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Jurnal Aisyah : Jurnal Ilmu Kesehatan

jika
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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.

Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)

Articles 1,302 Documents

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Total Phenolic Content of Natural Deep Eutectic Solvent (NADES) Extraction in Comfrey (Symphytum officinale) Andiri Niza Syarifah; Herman Suryadi; Abdul Mun'im
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Objective: The most common type of phytochemical is phenolic compounds. These compounds are mostly found in the plant kingdom, and extraction is one of the first and most important stages before any use. The green chemistry trend has encouraged the researcher to discover and generate innovative solvents in the extraction of phenolic compound (PC) as a strategy to toxic and potentially hazardous organic solvents. Natural Deep Eutectic Solvents (NADES) have recently been used as phenolic compound extraction solvents. The objective of this study is to determine the total phenolic contents of the NADES extract from comfrey (Symphytum officinale). Methods: This study used choline chloride-urea, choline chloride-glycerol and choline chloride-sucrose combination of NADES for extraction of phenolic compound in comfrey. The extraction was helped using Ultrasound Assisted Extraction (UAE). The extracted material was examined using a UV-Vis spectrophotometer. Results: The results showed that the total phenol of choline chloride-urea, chloride-glycerol and choline chloride-sucrose NADES comfrey extraction was 2.069, 1.566, and 1.906 mg GAE /gram of dry powder, respectively. Conclusion: Based on the result, it can be concluded type of NADES combination showed a different level of phenolic extraction. The best phenolic extraction was shown in the combination of choline chloride-urea. Abstrak: Latar belakang: Fenol adalah senyawa kimia yang paling umum ditemukan dalam tanaman. Proses ekstraksi berperan penting dalam pemisahan senyawa fenol dari tanaman sebelum dimanfaatkan. Saat ini penelitian banyak difokuskan pada proses ekstraksi yang ramah lingkungan. Salah satunya adalah menggunakan Natural Deep Eutectic Solvent (NADES) dalam proses ekstraksi senyawa fenol. Tujuan penelitian ini adalah menghitung kadar fenol total dalam ekstrak NADES tanaman komfrey. Metode: Penelitian ini menggunakan NADES yang berasal dari kolin klorida-gliserol, kolin klorida-urea dan kolin klorida-sukrosa. Proses ekstraksi menggunakan Ultrasound Assisted Extraction (UAE) untuk mempercepat proses ekstraksi. Penentuan kadar fenol total diukur menggunakan spectrophotometer UV-Vis. Hasil: Kadar fenol total dalam ekstrak NADES masing-masing adalah 1.566, 2.069 and 1.906 mg GAE /gram sampel. Kesimpulan: Berdasarkan hasil yang diperoleh dapat disimpulkan bahwa kombinasi masing-masing NADES memberikan kemampuan ekstraksi senyawa fenol yang berbeda-beda. Kadar fenol total terbaik dihasilkan oleh kombinasi NADES kolin klorida-urea.

Psychosocial Condition and Parenting Self-Efficacy Among Postpartum Mothers Oktafia, Riski; Rahmayanti, Rini; Maghpira, Dea Ainun; Indriastuti, Nur Azizah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

