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Correlation between Perception with The Needs of Structured Education for Psoriasis Patients during The Pandemic of COVID-19 Dewi Purnama Sari; Alfrina Hany; Magdalena Ayu Christanti; Aura Tasya Amalia
Journal of Nursing Science Update (JNSU) Vol. 10 No. 1 (2022): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (372.616 KB) | DOI: 10.21776/ub.jik.2022.010.01.3

Abstract

The number of psoriasis patients visiting the health services during the COVID 19 pandemic is decreasing. Meanwhile, routine control is needed to maintain the prognosis education of psoriasis. The patient is suspected of having frequent problems and flares at home. Therefore, it is necessary to study the perception in assessing the need for structured education in a group of psoriasis patients. This study aimed to determine the correlation between perception with the need for structured education. Twenty psoriasis patients at General Hospital Dr. Saiful Anwar Malang were interviewed by telephone. The independent data consisted of patient perception (B-IPQ) of psoriasis, while the dependent data consisted of the need for structured education. Bivariate data showed the correlation between perception (B-IPQ) with the need for structured education, indicated by a p-value = 0.05. In conclusion, this study's perception (B-IPQ) level significantly correlates with the need for structured education. Promoting health education among people with psoriasis is essential to create a good perception of this diagnosis.  
The Effect of Clinical Learning Environment on Nursing Student Satisfaction in East Java Province Kuswantoro Rusca Putra; Alfrina Hany; Rustiana Tasya Ariningpraja
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 6, No 1 (2021): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.544 KB) | DOI: 10.24990/injec.v6i1.393

Abstract

Introduction: The clinical learning environment is a situation for the implementation of student practical learning. Satisfaction with the clinical learning environment is very important to foster a positive learning experience. This study aims to analyze the influence of the clinical learning environment on nursing student satisfaction. Methods: The study design used was an observational analysis with a cross-sectional approach to clinical nursing students in East Java Province with 451 student respondents. A consecutive sampling method was conducted. The Clinical Learning Environment Supervision Teacher (CLES T) instrument was used to assess learning environment variables and Clinical Learning Environment Inventory (CLEI), in particular, the satisfaction dimension was used to assess the satisfaction variable. Data analysis used the Spearman rank test and multiple linear regression. Results: There is a relationship between the clinical learning environment (pedagogic learning, leadership style, nursing care in the ward, the relationship of supervision, the role of nurse teacher) and the satisfaction of nursing clinic students (p = 0.000). Multiple linear regression analysis showed that the dimensions of pedagogic learning (t = 3.261; p = 0.001) and the role of the nurse teacher (t = 2.693; p = 0.007) had an effect on nursing student satisfaction. Conclusion: Student satisfaction is an important factor in the implementation of student clinical learning, so it is necessary to carry out good management by educational institutions and practice fields regarding the learning environment and improving the pedagogic atmosphere and the role of nurse teachers in clinical learning.
GAMBARAN PENGETAHUAN DAN SKRINING DISFAGIA OLEH PERAWAT TERHADAP PENERAPAN DOKUMENTASI PADA PASIEN DISFAGIA PASCA STROKE Syahrun Syahrun; Alfrina Hany; Masruroh Rahayu
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 3 No. 2 (2023): APRIL
Publisher : CV. ADIBA ADISHA AMIRA

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Abstract

Nurses' empowerment in screening effectively reduces pneumonia rates, improves hydration and nutrition so as to prevent further complications. Disphagia often has not been documented by nurses, due to the focus on self-care and prevention of complications. This research is a correlational description with a cross-sectional approach. The nurses working in the Stroke Unit Room and ICU consisted of 10 men and 36 women aged the majority of 25 – 31 years with a majority tenure of 18 years. A total of 30 medical records were observed, 19 cases of SNH + comorbid patients and 8 of them were dysphagia. There was a close relationship between knowledge and screening (p value 0.004) and no significant relationship between dysphagia knowledge and screening and documentation (p value 0.217). In Indonesian Nursing, thefocus is on aspiration risk, not dysphagia. Because of the lack of identification and means of being an obstacle in further management, thenurse has never received formal education. Butknowledge can be provided in self-paced, online classes. The use and adjustment of flowsheets in documentation helps in improving the workflow of completion of stroke management nursing documentation, but it takes skills and knowledge through an ethical approach to highlight the importance of communication and documentation with a patient-centered approach. The good level ofknowledge nurses about dysphagia dysphagia screening is not necessarily related to the nurse's ability to document the presence of dysphagia
Efektifitas Minyak Aromaterapi terhadap Kualitas Tidur pada Pasien Stroke Iskemik Alfrina Hany; Niswatul Asyiroh; Ayut Merdikawati
Jurnal Keperawatan Jiwa Vol 11, No 2 (2023): Mei 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.11.2.2023.447-454

