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Prima Daniyati Kusuma
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INDONESIA
Jurnal Keperawatan Notokusumo
Published by Sekolah Tinggi Ilmu Kesehatan Notokusumo Yogyakarta
ISSN : 23384514     EISSN : 28081781     DOI : 10.53423
Core Subject : Humanities, Health, Education,
Humanities Education Health Professions Nursing Public Health
Jurnal Keperawatan diterbitkan oleh Program Studi Ilmu Keperawatan STIKES Notokusumo. Jurnal ini diterbitkan secara berkala dua kali dalam setahun yaitu periode Juni - Desember. Jurnal ini memuat hasil-hasil penelitian dan kajian dalam bidang ilmu keperawatan.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 112 Documents
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Faktor yang Berperan Sebagai Prediktor Kematian pada Pasien Non-ST Elevation Infarction (NSTEMI) pada 48 Jam Pertama Perawatan Linda Widyarani; Muhammad Rasjad Indra; Tony Suharsono
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Background: In-hospital mortality rate NSTEMI equally even higher than STEMI. In dr. Soedono Madiun general hospital, in-hospital mortality rate of NSTEMI was 17% in 2012 and had escalated reached 21% in 2013. Among patients NSTEMI with late arrival (>2 hours) and arrhythmias had a higher in-hospital mortality rate. Objective: To determine the factors that had a role as early predictor of in-hospital mortality in NSTEMI patient. Method: This research had been conducted in dr. Soedono Madiun general hospital. This research use quantitative research method, use approach of observational analytic with longitudinal prospective design. This research had been done in April until June, 2014 with the number of samples is 50 people. Analysis of data use multivariate analysis regression logistics. The collecting data obtained by observation and an interview. Result: The mean of delay time was 7,89±6,44 hours. Self-medication (0,000) and health-care seeking pattern (0,002) were factors influencing pre hospital delay among patients NSTEMI >2 hours. Analysis of bivariate showed that pre hospital delay statistically significant predictor of in-hospital mortality (0,001). Among patients NSTEMI with late arrival (>2 hours) had a higher in-hospital mortality rate. The number of patients who arrive at the hospital early was 13 people and at the hospital late only 2 people. After analysis of multivariate, regression logistic showed that systolic blood pressure ?90 mmHg (p=0,023, RR=7,596, ?=0,05) and arrhythmias (p=0,047, RR=6,866, ?=0,05) proven a role as early predictor of in-hospital mortality in NSTEMI patient. Frequently, total AV block proven a role as early predictor of in-hospital mortality of NSTEMI. Conclusion: The strongest factor had a role as early predictor of in-hospital mortality in NSTEMI patient is systolic blood pressure ?90 mmHg.
Pengaruh Pemberian Teknik Relaksasi Nafas Dalam Terhadap Penurunan Nyeri pada Pasien Post OP Fraktur Femur Wiwi Kustio Priliana; Ni Ketut Kardiyudiani
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Background: The addition of roads and the use of motor vehicles cause disproportionate number of victims of traffic accidents increased, but the increase in the highest number occurs more frequently in developing countries. The high number of accidents causing higher fracture rates, and one of the conditions most frequently occurring fracture is a fracture of the femur, which belongs to a group of three large cases of fracture caused by a traffic accident and had to undergo surgery with consequent effects obtained pain after surgery. Objective: To investigate the effect of deep breathing relaxation techniques to decrease pain levels in patients with postoperative femoral fracture Methods: The experimental approach to sampling and design purpusif pairod t-test and independent t-test to determine the effect of deep breathing on pain in patients with postoperative femoral fracture.Results: The mean is given before and after a deep breath and do not give a breather in the treatment group compared with the control group showed that the results of the treatment group decreased by 2.8 points, 95% CI = - (3:55 to 2:04) t = -7.6 p = 0:00. This means that there is a significant difference in the mean difference in pain reduction between the groups were given a deep breath than those not given a deep breath. Conclusion: After doing research on getting the results that deep breathing relaxation techniques can reduce postoperative pain in patients with fractures of the femur.
