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Jurnal Kesehatan
Published by SEKOLAH TINGGI ILMU KESEHATAN HESTI WIRA SRIWIJAYA
ISSN : 23020911     EISSN : 26851040     DOI : https://doi.org/10.63323/jkes
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Kesehatan is an open access scholarly journal published by the Department of Nursing of STIKES Hesti Wira Sriwijaya, serving as a platform for the publication of research findings and the sharing of advancements in health sciences. With ISSN 2302-0911 and e-ISSN 2685-1040, this journal includes articles that have not been previously published, encompassing research studies, case reports, review articles, and other scientific paper related to developments in the fields of Nursing, Midwifery, and Public Health. Information regarding article submission guidelines and procedures can be found in each publication. All submitted articles undergo a peer-review process upon meeting the requirements outlined in the submission guidelines. The journal is published biannually, in April and October. Jurnal Kesehatan welcome high-impact manuscripts from a diverse array of interprofessional health colleagues. Manuscripts reflect the diversity of our journal sections, which include: 1. Original article (including meta-analysis) 2. Review article 3. Editorials 4. Letters to the Editor 5. Brief Reports 6. Policy brief, Ethics, and Public Policy
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
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ANALISIS TEORI KENYAMANAN KOLCABA TERHADAP TINGKAT KECEMASAN PASIEN CONGESTIVE HEART FAILURE: ANALISIS TEORI KENYAMANAN KOLCABA TERHADAP TINGKAT KECEMASAN PASIEN CONGESTIVE HEART FAILURE SinggihAde Putri Kusuma Dewi, Ani Syafriati
Jurnal Kesehatan Vol. 11 No. 4 (2023)
Publisher : STIKES Hesti Wira Sriwijaya

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ABSTRACTCongestive heart failure or CHF is the failure of the heart to distribute oxygen as needed during tissue metabolism. According to WHO, CHF is one of the most common causes of cardiovascular disease whose prevalence is increasing every year. Heart failure patients experience a lot of anxiety that varies, from mild anxiety to severe anxiety. Anxiety in CHF patients can be caused because they have difficulty maintaining adequate oxygenation. Handling with various interventions is needed to reduce the anxiety experienced by the patient. The important role of nurses in this stage is to reduce anxiety complaints experienced by patients by using one of the nursing theories, namely the comfort theory of Katharine Kolcaba. This study used a qualitative method through interviews with 4 participants, consisting of 2 men and 2 women. The research themes were found, signs and symptoms experienced by CHF patients, medical history, family support, patient's race/culture, CHF patients' efforts to reduce symptoms, knowledge of the disease, anxiety, comfort, daily activities, age of participants, health services given by the hospital, the patient's self-image and the economy/income. It is hoped that this research can be a reference for deeper studies related to Kolcaba's theory of comfort, especially to reduce patient anxiety when patients are undergoing treatment.Keywords: CHF patients, Anxiety management, comfort, Kolcaba.
PENGALAMAN PERAWAT DALAM MERAWAT PASIEN COVID-19 DI RSUD SITI FATIMAH PROVINSI SUMATERA SELATAN: PENGALAMAN PERAWAT DALAM MERAWAT PASIEN COVID-19 DI RSUD SITI FATIMAH PROVINSI SUMATERA SELATAN Ira Khoirinza, Bambang Bembi Soebyakto
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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ABSTRAKLatar belakang: perawat merasakan perasaan takut dan cemas yang berlebihan pada awal dipilih menjadi perawat yang merawat pasien Covid-19. Hal ini disebabkan Covid-19 adalah kasus baru yang dihadapi perawat yang mana pasien Covid-19 membutuhkan perhatian khusus dan suportif serta kemampuan dari perawat dalam melakukan perawatan. Salah satu faktor ketakutan dan kecemasan perawat selama merawat pasien Covid-19 yakni takut tertular virus covid-19 dan takut akan menjadi sarana penularan kepada orang sekitarnya terutama kepada keluarga perawat. Tujuan: Untuk mengetahui pengalaman perawat dalam merawat pasien Covid-19. Penelitian ini menggunakan penelitian kualitatif dengan pendekatan fenomenologi dimana telah dilakukan sebanyak 5 informan. Penelitian ini menggunakan cara wawancara mendalam dimana telah didapatkan kata kunci, katagori dan tema. Kesimpulan: hasil wawancara mendalam didapatkan tema kecemasan