Idu, Cicirosnita Jayadi
1. Magister Of Nursing, Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Yogyakarta 2. Department Of Nursing Science, Faculty Of Health Sciences, Universitas Yatsi Madani, Tangerang

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Pemanfaatan Teknologi Dalam Mengurangi Readmission Pada Pasien Dengan Gagal Jantung: Systematic Review Cicirosnita Jayadi Idu; Josepha Mariana Tamaela; Anggi Lukman Wicaksana
Jurnal Kesehatan Vol 14, No.1 (2021): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v14i1.11442

Abstract

Gagal jantung merupakan penyakit yang membutuhkan regimen pengobatan yang lama dan kompleks. Tingginya tingkat kekambuhan pada pasien dengan gagal jantung menyebabkan kemungkinan lama hari perawatan atau kemungkinan untuk dirawat kembali (readmission) di rumah sakit. Penelitian ini bertujuan untuk menganalisis pengaruh pemanfaatan teknologi terhadap tingkat readmission pada pasien gagal jantung. Review sistematis digunakan sebagai metode dalam penelitian. Artikel diperoleh dari PubMed, ProQuest, ScienceDirect, dan EBSCO dengan kata kunci pencarian:“Management Technology”, “Heart Failures”, dan “Readmission”. Artikel  yang terbit dalam 10 tahun terkahir dan berbahasa Inggris dilakukan proses review. Selanjutnya, artikel dianalisis menggunakan analisis konten. Terdapat tiga artikel penelitian yang memenuhi kriteria dan mengindikasikan luaran penelitian. Pasien dengan gagal jantung memiliki resiko tinggi untuk dirawat inap kembali (readmission). Upaya pemanfaatan teknologi dalam menurunkan readmission dapat berupa interactive voice response system (IVRS) dengan daily self-management dan clinical monitoring, penggabungan pelatihan telepon perawatan transisi dengan telemonitoring, dan home telemonitoring. Terdapat pengaruh pada readmission 30 hingga 180 hari pada pasien gagal jantung. Inti dari Pemanfaatan teknologi yakni pasien gagal jantung mampu secara mandiri melakukan self-management. Sebagai upaya penurunan readmission pasien gagal jantung, maka perlunya manajemen teknologi interaktif agar pasien dapat memantau kondisinya selama perawatan di rumah.
Factors Related to Physical Activity Behavior Among Breast Cancer Patients in Dr. Sardjito General Hospital Yogyakarta Cicirosnita Jayadi Idu; Haryani Haryani; Uki Noviana
Indonesian Journal of Cancer Vol 17, No 3 (2023): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i3.989

Abstract

Background: Breast cancer patients are likely to have reduced physical activity behavior after being diagnosed. Factors associated such as sociodemographic and clinical health status have been investigated in some countries, but few studies have been conducted in Indonesia. Therefore, this study aimed to determine the sociodemographic factors and clinical health status associated with changes in physical activity behavior among breast cancer patients.Methods: A cross-sectional design was used and the samples included a total of 250 breast cancer patients at the Integrated Nuclear Medicine and Cancer Installation, Dr. Sardjito Hospital Yogyakarta. The samples were selected using the consecutive sampling method from June to July 2021, while the instruments employed had been previously tested for their validity and reliability. These included a questionnaire on the characteristics of sociodemographic and clinical health status, the Visual Analogue Scale (VAS), the Brief Fatigue Inventory (BFI), and the International Physical Activity Questionnaire Form (IPAQ-SF). This study obtained ethical clearance, while data were analyzed using chi-square and logistic regression multinominal tests with p<0.05.Results: The results showed that cancer stage (stage III: OR=2.71, 95%CI:1.14-6.45), fatigue (severe fatigue: OR=0.49, 95% CI:0.25-0.96), and pain (mild pain: OR= 27.44, 95%CI:3.20-235.18), were significantly associated with physical activity behavior in breast cancer patients. Pain as the most dominant factor (mild pain: OR=20.388, p=0.001) caused 5 times increased risk of reduced physical activity compared to others. Conclusions: Based on the results, cancer stage, fatigue, and pain were significantly related to the physical activity behavior of breast cancer patients, with pain being the most dominant factor.