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Holistik Jurnal Kesehatan
Published by Universitas Malahayati
ISSN : 19783337     EISSN : 26207478     DOI : https://doi.org/10.33024/hjk.v18i10
Core Subject : Health,
Health Professions Nursing Public Health
Berisi kumpulan karya ilmiah dari peneliti diberbagai perguruan tinggi di Indonesia, di bidang ilmu kesehatan khususnya bidang ilmu keperawatan yang berdasarkan kepada kebutuhan pasien secara total meliputi: kebutuhan fisik, emosi, sosial, ekonomi dan spiritual. Adapun penelitiannya mencakup 4 aspek pokok, yakni: promotif, preventif, kuratif, dan rehabilitatif. Jurnal terbit setiap bulan dan artikel ditulis dalam bahasa Indonesia, untuk abstrak artikel ditulis dengan dua bahasa yaitu bahasa Inggris dan bahasa Indonesia.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 329 Documents
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Gambaran kasus diare pada anak di Rumah Sakit Ibnu Sina Makassar An’nisa’a, Nurul Fadillah; Arfah, Arni Isnaini; Fattah, Nurfachanti; Darma, Sidrah; Rasfayanah, Rasfayanah; Puspitasari, Ayu
Holistik Jurnal Kesehatan Vol. 19 No. 3 (2025): Volume 19 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i3.473

Abstract

Background: Diarrhea is an increase in the water content of the stool due to an imbalance in the normal functioning of the physiological processes of the small and large intestine responsible for the absorption of various ions, other substrates, and consequently water. The main cause of death in diarrhea is dehydration which occurs due to loss of fluid and electrolytes through the stool. While other causes are dysentery, nutrition, and infection. Purpose: To determine the description of diarrhea cases in children at Ibnu Sina Hospital, Makassar. Method: Descriptive research with a cross-sectional approach to see the picture of diarrhea cases in children at Ibnu Sina Hospital, Makassar for the period January - December 2023. The data used are secondary data in the form of medical records and patient data recorded as many as 713 people. The sample used was 88 respondents with acute diarrhea. The sample size used in this study is in accordance with the Slovin formula, with the inclusion criteria of children aged 5-18 years who experience diarrhea, while the exclusion criteria are children who experience diarrhea accompanied by other diseases. Results: The majority of respondents aged 5-9 years were 47 people (53.4%). The distribution of gender between males and females was even, with 44 people (50.0%) being male and female. Most respondents had good nutritional status as many as 44 respondents (50%), the degree of dehydration was obtained as many as 42 (47.6%) without dehydration, and as many as 83 respondents (94.3%) were given zinc. Conclusion: The incidence of diarrhea in this study was 713 cases of diarrhea. Cases of diarrhea based on age in children were mostly in the 5-9 year age group, and there was no difference between genders. In addition, without dehydration or mild/moderate dehydration, good nutritional status, and zinc administration.   Keywords: Case Description; Children; Diarrhea.   Pendahuluan: Diare adalah peningkatan kandungan air dalam tinja karena ketidakseimbangan fungsi normal proses fisiologis usus kecil dan besar yang bertanggung jawab untuk penyerapan berbagai ion, substrat lain, dan akibatnya air. Penyebab utama kematian diare yaitu dehidrasi yang terjadi akibat kehilangan cairan dan elektrolit melalui feses. Sementara penyebab lainnya adalah disentri, gizi, dan infeksi. Tujuan: Untuk mengetahui Gambaran kasus diare pada anak di Rumah Sakit Ibnu Sina Makassar. Metode: Penelitian deskriptif melalui pendekatan cross sectional untuk melihat gambaran kasus diare pada anak di Rumah Sakit Ibnu Sina Makassar periode Januari – Desember 2023. Data yang digunakan adalah data sekunder berupa rekam medik dan ditemukan data pasien yang tercatat sebanyak 713. Sampel yang digunakan berjumlah 88 responden dengan kondisi diare akut. Besar sampel yang digunakan dalam penelitian ini adalah sesuai dengan rumus besar slovin, dengan kriteria inklusi anak usia 5-18 tahun yang mengalami diare, sedangkan kriteria eksklusinya adalah anak yang mengalami diare disertai penyakit lain. Hasil: Mayoritas 47 responden (53.4%) berada pada umur 5-9 tahun. Sebaran jenis kelamin antara laki-laki dan perempuan merata, sebanyak 44 (50.0%) laki-laki dan perempuan. Sebagian besar responden memiliki status gizi baik sebanyak 44 responden (50%), derajat dehidrasi didapatkan sebanyak 42 (47.6%) tanpa dehidrasi, dan sebanyak 83 responden (94.3%) diberikan zinc. Simpulan: Angka kejadian diare dalam penelitian ini sebanyak 713 kasus diare. Kasus diare berdasarkan umur pada anak paling banyak pada kelompok umur 5-9 tahun dan tidak ada perbedaan antara jenis kelamin. Selain itu, tanpa dehidrasi atau dehidrasi ringan/sedang, berstatus gizi baik, dan dilakukan pemberian zinc.   Kata Kunci: Anak; Diare; Gambaran Kasus.
Penurunan gastric residual volume, distensi abdomen, dan frekuensi muntah pada bayi prematur terpasang ventilasi mekanik dengan abdominal massage Ardiansyah, Diki; Kadi, Fiva Aprillia; Rudhiati, Fauziah; Setiasih, Yani
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.495