Pengaruh Terapi Musik terhadap Penurunan Tingkat Stress Kerja Perawat di Unit Perawatan Kritis Maryana; Sri Ariani; Eko Suryani
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Background: Stress is state of being produced by changing environment and accepted as a thing challenge threatening or destructive balance. Stress can cause negatif feelings or contrary to what is desired or threatened the emosional well-being of a person. Critical care nurse are susceptible to stress because it faced the routine care of patients in critical condition and require strict monitoring. Music therapy is beneficial to improve relaxation and give flavor comfortable so as to hinder sensation angsty, fear, tension and divert attention from thoughts unpleasant. Objective: This research aims to know the influence of music therapy to decrease stress levels nurses work in critical care units. Method: Quasi-experimental study design with pretest and posttest without control design. Population: all of associate nurse. Time research 12 weeks. Measurement of the level of work stress using the questionnaire work stress. Hypothesis test with wilcoxon test with significance level p?0,05. Result: Having given music therapy the majority have low levels of work stress 88,8%. Music therapy has an effect on the decrease in work stress p 0.000 or p<0,05. Music therapy has an effect on the decrease in mean pulse, mean systolic blood pressure and mean MAP. Conclusion: Music therapy is capable of lowering the levels of work stress of nurses in Critical Care Unit
Pengaruh Kegel Exercise terhadap Inkotinensia Urin pada Lansia Erika Nurwidiyanti
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Background : Urinary incontinence is one of seriously problems that usually comman in elderly. Many chronically conditions can appear if incontinence urine did not treated early since the symptoms cammon. Kegel exercise is one of early interventions that can be given to the urinary incontinence’s patient in order to decrease that symptom. Good understanding about incotinence urine is needed to treating this problem well. Objective : To know the influence kegel exercise for elderly incontinence urine. Method : The purpose of this study was to know the effect of “kegel exercise” to urinary elimination disorder (incontinence urine) in elderly. This research is pra- experiment research; one graup pretest- posttestdesign where the sample was collected with purposive sampling. There are 15 elderly womens who are more than 45 years old as the subject. They are member of The Centre of Elderly Services of Mangir Tengah Village at 2008. The subject was interviewed directly before and after they did kegel exercise among 6 weeks, with usewd questionnaire of urinay elimination disorder that focused on the symptoms of urinary incontinence chronic persistent. Result : The findings of this study revealed that “kegel exercise” has significant effect to decrease disorder of urinary elimination (incontinence urine) in elderly with p value 0,002, escpecially disorder to stoped the stream of the urine when urinate with p significant 0,005 and difficult to stand the urinewith p significant 0,059. This findings support the hypothesis of the research, so it can be a guide to the elderly nurses, the workers of The Centre of Elderly Services, and medical workers to practice kegel exercise as the early intervention to the symptoms of urinary elimination disorder (incontinence urine) in elderly. Conclusion : There are influence which significan kegel exercise for decrease elderly incontinence urine. Key words: elderly, kegel exercise, urinary incontinence
Perbedaan Waktu Pemulihan Motorik Ekstremitas Inferior pada Laki-laki dan Perempuan yang Dilakukan Subarachnoid-Block (SAB) Ubah Swasono Basuki; Pandit Sarosa; Maryana
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Background: individual leg muscle strength measured by the degree of movement against the barrier.Bromage score is one indicator of motor response after spinal anesthesia. Objective: This study aimed to know the difference between inferior extremity motor recovery in men and women who performed subarachnoid block (SAB) in IBS Dharma HusadaHospital Probolinggo. Method: This study is an observational analytic study, using quantitative methods to obtain a picture of the difference between the inferior extremity motor recovery in men and women who do Subarachnoid - Block (SAB). Result: Based on the findings in Dharma HusadaHospital Probolinggo, December 2013 to January 2014 the number of 60 respondents patient men and women, carried subarachnoid block (SAB), at the age of 17-45, medicine bupivakain0,5% 15mg spinal anesthesia,that men are inferior extremity motor recovery time of 14.5 minutes faster than women, men motor recovery time 152.5 minutes while the women's 166 minutes. Conclusion: The inferior extremity motor recovery time in males average 152.5 minutes, while women 166 minutes. So DAPT concluded extremity motor recovery time inferior to men 14.5 minutes faster than women
Riwayat Pola Asuh Orang Tua pada Klien Gangguan Jiwa yang Muncul pada Usia Remaja Suwanto
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Background: Teenage period is a period which is prone to stress; meanwhile teenagers are successive generation of the nation who will be leaders of the future. Parents' rearing pattern contributes to the formation of someone's personality, strong or weak, and affect someone's mentality in facing stressor. Objective: To get an overview of parents' rearing pattern to mentally disordered teenage clients at Dr. RM. Soedjarwadi Mental Hospital, Klaten. Method: The study was descriptive explorative non experimental which used quantitative approach. Data about rearing pattern of the respondent were obtained from questionnaire of Child Rearing Pattern Scale according to Yuniarti (1988). There were 31 clients who had mental disorder during teenage period (11 – 24 years of age) and were hospitalized at Dr. RM. Sodjarwadi Mental Hospital, Klaten with criteria non organic mental disorder / mental retardation, in improved health condition, able to read and write. The study was carried out from 16th November until 15th December 2006. Result: As much as 74.2% of respondents belonged to type VI rearing pattern (undistinguishable rearing pattern); 25.8% type III (democratic); 0% type I (authoritarian based on refusal); type II (authoritarian based on acceptance) or type V (permissive based on refusal). Conclusion: In average the clients who had mental disorder during teenage period (11 – 24 years of age) had type VI rearing pattern (undistinguishable).