Abstract

Sumbatan yang terjadi pada pembuluh darah otak dapat berlangsung selama kurang dari 24 jam atau lebih dapat menyebabkan adanya kekurangan oksigen atau bahkan kematian sel di otak. Kondisi ini dikenal sebagai stroke iskemik. Stroke dapat menyebabkan kehilangan fungsi otak, selain itu juga dapat memicu terjadinya berbagai macam gangguan lainnya tidak hanya gangguan neurologis. Masalah yang sering muncul pada pasien stroke iskemik setelah serangan akut adalah gangguan tidur. Gangguan tidur yang diperberat dengan kondisi kecemasan atau gangguan psikologis lain dapat menyebabkan penurunan kualitas tidur yang mengakibatkan perubahan kognitif yang semakin memburuk dan dapat mempengaruhi perawatan. Tujuan penelitian ini adalah untuk menilai keefektifan minyak  aromaterapi terhadap kualitas tidur pada pasien stroke iskemik. Penelitian ini dirancang menggunakan metode quasi-eksperimental dengan menggunakan pretest-posttest pada kelompok control dan perlakuan. Teknik pengumpulan data menggunakan purposive sampling sebanyak 36 pasien stroke iskemik yang terbagi rata pada 2 kelompok, kelompok control dan kelompok perlakuan. Kedua kelompok diberikan kuesioner Pittsburgh Sleep Quality Index (PSQI) sebelum perlakuan dan setelah perlakuan. Pada kelompok perlakuan, responden menggunakan minyak aromaterapi sebelum tidur selama 30 hari. Hasil penelitian menunjukkan pemberian minyak aromaterapi dapat meningkatkan kualitas tidur dengan nilai Asymp. Sig (2-tailed) 0.000 (<0.05) pada Uji Wilcoxon. Kesimpulannya, pemberian minyak aromaterapi memberi dampak pada  peningkatan kualitas tidur pasien stroke iskemik.
MANAGEMENT DYSPHAGIA IN POST-STROKE PATIENTS RECOMMENDATIONS FOR INDONESIAN NURSING INTERVENTION STANDARDS: A LITERATURE REVIEW Syahrun Syahrun; Alfrina Hany; Masruroh Rahayu
MNJ (Malang Neurology Journal) Vol. 8 No. 1 (2022): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.01.9

Abstract

Background: Dysphagia often occurs in post-stroke patients, causing aspiration that can result in disability or death. Nurses have an essential role to play in preventing these complications as they 24/7 care for patients. However, there is no written standard of nursing care regarding specific interventions of post-stroke dysphagia in reality.Objective: The purpose of this article is to conduct a literature review of interventions that can be made in patients with post-stroke dysphagia so that it can be a recommendation for Indonesian nursing standards.Design: Electronic literature searches PubMed, EBSCO (Medline), ProQuest, and ScienceDirect databases from January 2011 to October 2020. There was sixteen studies reviewed included in this systematic study were experimental, randomized controlled trials, or systematic reviews (which are also experimental designs, randomized controlled trials). The study focused on non-invasive interventions performed on post-stroke dysphagia patients.Results: Interventions in dysphagia found, namely: The use of food thickeners against the risk of aspiration resulted in the patient's swallowing ability significantly increased by 71.9% (p <0.01); Chin down intervention combined with thickening fluid provides a solution to improve the nutritional needs of patients dysphagia post-stroke; Tongue training interventions, swallowing training and speech therapy; Tongue stretching exercises that have a positive effect on tongue motility and oromotor function in post-stroke dysphagia patients; Intervention of Tongue resistance training that increases the strength of the tongue and reduces fluid residue in the vallecular; and early screening of dysphagia by nurses using formal guidelines to manage dysphagia patients thereby reducing chest infections and mortality.Conclusion: Nurses should not diagnose dysphagia, but can identify post-stroke dysphagia to determine the interventions necessary for nutrition management, hydration, and aspiration prevention. Interventions include early dysphagia screening within 24 hours after stroke, thickening nutrition according to nutritionist recommendations, laryngeal elevation exercises, peripheral stimulation, posture regulation, and education on eating and drinking.