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INDONESIA
Jurnal Keperawatan Merdeka
Published by Poltekkes Kemenkes Palembang
ISSN : 2809302X     EISSN : 28092791     DOI : https://doi.org/10.36086/jkm.v2i2
Core Subject : Health,
Nursing
Jurnal Keperawatan Merdeka (JKM) merupakan jurnal yang dipublikasikan oleh Jurusan Keperawatan Politeknik Kesehatan kementerian kesehatan Palembang. Jurnal ini menerbitkan artikel penelitian dan pengembangan bidang keilmuan keperawatan, Lingkup Pulikasi Jurnal meliputi isu-isu terkait keperawatan dasar dan dasar keperawatan, manajemen kepemimpinan keperawatan, keperawatan medikal bedah, keperawatan gawat darurat, keperawatan kritis, keperawatan perioperative, keperawatan keluarga, keperawatan komunitas, keperawatan gerontik, keperawatan holistik, keperawatan anak, keperawatan maternitas, keperawatan jiwa maupun keilmuan keperawatan spesifik lainnya, pada lingkup nasional maupun global.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 123 Documents
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Pregnancy Massage Pada Ibu Hamil Trimester III Dengan Nyeri Akut Jaya, Herawati; Ningsih, Ratna; Marcelah, Putri Bella
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2573

Abstract

Background : The pregnancy period is a time when pregnant women experience physical and psychological changes so that pregnant women have to experience a lot of discomfort. Pregnancy is a special period in life that is associated with hormonal and physiological changes in pregnant women, which can cause or change the course of neurological and psychiatric disorders. In the third trimester, one of the discomforts that often occurs is back pain. During pregnancy, back pain is a problem that often occurs, especially in the last three months of pregnancy. At this gestational age, pregnant women often appear worried, perhaps feeling pain in the third trimester. Method : This case study design uses a descriptive research design in the form of a case study. This research data was taken through interviews, observation, examination, implementation and pain assessment scales. The case study subjects were 3 people 3-4 hours in the third trimester with acute pain problems at the Muhammadiyah Palembang Hospital, in March and April 2024. Results : Nursing care with the implementation of pregnancy massage nursing showed a reduction in pain levels from a moderate pain scale to a mild pain scale in the three patients. Conclusion : The implementation of pregnancy massage nursing showed the effectiveness of reducing pain levels in patient.
Pengaruh Manajemen Nyeri: Imajinasi Terbimbing Terhadap Nyeri Kepala Pada Pasien Hipertensi Putri, Prahardian; Agustin, Ismar; Muliyadi, Muliyadi; Azwaldi, Azwaldi; Saputra, Reynaldi
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2575

Abstract

Background: Hypertension is a condition when the systolic pressure exceeds 140 mmHg and the diastolic pressure exceeds 90 mmHg. A common symptom is headache. To overcome headaches, nursing implementation is carried out in hypertension patients. Methods: This type of writing is descriptive in the form of a case study. The approach used is the nursing implementation approach. This research was conducted to compare two respondents who had been given implementation. Results: The results of the study in both patients after the implementation of the pain study found that the pain scale in patient 1 was 7 and patient 2 was 6. After applying pain management and guided imagery, the pain scale changed to mild. In education about pain, after being given education, the two patients began to know about non-pharmacological pain management using guided imagery. Conclusion: Seeing the results of this case study, it is necessary to implement nursing to examine pain, provide a comfortable atmosphere, educate about the use of non-pharmacological of guided imagery to reduce headache pain
Implementasi Keperawatan Terapi Musik Pada Pasien Hemodialisa Dengan Masalah Keperawatan Ansietas Agustin, Ismar; Putri, Prahardian; Muliyadi, Muliyadi; Lukman, Lukman; Azwaldi, Azwaldi; Firnanda, Dhea Lyra
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2576