The postpartum period is a transitional period of changing roles for parents. Postpartum mothers need to have confidence in their ability to care for and nurture babies. Psychosocial conditions are one of the causes of problems in achieving her new role as a mother and babysitting. The study's focus was to determine the relationship of psychosocial conditions with parenting self-efficacy among postpartum mothers. This study is a correlational quantitative study with a cross-sectional approach. Sampling using purposive sampling of 107 respondents in postpartum mothers. The instrument used to measure psychosocial conditions uses the postnatal risk questionnaire (PNRQ) instrument and the parenting self-efficacy using the self-efficacy parenting scale (PSES) instrument. The statistical test in this study is spearman rank. The results showed that postpartum mothers had psychosocial conditions at risk of 36 (33.6%) and were not at risk by 71 (66.4%). Postpartum mothers had high self-efficacy parenting 98 (91.6%) and low 9 (8.4%). The results of the statistical test showed p-value= 0.000 and correlation coefficient= 0.426. There is a significant association of psychosocial conditions with self-efficacy parenting in postpartum mothers. Nurses need to identify the psychosocial condition of postpartum mothers and improve parenting self-efficacy towards the care of mothers and their babies. Abstrak: Periode pascapersalinan merupakan masa transisi perubahan peran menjadi orang tua. Ibu pasca persalinan perlu memiliki keyakinan terhadap kemampuan dalam merawat dan mengasuh bayi. Kondisi psikososial merupakan salah satu penyebab masalah dalam mencapai peran barunya sebagai seorang ibu dan pengasuhan bayi. Tujuan penelitian ini mengidentifikasi hubungan kondisi psikososial dengan parenting self-efficacy pada ibu pascapersalinan. Penelitian ini merupakan penelitian kuantitaif korelasional dengan pendekatan cross-sectional. Pengambilan sampel menggunakan purposive sampling sejumlah 107 responden pada ibu pascapersalinan. Instrumen yang digunakan untuk mengukur kondisi psikososial menggunakan instrumen postnatal risk questionnaire (PNRQ) dan parenting self-efficacy menggunakan instrumen self efficacy parenting scale (PSES). Uji statistik dalam penelitian ini adalah spearman rank. Hasil penelitian menunjukkan ibu pascapersalinan memiliki kondisi psikososial beresiko sebesar 36 (33,6%) dan tidak berisiko sebesar 71 (66,4%). Ibu pascapersalinan memiliki parenting self-efficacy yang tinggi 98 (91,6%) dan rendah 9 (8,4%). Hasil uji statistik menunjukkan p-value= 0,000 dan koefisien korelasi= 0,426. Terdapat hubungan yang signifikan terhadap kondisi psikososial dengan parenting self-efficacy pada ibu pascapersalinan. Perawat perlu mengidentifikasi kondisi psikososial ibu pascapersalinan dan meningkatkan parenting self-efficacy terhadap perawatan ibu dan bayinya.

The Relationship between TNF- Levels and Platelet Counts in Dengue Hemorrhagic Fever Patients in RSUD DR. Soedjono Selong, East Lombok Regency, West Nusa Tenggara Province Herlinawati, Herlinawati; Hermawati, Resna; Azmi, Fahriana; Sabariah, Sabariah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Dengue hemorrhagic fever is an infectious disease caused by the dengue virus (DENV) and transmitted through the Aedes aegypti mosquito. Macrophage infection by the dengue virus causes activation of T-helper and T-cytotoxic so that lymphokines and interferon-gamma are produced. Interferon-gamma will activate monocytes so that various inflammatory mediators are secreted such as TNF-, IL-1, and IL-6 which results in endothelial cell dysfunction and plasma leakage. Vascular disorders that occur are characterized by a decrease in the number of platelets. This study aims to determine the relationship between TNF- levels and the number of platelets in patients with dengue hemorrhagic fever at RSUD DR. Soedjono Selong, East Lombok Regency, NTB Province. Analytical observation with cross-sectional design. This research was conducted in RSUD DR. Soedjono Selong; the time of the study was April-September 2021. The sample of this study was dengue hemorrhagic fever patients who were hospitalized at RSUD DR. Soedjono Selong as many as 70 people. This research uses the method of consecutive sampling, with the independent variable in the form of TNF- and the dependent variable in the form of platelets. The platelet count was checked withThe Sysmex XN 550 autoanalyzer uses the hydrodynamic impedance counting method (sheath flow DC method) and checks the levels of TNF-? with an ELISA kit. Data analysis was carried out using SPSS, namely univariate test, and bivariate test with Chi-square. There were 27 (38.6%) males and 43 (61.4%) females with a total of 70 patients. The age of the youngest patient was 1 year and the age of the oldest patient was 66 years with a mean age of 24 years ± 20 years. All 70 dengue hemorrhagic fever patients had normal TNF- levels. There were 30 (48.6%) with normal platelet counts and 36 (51.4%) with abnormal platelet counts. And found a non-significant relationship between levels of TNF- with the number of platelets with a value (p = 0.908). There is no relationship between levels of TNF- with platelet count in dengue hemorrhagic fever patients in RSUD DR. Soedjono Selong, East Lombok Regency, NTB Province.

