Yulia Indah Permata Sari
Program Studi Ilmu Keperawatan

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Penerapan Metode Six Sigma dalam Pencegahan dan Pengendalian Infeksi di Rumah Sakit: A Systematic Review Waluyo Waluyo; Sholihin Sholihin; Roby Aji Permana; Tria Anisa Firmanti; Yulia Indah Permatasari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11, No 1 (2020): Januari 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11123

Abstract

Background: Prevention and control of infections is a priority in the current health sector, and prevention of infection is an indicator of the quality of services provided. Purpose: to examine the available evidence about the application of the Six Sigma method in the prevention and control of infections in hospitals. Method: The database used to identify suitable articles obtained from Scopus, Pubmed, Ebscohost and Summon was limited to the last 5 years of publication from 2014 to 2019, English, and fulltext articles. The literature review used the keyword "Six Sigma, Prevention Infection". In searching articles used "AND". Only 8 articles met the inclusion criteria. This review was from these 8 articles. Results: The application of the six sigma method provided a variety of benefits. Prevention and Reduction of decubitus ulcer infection, Central Line Related Blood Flow Infection, Surgical Site Infection, Ventilator Related Pneumonia, reduced the incidence of health related infections, reduced length of stay, increased health protection, reduced treatment costs and improved patient safety. Conclusion: the six sigma method is effective in preventing and controlling infection in hospitals. Recommendation: hospitals apply this method for approval and control of infection. Keywords: six sigma; infection; hospital ABSTRAK Latar belakang: Pencegahan dan pengendalian infeksi menjadi prioritas bidang kesehatan saat ini, dan mengurangi kejadian infeksi merupakan salah satu indikator kualitas layanan yang diberikan. Tujuan: untuk menguji bukti yang ada tentang penerapan metode six sigma dalam pencegahan maupun pengendalian kejadian infeksi di rumah sakit. Metode: database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, Pubmed, Ebscohost dan Summon terbatas untuk publikasi 5 tahun terakhir dari 2014 hingga 2019, bahasa inggris, dan fulltex article. Tinjauan literatur menggunakan kata kunci “ Six Sigma, Prevention Infection”. Dalam pencarian artikel menggunakan "AND". Hanya 8 artikel yang memenuhi kriteria inklusi. Ulasan ini berasal dari 8 artikel tersebut. Hasil: penerapan metode six sigma memberikan manfaat yang beragam. Pencegahan dan penurunan kejadian infeksi ulkus decubitus, Central Line Associated Blood Stream Infection, Surgical Site Infection, Ventilator Associated Pneumonia, menurunkan kejadian healthcare associated infections, mengurangi lama hari rawat, meningkatkan kepatuhan kebersihan tangan, mengurangi biaya perawatan dan meningkatkan keselamatan pasien. Simpulan: metode six sigma efektif mencegah dan mengendalikan infeksi di rumah sakit. Saran: rumah sakit menerapkan metode ini untuk pencegahan dan pengendalian infeksi Kata kunci: six sigma; infeksi; rumah sakit
Pengaruh Pendidikan Kesehatan Tentang Deteksi Dini Kanker Payudara dengan SADARI Terhadap Pengetahuan Remaja Putri Nurna Ningsih; Yulia Indah Permata Sari; Bina Melvia Girsang
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12 (2021): Nomor Khusus Januari 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12nk112

Abstract

Backrgound: Breast cancer is the second cause of death on women. Therefore, one method is needed to detect breast cancer earlier, one of that is by breast-self examination (BSE). Aims: The aim of this study is to determine the effect of health education on BSE on knowledge of teens. Methods: This study was used pre-post experimental test design without control group. The population in this study was the teens in 11th grade on senior high school of North Indralaya with sample of 35 teens. Analysis of experimental data used paired t-test. Results: The results showed the average knowledge of the teens has increased from 12.20 (pretest) to 14.57 (posttest) with p-value of 0.000 (
Aspek Psikologis pada Layanan Keperawatan Pasien Kanker Payudara: A Systematic Review Yulia Indah Permata Sari; Waluyo Waluyo; Tria Anisa Firmanti; Sholihin Sholihin; Roby Aji Permana
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 11 (2020): Nomor Khusus Januari-Februari 2020
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf11nk105

