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Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, Indonesia Jauhar, Muhamad; Nursasi, Astuti Yuni; Wiarsih, Wiwin
Nurse Media Journal of Nursing Vol 8, No 1 (2018): (JUNE 2018)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.657 KB) | DOI: 10.14710/nmjn.v8i1.16812

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Background: Patients with pulmonary TB experience physical, psychological, social, and spiritual changes, affecting their physical health status. Self-management counseling is an intervention which enhances the physical health status of patients with pulmonary TB.Purpose: This study aimed to identify the effects of self-management counseling on physical health status in patients with pulmonary TB.Methods: This study used a pre and post-test quasi-experimental design with a control group and took place in a hospital in Bogor. The total respondents were 60 patients who were assigned into two groups and recruited using purposive sampling. The counseling was given for four sessions in two weeks for about 60-90 minutes each session. The data were collected using the functional assessment of chronic illness therapy-tuberculosis (FACIT-TB) and analyzed using paired t-test and independent t-test.Results: The result showed that the physical health status in the intervention group increased significantly (MD=8.0, p=0.000) compared to the control group. However, there was no influence of self-management counseling on the improvement of physical health status (MD=3.24, p=0.314).Conclusion: Self-management counseling did not significantly increase the physical health status of pulmonary TB patients. More rigorous studies are needed to investigate the effect of self-management counseling delivered at early treatment on the improvement of physical health status. It is expected that patients can manage their TB symptoms and able to improve their physical health status.
Pojokbelia : The Study of Smart Phone Application Development as Communicative, Informative and Educative (KIE) Media Innovation for Adolescent Reproductive Health Kusumawardani, Lita Heni; Jauhar, Muhamad; Rasdiyanah, Rasdiyanah; Desy Rohana, I Gusti Ayu Putu
Jurnal Keperawatan Soedirman Vol 13, No 3 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.3.872

Abstract

Introduction: The increase of adolescent population globally and nationally makes adolescent as vulnerable group to health problems, especially reproductive health. Adolescent has curiosities, like challenges, and dare to take risks. The impact is unwanted pregnancy, sexual transmition diseases, and abortion. Therefore, there is a need of KIE media for adolescent reproductive health based on information technology: smart phone applications.Objective: To identify research articles on smart phone use as KIE media for adolescent reproductive health.Method: Literature study in 20 journals through Google Scholar, Proquest, and EBSCO in the last 5 years, keywords adolescent reproductive health, health education, smartphone application. Data are analyzed in tables contain title, author, year, methodology, result, and recommendation.Result: Smartphone application as KIE media for adolescent reproductive health effectively increased the connection of adolescents with parents and health workers, improved sexual transmition diseases screening, was more attractive and innovative, took into privacy, was accurate information, wider reach, easy access, affordable costs, interactive, practical, and appropriate to the needs of today's adolescent.Conclusion: Smartphone applications such as text message, social media, and website can open adolescent access to get fast and accurate health information. The media development needs to focus on the characteristics and needs of adolescent and can be integrated with adolescent health programs.
EVALUASI PSIKOEDUKASI TERHADAP PENINGKATAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK: KAJIAN LITERATUR Muhamad Jauhar; widya Agustiani; Sugih Wijayati
Viva Medika Vol 14 No 01 (2020): VOLUME 14/NOMOR 01/SEPTEMBER/2020
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.57 KB) | DOI: 10.35960/vm.v14i01.526