Acupressure on the xuehai point (SP10) reduces menstrual pain in students Khayati, Nikmatul; Febrianti, Rizka; Machmudah, Machmudah; Rejeki, Sri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Background: Dysmenorrhea is a pain in the abdomen that is felt before the onset of menstruation until the initial period of the menstrual process. Pain occurs due to uterine ischemia. Pain during menstruation (dysmenorrhea) varies in level so that different manifestations are felt. Pain may radiate from the abdomen to the waist. Dysmenorrhea can disrupt daily activities, sleep disturbances, learning and concentration disorders, and decrease appetite. Acupressure is a non-pharmacological therapy to treat dysmenorrhea. This study aims to determine the effectiveness of acupressure on the level of menstrual pain in college students. Method: The type of research is quasi-experimental with a one-group pre-post test design. The number of samples is 18 respondents. The sampling technique is non-probability sampling with a purposive sampling approach. Each respondent measured the level of pain before and after therapy to determine the effectiveness of acupressure therapy. Result: The results showed that the level of menstrual pain after acupressure decreased by 1.444 points. With a p-value (0.000) with a significance p-value of less than 0.05, it can be concluded that the acupressure action is effective. Acupressure on the Xuehai point (SP10) is effective against the level of menstrual pain (dysmenorrhea) significantly. Analysis: The acupressure mechanism at the Xuehai (sp10) point causes a deqi reaction (numbness, heaviness, tension) so that it stimulates the release of neurotransmitters that will enter the blood circulation which circulates throughout the body towards sensory nerves and stalked cells which can inhibit nerve impulses to the hypothalamus-pituitary. Discussion: Researchers suggest that students can apply acupressure therapy when experiencing dysmenorrhea as an alternative option to overcome the pain they feel. Abstrak: Latar belakang:Dismenore adalah nyeri pada perut yang dirasakan sebelum dimulainya menstruasi sampai dengan awal periode proses menstruasi. Nyeri terjadi karena iskemia uterus. Nyeri saat menstruasi (dismenore) berbeda-beda tingkatannya sehingga dirasakan manifestasi yang berbeda. Nyeri dapat menyebar dari perut ke pinggang. Dismenore dapat mengganggu aktivitas sehari-hari, gangguan tidur, gangguan belajar dan konsentrasi, serta penurunan nafsu makan. Akupresur merupakan terapi nonfarmakologis untuk mengatasi dismenore. Penelitian ini bertujuan untuk mengetahui efektivitas akupresur terhadap tingkat nyeri haid pada mahasiswa. Metode:Jenis penelitian ini adalah eksperimen semu dengan desain one group pre-post test design. Jumlah sampel adalah 18 responden. Teknik pengambilan sampel adalah non-probability sampling dengan pendekatan purposive sampling. Setiap responden mengukur tingkat nyeri sebelum dan sesudah terapi untuk mengetahui efektivitas terapi akupresur. Hasil:Hasil penelitian menunjukkan bahwa tingkat nyeri haid setelah akupresur mengalami penurunan sebesar 1,444 poin. Dengan p-value (0,000) dengan signifikansi p-value kurang dari 0,05 maka dapat disimpulkan bahwa tindakan akupresur efektif. Akupresur pada titik Xuehai (SP10) efektif terhadap tingkat nyeri haid (dismenore) secara signifikan. Analisis:Mekanisme akupresur pada titik Xuehai (sp10) menyebabkan reaksi deqi (mati rasa, berat, tegang) sehingga merangsang pelepasan neurotransmiter yang akan masuk ke peredaran darah yang beredar ke seluruh tubuh menuju saraf sensorik dan sel-sel penguntit yang dapat menghambat saraf impuls ke hipotalamus-hipofisis. Diskusi:Peneliti menyarankan agar mahasiswa dapat menerapkan terapi akupresur saat mengalami dismenore sebagai alternatif pilihan untuk mengatasi nyeri yang dirasakan.