Kecemasan Penderita Gagal Ginjal Kronik yang Menjalani Hemodialisis Tofik Hidayat
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Background : Chronic Renal Failure (CRF) is a chronic decline in renal function is generally not reversible and quite advanced. Chronic renal failure with hemodialysis therapy (HD) in Indonesia and generally in developing countries is not just a matter of medical aspects alone, but involves psychological aspects and social aspects. Significant psychological problems found in CRF patients undergoing HD therapy is depression, dementia, drug use and alkhohol, anxiety and personality disorders. Research on the number of patients with renal failure who are undergoing this treatment permanent shows that most of them experience anxiety, feelings of despair, lose hope and depression are quite heavy. Objective : The aim of this study was to know about Anxiety Chronic Renal Failure Patients Undergoing Hemodialysis is. Method: The study of quantitative non-experimental. The research design used was a descriptive cross sectional analytic approach. Result: the results showed that anxiety CRF patients undergoing HD in HD Unit Hospital Dr. Soeradji Tirtonegoro Klaten is anxiety were 12 persons (34.23%) and 11 severe anxiety (31.4%). in detail there are changes and differences in anxiety levels in CRF patients undergoing HD by age, gender, socioeconomic status (monthly income), duration of therapy and frequency therapy HD. Conclusion: Anxiety CRF patients undergoing HD in HD Unit Hospital Dr. Soeradji Tirtonegoro Klaten is anxiety were 12 persons (34.23%) and 11 severe anxiety (31.4%).
Upaya Pencegahan Komplikasi Infeksi pada Penggunaan Central Venous Catheter (CVC) Septiana Fathonah; Tri Wahyu Murni
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Critically-ill patients at intensive care unit (ICU) require hemodinamic monitoring such as CVP (Central Venous Pressure) monitoring using CVC (Central Venous Catheter). CVC insertion is associated with several complications for the patients. One of them is catheter-related infections which further expose the patients for a higher risk of morbidity and mortality. CVC could be contaminated via extra and intraluminal route which result in systemic spreading of the microorganism and cause blood stream infection (BSI). Health care personnel must actively perform prevention measures to lower the infection risk. Since the infections could be due to migration of the microorganism at insertion site, a proper dressing method plays an essential role to prevent the infections as an effective barrier for the microorganisms. In this review, we will first discuss the prevention measures in general. Finally, we discuss the advantegous and disadvantegous of using two types of dressing methods (transparent polyurethane and gauze and tape dressing).
Gugging Swallowing Screen (GUSS) Sebagai Metode Skrining Kemampuan Menelan Pasien Stroke Akut Ngatini; Rudi Haryono
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Acute-onset dysphagia after stroke is frequently associated with an increased risk of aspiration pneumonia. Because most skrining tools are complex and biased toward fluid swallowing, we developed a simple, stepwise bedside screen that allows a graded rating with separate evaluations for nonfluid and fluid nutrition starting with nonfluid textures. The Gugging Swallowing Screen (GUSS) aims at reducing the risk of aspiration during the test to a minimum; it assesses the severity of aspiration risk and recommends a special diet accordingly. One important issue is the sequence of the subtests of a swallowing screen. Nearly every dysphagia screen reported starts with liquids. Clinical observation of acute-stroke patients shows that most of them have more problems swallowing liquids than semisolid textures. Studies of dysphagic patients during motion fluoroscopy found that penetration into the larynx was more likely when swallowing liquids than semisolid textures. On the basis of such findings, we developed a stepwise procedure of assessment aimed at reducing the risk of aspiration during the test to a minimum and enabling a graded rating with separate evaluations for nonfluid and fluid nutrition, starting with nonfluid textures. This would not result in an overall diagnosis of dysphagia based only on insufficient fluid swallowing and thus, in the recommendation to refrain from oral feeding altogether, but it might enable a considerable proportion of patients with acute stroke to continue with semisolid food while recommending that fluids should be applied via intravenous line or nasogastric tube.
Balneotherapy Sebagai Terapi Nonfarmakologi Penurunan Nyeri Sendi Maria Putri Sari Utami
Jurnal Keperawatan Notokusumo Vol. 2 No. 1 (2014): Jurnal Keperawatan Notokusumo
Publisher : LPPM STIKES NOTOKUSUMO YOGYAKARTA

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Abstract

Balneotherapy is one of modality for musculoskeletal disease, because few studies focusing on elderly patients with joints disease (rheumatritis). This literature review aim to examine the effectiveness of methods of balneotherapy. The studies and experiments of balneotherapy carried out before the results are effective again a decrease in pain in the joints. Articles obtained from an electronic search through MEDLINE, CINHAL, SCHOLARGOOGLE and the inclusion criteria journal published in the period between the years 2003-2013. Four journals are consistently explain the benefits of balneotherapy reduce joints pain. The use of warm water as a medium which can cause vasolidation of blood vessels in increasing blood flow. Increased blood flow can remove inflammatory product such as bradykinin, histamine, and prostaglandins that cause local pain.

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