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Chronic kidney disease is one of the health problems in the world. Chronic kidney disease as a complication of other chronic diseases such as hypertension. Management of chronic kidney disease in the final stages is done through hemodialysis therapy. The therapy is carried out throughout the patient's life. One impact that occurs if the problem is not handled properly is a decrease in quality of life. One non-pharmacological intervention to improve the quality of life is psychoeducation. The design of this study used a literature review from the journal database PubMed and Google Scholar obtained 10 research articles. Keywords used are psychoeducation and, Chronic Kidney Disease","quality of life and, Chronic Kidney Disease. Analysis of the research article uses a table format containing the title, author, year, method, results, and recommendations. Inclusion criteria for the last 5 years of publication deadline and original research. Based on the results of the analysis found that psychoeducation therapy can improve the quality of life of patients with chronic kidney disease. The advantage is that it can increase self-acceptance of health problems experienced. The disadvantage is the therapeutic effect shows differences in each patient because it is influenced by several factors. The results of the analysis can be used as a baseline for nurses in developing non-pharmacological interventions in the process of nursing care for clients with chronic kidney disease with problems of decreased quality of life. So that the psychological impact and complications of the disease can be prevented.
EVALUATION OF PRECEPTORSHIP AND MENTORSHIP CLINICAL LEARNING METHOD ON NURSING STUDENTS' CRITICAL THINKING IN PROVIDING NURSING CARE IN A TEACHING HOSPITAL Kurniati Puji Lestari; Muhamad Jauhar; Ike Puspitaningrum; Shobirun Shobirun; Iis Sriningsih
Jurnal Riset Kesehatan Vol 10, No 1 (2021): MAY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (354.507 KB) | DOI: 10.31983/jrk.v10i1.6629

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The demand for high-quality health services is increasing. It motivates nurses to utilize the best evidence in making decisions. Professional nurses were born from an excellent education. Preceptorship and mentorship clinical learning methods are expected to be able to answer these demands. This study aims to identify the effect of preceptorship and mentorship methods on students' critical thinking skills. The study design applies a quasi-experimental type pretest and post-test with a control group. Twenty-six students were examined as respondents for each intervention and control group, using a purposive sampling technique. The survey took place at a teaching hospital in Semarang, using a student-evidence-based practice questionnaire (validity 0.584-0.904; reliability 0.821) developed by Upton et al.in 2014.  The intervention during three weeks with the training stages of clinical advisors, clinical guidance, internalization, and evaluation. Univariate data analysis is described by frequency and percentage (categorical) and mean and SD (numerical). Bivariate data analysis using a paired t-test and independent t-test. There was a significant effect of the preceptorship and mentorship methods on students' thinking abilities (p-value = 0.006). Integrated academic and clinical learning could form critical thinking skills among students. Educational institutions play a role in providing training for clinical instructors oriented to improving the ability of students to provide scientific evidence-based nursing care. The clinical instructors are responsible for improving students' critical thinking skills through preceptorship and mentorship learning methods.
Community-Based Stunting Intervention Strategies: Literature Review Lita Heni Kusumawardani; Rasdiyanah Rasdiyanah; Utami Rachmawati; Muhamad Jauhar; I Gusti Ayu Putu Desy Rohana
Dunia Keperawatan Vol 8, No 2 (2020): July 2020
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dk.v8i2.8555

Abstract

Stunting is a growth disorder in children caused by malnutrition for a long time. The child's condition becomes shorter than normal children his age and has a delay in thinking. The incidence of stunting in Indonesia is quite high sostunting is becoming a priority health problem now. An effective strategy is needed to control stunting in Indonesia. The aim of this review was to explore the stunting management strategies to potentially implement in Indonesia.A literature review design was used to explore the stunting management strategies. Literature study of 15 articles retrieved from the journal database of Science Direct, Proquest, Scopus, and EBSCO in the last 5 years using keywords stunting, management, rural areas, and community based. Data were analyzed in tables consist of title, author, year, sample, methodology, and result. Control and preventionstunting could done through integrated nutrition interventions.Strategy Specific nutritional interventions such as providing supplementation and supplementary food plus nutritional interventions including non-health interventions, improving the family's economy, access and utilization of clean water, sanitation (especially latrines and safe septic tanks), which are urgently needed to support personal hygiene behavior and the environment . Interventions can use mother's counseling and support methods regularly by health workers by involving health cadres.Specific and sensitive intervention strategies are effective strategies within stunting control and prevention. Monitoring and evaluation of nutritional knowledge, attitudes and practices coupled with an assessment of the nutritional status and morbidity of mothers and children is also very necessary in controlling and preventing stunting in Indonesia
The Healthcare Needs of Families Caring for Patients with Pulmonary Tuberculosis Astuti Yuni Nursasi; Nadya Tiara Sabila; Muhamad Jauhar
Jurnal Keperawatan Indonesia Vol 24, No 2 (2021): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v24i2.1076