Covid-19 risk perception and anxiety of third-semester pregnant mothers in facing childbirth during the time of covid-19 pandemic in 2022 Handayani, Sri; Putri, Sartika Dwi Yolanda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Pregnant women have the most anxiety during the COVID-19 pandemic because they are vulnerable and at high risk. Excessive anxiety raises stress hormone levels in the body, which inhibits cervical dilatation and causes labor to take longer. Long delivery is one of the causes of Indonesia's high maternal mortality rate. The purpose of this study is to identify the factors that influence third-trimester pregnant women's worry about childbirth during the COVID-19 pandemic at the Kasihan I Community Health Center in 2022. The research design used was Cross-Sectional with an analytical survey method. Sampling was done by purposive sampling where the sample amounted to 74 respondents. Data were analyzed using univariate, bivariate, and multivariate logistic regression. The findings revealed a link between the perceived risk of COVID-19 and the anxiety of pregnant women in their third trimester about giving birth at the Kasihan I Community Health Center in 2022. The study's result was the varying perception of COVID-19 risk and the anxiety of pregnant women in their third trimester. Abstrak: Kecemasan yang dirasakan paling akut pada populasi rentan dan berisiko tinggi dimasa pandemi COVID-19 yaitu pada ibu hamil. Kecemasan yang berlebihan menyebabkan kadar hormon stres dalam tubuh meningkat dan menghambat dilatasi serviks, mengakibatkan persalinan lama. Persalinan lama merupakan salah satu penyebab tingginya angka kematian Ibu di Indonesia. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kecemasan ibu hamil trimester III dalam menghadapi persalinan di masa pandemi COVID-19 di Puskesmas Kasihan I tahun 2022. Desain penelitian yang digunakan adalah Cross-Sectional dengan metode survey analitik. Pengambilan sampel dengan teknik purposive sampling, sampel berjumlah 74 responden. Data dianalisis secara univariat, bivariat dan multivariat menggunakan regresi logistik berganda. Hasil penelitian terdapat hubungan antara persepsi risiko COVID-19 dengan kecemasan ibu hamil Trimester III dalam menghadapi persalinan di Puskesmas Kasihan I Tahun 2022. Simpulan penelitian ini variabel persepsi risiko COVID-19 dengan kecemasan ibu hamil trimester III.

An Ethnographic Study of the Concept of COVID-19 in the Belu Community Beliefs Djulianus Tes Mau; Maria Julieta Esperanca Naibili
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

