Ismail, Dina Dewi Sartika Lestari
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Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Kedokteran Brawijaya Vol 31, No 4 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Fatigue is the primary complaint most frequently reported by patients on hemodialysis. The importance of knowing the factors related to fatigue is a strategy that can be carried out by health workers in optimally applying interventions to reduce patient fatigue problems. This systematic review aimed to determine the factors associated with fatigue in patients undergoing hemodialysis. The systematic review method began by identifying research articles in the Pubmed, ProQuest, Ebsco, and ScienceDirect databases in 2011–2020. Articles were selected using PRISMA. Based on the results of the analysis, it was obtained 23 articles that discussed demographic factors, physiological factors, socioeconomic factors, situational factors, and psychological factors that could be associated with fatigue in hemodialysis patients. There is much to learn about fatigue in patients undergoing hemodialysis, including causative factors, assessment of severity, and effective management of fatigue so that it can be used as a benchmark for determining appropriate interventions
Persevering Despite Physical and Mental Exhausting: A Novice nurse's Experience as a Volunteer Nurse Caring for Patients in the Covid-19 ICU Room Rizkilia, Vebby Astri; Astari, Asti Melani; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (720.834 KB) | DOI: 10.30604/jika.v8i1.1666

Abstract

Most volunteer nurses in the covid-19 ICU are novice nurses. They have no experience working in the ICU or ICU training. They met the limitations of receiving training. The workload and challenges in the covid-19 ICU room are heavier than in the common ICU. This study aimed to explore the experience of novice nurses as volunteer nurses caring for patients in the covid-19 ICU room. This study used a qualitative method with an interpretive phenomenological approach. Ten participants are covid-19 ICU volunteer nurses from the two largest covid-19 referral hospitals in Malang and Batu City who were selected using the purposive sampling method. Data collected used In-depth interviews. Data analysis used the Interpretative Phenomenological Analysis method. There are eight themes found: (1) Feeling insecure working in the covid-19 ICU room; (2) Facing rapid adaptation when initially assigned; (3) I need ICU training; (4) Persevering faced all conditions in the Covid-19 ICU room; (5) Frustrated and Distraught Facing Patients; (6) Trying to be strong in dealing with the patient's family; (7) Grateful to have the opportunity to become a covid-19 ICU volunteer nurse; and (8) Expecting career and life improvements in the future after completing a period of duty as a covid-19 ICU volunteer nurse. ICU covid-19 volunteer nurses experience physical and mental exhausting while caring for patients. Peer support is one of the factors that can make them persevere. They need other physical and mental support while caring for patients in the covid-19 ICU room
Correlational Analysis of Physiological and Psychological Factors with Fatigue on Chronic Kidney Disease Patients Undergoing Hemodialysis Prastiwi, Firman; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (673.641 KB) | DOI: 10.30604/jika.v7i1.803