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Tuberculosis (TB) is a global public health problem. Families need to meet healthcare needs during the treatment of TB sufferers. This study aims to identify healthcare needs of families caring for patients with the disease. The cross-sectional study involved 83 families caring for TB patients. The research was conducted at a Primary Healthcare Center in an urban area in West Java. The results revealed that 60.2% of caregivers were 18–40 years old, 60.2% were female, 51.8% were senior high school educated, 43.4% were housewives, 86.7% had an income under the regional minimum wage, and 55.4% had cared for the TB patients for 3–6 months. The families had healthcare needs for emotional support (mean 33.72, SD 4.16); information support (mean 33.28, SD 4.09); instrumental support (mean 32.4, SD 3.73); and appraisal support (mean 28.01, SD 5.93). The greatest support need was how to encourage clients to take treatment completely (Score: 140); TB treatment information (Score: 138); financial support for chest x-ray costs (Score: 114); and how to assess patient behavior in maintaining health (score: 133). Based on the study result, the families need to improve their ability to give appraisal support during the patient's treatment. The identification of families’ healthcare needs in caring for patients with pulmonary TB can provide primary data for developing innovative programs integrated with DOTS programs in healthcare services to improve family support.Abstrak Kebutuhan Perawatan Kesehatan Keluarga yang Merawat Pasien Tuberkulosis. Tuberkulosis (TB) merupakan masalah kesehatan masyarakat global. Keluarga harus memenuhi kebutuhan perawatan kesehatan selama pengobatan pada pasien TB. Penelitian ini bertujuan untuk mengidentifikasi kebutuhan perawatan kesehatan pada keluarga yang merawat pasien TB. Penelitian cross-sectional ini melibatkan responden sebanyak 83 keluarga yang merawat pasien TB. Penelitian ini dilaksanakan di sebuah Puskesmas di Kota Depok, Jawa Barat. Penelitian ini melaporkan sebanyak 60,2% berusia 18–40 tahun, 60,2% perempuan, 51,8% lulus sekolah menengah atas, 43,4% ibu rumah tangga, 86,7% pendapatan di bawah upah minimum regional, 55,4% merawat pasien TB selama 3–6 bulan. Keluarga memiliki kebutuhan perawatan kesehatan untuk dukungan emosional (rerata 33,72, SD 4,16), dukungan informasi (rerata 33,28, SD 4,09), dukungan instrumental (rerata 32,4, SD3,73), dukungan penghargaan (rerata 28,01, SD 5,93). Kebutuhan tertinggi yaitu bagaimana mendorong pasien melakukan pengobatan secara tuntas (140), informasi pengobatan TB (138), dukungan keuangan untuk biaya pemeriksaan rontgen (114), dan bagaimana mengkaji perilaku pasien dalam mempertahankan kesehatan (133). Keluarga membutuhkan peningkatan kapasitas dalam memberikan dukungan penghargaan selama pengobatan pasien. Kebutuhan akan perawatan kesehatan pada keluarga yang merawat pasien TB dapat dijadikan data dasar dalam mengembangkan program inovatif terintegrasi dengan program DOTS di fasilitas layanan kesehatan dalam meningkatkan dukungan pada pasien TB.  Kata kunci: keperawatan keluarga, sistem dukungan, Tuberkulosis paru
PENINGKATAN PENGETAHUAN PEMBIMBNG KLINIK MELALUI PELATIHAN METODE PRECEPTORSHIP DAN MENTORSHIP Kurniati Puji Lestari; Muhamad Jauhar; Ike Puspitaningrum; Shobirun Shobirun; Iis Sriningsih; Mugi Hartoyo
Jurnal LINK Vol 17, No 1 (2021): MEI 2021
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1979.314 KB) | DOI: 10.31983/link.v17i1.6632

