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Karimah Dwika Gustandra
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INDONESIA
Jurnal Keperawatan GSH
ISSN : 20882734     EISSN : 2964156X     DOI : https://doi.org/10.56840/jkgsh.v12i2.92
Core Subject : Health, Education,
Jurnal Keperawatan GSH adalah jurnal keperawatan untuk perawat, akademisi, dan praktisi. Jurnal Keperawatan GSH ini menerima artikel penelitian asli dan relevan di bidang keperawatan, serta studi literatur dan laporan kasus khususnya keperawatan atau kesehatan. Fokus dan scope jurnal ini adalah Keperawatan Medikal Bedah, Keperawatan Anak, Keperawatan Maternitas, Keperawatan Jiwa, Keperawatan Gawat Darurat, Keperawatan Keluarga, Keperawatan Komunitas, Keperawatan Dasar, Keperawatan Komplementer, Keperawatan Paliatif, Kesehatan, Reproduksi, Kebidanan, HIV/AIDS, Tuberculosis dan masalah kesehatan lainnya. Jurnal ini diterbitkan secara berkala pada bulan Januari dan Juli setiap tahun.
Articles 10 Documents
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EFEKTIFITAS SENAM LANSIATERHADAP PENURUNAN TEKANAN DARAH PADA KELOMPOK LANSIA HIPERTENSI DI KELURAHAN SUKOHARJO Kristiana Puji Purwandari; Siska Ade Suwarno
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

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Background: hypertension is a non-comunicable disease or often referred to as the main non-communicable disease but is often found in Indonesia. It is estimated that in 2025 the number of hypertension sufferers will reach 1.5 billion people and 10.4 million people are predicted to die from hypertension and complications. In Indonesia alone 55.2% of hypertension sufferers are dominated by the elderly (Riskesdakes 2018). Hypertension exercise is part of an effort to reduce body weight and manage stress, which are two factors that increase the risk of hypertension (Vitahealth, 2004). Hypertension exercise is one way of maintaining physical fitness or physical exercise that can be done to reduce body weight and manage stress so that it can increase the body's metabolic activity and can stimulate the work of the heart and can strengthen the heart muscles. The purpose of this study was to determine the effect of elderly hypertension exercise on blood pressure in elderly with hypertension in Sukoharjo Village. Methods: This research method used a pre-experimental design method, onegroup pretest-posttest. The number of samples was 30 people who were taken using purposive sampling technique. Data collection by observation of blood pressure before and after the intervention, which was carried out twice a week for four weeks. Blood pressure data were analyzed using paired sample t-test with α <0.05. Results: From the results of the study, it can be concluded that the average systolic blood pressure before theelderly hypertension exercise was 151.30 mmHg and the average diastolic blood pressure was 93.83 mmHg. Most of the respondents were classified as Stage 1 hypertension. The average systolic blood pressure after the elderly hypertension exercise was 135.15 mmHg and the average diastolic blood pressure was 90.20 mmHg, which was included in the pre-hypertension classification. Latar belakang :hipertensi merupakan salah satu penyakit non-comunicable disease atau sering disebut dengan penyakit tidak menular utama tapi sering dijumpai di Indonesia. Diperkirakan tahun 2025 jumlah penderita Hipertensi mencapai 1,5 miliar jiwa dan 10,4 juta jiwa diprediksi akan meninggal akibat hipertensi dan komplikasi. Di Indonesia sendiri 55,2 % penderita Hipertensi didominasi oleh lansia (Riskesdakes 2018). Senam hipertensi adalah bagian dari usaha untuk mengurangi berat badan dan mengelola stress yang merupakan dua faktor yang mempertinggi resiko hipertensi (Vitahealth,2004). Senam hipertensi merupakan salah satu cara pemeliharaan kesegaran jasmani atau latihan fisik yang dapat dilakukan untuk mengurangi berat badan dan mengelola stress sehingga dapat meningkatkan aktivitas metabolisme tubuh dan dapat merangsang aktifitas kerja jantung dan dapat menguatkan otot-otot jantung. Tujuan penelitian ini adalah untuk mengetahui pengaruh senam hipertensi lansia terhadap tekanan darah lansia dengan hipertensi di Kelurahan Sukoharjo. Metode : Metode penelitian ini menggunakan metode rancangan pre-eksperimen, onegroup pretest-posttest. Jumlah sampel 30 orang yang diambil dengan teknik Purposive Sampling. Pengumpulan data dengan observasi tekanan darah sebelum dan sesudah intervensi, yang dilakukan dua kali seminggu selama empat minggu. Data tekanan darah dianalisa menggunakan paired sampel t-test dengan α < 0,05.Hasil : Dari hasil penelitian dapat disimpulkan bahwa rata-rata tekanan darah sistolik sebelum dilakukan senam hipertensi lansia yaitu 151,30 mmHg dan rata-rata tekanan darah diastolik 93,83 mmHg. Sebagian besar responden masuk dalam klasifikasi hipertensi Stadium 1. Rata-rata tekanan darah sistolik sesudah dilakukan senam hipertensi lansia yaitu 135,15 mmHg dan rata-rata tekanan darah diastolik yaitu 90,20 mmHg, masuk dalam klasifikasi prehipertensi.
