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Factors Influencing Psychological Problems for Emergency Nurses in Facing Emergency Situations during the Covid-19 Pandemic Ida Ayu Agung Laksmi; I Made Dwie Pradnya Susila
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v6i4.811

Abstract

The emergence of COVID-19 is placing unforeseen pressure on the country's health care system and presenting various challenges for healthcare workers. Health care workers are at high risk of infection, while they have a large burden on clinical care and prevention of Covid-19 virus infection, including emergency room nurses. The emergency room nurse is one of the medical personnel who plays an important role in providing health services to patients. Several previous studies revealed that there were psychological problems experienced by emergency room nurses such as anxiety, work stress, fear, and depression. Therefore, it is necessary to conduct a study to find out what are the predictors of psychological problems for emergency room nurses in dealing with emergencies situation during the COVID-19 pandemic. This research is a correlational analytic study using a cross-sectional design involving 85 emergency room nurses who are members of the Indonesian Emergency and Disaster Nurses Association (HIPGABI Bali). The data collection process is carried out online to the respondents. The data were analyzed by Spearman-Rank test with a significance level of (0.05). The results of the study were that the majority of emergency room nurses had normal anxiety responses and moderate stress. The factors related to anxiety are the completeness of hospital facilities (p-value = 0.000) and the presence of comorbidities (p-value = 0.007), while the only factor related to stress was the completeness of hospital facilities (p-value = 0.050). This can be a consideration for hospital management and professional organizations to take strategic steps to prevent nurses' psychological problems.Munculnya COVID-19 memberikan tekanan yang tidak terduga pada sistem perawatan kesehatan negara dan menghadirkan berbagai tantangan bagi tenaga kesehatan. Petugas kesehatan sangat berisiko terinfeksi, sementara mereka memiliki beban yang besar dalam perawatan klinis dan pencegahan infeksi virus Covid-19, termasuk para perawat UGD. Perawat UGD merupakan salah satu tenaga medis yang berperan penting dalam memberikan pelayanan kesehatan terhadap pasien. Beberapa penelitian terdahulu mengungkapkan adanya masalah psikologis yang dialami oleh perawat UGD seperti ansietas, stress kerja, ketakutan, hingga depresi. Oleh karena itu perlu dilakukan sebuah penelitian untuk mengetahui apa saja yang menjadi faktor prediktor masalah psikologis perawat UGD dalam menghadapi situasi gawat darurat selama masa pandemic COVID-19. Penelitian yang dilakukan merupakan penelitian analitik korelasional dengan menggunakan rancangan potong lintang yang melibatkan 85 perawat UGD yang tergabung dalam Himpunan Perawat Gawat Darurat dan Bencana Indonesia (HIPGABI Bali). Proses pengumpulan data dilaksanakan secara online kepada responden. Data dianailisis dengan uji Spearman Rank dengan tingkat kemaknaan £ (0.05). Hasil penelitian  mayoritas perawat UGD memiliki respon ansietas normal dan stress sedang. Adapun faktor yang berhubungan dengan ansietas adalah kelengkapan fasilitas RS (p value = 0.000).   dan adanya komorbid (p value = 0.007)., sedangkan satu-satunya faktor yang berhubungan dengan stress adalah kelengkapan fasilitas RS (p value = 0.050). Hal ini dapat menjadi pertimbangan bagi pihak manajemen RS dan organisasi profesi untuk mengambil langkah-langkah strategis sebagai upaya pencegahan masalah psikologis perawat.
Pengaruh Back Massage Terhadap Tingkat Nyeri Low Back Pain pada Kelompok Tani Semangka Mertha Abadi di Desa Yeh Sumbul Kusuma Dewi, Ni P P; Sutresna, I Nyoman; Susila, I Made Dwie Pradnya
Journal Center of Research Publication in Midwifery and Nursing Vol 1 No 2 (2017): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v1i2.3

