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Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal)
Published by Universitas Gadjah Mada
ISSN : 2614445x     EISSN : 26144948     DOI : https://doi.org/10.22146/jkkk.57386
Core Subject : Health,
Nursing
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) accepts novel research articles, case study, literature review, and psychometric testing articles in all field of clinical and community of nursing. This journal is published through peer-review process by nursing and health expert in academic and health care institution in Indonesia. The scope includes: 1) Surgical medical nursing 2) Emergency nursing 3) Basic nursing 4) Education in nursing 5) Management in nursing 6) Maternity nursing 7) Pediatric nursing 8) Mental health nursing 9) Community nursing
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 6 Documents
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Gambaran Tingkat Kecemasan pada Korban Banjir Bandang di Kabupaten Magelang Dewa Ayu Made Dewi Widhayanti; Sri Warsini; Sutono Sutono
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 2 (2018)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.136 KB) | DOI: 10.22146/jkkk.44240

Abstract

Background: Indonesia is one of the countries that is prone to flood disaster. The flash flood that occurred in Magelang on April 29th 2017 had caused a major physical loss, such as houses damage, dead casualties, injured victims, and displacement. In addition to the physical loss, flood disaster may impact mental health of the victims e.g. stress, anxiety, depression and post-trauma stress disorder.Objective: This research was aimed to identify the anxiety level of the victim of flood at Sambungrejo and Citrosono villages and the difference of anxiety level of flood victim based on the characteristics of the respondents.Methods: This research was a descriptive research with a cross sectional design. A cluster sampling was performed to get 100 respondents who were victim of flood in Sambungrejo and Citrosono villages, which met the inclusion and exclusion criteria of this study. The instruments used in this study were Zung Self Anxiety Scale (ZSAS) and socio-demographic questionnaire. The data were analyzed using Fisher test.Results: The research found that 91% of respondents did not suffer anxiety, while the rest of the respondents (9%) suffered mild - moderate anxiety, thus no respondents suffered severe anxiety. The variation of respondent anxiety level occured based on evacuation record at p value = 0,026.Conclusion: Overall, the flood victims in Sambungrejo and Citrosono villages did not suffer anxiety. Among all factors, evacuation record correlated with the anxiety level of respondents. ABSTRAKLatar Belakang: Indonesia merupakan salah satu negara yang rawan terhadap bencana banjir. Banjir bandang yang terjadi di Magelang pada 29 April 2017 menimbulkan kerugian berupa kerusakan rumah, korban meninggal, korban luka–luka dan mengungsi. Selain dampak secara fisik, banjir dapat memberikan dampak bagi kesehatan mental berupa stres, kecemasan, depresi, dan gangguan stres pascatrauma.Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat kecemasan korban di Desa Sambungrejo dan Citrosono setelah banjir bandang dan mengetahui perbedaan tingkat kecemasan berdasarkan karakteristik responden.Metode: Penelitian ini merupakan penelitian deskriptif dengan rancangan cross sectional. Sampel pada penelitian ini adalah korban banjir bandang di Desa Sambungrejo dan Citrosono yang memenuhi kriteria inklusi dan eksklusi sejumlah 100 orang. Teknik sampling yang digunakan adalah cluster sampling. Instrumen yang digunakan adalah Zung Self-Rating Anxiety Scale (ZSAS) dan kuesioner karakteristik responden. Analisis data menggunakan uji Fisher.Hasil: Hasil penelitian menunjukkan 91% responden tidak mengalami kecemasan, sisanya sebanyak 9% responden mengalami kecemasan ringan hingga sedang, dan tidak ada responden yang mengalami kecemasan parah. Tingkat kecemasan responden hanya berbeda berdasarkan riwayat mengungsi dengan nilai p = 0,026.Kesimpulan: Secara keseluruhan korban banjir bandang di Desa Sambungrejo dan Citrosono tidak mengalami kecemasan. Dari semua faktor yang ada, hanya riwayat mengungsi yang berhubungan dengan tingkat kecemasan responden.
Gambaran Tingkat Risiko Penyakit Kardiovaskular di Wilayah Kerja Puskesmas Mlati Sleman Yogyakarta Vania Elysia Septiani; Anggi Lukman Wicaksana; Eri Yanuar Akhmad Budi Sunaryo
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 2 (2018)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.931 KB) | DOI: 10.22146/jkkk.44259