GAMBARAN TINGKAT KECEMASAN ORANGTUA DI RSUD. dr. SOEDIRAN MANGUN SUMARSO WONOGIRI Susana Nurtanti
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

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Hospitalisasi adalah salah satu cara untuk menyembuhkan penyakit anak. Hospitalisasi dapat menyebabkan kecemasan bagi anak jika tidak ditanggulangi akan mengganggu dalam pemberian terapi di rumah sakit sehingga proses penyembuhan akan terhambat. Bagi anak hospitalisasi merupakan suatu pengalaman yang mengancam, menakutkan, kesepian dan membingungkan sehingga anak bisa mengalami stress. Stres pada hospitalisasi akan menimbulkan perasaan tidak nyaman baik pada anak maupun keluarga, sehingga diperlukan proses penyesuaian diri untuk mengurangi, meminimalkan stres supaya tidak berkembang menjadi krisis. Tujuan penelitian ini mengetahui gambaran tingkat kecemasan orangtua di RSUD Dr. Sudiran Mangun Sumarso Wonogiri. Metode penelitian menggunakan deskriptif, dengan metode survai, instrument kuesioner, analisaunivariate. Tingkat kecemasan yang dialami oleh 40 responden adalah 4 responden (10.0%) mengalami cemas sedang, 20 responden (50.0%) mengalami cemas berat, 16 responden (40.0%) mengalami panik. Kesimpulannya adalah tingkat kecemasan orang tua terhadap hospitalisasi anak di RSUD Dr. Sudiran Mangun Sumarso Wonogiri adalah cemas berat sebanyak 20 responden (50.0%). Pain and hospitalized are major crisis that appears in children. If a child is hospitalized, the child will be susceptible to crisis. Chilren will experience stress as a result of changes to the status health and environment in daily habits. Children have a number of limitations in coping mechanisms to overcome the issues and events that are repress. The reaction of the child in overcoming the crisis is influenced by the level of development of age, previous experienc against the sick and hospitalized, the avaliable system support, as well as coping skills in dealing with stress. This aimof this research to get overview of parent anxiety level of children hospitalization at Dr. Moewardi Hospital. This study used descriptive survey method, the sample in this study was puposing sampling, the instrument was questionnaire and univariate analysis. The level of anxiety on 40 respondents, Anxiety was 4 (10%), sereve anxiety 20 people (50%) and panic 16 people (40%). The anxiety level of parents of chidren hospitalization at Dr. Moewardi hospital is severe anxiety 50 %.