Abstract

Fatigue is a major problem commonly experienced by chronic kidney disease patients undergoing hemodialysis. However, currently, the factors that correlate with fatigue in chronic kidney diseases patients undergoing hemodialysis are not comprehensive studies and there are still contradictory results from previous studies in Indonesia. This study aims to investigate the correlational analysis of physiological and psychological factors with fatigue on chronic kidney disease patients undergoing hemodialysis. This studi use a cross-sectional study with a sample count of 80 patients undergoing hemodialysis in Yarsi Public Hospital Pontianak, Indonesia. The sampling was carried out using the total sampling approach. A FACIT fatigue scale tool and depression and anxiety stress scale (DASS) 42 were employed to measure fatigue and depression, while hemoglobin and urea levels were taken based on medical history. The Spearman’s Rho test shows the physiological factor from the urea level had an insignificant correlation with fatigue (p-value 0.585). The physiological factor of hemoglobin level had a weak positive correlation (p-value 0.001 and r= 0.349) with fatigue. The psychological factor of depression had a strong negative correlation (p-value 0.000 and r = -0.812) with fatigue. The psychological factor of depression was the dominant factor causing fatigue than other factors based on the standardized coefficient beta value of -0.717. Factors that correlate with fatigue on chronic kidney disease patients undergoing hemodialysis are hemoglobin levels and depression. The most dominant factor influencing fatigue in chronic kidney disease patients undergoing hemodialysis is depression.Abstrak: Kelelahan merupakan masalah utama yang sering dialami oleh pasien gagal ginjal kronik yang menjalani hemodialisis. Namun, saat ini faktor-faktor yang berkorelasi dengan kelelahan pada pasien gagal ginjal kronik yang menjalani hemodialisis belum diteliti secara komprehensif dan masih terdapat hasil yang kontradiktif dengan penelitian-penelitian sebelumnya di Indonesia. Penelitian ini bertujuan untuk mengetahui analisis korelasi faktor fisiologis dan psikologis dengan kelelahan pada pasien gagal ginjal kronis yang menjalani hemodialisis. Penelitian ini menggunakan studi potong lintang dengan jumlah sampel 80 pasien yang menjalani hemodialisis di RSU Yarsi Pontianak, Indonesia. Pengambilan sampel dilakukan dengan menggunakan pendekatan total sampling. Alat FACIT Fatigue Scale dan depression and anxiety stress scale (DASS) 42 digunakan untuk mengukur kelelahan dan depresi, sementara kadar hemoglobin dan urea diambil berdasarkan riwayat medis. Uji Spearman's Rho menunjukkan faktor fisiologis dari kadar urea tidak terdapat korelasi dengan kelelahan (p-value 0,585). Faktor fisiologis kadar hemoglobin memiliki korelasi positif yang lemah (p value 0,001 dan r= 0,349) dengan kelelahan. Faktor psikologis depresi memiliki korelasi negatif yang kuat (p-value 0,000 dan r = -0,812) dengan kelelahan. Faktor psikologis depresi merupakan faktor dominan penyebab kelelahan dibandingkan faktor lainnya berdasarkan nilai koefisien standar beta sebesar -0,717. Faktor yang berhubungan dengan kelelahan pada pasien penyakit ginjal kronik yang menjalani hemodialisis adalah kadar hemoglobin dan depresi. Faktor yang paling dominan mempengaruhi kelelahan pada pasien penyakit ginjal kronis yang menjalani hemodialisis adalah depresi.
Analysis of Factors Related to Family Alertness in Handling the COVID-19 Pandemic Effects at the “Kampung Tangguh” of Blitar City Indahsah, Wahyu Nur; Utami, Yulian Wiji; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (671.791 KB) | DOI: 10.30604/jika.v7i3.940