perawat, loyalitas perawat,perasaan perawat, upaya mengurangi resiko tertular. Diharapkan perawat agar dapat bersama-sama membuka wawasan mengenai pengalaman perawat dalam merawat pasien Covid-19.Kata Kunci: Pengalaman perawat, perawatan, covid-19NURSE'S EXPERIENCE IN TREATING COVID-19 PATIENTS AT SITI FATIMAH HOSPITAL SOUTH SUMATRAABSTRAKBackground: nurses feel excessive feelings of fear and anxiety at the beginning of being selected to be nurses caring for Covid-19 patients. This is because Covid-19 is a new case faced by nurses where Covid-19 patients need special and supportive attention and the ability of nurses to carry out treatment. One of the factors of fear and anxiety of nurses while caring for Covid-19 patients is the fear of contracting the covid-19 virus and fear that it will become a means of transmission to people around them, especially to the nurse's family. Purpose: To find out the experience of nurses in caring for Covid-19 patients. This research uses qualitative research with a phenomenological approach where as many as 5 informants have been carried out. This research uses an in-depth interview method where keywords, categories and themes have been obtained. Conclusion: the results of the in-depth interview found themes of nurse anxiety, nurse loyalty, nurse feelings, efforts to reduce the risk of contracting. It is hoped that nurses can jointly open insights about the nurse's experience in caring for Covid-19 patients.Kata Kunci: Pengalaman perawat, perawatan, covid-19
PELAKSANAAN KOMUNIKASI SBAR ANTAR PERAWAT DI RUANG RAWAT INAP RSUD SITI FATIMAH PROVINSI SUMATERA SELATAN: PELAKSANAAN KOMUNIKASI SBAR ANTAR PERAWAT DI RUANG RAWAT INAP RSUD SITI FATIMAH PROVINSI SUMATERA SELATAN Dessy Triani, Soebyakto
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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ABSTRAKPenelitian ini bertujuan untuk mengeksplorasi pelaksanaan perawat terhadap penerapan komunikasi metode SBAR dalam handover di RSUD Siti Fatimah Provinsi Sumatera Selatan. Penelitian ini menggunakan desain penelitian kualitatif dengan pendekatan fenomenologi. Teknik pengambilan sampel adalah purposive sampling. Metode pengumpulan data adalah wawancara dan observasi. Analisa data dengan metode deskritip. Hasil penelitian ini memunculkan 5 tema yaitu pemahaman perawat perawat tahu komunikasi SBAR, kapan saja komunikasi SBAR diterapkan, apakah sudah diterapkan, berapa lama waktu yang diperlukan untuk operan, apa manfaat komunikasi SBAR dan adakah kendalah dalam melaksanakan komunikasi SBAR. Hasil Penelitian menunjukkan bahwa penerapan komunikasi SBAR dalam handover di RSUD Siti Fatimah Provins Sumatera Selatan telah menerapkan komunikasi metode SBAR dilihat dari terlaksananya 3 tahapan handover dan adanya form khusus SBAR dalam handover. Namun masih ditemukan kurangnya pengadaan sosialisasi dan pelatihan SBAR dalam handover bebrapa perawa yang datang telambat saat handover. Rekomendasi dari penelitian ini, diharapkan kepada rumah sakit untuk memberikan sosialisasi peningkatan kualitas komunikasi metode SBAR dalam handover demi tercapainya keselamatan pasien serta memberikan surat peringatan atau sanksi kepada perawat yag datang terlambat mapun yang tidak mengikut handover.Kata kunci : Komunikasi, SBAR, Timbang terima ABSTRACTThis study aims to explore the nurse's implementation of the SBAR method of communication in handover at Siti Fatimah Hospital, South Sumatra Province. This study uses a qualitative research design with a phenomenological approach. The sampling technique is purposive sampling. Data collection methods are interviews and observation. Data analysis with descriptive method. The results of this study raise 5 themes, namely understanding nurses know SBAR communication, whenever SBAR communication is applied, has it been implemented, how long it takes to operate, what are the benefits of SBAR communication and are there any obstacles in implementing SBAR communication. The results showed that the application of SBAR communication in handovers at Siti Fatimah Hospital, South Sumatra Province had implemented SBAR communication methods seen from the implementation of 3 stages of handover and the existence of a special form of SBAR in handovers. However, it was still found that there was a lack of socialization and training for SBAR in the handover of some nurses who arrived late during the handover. Recommendations from this study, it is hoped that hospitals will provide socialization of improving the quality of communication with the SBAR method in handovers in order to achieve patient safety and provide warning letters or sanctions to nurses who arrive late or who do not follow the handover.Keywords: Communication, SBAR, Weighing in
