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GAMBARAN TINGKAT KECEMASAN PREOPERATIVE PADA PASIEN DENGAN FRAKTUR Margianti, Dina; Rahayu, Urip; Pebrianti, Sandra
Jurnal Keperawatan 'Aisyiyah Vol. 6 No. 1 (2019): Jurnal Keperawatan 'Aisyiyah
Publisher : Sekolah Tinggi Ilmu Kesehatan 'Aisyiyah Bandung

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Abstract

Fraktur adalah kerusakan pada kontinuitas tulang, penanganannya dengan operasi yang dapat menimbulkan kecemasan. Ketika pasien mengalami kecemasan maka akan mengalami gangguan pada beberapa sistem tubuh diantaranya tekanan darah meningkat, gelisah dan sulit tidur. Jika hal tersebut terjadi ketika menjelang operasi dapat menyebabkan kegagalan operasi. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kecemasan preoperative pada pasien fraktur di Ruang Marjan Atas RSUD dr. Slamet Garut. Jenis penelitian ini menggunakan metode deskriptif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien preoperative dengan fraktur dengan jumlah sampel sebanyak 32 responden, dengan teknik total sampling. Data diambil dengan menggunakan instrumen Hamilton Anxiety Rating Scale (HARS), dianalisis secara deskriptif kuantitatif dan diolah dengan menggunakan software komputer, kemudian disajikan dalam bentuk distribusi frekuensi. Hasil penelitian menunjukkan sebagian besar responden mengalami kecemasan ringan (65,6%). Kecemasan ringan terjadi pada orang yang baru pertama kali melakukan operasi karena ketakutan dan kurangnya pengetahuan, sedangkan pasien yang tidak cemas sudah mempunyai pengalaman operasi sebelumnya dan ketakutan menjadi berkurang. Simpulannya adalah tingkat kecemasan pada pasien preoperative dengan fraktur di Ruang Marjan Atas RSUD dr. Slamet Garut mayoritas cemas ringan. Dapat disarankan intervensi preoperative teaching kepada pasien sehingga dapat meminimalisir terjadinya kecemasan preoperative.  
AKTIVITAS FISIK PASIEN HIPERTENSI: Indonesia neng yulia maudi; Platini, Hesti; Pebrianti, Sandra
Jurnal Keperawatan 'Aisyiyah Vol. 8 No. 1 (2021): Jurnal Keperawatan 'Aisyiyah
Publisher : Sekolah Tinggi Ilmu Kesehatan 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33867/jka.v8i1.239

Abstract

Aktivitas fisik termasuk manajemen nonfarmakologi yang dapat memengaruhi tekanandarah. Kurang aktivitas fisik menyebabkan tekanan darah selalu tinggi melebihi rentangnilai normal 130/90 mmHg, jika dalam waktu lama akan berisiko komplikasi. Tekanandarah penderita hipertensi minimal dapat dikendalikan dengan melakukan aktivitasfisik sehingga dapat mencegah komplikasi. Penelitian ini bertujuan untuk mengetahuibagaimana gambaran aktivitas fisik pasien hipertensi.Penelitian ini merupakan penelitiandeskriptif kuantitatif. Sampel sebanyak 99 penderita hipertensi tanpa komplikasi,ditetapkan dengan cara purposive sampling. Pengumpulan data dilakukan denganmenggunakan kuesioner International Physical Activity Questionnaire (IPAC) yangmerupakan kuesioner baku dengan 27 pertanyaan dan nilai uji validitas r hitung (0,444)> r tabel (0,361) serta Cronbach alpha 0,713 menyatakan reabilitas. Hasil penelitiandianalisis menggunakan analisa univariat, disajikan dalam bentuk tabel distribusifrekuensi. Hasil penelitian menunjukkan sebagian besar responden melakukan aktivitasfisik sedang dengan presentase (62,6%). Responden yang termasuk aktivitas fisik berat(28,3%), dan sebagian kecil termasuk aktivitas fisik ringan (9,1%). Aktivitas fisik beradapada kategori sedang dan berat tetapi masih ada sebagian kecil yang termasuk aktivitasfisik ringan. Hal ini perlu dilakukan pembinaan lebih lanjut oleh pihak puskesmas sepertimeningkatkan Program Posbindu melalui penyuluhan, pelaksanaan aktivitas fisik khususpenderita hipertensi.
PENYULUHAN UPAYA REMAJA PUTRI DALAM MENGATASI DISMENOREA DI SMK YBKP3 TAROGONG KIDUL GARUT Eriyani, Theresian Eriyani; Pebrianti, Sandra
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 1 Nomor 2 Oktober 2018
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v1i2.34