Abstract

Low back pain is one of the musculoskeletal problems due to worse activity and causes the incurrence of sore, pain, and hurt. Pain management can be surmounted by non-pharmacological therapy through back massage. Back massage is a technique of giving massage on the back with smooth swab. This study aimed at knowing the influence of back massage towards the low back pain level to the Mertha Abadi watermelon farmers group. This study was pre experimental research, with one group pretest-posttest design. Sample consisted of 30 members of watermelon farmers which were chosen through purposive sampling. The data was analyzed with statistical test using Wilcoxon Signed Rank Test with the result obtained that p value 0,001 was less than α=0,05 (p<0,05) meant Ho was rejected and the hypotheses in this study was accepted, therefore it could be concluded that there was a significant influence of back massage towards the low back pain level to the Mertha Abadi watermelon farmers group in Yeh Sumbul village. Based on the result of this study, back massage is really needed to be applied in order to reduce pain to the low back pain patients.
Upaya Peningkatan Pengetahuan Melalui Penyuluh Peran Suami Sebagai Fasilitator Dalam Persiapan Proses Persalinan Ni Made Risna Sumawati; I Made Dwie Pradnya Susila
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 5, No 1 (2021): Februari
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v5i1.2662

Abstract

Pada tahun 1999 sampai tahun 2000 pemerintah Indonesia telah mencanangkan program  Suami  Siaga yang bertujuan untuk meningkatkan peran serta suami. Program lain yang telah dicanangkan Pemerintah Indonesia adalah “Making Pregnancy Safer” dimana diharapkan partisipasi, pengetahuan dan keterlibatan suami dapat meningkat selama proses persalinan (Depkes RI, 2012). Kegiatan ini dilakukan dengan metode ceramah dan diskusi sehingga suami dapat memahami tentang pentingnya peran suami sebagai fasilitator. Pelaksanaan penyuluhan tentang upaya meningkatkan pengetahuan tentang pentingnya peran suami sebagai fasilitator dalam persiapan proses persalinan dilaksanankan pada pada suami yang mengantarkan ibu melakukan pemeriksaan kehamilan di BPM Ni Ketut Nuriasih. Suami diberikan lembar pre test tentang peran pendampingan yang diperlukan untuk menemani istri bersalin, kemudian suami diberikan leaflet dan dijelaskan peran yang seharusnya dilakukan nanti saat menemani istri bersalin. Pada tahap akhir suami kembali diberikan lembar post tes untuk mengukur tingkat pemahamannya. Hasilnya seluruh suami yang diberikan penjelasan tentang peran sebagai fasilitator dalam menemani istri bersalin seluruhnya mengerti, dibuktikan dengan adanya peningkatan pemahaman dari hasil pre test dan post test. Saran Bagi klinik klinik yang menangani persalinan sebaiknya dalam pemberian KIE persiapan persalinan suami juga diikut sertakan sehingga ibu dan suami semakin siap menghadapi proses persalinan.Keywords: Fasilitator; Penyuluhan; Peran Suami; PersalinanKnowledge Efforts Through Release About The Importance Of Husband Role As A Facilitator In Preparing The Labor ProcessAbstractSince 1999 to 2000 the Indonesian government had launched the Husband Alert program which aimed to increase the participation of husbands. Another program that has been launched by the Government of Indonesia is the "Making Pregnancy Safer" where it is expected that the participation, knowledge and involvement of the husband can increase during the birth process (MOH RI, 2012). But until now there are still many husbands who do not understand their role well. So it is necessary to make efforts to increase knowledge through counseling about the importance of the husband's role as a facilitator in the preparation of the labor process. Counseling about the importance of the husband's role as a facilitator in the preparation of the birth process is done by the lecture method using leaflet props. Evaluation was carried out before and after the provision of counseling material (pre and post test). Counseling was carried out for 15 days from 1 to 15 June 2018 to 28 husbands who took mothers to carry out ANC examinations. The results of the post-test showed 78.6% experienced an increase in knowledge about the importance of the husband's role as a facilitator while the other 21.4% did not experience an increase in knowledge about the importance of the husband's role as a facilitator. Increased knowledge about the importance of the husband's role as a facilitator in the preparation of the birth process is influenced by several factors. One of them is the age factor and level of education. Recommendations for clinics that handle childbirth, it should always be included in the provision of counseling preparation for childbirth by explaining the role that must be done so that mothers and husbands are more ready to face the labor process.Keywords: Counseling; Childbirth; Facilitator; Role of Husband.
Faktor-Faktor yang Memengaruhi Intensitas Nyeri Pasien Pasca Operasi Fraktur Ekstremitas Bawah di BRSU Tabanan Wijaya, I Putu Artha; Evi Yantini, Kadek; Susila, I Made Dwie Pradnya
Journal Center of Research Publication in Midwifery and Nursing Vol 2 No 1 (2018): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v2i1.28