Abstract

The COVID-19 pandemic is a non-natural disaster impacting various life sectors, including the economy, social, health, and education sectors. The family has a critical role in the alertness phase in the pandemic disaster management in society. The alertness realization to handle COVID-19 pandemic impacts is creating tough village to actualize public participation and empowerment, particularly all family members at the village level, followed by alertness development to self-maintain health. The study was performed at Blitar City, involving householder (KK) in the tough village environment. The study involved seven villages in the tough village areas of Sananwetan District, i.e., Sananwetan, Bendogerit, Gedog, Karang Tengah, Plosokerep, Rembang, and Klampok Villages. The Sananwetan District was selected since it has the highest COVID-19 transmission case at Blitar City. The study aimed to condition factors related to family alertness in handling COVID-19 pandemic effects in tough village of Blitar City. The study used the cross-sectional survey design with 110 KK as respondents, utilizing the stratified random sampling method. Data analysis used was logistic regression to discover the most dominant factor affecting family alertness in handling COVID-19 pandemic effects. Data analysis results show that the social capital factor had the most dominant relationship with family alertness, with the highest beta value of 5.917. Based on this result, it can be concluded that social capital is the most dominant factor related to family alertness in encountering COVID-19 pandemic effects in tough village of Blitar City. Abstrak: Pandemi COVID-19 merupakan bencana non alam yang berdampak pada berbagai sektor kehidupan, baik sektor perekonomian, sosial, kesehatan dan pendidikan. Keluarga memiliki peran penting dalam fase kesiapsiagaan dalam menejemen bencana akibat pandemi dalam lingkungan masyarakat. Wujud upaya kesiapsiagaan menghadapi dampak pandemi COVID-19 adalah dibentuknya kampung tangguh untuk mewujudkan peran serta dan pemberdayaan masyarakat, khususnya semua anggota keluarga di tingkat desa, disertai pengembangan kesiapsiagaan untuk memelihara kesehatan secara mandiri. Penelitian ini dilakukan di Kota Blitar dan melibatkan kepala keluarga (KK) di lingkungan kampung tangguh. Pada penelitian ini akan melibatkan 7 kelurahan yang ada pada wilayah kampung tangguh Kecamatan Sananwetan, yaitu Kelurahan Sananwetan, Bendogerit, Gedog, Karang Tengah, Plosokerep, Rembang, dan Klampok. Kampung tangguh Kecamatan Sananwetan dipilih karena merupakan wilayah yang memiliki kasus penyebaran COVID-19 paling tinggi di Kota Blitar. Tujuan dalam penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kesiapsiagaan keluarga dalam menghadapi dampak pandemi COVID-19 di kampung tangguh Kota Blitar. Jenis penelitian ini menggunakan desain survey cross sectional dengan jumlah responden sebanyak 110 KK dengan tehnik pengambilan sampling menggunakan stratified random sampling. Analisa data yang digunakan adalah Regresi Logistik untuk mengetahui faktor yang paling dominan berhubungan dengan kesiapsiagaan keluarga menghadapi dampak pandemi COVID-19. Hasil analisa data menunjukkan faktor modal sosial paling dominan hubungannya dengan kesiapsiagaan keluarga dengan nilai beta paling besar yaitu 5.917. Berdasarkan hasil analisa tersebut dapat ditarik kesimpulan bahwa modal sosial merupakan faktor yang paling berhubungan dengan kesiapsiagaan keluarga dalam menghadapi dampak pandemi COVID-19 di Kampung Tangguh Kota Blitar.
Analysis of Factors Related to Triage Competence with Online Learning Methods to Students at Hafshawaty Genggong University Yaqin, Moh Husyn Ainul; Utami, Yulian Wiji; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (649.999 KB) | DOI: 10.30604/jika.v7i3.1037

Abstract

During the Covid-19 pandemic, offline learning was shifted to online learning. one of the applications is Zoom Meeting, which is easy to use. The zoom application combines in displaying material in power points learning and feedback communications. One of the challenges in online learning is triage learning such as the Australian triage scale (ATS), ATS itself is a type of triage with five categories. ATS material is a learning achievement that must be mastered by students, but not much research has been done on online learning methods with ATS material. The method used in this study is an observational analytic method using a cross-sectional approach, the researcher takes data from several variables that exist at the same time. There are three factor namely technological factors, student characteristics factors and teacher characteristics. Results: The results of the study several influential factors were obtained namely, technology factors with a p-value of 0.013, student characteristics factors with a p-value of 0.029, and student characteristics factors of 0.003. Teacher characteristics factor with a p-value of 0.029. The three factors have a relationship with students' triage competence with the online method. Conclusion: The three factors have a significant relationship, but there is no most significant factor yet. Abstrak: Di masa pandemi Covid-19, pembelajaran offline digeser menjadi pembelajaran online. salah satu aplikasinya adalah Zoom Meeting yang mudah digunakan. Aplikasi zoom menggabungkan dalam menampilkan materi dalam pembelajaran power point dan komunikasi umpan balik. Salah satu tantangan dalam pembelajaran online adalah pembelajaran triase seperti Australian triage scale (ATS), ATS sendiri merupakan jenis triase dengan lima kategori. Materi ATS merupakan prestasi belajar yang harus dikuasai oleh siswa, namun belum banyak penelitian yang dilakukan terhadap metode pembelajaran online dengan materi ATS. Metode yang digunakan dalam penelitian ini adalah metode observasional analitik dengan menggunakan pendekatan cross sectional, peneliti mengambil data dari beberapa variabel yang ada dalam waktu yang bersamaan. Ada tiga faktor yaitu faktor teknologi, faktor karakteristik siswa dan karakteristik guru. Hasil: Hasil penelitian diperoleh beberapa faktor yang berpengaruh yaitu, faktor teknologi dengan nilai p 0,013, faktor karakteristik siswa dengan nilai p 0,029, faktor karakteristik siswa 0,003. Faktor karakteristik guru dengan p-value 0,029. Ketiga faktor tersebut memiliki hubungan dengan kompetensi triase siswa dengan metode online. Kesimpulan: Ketiga faktor tersebut memiliki hubungan yang signifikan, namun belum ada faktor yang paling signifikan.
IDEAL Model Education to Increase Knowledge and Self-Care Practices for People with HIV/AIDS (PLWHA): Quasi-Experimental Study Lasi, Mentari Chrystiani; Putra, Kuswantoro Rusca; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (644.343 KB) | DOI: 10.30604/jika.v8i2.1670

