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Pemberdayaan Perawat Mencegah Rehospitalisasi pada Balita dengan Pneumonia Melalui Pendekatan Astania (Asuhan Mandiri Keluarga dengan Balita Pneumonia) Purwati, Nyimas Heny; Awaliah, Awaliah; Misparsih, Misparsih; Fadhillah, Harif; Purwani, Emy; Sarini, Sarini; Amalia, Hayuni
Jurnal Pengabdian Masyarakat Indonesia Maju Vol 4 No 02 (2023): Jurnal Pengabdian Masyarakat Indonesia Maju Volume 04 Nomer 02 Tahun 2023
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jpmim.v4i02.2465

Abstract

Pneumonia merupakan salah satu masalah kesehatan dan penyumbang terbesar penyebab kematian balita di dunia serta penyebab kematian balita pertama di Indonesia. kemiskinan dan rendahnya status pendidikan dan ekonomi menjadi salah satu faktor socio-determinant yang berkaitan dengan angka kesakitan dan kematian akibat pneumonia di Indonesia. Selain itu faktor lain yang berperan adalah rendahnya kesadaran masyarakat dan meningkatnya populasi di daerah kumuh (slum dwellers) serta sulitnya akses ke fasilitas kesehatan. Rumah Sakit Islam Jakarta Cempaka Putih (RSIJCP) merupakan RS tipe B dengan kapasitas 277 tempat tidur, memiliki satu ruang rawat anak yang terdiri dari 15 tempat tidur, dengan jumlah pasien dalam satu tahun terakhir 1.424 anak dan pneumonia merupakan 10 penyakit terbanyak pada balita yang dirawat dan 14 anak dengan pneumonia dengan angka kekambuhan 50%. Tujuan dari pengabdian kepada masyarakat ini adalah untuk meningkatkan pengetahuan dan kemampuan perawat dalam pemberian asuhan keperawatan pada balita dengan pneumonia melalui peran sebagai health educator dalam meningkatkan kemampuan keluarga merawat anak dengan pneumonia dan mencegah terjadinya rehospitalisasi/kekambuhan pada anak melalui penerapan model ASTANIA (Asuhan Mandiri Keluarga dengan Balita Pneumonia). Metode pada pengabdian kepada masyarakat ini adalah pemberdayaan perawat guna peningkatan kemampuan dalam melaksanakan peran sebagai health educator, dan pelatihan perawat tentang pneumonia dengan menggunakan media audiovisual. Hasil pengabdian kepada masyarakat menunjukkan terjadinya peningkatan pengetahuan perawat sebelum dan setelah dilakukan pelatihan tentang pneumonia serta dihasilkannya media edukasi berbasis audiovisual dengan haki.
SOCIAL DETERMINANT OF COVID-19 RISKS AMONG CHILDREN IN JAKARTA, INDONESIA Purwati, Nyimas Heny; Awaliah, Awaliah; Imroatun, Tri
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 8, No 2 (2023): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v8i2.599

Abstract

Pandemics have historically disproportionately impacted the poor and disadvantaged. Poverty, the external environment, and race or ethnicity can all significantly impact COVID-19 consequences. Those barriers, called social determinants of health (SDOH), are significant for many people's health. This study aimed to investigate the social determinants of COVID-19 risk among children in Jakarta, Indonesia. We recruited parents whose children were between 6 and 12 and were admitted to a general public hospital in Jakarta, Indonesia. Logistic regression was used to examine the relationship between socioeconomic status and COVID-19 risk. This analysis includes 200 parents of children aged 6 to 12 years old (60%) retrospectively recruited. About half of the parents had undertaken primary education level. No significant correlation was found between parent education level, occupation, and monthly income with COVID-19 risk among children. The number of house occupants more than two was positively associated with a higher risk of COVID-19 in children. In conclusion, poor housing conditions increase the probability of COVID-19 infection in Indonesian children. This implies that parental reinforcement of anti-household transmission strategies is necessary.
Penerapan Pronasi dan Semi Fowler terhadap Peningkatan Saturasi Oksigen pada Pasien COVID-19 Agreta, Sri Mulati Nendah; Purwati, Nyimas Heny; Rayasari, Fitrian; Azzam, Rohman
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.309 KB) | DOI: 10.31539/jks.v6i2.4876