Abstract

Background: Feeding intolerance (FI) is a common problem found in premature infants <34 weeks. Prematurity and the effects of mechanical ventilation are the causes of this incident. The main impacts that occur due to FI include delays in providing complete feeding, NEC, infection, increased length of hospital stay (LOS), and treatment costs. Abdominal massage is one of the recommended actions to prevent and overcome this. Purpose: To analyze the reduction of gastric residual volume, abdominal distension, and vomiting frequency in premature infants using mechanical ventilation with abdominal massage. Method: Quasy experiment study with non-equivalent control group pretest and posttest. The study was conducted on 60 premature babies and divided into 30 intervention groups and 30 control groups. Symptoms of feeding intolerance include gastric residual volume (GRV), abdominal distension, and frequency of vomiting which were observed daily until the 5th day before and after the intervention. Abdominal massage was performed 2x/day for 15 minutes and was carried out for 5 days. Data analysis from the first day to the 5th day. Results: The average amount of gastric residue was -0.70 cc in the intervention group and +3.23 in the control group (p<0.05). The average difference also occurred in the size of abdominal distension of -0.20 cm in the intervention group and +1.77 cm (p <0.05). While the frequency of vomiting did not experience a significant difference in the two groups (p = 0.74). Conclusion: Gastric Residual Volume, Vomiting Frequency, and Abdominal Distension in premature infants on mechanical ventilation can be reduced and prevented by implementing abdominal massage.   Keywords: Abdominal Distension; Abdominal Massage; Gastric Residual Volume; Premature Infants; Vomiting Frequency.   Pendahuluan: Feeding intolerance (FI) merupakan masalah yang sering ditemukan pada bayi prematur <34 minggu. Prematuritas dan efek dari pemasangan ventilasi mekanik menjadi penyebab kejadian tersebut. Dampak besar yang terjadi akibat FI seperti penundaan full feeding, NEC, infeksi, peningkatan lama rawat inap (LOS), dan biaya perawatan. Abdominal massage salah satu tindakan yang direkomendasikan untuk mencegah dan mengatasi hal tersebut. Tujuan: Untuk menganalisis penurunan gastric residual volume, distensi abdomen, dan frekuensi muntah pada bayi prematur terpasang ventilasi mekanik dengan abdominal massage. Metode: Penelitian quasi experiment dengan non-equivalent control group pretest dan post test. Penelitian dilakukan kepada 60 bayi prematur dan terbagi menjadi 2 kelompok, 30 sampel kelompok intervensi dan 30 sampel kelompok kontrol. Gejala feeding intolerance diantaranya nya gastric residual volume (GRV), distensi abdomen, dan frekuensi muntah yang diobservasi setiap hari sampai hari ke 5 sebelum dan setelah dilakukan intervensi. Abdominal massage dilakukan 2x/hari selama 15 menit dan dilakukan selama 5 hari. Data analisis sejak hari pertama sampai hari ke 5. Hasil: Rata-rata jumlah residu lambung sebesar -0.70 cc pada kelompok intervensi dan +3.23 pada kelompok kontrol (p<0.05). Perbedaan rata-rata pun terjadi pada ukuran distensi abdomen sebesar -0.20 cm pada kelompok intervensi dan +1.77 cm (p < 0.05). Sedangkan frekuensi muntah tidak mengalami perbedaan yang signifikan pada kedua kelompok (p = 0.74). Simpulan: Gastric residual volume, frekuensi muntah, dan distensi abdomen pada bayi prematur terpasang ventilasi mekanik dapat diturunkan dan dicegah dengan mengimplementasikan abdominal massage.   Kata Kunci: Abdominal Massage; Bayi Prematur; Distensi Abdomen; Frekuensi Muntah; Gastric Residual Volume.
Peran penting keluarga dan petugas kesehatan terhadap keteraturan pengobatan tuberkulosis Rustiasari, Dwi Nisa; Hikmawati, Isna; Handayani, Diyah Yulistika; Setiyabudi, Ragil
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.497