EFEKTIVITAS TERAPI MENGGAMBAR DAN MEWARNAI BERKELOMPOK TERHADAP PERKEMBANGAN PSIKOSOSIAL ANAK RETARDASI MENTAL Retno Ambarwati; Rita Yuliantika
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

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Retardasi mental adalah ketidakmampuan yang ditandai dengan fungsi intelektual berada dibawah rata-rata (IQ < 70) dan rendahnya kemampuan diri dalam beradaptasi sosial dengan lingkungan disekitarnya. Maka dari itu untuk melatih kemampuan bersosialisasi anak retardasi mntal digunakan teknik terapi menggambar dan mewarnai berkelompok.Tujuan pada penelitian ini adalah untuk mengetahui efektivitas terapi menggambar dan mewarnai berkelompok terhadap perkembangan psikososial serta penyesuaian sosial anak retardasi mental.Penelitian ini merupakan penelitian kualitatif dengan menggunakan model penelitianStudi Kasus. Responden berjumlah 3 orang siswa dengan retardasi mental usia 7-8 tahun di SLB Negeri Wonogiri. Pengumpulan data menggunakan teknik wawancara, observasi, dan memberikan terapi menggambar dan mewarnai secara berkelompok untuk meningkatkan kemampuan bersosialisasi anak retardasi mental. Hasil uji observasi dengan terapi menggambar dan mewarnai secara berkelompok terhadap peningkatan penyesuaian sosial pada responden 1 meningkat dari 5 indikator menjadi 8 indikator, responden 2 meningkat dari 4 indikator menjadi 8 indikator, responden 3 meningkat dari 3 indikator menjadi 6 indikator.Degan rata-rata peningkatan indikator penyesuaian sosial naik dari 4 indikator menjadi 7,3.Terapi menggambar dan mewarnai secara berkelompok efektif meningkatkan kemampuan psikososial anak retardasi mental. Mental retardation is an incompetence characterized by intellectual function below average (IQ<70) and low self-adaptability to the environment around it. Therefore, to train the social skills of retardant childrens, a drawing and coloring therapy technique is used in group.The purpose in this study is to know the effectiveness of drawing and coloring group therapy for the psychosocial developmentand social ability of mental retardation childrens.The study was qualitative research using the case study models. Respondents are 3 students with sevenyear- olds until eight-year-olds mental retardation in SLB Negeri Wonogiri. Data collectionuses interview techniques, observation, and also drawing and coloring group therapies to enhance the social skills of mental retardation childrens.Observations test results with drawing and coloring in group for increased social adjustment in respondents 1 rose from 5 indicator to 8 indicator, respondents 2 rose from 4 indicator to 8 indicator, respondents 3 rose from 3 indicator to 6 indicator. With the average increase in social adjustment indicators goes up from 4 become 7,3.Drawing and coloring group therapy is effectively enhances psychosocial skills for mental retardation childrens.
PENGARUH INHALASI UAP KAYU PUTIH TERHADAP KETIDAKEFEKTIFAN BERSIHAN JALAN NAFASPADA PASIEN BRONKHITIS DI PUSKESMAS WONOGIRI I Revi Meliyani; Marni marni
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

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Latar Belakang: Bronkitis adalah suatu infeksi saluran pernapasan yang menyebabkan inflamasi yang mengenai trakea, bronkus utama dan menengah yang bermanifestasi sebagai mengatasi masalah tersebut dapat dilakukan dengan cara terapi inhalasi uap. Inhalasi uap adalah pemberian obat dalam bentuk uap langsung menuju alat pernafasan(hidung dan paru-paru menggunakan alat cerobong yang bertujuan untuk mencairkan dahak / lendir dari paru-paru yang menutupi saluran pernafasan sehingga nafas kembali normal. Tujuan Penulisan: Menyusun resume asuhan keperawatan pada pasien bronkitis dengan tindakan inhalasi uap kayu putih untuk mengatasi masalah ketidakefektifanbersihan jalan nafas. Metode : Penelitian ini menggunakan metode studi kasus (Case Study). Partisipan adalah 2 subjek yang mengalami masalah ketidakefektifan bersihan jalan nafas. Instrumen yangdigunakan adalah adalah air panas, handuk dan kayu putih. Hasil: Subjek mengalami penurunan sesak nafas dan RR atau frekuensi nafas berkurang Kesimpulan: Terapi inhalasi terbukti dapat mengatasi sesak nafas.
TINGKAT KEPUASAN MAHASISWA TERHADAP PEMBELAJARAN DAN LAYANAN AKADEMIK DI AKPER GIRI SATRIA HUSADA WONOGIRI Sri Handayani
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

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Penelitian ini bertujuan untuk mengetahui tingkat kepuasan mahasiswa terhadap proses pembelajaran dan layanan akademik. Penelitian dilaksanakan pada akhir semester ganjil di Akper Giri Satria Husada Wonogiri pada tahun 2019. Responden sebanyak 117 orang. Data kepuasan mahasiswa dikumpulkan dengan kuisioner. Hasil penelitian menunjukkan bahwa rata-rata tingkat kepuasan mahasiswa terhadap rencana proses pembelajaran sebesar 4.25 dengan kategori puas, rata-rata tingkat kepuasan mahasiswa terhadap pelaksanaan proses pembelajaran sebesar 4.17 dengan kategori puas, rata-rata tingkat kepuasan mahasiswa terhadap kinerja dosen dalam kegiatan praktikum sebesar 4.18 dengan kategori puas, rata-rata tingkat kepuasan mahasiswa terhadap suasana akademik sebesar 4.19 dengan kategori puas, rata – rata tingkat kepuasan mahasiswa terhadap layanan kemahasiswaan sebesar 4.16 dengan kategori puas, rata – rata tingkat kepuasan mahasiswa terhadap layanan keuanganakademik sebesar 4.10 dengan kategori puas dan rata – rata tingkat kepuasan mahasiswa terhadap sarana dan prasarana sebesar 4.12 dengan kategori puas.
