Tanty Wulan Dari
Politeknik Kesehatan Kementerian Kesehatan RI Surabaya

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Uncertainly-Based Critical Nursing Model on Family of Family Needs in Bangil General Hospital, Pasuruan, Indonesia Tanty Wulan Dari; Moch Bahrudin
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17113


Holistic care in the intensive unit should be provided for patients and their families. The patient’s familywaiting in the intensive care room may experience uncertainty. Not only because of the unfamiliar treatmentrooms, but also because of the health workers who are strangers to them and speak with medical terms. Theobjective of this research is to develop the CCFN (Critical Care Family Need) Nursing Model towards theadaptation of the patient’s family in the Intensive Care Unit (ICU). The research was conducted with anexplanatory design. The population in this study was patients’ most influential family member in makingdecisions (related to patients’ care and medication) at Bangil General Hospital in 2020. The sample size was105 with consecutive sampling technique. Research variables included: factors related to the patient, familypsychology, health services, family needs and family adaptation. PLS testing was performed, then FGD wasdone to strengthen the statistical model. Results showed a different finding compared to the initial concept,where there the families’ thinking capacity p showed no significant effect on the families’ coping factor.The families’ coping factor showed no significant effect on the critical care family need (CCFN). However,family coping factor showed a significant effect on family adaptation factor. In conclusion, there are twoindicators that can explain the fulfilling of family needs factors, namely indicators of mental support fromhealth workers and their closeness to patients. Calmness of family during discussion with health workers, aswell as enthusiasm felt by the patient’s family, are things that must be noted, so that the family adaptationprocess occurs optimally.
Interpersonal Relationships of Nurses with Families of Patients in Emergency Rooms Based on Human Becoming Theory Moch Bahrudin; Tanty Wulan Dari
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15866


The purpose of this research is analyzing the influence of nurse’s interpersonal relationship toward human becoming in patient’s ward. This research uses analytical design with cross sectional approach and involves 40 respondents of all the client that in the ward procedure using simple random sampling technique. Research conducted in the ward installation in General Hospital Bangil, starting from may until July 2018.The independent variable of this researches nurse’s interpersonal relationship while the dependent variable is the uncertainty in ward patient. The results showed that nurse’s interpersonal relationships in the favorable criteria (42.5%) and becoming in the emergency room patient in the moderate high level (50%). Results of regression analysis showed the value of probability (sig.) 0.000 is smaller than the value of alpha (0.05) that mean there is significant influence between nurses’ interpersonal relationship toward uncertainty in ward patients with the model of regression is, becoming(y) = 76.316-2,231 x interpersonal relationship (x). Percentage of the influence of nurses’ interpersonal relationship toward uncertainty is 38,9%. In sum, there is significant influence between nurses’ interpersonal relationship toward uncertainty in perioperative patient’s family with the model of regression is, becoming(y) = 76.316-2,231 x meaning(x).
Holistic Learning Model Increase Asetilkoline Level and Caring Behavior on Student in Caring Patiens with Ischemic Stroke Luluk Widarti; Siti Maimuna; Tanty Wulandari; Moch Bahrudin
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (853.363 KB) | DOI: 10.20473/jn.v9i2.2570


Introduction: Holistic learning requires attention and potential of students that covers aspects of intellectual, emotional, physical, artistic, spiritual, and creativity.Methods: This study used a pre-experimental design. The samples in this study were 30 students in semester 2 of nursing diploma Sidoarjo. Samples given intervention in the form of holistic learning, and given a pretest and posttest including measurement of acetylcholine levels by quantitative Elisa technique, and caring behavior by using questionnaires and observations. Data were analyzed using levene’s test, t-test, wilcoxon test and correlation.Results: Statistical analysis showed that there was significant difference in the level of asetilkoline before and after the intervention with p = 0.015, whereas significant differences in caring behavior indicates p = 0.001. The result of correlation test showed that there was significant correlation between the levels of acetylcholine and caring behavior after intervention (r = 0.003).Disscussion: It was concluded that the holistic learning model can improve the asetilkoline levels and caring behavior of the students. Lecturers are encouraged to use the model of holistic learning in teaching students.
Model Pendekatan Pelaksanaan Tugas Kesehatan Keluarga Berbasis Implementasi GERMAS Terhadap Perubahan Status Kesehatan Dan Kolesterol Pada Pasien Hipertensi Luluk Widarti; Siti Maimuna; Tanty Wulan Dari; Sukmawati Sukmawati
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 10, No 4 (2020): November 2020