Abstract

Pasien pasca operasi fraktur seringkali mengeluh rasa nyeri, nyeri yang dirasakan pasca operasi disebabkan karena terjadinya torehan, tarikan, manipulasi jaringan dan organ. Hasil penelitian ini bertujuan memberikan deskripsi karakteristik dari responden dan menjelaskan faktor-faktor yang mempengaruhi intensitas nyeri pasien pasca operasi fraktur ekstremitas bawah. Rancangan penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional pada 30 responden pasca operasi fraktur ekstremitas bawah. Pengambilan sampel dilakukan dengan teknik insidental sampling. Hasil penelitian ini menunjukkan bahwa faktor – faktor yang berhubungan secara signifikan terhadap intensitas nyeri pasien pasca operasi fraktur ekstremitas bawah adalah jenis kelamin (p = 0,001), tingkat pendidikan (p = 0,001), mekanisme koping (p = 0,001) dan dukungan keluarga (p = 0,001) dengan nilai α = 0,05 sedangkan faktor usia (p= 0,330) dan pengalaman tindakan operasi yang menyebabkan nyeri (p= 0,770) yang artinya tidak ada hubungan faktor usia dan pengalaman tindakan operasi yang menyebabkan nyeri terhadap intensitas nyeri pasien pasca operasi fraktur ekstremitas bawah (p>0,05). Hasil penelitian ini bermanfaat bagi praktisi keperawatan sebagai acuan asuhan keperawatan dalam melakukan manajemen nyeri pasca operasi fraktur ekstremitas bawah untuk mempertimbangkan faktor jenis kelamin, tingkat pendidikan, mekanisme koping dan dukungan keluarga. Saran dari hasil penelitian ini perlu adanya penelitian lebih lanjut dengan jumlah sampel yang lebih besar dan faktor-faktor lain yang dapat mempengaruhi nyeri.
HUBUNGAN PERSEPSI DENGAN KESIAPSIAGAAN BENCANA PADA TENAGA KESEHATAN Susila, I Made Dwie Pradnya; Udaksana, I Made Adi Wahyu; A?ini, Nur
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol 3 No 1 (2020): Jurnal Kesehatan Saelmakers PERDANA
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (492.184 KB) | DOI: 10.32524/jksp.v3i1.652

Abstract

Background Indonesia is a country which is frequently to natural disasters, geographically located between two continents and the plate of fire. Badung Regency is the main entrance of tourists to Bali so that the population movement in Badung Regency is very high. Badung Regency is recorded as the highest contributor to disasters in Bali Province so disaster preparedness is needed to reduce casualties and material losses. Objectives This study aims to determine the relationship of perception with disaster preparedness in village ambulance health workers. Method Cross sectional survey was conducted on 49 village ambulance health workers who were selected in total sampling in the working area of ??Petang and Abiansemal Districts. Data collection was conducted in May 2019 using a questionnaire. Data analysis was performed univariate, bivariate with chi square and multivariate with binary logistic regression. Results The results showed that only 42.9% of health workers had high levels of disaster preparedness. Perceived benefits related to disaster preparedness (AOR = 16.1; 95% CI: 1.83-141.35). Conclusion The perception of benefits is related to disaster preparedness.
Perception of disaster preparedness and participation in training are associated with disaster preparedness among health workers Susila, I Made Dwie Pradnya; Januraga, Pande Putu; Utami, Ni Wayan Arya
Public Health and Preventive Medicine Archive Vol 7, No 1 (2019)
Publisher : DiscoverSys Inc

