adequate health service facilities. The nurse is a health worker who can save a patient's life. Emergency services in remote areas allow nurses to face several threats and challenges. The community has the view that a nurse must be able to provide all health services in a complete manner, including treatment. This study aims to explore the experiences of nurses in emergency services in the Ponelo Islands, North Gorontalo district. The research design used was qualitative with an interpretive phenomenology approach. In-depth interviews with informants, which involved 3 participants who acted as implementing nurses at the community health center in Ponelo Island area. This study resulted in four themes, namely having concern for patients who need help, the helplessness of nurses to perform first aid in emergency cases, feeling anxious when referring patients and the importance of developing quality resources and medical center service facilities. The conclusion of the results of this study is that the limited number of nurses, the lack of development through training in emergency services and inadequate public health center service facilities causes the implementation of emergency services to be not optimal.Abstrak: Keadaan darurat melibatkan banyak aspek, seperti tenaga kesehatan, keluarga, peralatan medis dan fasilitas pelayanan kesehatan yang memadai. Perawat sebagai salah satu tenaga kesehatan yang dapat menyelamatkan nyawa pasien. Layanan darurat di daerah terpencil memungkinkan perawat menghadapi beberapa ancaman dan tantangan. Masyarakat memiliki pandangan bahwa seorang perawat, harus mampu memberikan semua layanan kesehatan secara paripurna termasuk pengobatan. Penelitian ini bertujuan untuk mengeksplorasi pengalaman perawat pelaksana dalam pelayanan gawat darurat di daerah kepulauan ponelo kabupaten gorontalo utara. Desain penelitian yang digunakan adalah kualitatif dengan pendekatan fenomenologi interpretatif. Wawancara mendalam menggunakan pertanyaan semi struktur yang melibatkan 3 partisipan yang berperan sebagai perawat pelaksana di pusat kesehatan masyarakat daerah kepulauan ponelo. Penelitian ini menghasilkan empat tema yaitu mempunyai kepedulian terhadap pasien yang membutuhkan pertolongan, ketidak berdayaan perawat melakukan pertolongan pertama pada kasus gawat darurat, perasaan cemas saat merujuk pasien dan pentingnya pengembangan kualitas sumber daya dan fasilitas layanan pusat kesehatan masyarakat. Kesimpulan hasil penelitian ini adalah keterbatasan tenaga perawat, kurangnya pengembangan melalui pelatihan layanan gawat darurat dan fasilitas layanan pusat kesehatan masyarakat yang kurang memadai menyebabkan pelaksanaan layanan gawat darurat menjadi tidak optimal.

Effectivity Strategy Screening Covid-19 : Systematic Review Nilawati, N; Syam, Bustami
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Asymptomatic transmission of the virus through asymptomatic carriers causes the spread of Covid-19 to become more widespread and dangerous. The purpose of this review is to find out how effective screening is in identifying COVID-19 patients. This research is a systematic review with The article database consists of CINAHL, ProQuest, PubMed, Springer Link, and ELSEVIER. There were 7 articles obtained according to the criteria and analyzed descriptively narrative and had met the quality of the study according to the criteria in Joanna Briggs' Critical Assessment Methodology guidelines. Based on the results of the extraction and synthesis analysis of seven articles, it shows that COVID-19 screening can identify asymptomatic individuals, especially in patients who are admitted to health facilities and in the community. Screening is effective for the control and spread of SARS-CoV-2 in the community and prevention of nosocomial infections in health facilities. Rapid identification of the patient, the asymptomatic carrier, and the mode of transmission of a particular pathogen are the main objectives of the pandemic response, which can then be incorporated into a larger set of medical measures. Antibody-based rapid testing and fever screening for screening should not be used to avoid low sensitivity.