Abstract

Background : Hemodialysis is one of the therapies for patients with kidney failure to remove metabolic waste and excess body fluid by circulating blood into a device that consists of two compartments: blood and a dialyzer, to eliminate the metabolic waste and excess fluid. The repetitive hemodialysis process over an extended period can cause anxiety in patients. Method: This study utilizes a descriptive research design with a case study approach involving the nursing process. The case study subjects are two patients with kidney failure undergoing hemodialysis who are experiencing anxiety. Music therapy was administered three times during each hemodialysis session, with intervals based on the patients' preferences, over the course of three consecutive days. Case study techniques included conducting interviews/anamnesis, observations, and physical examinations. The instrument used to measure anxiety was the Hamilton Anxiety Rating Scale (HARS) questionnaire. Results: After the implementation of music therapy on both case study subjects, there was a decrease in anxiety levels. In subject 1, the initial measurement of anxiety was in the moderate category (HARS 24), and after the music therapy intervention, the anxiety level decreased to the mild category (HARS 16). In subject 2, the initial measurement of anxiety was also in the moderate category (HARS 26), and after the music therapy intervention, the anxiety level decreased to the mild category (HARS 18). Conclusion: The implementation of nursing music therapy can help reduce anxiety levels in hemodialysis patients
Pengembangan Website E-Labmaintenance Dalam Pemeliharaan Alat Aboratorium Pendidikan Keperawatan Haryanti, Rizki Sri; Dona, Mery; Novianti, Lily
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2582

Abstract

Background: Laboratory equipment requires good maintenance in order for the equipment to be used in the long term. The application of good maintenance is by carrying out technical matters and carrying out administrative activities in an orderly manner. The nursing laboratory at the research site still makes equipment maintenance scheduling manually. Maintenance has also not been carried out and documented properly. Objective: This study aims to produce a website-based information system (E-Labmaintainance) in the maintenance activities of nursing education laboratory equipment at the Poltekkes Kemenkes Palembang. Methods: The method used in this research is Research and Development (RND) through modification of 6 (six) research steps, namely identification and potential problems, product design, stage I design validation, design revision, stage II design validation and trial use. Validation was carried out by 2 (two) experts in technology and informatics. The trial of use was carried out by 5 (five) Educational Laboratory Staff on duty spread across 4 (four) nursing education laboratories, namely the Palembang Nursing Laboratory, Lubuk Linggau Nursing Laboratory, Baturaja Nursing Laboratory and Lahat Nursing Laboratory. The validity assessment uses the Aiken Item Validity Index formula. Results: The results of the research are in the form of e-labmaintenance web pages that have been validated and tested to penggunas. The final validation results from the expert obtained a validity value of “very high” with a value of V = 0.94. This is decomposed from the validity value of the application usability is very high (0.94), the validity of the ease of use of the application is very high (0.92), the validity of the ease of learning is very high (1.00) and the validity of pengguna satisfaction is also very high (0.85). The results of the trial to the pengguna also obtained the results of 'very high” validity with a value of V = 0.82. Conclusion: E-labmaintenance website is feasible to use in equipment maintenance activities in the nursing education laboratory of the Palembang Poltekkes Kemenkes.
Pengaruh Penggunaan Media Video Tutorial Standar Operational Procedur (Sop) Dalam Link Quick Response Code (QR Code) Terhadap Kemampuan Mahasiswa Keperawatan Mengoperasikan Alat Syringe Pump Dona, Mery; Haryanti, Rizki Sri; Ningsih, Ratna
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2583