Abstract

This study aims to determine the effectiveness of prone and semi-fowler positions on oxygen saturation in COVID-19 pneumonia patients at the Jakarta Islamic Hospital Cempaka Putih. The quantitative method uses quasi-experimental data analysis techniques with a two-group preintervention-postintervention design. The results of the bivariate analysis with the T-test showed the value of Sig. P ≥ 0.05 found that the average before and after holding the prone position was 97%, and the pre-and post-intervention standards in the semi-Fowler class were 95% oxygen saturation. The value of this difference in oxygen saturation is influenced by age, sex, BMI, and HB, so the results affect the difference in pronation position, which is more effective than semi-fowler with the criterion of increasing oxygen saturation above the standard oximeter value, where pronation intervention in COVID-19 patients is more effective from semi fowler with the measure of an increase in oxygen saturation above 95%. In conclusion, there are different changes in oxygen saturation before and after the prone, and semi-fowler positions are carried out in COVID-19 pneumonia patients at the Jakarta Islamic Hospital Cempaka Putih. Keywords: COVID-19, Pronation, Oxygen Saturation, Semi Fowler
OPTIMALKAN ANAK SEHAT DENGAN SCREENING PERKEMBANGAN MENGGUNAKAN APLIKASI KPSP PRO Sutini, Titin; Purwati, Nyimas Heny; Komariah, Elis; Sari, Maya; Kadewi, Ami; Setiawati, Dewi Nur; Lumbatoruan, Astuti; Zein, Jus Yuly Evi Zein; Sari, Denny Novita Mayang; Lestari, Popy; Renhoran, Farida; Nurohmah, Endah; Wahyuni, Endah; Sulistiawati, Reni; Sahureka, Marthine; Maimunah, Ai
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2024): Volume 5 No. 2 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i2.26614

Abstract

Jumlah balita di Indonesia sangat besar yaitu sekitar 10 persen dari seluruh populasi, maka sebagai calon generasi penerus bangsa, kualitas tumbuh kembang balita di Indonesia perlu mendapat perhatian serius yaitu berupa pelayanan kesehatan berkualitas termasuk deteksi dan intervensi dini penyimpangan perkembangan. Guna mendukung upaya deteksi perkembangan anak secara maksimal sangat diperlukan pemanfaatan tehnologi seperti android sehingga informasi semakin mudah diakses hingga ke seluruh pelosok-pelosok penjuru. KPSP (Kuesioner Pra Skrining Perkembangan) Pro merupakan suatu aplikasi dalam pemanfaatan teknologi yang sangat membantu orang tua (masyarakat) untuk memantau perkembangan balita dan mendeteksi adanya kelainan sejak dini. Tujuan pengabdian masyarakat ini adalah meningkatkan kemampuan dan ketrampilan orangtua dalam melakukan penilaian pertumbuhan dan perkembangan berbasis digital menggunakan aplikasi KPSP Mobile di TK Paud Islam Cikal Harapan 1 Cempaka Putih. Metode kegiatan dilakukan berlangsung selama 2 hari dimana hari 1 dilakukan screening Tumbuh dan Kembang pada Anak dan hari ke 2 mengedukasi orang tua siswa tentang Aplikasi KPSP Pro. Selanjutnya demo praktik penggunaan Aplikasi KPSP Pro dalam melakukan penilaian pertumbuhan dan perkembangan. Adapun luaran kegiatan adalah peningkatan kemampuan dan keterampila orangtua dalam melakukan penilaian pertumbuhan dan perkembangan berbasis digital menggunakan Aplikasi KPSP Pro dan terpublikasinya kegiatan pengabdian masyarakat ini di Jurnal Pengabdian Masyarakat yang secara nasional telah terakreditasi.
The Effectiveness of the PrimaKu Application on Parents Behavior in Monitoring the Growth of Toddlers Sahariah, Sahariah; Purwati, Nyimas Heny; Apriliawati, Anita
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 04 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 04 December 2
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i04.2698

