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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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The Application of Practice-Based Simulation to New Nurses on Clinical Skills and Self-Confidence Yusriani Saleh Baso; Fitri Arofiati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Background: To enhance the self-confidence and clinical skills of new nurses, it is necessary to have a learning process (education and training) utilizing the simulation learning method or Practice-Based Simulation.Research Purposes: This study aims to analyze the effect of Practice-Based Simulation on the clinical skills and self-confidence of new nurses at the Islamic General Hospital of Harapan Anda, Tegal.Research Methods: This study used the Quasy-Experiment method with a pretest-posttest approach using a control group design. A total of 40 respondents from both the intervention and control groups were sampled using a simple random sampling procedure. The study was conducted for four weeks. The instruments used were questionnaires and SPO. Data analysis was performed using Paired t-Test and Independent Samples t-Test. Results: The study’s findings revealed that the difference in clinical skills of ECG insertion in the intervention group was 9.65 points and 6.90 points in the control group. Meanwhile, the difference in clinical skill of infusion in the intervention group was 10.30 points and 7.20 points in the control group. Furthermore, the difference in the increase in self-confidence in the intervention group was 34.90 points and 23.35 points in the control group. Statistical tests using Independent Samples t-Test for clinical skills found that p= 0.00, which was less than 0.05 while for self-confidence,p = 0.00, which was less than 0.05.Conclusion: It was concluded that Practice-Based Simulation affects clinical skills and self-confidence in new nurses at the Islamic General Hospital of Harapan Anda, Tegal. Abstrak: Latar Belakang: Untuk meningkatkan kepercayaan diri dan keterampilan klinis perawat baru perlu adanya proses pembelajaran (pendidikan dan latihan) dengan menggunakan metode pembelajaran simulasi atau Practice Based Simulation. Tujuan Penelitian: Penelitian ini bertujuan untuk menganalisis pengaruh practice based simulation terhadap keterampilan klinis dan kepercayaan diri pada perawat baru di RSU Islam Harapan Anda Tegal. Metode Penelitian: Menggunakan metode Quasy–Experiment dengan pendekatan pretest-posttest with kontrol group design. Pengambilan sampel dengan teknik simple random sampling dengan jumlah 40 responden baik kelompok intervensi maupun kelompok kontrol. Penelitian dilakukan selama empat minggu, Instrumen yang digunakan adalah kuesioner dan SPO. Analisis data menggunakan uji Paired T-Test dan Independent Samples T-Test. Hasil: Hasil penelitian selisih peningkatan keterampilan klinis pemasangan EKG pada kelompok intervensi sebanyak 9,65 poin dan pada kelompok kontrol 6,90 poin , dan untuk keterampilan klinis pasang infus pada kelompok intervensi sebanyak 10,30 poin dan kelompok kontrol sebanyak 7,20 poin, sedangkan untuk selisih peningkatan self confidence pada kelompok intervensi sebanyak 34,90 poin dan kelompok kontrol sebanyak 23,35 poin. Uji Statistik menggunakan Independent Samples T-Test untuk keterampilan klinis didapatkan bahwa P=0.00 kurang dari 0.05 sedangkan untuk kepercayaan diri P=0.00 kurang dari 0.05. Kesimpulan: Disimpulkan bahwa practice based simulation mempengaruhi keterampilan klinis dan kepercayaan diri pada perawat baru di RSU Islam Harapan Anda Tegal.

The relationship between early mobilization and the healing process of perineal wounds in post partum mothers Simanjuntak, Lisda Yanti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

