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All Journal Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Jurnal Pengabdian Masyarakat Sasambo
Mira Utami Ningsih
Poltekkes Kemenkes Mataram
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Penerapan Konsep Atraumatic Care Saat Pemasangan Infus dan Venipunktur pada Anak Ely Mawaddah; Rusmini Rusmini; Mira Utami Ningsih; Mardiatun Mardiatun
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 3, No 1 (2021): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v3i1.99

Abstract

Kondisi morbiditas anak menyebabkan anak membutuhkan tindakan hospitalisasi pada anak. Berbagai prosedur invasive saat perawatan dan pengobatan menimbulkan nyeri berulang yang menyebabkan anak merasa takut akan mengalaminya lagi. Tindakan berulang yang sering menyebabkan nyeri adalah pemasangan infus dan venipuncture sehingga memerlukan prinsip atraumatik selama prosedur dilaksanakan. Studi ini merupakan studi literature dari pustaka maupun penelitian yang telah dilakukan sebelumnya. Hasil studi menunjukkan terdapat beberapa cara untuk meminimalkan nyeri pada anak saat dilakukan pemasangan infus dan venipuncture baik secara farmakologi maupun non farmakologi. Tehnik farmakologi dapat menggunakan cream EMLA sebelum dilakukan penusukan, sementara secara non farmakologi dapat menggunakan kompres dingin, distraksi, penggunaan vibrator dan terapi musik. Prinsip atraumatik saat dilakukan tindakan pemasangan infus dan venipuncture perlu diterapkan untuk mencegah trauma pada anak. Perawat dapat memilih intervensi yang digunakan untuk mengurangi nyeri pada anak.
PENINGKATAN KETERAMPILAN IBU DALAM PENANGANAN TERSEDAK PADA BAYI DAN ANAK Mira Utami Ningsih; Baiq Kirana Kitna Yusarti
Jurnal Pengabdian Masyarakat Sasambo Vol 1, No 2 (2020): Mei
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (778.859 KB) | DOI: 10.32807/jpms.v1i2.482

Abstract

Tersedak merupakan suatu kegawat daruratan yang sangat berbahaya, karena dalam beberapamenit akan terjadi kekurangan oksigen secara general atau menyeluruh sehingga hanya dalamhitungan menit klien akan kehilangan reflek nafas, denyut jantung dan kematian secarapermanen dari batang otak. Menurut data World Health Organization (WHO) pada tahun 2011sekitar 17.537 kasus tersedak paling sering terjadi pada anak usia batita (1,5 – 3 tahun). Anakusia dini (0-6 tahun) merupakan anak-anak yang sangat unik dan memiliki karakteristik yangberagam sehingga berpotensi menimbulkan kecelakaan di rumah tangga apabila anak-anakdibiarkan tanpa pengawasan yang baik, salah satunya adalah kejadian tersedak. Penanganantersedak pada anak sangat tergantung pada peran orangtua. Pengetahuan orangtua yang berbedaakan mengakibatkan penanganan tersedak pada anak yang berbeda pula. Perlu ada pendidikanuntuk mengubah atau mempengaruhi perilaku orangtua tentang penanganan tersedak, salahsatunya melalui penyuluhan. Tujuan dari kegiatan pengabdian kepada masyarakat ini adalahuntuk meningkatkan keterampilan Ibu dalam memberikan pertolongan pertama atau menanganitersedak pada bayi dan anak Di Kelurahan Dasan Cermen Kecamatan Sandubaya Kota Matarammelalui kegiatan penyuluhan dan demonstrasi tindakan back blow. Evaluasi hasil dilakukan secaralangsung dengan menanyakan kepada peserta penyuluhan menggunakan kuesioner. Hasilmenunjukkan 75% peserta menjawab dengan benar pertanyaan yang diberikan.
Touch, Look, Compare, Compress (TLCC) Based On Family Centered Care (FCC) Reducing Phlebitis In Children With Intravenous Therapy Ely Mawaddah; Mira Utami Ningsih; Dewi Purnamawati; Lale Wisnu Andrayani
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 4, No 1 (2022): April
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v4i1.231