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Preceptors bertugas mengajar, menasihati, menginspirasi, panutan, serta mendukung tumbuh kembang mahasiswa keperawatan. Model bimbingan preceptroship adalah proses pendelegasian wewenang dari pembimbing kepada mahasiswa. Metode Pelatihan Preceptorship memfasilitasi pembelajaran tentang pengetahuan, keterampilan, dan perilaku preceptor. Tujuan kegiatan pengabdian kepada masyarakat ini adalah untuk memberikan bekal bimbingan klinis dalam menerapkan pembelajaran klinik aktif. Metode kegiatan melalui pelatihan Preceptorship, dengan pre dan post test, ceramah, simulasi peran, evaluasi, dan pendampingan bimbingan klinis. Preceptor adalah 56,5% perempuan, dan 52,2% memiliki pengalaman pelatihan bimbingan klinis. Rerata pengetahuan sebelum pelatihan 27,74 dengan SD 12,638, dan rerata 52,74 dan SD 20,324 setelah pelatihan. Ada perbedaan yang signifikan antara pengetahuan sebelum dan sesudah pelatihan dengan p-value = 0,000 (p 0,05). 31 CI (77,5%) menyatakan tema pelatihan sangat baik, 23 CI (57,5%) menyatakan ketepatan waktu sangat baik, 23 CI (53,5%) menyatakan bahwa layanan penyelenggara sangat baik. Pelatihan Metode Pembelajaran Preceptorship meningkatkan pengetahuan pembimbing klinik. Kegiatan ini dapat diintegrasikan dalam perencanaan pembelajaran klinik kerjasama antara pihak pendidikan dan pelayanan
STUDI LITERATUR : SENAM KEGEL MENURUNKAN FREKUENSI BERKEMIH PADA LANSIA Muhamad Jauhar; Rizka Puji Lestari; Fajar Surachmi
BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Vol 9 No 1 (2021): Edisi Januari - Juni 2021
Publisher : Ikatan Lembaga Mahasiswa Ilmu Keperawatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53345/bimiki.v9i1.175

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Pendahuluan: Penurunan daya tampung kandung kemih merupakan salah satu perubahan fisiologis pada lansia. Hal ini dikarenakan tidak teraturnya otot sfingter dalam berkontraksi sehingga mengakibatkan kandung kemih menjadi lemah. Sehingga lansia mengalami frekuensi berkemih berlebih. Tekhnik non farmakologis dapat dilakukan untuk memperbaiki kekuatan otot sfingter dengan senam kegel. Tujuan penelitian yaitu mengidentifikasi artikel-artikel penelitian tentang penerapan senam kegel untuk menurunkan frekuensi berkemih pada lansia. Metode: Desain penelitian kajian literatur melalui database jurnal yang terindeks seperti ProQuest dan Google Scolar dengan kata kunci Kegel exercise, frequency of incontinence, dan elderly sehingga didapatkan 10 artikel. Tekhnik analisis artikel penelitian menggunakan tekhnik analisis kualitatif. Kriteria inklusi artikel yaitu waktu publikasi arikel 5 tahun terakhir, jenis artikel penelitian asli, dapat diakses dalam bentuk teks lengkap. Kriteria eksklusi yaitu terapi kombinasi Hasil : Senam kegel dapat dilakukan 2-4 kali per hari selama 4-12 minggu untuk mendapatkan hasil yang maksimal. Kelebihannya adalah memiliki gerakan sederhana dan mudah dilakukan. Kekurangannya yaitu harus dimonitoring agar setiap gerakan latihan dilakukan dengan benar. Kesimpulan: Senam kegel merupakan intervensi yang dapat menurunkan frekuensi berkemih dan mengatasi masalah inkontinensia urine pada lansia. Sehingga kualitas hidup pada lansia meningkat.
STUDI LITERATUR: KOMPRES AIR GARAM EPSOM HANGAT MENURUNKAN NYERI SENDI PADA KLIEN ARTRITIS GOUT Muhamad Jauhar; Nur Ulisetiani; Sri Widiyati
Jurnal Ilmu Keperawatan dan Kebidanan Vol 13, No 1 (2022): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v13i1.1264