Abstract

Background: Tuberculosis cases are still high due to low treatment success rates. Data shows that the treatment success rate in Indonesia in 2022 was 86.5%, not reaching 90% of the national target. Non-compliance with treatment in pulmonary TB patients is influenced by several factors, namely contact with patients, treatment process, health services, and socio-cultural factors. Purpose: To determine the role of family and health workers in the regularity of tuberculosis treatment. Method: Quantitative research with a cross-sectional approach was conducted on tuberculosis patients in the working area of ​​the Purwokerto Selatan Health Center, Banyumas Regency, Central Java in July-August 2024. The sample in this study was calculated using the population proportion formula and 99 respondents were obtained with inclusion criteria being people who were undergoing tuberculosis treatment, had no history of comorbidities, and did not experience mental disorders. The data analysis used was univariate and bivariate Spearman Rank analysis. Results: Based on the age of respondents, they are dominated by adults (19-59) with regularity in taking medication as many as 56 respondents (76.7%). The majority are male with regularity in taking medication as many as 40 respondents (54.8%), knowledge of respondents in the good category 65 (89.1%) regularly take medication, but there are still 17 respondents (65.4%) with good knowledge but do not regularly take medication. Motivation is dominant in the good category with a total of 40 respondents (54%), good family support as many as 55 respondents (75.3%) have regularity in taking medication, and support from health workers in the good category as many as 67 respondents 91.7% regularly take medication. The p-value for the variables of knowledge, family support, and health worker support <α 0.05, while the variables of age, gender, and motivation obtained p-values> 0.05. Conclusion: The variables of knowledge, family support, and health workers show a significant relationship with regularity in taking medication (p-value <0.05). Meanwhile, the variables of age, gender, and motivation did not show a significant relationship with the regularity of tuberculosis patient treatment (>0.05).   Keywords: Family Role; Health Workers; Regularity of Treatment; Tuberculosis.   Pendahuluan: Kasus tuberkulosis masih tinggi karena tingkat keberhasilan pengobatan yang rendah. Data menunjukkan bahwa angka keberhasilan pengobatan di Indonesia pada tahun 2022 adalah 86.5%, belum mencapai 90% dari target nasional. Ketidakpatuhan berobat pada penderita TB paru dipengaruhi oleh beberapa faktor yaitu kontak dengan pasien, proses pengobatan, pelayanan kesehatan, dan faktor sosio-budaya. Tujuan: Untuk mengetahui peran keluarga dan petugas kesehatan terhadap keteraturan pengobatan tuberkulosis. Metode: Penelitian kuantitatif dengan pendekatan cross-sectional, dilakukan kepada pasien tuberkulosis di wilayah kerja Puskesmas Purwokerto Selatan, Kabupaten Banyumas, Jawa Tengah pada bulan Juli-Agustus 2024. Sampel pada penelitian ini dihitung menggunakan rumus the population proportion formula dan didapatkan sebanyak 99 responden dengan kriteria inklusi adalah orang yang sedang menjalani pengobatan tuberkulosis, tidak ada riwayat penyakit penyerta, dan tidak mengalami gangguan jiwa. Analisis data yang digunakan adalah univariat dan analisis bivariat Spearman Rank. Hasil: Berdasarkan usia responden didominasi oleh usia dewasa (19-59) dengan keteraturan minum obat sebanyak 56 responden (76.7%). Mayoritas adalah laki-laki dengan keteraturan minum obat sebanyak 40 responden (54.8%), pengetahuan responden dalam kategori baik 65 (89.1%) teratur minum obat, namun masih terdapat 17 responden (65.4%) dengan pengetahuan baik tidak teratur minum obat. Motivasi dominan pada kategori baik dengan jumlah 40 responden (54%), dukungan keluarga baik sebanyak 55 responden (75.3%) memiliki keteraturan dalam minum obat, dan dukungan petugas kesehatan berada pada kategori baik sebanyak 67 responden 91.7% teratur dalam minum obat. Nilai p pada variabel pengetahuan, dukungan keluarga, dan dukungan petugas kesehatan < α 0.05, sedangkan variabel umur, jenis kelamin, dan motivasi diperoleh nilai p >0.05. Simpulan: Variabel pengetahuan, dukungan keluarga, dan petugas kesehatan menunjukkan hubungan yang signifikan dengan keteraturan berobat (p-value <0.05). Sementara itu, usia, jenis kelamin, dan motivasi tidak menunjukkan hubungan yang signifikan dengan keteraturan berobat pasien tuberkulosis (>0.05).   Kata Kunci: Keteraturan Pengobatan; Peran Keluarga; Petugas Kesehatan; Tuberkulosis.
Efektivitas pendidikan kesehatan reproduksi berbasis sekolah: A literature review Nurhayati, Nurhayati; Fatila, Nabila; Utami, Risna; Afnanin, Fabi Ayyi; Ramadhan, Muhammad Rizky
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.547