Abstract

People with HIV/AIDS (PLWHA) often have problems with self-care processes due to a lack of knowledge and support from those around them. Education development is needed with the IDEAL model (Include, Discuss, Educate, Assess, Listen), which aims to ensure the continuity of the independent care process at home that PLHIVs carries out with their families. This study aims to determine the effect of providing IDEAL model education on increasing knowledge and self-care practices of people living with HIV/AIDS. The study used a quasi-experiment with a non-equivalent control group using a purposive sampling technique with a total sample of 46 respondents. The results of the t-test in the experimental group's level of knowledge were p-value = 0.000 and self-care p-value = 0.0001 (less than 0.005); the meaning was an effect before and after giving the intervention. The Manova test results obtained a p-value of 0.133 (more than 0.005), meaning interventions. That there was no difference. Educational development using the IDEAL model has been proven to increase the knowledge, abilities, and self-care skills of PLWHA. Abstrak: Orang Dengan HIV/AIDS (ODHA) sering memiliki masalah dengan proses perawatan diri akibat kurangnya pengetahuan dan dukungan dari orang-orang di sekitarnya. Dibutuhkan pengembangan Edukasi dengan model IDEAL (Include, Discuss, Educate, Assess, Listen) yang bertujuan untuk memastikan kesinambungan proses perawatan secara mandiri di rumah yang dilakukan ODHA bersama keluarga. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi model IDEAL terhadap peningkatan pengetahuan dan praktik perawatan diri orang dengan HIV/AIDS. Penelitian menggunakan quasi-experiment dengan non-equivalent control group menggunakan teknik purposive sampling dengan jumlah sampel 46 responden yang menjalani. Hasil uji ­t-test pada kelompok eksperimen tingkat pengetahuan p-value 0,000 dan perawatan diri p-value = 0.0001 (kurang dari 0.005), artinya ada pengaruh sebelum dan sesudah diberikan intervensi. Hasil uji Manova didapatkan hasil p-value = 0.133 (lebih dari 0.005), artinya tidak ada perbedaan tingkat pengetahuan dan praktik perawatan diri pada kedua kelompok. Pengembangan edukasi dengan model IDEAL terbukti dapat meningkatkan pengetahuan, kemampuan, dan keterampilan perawatan diri ODHA.
The level of reliability of the four (full outline of unresponsiveness) score in assessing the level of consciousness of stroke patients Wiyono, Dwi; Utami, Yulian Wiji; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (578.359 KB) | DOI: 10.30604/jika.v8i2.1799