Abstract

ABSTRAK Menstruasi adalah masa perdarahan yang terjadi pada perempuan secara rutin setiap bulan selama masa suburnya, kecuali apabila terjadi kehamilan. Biasanya, saat pertama kali menjelang menstruasi dan saat menstruasi terjadi, kebanyakan perempuan akan merasakan rasa nyeri di perutnya. Ini merupakan hal yang wajar, karena terjadinya peluruhan lapisan endometrium pada dinding rahim. Rasa nyeri yang dirasakan oleh setiap wanita berbeda-beda. Rasa nyeri yang timbul ini biasanya dikenal dengan nama dismenorea. Upaya penangan nyeri akibat menstruasi dapat diterapkan dalam kehidupan sehari-hari disaat terjadinya keluhan, baik dirumah, sekolah, dan tempat lainya. Penyuluhan tersebut merupakan bentuk upaya pencegahan sakit dehingga tidak dirasakan berkepanjangan selama melakukan aktifitas, yang bertujuan untuk meningkatkan, pengetahuan dan pemahaman serta keterampilan dalam pelaksanaan upaya mengatasi dismenorhea. Kata Kunci: Remaja Putri, dismenorhea, Penyuluhan  ABSTRACT Menstruation is a period of bleeding that occurs regularly to women every month during her fertile period, except when pregnancy occurs. Usually, the first time before menstruation and when menstruation occurs, most women will feel pain in their stomach. This is a natural thing, because of the decay of the endometrial lining in the uterine wall. The pain felt by each woman is different. This arising pain is usually known as dysmenorrhoea. Efforts to deal with pain due to menstruation can be applied in everyday life when complaints occur, both at home, school, and other places. Counseling is a form of prevention so that pain is not felt to be prolonged during activities, which aims to improve, knowledge and understanding and skills in the implementation of efforts to overcome dysmenorrhea. Keywords: Young women, dismenorhea, counseling
HUBUNGAN PENGETAHUAN DENGAN SIKAP IBU DALAM PENERAPAN TOILET TRAINING PADA ANAK USIA TODDLER DI DESA MAJASARI GARUT Shalahuddin, Iwan; Pebrianti, Sandra; Maulana, Indra
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 5, No 2 (2018): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v5i2.5484