Abstract

Background: School-based reproductive health education is important to improve adolescent knowledge and behavior related to reproductive health. With issues such as teenage pregnancy and sexually transmitted diseases, schools play a vital role in providing accurate information for adolescents to make healthy decisions. Purpose: To analyze the effectiveness of school-based reproductive health education. Method: The qualitative research was based on a literature review by collecting 10 relevant scientific journals from the last 5 years. Data from the journals were analyzed in depth to identify key trends and findings related to the implementation of reproductive health education programs in schools. Results: The results showed that school-based reproductive health education was effective in improving students' understanding of topics such as reproductive organ functions, the risks of risky sexual behavior, and prevention of sexually transmitted diseases. Interactive learning methods, the involvement of trained teachers, and parental and community support were the main factors in the success of this program. In addition, an adaptive approach to local cultural values ​​also supported the acceptance of the program in various regions. Conclusion: School-based reproductive health education contributes significantly to building healthy reproductive knowledge and behaviors in students. However, the sustainability of the program requires systematic monitoring and evaluation to ensure its long-term effectiveness.   Keywords: Education; Reproductive Health; School Based.   Pendahuluan: Pendidikan kesehatan reproduksi berbasis sekolah penting untuk meningkatkan pengetahuan dan perilaku remaja terkait kesehatan reproduksi. Dengan masalah seperti kehamilan remaja dan penyakit menular seksual, sekolah berperan vital dalam memberikan informasi yang tepat bagi remaja agar dapat membuat keputusan sehat. Tujuan: Untuk menganalisis efektivitas efektivitas pendidikan kesehatan reproduksi berbasis sekolah. Metode: Penelitian kualitatif berbasis tinjauan literatur dengan mengumpulkan 10 jurnal ilmiah yang relevan dari 5 tahun terakhir. Data dari jurnal dianalisis secara mendalam untuk mengidentifikasi tren dan temuan utama terkait implementasi program pendidikan kesehatan reproduksi di sekolah. Hasil: Pendidikan kesehatan reproduksi berbasis sekolah efektif dalam meningkatkan pemahaman siswa tentang topik seperti fungsi organ reproduksi, risiko perilaku seksual berisiko, dan pencegahan penyakit menular seksual. Metode pembelajaran interaktif, keterlibatan guru yang terlatih, serta dukungan orang tua dan komunitas menjadi faktor utama keberhasilan program ini. Selain itu, pendekatan yang adaptif terhadap nilai-nilai budaya lokal turut mendukung penerimaan program di berbagai wilayah. Simpulan: Pendidikan kesehatan reproduksi berbasis sekolah berkontribusi signifikan dalam membangun pengetahuan dan perilaku reproduksi yang sehat pada siswa. Namun, keberlanjutan program membutuhkan monitoring dan evaluasi yang sistematis untuk memastikan efektivitas jangka panjangnya.   Kata Kunci: Berbasis Sekolah; Kesehatan Reproduksi; Pendidikan.
Gambaran kepuasan pasien pada mutu pelayanan kesehatan di puskesmas Pattallassang Utami, Hasniah Rezki; Ayumar, Andi; Dewi, Chitra
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.596

Abstract

Background: Quality of health services is the level of health services for individuals and communities that can improve optimal health outcomes. Patient satisfaction is the result of patient opinions and assessments of the performance of services provided by health care facilities. Quality health services and affordable costs according to the purchasing power of the community and paying attention to intervention standards that are considered safe are very much needed by patients and the community. Purpose: To determine the description of patient satisfaction with the quality of health services at the Pattallassang Health Center. Method: A descriptive observational study using accidental sampling technique was conducted at Pattallassang Health Center in December 2022 - February 2023 with a population of 1,555 patients and a sample of 318 patients through filling out a questionnaire and analyzed using univariate analysis. Results: The majority of respondents were aged 19-59 years (91.5%), female gender as many as 231 respondents (72.64%) with high school education/equivalent as many as 183 respondents (57.5%), and housewife occupation as many as 159 respondents (50.0%). The level of patient satisfaction in the responsiveness quality dimension who felt quite satisfied was 316 respondents (99.4%), the level of patient satisfaction in the reliability quality dimension who felt quite satisfied was 318 respondents (100%), the level of patient satisfaction in the assurance quality dimension who felt quite satisfied was 318 respondents (100%), the level of patient satisfaction in the empathy quality dimension who felt quite satisfied was 317 respondents (99.7%) and the level of patient satisfaction in the tangible quality dimension who felt quite satisfied was 317 respondents (99.7%). Conclusion: The quality dimensions of responsiveness, reliability, assurance, empathy, and tangible showed that respondents were quite satisfied with the health service facilities.   Keywords: Health Facilities; Quality of Service; Satisfaction.   Pendahuluan: Mutu pelayanan kesehatan merupakan tingkat layanan kesehatan untuk individu dan masyarakat yang dapat meningkatkan luaran kesehatan secara optimal. Kepuasan pasien adalah hasil pendapat dan penilaian pasien terhadap kinerja pelayanan yang diberikan oleh fasilitas pelayanan kesehatan. Pelayanan kesehatan yang bermutu dan biaya terjangkau sesuai daya beli masyarakat serta memperhatikan standar intervensi yang dianggap aman sangat dibutuhkan oleh pasien dan masyarakat. Tujuan: Untuk mengetahui gambaran kepuasan pasien terhadap mutu pelayanan kesehatan di Puskesmas  Pattallassang. Metode: Penelitian observasional deskriptif dengan menggunakan teknik accidental sampling dilakukan di Puskesmas Pattallassang pada bulan Desember 2022–Februari 2023 dengan jumlah populasi sebanyak 1,555 pasien dan  sampel sebanyak 318 pasien melalui pengisian kuesioner dan dianalisis menggunakan analisis univariat. Hasil: Mayoritas responden berusia 19-59 tahun (91.5%), jenis kelamin perempuan sebanyak 231 responden (72.64%) dengan pendidikan SMA/sederajat sebanyak 183 responden (57.5%), dan pekerjaan IRT sebanyak 159 responden (50,0%). Tingkat kepuasan pasien pada dimensi mutu responsiveness (cepat tanggap) yang merasa cukup puas sebanyak 316 responden (99.4%), tingkat kepuasan pasien pada dimensi mutu reliability (kehandalan) yang merasa cukup puas sebanyak 318 responden (100%), tingkat kepuasan pasien pada dimensi mutu assurance (jaminan) yang merasa cukup puas sebanyak 318 responden (100%), tingkat kepuasan pasien pada dimensi mutu empathy (empati) yang merasa cukup puas sebanyak 317 responden (99.7%) dan tingkat kepuasan pasien pada dimensi mutu tangible (bukti fisik) yang merasa cukup puas sebanyak 317 responden (99.7%). Simpulan: Dimensi mutu responsiveness (daya tanggap), reliability (kehandalan), assurance (jaminan),  emphaty (empati), dan tangible (bukti langsung), didapatkan penilaian responden sudah cukup puas terhadap fasilitas pelayanan kesehatan.   Kata Kunci: Fasilitas Kesehatan; Kepuasan; Mutu Pelayanan.
Efektivitas metode case-based concept map untuk meningkatkan pemahaman patofisiologi dan perilaku caring mahasiswa keperawatan Pratiwi, Hikmi Muharromah; Nani, Desiyani
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.597