The spread of COVID-19 that has swept across the world as a global public health emergency is an unexpected, sudden, unplanned, and unimaginable event that has even affected the world in all aspects of the fabric of people's lives including psychological, economic, educational and social. culture. Belu is one of the districts in East Nusa Tenggara Province, Indonesia. The main style of culture in the Belu Regency is that it has four major ethnic groups, namely Tetun, Marae, Kemak, and Dawan which are thick with customs by the teachings of the Belu tradition. The Belu community has a view of life that believes that there is a close relationship between individuals, society, and nature which is symbolized through various forms in the form of traditions of carrying out ritual or customary ceremonies. To explore public perception about the concept of COVID-19 in public trust in Belu Regency, East Nusa Tenggara Province. Methods An ethnographic approach used by focused ethnography. Data Collection for 6 months (May until October) through interviews, documents, and observations. Tested semi-structured interview guide. The type of purposive sampling consisted of 14 participants consisting of 4 communities, 6 health workers, and 4 traditional elders living in Belu. Data analysis using NVIVO. Analysis of qualitative ethnographic research data using the Spradley Model to look for cultural themes, found three main themes: (1) Other Names or Local Designations for COVID-19 (2) Community Trust vs Mistrust against the Danger of COVID-19 (3) Standing, Blocking, Expelling, Deterring and Fencing and Unite in Dealing with COVID-19. Abstrak: Penyebaran COVID-19 yang melanda di seluruh dunia sebagai darurat kesehatan masyarakat global merupakan suatu peristiwa yang tidak terduga, tiba-tiba, tanpa perencanaan dan tak terbayangkan bahkan telah mempengaruhi dunia pada segala aspek tatanan kehidupan masyarakat mencakup psikologis, ekonomi, pendidikan dan sosial budaya. Belu merupakan salah satu kabupaten di Provinsi Nusa Tenggara Timur, Indonesia. Corak utama kebudayaan di Kabupaten Belu yaitu memiliki empat etnis besar yaitu Tetun, Marae, Kemak, dan Dawan yang kental dengan adat sesuai dengan ajaran tradisi Belu. Masyarakat Belu memiliki pandangan hidup yang meyakini bahwa terdapat hubungan erat antar individu, masyarakat, dan alam yang dilambangkan melalui berbagai bentuk berupa tradisi melaksanakan upacara-upacara ritual atau adat. Mengeksplorasi persepsi masyarakat tentang konsep COVID-19 dalam kepercayaan masyarakat di Kabupaten Belu, Provinsi Nusa Tenggara Timur. Metode penelitian etnografi menggunakan focused ethnography. Data dikumpulkan selama 6 bulan (Mei s.d. Oktober) melalui wawancara, dokumen, dan observasi. Wawancara semi struktur menggunakan pedoman wawancara. Tipe Purposive Sampling tediri dari 14 partisipan mencakup 4 orang masyarakat, 6 orang tenaga kesehatan, 4 orang tua adat. Analisis data menggunakan NVIVO. Analisis data penelitian kualitatif etnografi menggunakan Model Spradley untuk mencari tema-tema budaya, ditemukan tiga tema utama : (1) Nama Lain atau Sebutan Lokal untuk COVID-19 (2) Trust vs Mistrust Masyarakat terhadap Bahaya COVID-19 (3) Berdiri, Menghadang, Mengusir, Menangkal dan Memagar serta Bersatu dalam Menangani COVID-19.

Management of Health Services through Telemonitoring in The Elderly Risky Ika Riani; Sri Achadi Nugraheni; Farid Agushybana
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

The increasing number of elderly people around the world will increase chronic diseases and multimorbidity. A consistent health care system at home that can help the elderly in dealing with their illness is needed. Effective health management can slow disease progression and minimize complications. Telemonitoring is part of a telehealth system that uses a patient management approach by combining various information technologies to monitor patients remotely via smart phones, which can be considered as a solution, because it has been proven to reduce treatment costs, shorten length of stay, reduce hospital readmission rates, and improve the quality of life of elderly patients.

Nursing Students' Perceptions and Attitudes about Altruism Shanti Wardaningsih; Intansari Adiningrum
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

The current trend of globalization allows a person to be lazy to socialize, thereby reducing one's altruism. In this case, college students have an essential role in applying altruism as a professional value of nursing. Altruism is a principle of caring to realize the welfare of other people's lives with sincerity without expecting anything in return. This study used a qualitative method with a descriptive approach. Data were collected through online interviews utilizing Zoom and Ms. Teams. Participants in this study amounted to seven people selected by the purposive sampling method. The data validity employed credibility, transferability, dependability, and confirmability tests. The results of this study revealed that the perceptions and attitudes of nursing students about altruism included altruism making a person better, altruism as a form of responsibility, altruism as a religious and social value, factors confirming altruism, and factors driving altruism. Here, nursing students must have altruistic behavior as a form of responsibility and its application to social and religious values. In addition, behaving altruistically provides many positive benefits for both helpers and those being helped. Suggestions for further research are the need for further action related to the results of this study to identify factors that can increase altruism behavior so that it can be used as a reference to improve nursing student altruism behavior. Abstrak: Tren globalisasi saat ini memungkinkan seseorang menjadi malas untuk bersosialisasi sehingga menurunkan sifat altruisme seseorang. Mahasiswa memiliki peran penting untuk menerapkan altruisme sebagai nilai profesional keperawatan. Altruisme merupakan suatu prinsip kepedulian untuk mewujudkan kesejahteraan hidup orang lain dengan keikhlasan tanpa mengharapkan suatu imbalan. Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Pengambilan data dilakukan dengan wawancara secara online melalui Zoom dan Ms Teams. Partisipan dalam penelitian ini berjumlah 7 orang yang dipilih dengan metode purposive sampling. Keabsahan data menggunakan uji credibility, transferability, dependability, confirmability. Hasil penelitian ini menunjukan persepsi dan sikap mahasiswa keperawatan tentang altruisme yaitu meliputi altruisme menjadikan seseorang lebih baik, altruisme sebagai bentuk tanggungjawab, altruisme sebagai nilai agama dan sosial, faktor yang meneguhkan altruisme, serta faktor yang menggerakan altruisme. Mahasiswa keperawatan penting untuk memiliki perilaku altruisme sebagai bentuk tanggung jawab dan juga penerapannya sebagai nilai sosial dan agama. Berperilaku altruisme memberikan banyak manfaat positif bagi penolong maupun yang ditolong. Saran untuk peneliti selanjutnya yaitu perlu adanya tindakan lanjut terkait hasil penelitian ini untuk mengidentifikasi faktor-faktor yang dapat meningkatkan perilaku altruisme sehingga dapat dijadikan sebagai acuan untuk meningkatkan perilaku altruisme mahasiswa keperawatan.