World Health Organization (WHO) 2017, about 830 women die every day due to complications during pregnancy or childbirth, to reduce the risk of maternal death globally from 216.1 million live births in 2015 to 70 per 100,000 live births. Perineal wound is a tear in the birth canal spontaneously or by episiotomy at the time of delivery of the fetus. The dangers and complications of perineal rupture include bleeding, infection, and dyspareunia (pain during sexual intercourse). Bleeding at perineal rupture can be severe especially in grades I and III ruptures or if the perineal rupture extends to the side or up the vulva on the clitoris. Based on an initial survey conducted by researchers at the Nabila Primary Clinic, Deli Serdang Regency on March 29, 2022. Out of 8 postpartum mothers, only 3 mothers did Early Mobilization, due to fear after childbirth. The purpose of this study was to determine the relationship between early mobilization and the perineal wound healing process in postpartum mothers at the Nabila Pratama Clinic in 2022. The research method used was observational with a cross-sectional survey analytic descriptive research type. The results of this Bivariate study indicate that the Chi-Square Statistical Test results obtained a P value of 0.021, then Ho is rejected and Ha is accepted, which means that there is a significant relationship between Early Mobilization and the Healing Process of Perineal Wounds in Post Partum Mothers.Abstrak: World Health Organization (WHO) 2017, sekitar 830 wanita meninggal setiap hari karena komplikasi selama hamil atau persalinan, Untuk mengurangi resiko kematian ibu secara global dari 216.100.000 kelahiran hidup pada tahun 2015 menjadi 70 per 100.000 kelahiran hidup. Luka perineum adalah sebagai adanya robekan jalan lahir secara spontan maupun secara episiotomi pada saat melahirkan janin. Bahaya dan komplikasi ruptur perineum antara lain perdarahan, infeksi, dan disparenia (nyeri selama berhubungan seksual). Perdarahan pada ruptur perineum dapat menjadi hebat khusunya pada ruptur derajat I dan III atau jika ruptur perineum meluas ke samping atau naik ke vulva mengenai klitoris. Berdasarkan survey awal yang dilakukan peneliti di Klinik Pratama Nabila Kabupaten Deli Serdang tanggal 29 Maret tahun 2022. Dari 8 ibu post partum hanya 3 ibu yang melakukan Mobilisasi Dini, disebabkan karena ketakutan pasca persalinan. Tujuan penelitian ini untuk mengetahui Untuk mengetahui hubungan mobilisasi dini terhadap proses penyembuhan luka perineum pada ibu post partum di Klinik Pratama Nabila Tahun 2022. Metode penelitian yang digunakan observasional dengan jenis penelitian deskriptif analitik survei cross secsional. Hasil penelitian Bivariat ini menunjukkan bahwa Dari hasil Uji Statistik Chi-Square diperoleh niali P value 0,021, maka Ho ditolak dan Ha diterima yang artinya ada hubungan signifikan antara Mobilisasi Dini Terhadap Prosese Penyembuhan Luka Perineum Pada Ibu Post Partum

The Effect of The Covid-19 Pandemic On Self-Management Of Patients With Diabetes Mellitus Type 2: Literature Review Risa Riyanti; Sutantri Sutantri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

During the COVID-19 pandemic, patients' mobility is severely restricted. They also adjust to the condition of their illness and have to think about the fear of contracting COVID-19. Diabetes mellitus is also one of the most common comorbidities found in COVID-19 patients. Therefore, it is necessary to know more about the influence or impact of the COVID-19 Pandemic on the self-management of patient with Type 2 Diabetes Mellitus. Melitus Type 2. This literature review uses 3 databases: Pubmed, Proquest, and Ebsco, which were published from 2019 to 2021 with the keywords "Effect of the COVID-19 Pandemic" "Patients" "Diabetes Type 2" "Self-Management" and "Covid-19". A total of 438 article were obtained, including 5 duplicate articles. The final results obtained five articles that meet the review requirements. Based on the literature study that has been analyzed, it can be concluded that the COVID-19 pandemic has a significant negative effect on the self-management of Type 2 DM patients. The COVID-19 pandemic and its outward impact have an indirect effect on the fragility of the health system and care management in Type 2 DM patients. There are many patients who avoid treatment for fear of contracting COVID-19. The results of the study showed that the results of the glycemic examination in Type 2 DM patients showed uncontrolled values. In Type 2 DM patients, there are lifestyle changes, such as diet, physical activity, and self-management during the COVID-19 pandemic and lockdown. The results showed that the lockdown had a negative effect on the health status of type 2 DM patients, especially in women.Abstrak : Pandemi Covid-19 berdampak pada self-management pasien Diabeter Melitus Type 2. Ruang gerak pasien selama Pandemi Covid-19 sangat terbatas. Mereka juga menyesuaikan dengan kondisi penyakitnya dan harus memikirkan takut tertularnya Covid-19. Diabetes melitus juga merupakan salah satu komorbid yang paling banyak ditemukan pada pasien Covid-19. Oleh karena itu perlu diketahui lebih tentang pengaruh atau dampak Pandemi Covid-19 terhadap self-management pasien dengan penyakit Diabetes Melitus Type 2. Tujuan tulisan ini adalah untuk melakukan telaah literatur tentang pengaruh atau dampak Pandemi Covid-19 terhadap self-management pasien dengan penyakit Diabetes Melitus Type 2. Literature Review ini menggunakan 3 database: Pubmed, Proquest, dan Ebsco yang dipublikasikan dari tahun 2019 sampai 2021 dengan kata kunci keyword “Pengaruh Pandemi Covid-19” “Pasien” “Diabetes Type 2” “Self-Menagement” “Covid-19”. Didapatkan Total 438 artikel, 5 artikel duplikat. Hasil akhir diperoleh 5 artikel yang memenuhi syarat review. Berdasarkan studi literatur yang telah dianalisis dapat disimpulakan bahwa Pandemi Covid-19 berpengaruh signifikan negatif terhadap self-management pasien DM Typ2. Pandemi Covid-19 dan dampaknya yang meluar terhadap memberikan efek tidak langsung terhadap kerapuhan sistem kesejatan dan manajemen perawatan pada pasien DM Type 2. Ada banyak pasien yang menghindari pengobatan karena takut tertular Covid-19. Hasil kajian menunjukkan bahwa hasil pemeriksaan glycemic pada pasien DM Type 2 menunjukkan nilai yang tidak terkontrol. Pada Pasien DM Type 2, ada perubahan gaya hidup, seperti pola makan, aktivitas fisik, dan self- management selam Pandemi Covid-19 dan lockdown. Hasil penelitian menunjukkan bahwa lockdown memiliki pengaruh yang negatif terhadap status kesehatan pasien DM Type 2, terutama pada perempuan.