Abstract

Background: Adequate understanding of pathophysiology is essential for nursing students to provide competent care and demonstrate caring behavior towards patients. In addition, caring behavior is at the core of the nursing care process. Concept maps, a visual learning strategy, have shown promise in facilitating the understanding of pathophysiology and may positively impact on improving caring behavior among nursing students. Purpose: To analyze the effectiveness of the case-based concept map method in improving the understanding of pathophysiology and caring behavior of nursing students. Method: A quasi-experimental study with a pre-posttest with control group approach on 149 nursing students (intervention group: 81 participants, control group: 68 participants) in May - July 2024. The application of the concept map was carried out for 5 weeks in the intervention group. This study used the Caring Behavior Inventory (CBI) questionnaire to measure students' caring behavior and a quiz to measure students' understanding of pathophysiology which was filled out online. The analysis in this study used paired t-test and independent t-test. Results: The mean score difference in pathophysiology understanding between the intervention group and the control group was significantly higher in the intervention group (p = 0.000, t = 3.882). In contrast, the mean score of caring behavior did not show a significant difference between the intervention and control groups (p = 0.37, t = 0.899). Conclusion: The case-based concept map is effective in enhancing the understanding of pathophysiology; however, this method remains inconsistent in promoting the caring behaviors of nursing students. Suggestion: Future research is expected to develop an extended case-based concept map application in nursing process planning (formulation of nursing diagnoses, determination of outcome criteria, and selection of nursing interventions) in nursing students at the final level or nursing students who are carrying out learning in clinical practice.   Keywords: Concept Map; Caring Behavior; Nursing Students; Pathophysiology.   Pendahuluan: Pemahaman yang adekuat tentang patofisiologi sangat penting bagi mahasiswa keperawatan untuk memberikan perawatan yang kompeten dan menunjukkan perilaku caring kepada pasien. Selain itu, perilaku caring merupakan inti dari proses asuhan keperawatan. Concept map merupakan sebuah strategi pembelajaran visual, terbukti menjanjikan dalam memfasilitasi pemahaman patofisiologi dan mungkin berdampak terhadap peningkatan perilaku caring pada mahasiswa keperawatan. Tujuan: Untuk menganalisis efektivitas metode case-based concept map dalam meningkatkan pemahaman patofisiologi dan perilaku caring mahasiswa keperawatan. Metode: Penelitian studi quasi eksperimental dengan pendekatan pre-posttest with control group pada 149 mahasiswa Jurusan Keperawatan (kelompok intervensi: 81 partisipan, kelompok kontrol: 68 partisipan) pada bulan Mei – Juli 2024. Penerapan concept map dilakukan selama 5 minggu pada kelompok intervensi. Penelitian ini menggunakan kuesioner Caring Behavior Inventory (CBI) untuk mengukur perilaku caring mahasiswa dan kuis untuk mengukur pemahaman patofisiologi mahasiswa yang diisi secara online. Paired-t-test dan independent t-test digunakan untuk analisis dalam penelitian ini. Hasil: Perbedaan rerata skor pemahaman patofisiologi pada kelompok intervensi lebih tinggi secara signifikan dibandingkan skor rerata pada kelompok kontrol (p = 0.000, t = 3.882). Sedangkan, rerata skor perilaku caring antara kelompok intervensi dan kontol tidak berbeda secara signifikan (p = 0.37, t = 0.899). Simpulan: Case-based concept map efektif dalam meningkatkan pemahaman patofisiologi. Namun, metode ini masih belum inkonsisten dalam meningkatkan perilaku caring mahasiswa keperawatan. Saran: Penelitian selanjutnya diharapkan dapat mengembangkan aplikasi case-based concept map yang diperluas dalam perencanaan proses keperawatan (perumusan diagnosa keperawatan, penentuan kriteria luaran, dan pemilihan intervensi keperawatan) pada mahasiswa keperawatan.   Kata Kunci: Concept Map; Mahasiswa Keperawatan; Patofisiologi; Perilaku Caring.
Pelatihan manajemen bencana terhadap kesiapsiagaan pada mahasiswa: A literature review Mufimah, Mufimah; Kamaludin, Ridlwan
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.604