Pengaruh Pemberian Edukasi Manajemen Kesehatan Pasien Gagal Jantung Kongestif di RSUD Siti Fatimah Az-Zahra Provinsi Sumatera Selatan: Pengaruh Pemberian Edukasi Manajemen Kesehatan Pasien Gagal Jantung Kongestif di RSUD Siti Fatimah Az-Zahra Provinsi Sumatera Selatan Anggun Rosalina Anggraeni, Ani Syafriatiani
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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ABSTRAKLatar belakang: Congestive Heart Failure (CHF) adalah ketidakmampuan jantung mempertahankan curah jantung yang adekuat untuk memenuhi kebutuhan metabolik dan oksigen dalam jaringan meskipun aliran balik vena yang memadai. Congestive Heart Failure (CHF) merupakan salah satu penyakit jantung yang terus meningkat kejadian dan prevalensinya setiap tahun. Hal ini mengakibatkan angka kesakitan dan kematian Congestive Heart Failure (CHF) masih terus mengalami peningkatan. Kurangnya pendidikan kesehatan tentang bagaimana perawatan di rumah menjadi faktor yang meningkatkan kejadian rawat inap ulang pada pasien gagal jantung kongestif.. Metode penelitian ini menggunakan desain pra-experimental dengan pendekatan (One Group Pre-Post Test Design) pada 40 sampel dengan tehnik pengambilan total sampling. Analisis yang digunakan adalah univariat dan bivariat dengan tehnik accidental sampling. Hasil penelitian Tingkat pengetahuan Sebelum Pemberian pendidikan kesehatan melalui pemberian leaflet “Manajemen Kesehatan Pasien Gagal Jantung Kongestif (CHF)” berada pada kriteria kurang.. Kesimpulan: Ada pengaruh pemberian pendidikan kesehatan terhadap tingkat pengetahuan pasien melalui pemberian leaflet “Manajemen Kesehatan Pasien Gagal Jantung Kongestif (CHF)”. Berdasarkan hasil uji Wilcoxon diperoleh p value 0,000 < α 0,05..Kata Kunci: Edukasi, Manajemen Kesehatan, Gagal Jantung Kongestif ABSTRACTBackground: Congestive Heart Failure (CHF) is the inability of the heart to maintain adequate cardiac output to meet metabolic and oxygen demands in the tissues despite adequate venous return. Congestive Heart Failure (CHF) is a heart disease whose incidence and prevalence continues to increase every year. This causes the morbidity and mortality of Congestive Heart Failure (CHF) to continue to increase. Lack of health education about how home care is a factor that increases the incidence of re-hospitalization in patients with congestive heart failure. This research method uses a pre-experimental design with an approach (One Group Pre-Post Test Design) on 40 samples with total sampling technique. . The analysis used is univariate and bivariate with accidental sampling technique. The results of the study The level of knowledge before giving health education through the provision of the leaflet "Health Management of Patients with Congestive Heart Failure (CHF)" was in the less criteria. Conclusion: There is an effect of providing health education on the level of knowledge of patients through the provision of the leaflet "Health Management of Patients with Congestive Heart Failure (Congestive Heart Failure). CHF)". Based on the Wilcoxon test results obtained p value 0.000 < 0.05..Keywords: Education, Health Management, Congestive Heart Failure
PENGARUH PENDIDIKAN KESEHATAN MELALUI MEDIA BOOKLET “MANAJEMEN HIPERTENSI” TERHADAP TINGKAT PENGETAHUAN PASIEN DENGAN HIPERTENSI: PENGARUH PENDIDIKAN KESEHATAN MELALUI MEDIA BOOKLET “MANAJEMEN HIPERTENSI” TERHADAP TINGKAT PENGETAHUAN PASIEN DENGAN HIPERTENSI Syamsia, Ani syafriati
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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ABSTRAKLatar belakang: Hipertensi sering disebut the silent killer (pembunuh diam-diam) karena tidak bergejala sehingga banyak orang tidak menyangka kalau dirinya mengidap hipertensi, sampai akhirnya muncul komplikasi yang mengakibatkan kerusakan organ (Herwati & Deliria, 2021). Selain itu pengertian hipertensi suatu keadaan dimana terjadinya peningkatan tekanan darah yang tidak normal dalam pembuluh darah arteri dan terjadi secara terus menerus (Muriyati and Yahya, 2018). Pendidikan kesehatan adalah suatu kegiatan atau usaha untuk menyampaikan pesan kesehatan kepada masyarakat, kelompok atau individu. Dengan harapan bahwa dengan adanya pesan tersebut masyarakat, kelompok atau individu dapat memperoleh pengetahuan tentang kesehatan yang lebih baik (Purnawan,2020). Metode penelitian ini adalah kuantitatif