PENDIDIKAN KESEHATAN SENAM KAKI DIABETIK TERHADAP TINGKAT PENGETAHUAN KELUARGA DENGAN DIABETES MELLITUS DI DESA PIJIHARJO, MANYARAN, WONOGIRI Nita Yunianti Ratnasari; Putri Utami
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

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Diabetes Mellitus (DM) is a metabolic disease characterized by chronic hyperglycemia (high sugar) due to failure of insulin secretion, where normal sugar levels are between 80-120 mg / dL. Lack of patient and family knowledge can increase the risk of diabetes mellitus complications. To improve the prevention of complications, diabetic foot gymnastic health education is given. The aim of the study is to determine the effect of diabetic foot gymnastics health education on the level of knowledge of families with Diabetes Mellitus. This research type is qualitative with descriptive case study approach. The population in this study is all the people of Pijiharjo Village who experienced Diabetes Mellitus. The sample of 3 respondents families with Diabetic Mellitus. The Instruments use Standard Operating Procedures (SOP), leaflets, flipcharts, Counseling Event Unit (SAP), questionnaire sheet.Test analysis using review data. The action taken is diabetic foot gymnastics health education. This health education was done 1 days for 1 hour. All three respondents experienced an increase in knowledge as evidenced by the ability to answer the questionnaire before and after being given health education, from the category of insufficient (40% -67%) to a good category (80% -100%).From the case studies it was found that the level of respondents' knowledge increased as evidenced by the ability to answer the questionnaire before and after being given health education, from the category of insufficient (40% -67%) to a good category (80% -100%). This increase in the level of knowledge is influenced by the level of education, socioeconomic, age, and experience of obtaining prior health education.
EFEKTIVITAS KEPATUHAN MINUM OBAT TERHADAP STATUS GIZI PADA PENDERITA TUBERKULOSIS PARU (TBC) DI UPT PUSKESMAS BATURETNO Nugroho Priyo Handono
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

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Background: Pulmonary tuberculosis is an infectious disease that attacks the lung parenchyma, caused by Mycobacterium tuberculosis. This disease can also spread to other parts of the body, such as the meninges, kidneys, bones, and lymph nodes (Irman Soemantri, 2009). The prevalence of TB is estimated at 169 cases per 100,000 population, the incidence of pulmonary TB is 122 cases per 100,000 population and the mortality rate is 13 cases per 100,000 population (WHO, 2013). The prevalence of pulmonary TB in Central Java is 321 per 100,000 population (Riskes report, 2018). The Tuberculosis Case Notification Rate (CNR) for all cases was 118 per 100,000 population. Meanwhile, Wonogiri Regency was ranked 25th with CNR Tuberculosis of 75.2 per100,000 population (Central Java Health Profile, 2016). Purpose of writing: To determine the relationship between adherence to taking anti-tuberculosis drugs (OAT) with the nutritional status of patients with pulmonary tuberculosis at UPT Puskesmas Baturetno. Methods: The study design was observational with a cross sectional approach to 33 pulmonary tuberculosis patients who were undergoing outpatient care at the UPT Puskesmas Baturetno. Subjects were selected by purposive sampling. Drug adherence data were obtained from questionnaires filled out through interviews with patients. Food intake data were obtained through the Semi Quantitative Food Frequency Questioner and analyzed by Nutrisurvey. Nutritional status was assessed based on the Weight for Age Z Score (WAZ) referring to the WHO Antro 2005 reference standard. Bivariate analysis used SPSS 20 with the Chi Square statistical test. Results: Most of the subjects (57.6%) complied with the medication regimen. At the beginning of diagnosis, 18.2% of children were malnourished and decreased by 9.1% after treatment. There was no correlation between medication adherence and nutritional status (r = 0.218; p = 0.223). The relationship between medication adherence and nutritional status after being controlled by energy and protein intake did not show a significant relationship (r = 0.184; p = 0.322). Conclusion: There is no correlation between medication adherence and nutritional status of patients with ulmonary tuberculosis at Baturetno Public Health Center. Latar belakang : Tuberkulosis paru merupakan penyakit infeksi yang menyerang parenkim paruparu, disebabkan oleh Mycobacterium tuberculosis.Penyakit ini dapat juga menyebar ke bagian tubuh lain seperti meningen,ginjal,tulang,dan nodus limfe (Irman Soemantri,2009). Prevalensi TB diperkirakan sebesar 169 kasus per 100.000 penduduk, insidensi TB Paru sebesar 122 kasus per 100.000 penduduk dan angka kematian sebesar 13 kasus per 100.000 penduduk.