Abstract

Background: Child development is an important factor. The success of each phase affects the child's ability in the next phase. The low level of knowledge, attitudes and actions of parents about growth, and development disorders can cause deviations in growth, development, and mental and emotional disorders. Objectives: This study aims to determine the effectiveness of the PrimaKu application on the behavior (knowledge, attitudes, and actions) of parents in monitoring the growth and development of toddlers in the Panincong Health Center Work Area, Soppeng Regency. Methods: The research design used a quasi-experimental design with a nonequivalent control group pre and post-test design. The sample consisted of 36 respondents who were divided into the intervention and control groups. Data were analyzed using T-test. Results: The results showed that there was an effect of the PrimaKu application on the knowledge (p-value = 0.0001), attitudes (p-value = 0.0001) and actions (p value = 0.0001) of parents in monitoring the growth and development of toddlers, there was an average difference knowledge (p-value = 0.007 ), attitudes (p-value = 0.007) and actions (p-value = 0.028) of parents in the intervention group and control group (p-value = 0.0001). Conclusion: Parents should be able to use the PrimaKu application to improve behavior (knowledge, attitudes, and actions) in monitoring the growth and development of toddlers.
The Effect of Oxygen Inhalation Therapy on Hemodynamics (Heart Rate and Respiratory Rate) in Toddlers With Pneumonia Imroatun, Tri; Purwati, Nyimas Heny; Apriliawati, Anita; Sutini, Titin
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 13 No 03 (2023): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 13 Number 03 September
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v13i03.2703

Abstract

Background: Pneumonia causes the lung tissue to become inflamed, the alveoli are filled with pus and fluid causes difficulty in oxygen absorption resulting in difficulty breathing. Children with pneumonia cause the ability of the lungs to expand to decrease so that the body reacts by breathing quickly so that hypoxia does not occur. Objectives: The purpose of this study was to determine the effect of inhalation therapy using oxygen on hemodynamics (Heart Rate and Respiratory Rate) in children under five with pneumonia. Methods: The design of this study was a quasy experiment with the control group and the intervention group, the number of respondents in this study was 32 respondents who were divided into two groups, the sampling used was a simple random sampling method. Results: The results showed that the mean heart rate value of the intervention group compared to the control group was 131.29;135.04, in addition to that the mean respiratory rate value of the intervention group and control group was 32.01;34.20. from the results of the bivariate analysis it was found that there was an influence before and after in the control group and the intervention group with p-value=0.000. Conclusion: the conclusion in this study is So, from the results of this study, researchers argue, in providing respiratory rate stability to pediatric patients with respiratory tract disorders such as pneumonia, both therapies can be given, both inhalation therapy with oxygen, and inhalation therapy using compressors.
The Relationship Between Parental Mediation, Family Functioning, and Parental Digital Literacy with Children's Gadget Use Sarini, Sarini; Lismayanti, Desty; Purwati, Nyimas Heny; Apriliawati, Anita
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 14 No 02 (2024): Jurnal Ilmiah Ilmu Keperawatan Indonesia (JIIKI) Volume 14 Number 02 Juni 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiiki.v14i02.3484