dengan menggunakan desain pra- eksprimental dengan pendekatan (One Group Pre-Post Test Design). Dimana dalam penelitian dalam penelitian ini sampel diberikan pre test (pengamatan awal) terlebih dahulu sebelum diberikan intervensi, setelah itu diberikan intervensi, setelah itu diberikan intervensi, kemudian dilakukan post test (pengamatan akhir). penelitian ini dilakukan observasi lapangan di RSUD Kayuagung, dengan jumlah sampel 140 responden. Sampel dalam penelitian ini dilakukan dengan metode accidental sampling yaitu teknik penentuan sampel secara kebetulan, pasien yang kebetulan/insidental bertemu dengan peneliti dapat digunakan sebagai sampel Instrumen penelitian ini adalah dengan menggunakan kuisioner pengetahuan tentang hipertensi. Terdiri dari 15 pertanyaan pilihan ganda tentang hipertensi.Kata Kunci: Pendidikan Kesehatan, Media Booklet, Hipertensi ABSTRAKBackground: Hypertension is often called the silent killer because it has no symptoms, so many people do not think that they have hypertension, until complications arise that result in organ damage (Herwati & Deliria, 2021). In addition, the definition of hypertension is a condition where there is an abnormal increase in blood pressure in the arteries and occurs continuously (Muriyati and Yahya, 2018). Health education is an activity or effort to convey health messages to the community, group or individual. With the hope that with this message the community, group or individual can gain knowledge about better health (Purnawan, 2020). This research method is quantitative using a preexperimental design approach (One Group Pre-Post Test Design). Where in the study in this study the sample was given a pre test (initial observation) before being given an intervention, after that an intervention was given, after that an intervention was given, then a post test (final observation) was carried out. This study was conducted field observations at Kayuagung Hospital, with a sample of 140 respondents. The sample in this study was conducted using the accidental sampling method, namely the technique of determining the sample by chance, patients who coincidentally/incidentally meet with the researcher can be used as samples. The instrument of this research is to use a knowledge questionnaire about hypertension. Consists of 15 multiple choice questions about hypertension.Keywords Health Education, Media Booklet, Hypertension
ANALISIS FAKTOR-FAKTOR YANG TERJADI SELAMA KEHAMILAN DENGAN KEJADIAN KELAHIRAN PRETERM: ANALISIS FAKTOR-FAKTOR YANG TERJADI SELAMA KEHAMILAN DENGAN KEJADIAN KELAHIRAN PRETERM Artya Sari, Bela
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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ABSTRAKSecara global kelahiran preterm merupakan penyebab utama kematian pada anak dibawah usia 5 tahun. Diperkirakan 15 juta bayi lahir terlalu dini setiap tahun. Sekitar 1 juta anak meninggal setiap tahun karena komplikasi kelahiran preterm (WHO 2018). Faktor yang berperan dalam terjadinya kelahiran preterm yaitu faktor ibu, faktor janin dan faktor plasenta. Tujuan penelitian ini untuk mengetahui faktor-faktor yang terjadi selama kehamilan dengan kejadian kelahiran preterm di RSIA Rika Amelia Palembang tahun 2022. Penelitian ini menggunakan metode Cross Sectional dengan pendekatan Retrospektif. Sampel berjumlah 100 responden, pengambilan sampel menggunakan teknik Systematic Random Sampling dengan analisis uji Chi Square.Hasil penelitian menunjukkan ada hubungan yang bermakna antara perdarahan antepartum dengan kejadian kelahiran preterm (p value=0,036), tidak ada hubungan yang bermakna antara KPD dengan kejadian kelahiran preterm (p value=0,072), tidak ada hubungan yang bermaknaantara paritas dengan kejadian kelahiran preterm (p value=0,908), tidak ada hubungan yang bermakna antara umur ibu dengan kejadian kelahiran preterm (p value=0,138) dan tidak ada hubungan yang bermakna antara kondisi sosial ekonomi dengan kejadian kelahiran preterm (p value=0,518). Hasil penelitian ini diharapkan dapat digunakan sebagai informasi untuk tindakan promotif dan preventif serta deteksi dini kejadian kelahiran preterm, sehingga kasus pretermdapat dikurangi atau teratasi.Kata Kunci : Kelahiran Preterm, Faktor Faktor Kelahiran PretermANALYSIS OF FACTORS THAT OCCURRED DURING PREGNANCY WITH THE EVENT OF PRETERM BIRTHABSTRACT Globally, preterm birth is the leading cause of death in children under 5 years of age. It is estimated that 15 million babies are born prematurely each year. About 1 million children die every year due to complications of preterm