Abstract

Background: Cardiovascular disease is the cause of global death. A cardiovascular-diseases diagnosed person has a risk for non-lethal and lethal incidents, ranging from heart attack, stroke, and even death.Objective: This research was aimed to obtain an overview of the risk level of cardiovascular-disease in the working area of Mlati Community Health Center Sleman, Yogyakarta.Methods: A cross-sectional research was conducted in the working area of Mlati Community Health Center Sleman, Yogyakarta from September until October 2017. Samples were taken using a multistage cluster sampling technique with the overall subjects of 107 patients. Respondents were patients diagnosed with cardiovascular disease and aged from 40 to 79 years. The research employed WHO/ISH risk prediction chart for Indonesia (South-East Asia Region B). The prediction of cardiovascular risk level was obtained through interview concerning on demographic data, blood pressure, and cholesterol level. The results were analyzed and presented in descriptive and central tendency.Result: Respondents were mostly female patients with an average age of 59,15 (±9,73) years. The level variances of cardiovascular risk in the next ten years were i.e. low-risk 50,47%; moderate risk 13,08%; high risk 14,02%; and very high risk 22,43%.Conclusion: Most respondents have a low risk to experience non-lethal and lethal incidents of cardiovascular events in the next ten years. ABSTRAKLatar Belakang: Penyakit kardiovaskular merupakan penyebab kematian global. Individu yang terdiagnosa penyakit kardiovaskular memiliki risiko mengalami kejadian non-fatal maupun fatal, mulai dari serangan jantung, strok, dan bahkan kematian.Tujuan: Tujuan penelitian adalah untuk mengetahui gambaran tingkat risiko penyakit kardiovaskular di wilayah kerja Puskesmas Mlati, Sleman, Yogyakarta.Metode: Penelitian ini merupakan penelitian cross-sectional yang dilakukan di wilayah kerja Puskesmas Mlati Sleman Yogyakarta pada bulan September hingga Oktober 2017. Sampel penelitian diperoleh melalui teknik multistage cluster sampling dengan total subjek penelitian sejumlah 107 orang. Responden penelitian ini yaitu pasien yang terdiagnosis penyakit kardiovaskular dan berusia 40-79 tahun. Tingkat risiko kardiovaskular diukur menggunakan diagram WHO/ISH risk prediction chart wilayah Indonesia (South-East Asia Region B). Data yang diperlukan untuk mengisi diagram prediksi risiko kardiovaskular diperoleh melalui wawancara karakteristik responden, pengukuran tekanan darah dan kolesterol. Hasil penelitian dianalisis dan disajikan dalam tabel distribusi frekuensi.Hasil: Responden penelitian didominasi oleh perempuan dengan rata-rata usia responden yaitu 59,15 tahun (±9,73). Tingkat risiko kardiovaskular dalam kurun waktu sepuluh tahun yang akan datang yaitu risiko rendah 50,47%; risiko sedang 13,08%; risiko tinggi 14,02%; dan risiko sangat tinggi 22,43%.Kesimpulan: Mayoritas responden memiliki risiko rendah mengalami kejadian non-fatal dan fatal penyakit kardiovaskular dalam kurun waktu sepuluh tahun yang akan datang.
Pengaruh Pendidikan Kesehatan Audiovisual terhadap Tingkat Aktivitas Fisik pada Populasi Berisiko Sindrom Metabolik di Wilayah Kerja Puskesmas Turi Sri Rahayu; Sri Mulyani; Melyza Perdana
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 2 (2018)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.461 KB) | DOI: 10.22146/jkkk.44262