Abstract

Background: Disaster preparedness training has now begun to be developed from elementary to higher education, namely students, with the aim of building a culture of safety and resilience in the younger generation. Universities through the tridharma of higher education have a strategic role in disaster management through learning, research and community service. This role can take place with the active participation of lecturers and students. Purpose: To examine the effect of disaster management training on student preparedness. Method: Literature review research with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach and using PICO. The search databases used were Pubmed/NCBI, Scopus, and Sciencedirect with the keywords "( Student undergraduate) AND (Disaster)) AND (Disaster management training) AND (Disaster Preparedness)". Results: The types of disaster management training consisted of disaster management training, disaster response, first aid education, disaster preparedness, and stages of disaster preparedness and response. The training method used was the same, namely simulation guided by an instructor and the duration of the training varied and tended to be long. The fastest training duration was 30 minutes and the longest was 6 semesters. Conclusion: Disaster management training for students has been proven to be able to improve disaster preparedness, especially in the campus environment.   Keywords: Disaster Management; Higher Education; Students; Training.   Pendahuluan: Pelatihan kesiapsiagaan bencana saat ini sudah mulai dikembangkan mulai dari tingkat pendidikan dasar hingga ke tingkat pendidikan tinggi yaitu mahasiswa dengan tujuan untuk membangun budaya keselamatan dan ketangguhan pada generasi muda. Perguruan tinggi melalui tri dharma perguruan tinggi memiliki peran strategis dalam penanggulangan bencana melalui pembelajaran, penelitian dan pengabdian kepada masyarakat. Peran tersebut dapat berlangsung dengan adanya partisipasi aktif dari dosen dan mahasiswa. Tujuan: Untuk meninjau pengaruh pelatihan manajemen bencana terhadap kesiapsiagaan mahasiswa. Metode: Penelitian literatur review dengan pendekatan Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) dan menggunakan PICO. Database pencarian yang digunakan adalah pubmed/NCBI, Scopus, dan Sciencedirect dengan kata kunci "(Student undergraduate) AND (Disaster)) AND (Disaster management training) AND (Disaster Preparedness)". Hasil: Jenis pelatihan penanggulangan bencana terdiri dari pelatihan penanggulangan bencana, tanggap bencana, pendidikan pertolongan pertama, kesiapsiagaan bencana, serta kesiapsiagaan bencana dan tahapan tanggap bencana. Metode pelatihan yang digunakan sama, yaitu simulasi yang dipandu oleh instruktur dan durasi pelatihan bervariasi dan cenderung lama. Durasi pelatihan tercepat adalah 30 menit dan terlama adalah 6 semester. Simpulan: Pelatihan penanggulangan bencana bagi mahasiswa terbukti mampu meningkatkan kesiapsiagaan bencana, khususnya di lingkungan kampus.   Kata Kunci: Mahasiswa; Manajemen Bencana; Pelatihan; Perguruan Tinggi.
Pengaruh spiritual emotional freedom technique (SEFT) terhadap skor kecemasan narapidana Annas, Grandis Dwi; Estria, Suci Ratna; Linggardini, Kris; Muzaenah, Tina
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.615