Abstract

AbstrakToilet training merupakan suatu latihan kemandirian pada anak, umumnya pengajaran toilet training yang dilakukan oleh orang tua yaitu 31% orang tua mulai mengajarkan pada usia anak 18-22 bulan, 27% mulai di usia 23-27 bulan, dan 16% di usia 28-32 bulan dan 22% di usia 32 bulan ke atas. Orang tua menunggu anak siap untuk diajarkan toilet training sehingga dalam pengajaran tidak membutuhkan waktu yang lama. Hasil studi pendahuluan dengan wawancara, dari 13 Ibu 12 diantaranya menuturkan anaknya masih buang air kecil disembarang tempat, ibu juga mengatakan masih belum mengerti cara mengajarkan toilet training pada anak. Tujuan penelitian untuk memperoleh hubungan tingkat pengetahuan dengan sikap penerapan toilet training pada anak usia toddler di Desa Majasari Kabupaten Garut. Metode penelitian yang digunakan adalah metode deskriptif korelasi dengan pendekatan cross sectional. Analisis data menggunakan analisis univariat dan bivariat melalui uji korelasi dengan Spearman Rank pada tingkat kepercayaan 95%. Populasi dalam penelitian ini adalah seluruh ibu yang mempunyai anak usia toddler (1-3 Tahun). Teknik sampel yang digunakan dalam penelitian ini adalah stratified random sampling dengan jumlah sampel 95 orang. Hasil penelitian diketahui sebagian ibu (52%) berpengetahuan kurang baik tentang toilet training, lebih dari sebagian ibu (32%) memiliki sikap tidak menerapkan toilet training pada anak usia toddler. Hasil uji statistik menunjukan angka Sig. (2-tailed) 0,000, nilai ini lebih kecil daripada batas kritis α = 0,05 (0,000 < 0,05) dan Correlation Coefficient (koefisien korelasi) menunjukan angka 0,674, dengan keputusan terdapat hubungan yang kuat antara tingkat pengetahuan dengan sikap penerapan toilet training. Kesimpulan penilitian menyatakan adanya hubungan kuat antara variabel tingkat pengetahuan ibu dengan sikap ibu dalam penerapan toilet trainin, artinya bahwa semakin baik tingkat pengetahuan ibu semakin kuat pula diterapkannya toilet training pada anaknya.Kata-kata kunci : Toilet training, pengetahuan, sikapAbstractToilet training is an exercise of independence in children, generally teaching toilet training conducted by parents that 31% of parents start teaching at age 18-22 months, 27% starting at the age of 23-27 months, and 16% at the age of 28- 32 months and 22% at 32 months and above. Parents wait for the child to be ready to be instructed toilet training so that in teaching does not take a long time. The results of preliminary studies with interviews, from 13 mothers 12 of whom said their children were still urinating in places, the mother also said that they still did not understand how to teach toilet training to children. The purpose of this study was to obtain a relationship between the level of knowledge and the attitude of applying toilet training to toddler age children in Majasari Village, Garut Regency. The research method used is descriptive correlation method with cross sectional approach. Data analysis used univariate and bivariate analysis through correlation test with Spearman Rank at 95% confidence level. The population in this study were all mothers with toddler age children (1-3 Years). The sample technique used in this study was stratified random sampling with a sample size of 95 people. The results showed that some mothers (52%) had poor knowledge about toilet training, more than half of mothers (32%) had an attitude of not applying toilet training to toddler age children. The result of statistical test shows the number of Sig. (2-tailed) 0.0001, this value is smaller than the critical threshold α = 0.05 (0,0001 <0.05) and Correlation Coefficient shows the number 0.674, with the decision there is a strong relationship between the level of knowledge with the attitude of applying toilet training. The conclusion of the research indicates that there is a strong relationship between maternal knowledge level and mother attitude in toilet trainin implementation, it means that the better the mother's knowledge level the stronger the applicationof toilet training to the child.Keywords: Toilet training, knowledge, attitude, toddler
Penguatan Kapasitas Petugas Kesehatan Dalam Mengaplikasikan Terapi Komplementer Pasien Tuberkulosis Paru Hesti Platini; Sandra Pebrianti; Kosim K
Media Karya Kesehatan Vol 1, No 2 (2018): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.126 KB) | DOI: 10.24198/mkk.v1i2.18634

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Petugas kesehatan merupakan seseorang yang berperan aktif dalam meningkatkan derajat kesehatan diantaranya kasus tuberkulosis paru. Petugas kesehatan bukan hanya sebagai rujukan kesehatan tetapi harus mengetahui mengenai dasar dari terapi selain farmakologi untuk menangani masalah yang menyangkut penyakit tuberkulosis paru. Tujuan kegiatan ini yaitu untuk meningkatkan pengetahuan dalam penguatan kapasitas petugas kesehatan untuk mengaplikasikan terapi komplementer dalam mengatasi mual dan muntah pada pasien tuberkulosis paru di wilayah kerja Puskesmas Pasundan Garut. Metode kegiatan ini yaitu pendidikan kesehatan kepada petugas kesehatan berupa pelatihan terapi komplementer untuk mengatasi mual dan muntah pada pasien tuberkulosis paru. Kegiatan ini dimulai dari tahapan perencanaan, pelaksanaan, evaluasi, hingga penyusunan laporan. Hasil pengukuran pengetahuan yaitu pretest dan posttest. Data kemudian dianalisis dengan nilai mean, dan dependent t-test. Hasil menunjukan rata-rata terdapat peningkatan pengetahuan setelah dilakukan pelatihan dengan skor sebelum pelatihan 64,44 (SD = 21, 15); dan rata-rata skor setelah dilakukan pelatihan 82,00 (SD = 13,02) dengan rata-rata peningkatan skor 17,72 (SD = 21, 11) dan nilai p=0,000. Dengan kegiatan ini pengetahuan petugas kesehatan dapat meningkat dalam mengaplikasikan terapi komplementer untuk mengatasi mual dan muntah pada pasien tuberkulosis paru. Kata kunci: Petugas kesehatan, terapi komplementer, tuberkulosis paru
GAMBARAN PENGETAHUAN MASYARAKAT TERHADAP KESIAPAN BENCANA (DISASTER PREPAREDNESS) Siti Yulipah Agustini; Ayu Prawesti; Sandra Pebrianti
Jurnal Ilmu Keperawatan Indonesia Vol 1, No 2 (2020): Jurnal Ilmu Keperawatan Indonesia (JIKPI)
Publisher : Universitas Mitra Indonesia