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/phpma.v7i1.186

Abstract

Background and purpose: Disaster preparedness is crucial for health workers in order to provide relief to communities affected by disasters quickly and precisely. However currently there are only few health workers who are prepared to face disasters. This study aims to determine the association between knowledge, perception, participation in training and experience in disaster management with disaster preparedness in health workers.Methods: A cross sectional survey was conducted among health workers at Petang and Abiansemal public health centres (PHCs). Of the six PHCs, four were randomly selected consisting of one PHC in Petang Sub-district and three PHCs in Abiansemal Sub-district. All health workers (271 people) in the four PHCs were selected as respondents. Individual face-to-face interviews were conducted by the first author during April 2018 in the workplaces of each respondent using a pre-tested questionnaire. Data collected consisted of socio-demographic characteristics, knowledge, perceptions, participation in training, experiences in disaster management and disaster preparedness. Questions consisted of three components namely knowledge (12 items), perception (32 items) and disaster preparedness (25 items). Bivariate analysis was conducted with chi square test and multivariate analysis with binary logistic regression to determine the association between knowledge, perception, participation in training and experience in disaster management with disaster preparedness.Results: The results showed that 70.9% of respondents had attended disaster training, 40.6% had good knowledge, 24.7% had participated in disaster management and 49.1% had a high level of disaster preparedness. The variables significantly associated with disaster preparedness were perceptions (AOR=6.40; 95%CI: 3.71-10.99) and participation in disaster training (AOR=2.68; 95%CI: 1.44-4.97).Conclusion: Perception and participation in training are significantly associated with disaster preparedness. Continuous training is needed to increase disaster preparedness among health workers.
Pengaruh Kombinasi Jus Wordu terhadap Penurunan Tekanan Darah pada Lansia dengan Hipertensi Wijaya, I Putu Artha; Susila, I Made Dwie Pradnya; Dita, I Gede Agus Wahyu Pramana
Journal Center of Research Publication in Midwifery and Nursing Vol 2 No 2 (2018): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v2i2.47

Abstract

Tingginya kejadian hipertensi maka hipertensi menjadi masalah yang harus diatasi. Pada pengobatan herbal terapi pemberian jus (kombinasi wortel dan madu) dapat menurunkan tekanan darah tinggi pada pasien hipertensi. Kombinasi jus wordu (wortel dan madu) memiliki kandungan seperti kalium yang mampu menjaga tekanan darah dan asetikolin yang membantu memperlancar pembuluh darah. Desain penelitian menggunakan pre-eksperimental dengan rancangan one group prestest and posttest design. Penelitian dilakukan di Kelompok Lansia Wredha Shandi Kencana Desa Mas Ubud pada bulan Maret 2018. Jumlah sampel dalam penelitian ini sebanyak 31 responden yang ditentukan menggunakan total sampling. Responden mengkonsumsi kombinasi jus wortel dan madu selama 1 minggu sebanyak 2 kali bersamaan dengan sarapan di pagi hari dan makan siang. Analisa menggunakan uji wilcoxon untuk mengetahui pengaruh kombinasi jus wortel dan madu terhadap penurunan tekanan darah pada lansia dengan hipertensi. Hasil uji wilcoxon p-value yaitu sebesar 0,001 maka p-value < α (0,05) pada pre-test-post-test tekanan darah maka Ho ditolak dan Ha diterima. Pada nilai z hitung didapatkan z sistole sebesar -5.011, z diastole sebesar -5.353 dan z tabel dengan nilai 1,645. Dapat diambil kesimpulan bahwa ada pengaruh kombinasi jus wordu (wortel dan madu) terhadap penurunan tekanan darah pada lansia dengan hipertensi Di Kelompok Lansia Wredha Shandi Kencana Desa Mas Ubud.
Hubungan Tingkat Pengetahuan Tentang Menopause Dengan Kecemasan Menghadapi Menopause Pada Ibu Pembinaan Kesejahteraan Keluarga Widyantari, Ni Putu Sri; Wijaya, I Putu Artha; Susila, I Made Dwie Pradnya
Journal Center of Research Publication in Midwifery and Nursing Vol 3 No 2 (2019): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v3i2.109