Abstract

Similarly to the Glasgow Coma Scale (GCS), the FOUR score can evaluate the level of awareness in stroke patients. This research aimed to evaluate the accuracy of using the FOUR score instrument to the more commonly used GCS method for determining a patient's degree of consciousness in the ER following a stroke. This research method is an analytic observational study with a total of 102 samples, namely stroke patients in the emergency room of RSUD dr. Soehadi prijonegoro Sragen Regency. The process of collecting research data was carried out by three enumerators to see the level of reliability using instruments in the form of awareness assessment observation sheets and standard FOUR score operational procedures. The study found that the FOUR score instrument had a total reliability of 0.830 as measured by the Intraclass Correlation Coefficient (ICC) test, whereas the GCS reliability was 0.864. This study found that the FOUR score and GCS were reliable in determining whether or not a stroke patient was conscious. This finding can be understood to mean that there was no discrepancy in the three evaluators' assessments of consciousness when using the FOUR score or GCS. This study recommends that follow-up needs to be done to find the sensitivity and specificity values of the FOUR score instrument as an instrument for assessing the awareness of stroke patients.Abstrak: Sama halnya dengan Glasgow Coma Scale (GCS), FOUR score dapat mengevaluasi tingkat kesadaran pada pasien stroke. Tujuan dari penelitian ini adalah untuk mengevaluasi akurasi penggunaan instrumen FOUR score  dengan metode GCS yang lebih umum digunakan untuk menentukan derajat kesadaran pasien di UGD setelah stroke. Metode penelitian ini merupakan penelitian observasi analitik dengan jumlah sampel sebanyak 102 orang yaitu pasien stroke di IGD RSUD dr. Soehadi prijonegoro Kabupaten Sragen. Proses pengambilan data penelitian dilakukan oleh tiga orang enumerator untuk melihat tingkat reliabilitasnya dengan menggunakan instrumen berupa lembar observasi pengkajian kesadaran dan standar prosedur operasional FOUR score. Hasil penelitian ini diperoleh tingkat reliabilitas total instrumen FOUR score menggunakan uji Intraclass Correlation Coefficient (ICC) sebesar 0,830, sedangkan pada GCS sebesar 0,864. Kesimpulan dari penelitian ini adalah FOUR score dan GCS memiliki tingkat reliabilitas yang baik dalam menilai tingkat kesadaran pada pasien stroke sehingga dapat diartikan juga di antara ketiga enumerator tidak ada perbedaan persepsi dalam melakukan penilaian kesadaran baik menggunakan instrumen FOUR score maupun metode GCS. Rekomendasi penelitian ini adalah perlu dilakukan tindak lanjut untuk mencari nilai sensitivitas dan spesifisitas dari instrumen FOUR score sebagai instrumen penilaian kesadaran pasien stroke.
Nurse Anxiety of Handling Patient Covid-19 in Emergency Department Nur, Mangsur M; Andarini, Sri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (616.816 KB) | DOI: 10.30604/jika.v7i1.791