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Abstract

Garut Regency is one of the regencies in West Java that is prone to disasters, floods, landslides, earthquakes, fires and tornado winds. Readiness is part of the initial step for disaster. Readiness is an activity carried out to anticipate disasters through organizing activity with appropriate steps. The purpose of this research was find out the description of community knowledge on disaster readiness in Garut Regency. This research method used descriptive quantitative. The instrument in collecting data used questionnaires, with cluster random sampling technique by processing data using slovin formula as many as 84 people based on frequency distribution. The results showed that the knowledge of community in five districts of Garut Regency with the highest category was bad category 47 (56.0%). The majority of disaster readiness knowledge in Garut Regency showed that most public knowledge was bad, it needs to be given information and counseling related to the concept of disasters and how to prevent them. Disaster readiness is very important in disaster safety. The results of this study were expected to be used as a basic material and experience for the provision and knowledge of disaster readiness, with the aim of saving the lives, property and reducing casualties.Keywords  : Disaster Readiness, Knowledge
Gambaran Self Efficacy Pada Keluarga Penderita Diabetes Melitus Dalam Menjalankan Upaya Pencegahan Diabetes Melitus Nugraha Firdaus; Titis Kurniawan; sandra pebrianti
Jurnal Ilmu Keperawatan Indonesia Vol 1, No 2 (2020): Jurnal Ilmu Keperawatan Indonesia (JIKPI)
Publisher : Universitas Mitra Indonesia

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Abstract

Family with diabetes mellitus is a group that has the biggest risk to get diabetes mellitus. Nonetheless, a few families are found to do a prevention effort towards this issue. Self-efficacy is one of the factors that determines one’s behavior. This research purpose is to identify family with diabetes mellitus self-efficacy on carrying diabetes mellitus prevention effort.This research used quantitative descriptive with cross sectional method, involving 138 families with diabetes mellitus (siblings or descendant) who live on Tarogong public health center work area. The respondents were selected by using purposive sampling technique. The data was collected by using diabetes mellitus prevention self-efficacy questionnaire. The instrument was developed by the author based on related literature and had been tested for validity by two lecturers working in the field of diabetes mellitus. The collected data were analyzed as a description and displayed in percentage, frequency, mean. The general findings showed that the family’s self-efficacy for preventing diabetes mellitus was on high category (54,3%). Smoking and physical activity domain were found as the highest mean score, while exercise and health check-up were identified as the lower ones.The research result can be concluded that the family self-efficacy in preventing diabetes mellitus belongs to high category. Nevertheless, it is still important for community health center to develop a certain program that can involve family to improve low self-efficacy domain such as exercise and medical check-up. Keywords          : Diabetes Mellitus, family, prevention, self-efficacy
Determinan Epidemiologi Penyakit pada Mahasiswa Akademi Keperawatan di Garut, Jawa Barat Tahun 2015 Iwan Shalahuddin; Theresia Eriyani; Sandra Pebrianti
Jurnal Keperawatan Indonesia Vol 22, No 2 (2019): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i2.647