Abstract

Menopause merupakan siklus berhentinya menstruasi yang akan dialami oleh semua wanita dengan tanda gejala dan keluhan yang berbeda. Jika tidak ditangani dengan baik akan menimbulkan dampak buruk bagi kesehatan, salah satunya kecemasan. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan tentang menopause dengan kecemasan menghadapi menopause pada ibu-ibu pembinaan kesejahteraan keluarga di Banjar Kaja Desa Buduk Kecamatan Mengwi Kabupaten Badung. Jenis penelitian ini adalah kuantitatif dengan desaign cross sectional. Sampel dalam penelitian ini adalah sebanyak 73 responden wanita yang berusia 45-55 tahun. Teknik pengambilan sampel dengan purposive sampling. Pengumpulan data menggunakan kuisoner tingkat pengetahuan dan kuisoner tingkat kecemasan. Analisa data mengguanakan uji spearman rank dengan nilai α < 0,05. Hasil analisa statistik menunjukkan nilai p-value = 0.0001, maka dapat disimpulkan bahwa ada hubungan yang signifikan antara tingkat pengetahuan tentang menopause dengan kecemasan menghadapi menopause pada ibu-ibu pembinaan kesejahteraan keluarga di Banjar Kaja Desa Buduk Kecamatan Mengwi Kabupaten Badung.
PENGARUH PENGGUNAAN ADULT EARLY WARNING SCORING (AEWS) TERHADAP TINGKAT MORTALITAS DI RSUD BALI MANDARA Budi Ayu Mira Dewi; I Made Dwie Pradnya Susila; A.A. Kompiang Ngurah Darmawan3
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol. 3 No. 2 (2020): Jurnal Kesehatan Saelmakers PERDANA
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/jksp.v3i2.223

Abstract

The high mortality rate in hospital is a sign of service quality problems. Therefore, strategies are needed to reduce the death rate, one of them is by detecting the emergence of patients before worsening by applying the Early Warning Scoring System (EWSS), according to the age group. Adult Early Warning Score (AEWS) is a score monitoring tool to identify changes in the condition of adult patients (?15 years) using physiological parameters. The purpose of this study was to determine the effect of using AEWS on mortality rates. This study used a quantitative approach with one group pre-post-test design. The sampling technique was non probability sampling with a total sampling method. Data was analyzed by paired t-test. The results showed that the mortality rate before using AEWS belonged to the low category with the number of gross deaths 8.8 per 1000 inpatient visit or as many as 21 respondents, while the mortality rate after using AEWS was included in the low category with the number of crude deaths 3.2 per 1000 inpatient visit or as many as 12 respondents. The results of the bivariate analysis showed that p-value = 0.001 (p ? 0.05). These results indicated that there was an effect of using adult early warning scoring (AEWS) on mortality rates in Bali Mandara Hospital.
HUBUNGAN PERSEPSI DENGAN KESIAPSIAGAAN BENCANA PADA TENAGA KESEHATAN I Made Dwie Pradnya Susila; Made Adi Wahyu Udaksana; Nur A’ini
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol. 3 No. 1 (2020): Jurnal Kesehatan Saelmakers PERDANA
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32524/jksp.v3i1.233

Abstract

Background Indonesia is a country which is frequently to natural disasters, geographically locatedbetween two continents and the plate of fire. Badung Regency is the main entrance of tourists toBali so that the population movement in Badung Regency is very high. Badung Regency isrecorded as the highest contributor to disasters in Bali Province so disaster preparedness isneeded to reduce casualties and material losses. Objectives This study aims to determine therelationship of perception with disaster preparedness in village ambulance health workers.Method Cross sectional survey was conducted on 49 village ambulance health workers who wereselected in total sampling in the working area of Petang and Abiansemal Districts. Data collectionwas conducted in May 2019 using a questionnaire. Data analysis was performed univariate,bivariate with chi square and multivariate with binary logistic regression. Results The resultsshowed that only 42.9% of health workers had high levels of disaster preparedness. Perceivedbenefits related to disaster preparedness (AOR = 16.1; 95% CI: 1.83-141.35). Conclusion Theperception of benefits is related to disaster preparedness.