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik10407


Hypertension is a medical condition in which there is a chronic (long term) increase in blood pressure that exceeds 140/90 mmHg. According to data from the Jatirejo District Health Center. Mojokerto in 2018, the number of hypertension sufferers was 2,743 families. Based on data in Mojogeneng village, there were 164 households, only 64 of them had routine treatment, while in Bleberan village there were 228 families, and only 64 of them had routine treatment. This objective is to explain the effect of germas implementation on changes in health and cholesterol status in hypertensive patients. The research design was quasi-experimental with a nonrandomized pre-test - post-test control group design. The population in this study were families with hypertension sufferers. The number of samples of 100 patients divided into 50 patients in the control group and 50 patients in the treatment group. Examination of health status variables, blood pressure and cholesterol checks, was carried out before and after implementation. Statistical analysis using the T-test, Mann-whitney test, and Wilcoxson test. The results of statistical analysis showed that there were significant differences before and after the implementation of GERMAS behavior in the treatment group for health status, diastolic systolic blood pressure, and cholesterol with P values of 0.001, 0.000, 0.000, and 0.042 respectively. As for the control group, the results of statistical analysis before and after the implementation of conventional behavior showed that there were significant differences for health status and diastolic blood pressure with P values of 0.046 and 0.035 respectively, while for systolic blood pressure and cholesterol there were no significant differences with each. P values 0.000 and 0.433. Of this study proved that the implementation of germas can improve health status, lower blood pressure, and reduce cholesterol levels. Keywords: GERMAS implementation; health status; blood pressure; cholesterol; hypertension ABSTRAK Hipertensi merupakan kondisi medis dimana terjadi peningkatan tekanan darah secara kronis (jangka waktu yang lama) yaitu melebihi 140/90 mmHg. Menurut data dari puskesmas Jatirejo Kab. Mojokerto tahun 2018, jumlah penderita hipertensi 2.743 KK. Berdasarkan data di desa Mojogeneng sebanyak 164 KK, yang berobat rutin hanya 64 KK, sedangkan di desa Bleberan sebanyak 228 KK, yang berobat rutin hanya 64 KK. Tujuan ini adala menjelaskan pengaruh implementasi germas terhadap perubahan status kesehatan dan kolesterol pada pasien hipertensi. Desain penelitian ini adalah Quasi-experimental dengan bentuk nonrandomized pre test – post test control group design. Populasi pada penelitian adalah keluarga dengan penderita hipertensi. Jumlah sample 100 pasien yang terbagi dalam 50 pasien kelompok control dan 50 pasien kelompok perlakuan. Pemeriksaan variable status kesehatan, pemeriksaan tekanan darah dan kolesterol, dilaksanakan sebelum dan sesudah implementasi. Analisis statistik menggunakan T-test, Mann-whitney test, dan Wilcoxson test. Hasil analisis statistik menunjukkan bahwa ada perbedaan bermakna sebelum dan sesudah implementasi perilaku GERMAS pada kelompok perlakuan untuk status kesehatan, tekanan darah systole diastole, dan kolesterol dengan masing-masing nilai P adalah 0,001, 0,000, 0,000, dan 0,042. Adapun untuk kelompok kontrol, hasil analisis statistik sebelum dan sesudah implementasi perilaku konvensional menunjukkan ada perbedaan bermakna untuk status kesehatan dan tekanan darah diastole dengan masing-masing nilai P 0,046 dan 0,035, sedangkan untuk tekanan darah sistole dan kolesterol tidak ada perbedaan bermakna dengan masing-masing nilai P 0,000 dan 0,433. Kesimpulan penelitian ini terbukti bahwa dengan implementasi germas dapat meningkatkan status kesehatan, menurunkan tekanan darah, dan menurunkan kadar kolesterol. Kata kunci: implementasi GERMAS; status kesehatan; tekanan darah; kolesterol; hipertensi
Studi Fenomenologi Pengalaman Keluarga Suku Jawa dengan Anggota Keluarga Menderita Covid-19 di Ruang Perawatan Intensif Moch Bahrudin; Tanty Wulan Dari
JI-KES (Jurnal Ilmu Kesehatan) Vol 5, No 1 (2021): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : STIKes Hafshawaty Pesantren Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v5i1.211


AbstrakKeputusasaan merupakan penilaian negatif terhadap hasil yang akan dicapai dan ketidakberdayaan terhadap suatu harapan. Keputusasaan dapat terjadi pada keluarga dengan salah anggotanya di rawat dengan COVID-19 di ruang perawatan intensif karena perasaan keputusasaan akibat suatu keadaan ketidakpastian serta waktu yang tidak dapat dipastikan dalam penyembuhannya. Kondisi ini dapat berlanjut pada gangguan mental emosional maupun tindakan suicide. Oleh karena itu gambaran pengalaman keluarga pasien yang di rawat di ruang perawatan intensif dibahas dalam penelitian ini. Penelitian kualitatif deskriptif fenomenologi terhadap 6 partisipan yang bersuku jawa. Hasil penelitian didapatkan tujuh tema utama yaitu (1) Perpisahan sebagai akibat pasien perlu pengawasan, (2) Respon keputusasaan, (3) Disfungsi proses keluarga, (4) Kehilangan makna hidup, (5) Dukungan dan motivasi diri sebagai sumber koping menghadapi keputusasaan, (6) Hikmah spiritual dibalik keputusasaan stroke survivor dan (7) Dapat menjalani kehidupan dengan lebih baik. Penelitian ini menyarankan dikembangkannya standar asuhan keperawatan keputusasaan dan pemberian dukungan keluarga pasien yang dirawat diruang perawatan intensif khususnya pada rumah umum milik daerah di suku Jawa. Kata kunci: COVID-19, keputusasaan, kualitatifAbstractHopelessness is a negative assessment toward the results to be achieved and the helplessness of a hope. Hopelessness can occur in families with one of their members is hospitalized because of  COVID-19 in Intensive Care Unit because of hopelessness feelings due to uncertain time  of  recovery. This condition can lead to mental emotional disorders or suicide. The purpose of this study is to provide an overview of the family experiences of patients with covid 19 who are hospitalized in Intensive Care Unit. Phenomenological  descriptive qualitative research on 6 Javanese participants. The results of the study found seven main themes, namely (1) Separation as a result of patients need supervision, (2) Hopelessness response, (3) Dysfunction of the family process, (4) Loss of meaningful life, (5) Support and self-motivation as a source of coping in facing hopelessness, (6) Spiritual wisdom behind the hopelessness of stroke survivors and (7) Being able to live a better life. This study suggests the development of nursing care standards for hopelessness and providing family support for patients who are hospitalized in Intensive Care Unit, especially in regional public hospitals in the Javanese tribe.Keywords: COVID-19, hopelessness, qualitative