Abstract

Background: Changes in unhealthy lifestyle and behavior, such as changes in patterns of food consumption and lack of physical activity, may increase the risk of metabolic syndrome. In order to reduce metabolic syndrome risk , promotional efforts such as health education with audiovisual media, may promote a higher level of physical activity.Objective: To determine the effect of health education with audiovisual media toward physical activity level among the metabolic syndrome risk-population in the working area of Turi Community Health Center (Puskesmas), Sleman.Method: This research was a quasi-experiment with a nonequivalent pre-test and post-test design control group. Participants in this research were 80 people who lived in Turi, which 38 people allocated in the intervention group and 42 people in the control group. An intervention used in this study was audiovisual media while the control group received booklet. This questionnaire used in this study was a questionnaire of physical activity GPAQ. T-test was used to determine the effect of audiovisual to physical activity before and after health education which was measured two weeks after the intervention.Result: Health education with audiovisual media affected the level of physical activity in the treatment group (p= 0,001) and the provision of booklets did not affect the physical activity of the control group (p= 0,326). There were differences in physical activity after the intervention between the groups that were given health education using audiovisuals compared to the provision of booklets (p= 0,001).Conclusion: There is an effect of audiovisual health education toward the level of physical activity on the metabolic syndrome risk-population. ABSTRAKLatar Belakang: Perubahan gaya hidup dan perilaku tidak sehat, seperti perubahan pola makan dan berkurangnya aktivitas fisik dapat meningkatkan risiko kejadian sindrom metabolik. Upaya promotif seperti pendidikan kesehatan dengan media audiovisual dapat dilakukan untuk meningkatkan aktivitas fisik dalam rangka mengurangi risiko kejadian sindrom metabolik.Tujuan: Mengetahui pengaruh pendidikan kesehatan dengan media audiovisual terhadap tingkat aktivitas fisik pada populasi risiko sindrom metabolik di wilayah kerja Puskesmas Turi Sleman.Metode: Penelitian ini merupakan penelitian quasi experiment dengan teknik non-equivalent pretest posttest design control group. Responden penelitian ini adalah masyarakat wilayah Turi yang berjumlah 80 orang yaitu 38 orang pada kelompok perlakuan dengan intervensi pendidikan kesehatan melalui media audiovisual dan 42 orang di kelompok kontrol dengan intervensi pendidikan melalui media booklet. Penelitian ini menggunakan kuesioner aktivitas fisik GPAQ. Analisis data menggunakan paired sample t-test untuk mengetahui pengaruh audiovisual terhadap aktivitas fisik sebelum dan sesudah pendidikan kesehatan yang diberi jarak selama dua minggu.Hasil: Pendidikan kesehatan dengan media audiovisual berpengaruh (p=0,001) terhadap aktivitas fisik pada kelompok perlakuan dan pemberian booklet tidak berpengaruh pada aktivitas fisik kelompok kontrol (p=0,326). Terdapat perbedaan aktivitas fisik setelah dilakukan tindakan antara kelompok yang diberikan pendidikan kesehatan menggunakan audiovisual dibandingkan pemberian booklet (p=0,001)Kesimpulan: Terdapat pengaruh pendidikan kesehatan menggunakan audiovisual terhadap tingkat aktivitas fisik pada populasi berisiko sindrom metabolik.
Hubungan Pelaksanaan Discharge Planning dengan Tingkat Kecemasan dan Kesiapan Pulang pada Pasien Post Sectio Caesarea Arif Annurrahman; Retno Koeswandari; Wiwin Lismidiati
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 2 (2018)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.081 KB) | DOI: 10.22146/jkkk.44271

Abstract

Background: Fear of of post caesarean section (CS) pain and complication can be the sources of fear and anxiety for the mother during the puerperium period. Moreover, the relatively short length of stay for post-CS mothers cannot cover the entire length of care until the mother is cured. Discharge planning can improve patients and their families confidence in performing proper treatment independently after home arrival.Objective: To identify the correlation between discharge planning, anxiety level, and readiness for discharge among post-CS patients in Yogyakarta hospital.Methods: This quantitative research was a descriptive correlational study with cross sectional design. Respondents of this research were both, post elective and emergency CS patients who were hospitalized in a postpartum ward in a hospital in Yogyakarta. Thirty patients participated in this study. Readiness for Hospital Discharge Scale (RHDS), Hamilton Anxiety Rating Scale (HARS), and discharge planning overview questionnaire were used as research instruments in this research. Data were analyzed by Spearman Rank non-parametric correlation test.Results: More than half (70%) of total respondents had low discharge planning quality. Furthermore, most of the respondents (90%) had normal anxiety, and half of total respondents (53,3%) had moderate readiness for discharge. The correlation test showed there was no correlation between discharge planning and anxiety level (r=-0,008; p value = 0,967). However, there was a statistically significant correlation between discharge planning and readiness for discharge (r=0,434; p value = 0,017).Conclusion: There was a statistically significant correlation between discharge planning and readiness for discharge. In contrast, there was not any correlation between discharge planning and anxiety level of post CS patients. ABSTRAKLatar Belakang: Selama periode nifas, rasa takut akan nyeri dan komplikasi post-SC dapat menjadi sumber ketakutan dan kecemasan bagi ibu. Lama rawat inap ibu post SC yang relatif singkat tidak mampu mencakup keseluruhan perawatan sampai ibu sembuh. Pemberian discharge planning dapat meningkatkan kepercayaan diri pasien dan keluarga dalam perawatan mandiri setelah pulang ke rumah.Tujuan penelitian: Mengetahui hubungan gambaran discharge planning pada pasien post SC dengan tingkat kecemasan dan kesiapan pulang pasien di salah satu rumah sakit di Yogyakarta.Metode: Jenis penelitian ini adalah deskriptif korelasional dengan rancangan cross sectional. Sampel penelitian adalah semua pasien post SC baik elektif maupun emergensi yang dirawat inap di ruang post partum di salah satu rumah sakit di Yogyakarta. Jumlah responden penelitian adalah 30 orang dengan teknik purposive sampling. Instrumen yang digunakan antara lain Readiness for Hospital Discharge Scale (RHDS), Hamilton Anxiety Rating Scale (HARS), dan kuesioner gambaran discharge planning. Data dianalisis menggunakan uji korelasi non-parametrik Spearman Rank. Hasil: Lebih dari setengah responden (70%) memiliki kualitas discharge planning kurang, mayoritas responden (90%) memiliki kecemasan normal, dan mayoritas responden (53,3%) memiliki kesiapan pulang sedang. Uji korelasi menunjukkan tidak ada hubungan antara discharge planning dengan tingkat kecemasan (r=-0,008; p=0,967), namun ada hubungan discharge planning dengan tingkat kesiapan pulang (r=0,434; p=0,017).Kesimpulan: Terdapat hubungan antara discharge planning dengan tingkat kesiapan pulang namun tidak terdapat hubungan antara discharge planning dengan tingkat kecemasan pasien post SC.
Hubungan Pengetahuan dan Sikap Tentang Rokok dengan Kepatuhan Masyarakat pada Program Rumah Bebas Asap Rokok di Kota Yogyakarta Qonita Miftahul Jannah; Purwanta Purwanta
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 2 (2018)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.432 KB) | DOI: 10.22146/jkkk.44293