Abstract

The incidence of phlebitis is an indicator of hospital performance and requires the percentage of phlebitis to be less than 5%. Intensive monitoring of patients who receiving intravenous therapy can reduce complications from phlebitis and improve service to patients. This study aims to determine the effect of the intervention package Touch, Look, Compare, Compress (TLCC) on the incidence of phlebitis in pediatric patients who are infused. This research is an experimental study with a quasi-experimental design, respondents will be divided into 2 groups: The group given the TLCC flyer intervention and the control group given the intervention according to hospital procedures. The measurement of phlebitis uses a phlebitis degree table instrument developed by the Infusion Nurses Society (INS). Measurements were taken on day 1, day 2 and day 3. The results showed an increase in the mean of patients who had phlebitis on day 3 in the control group. There were significant differences in the degree of phlebitis on days 1, 2 and 3 (p value = 0,000) in the control group. In the intervention group there was no significant difference in the degree of phlebitis on days 1, 2 and 3 (p value = 0.368). Statistical test results using Mann Whitney showed no significant difference in the degree of phlebitis in the two groups on day 1 (p = 1.00), while on days 2 and 3 there was a significant difference (p = 0,000). Monitoring pediatric patients with intravenous therapy through TLCC interventions can prevent phlebitis.
The Description of Psychological Aspect and Stigma Experienced by COVID-19 Survivors Mira Utami Ningsih
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 4, No 2 (2022): OKTOBER
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v4i2.360

Abstract

COVID-19 cases continue to increase, in Mataram City, a total of 1093 was confirmed positive, 76 died, and 817 were declared cured. COVID-19 survivors are a group who have experienced not only physical, but also psychological discomfort. This research is a descriptive analytic study. The research sample is 46 people who are the COVID-19 survivors in the city of Mataram. The sample was selected by purposive sampling technique. The data collected are the psychological aspect including data on anxiety, stress and stigma experienced by COVID-19 survivors. The data were collected using a questionnaire and then analyzed descriptively and displayed in the frequency and percentage distribution table. The results showed a total of 74% of survivors experienced anxiety ranging from mild anxiety (33%), moderate (7%), severe (30%) and panic (4%). 100% of survivors experienced stress, including mild (59%), moderate (33%) and severe (7%) stress. On average, 13% of survivors are stigmatized about COVID-19. The stigma they get includes negative stereotypes, being labeled as carriers of infectious diseases, exclusion and discrimination. COVID-19 survivors are a group that needs help dealing with anxiety, stress and stigma. COVID-19 survivors and or other people with infectious diseases such as tuberculosis and HIV-AIDS should supported with psychological support. Various challenges including infectious diseases that may cause pandemics in the future, requiring us to prepare ourselves. Not only in terms of readiness in handling cases physically for recovery, but also from a social and psychological perspective of sufferers and society.
The Effect of Vapocoolant Spray and Baby Shark Vibrator on Children’s Pain during Invasif Procedure Ely Mawaddah; Mira Utami Ningsih
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol 5, No 1 (2023): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v5i2.329

Abstract

Invasif procedure is a procedure that is often performed on children. This procedure is related to needles that causes pain in children. Children who experienced pain during invasif procedure need treatment to avoid trauma. It is necessary to apply atraumatic care through the use of interventions that eliminate or minimize the psychological and physical distress suffered by children, one of which is the use of vibrators with music and cold compresses to minimize pain. This study aims to determine the effectiveness of giving a baby shark vibrator compare with vapoocoolant spray against pain in children undergoing invasif procedure such as injection and venipuncture. The researcher divided the respondents into 2 groups, the intervention group (baby shark vibrator) and the control group (vapocoolant spray) which are taken randomly with a total of 60 children participating in this study. The assessment of children's pain using the FLACC instrument (face, legs, activity, cry and consolability). The results of statistical tests showed that there was a no significant difference in pain in the intervention group and the control group (p=0.077). The use of a baby shark vibrator can be an alternative to reduce pain in children during invasif procedure because for some children, it is more convenient and distracting.
Co-Authors Andrayani, Lale Wisnu Baiq Kirana Kitna Yusarti Dewi Purnamawati ELY MAWADDAH Mardiatun Mardiatun Rusmini Rusmini