(WHO,2013).Prevelensi TB paru di Jawa Tengah sebesar 321 per 100.000 penduduk (laporan Riskes,2018). Angka Notifikasi Kasus (Case Notification Rate = CNR) Tuberkulosis untuk semua kasus sebanyak 118 per 100.000 penduduk. Sedangkan Kabupaten Wonogiri menduduki peringkat ke-25 dengan CNR Tuberkulosis sebanyak 75,2 per 100.000 penduduk.(profil kesehatan jawa tengah,2016). Tujuan Penulisan: Untuk mengetahui hubungan antara kepatuhan minum Obat Anti TBC (OAT) dengan status gizi pasien TBC Paru di UPT Puskesmas Baturetno. Metode : Desain penelitian bersifat observasional dengan pendekatan Cross Sectional pada 33 penderita tuberkulosis paru yang menjalani rawat jalan di UPT Puskesmas Baturetno. Subyek dipilih secara purposive sampling. Data kepatuhan minum obat diperolah dari kuesioner yang diisi melalui wawancara dengan pasien. Data asupan makan diperoleh melalui Semi Quantitative Food Frequency Questioner dan dianalisis dengan Nutrisurvey. Status gizi dinilai berdasarkan Weight for Age Z Score (WAZ) mengacu pada baku rujukan WHO Antro 2005. Analisis bivariat menggunakan SPSS 20 dengan uji statistik Chi Square. Hasil: Sebagian besar subyek (57,6%) patuh terhadap aturan minum obat. Pada awal diagnosis sebanyak 18,2% anak mengalami gizi buruk kemudian mengalami penurunan sebesar 9,1% setelah pengobatan. Tidak terdapat hubungan kepatuhan minum obat dengan status gizi (r=0,218; p=0,223). Hubungan kepatuhan minum obat dengan status gizi setelah dikontrol oleh asupan energi dan protein pun tidak menunjukan hubungan yang bermakna (r=0,184; p=0,322). Kesimpulan: Tidak terdapat hubungan kepatuhan minum obat dengan status gizi penderita tuberkulosis paru di UPT Puskesmas Baturetno.
HEALTH EDUCATION IN PREGNANT WOMEN WITH THE RISK OF CHRONIC ENERGY DEFICIENCY Putri Halimu Husna; Dewi Sekar Arum
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
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Background: According to the World Health Organization (WHO) Mother's death is still quite high, every day around the world about 808 women die from complications in pregnancy or childbirth. According to WHO, 40% of maternal deaths in developing countries are caused by CED and anemia during pregnancy. Chronic energy deficiency (CED) is a condition where the mother suffers from chronic food shortages (chronic) resulting in the occurrence of health problems in the mother. Pregnant women who have CED five times more risk to give birth to babies with low birth weight (LBW). To know pregnant women have CED or not, measurement were madeof mid-upper arm circumference (MUAC). urpose: The purpose of this study was to determine the nutritional status of pregnant women who experience the risk of KEK before and after providing health education in Tunggul Giriwono Village, Wonogiri in 2018. Method: This research used a qualitative research with case study research approach.. The population were 16 pregnant women in Tunggul Village, Giriwono Wonogiri Village. In this study researchers took 3 samples of pregnant women multigravida trimester II. Data collection by using interview, observation, measurement of MUAC to know pregnant women have CED risk. Results: The data obtained from measurement of MUAC before health education are informan 1 with MUAC of 22.5 cm, informan II is 23.5 cm and informan III is 22.0 cm. Measurement of MUAC 2 months after health education, the results obtained were MUAC informan I was 24.5 cm MUAC, informan II was 25 cm and MUAC informan III was 24 cm. Conclusion: The results of this study indicate an increase in the nutritional status of pregnant women who experience the risk of CED before and after the provision of health education. The CED prevention program for pregnant women should be carried out