Abstract

Coronavirus or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a virus that attacks the respiratory system. Coronavirus can cause mild disorders of the respiratory system, severe lung infections, and even death. This study aims to determine the relationship between knowledge, workload, an increasing number of patients, risk of exposure and infrastructure with nurses' anxiety. This study used an analytic observational design with a cross-sectional approach. The sample is 61 nurses, the sampling technique uses Total Sampling, and the analysis uses the Spearman Rank test, Pearson correlation. The results of this study indicate that there is a relationship between knowledge (p = .002, r = - .389), workload (p-value = .047, r = .256), an increase in the number of patients (p-value = .009, r = .333), risk exposure (p-value = .048, r = - .254), and infrastructure (p-value = .040, r = - .264) with anxiety. There is a significant relationship between knowledge, workload, an increasing number of patients, risk of exposure, and facilities and infrastructure with anxiety. The hospital needs to prepare adequate infrastructure and facilities for medical personnel who are on the front line, especially related to personal protective equipment.Abstrak: Virus Corona atau severe acute respiratory syndrome coronavirus 2 (SARS-CoV- 2) merupakan virus yang menyerang sistem pernapasan. Virus Corona bisa menyebabkan gangguan ringan pada sistem pernapasan, infeksi paru-paru yang berat, hingga kematian.  penelitian ini bertujuan untuk mengetahui hubungan pengetahuan, beban kerja, peningkatan jumlah pasien, resiko paparan dan sarana prasarana dengan kecemasan perawat. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross sectional. Sampel sebanyak 61 orang perawat, tehnik sampling menggunakan Total Sampling, dan analisis menggunakan uji Spearman Rank, korelasi pearson. Hasil penelitian ini menunjukkan adanya hubungan antara pengetahuan (p= .002, r= - .389), beban kerja (p value= .047, r= .256), peningkatan jumlah pasien (p value = .009, r = .333), resiko paparan (p value=.048, r = -.254), dan sarana prasarana (p value= .040, r= - .264) dengan kecemasan. Terdapat hubungan signifikan antara Pengetahuan, beban kerja, peningkatan jumlah pasien, resiko paparan, dan sarana dan prasarana dengan Kecemasan. pihak rumah sakit perlu mempersiapkan sarana dana prasarana yang memadai buat tenaga medis yang berada di garda terdepan terutama terkait dengan alat pelindung diri.
Differences Between the Effects of The Benson Relaxation Technique and Deep Breath on Anxiety, Sleep Quality, and Fatigue in Hemodialysis Patients Krismiadi, Dedi; Wihastuti, Titin Andri; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (637.995 KB) | DOI: 10.30604/jika.v8i2.1654

Abstract

Psychological and physical problems often occur in hemodialysis patients such as anxiety, sleep quality and fatigue which if not treated immediately, can reduce the patient's quality of life. Benson relaxation and deep breathing can lower anxiety, sleep quality, and fatigue in hemodialysis patients. With decreased anxiety, higher sleep quality and decreased fatigue, the patient's quality of life could be enhanced. This study aims to determine the differences in anxiety, sleep quality and fatigue in hemodialysis patients treated using the Benson relaxation technique and deep breathing. The research method used quasi-experimental on several 52 respondents who were selected through the simple random sampling technique and were divided into 2 intervention and control groups. The Kruskal-walis test showed that the p-value = 0.000 less than 0.05 was obtained in anxiety. The difference rank value is higher in the Benson relaxation of 37.96. on sleep quality, p-value = 0.000 less than 0.05. The rank difference is higher in the Benson relaxation of 34.56. At the same time, the data management results on fatigue obtained a p-value = 0.014 less than 0.05. The difference in Rank value is higher in the Benson relaxation of 34.56. It can be concluded that Benson's relaxation therapy can reduce anxiety, sleep quality, and fatigue because it uses spiritual values that can improve the quality of life of hemodialysis patients. Abstrak: Masalah psikologis dan fisik sering terjadi pada pasien hemodialsis seperti kecemasan, kualitas tidur dan kelelahan yang apabila tidak segera untuk ditangani dapat menurunkan kualitas hidup pasien. Relaksasi yang dapat dilakukan untuk menurunkan kecemasan, kualitas tidur dan kelelahan pada pasien hemodialisis adalah dengan melakukan relaksasi Benson dan napas dalam. Dengan menurunnya kecemasan, meningkatnya kualitas tidur dan menurunnya kelelahan dapat meningkatkan kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahuai perbedaan kecemasan, kualitas tidur dan kelelahan pada pasien hemodialisis yang diterapi menggunakan teknik relaksasi Benson dan napas dalam. Metode penelitian menggunakan quasi eksperimen pada sejumlah 52 responden  yang terpilih melalui teknik simple random sampling dan dibagi menjadi 2 kelompok intervensi dan kontrol. uji kruskal walis menunjukkan bahwa pada kecemasan, didapatkan nilai p-value= 0.000 kurang dari 0.05. nilai rank selisih lebih tinggi pada relaksasi benson sebesar 37.96. pada kualitas tidur, didapatkan nilai p-value= 0.000 kurang dari 0.05. Rank selisih lebih tinggi pada relaksasi Benson sebesar 34.56. Sedangkan Hasil pengelolaan data pada kelelahan, didapatkan nilai p-value= 0.014 kurang dari 0.05. Nilai Rank selisih lebih tinggi pada relaksasi Benson sebesar 34.56. Dapat disimpulkan bahwa terapi relaksasi Benson dapat menurunkan kecemasan, meningkatkan kualitas tidur dan menurunkan kelelahan lebih baik karena menggunakan nilai spiritual yang dapat meningkatkan kualitas hidup pasien hemodialisis.
The relationship between the selection of the triage category with the delay system of stemi patients in the adam malik hospital Medan. Hanafiah, Yusuf; Astari, Asti Melani; Ismail, Dina Dewi Sartika Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (595.764 KB) | DOI: 10.30604/jika.v8i2.1748