birth (WHO 2018). Factors that play a role in the occurrence of preterm birth are maternal factors, fetal factors and placental factors.The purpose of this study was to determine the factors that occur during pregnancy with the incidence of preterm birth at RSIA Rika Amelia Palembang in 2022. This study used a cross sectional method with a retrospective approach. The sample amounted to 100 respondents, sampling using a Systematic Random Sampling technique with Chi Square test analysis. The results showed that there was a significant relationship between antepartum bleeding and the incidence of preterm birth (p value = 0.036), there was no significant relationship between PROM and the incidence of preterm birth (p value = 0.072), there was no significant relationship between parity and the incidence of preterm birth. (p value = 0.908), there is no significant relationship between maternal age and the incidence of preterm birth (p value = 0.138) and there is no significant relationship between socioeconomic conditions and the incidence of preterm birth (p value = 0.518). The results of this study are expected to be used as information for promotive and preventive actions as well as early detection of preterm births, so that preterm cases can be reduced or resolved.Keywords: Preterm Birth, Factors of Preterm Birth
EFEKTIFITAS APLIKASI MOBILE HEALTH TERHADAP SELF MANAGEMENT PASIEN KANKER KOLOREKTAL : Literature Review: EFEKTIFITAS APLIKASI MOBILE HEALTH TERHADAP SELF MANAGEMENT PASIEN KANKER KOLOREKTAL : Literature Review Dwi Asih Rohmawati, La Ode Rahman
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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AbstrakPendahuluan : Kanker kolorektal sejenis kanker keganasan yang dimulai dari usus besar sampai dengan rektum. Aplikasi kesehatan smartphone seperti aplikasi mobile healthdapat membantu dalam mengelola kesehatan. Tujuan ; Mendeskripsikan efektifitas aplikasi mobile health terhadap self management pasien kanker kolorektal. Metode : Menggunakan literature review dari data base online CINAHL, Proquest dan Science Direct dengan kata kunci Mobile Health, Self Management, Colorectal Cancer. Hasil : Telaah 10 jurnal memberikan gambaran aplikasi mobile health efektif menjadi penghubung antara pasien, keluarga dan pakar klinis dalam meningkatkan self management pasien kolorektal. Kesimpulannya : pengembangan intervensi kesehatan berbasis teknologi dan online dengan aplikasi mobile health dapat dimanfaatkan secara efektif pasien kanker kolorektal dengan fitur aplikasi yang disesuaikan dengan kebutuhan. Rekomendasi : aplikasi mobile health semakin berkembang pemanfaatannya dalam self management pasien kanker kolorektal dan fitur aplikasinya disesuaikan dengan kebutuhan penggunanya.Kata kunci: Mobile Health, self management, colorectal cancerTHE EFFECTIVENESS OF MOBILE HEALTH APPLICATIONS ON SELF MANAGEMENT OF COLORECTAL CANCER PATIENTS : Literature ReviewAbstractIntroduction : Colorectal cancer is cancer that the orginates in the colon (large intestinal) and rectum (the part that connect the colon and anus). Application health exist smartphone such as mobile health can help in managing health. Objective : Describe the effectivenes of the mobile health application for self management of colorectal cancer patient. Method : Use literature review from online databases such as CINAHL, Proquest and Science Direct with keywords mobile health, self management, colorectal cancer. Result :journal review obtained from 10 journal, it was explained describe that the mobile health application be a effective betwwn patient, family and clinical experts at improving self management of colorectal patient. Conclusion : The development of information technology-based health and online interventions with mobile healyh application cab be utilized effectively bycolorectal cancer patients by providing application features that are tailored to the needs. Recommendation : The Mobile Health apllications are increasingly being used in self management patients colorectal cancer and the applications features that suits needs for the user.Keywords : mobile health, self management, colorectal cancer
Pengaruh Teknik Relaksasi Benson Terhadap Tingkat Depresi Lansia Di Panti Sosial Lanjut Usia Harapan Kita Palembang Tahun 2022: Pengaruh Teknik Relaksasi Benson Terhadap Tingkat Depresi Lansia Di Panti Sosial Lanjut Usia Harapan Kita Palembang Tahun 2022 Eka Mutiara Sari, Oscar Ari Wiyansyah