well, especially in providing additional food during pregnancy classes and routine MUAC examinations. Latar belakang: Menurut World Health Organization (WHO) Kematian ibu masih cukup tinggi, setiap hari diseluruh dunia sekitar 808 perempuan meninggal akibat komplikasi dalam kehamilan atau persalinan. Menurut WHO, 40% kematian ibu dinegara berkembang disebabkan oleh KEK dan anemia selama kehamilan. Kurang energi kronis (KEK) merupakan keadaan dimana ibu menderita kekurangan makanan yang berlangsung menahun (kronis) yang mengakibatkan timbulnya gangguan kesehatan pada ibu. Ibu hamil yang mengalami KEK lima kali berisiko untuk melahirkan bayi dengan berat badan lahir rendah (BBLR). Untuk mengetahui ibu hamil mengalami KEK atau tidak dilakukan pengukuran lingkar lengan atas (LILA). Tujuan: Tujuan penelitian ini untuk mengetahui status gizi pada ibu hamil yang mengalami resiko KEK sebelum dan setelah pemberian pendidikan kesehatan di Dusun Tunggul Giriwono Wonogiri tahun 2018. Metode Penelitian: Penelitian ini merupakan penelitian kualitatif dengan pendekatan case study research (studi kasus). Dengan jumlah populasi 16 ibu hamil di Dusun Tunggul, Desa Giriwono wonogiri. Dalam penelitian ini peneliti mengambil 3 informan yaitu ibu hamil multigravida trimester II. Pengumpulan data dengan menggunakan wawancara, observasi, pengukuran LILA menggunakan pita LILA. Hasil: Didapatkan data pengukuran LILA sebelum pendidikan kesehatan adalah informan 1 dengan LILA sebesar 22,5 cm, informan II 23,5 cm dan informan III 22,0 cm. Pengukuran LILA 2 bulan setelah pendidikan kesehatan didapatkan hasil adalah LILA informan I sebesar 24,5 cm, LILA informan II sebesar 25 cm dan LILA informan III sebesar 24 cm. Kesimpulan: Hasil penelitian ini menunjukan adanya peningkatan status nutrisi ibu hamil yang mengalami resiko KEK sebelum dan sesudah pemberian pendidikan kesehatan. Program pencegahan KEK pada ibu hamil sebaiknya dijalankan dengan baik terutama dalam pemberian makanan tambahan saat kelas ibu hamildan pemeriksaan LILA secara rutin.
Faktor – faktor yang Mempengaruhi Kejadian Anemia pada Ibu hamil Di BPM Sri Widayatni Sidoharjo Wonogiri Y. Wahyunti Kristiningtyas; Sri Widayatni
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
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Anemia in pregnant women can cause labor complications, risk of shock during delivery, easy disease during pregnancy, miscarriage, premature birth, babies born with LBW, congenital abnormalities / fetal defects, and result in the maturity of fetal organ function imbalance. The frequency of pregnant women with anemia in Indonesia is relatively high, namely 63.5%. According to Riskesdas (2013) the prevalence of anemia in pregnant women is 36.4% in rural areas and 37.8% in urban areas. Data on the incidence of anemia in pregnancy in Central Java Province is 90.75%. The research objective was to analyze the factors that influence the incidence of anemia in pregnant women. This type of research is an analytic survey with a cross sectional approach. The population in this study were 76 pregnant women who visited BPM Sri Widayatni for ANC from May to June. The research sample was 76 pregnant women. The sampling technique uses total sampling. The research instrument used a questionnaire that had been tested for validity and reliability. Univariate, bivariate data analysis with chi square and multivariate logistic regression with multiple prediction models. The results showed that most of the respondents had advanced education (65.79%), most of the respondents had good knowledge (59.21%), most of the respondents with nutritional status were not KEK (60.53%) and most respondents had low economic status (60 , 53%). The incidence of anemia in pregnant women was 38 (50%). Independent variables that have a significant relationship with the incidence of anemia in pregnant women are maternal education (p value =0.030), maternal knowledge (p value = 0.005) and economy (p value = 0.0001). The variable of maternal nutritional status (p value = 0.100) did not have a significant relationship with the incidence of anemia in pregnant women at BPM Sri Widayatni. The variable that has the most dominant relationship with the incidence of anemia in pregnant women at BPM Sri Widayatni is economy with a value of OR = 6.554. Anemia pada ibu hamil