Comparison of Anti-Salmonella Typhi IgM Examination Results with SD Bioline and Tubex TF. Methods Herlinawati Herlinawati; Resna Hermawati; I Gede Angga Adyana
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Salmonella typhi is a gram-negative bacterium that is an intracellular facultative pathogen, which enters the human body and causes an acute systemic infectious disease called typhoid fever. Among the laboratory tests used to detect the presence of anti-Salmonella typhi IgM in serum are SD Bioline and Tubex TF. This study aims to determinecomparison of the results of the anti-Salmonella typhi IgM examination with the SD Bioline and Tubex TF methods. Analytical observation with cross-sectional design. This research was conducted in RSUD DR. Soedjono Selong. The time of the study was January-April 2022. The sample of this study was patients who underwent typhoid fever examination who were hospitalized at RSUD DR. Soedjono Selong as many as 60 people. This research uses the methodconsecutive sampling,Anti-Salmonella typhi IgM was examined with the SD Bioline kit using the immunochromatography method and the TUBEX TF kit using the Inhibition Magnetic Binding Immunoassay (IMBI) method. Data analysis was performed using SPSS, namely univariate test, and bivariate test with Chi-square. There were 26 (43.3%) male and 34 (56.7%) female patients. The youngest is 2 years old and the oldest is 64 years old with an average age of 25 years ± 19 years. Of the total 60 patients examined with SD Bioline, 5 (8.3%) were positive and 55 (91.7%) were negative. Meanwhile, examination with TUBEX TF found 3 (5%) positive people and 57 (95%) negative people. And there was a significant comparison between the results of the SD Bioline and Tubex TF examination with a value (p = 0.000) and a low level of conformity was obtained with a Kappa value of 0.000. A comparison of the results of the IgM anti-Salmonella typhi examination was obtained using the SD Bioline and Tubex TF . methodswith a very low degree of conformity.