Activities and Nurses' Role in Empowering Parents on Treating Children with Cancer Rasmita, Dina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Children with cancer will hospitalize for a long time, so it takes the role of the family as an integral part that cannot be separated from the child. The family are a partner in childcare. Family-centred care is an important part of childcare because the parent is a source of strength and a supportive child. The point of family-centred care is empowering families in childcare. Empowerment is the most important part of caring for nurses, families, and patients. Nurses are not only involved in daily childcare but also nurse plays a role in empowering parents in caring for children with cancer. The study aims to explore the activities and roles of nurses in empowering parents to care for children with cancer based on the nurse perception. The research design was a qualitative design with a phenomenological approach. Participants involved in this study were six nurses who served in the childcare room with cancer selected by purposive sampling technique. Data were collected by in-depth interview method using semi-structured interview guidelines. Data analysis with the analysis stage according to Colaizzi. The results of this study found four themes about the activities and roles of nurses in empowering parents in caring for children with cancer, including providing education, providing support, involving parents in caring for children, involving parents in decision making. Nurses can provide support according to the needs of parents and increase collaboration with parents in caring for children. Abstrak: Anak dengan kanker akan menjalani hospitalisasi dalam jangka waktu yang lama, sehingga dibutuhkan peran keluarga sebagai bagian integral yang tidak terpisahkan dari anak. Keluarga adalah mitra dalam perawatan anak. Perawatan berfokus pada keluarga adalah bagian penting dalam perawatan anak karena orangtua merupakan kekuatan dan dukungan utama bagi anak. Inti dari perawatan berfokus pada keluarga (PBK) adalah memberdayakan keluarga dalam perawatan anak. Pemberdayaan merupakan bagian terpenting dalam keperawatan baik untuk perawat, keluarga, dan pasien. Perawat tidak hanya terlibat dalam perawatan anak sehari-hari, tetapi perawat juga berperan dalam melakukan pemberdayaan orangtua dalam merawat anak dengan kanker. Penelitian ini bertujuan mengeksplorasi aktivitas dan peran perawat dalam pemberdayaan orangtua merawat anak dengan kanker berdasarkan sudut pandang perawat. Desain penelitian ini adalah desain kualitatif dengan pendekatan fenomenologi. Partisipan yang terlibat dalam penelitian ini adalah enam orang perawat yang bertugas di ruang perawatan anak dengan kanker dipilih dengan teknik purposive sampling. Pengambilan data dilakukan dengan metode wawancara mendalam menggunakan pedoman wawancara semi terstruktur. Analisis data dengan tahapan analisis menurut Colaizzi. Hasil penelitian ini menemukan empat tema tentang aktivitas dan peran perawat dalam pemberdayaan orangtua dalam merawat anak dengan kanker di antaranya yaitu memberi edukasi, memberi dukungan, melibatkan orangtua dalam merawat anak, melibatkan orangtua dalam pengambilan keputusan. Perawat dapat memberi dukungan sesuai dengan kebutuhan orangtua dan meningkatkan kolaborasi dengan orangtua dalam merawat anak.

Family Behavior In Caring Patients With Diabetic Foot At Home Ginting, Daniel Suranta; Tarigan, Mula; Amelia, Rina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Diabetic ulcers are one of the chronic complications of diabetes mellitus. Families are important partners in providing complex health services such as during the treatment of diabetic foot ulcer patients. This study is a qualitative study that aims to explore the meaning of family experiences in caring for diabetic foot ulcer patients at home in Delitua Village. This study uses a phenomenological qualitative method with interviews with families who have experience caring for diabetic foot ulcer patients for more than one year at home. The sampling technique used purposive sampling with ten participants. This research was conducted from December 2020 to February 2021. Data analysis used the Colaizzi method. The results of the study found the themes of family experience in treating diabetic foot ulcer patients, namely (1) emotional experience in treating diabetic foot ulcer patients (2) hard efforts to treat diabetic foot ulcer patients (3) Getting support from family in treating diabetic foot ulcer patients. (4) Experiencing limitations in treating diabetic foot ulcer patients (5) Family expectations in treating diabetic foot ulcer patients. Based on the results of the study, it was found that the family could not provide good care in treating diabetic foot ulcer patients at home. Abstrak: Ulkus diabetikum merupakan salah satu komplikasi kronik dari diabetes melitus. Keluarga merupakan mitra penting dalam memberikan pelayanan kesehatan yang kompleks seperti selama perawatan pasien ulkus kaki diabetik. Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk menggali makna pengalaman keluarga dalam merawat pasien ulkus kaki diabetik di rumah di Desa Delitua. Penelitian ini menggunakan metode kualitatif fenomenologis dengan wawancara keluarga yang memiliki pengalaman merawat pasien ulkus kaki diabetik selama lebih dari satu tahun di rumah. Teknik pengambilan sampel menggunakan purposive sampling dengan sepuluh orang partisipan. Penelitian ini dilakukan pada bulan Desember 2020 sampai dengan Februari 2021. Analisis data menggunakan metode Colaizzi. Hasil penelitian menemukan tema pengalaman keluarga dalam merawat pasien ulkus kaki diabetik yaitu (1) Pengalaman emosional dalam merawat pasien ulkus kaki diabetik (2) upaya keras merawat pasien ulkus kaki diabetik (3) Mendapatkan dukungan dari keluarga dalam merawat pasien ulkus kaki diabetik. (4) Mengalami keterbatasan dalam merawat pasien ulkus kaki diabetik (5) Harapan keluarga dalam merawat pasien ulkus kaki diabetik. Berdasarkan hasil penelitian didapatkan keluarga dapat belum memberikan asuhan yang baik dalam merawat pasien ulkus kaki diabetik di rumah