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Artritis gout merupakan salah satu penyakit tidak menular dengan peningkatan kasus setiap tahunnya. Penyakit ini jarang disadari oleh masyarakat disebabkan oleh gaya hidup tidak sehat. Jika tidak ditangani dengan baik akan berdampak pada disabilitas. Gejala yang sering dikeluhkan adalah nyeri sendi. Salah satu intervensi non-farmakologi untuk menurunkan keluhan tersebut adalah kompres air garam epsom hangat. Tujuan penelitian ini adalah mengidentifikasi artikel-artikel penelitian tentang efektifitas kompres air garam epsom hangat dalam menurunkan nyeri sendi pada klien artritis gout. Desain penelitian studi literatur melalui database jurnal terindeks seperti PubMed, ProQuest, dan Google Scholar dan didapatkan 10 artikel. Teknik analisis artikel menggunakan analisis kualitatif. Kriteria inklusi yaitu waktu publikasi 5 tahun terakhir, jenis artikel studi eksperimental, variabel independen yaitu kompres air garam epsom hangat, variabel dependen yaitu nyeri sendi pada atritis gout. Kriteria eksklusi yaitu terapi kombinasi. Kata kunci yang digunakan warm epsom salt water compress, joint pain, gout arthritis. Kompres air garam epsom hangat diberikan sebanyak 200 mg dalam satu liter air (perbandingan 1:5) pada suhu 40-50oC. Kompres dilakukan 10-20 menit, 3 kali per minggu, selama 15 hari. Kompres dapat menurunkan nyeri sendi skala sedang menjadi ringan pada klien artritis gout. Kelebihannya bahan mudah didapatkan dan teknik mudah dilakukan. Kekurangannya dilakukan dalam jangka waktu lama. Berdasarkan hasil analisis artikel didapatkan adanya pengaruh yang signifikan kompres air garam Epsom hangat terhadap penurunan nyeri sendi pada klien artritis gout. Hasil kajian dapat digunakan sebagai dasar ilmiah dalam pemilihan intervensi alternative non-farmakologi dalam mengurangi keluhan nyeri sendi pada klien artritis gout. 
Audio Visual Media-Based Health Education Increases Knowledge of Menstrual Disorders in Adolescence Elisa Elisa; Iffah Hanifah; Desak Parwati; Muhamad Jauhar
JENDELA NURSING JOURNAL Vol 6, No 1 (2022): JUNE 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jnj.v6i1.8368

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Background: students' knowledge about menstrual disorders is still inadequate so that it will have an impact on disrupting learning activities, difficulty concentrating, mood changes, anemia, etc. So it is necessary to increase knowledge about menstrual disorders with interesting health education by using audio-visual media.Purpose: to determine the effect of health education with audio-visual media on knowledge of menstrual disorders in adolescents.Methods: this study used a pre-experimental design with a one-group pretest-posttest design. The sampling technique used proportional random sampling technique as many as 41 respondents, the sample selection used the lottery technique. The research instrument used is a questionnaire. Data analysis used the Wilcoxon test.Results: based on the results p-value = 0.000, it can be concluded that there is an effect of health education with audio-visual media on the level of knowledge about menstrual disorders in adolescent girls.Conclusion: it is needed that teenagers can increase their knowledge about menstrual disorders through reading books, electronics, or other printed media so that they can handle menstrual disorders when they occur.