Abstract

Background: in order to accomplish learning objectives, SOP can be developed employing learning media that can transmit messages, students attention, interest, thoughts, and feelings during learning activities. This is made possible by the development of modern technology. The SOP for laboratory equipment utilization, which is already in place and was developed in accordance with the work instructions for each piece of equipment, serves as a guide for the execution of practical work in the nursing laboratory. Through a rapid response code-connected tutorial video of the SOP, the study aims to improve students' proficiency in laboratory operations, namely in the installation of the syringe pump. (Code QR) Methods: This study uses a quasi-experimental methodology and is quantitative in nature. There are control and treatment groups in this study's design. Students in the treatment group used a video tutorial SOP via a quick response code link, while the control group received a written SOP on how to install the Aitecs/Sep 10S Plus syringe pump, which is frequently used in the laboratory of the D.III Nursing Study Program in Palembang. After that, a questionnaire was used to collect data. Total sampling was the method employed, and 93 third-year students were included. Results: The average proficiency of students in the control and intervention groups during the syringe pump installation process differed before and after they were given a video and standard operating procedure. Conclusion: There is a difference in the average skills of lab syringe pump installation between the intervention group and the control group. Keywords, QR code, SOP syringe pump, Vidio. ABSTRAK Latar Belakang : Dengan kemajuan teknologi modern, SOP dapat dibuat dengan menggunakan media pembelajaran yang bisa menyalurkan pesan, perhatian, minat, pikiran dan perasaan mahasiswa dalam kegiatan pembelajaran untuk mencapai tujuan pembelajaran. Pelaksanaan praktikum di Laboratorium Keperawatan berpedoman pada SOP penggunaan alat laboratorium, SOP tersebut sudah ada dan dibuat sesuai dengan instruksi kerja masing-masing alat. Tujuan penelitian ini adalah untuk meningkatkan kemampuan mahasiswa dalam kegiatan keterampilan skill laboratorium khususnya pemasangan alat syringe pump melalui vidio tutorial SOP dalam link quick response code (QR code). Metode : Penelitian ini merupakan penelitian kuantitatif dengan jenis penelitian quasi eksperimen. Desain penelitian ini melibatkan kelompok kontrol dan perlakuan. Kelompok kontrol adalah mahasiswa yang diberikan SOP tertulis tentang pemasangan syringe pump Aitecs/Sep 10S Plus yang biasa digunakan di Laboratorium Program Studi D.III Keperawatan Palembang, sedangkan kelompok perlakuan adalah mahasiswa yang menggunakan media video tutorial SOP dalam link quick response code (QR code). Kemudian pengumpulan data dilakukan dengan cara menggunakan kuisioner. Teknik pengambilan sampel yang digunakan adalah total sampling yaitu sebanyak 93 orang mahasiswa tingkat III.. Hasil : terdapatnya perbedaan rata-rata keterampilan mahasiswa saat melakukan pemasangan syringe pump pada kelompok kontrol dan intervensi sebelum dan sesudah diberikan video dan SOP pemasangan syiringe pump. Kesimpulan : Terdapatnya perbedaan rata-rata keterampilan skill lab pemasangan syringe pump pada kelompok intervensi dan kelompok kontrol. Kata kunci : QR code, SOP syringe pump, Vidio.
Terapi Nebulizer Dengan Active Cycle Breathing Technique Pada Pasien Asma Bronkial Wijaya, Sapondra; Muliyadi, Muliyadi; Susmini, Susmini; Trisnawati, Vivi
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2585

Abstract

Background: Asthma attacks can cause blood oxygen levels to become very low, resulting in hypoxemia. This condition can cause confusion, lethargy, and even loss of consciousness and death. Immediate action is needed to overcome this condition, one of which is nebulizer therapy with Active Cycle of Breathing Techniques. This study aims to describe the implementation of nebulizer therapy with Active Cycle of Breathing Techniques. Methods: Descriptive research with a case study approach. Application of nebulizer therapy and active cycle breathing technique in bronchial asthma patients in the Emergency Room of Siti Aisyah Hospital, Lubuklinggau City. There were 4 asthma patients who came to the Emergency Room given a combination of nebulizer therapy with Active Cycle of Breathing Techniques for about 20 minutes. Results: The breathing pattern of 4 subjects decreased by an average of 5 breaths, in Subject I from 30 x/minute to 23 x/minute. Subject II, from 26 x/minute to 22 x/minute, Subject III from 27x/minute to 22x/minute and in Subject IV from 24x/minute to 20x/minute. Wheezing sound before intervention, disappeared after intervention. Conclusion: The combination of pharmacological and non-pharmacological nebulizer therapy with salbutamol and Active Cycle Breathing Technique is effective for asthma patients in the ER.
Pengaruh Kabar (Kombinasi Jambu Biji Merah Dan Jeruk) Terhadap Kadar Hb Pada Ibu Hamil Ridawati, Indah Dewi; Supriyanto, Eko; Zuraidah, Zuraidah; Oktaviani, Eva
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2595

Abstract

Latar Belakang : Kabupaten Musi Rawas menempati posisi kedua terbanyak ibu hamil dengan anemia yaitu 28%. KABAR (Kombinasi Jambu Biji Merah dan Jeruk) adalah upaya peningkatan kadar Hb melalui pemberian jambu biji merah dan jeruk pada ibu hamil dengan anemia di Kabupaten Musi Rawas. Penelitian ini bertujuan untuk mengetahui nilai rata-rata kadar Hb sebelum dan sesudah diberikan KABAR. Metode : Quasi eksperimen tanpa grup kontrol. Sampel yang digunakan berjumlah 30 ibu hamil dengan anemia dengan cara accidental sampling. KABAR diberikan selama 7 hari berturut-turut dengan rincian satu buah jambu dan satu buah jeruk dikonsumsi setiap hari. Hasil : Responden terbanyak dengan usia kehamilan pada trimester 2 dan status gestasi G2P1A0. Derajat anemia yang diderita ibu hamil mengalami penurunan. Rata-rata kadar Hb saat pre test adalah 9,2 dan rata-rata kadar Hb post test adalah 10,4. Terjadi peningkatan signifikan rata-rata Hb Ibu hamil setelah diberikan jambu biji dan jeruk dengan nilai p=0,006 (p<0.05). Kesimpulan : buah jambu biji merah dan jeruk yang dikonsumsi rutin setiap hari dapat membantu meningkatkan kadar Hb pada ibu hamil dengan anemia
Penggunaan Cover Eye Dan Ear Plug Terhadap Kualitas Tidur Pasien Dengan Stemi Roni, Roni; Hartati, Sri; Wibowo, Wahyu Dwi Ari
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2598