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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AbstractDepression is one of the mental disorders that are often found in the elderly due to the aging process. The purpose of this study was to determine the effect of Benson's relaxation technique on the level of depression in the elderly at the Harapan Kita Elderly Social Institution in Palembang. Therefore, non-pharmacological interventions are needed that do not cause side effects, one of which is the Benson’s relaxation technique. This study uses a quantitative method with a pre-experimental research design, namely a one group pre-test and post-test design approach, with a total sampling technique of 30 respondents. Data collection tool in the form of a Geriatric Depression Scale (GDS) questionnaire. The results of this study showed that the average value of elderly anxiety before Benson’s relaxation was 9.23, namely the level of moderate depression, with a standard deviation of 2.909. After using Benson's relaxation technique, the average value of depression in the elderly is 5.10, which is the level of mild depression, with a standard deviation of 2.670. With value 0.000, which means p <0.05. It was concluded that there was an influence between the Benson’srelaxation technique on the depression level of the elderly at the Harapan Kita Elderly Social Institution in Palembang in 2022, so it was suggested that Benson’s relaxation therapy could be used as one of the non-pharmacological interventions in the nursing home to reduce depression levels.Keywords : Benson’s Relaxation Technique, Depression Level, Elderly
MANAJEMEN UPAYA PASIEN CHF DALAM MENGATASI KETIDAKSTABILAN HEMODINAMIK: MANAJEMEN UPAYA PASIEN CHF DALAM MENGATASI KETIDAKSTABILAN HEMODINAMIK Eni Gustini, Ani Syafriati
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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ABSTRAK Gagal jantung kongestive merupakan syndrom yang menandai adanya ketidakmampuan jantung dalam memompa darah keseluruh tubuh. Menurut WHO prevalensi gagal jantung kongestive meningkat setiap tahunnya.Kurangnya upaya pasien CHF dalam menjaga kestabilan hemodinamik mengakibatkan tinggnya tingkat kekambuhan atau rehospitalisasi, seperti kepatuhan minuman obat, pola aktivitas, tidak adanya, diet garam serta dukungan kelurga. Pengenalan terhadap tanda dan gejala sangat berperan terhadap upaya pasien dalam meningkatkan hemodinamik. Penelitian ini bertujuan untuk mengetahui pengalaman dan upaya yang dilakukan pasien CHF dalam mengatasi ketidakstabilan hemodinamik. Penelitian ini menggunakan metode kualitatif melalui wawancara terhadap 4 partisipan, yang terdiri dari 2 orang laki-laki, dan 2 orang perempuan yang menderita penyakit CHF. Didapatkan tematema penelitian yakni, tanda dan gejala yang dirasakan pasien CHF, riwayat penyakit, dukungan keluarga, penyebab terjadinya CHF, upaya pasien CHF dalam mengurangi gejala yang timbul, perilaku atau kebiasaan yang menyebabkan kekambuhan, serta anxiety/Kecemasan. Saran diharapkan untuk tenaga kesehatan berperan aktif dalam memberikan edukasi tentang menajemen upaya yang dapat dilakukan pasien CHF untuk kestabilan hemodinamik, sehingga meningkatkan derajat kesehatan.Kata Kunci : Pasien CHF, Manajemen, kestabilan, hemodinamik. EFFORT MANAGEMENT OF CHF PATIENTS IN OVERCOMING HEMODYNAMIC INSTABILITYABSTRACTCongestive heart failure is a syndrome that marks the inability of the heart to pump blood throughout the body. According to WHO, the prevalence of congestive heart failure is increasing every year. The lack of efforts of CHF patients to maintain hemodynamic stability results in a high rate of recurrence or rehospitalization, such as adherence to medication, activity patterns, absence, salt diet and family support. Recognition of signs and symptoms plays an important role in the patient's efforts to improve hemodynamics. This study aims to determine the experiences and efforts of CHF patients in dealing with hemodynamic instability. This study used a qualitative method through interviews with 4 participants, consisting of 2 men and 2 women who suffered from CHF. The research themes were found, namely, signs and symptoms felt by CHF patients, disease history, family support, causes of CHF, CHF patients' efforts to reduce symptoms that arise, behaviors or habits that cause relapse, and anxiety. Suggestions are expected for health workers to play an active role in providing education about the management of efforts that CHF patients can do for hemodynamic stability, thereby improving health status.Keywords: CHF patients, management, stability, hemodynamics.