Abstract

Background: If smoking problem is not immediately controlled, it is estimated will increase the mortality rates in Indonesia. Smoke-free zone policy is one of the interventions to control non-communicable diseases caused by smoking, but the practice is not worked as it was planned. There was a decrease in the number of smoke-free households (Rumah Tangga Bebas Asap Rokok/RBAR) in 2012 compared to 2011.Objective: To determine the correlation between knowledge and attitude toward smoking and the RBAR regulation against the public compliance toward the RBAR Program in Yogyakarta.Methods: This study was a correlational analytic study with a cross-sectional study design. The subject of this research was 103 respondents who were adult smokers who lived in several hamlets (Rukun Warga/RW) in Yogyakarta, which had been declared as RBAR areas in 2015. A cluster random sampling technique was applied in this research. A questionnaire which measured knowledge and attitude toward smoking, RBAR regulation, and compliance was distributed among respondents. Gamma Correlation Test was used as data analysis technique.Results: As many as 53,4% of respondents had good knowledge level but disobedient. Some respondents (41,7%) had good or adequate attitude and obedient. There was no statistically significant correlation between knowledge and attitude toward smoking with RBAR regulation (p= 0,113, r= 0,381), knowledge against compliance with RBAR regulation (r=0,366, p=0,150). While attitudes toward smoking and RBAR regulation against compliance with RBAR regulation showed a significant positive correlation (p= 0,008, r= 0,448).Conclusion: There was no statistically significant correlation between knowledge toward smoking and RBAR regulation against compliance with RBAR regulation. There was a statistically significant correlation with moderate strength between attitudes toward smoking and RBAR regulation against compliance with RBAR regulation. ABSTRAKLatar Belakang: Apabila masalah merokok tidak segera dikendalikan, diperkirakan dapat meningkatkan angka kematian di Indonesia. Kebijakan zona bebas rokok merupakan salah satu intervensi dalam pengendalian penyakit tidak menular yang disebabkan oleh rokok, namun praktiknya tidak berjalan sesuai rencana. Bahkan, terjadi penurunan jumlah Rumah Tangga Bebas Asap Rokok (RBAR) pada tahun 2012 dibandingkan tahun 2011.Tujuan: Mengetahui hubungan antara pengetahuan dan sikap tentang rokok serta aturan RBAR dengan kepatuhan masyarakat pada Program RBAR di Kota Yogyakarta.Hasil: Sebanyak 53,4% responden berpengetahuan baik namun tidak patuh. Sebagian responden (41,7%) bersikap baik/cukup baik dan patuh. Hasil analisis menunjukkan bahwa tidak ada korelasi yang signifikan antara pengetahuan dan sikap tentang rokok terhadap regulasi RBAR (r=0,381, p=0,113) dan pengetahuan terhadap kepatuhan regulasi RBAR (r=0,366, p=0,150). Sementara sikap tentang rokok dan regulasi RBAR terhadap kepatuhan aturan RBAR menunjukkan adanya hubungan positif yang signifikan (r =0,448, p =0,008).Metode: Penelitian ini merupakan penelitian analitik korelasional dengan rancangan studi cross-sectional. Sampel penelitian yakni sejumlah 103 responden perokok dewasa, berdomisili di beberapa RW di Kota Yogyakarta yang telah ditetapkan sebagai Kawasan RBAR pada tahun 2015. Penelitian ini menggunakan teknik cluster random sampling. Kuesioner yang mengukur tingkat pengetahuan, sikap tentang rokok, regulasi RBAR dan kepatuhan RBAR dibagikan kepada responden. Teknik analisis data yang digunakan adalah Uji Korelasi Gamma.Kesimpulan: Tidak ada hubungan yang signifikan secara statistik antara pengetahuan tentang rokok dan regulasi RBAR dengan kepatuhan terhadap regulasi RBAR. Terdapat hubungan yang signifikan dengan kekuatan korelasi sedang antara sikap tentang rokok dan regulasi RBAR dengan kepatuhan terhadap regulasi RBAR.
Hubungan Dukungan Sosial dengan Kecenderungan Depresi Remaja pada 7 Tahun Pasca-Erupsi Gunung Merapi Nurul Hasanah; Sri Hartini; Anik Rustiyaningsih; Carla R Machira
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 2, No 2 (2018)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (177.433 KB) | DOI: 10.22146/jkkk.44306