Interest of National Health Insurance Owners in Informal Sector in the Use of First Level Health Facilities in Jambi City Dwi Noerjoedianto; Andi Subandi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

The highest coverage of JKN participation in Jambi Province is the Jambi city. However, the size of JKN participation in Jambi city is not proportional to its use. This study aims to determine the interest of the owners National Health Insurance in informal sector in the use of first-level health facilities in the Jambi city. This research was conducted with quantitative methods using aapproach cross sectional. The population in this study are all informal workers whose population is unknown. The sample in this study are 105 respondents, the sampling technique was used purposive sampling. Bivariate results using the chi-square test, the relationship between the independent variable and the dependent variable, age (p=0,130), gender (p=0,401), education (p=0,134), income (p=0,183), knowledge (p=0,057), health facilities (p=0,174) , needs (p=0,000) with interest in using health insurance. The owners of the informal sector JKN in Jambi city was interested using first-level health facilities and there is a relationship between needs and interests of JKN owners in informal sector in the use of the first-level health facilities Jambi city

Marketing Strategy and Referral Efforts from First Level Health Facilities (FKTP) to Diponegoro National Hospital through the 7P (Product, Price, Place, Promotion, People, Process, and Physical Environment) Jati, Sutopo Patria; Fatmasari, Eka Yunila; Risdanti, Syafira; Silavati, Yuni Adhita
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Rumah Sakit Nasional Diponegoro (RSND) services are still not optimal, seen from the indicators of BOR, TOI and patient dissatisfaction, its need for an appropriate marketing strategy. So it needed an appropriate marketing strategy. The purpose was to analyze internal factors (weaknesses) and external factors (opportunities and threats) in determining marketing strategies and referral efforts to RSND with a qualitative analytic descriptive approach. The research was analysis 7P marketing mix (product, price, place, promotion, people, process, and physical evidence) with informants FKTP, DPP, Directors, Public Relations and Marketing, supervisory board, patients of RSND and university. Good perceptions on superior service products, service quality and prices, groups and skills of professionals, and sophisticated level of facilities and the image of RSND as an education hospital are strengths of the hospital. However, service schedules haven't in accordance with user expectations, the process and marketing team wasn't had reached all groups, communication between FKTPs and the hospital, and inefficient registration procedures are weaknesses. The strategy needed was market penetration and product development. The strategic priorities should be implemented providing media information and promotion regarding types of services to be distributed to FKTPs and holding networking forums between FKTPs and RSND.Abstrak: Pelayanan Rumah Sakit Nasional Diponegoro(RSND)masih belum optimal dilihat dari indikator BOR, TOI dan ketidakpuasan pasien sehingga perlu adanya upaya strategi pemasaran yang tepat. Tujuan penelitian ini adalah menganalisis faktor internal (kekuatan dan kelemahan) dan faktor eksternal (peluang dan ancaman) dalam penentuan strategi pemasaran dan upaya rujukan ke RSND dengan desain kualitatif dan pendekatan deskriptif analitik. Penelitian menganalisis bauran pemasaran 7P (product, price, place, promotion, people, process, dan physical evidence, dengan narasumberFKTP, DPP, Direksi, Humas dan Pemasaran, dewan pengawas dan pasien RSNDserta pihak universitas.Persepsi cukup baik pada produk layanan unggulan, kualitas dan harga layanan, ketersediaan dan keterampilan tenaga profesional, ketersediaan fasilitas yang canggih serta citra RSND sebagai rumah sakit pendidikanmenjadi sisi kekuatan rumah sakit. Jadwalpelayanan kurang sesuai ekspektasi pengguna, proses dan tim marketing yang belum menjangkausemua kalangan, komunikasi antara FKTP dengan pihak rumah sakit, dan prosedur pendaftaran yang kurang efisien menjadi kelemahan. Strategi yang diperlukan yaitu penetrasi pasar dan pengembangan produk .Prioritas strategi yang sebaiknya dijalankan yaitu menyediakan media informasi dan promosi mengenai jenis layanan untuk dibagikan ke FKTP dan mengadakan forum jejaring antara FKTP dengan RSND.