The Validity and Reliability of Pain Instruments In Patients With Decreased Level Of Consciousness: A Literature Review Asriyanto, Luthfi Fauzy; Chayati, Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Pain is an unpleasant experience that produces a detrimental effect on patients. The quality of pain management is influenced by an accurate pain assessment. However, a pain assessment in patients with a decreased level of consciousness is still a big challenge for nurses. Currently, there is no standard instrument for assessing pain in this population. This study aims to determine a valid and reliable pain instrument for pain assessment in patients with a decreased consciousness level. Our study was a literature review guided by Preferred Reporting Items for Systematic Reviews and Meta-Analysis. The Systematic search was conducted in PubMed, Science Direct, Scopus, SAGE, Taylor Francis, dan ProQuest using the keywords of “Pain Assessment” and “Loss of Consciousness”. The inclusion criteria were observational or experimental design articles, adult patients, and studies of patients with a decreased level of consciousnessbut not in a coma. The bibliography search yielded 861 articles. Through the selection process, seven articles were found to meet the eligibility. The results of the study show that pain instrument based on behavioral observations has better validity than the physiological indicator. All studies using pain instruments recommend the Critical-Care Pain Observational Tool as a valid and reliable instrument for pain assessment in patients with verbal communication disabilities. Facial expression is the most relevant indicator in assessing pain intensity changes. The results of this study increase the opportunity for nurses to build scientific evidence to improve the quality of pain management. Abstrak: Nyeri merupakan sebuah pengalaman tidak menyenangkan yang mengakibatkan efek buruk pada pasien. Kualitas penatalaksanaan nyeri dipengaruhi oleh penilaian nyeri yang akurat. Penilaian nyeri pada pasien dengan penurunan tingkat kesadaran masih menjadi tantangan besar bagi perawat. Saat ini belum terdapat instrumen standar yang digunakan dalam penilaian nyeri pada populasi pasien dengan penurunan tingkat kesadaran. Penelitian ini bertujuan untuk menentukan validitas dan reliabilitas instrumen nyeri pada pasien dengan penurunan tingkat kesadaran. Penelitian ini merupakan literature review yang mengacu pada pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Penelusuran sistematis dilakukan melalui database jurnal PubMed, Science Direct, Scopus, SAGE, Taylor Francis, dan ProQuest menggunakan kata kunci “Pain Assessment” and “Loss of Consciousness”. Kriteria inklusi penelitian meliputi artikel dengan metode observasi atau eksperimen, melibatkan pasien dewasa, dan penelitian dilakukan terhadap pasien dengan penurunan tingkat kesadaran, namun bukan dalam keadaan koma. Penelusuran pustaka menghasilkan 861 artikel. Melalui proses seleksi, didapatkan tujuh artikel yang memenuhi kriteria kelayakan review. Hasil review artikel menunjukkan bahwa instrumen nyeri berbasis observasi perilaku memiliki validitas lebih baik dibanding indikator fisiologis. Semua artikel penelitian yang menggunakan instrumen nyeri merekomendasikan Critical-Care Pain Observation Tool (CPOT) sebagai instrumen yang valid dan reliabel dalam penilaian nyeri terhadap pasien dengan ketidakmampuan komunikasi verbal. Ekspresi wajah merupakan indikator paling relevan dalam menilai perubahan intensitas nyeri. Hasil review ini meningkatkan peluang perawat dalam membangun bukti ilmiah guna meningkatkan kualitas penatalaksanaan nyeri.