Abstract

Proses adaptasi dan interaksi dari peserta didik dengan lingkungan baru dapat mengakibatkan gangguan keseimbangan fisiologis tubuh sehingga menjadi rentan terhadap penyakit. Penelitian potong lintang ini bertujuan untuk mengidentifikasi determinan epidemiologi penyakit pada mahasiswa Akademi Keperawatan Pemerintah Kabupaten Garut tahun 2015. Sebanyak 235 mahasiswa menjadi sampel. Data yang dikumpulkan meliputi karakteristik responden, karakteristik tempat asal mahasiswa, kesakitan dengan menggunakan kuesioner tentang riwayat kesakitan atau morbiditas. Hasil penelitian menunjukkan bahwa 70,2% mahasiswa mengalami sakit selama tiga bulan terakhir dan 57,9% mahasiswa memiliki riwayat sakit terdahulu. Terdapat hubungan antara determinan epidemiologi karakteristik responden dengan nilai p= 0,023 dengan 95% CI sebesar 6,48 (2,21-22,56) dan karakteristik tempat pada kesakitan mahasiswa nilai p= 0,045 dengan 95% CI sebesar 0,09 (0,02-0,41). Peran pembimbing akademik perlu ditambah dengan memberikan bimbingan dan penyuluhan terhadap masalah kesehatan mahasiswa. Institusi pendidikan sangat penting memiliki dan menyimpan pangkalan data tentang kesakitan mahasiswa. Kata kunci: Angka kesakitan, determinan epidemiologi, mahasiswa keperawatan. Abstract Determinants of Epidemiology of Disease in Nursing Academy Students in Garut, West Java in 2015. The process of adaptation and interaction of students with the new environment can result in physiological balance disorders of the body, thus becoming susceptible to disease. This cross-sectional study aimed to identify the epidemiological determinants of disease in 2015 Garut District Nursing Academy students. A total of 235 students were involved. Data collected included respondent characteristics, the characteristics of the place of origin of the students, morbidity using a questionnaire about the history of previous illness or morbidity. The results showed that 70.2% of students experienced pain during the last three months and 57.9% of students had a history of the previous disease. There was a relationship between the epidemiological determinant of the characteristics of respondents with a value of p= 0.023 with 95% CI of 6.48 (2.21-22.56) and place characteristics in the morbidity of students p= 0.045 with 95% CI of 0.09 (0.02-0.41). The role of academic advisers needs to extend by providing guidance and counseling on student health problems. Educational institutions are significant to have and keep a database of the morbidity of students. Keywords: Epidemiology determinants, morbidity rate, nursing students.
Cultural competency and nursing care among sundanese nurses ethnic group in Indonesia Upit Pitriani; Kusman Ibrahim; Sandra Pebrianti
Malahayati International Journal of Nursing and Health Science Vol 3, No 2 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v3i2.3634

Abstract

Background: Nurses as one of the health professionals who are expecting to have competence in providing nursing care to patients based on cultural background.Purpose: To describe the cultural competency and nursing care among sundanese nurses' ethnic group in Indonesia..Method: A descriptive design with a quantitative approach. The sampling technique in this study used Cluster Random Sampling with the sample of 63 respondents. The instrument used the NCCS (Nurse Cultural Competence Scale). This research conducted on April 2019 at dr. Slamet Hospital, Garut - IndonesiaResults: Shows that the nurses' cultural competencies in dr. Slamet hospital was in a low category of 37 respondents (58.7%). While in a component, cultural awareness was in the low category (60.3%), the cultural knowledge component was in the high category (52.4%), the cultural sensitivity component was in the low category (58.7%) and the cultural skills component in the high category (58.7%).Conclusion: The most nurses' cultural competencies  was in a low category such as cultural awareness was in the low category (60.3%), the cultural sensitivity component was in the low category. Sundanese nurses' ethnic group need to develop training in culturally competent as a local wisdom.
Tera Gymnastic Effective for Patient with Hypertension Hesti Platini; Sandra Pebrianti; Indra Maulana
Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1244.915 KB) | DOI: 10.24198/jkp.v7i3.991

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Hypertension is a cardiovascular disease globally. Hypertension is remains silent killer, the clinical strategy to focusing on new and improved treatments is exercise. Tera  gymnastics is a physical and mental exercise, combining the movement of body parts with breathing techniques and rhythms through the concentration of thought that is carried out regularly, harmoniously, correctly and continuously, Physical activity can reduce high blood pressure. Some study showed Regular physical activity is an effective intervention with respect to these factor, decreasing mortality rate for cardiovascular disease and all cause of disease in hypertensive patient. Gymnastic Tera exercise can help to control metabolic variable related to hypertension. The study was use quasy experimental design with one group pretest-posttest. The study was conducted in Puskesmas Pasundan Garut. Sampling in this study is subjects  that is criteria patients has hipertension with 8 weeks treatment so will take methode of  concecutive sampling with 15 respondents for intervention group and 15 for control group.  The sample were age 30-55 years. The Intervention was gymnastic tera exercise. The Blood pressure function was evaluated before and after the training period. The data were analyzed by using t-test paired. The result showed a significant difference before and after tera gymnastic exercise in patient with hypertension I (p=000.0). Result of systolic blood presure when in mean SD pretest is 146.00 higher than post test is 136.00 in intervention group. The tera gymnastic exercise conditioning program achieved effect in this population. The reduction of blood pressure after exercise is of great clinical relevance.  The increased riskof physical inactivity in controlling hypertension in our study suggest that general practitioners must be in the habit of prescribing practice of physical exercise. Physical activity has been shown to have beneficial effect on blood pressure. patients are followed up regularly to confirm that they are adhering to the management plan and the blood pressure targets.