The effect of lavender essential oil aromatherapy on sleep quality in hemodialysis patients Niken Setyaningrum; Aris Setyawan; Difran Nobel Bistara
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Hemodialysis is a long-term therapy that must be undertaken by patients with chronic kidney disease. Patients who undergoing therapy for a very long time will have an impact on the patient's psychology. One of the psychological effects that arise is a sleep disorder. Poor sleep quality can lead to physiological changes, the endocrine system, cardiovascular system, and immune and nervous systems. To overcome sleep disorders in hemodialysis patients, non-pharmacological options can be used, namely Lavender Essential Oil Aromatherapy via inhalation. The purpose of this study was to determine the effect of Lavender Essential Oil Aromatherapy on Sleep Quality in Hemodialysis Patients. The study was conducted on 32 hemodialysis patients, divided into two groups, there are 16 intervention groups and 16 control groups. The intervention was carried out for 3 times of administration during intra-hemodialysis. The instrument used is the Pittsburgh Sleep Quality Index (PSQI) applied pre and post-test. Test data analysis using the independent samples test showed that there was a difference in the average score for sleep quality with a p-value of 0.000, it means that there was an increase in sleep quality in patients undergoing hemodialysis for intervention groups. Lavender Essential Oil Aromatherapy can be applied as an effective nursing intervention to overcome sleep quality disorders in patients undergoing hemodialysis. Abstrak: Hemodialisis merupakan terapi jangka panjang yang harus dilakukan oleh pasien dengan penyakit ginjal kronik. Pasien yang menjalani terapi dalam waktu yang sangat lama akan berdampak pada psikologi pasien. Salah satu dampak psikologis yang muncul adalah gangguan tidur. Kualitas tidur yang buruk dapat menyebabkan perubahan fisiologis, sistem endokrin, sistem kardiovaskular, sistem kekebalan dan saraf. Untuk mengatasi gangguan tidur pada pasien hemodialisa dapat digunakan pilihan nonfarmakologi yaitu Aromaterapi Minyak Atsiri Lavender melalui inhalasi. Tujuan penelitian ini adalah untuk mengetahui pengaruh Aromaterapi Minyak Atsiri Lavender terhadap Kualitas Tidur pada Pasien Hemodialisis. Penelitian dilakukan pada 32 pasien hemodialisa yang terbagi menjadi dua kelompok yaitu 16 kelompok intervensi dan 16 kelompok kontrol. Intervensi dilakukan selama 3 kali pemberian selama intra hemodialisis. Instrumen yang digunakan adalah Pittsburgh Sleep Quality Index (PSQI) yang diterapkan sebelum dan sesudah intervensi. Analisis data uji dengan menggunakan independent sample test menunjukkan bahwa terdapat perbedaan rata-rata skor kualitas tidur dengan nilai p value 0,000 artinya terjadi peningkatan kualitas tidur pada pasien yang menjalani hemodialisis kelompok intervensi. Aromaterapi Minyak Atsiri Lavender dapat diterapkan sebagai intervensi keperawatan yang efektif untuk mengatasi gangguan kualitas tidur pada pasien yang menjalani hemodialisis.

Online Nurse: Incorporating Islamic Spiritual Mindfulness to Decrease Anxiety during Online Learning among Nursing Students Agus Santoso; Meidiana Dwidiyanti; Diyan Yuli Wijayanti; Sarah Ulliya; Badrul Munif; Evi Karota; Dudut Tanjung
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Background: Online learning during the COVID-19 pandemic has significantly impacted the physical and psychological health of most college students in Indonesia, especially nursing students. The major psychological impacts that students experience may include increased stress levels and anxiety. Islamic spiritual mindfulness through Online Nurse application is an exercise for emotional regulation with spiritual approach that is carried out online for students to control the situation and choose to accept so that they can reduce their anxiety or stress related to online learning during the COVID-19 pandemic. Objective: This study aimed to determine the effect of Islamic spiritual mindfulness through Online Nurse on reducing anxiety in students undertaking online learning. Methods: This study used a pre-post test quasi-experimental design with a control group. The samples were students undertaking online learning, consisting of 40 students from Qomarul Huda Badaruddin University (UNIQHBA) as the intervention group and 40 students from North Sumatra University (USU) as the control group. Results: There was an effect of Online Nurse on decreasing anxiety levels among students with a p-value of 0.000. Conclusion: Online Nurse can be applied to decrease anxiety among students in certain triggering situations, such as COVID-19 and online learning. Islamic spiritual mindfulness is needed in reducing anxiety. Abstrak: Latar Belakang: Pembelajaran daring di masa pandemi COVID-19 berdampak signifikan terhadap kesehatan fisik dan psikis sebagian besar mahasiswa di Indonesia, khususnya pada mahasiswa keperawatan. Dampak psikologis utama yang dialami mahasiswa adalah meningkatnya tingkat stres dan kecemasan. Mindfulness Spiritual Islam (MSI) melalui Online Nurse merupakan latihan pengaturan emosi melalui aspek spiritual yang dilakukan melalui program online bagi mahasiswa untuk dapat mengendalikan keadaan dan memilih untuk menerima, sehingga dapat mengurangi kecemasan atau stres yang dialami selama menjalani pembelajaran daring di masa pandemi COVID-19. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh MSI melalui Online Nurse terhadap penurunan kecemasan pada mahasiswa yang sedang melakukan pembelajaran online. Metode: Metode penelitian ini adalah penelitian eksperimen semu dengan pre-test post-test control group. Sampel penelitian adalah siswa yang mengikuti pembelajaran online, meliputi kelompok intervensi yang terdiri yang dari 40 siswa dari Universitas Qomarul Huda Badaruddin (UNIQHBA), dan kelompok kontrol yang terdiri dari 40 siswa dari Universitas Sumatera Utara (USU). Hasil: Ada pengaruh MSI melalui Online Nurse terhadap tingkat kecemasan dengan nilai p=0,000. Kesimpulan: Online nurse bisa dipakai untuk menurunkan kecemasan mahasiswa pada saat mengalami situasi tertentu yang memicu kecemasan, misalnya COVID-19 dan kuliah daring. Untuk menurunkan tingkat kecemasan mahasiswa, intervensi MSI mungkin diperlukan.