Abstract

Background: Anxiety is a feeling of worry, discomfort, uncertainty, or fear that arises from real or perceived events. It is often characterized by vague fears, accompanied by feelings of helplessness, isolation, and insecurity. Anxiety is a common mental health problem that can affect anyone, including their superiors. Anxiety experienced by revenge can stem from various events and experiences that occur during the isolated period. Several factors contribute to the development of anxiety disorders, including compensation, including age, length of sentence, time remaining before custody, and level of family and social support from the community. Purpose: To determine the effect of spiritual emotional freedom technique (SEFT) on anxiety scores of prisoners. Method: Quantitative research with pre-experimental design using one-group pretest-posttest methodology. This study was conducted on prisoners at Class IIB Purbalingga Penitentiary who had served more than four years. The sampling method used total sampling because the population was less than 100. The total number of participants in this study was 42 prisoners. This study used the Zung Self Anxiety Rating Scale (ZSAS), a questionnaire to measure anxiety. Results: The anxiety scores of the participants were at a mild level of 35.7%, a moderate level of 47.6%, and a severe level of 16.7%. The results of the analysis showed that there was a significant difference in anxiety scores from SEFT therapy in participants before and after the intervention with a p value of 0.001 ≤ ɑ (0.05) which indicated a decrease in anxiety scores before and after the intervention. Conclusion: There was an effect before and after the SEFT intervention with a p value = 0.001 and there was a difference in the decrease in score of 29.6 which shows that SEFT had an effect in reducing participants' anxiety scores.   Keywords: Anxiety; Prisoners; Spiritual Emotional Freedom Technique (SEFT).   Pendahuluan: Kecemasan adalah perasaan khawatir, tidak nyaman, tidak pasti, atau takut yang muncul dari peristiwa nyata atau yang dipersepsikan. Sering kali ditandai dengan ketakutan yang samar, disertai perasaan tidak berdaya, terasing, dan tidak aman. Kecemasan merupakan masalah kesehatan mental yang umum dan dapat memengaruhi siapa saja, termasuk narapidana. Kecemasan yang dialami oleh narapidana dapat berasal dari berbagai peristiwa dan pengalaman yang dihadapi selama masa penahanan. Tujuan: Untuk mengetahui pengaruh spiritual emotional freedom technique (SEFT) terhadap skor kecemasan narapidana. Metode: Penelitian kuantitatif dengan desain pra-eksperimental menggunakan metodologi one-group pretest-posttest. Studi ini berkaitan dengan narapidana di Lembaga Pemasyarakatan Kelas IIB Purbalingga yang telah menyelesaikan lebih dari empat tahun masa hukuman. Metode pengambilan sampel menggunakan total sampling karena ukuran populasi kurang dari 100. Jumlah total partisipan dalam penelitian ini adalah 42 narapidana. Studi ini menggunakan Zung Self Anxiety Rating Scale (ZSAS) yaitu kuesioner untuk mengukur kecemasan. Hasil: Skor kecemasan partisipan berada dalam tingkat ringan sebanyak 35.7%, tingkat sedang 47.6%, dan berat 16.7%. Hasil analisis menunjukkan bahwa ada perbedaan skor kecemasan yang signifikan dari terapi SEFT terhadap partisipan sebelum dan sesudah intervensi dengan p value 0.001 ≤ ɑ (0.05), menunjukkan terdapat penurunan skor kecemasan sebelum dan sesudah intervensi. Simpulan: Terdapat pengaruh sebelum dan setelah dilakukan intervensi SEFT dengan p value = 0.001, dan terdapat selisih penurunan skor sebanyak 29.6, menunjukkan bahwa SEFT berpengaruh dalam menurunkan skor kecemasan partisipan.   Kata Kunci: Kecemasan; Narapidana; Spiritual Emotional Freedom Technique (SEFT).
Hubungan pengetahuan perawat tentang australian triage scale terhadap response time pasien Kartikasari, Ellysa August; Faozi, Ekan
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.623

Abstract

Background: Delays in handling or response time of patients in the Emergency Department will have a negative impact on the patient's condition. Factors that influence the success rate of implementing emergency measures, such as the number of health workers and health facilities, patient inflow, family perspectives on care and the level of nurses' knowledge about implementing triage. Purpose: To determine the relationship between nurses' knowledge of the Australian Triage Scale and patient response time. Method: This study uses a quantitative correlational method with a cross-sectional approach. Sampling using a non-probability sampling method with a total sampling approach and the number of respondents was 29 people. The study was conducted in November 2024 at the Emergency Room of the Ir. Soekarno Sukoharjo Regional General Hospital. The instruments used were the Australian Triage Scale knowledge questionnaire and a response time measuring instrument in the form of a stopwatch. Univariate and bivariate data analysis was carried out using the Spearman's Rank statistical test. Results: Bivariate analysis with Spearman's Rank statistical test obtained a p value of 0.002 (<0.05), indicating that Ho was rejected and it can be interpreted that there is a relationship between the level of nurses' knowledge of the Australian Triage Scale and patient response time. Conclusion: The level of nurses' knowledge about the Australian Triage Scale is included in the sufficient category. While the response time is included in the fast category. The results of the Spearman's Rank statistical test obtained a significance value (p-value) of 0.002, so there is a significant relationship between the level of nurses' knowledge about the Australian Triage Scale and patient response time.   Keywords: Australian Triage Scale; Emergency Department; Knowledge; Nurses; Response Time.   Pendahuluan: Keterlambatan penanganan atau response time pada pasien yang ada pada Instalasi Gawat Darurat (IGD) akan berdampak buruk pada kondisi pasien. Faktor-faktor yang memengaruhi tingkat keberhasilan dalam mengimplementasikan tindakan gawat darurat, seperti jumlah tenaga kesehatan dan sarana kesehatan, arus masuk pasien, perspektif keluarga terhadap perawatan serta tingkat pengetahuan perawat tentang pengimplementasian triase. Tujuan: Untuk mengetahui hubungan pengetahuan perawat tentang australian triage scale terhadap response time pasien. Metode: Kuantitatif korelasional menggunakan pendekatan cross-sectional. Dalam mengambil sampel diterapkan metode non-probability sampling yang menggunakan pendekatan total sampling dan total sebanyak 29 responden. Penelitian dilaksanakan pada bulan November 2024 di IGD RSUD Ir. Soekarno Sukoharjo. Instrumen yang digunakan yaitu kuesioner pengetahuan Australian Triage Scale dan untuk pengukuran response time menggunakan stopwatch.  Analisis data univariat dan bivariat dengan mengaplikasikan uji statistik Spearman’s Rank. Hasil: Analisis bivariat dengan uji statistik Spearman’s Rank didapatkan p-value 0.002 (<0.05), mengindikasikan jika Ho ditolak dan bisa diartikan jika terdapat hubungan tingkatan pengetahuan perawat tentang Australian Triage Scale terhadap response time pasien. Simpulan: Tingkat pengetahuan perawat mengenai Australian Triage Scale termasuk dalam kategori cukup. Sementara response time termasuk dalam kategori cepat. Hasil uji statistik Spearman’s Rank didapat nilai signifikansi (p-value) 0.002, sehingga terdapat hubungan yang signifikan antara tingkat pengetahuan perawat tentang Australian Triage Scale terhadap response time pasien.    Kata Kunci: Australian Triage Scale; Instalasi Gawat Darurat; Pengetahuan; Perawat; Response Time.
Hubungan tingkat stres perawat terhadap response time di instalasi gawat darurat Susanti, Nur Asa Rhahmadani; Faozi, Ekan
Holistik Jurnal Kesehatan Vol. 19 No. 4 (2025): Volume 19 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i4.626