Abstract

The quality of sleep among patients with ST-Elevation Myocardial Infarction (STEMI) in Intensive Care Units (ICU) is often compromised due to various factors, including the high level of medical intervention and external environmental stimuli. This study aimed to assess the impact of non-pharmacological interventions, specifically eye covers and ear plugs, on improving sleep quality in STEMI patients admitted to the ICU. A quasi-experimental pre-post design was used, involving 22 patients in the ICU of Siti Aisyah Hospital, Lubuklinggau, during 2024. The Pittsburgh Sleep Quality Index (PSQI) was used to measure the patients' sleep quality before and after the intervention. The results indicated a significant improvement in sleep quality, with the mean PSQI score decreasing from 14.8182 before the intervention to 9.1818 after the intervention, accompanied by a p-value of 0.000, demonstrating statistical significance. This suggests that the use of eye covers and ear plugs is effective in improving sleep quality in STEMI patients in ICU settings. Further studies with larger samples and diverse patient conditions are recommended to explore the long-term effects of this non-pharmacological intervention.
Kombinasi Pijat Oksitosin Menggunakan Aromaterapi Pada Ibu Dengan Menyusui Tidak Efektif Ningsih, Ratna; Rosnani, Rosnani; Jaya, Herawati; Marliza, Vivin Dwi
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2608

Abstract

Background: Post partum mothers have their own impacts on mothers, including early initiation of breastfeeding (IMD) which is not fulfilled which results in problems with the mother's breastfeeding process. The ineffectiveness of post-partum breastfeeding makes it difficult for mothers to give breast milk to their babies. One effort that can be done is to do an oxytocin massage using lavender aromatherapy. Objective: To describe the implementation of oxytocin massage nursing using aromatherapy in post partum patients with ineffective breastfeeding. Method: The design of this case study is descriptive in the form of a case study with a nursing process approach consisting of assessment, nursing diagnosis, planning, evaluation and documentation. The case study subjects were 2 cases of post partum patients with ineffective breastfeeding at the Muhammadiyah Palembang Hospital in 2024. Results: The results of the case study after implementing oxytocin nursing using lavender aromatherapy showed that the results from patient 1 and patient 2 showed that breast milk supply increased. There is a significant relationship between breastfeeding and the ineffectiveness of giving oxytocin massage using lavender aromatherapy. Conclusion: Implementation of breastfeeding nursing is not effective. Giving oxytocin massage using lavender aromatherapy can be applied because it is effective in increasing breast milk production.
Hubungan Tingkat Kelelahan dan Beban Kerja dengan Kualitas Hidup Profesional Perawat di Rumah Sakit Pratama, Julian Syaputra; Yulia, Sri; Romiko, Romiko
JKM : Jurnal Keperawatan Merdeka Vol 4 No 2 (2024): Jurnal Keperawatan Merdeka
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jkm.v4i2.2620

Abstract

Introduction: The complex work environment and task responsibilities in hospitals play a major role in the personal aspects of staff, including fatigue and workload felt by nurses. Quality of Life Professional (QOL) of nurses is important to realize productivity and quality of service in hospitals. Objective: To analyze the relationship of fatigue level and workload with nurses' professional quality of life. Method: The research method used was cross sectional with purposive sampling technique of 44 nurse respondents from a private hospital in Palembang City. Data analysis used was Chi Square test. Results: The results of the study showed that the level of fatigue of nurses at the Muhammadiyah Hospital in Palembang was an average of 55.69, the majority of nurses' workload was in the medium category of 18 respondents (40.0%), and the quality of professional life of nurses was in the high category of 23 respondents (51.13%) with statistical results using the Chi Square test with a p value of 0.023 (p <0.05). Conclusion: Strategies are needed to optimize the management of nurses' fatigue levels and workload both personally and by institutions in order to support nurses' improved professional quality of life.

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