dapat menyebabkan penyulit persalinan, resiko syok waktu persalinan, mudah terjadi penyakit selama kehamilan, keguguran, lahir prematur, bayi lahir dengan BBLR, kelainan bawaan /cacat janin, dan mengakibatkan kematangan fungsi organ tubuh janin tidak seimbang. Frekuensi ibu hamil dengan anemia di Indonesia relatif tinggi yaitu 63,5%. Menurut data Riskesdas (2013) prevalensi kejadian anemia pada ibu hamil adalah di pedesaan 36,4% dan di perkotaan 37,8%. Data kejadian anemia pada kehamilan di Provinsi Jawa Tengah adalah 90,75%. Tujuan penelitian untuk menganalisis faktorfaktor yang mempengaruhi kejadian anemia pada ibu hamil. Jenis penelitian adalah survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini ibu yang berkunjung ke BPM Sri Widayatni untuk ANC bulan Mei – Juni sebanyak 76 ibu hamil. Sampel penelitian sebanyak 76 ibu hamil. Teknik sampling menggunakan total sampling. Instrumen penelitian menggunakan kuesioner yang telah melalui uji validitas dan reliabilitas. Analisis data univariat, bivariat dengan chi square dan multivariat dengan regresi logistik ganda model prediksi. Hasil penelitian didapatkan sebagian besar responden berpendidikan lanjut(65,79%) , sebagian besar responden berpengetahuan baik (59,21%), sebagian besar responden dengan status gizi tidak KEK (60,53%) dan sebagian besar responden memiliki ekonomi rendah (60,53%). Kejadian anemia pada ibu hamil sebanyak 38 orang (50%). Variabel Independen yang memiliki hubungan secara signifikan dengan kejadian anemia pada ibu hamil adalah pendidikan ibu (p value = 0,030), pengetahuan ibu (p value = 0,005) dan ekonomi (p value = 0,0001). Variabel status gizi ibu (p value = 0,100) tidak memiliki hubungan signifikan dengan kejadian anemia pada ibu hamil di BPM Sri Widayatni. Variabel yang memiliki hubungan paling dominan terhadap kejadian anemia pada ibu hamil di BPM Sri Widayatni adalah ekonomi dengan nilai OR = 6,554.
PENGARUH RENDAM AIR HANGAT DI KAKI UNTUK MENCEGAH TERJADINYA ULKUS PADA PENDERITA DIABTES MELLITUS DI DUSUN KEDUNGRINGIN DESA GIRIPURWA WONOGIRI Yohanes Wahyu Nugroho
Jurnal Keperawatan GSH Vol. 9 No. 2 (2020): Juli 2020
Publisher : Akademi Keperawatan Giri Satria Husada Wonogiri

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Abstract

The prevalence of DM in Indonesia occupies the fourth position and continues to increase every year. The uncontrolled of blood sugar condition causes metabolic and vascular complications, one of the complications occured is diabetic foot which is caused by the inadequate peripheral circulation. The examination of Ankle Brachial Index (ABI) is an examination that can be used to assess the adequacy of peripheral circulation. According to the research, warm footbaths can increase the peripheral vascularization, which is expected to have an impact on the decrease of the ABI value. The aim of this research is to determine the effect of warm footbaths decrease the value of ABI. The study design used was quasy-experimetal by using the draft of pre-test post-test control group design. The populations of DM patient were in the village of Mayangan, the total sample of them were 20 respondents. The sampling tehnique used was simple random sampling. Statistical analysis used was paired t-test and independent t-test, with the significance of p <0.05 which means that H0 is rejected. The statistical test result of treatment group showed that there was an effect of ABI value before and after the soaking with the value of p = 0.000, while the result of statistical test between control group and treatment group showed the value of p = 0.005, it means that there is a different value of ABI between control group and treatment group. The conclusion of this study is the warm footbaths effects on the decrease of ABI value in patients with DM.Objective : To find out the effectiveness of soaking warm water in the feet to prevent ulcers in people with diabetes mellitus in the hamlet of Kedungringin, Giripurwa village, Wonogiri.The research design used a Quasy-experimental design with a pre-test post-test control group design. The number of samples is 10 respondents. Tehnink sampling using simple random sampling. Statistical analysis used paired t-test and independent t-test, with a significance of p <0.05, meaning that H0 was rejected.

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