Patients' Anxiety and Resilience: A Study in the Puskesmas Kasihan 1 Bantul Area Hidayati, Laili Nur; Ikrima, Rai Rotun
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Puskesmas Kasihan 1 Bantul is one of the health centers that provide care and hospitalization for COVID-19 patients, with over 2300 data confirmed positive for the virus. COVID-19 caused anxiety in up to 63% of Indonesians, as well as fear of death and difficulties in managing emotions and relaxing. Therefore, psychological intervention to improve mental health is necessary. The study's focus was to see if there was a relationship between anxiety and resilience in COVID-19 patients. Method of quantitative research using a cross-sectional approach. A total of 103 people were sampled using a simple random sampling method. The Hamilton Anxiety Rating Scale (HAM-A) and Connor Davidson Resilience Scale (CD-RISC) questionnaires were employed in the study. This study included both univariate and bivariate analyses. According to the findings, 54 respondents (52.4%) reported having no anxiety, while 62 people reported having low resilience (60.2%). The study revealed a relationship between anxiety and resilience in patients with COVID-19, with r = -0.226 is a negative (-) or opposite direction of correlation and a significance value of 0.022 (p less than 0.05). In patients with COVID-19, there is a relationship between anxiety and resilience; the greater the resilience, the lower the respondents' anxiety. It is important to strengthen community resilience through informational support, emotional support, and rehabilitation. Abstrak: Puskemas Kasihan 1 Bantul merupakan salah satu puskesmas yang memberikan pelayanan dan rawat inap bagi pasien COVID-19, dalam satu tahun terakhir tercatat 2300 data terkonfirmasi positif COVID-19. Dampak COVID-19 di Indonesia menimbulkan ansietas sebanyak 63% disertai rasa khawatir akan kematian, sulit mengontrol emosi dan sulit rileks. Resiliensi sebagai intervensi psikologis yang bertujuan meningkatkan kesehatan mental. Tujuan Penelitian ini untuk mengetahui hubungan ansietas dengan resiliensi pada pasien riwayat COVID-19. Metode penelitian kuantitatif dengan desain cross sectional. Pengambilan sampel menggunakan simple random sampling sejumlah 103 responden. Instrumen penelitian menggunakan Kuesioner Hamilton Anxiety Rating Scale (HAM-A) dan Connor Davidson Resillience Scale (CD-RISC). Analisa penelitian menggunakan univariat dan bivariat. Hasil penelitian di dapatkan data ansietas baik sebanyak 54 responden (52,4%), resiliensi rendah sebanyak 62 responden (60,2%). Hasil analisis menunjukkan adanya hubungan antara ansietas dengan resiliensi pada pasien riwayat COVID-19 di wilayah Puskesmas Kasihan 1 Bantul, nilai signifikansi sebesar 0.022 (p kurang dari 0.05), r = -0.226 dengan arah korelasi negatif (-) atau berlawanan. Terdapat hubungan antara ansietas dengan resiliensi pada pasien dengan COVID-19 yang berarti semakin tinggi resiliensi semakin rendah ansietas pada responden. Ansietas meningkat pada puncak COVID-19 dengan resiliensi masyarakat cenderung pesimis perlu perhatian khusus sehingga di perlukan peningkatan resilensi masyarakat berupa dukungan informasional, dukungan emosional, dan keyakinan rehabilitasi.