Abstract

Background: Work stress is a situation where pressure occurs that can cause changes in a person's mindset, emotions, and physical condition. If experiencing work stress, it will cause a person to be unable to work optimally. Work stress that occurs in the emergency room (ER) will have an impact on the performance of nurses in providing health services, one of which is the nurse's response time. Purpose: To determine the relationship between work stress felt by nurses and the response time that occurs in the ER. Method: Quantitative research with a cross-sectional approach. The population studied were nurses at the Emergency Unit of the Ir. Soekarno Sukoharjo Regional General Hospital in October-November 2024. The sample used was 29 respondents selected using the total sampling technique. The instruments used were the Expanded Nursing Stress Scale (ENSS) questionnaire to assess the level of nurses' work stress, observation sheets, and timers as an assessment of response time. Results: Respondents experienced mild and moderate stress as many as 14 respondents (48.3%) and the majority of nurses' response times were in the fast category as many as 25 respondents (86.2%). The results of the bivariate analysis obtained a p value of 0.013 (p <0.05) meaning that H0 is rejected so that the hypothesis is accepted. This shows that there is a relationship between the level of nurse stress and response time in the ER. Conclusion: There is a significant relationship between the level of nurse stress and response time in the ER. Suggestion: For further researchers, these results can be used as a reference, but by adding other methods or by adding variables that are not yet in this study.   Keywords: Emergency Room (ER); Nurses; Response Time; Work Stress.   Pendahuluan: Stres kerja adalah situasi ketika terjadi tekanan yang dapat mengakibatkan perubahan pola pikir, emosi, dan fisik seseorang. Jika mengalami stres kerja, maka akan menyebabkan seseorang tidak dapat bekerja secara optimal. Stres kerja yang terjadi di ruang instalasi gawat darurat (IGD) akan menimbulkan pengaruh pada kinerja perawat dalam memberikan pelayanan kesehatan, salah satunya adalah response time perawat. Tujuan: Untuk mengetahui hubungan antara stres kerja yang dirasakan perawat dengan response time yang terjadi di IGD. Metode: Penelitian kuantitatif dengan pendekatan cross-sectional. Populasi yang diteliti adalah perawat di IGD RSUD Ir. Soekarno Sukoharjo pada bulan Oktober-November 2024. Sampel yang digunakan sebanyak 29 responden yang dipilih melalui teknik total sampling. Instrumen yang digunakan yaitu kuesioner Expanded Nursing Stres Scale (ENSS) untuk menilai tingkat stres kerja pada perawat, lembar observasi, dan timer sebagai penilaian response time. Hasil: Responden mengalami stres ringan dan sedang sebanyak 14 responden (48.3%) dan response time perawat sebagian besar, termasuk kategori cepat sebanyak 25 responden (86.2%). Hasil analisis bivariat diperoleh p value sebesar 0.013 (p<0.05), artinya H0 ditolak maka hipotesis diterima. Hal ini menunjukkan terdapat hubungan tingkat stres perawat pada response time di IGD. Simpulan: Terdapat hubungan yang signifikan antara tingkat stres perawat terhadap response time di IGD. Saran: Bagi peneliti selanjutnya dapat menggunakan hasil ini sebagai referensi, namun dengan menambah metode lain atau dengan menambahkan variabel yang belum ada pada penelitian ini.   Kata Kunci: Instalasi Gawat Darurat (IGD); Perawat; Response Time; Stres Kerja.

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