Abstract

Background: Traumatic event can affect victim’s psychological condition, such as adolescent which categorized as vulnerable population, in the form of depression. This hypothetically occurred as the impact of Mount Merapi eruption in 2010. Independent variables for such traumatic condition include gender, age, loss of nearest person, and social support.Objective: To identify the correlation between social support and depression tendency among adolescent after 2010 Merapi Eruption.Method: This quantitative study was conducted using descriptive analytic with cross sectional design. Respondents in this study were 50 adolescents who experienced Mount Merapi Eruption in 2010 and living in huntap (Wukirsari permanent residence village). The questionnaires were used in this research, i.e.: socio-demographic questionnaire, Child Depression Inventory (CDI), and Multidimensional Scale of Perceived Social Support (MSPSS). Independent t test  was applied to analyze the data.Results: The prevalence of depression tendency was 24%. There were 54% of respondents who received high social support, while 46% received low social support. The depression tendency had a significant relationship with social support (p= 0,01; p <0,05). Gender, age, and loss of the closest person due to eruption did not have a significant relationship with the tendency of depression, respectively with p= 0,57, p= 0,80, p= 0,07 (p> 0,05).Conclusion: Social support was the only variable that had a significant relationship with the tendency of depression in adolescents in huntap (Wukirsari permanent residence village). ABSTRAKLatar Belakang: Kondisi traumatis dapat memengaruhi kondisi psikologis dalam bentuk depresi pada populasi yang rentan seperti anak usia sekolah. Hal ini yang diasumsikan terjadi sebagai dampak letusan Gunung Merapi tahun 2010. Variabel yang memengaruhi kondisi traumatis ini adalah jenis kelamin, umur, kehilangan orang terdekat, cedera fisik dan dukungan sosial.Tujuan: Untuk mengetahui hubungan dukungan sosial dengan kecenderungan depresi pasca-erupsi Merapi tahun 2010.Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan rancangan cross sectional dengan pendekatan kuantitatif. Responden dalam penelitian ini adalah remaja berjumlah 50 orang, yang mengalami erupsi Merapi tahun 2010, dan tinggal di salah satu hunian tetap (huntap). Penelitian ini menggunakan kuesioner karakteristik responden, kuesioner Child Depression Inventory (CDI) dan kuesioner Multidimensional Scale of Perceived Social Support (MSPSS). Analisis data menggunakan uji Independent Sample T Test.Hasil: Prevalensi kecenderungan depresi pada remaja di huntap adalah 24%. Berdasarkan jenis kelamin, responden lebih banyak perempuan daripada laki-laki yaitu 33 orang (66%) untuk perempuan dan 17 orang (34%) untuk laki-laki. Dukungan sosial yang diterima oleh remaja di huntap yaitu 54% untuk dukungan sosial tinggi dan 46% untuk dukungan sosial rendah. Kecenderungan depresi memiliki hubungan yang bermakna terhadap dukungan sosial (p= 0,01; p<0,05). Jenis kelamin, umur, kehilangan orang terdekat akibat erupsi tidak memiliki hubungan yang bermakna dengan kecenderungan depresi yaitu dengan nilai p berturut-turut p= 0,57, p= 0,80, p= 0,07 (p> 0,05).Kesimpulan: Dukungan sosial merupakan satu-satunya variabel yang memiliki hubungan bermakna dengan kecenderungan depresi pada remaja di huntap.

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