IDENTIFIKASI PENGETAHUAN PERAWAT DALAM MENERAPKAN PENCEGAHAN VENTILATOR ASSOCIATED TO PNEUMONIA (VAP) DI RUANG ICU RSUD SITI FATIMAH AZ-ZAHRA PALEMBANG: IDENTIFIKASI PENGETAHUAN PERAWAT DALAM MENERAPKAN PENCEGAHAN VENTILATOR ASSOCIATED TO PNEUMONIA (VAP) DI RUANG ICU RSUD SITI FATIMAH AZ-ZAHRA PALEMBANG Fitri Fatimah, Ani syafriati
Jurnal Kesehatan Vol. 11 No. 4 (2023)
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AbstractVAP (Ventilator Associated Pneumonia) merupakan penyakit infeksi pneumonia terkait pelayanan kesehatan atau Healthcare Associated Infection (HAIs) yang paling umum ditemukan di ICU.Penggunaan ventilator meningkatkan risiko terjadinya HAIs 6-21 kali lipat dibandingkan tidak menggunakan ventilator dan meningkatkan terjadinya pneumonia 1-3% per hari selama terpasang ventilator. Di RSUD Siti Fatimah Palembang pasien yang menggunakan ventilasi mekanik dan di intubasi adalah sebanyak 56 pasien terhitung sejak tahun 2019 - tahun 2021. Namun dari data laporan surveilans PPI RSUDSiti Fatimah Palembang, belum ada penyajian data Insiden VAP pada pasien dengan penggunaan ventilasi mekanik, namun ada beberapa pasien menunjukkan adanya gejala pneumonia. Kejadian tersebut tidak terlepas dari peranan tenaga kesehatan terutama tenaga keperawatan sebagai tenaga mayoritas di rumah sakit. Penelitian ini bertujuan untuk mengidentifikasi pengetahuan perawat dalam menerapkan pencegahan VAPPenelitian ini menggunakan metode kualitatif melalui indepth interview pada key informan yaitu 1 IPCN dan 1 IPCLN. Untuk informan terdiri dari 3 perawat ICU yang bekerja di ruang ICU RSUD Siti Fatimah Az-zahra Palembang. Didapatkan tema-tema penelitian yakni: Kebijakan dan program kerja tim PPIRS, Monitoring dan evaluasi pelaksanaan bundle atau pencegahan VAP, Sarana prasarana pemasangan ETT, Pencegahan terjadinya VAP di ICU, Faktor-faktor pencetus terjadinya kejadian VAP, SOP pemasangan ETT dan pemantauan kejadian VAP, indikasi pemasangan ventilator, dan Tanda dan gejala VAP. Disarankan kepada pihak rumah Sakit agar dapat memberikan variasi pelatihan lanjut atau khusus tentang keperawatan kritis terutama tindakan ventilasi mekanik sehingga perawat dapat menambah wawasan pengetahuan ilmu-ilmu terbaru sehingga dapat menambah kualitas perawat dalam menerapkan pencegahan VAP. Kata Kunci : Pengetahuan, Perawat, Penerapan VAP Bundle

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