Wound healing procedure for Electric Cauter and Smart Klamp circumcisions Dina Indarsita; Solihuddin Harahap; Sri Siswati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S2 (2022): Suplement 2
Publisher : Universitas Aisyah Pringsewu

Khitan, often known as circumcision, is the act of cutting or removing all or a portion of the skin covering the front of the penis. This is a commonly performed minor surgical surgery, especially among men worldwide. Circumcision is performed medically to preserve genital health and prevent sexually transmitted illnesses. This study is an observational analysis aimed at determining the wound healing in electric cauter and smart clamp circumcision at the Super Sehat Clinic in Medan. This study's population and sample consisted of all patients registered at the Medan Super Sehat Clinic who underwent circumcision. The sample was determined by randomly selecting 60 individuals. The results demonstrated that the typical wound healing process with cauter electric circumcision occurred on days I, III, and VII. Where on the third day of circumcision with a smart clamp, regeneration is 90% and on the third day of circumcision with an electric cauter, regeneration is 80%, but on day seven, regeneration is 100%. To expedite the wound healing process, it is recommended that health providers perform circumcision using an electric chauter and smart clamp. Abstrak: Khitan atau sirkumsisi adalah tindakan memotong atau menghilangkan sebagian atau seluruh kulit penutup depan dari penis. Tindakan ini merupakan prosedur bedah minor yang paling sering dilakukan diseluruh dunia terutama pada laki-laki. Secara medis sirkumsisi dilakukan untuk menjaga kesehatan seksual dan mencegah penyakit menular seksual. Penelitian ini bersifat observasi analitik yang bertujuan untuk mengetahui bagaimana kesembuhan luka pada khitan electric cauter dan khitan smart klamp di Klinik Super Sehat Medan. Populasi dan sampel dalam penelitian ini adalah semua pasien yang melaksanakan khitan dan terdaftar di Klinik Super Sehat Medan sampel ditetapkan dengan cara Total Sampling sejumlah 60 orang. Hasil penelitian menunjukkan bahwa proses penyembuhan luka dengan khitan elektrik cauter dari hari ke-I, III dan VII mengalami regenerasi. Dimana hari III ke Khitan dengan smart klamp regenerasi nya 90% dan Khitan dengan elektrik cauter regenerasi nya 80%, sedangkan pada hari VII sama sama regenerasinya 100%. Dengan demikian perlu disarankan agar diharapkan pelayanan kesehatan perlu menerapkan khitan dengan elektrik chauter dan smart klamp untuk mempercepat proses penyembuhan luka.

Analysis of Factors Related to Triage Competence with Online Learning Methods to Students at Hafshawaty Genggong University Moh Husyn Ainul Yaqin; Yulian Wiji Utami; Dina Dewi Sartika Lestari Ismail
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

During the Covid-19 pandemic, offline learning was shifted to online learning. one of the applications is Zoom Meeting, which is easy to use. The zoom application combines in displaying material in power points learning and feedback communications. One of the challenges in online learning is triage learning such as the Australian triage scale (ATS), ATS itself is a type of triage with five categories. ATS material is a learning achievement that must be mastered by students, but not much research has been done on online learning methods with ATS material. The method used in this study is an observational analytic method using a cross-sectional approach, the researcher takes data from several variables that exist at the same time. There are three factor namely technological factors, student characteristics factors and teacher characteristics. Results: The results of the study several influential factors were obtained namely, technology factors with a p-value of 0.013, student characteristics factors with a p-value of 0.029, and student characteristics factors of 0.003. Teacher characteristics factor with a p-value of 0.029. The three factors have a relationship with students' triage competence with the online method. Conclusion: The three factors have a significant relationship, but there is no most significant factor yet. Abstrak: Di masa pandemi Covid-19, pembelajaran offline digeser menjadi pembelajaran online. salah satu aplikasinya adalah Zoom Meeting yang mudah digunakan. Aplikasi zoom menggabungkan dalam menampilkan materi dalam pembelajaran power point dan komunikasi umpan balik. Salah satu tantangan dalam pembelajaran online adalah pembelajaran triase seperti Australian triage scale (ATS), ATS sendiri merupakan jenis triase dengan lima kategori. Materi ATS merupakan prestasi belajar yang harus dikuasai oleh siswa, namun belum banyak penelitian yang dilakukan terhadap metode pembelajaran online dengan materi ATS. Metode yang digunakan dalam penelitian ini adalah metode observasional analitik dengan menggunakan pendekatan cross sectional, peneliti mengambil data dari beberapa variabel yang ada dalam waktu yang bersamaan. Ada tiga faktor yaitu faktor teknologi, faktor karakteristik siswa dan karakteristik guru. Hasil: Hasil penelitian diperoleh beberapa faktor yang berpengaruh yaitu, faktor teknologi dengan nilai p 0,013, faktor karakteristik siswa dengan nilai p 0,029, faktor karakteristik siswa 0,003. Faktor karakteristik guru dengan p-value 0,029. Ketiga faktor tersebut memiliki hubungan dengan kompetensi triase siswa dengan metode online. Kesimpulan: Ketiga faktor tersebut memiliki hubungan yang signifikan, namun belum ada faktor yang paling signifikan.