Pengembangan Skrining Deteksi Resiko Kehamilan Berdasarkan Kriteria Keadaan dan Kondisi Ibu Hamil Nina Herlina; Sri Nawangsari; Robby Kurniawan Harahap; Erik Ekowati; Anugriaty Indah Asmarany
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

The health status has become an indicator to sense the condition of pregnant women by checking it to the health facility. Today, people around the world are suffering from pandemics caused by COVID-19. This phenomenon has caused loss both in material and immaterial. To prevent the transmission, therefore the government is limiting the total visit to the health facility. Most pregnant women feel worried to check their pregnancy condition to the provided facility. Hence, the health workers have difficulty detecting the risk of their pregnancy in this pandemic. The scorecard from Poedji Rochjati is still being used to detect the risk of pregnancy. Numerous of the risks found in pregnancy are still not included in the card. Based on the research review result that had been done using the scoring by Peodji Rochjati, it shows there is still no development for the research. This research belongs to research and development. The development of how to detect the risk of pregnancy based on Score Card of Peodji Rochjati (KSPR) 23 criteria of pregnant woman, developed into 30 criteria of pregnancy risks by adding 7 more criteria, they are a pregnant woman with HIV-AIDS, kidney disease, autoimmunity, chronic hypertension, phospholipid syndrome, premature rupture of membranes and the pregnant woman confirmed with COVID-19. The development of health screening on how to detect pregnancy risks is an attempt to prevent emergency complications independent for pregnant women. Abstrak: Status kesehatan sebagai indikator untuk mengetahui keadaan dan kondisi ibu hamil dengan memeriksakan ke fasilitas kesehatan. Saat ini di seluruh dunia terjadi wabah pandemi yang disebabkan oleh COVID-19. Pandemik yang terjadi mengakibatkan kerugian secara material dan imaterial. Demi mencegah penularan maka pemerintah membatasi kunjungan pelayanan difasilitas kesehatan. Sebagian besar ibu hamil merasa khawatir untuk memeriksakan kehamilannya di fasiltas pelayanan kesehatan. Tenaga kesehatan kesulitan mendeteksi resiko ibu hamil pada masa pandemik. Pendeteksian resiko kehamil masih menggunakan kartu skor Poedji Rochjati. Banyaknya temuan kasus resiko ibu hamil sebagian belum masuk di kartu tersebut. Berdasarkan hasil review penelitian yang sudah dilakukan dengan menggunakan skoring Poedji Rochjatididapatkan belum ada pengembangan penelitian tersebut. Penelitian ini termasuk dalam jenis penelitian pengembangan Research and Development. Hasil: Pengembangan deteksi resiko ibu hamil berdasarkan Kartu Skor Poedji Rochjati (KSPR) 23 kriteria ibu hamil, dikembangkan menjadi 30 kriteria resiko kehamilan dengan menambahkan 7 kriteria resiko ibu hamil, antara lain ibu hamil dengan HIV-AIDS, penyakit ginjal, autoimun, hitpertensi kronik, phospholipid syndrome, ketuban pecah dini dan hamil dengan COVID-19. Pengembangan skrining deteksi resiko kehamilan merupakan upaya pencegahan komplikasi kegawatdaruratan (PKK) mandiri ibu hamil.

Relationship Between Family Support and Psychological Response to Chronic Kidney Failure Patients Windu Santoso; Sri Sudarsih
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Chronic renal failure patients undergoing hemodialysis may exhibit a variety of psychological responses. One of the factors that influence it is family support. This study aimed to determine the relationship between family support and the psychological response of chronic renal failure patients undergoing hemodialysis. The research design used correlation analysis with a cross-sectional approach. Samples were chronic renal failure patients undergoing hemodialysis (n = 183) with consecutive sampling. The data collection used a family support questionnaire and a psychological response questionnaire. Data analysis used the Spearman rank test. The results showed that dominant family support was quite high (72.1%). A small proportion of respondents had a psychological response to acceptance (38.8%). There is no relationship between family support and psychological response (p = 0.26 more than 0.05). Family support does not affect the psychological response, but considering that hemodialysis therapy is very long, family support must still be given optimally.

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Hamid Mukhlis

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