Abstract

Background: The process that occurs in the emergency room is a crucial process for treating STEMI. At this time is when the diagnosis is made in patients and it is decided to take further action. Delay or delay will be very detrimental to the patient if it occurs, especially when the STEMI patient is in the ER. One of the things that might cause system delays in the ED is the selection of triage categories for STEMI patients. The triage chosen for the patient will determine the patient's waiting time and the patient urgency to be treated, allowing the patient to wait longer if placed in category 2 or category 3. Methods: This quantitative study uses an analytic observational design with a cross-sectional type. In this study, observations were made of the effect of selecting the triage category with the delay system for STEMI patients in the emergency room. The population in this study are all STEMI patients who will be undergoing PCI during the study period, from September to November 2022. The sampling technique used is total sampling because the population is less than 30. Data analysis will use Spearman because the data is on a nominal and ordinal scale. Result: the significant result is 0.01 or less than 0.05, so the two factors correlate. Then the correlation coefficient value is 0.342. This value indicates a weak correlation value because it is between 0.26 and 0.5. The direction of the correlation is positive, which means the correlation is unidirectional Conclusion: there is a correlation between the selection of triage categories carried out by emergency room nurses and the delay system that occurs in the emergency department of the Haji Adam Malik General Hospital Medan. Abstrak: Latar belakang : Proses yang terjadi di IGD merupakan proses yang krusial bagi penanganan STEMI. Pada waktu ini merupakan saat ditegakkan nya diagnosa pada pasien dan diputuskan untuk dilakukan tindakan selanjutnya. Keterlambatan atau delay akan sangat merugikan pasien jika terjadi terutama jika terjadi saat pasien STEMI berada diIGD. Salah satu hal yang kemungkinan menyebabkan system dellay di IGD adalah pemilihan kategori triase untuk pasien STEMI. Triase yang dipilih untuk pasien akan menentukan waktu tunggu pasien dan urgensi pasien tersebut untuk ditangani yang memungkinkan pasien akan lebih lama menunggu jika diletakkan padakategori 2 atau kategori 3.  Metode : Penelitian ini merupakan penelitian kuantitatif dengan menggunakan rancangan observasional analitik dengan jenis cros sectional. Dalam penelitian ini dilakukan pengamatan  terhadap pengaruh pemilihan kategori triase dengan system delay Pasien STEMI di ruangan IGD. Populasi pada penelitian ini merupakan seluruh pasien STEMI yang akan dilakukan tindakan PCI selama rentang waktu penelitian yaitu dari bulan september hingga november 2022. Teknik sampling yang digunakan merupakan total sampling karena populasi kurang dari 30 Analisa data akan menggunakan spearman karena data berskala nominal dan ordinal.  Hasil : hasil signifikansi adalah sebesar 0,01 atau kurang dari dari 0,05 maka kedua faktor tersebut memiliki korelasi. Kemudian untuk nilai corelation coeffition adalah sebesar 0,342. Nilai tersebut menunjukkan nilai korelasi lemah karena berada antara 0,26 hingga 0,5. Arah korelasinya adalah positif yang berarti korelasi searah Kesimpulan : terdapat korelasi antara pemilihan kategori triase yang dilakukan oleh perawat IGD dengan system delay yang terjadi di IGD RS umum pusat Haji Adam Malik Medan