Clinical Pathway Implementation in ACS STEMI Patients Wiedya Kristianti Angeline; Martina Martina; Ermi Girsang; Ali Napiah Nasution
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Delay in handling patients with Acute ST-elevation myocardial infarction (STEMI) is the cause of high mortality and the incidence of MACE (Major Adverse Cardiac Event), so efforts are needed to reduce it by handling patients with Acute Coronary Syndrome (ACS) with the implementation of clinical pathways. This study evaluates the application of clinical pathways for ACS STEMI patients based on content and quality and evaluates the effectiveness of clinical pathways based on length of stay, total costs, and outcomes between ACS STEMI patients with clinical pathways and non-clinical pathways. This research uses mixed methods with an exploratory sequential approach. Evaluation of clinical pathways for ACS STEMI patients with a qualitative approach through in-depth interviews using the Integrated Care Pathway Appraisal Tool (ICPAT) questionnaire. Furthermore, a comparative approach is used to determine the effectiveness of clinical pathways based on length of stay, total costs and outcomes (outcomes) between ACS STEMI patients who have and do not have a clinical pathway. The study was conducted from November 2021 to April 2022 at the Cardiology Section of Murni Teguh Hospital, Medan. The results show that the implementation process is of good quality, but the content still needs to be improved. From the test results with the Mann-Whitney U Test, it can be seen that there is an effect of using the application of clinical pathways on length of stay, total costs and outcomes in ACS STEMI patients. It is suggested to the hospital management to determine a strategy to increase the compliance of doctors and nurses to the clinical pathway. Abstrak: Keterlambatan penanganan pasien Acute ST-elevation myocardial infarction (STEMI) menjadi penyebab tingginya mortalitas dan kejadian MACE (Major Adverse Cardiac Event), maka diperlukan upaya dalam menguranginya melalui penanganan pasien Acute Coronary Syndrome (ACS) dengan diberlakukannya clinical pathway. Penelitian ini bertujuan mengevaluasi penerapan clinical pathway pasien ACS STEMI berdasarkan konten dan kualitas serta mengevaluasi efektivitas clinical pathway berdasarkan lama rawat, biaya total dan hasil antara pasien ACS STEMI dengan clinical pathway dan non clinical pathway. Penelitian ini menggunakan mix methods dengan pendekatan exploratory sequential. Evaluasi clinical pathway pasien ACS STEMI dengan pendekatan kualitatif melalui wawancara mendalam menggunakan kuesioner Integrated Care Pathway Appraisal Tool (ICPAT). Selanjutnya pendekatan komparatif digunakan untuk mengetahui efektivitas clinical pathway berdasarkan lama rawat, biaya total dan hasil (outcomes) antara pasien ACS STEMI yang memiliki dan tidak memiliki clinical pathway. Studi dilakukan selama bulan November 2021 hingga April 2022 di Bagian Kardiologi Rumah Sakit Murni Teguh Medan. Hasil penelitian menunjukkan proses implementasi yang dilakukan sudah baik untuk mutu, namun konten masih perlu ditingkatkan. Dari hasil uji dengan Mann Whitney U Test terlihat bahwa ada pengaruh penggunaan penerapan clinical pathway terhadap lama rawat, biaya total dan hasil pada pasien ACS STEMI. Disarankan pada pihak manajemen rumah sakit untuk menentukan strategi dalam meningkatkan kepatuhan dokter dan perawat terhadap clinical pathway.

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Hamid Mukhlis

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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