Abstract

Background: Excessive use of gadgets among children has negative impacts, such as reduced social interaction, learning disorders, sleep disturbances, vision problems, and radiation risks. Parental mediation strategies and digital literacy can help prevent excessive gadget use in children. Objective: This study aims to determine the relationship between parental mediation, family functioning, and parental digital literacy with gadget use among school-aged children. Methods: The research design employed a descriptive analytic approach with a cross-sectional method. The study sample consisted of school-aged children from elementary schools in Karawang District, selected using purposive sampling with a total of 149 respondents. Data analysis was conducted using the chi-square test followed by multiple logistic regression with a significance level of < 0.05. Results: The study results showed that, in the bivariate analysis, there was a relationship between parental mediation, family functioning, and parental digital literacy with gadget use among children (p-value < 0.05). The multiple logistic regression test results indicated that the variable most associated with gadget use among children was parental mediation. Conclusion: This study is expected to serve as a reference for nurses to assist parents in applying parental mediation techniques and enhancing digital literacy socialization to prevent excessive gadget use in children.
Remote Learning for Nursing Education in Indonesia during The Covid-19 Pandemic: Efforts and Recommendations Haryanti, Fitri; Nuraini, Tuti; Sukartini, Tintin; Hidayati, Wahyu; Nursalam, Nursalam; Arofiati, Fitri; Purwati, Nyimas Heny; Nursanti, Irna; Prabawati, Dewi; Trisyani, Yanny; Hadi, Muhammad
Jurnal Keperawatan Soedirman Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.486 KB) | DOI: 10.20884/1.jks.2022.17.1.5297

Abstract

The COVID-19 pandemic had an impact on nursing students’ academic and clinical performance. Nursing institutions have provided remote learning to continue the learning process. However, students have met several obstacles that caused a decrease in the quality of learning. Remote learning for education requires the support of information and communication technology. However, studies related to how the COVID-19 pandemic affected nursing education in Indonesia are still rarely done. Accordingly, this study was conducted to evaluate the implementation of remote learning for nursing education during the COVID-19 pandemic. A cross-sectional study was conducted with 331 members of the Association of Indonesian Nurse Education Center (AINEC). The instrument used was the Guidelines of Filling Out Remote Learning. The results showed that 51% of the study programs implemented remote learning, while 69% of the regulations for remote learning were created by rectors. The most common teaching materials were visual, text, and audio-visual content. These materials were distributed through WhatsApp Group, Learning Management System (LMS), and video conference. To support the process of remote learning, nursing institutions need to improve information technology staff and cooperate agreement with other institutions. Overall, the remote learning process needs to be further improved to increase the students’ learning quality.
The Relationship Between Anemia and Nutritional Status with the Occurrence of Fatigue in Children with Cancer Undergoing Chemotherapy at Dharmais Cancer Hospital in Jakarta Purwati, Nyimas Heny; Natashia, Dhea; Wahyuni, Emmy Putri; Dais, Exsos Grend; Lusty, Junita; Ruriwinita, Ruriwinita; Sofyan, Evi; Fitriana, Anantusia; Karwati, Eti; Fitriyati, Fitriyati; Mursiah, Mursiah
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20191