Quality of Life Hemodialysis Patient and Caregiver: A Correlational Study During Pandemic Covid-19 on Indonesian Sample Wantonoro Wantonoro; Endang Koni Suryaningsih; Tuan Van Nguyen
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

The COVID-19 pandemic has caused great panic and anxiety worldwide, including for patients dialysis who reported high mortality and decreased patients quality of life including caregivers. This study aimed to investigate the correlation between the quality of life among patients undergoing hemodialysis and caregiver, especially during COVID-19 in Indonesia. A cross-sectional study design has been adopted. An accidental sampling technique was employed in this study between June and December 2021. Short Form-36 and Hospital Anxiety and Depression Scale were used to measure primary outcomes. Seventy-eight patients receiving hemodialysis and Seventy-eight caregivers were recruited. All of the patients had comorbidities (88.7%) and patients tend to be at a high level of depression and anxiety (53.2%), Middle level of depression and anxiety (30,4%). However, only a few (26.9%) caregivers had comorbidities, and all were without a high level of depression and anxiety. This study shows no correlation between the patients quality of life and the family caregivers quality of life during the COVID-19 pandemic, both from the physical (p 0.43) and mental dimensions (p 0.55). This study concluded that hemodialysis status, being older, a number of comorbidities, and depressing status influence quality of life. Program and specific treatment on depression among end-stage renal disease suggested for future study. Abstrak: Pandemi COVID-19 telah menimbulkan kepanikan dan kecemasan yang luar biasa di seluruh dunia, termasuk bagi pasien cuci darah yang dilaporkan memiliki angka kematian yang tinggi, penurunan kualitas hidup pasien termasuk bagi caregiver. Penelitian ini bertujuan untuk mengetahui hubungan kualitas hidup antara pasien yang menjalani hemodialisis dengan caregiver khususnya selama COVID-19 di Indonesia. Sebuah desain studi cross-sectional telah diadopsi. Teknik pengambilan sampel secara kebetulan digunakan dalam penelitian ini antara bulan Juni dan Desember 2021. Short Form-36 dan Hospital Anxiety and Depression Scale digunakan untuk mengukur hasil primer. Tujuh puluh delapan pasien yang menerima hemodialisis dan Tujuh puluh delapan pengasuh direkrut. Semua pasien memiliki penyakit penyerta (88,7%) dan pasien cenderung berada pada tingkat depresi dan kecemasan tinggi (53,2%), tingkat depresi dan kecemasan sedang (30,4%). Namun, hanya sedikit (26,9%) pengasuh yang memiliki penyakit penyerta, dan semuanya tanpa tingkat depresi dan kecemasan yang tinggi. Penelitian ini menunjukkan tidak ada hubungan antara kualitas hidup pasien dengan kualitas hidup caregiver keluarga selama pandemi COVID-19, baik dari dimensi fisik (p 0,43) maupun mental (p 0,55). Penelitian ini menyimpulkan bahwa status hemodialisis, usia lanjut, jumlah penyakit penyerta, dan status depresi mempengaruhi kualitas hidup. Program dan pengobatan khusus pada depresi di antara penyakit ginjal stadium akhir disarankan untuk studi masa depan.

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Hamid Mukhlis

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me@hamidmukhlis.id

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Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

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Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Hamid Mukhlis

Contact Email me@hamidmukhlis.id

Phone +6281325790254

Journal Mail Official me@hamidmukhlis.id

Editorial Address Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location Kab. pringsewu, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Hamid Mukhlis

Contact Email
me@hamidmukhlis.id

Phone
+6281325790254

Journal Mail Official
me@hamidmukhlis.id

Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location
Kab. pringsewu,

Lampung

INDONESIA