Abstract

Background: The challenge of fatigue significantly affects children undergoing cancer treatment, impacting their overall well-being and quality of life. Unlike their healthy counterparts, pediatric cancer patients grapple with the demanding impacts of chemotherapy, leading to anemia and nutritional deficiencies that exacerbate fatigue. Beyond fatigue, chemotherapy alters appetite, nutrient utilization, and mental function. Fatigue's multidimensional impact, marked by reduced energy and increased need for rest, can detrimentally affect the quality of life for pediatric patients. Understanding these challenges is essential for devising tailored strategies that comprehensively address the unique needs of children undergoing cancer treatment, enhancing their overall well-being and quality of life.Objective: This research aims were to determine the relationship between anemia and nutritional status with the occurrence of fatigue in children with cancer undergoing chemotherapy at Dharmais Cancer Hospital in Jakarta.Methods: An analytical cross-sectional study conducted in August 2022 included a sample of 24 children selected through accidental sampling. Demographic and disease characteristics, such as age, gender, cancer type, cancer stage, and treatment duration, were collected through a questionnaire. Anemia was determined by hemoglobin levels (12 mg/dl), and nutritional status was assessed using Body Mass Index. Fatigue was measured with tailored instruments for different age groups: the Parent Fatigue Scale (PFS) for children under 7 years and the Child Fatigue Scale (CFS) for those aged 7 years and older. Statistical analyses included univariate assessment, bivariate analysis with the chi-square test, and logistic regression.Results: Demographic analysis revealed a predominantly male sample (70.8%) with a significant adolescent presence (41.7%) and a prevalence of leukemia (37.5%). Most participants were in early cancer stages (58.3%), undergoing treatment for over a year (62.5%). Anemia was common (54.2%), and 58.3% were underweight. High fatigue prevalence was observed (62.5%). Chi-square analysis found no significant gender or cancer stage differences in fatigue. Age and treatment duration showed no significant associations with fatigue. Logistic regression revealed a significant association between anemia and fatigue in the first model (p = 0.022, Exp. B = 0.104). The second model, incorporating nutritional status, showed a non-significant relationship with anemia but a notable association with normal nutritional status and fatigue (p = 0.022, Exp. 0.059). This underscores the crucial role of nutritional interventions in mitigating fatigue.Conclusion: This study highlights a significant relationship between anemia and nutritional status with fatigue in children undergoing chemotherapy. These findings underscore the importance of considering anemia and nutritional interventions when providing care to pediatric cancer patients undergoing chemotherapy. Nurses play a vital role in addressing these concerns and enhancing the overall well-being of children with cancer.
Piomi Efektif dalam Meningkatkan Kesiapan Minum Bayi Premature Fitriyati, Fitriyati; Sutini, Titin; Purwati, Nyimas Heny; Srisantyorini, Triana; Sulistiawati, Helda
MAHESA : Malahayati Health Student Journal Vol 4, No 8 (2024): Volume 4 Nomor 8 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i8.14778

Abstract

ABSTRACT The incidence of premature births is still quite high along with complex health problems in premature babies caused by immaturity of the body's organ systems in premature babies and babies born prematurely lacking the ability to suck and swallow which is related to the baby's readiness to drink. The aim of the research is that Piomi is effective in increasing the drinking readiness of premature babies. Research design. This research uses a quasi-experimental research design with a pre test and post test with control group with two types of intervention. Results The results of this research show that there is a significant difference between the pre and post interventions of PIOMI and Multistimulation. on the baby's drinking readiness (P value <0.05). There was also an influence between the PIOMI and Multistimulation interventions on the baby's drinking readiness (P value <0.05). The conclusion shows that there is a difference in the level of readiness to drink babies before and after the PIOMI intervention, as well as in the Multistimulation intervention group. Difference PIOMI Intervention is more effective than Multisimulation Intervention. Keywords: Premature Babies, Baby Drinking Readiness, PIOMI, Multistimulation  ABSTRAK Angka kejadian kelahiran prematuritas masih cukup tinggi beserta permasalahan yang kompleks permasalahan kesehatan pada bayi prematur disebabkan oleh ketidakmatangan sistem organ tubuh pada bayi prematur dan bayi yang lahir dalam kondisi prematur kurang memiliki kemampuan menghisap dan menelan yang berhubungan dengan kesiapan minum bayi. Tujuan penelitian diketahui piomi efektif dalam meningkatkan kesiapan minum bayi premature Desain penelitian Penelitian ini menggunakan rancangan penelitian quasi eksperiment dengan  pre test dan  post test with control group dengan dua macam Intervensi.Hasil Hasil penelitan ini menunjukkan ada perbedaan yang signifikan antara pre dan post intervensi PIOMI danMultikstimulasi terhadap kesiapan minum bayi (P value<0,05).Terdapat juga pengaruh anatara Intervensi PIOMI dan Multistimulasi terhadap kesiapan minum bayi (P value<0,05). Kesimpulan menunjukan bahwa terdapat perbedaan tingkat kesiapan minum bayi sebelum dan sesudah dilakukan Intervensi PIOMI, begitupula da kelompok intervensi Multistimulasi. Perbedaan Intervensi PIOMI lebih efektif dibanding Intervensi Multisimulasi.   Kata Kunci: Bayi Prematur, Kesiapan Minum Bayi, PIOMI, Multistimulasi