Abstract

Background: Breast Cancer can be a traumatic and stressful experience for women but there are wide-ranging differences in the ways in which women respond and adapt to breast cancer. Purpose: to examines which sociodemographic, disease-related, and psychosocial factors predict psychological adaptation to breast cancer. Method: The database used to identify suitable articles obtained from Scopus, Pubmed, CINAHL and Science Direct was limited from 2011-2019, English, and fulltext articles. The literature review used the keywords “psychological, adaptation, breast cancer”. In searching articles used “AND”. Results: 31 articles met the inclusion criteria. Consistent sociodemographic and disease-related variables predictors of adaptation were income, fatigue, cancer stage, and physical functioning. Psychosocial factors, particularly optimism and trait-anxiety, as well as perceived social support, coping strategies, and initial levels of psychological functioning were found to be predictive of later depressive and anxiety symptoms, psychological distress and quality of life for women with breast cancer, in predictable ways. Conclusion: The majority of studies showed a significant relationship between psychosocial factors and psychological adaptation. These results pount to specific sociodemographic, disease-related, and psychosocial factors that can help to identify women at the time of diagnosis who are at risk for long-term psychological challenges so they can be reffered for psychological support that targets their specific needs and can improve their quality of life and mood, and decrease indicators of anxiety, depression and psychological distress. Keywords: psychological; adaptation; breast cancer ABSTRAK Latar Belakang: Kanker payudara dapat menjadi pengalaman yang traumatis dan juga menimbulkan stress bagi wanita, tetapi ada banyak perbedaan cara wanita merespons dan beradaptasi dengan kanker payudara. Tujuan: Untuk menguji faktor-faktor sosiodemografi, hal-hal terkait penyakit, dan faktor psikososial yang memprediksi adaptasi psikologis terhadap kanker payudara. Metode: Database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, PubMed, CINAHL, dan Science Direct terbatas untuk tahun 2011 hingga 2019, bahasa Inggris dan teks lengkap. Tinjauan literatur menggunakan kata kunci “psikologis, adaptasi, kanker payudara”. Dalam pencarian artikel menggunakan “AND”. Hasil: 31 artikel memenuhi kriteria inklusi. Variabel-variabel sosiodemografi dan hal-hal terkait penyakit yang menjadi prediktor adaptasi adalah pendapatan, kelelahan, stadium kanker dan fungsi fisik. Faktor-faktor psikososial, terutama optimisme dan kecemasan, serta dukungan sosial yang dirasakan, strategi koping, dan tingkat awal fungsi psikologis ditemukan menjadi prediksi gejala depresi dan kecemasan, tekanan psikologis dan kualitas hidup untuk wanita dengan kanker payudara. Kesimpulan: Sebagian besar penelitian menunjukkan hubungan yang signifikan antara faktor psikososial dan adaptasi psikologis. Hasil ini sesuai dengan faktor-faktor sosiodemografi, hal-hal terkait penyakit dan faktor psikososial dapat membantu mengidentifikasi wanita pada saat diagnosis yang berisiko terhadap tantangan psikologis jangka panjang sehingga mereka mendapatkan dukungan psikologis yang dapat meningkatkan kualitas hidup dan suasana hati mereka, dan mengurangi indikator kecemasan, depresi dan tekanan psikologis. Kata kunci: psikologis; adaptasi; kanker payudara
Summary of the Prevention of Catheter-Associated Urinary Tract Infection in An Intensive Care Unit Waluyo Waluyo; Yulia Indah Permata; Ulfa Nur Rohmah; Saskiyanti Ari Andini
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (347.974 KB) | DOI: 10.20473/jn.v14i3.17010

Abstract

Background: Catheter-associated urinary tract infection is the most common type of nosocomial infection in an intensive care unit. The aim of this study was to examine the existing evidence of preventative measures against catheter-associated urinary tract infection being implemented to reduce urinary tract infection in intensive care units.Method: Databases were used to identify potential articles, namely Scopus, Pubmed, EBSCO and Proquest, limited to those published within the last 5 years from 2013 to 2018. The literature review used the keyword prevention, CAUTI and ICU. In the article search using “AND”, only 14 studies met the inclusion criteria. Across the 14 studies, 42486 participants and a mean 3540 per trial were included.Discussion: Nursing round, CAUTI bundle, bacitracin and cranberry, Nurse-driven protocol, protocol by team/ developmental protocol, surveillance of CAUTI, education, performance feedback, and general cultural practices alongside the American College of Critical Care Medicine and the Infectious Disease Society of America present guidelines that recommend CAUTI preventive practices that can be implemented to reduce the incidence of CAUTI in ICUs.Conclusion: From the several strategies used to prevent CAUTI, the most effective is the multidimensional approach because this approach combines several interventions and it also involves other practitioners. A multidimensional approach is more effective than a single dimensional approach in ICU.
Lactobacillus sp as a Probiotic for the Prevention of Clostridium difficile Associated Diarrhea Ulfa Nur Rohmah; Saskiyanti Ari Andini; Hendrik Prayitno Luawo; Waluyo Waluyo; Yulia Indah Permata Sari
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.17015

Abstract

Background: Antibiotic treatment can disturb the resistance of the gastrointestinal flora to colonization. This may result in complications, the most serious of which is Clostridium difficile associated diarrhea (CDAD). The aim of this study was to determine the effectiveness of probiotics for the prevention of CDAD.Method: The databases used were Scopus, Proquest, CINAHL, Medline, Pubmed and ScienceDirect, limited to having been published in the last 5 years. A literature review followed the keyword search. The keywords used were probiotics, Clostridium difficile, associated, diarrhea, randomized, control and trial using "AND" and “OR”. Twelve trials with 5102 participants were included. Eight trials reported a preventive effect for CDAD using a mixture of 2 strains of lactobacillus, a mixture of 4 combination strains, a mixture of lactobacillus and Saccharomyces or a mixture of Bifidobacterium, Lactobacillus and Saccharomyces.Result: Our findings indicate that probiotics may prevent CDAD. Most probiotics contain a singular strain. The combination with lactobacillus sp was the most effective at preventing CDAD.Conclusion: In addition, 6 out of 8 trials had an in relation to preventing CDAD containing lactobacillus sp. Four studies said that there were some factors that meant that the probiotic could not reduce or prevent the CDAD.
Efektivitas Konseling Seksual Model PLISSIT terhadap Fungsi Seksual Perempuan dengan Kanker Payudara: Literatur Review Dewi Damayanti; Yulia Indah Permata Sari; Shanty Chloranyta; Sapti Ayubana; Febri Adriati; Sinta WIjayanti; Fitri Yuliastuti
Malahayati Nursing Journal Vol 5, No 4 (2023): Volume 5 Nomor 4 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i4.8272

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ABSTRACT As one of the most common treatments for breast cancer, mastectomy has adverse effects on the quality of sexual life and sexual functioning in the impacted women. Various strategies have therefore been proposed to resolve their sexual problems. To identify the effectiveness of sexual counseling using the PLISSIT Model on the sexual function of women with breast cancer. The database used to identify suitable articles obtained from Scopus, PubMed, ProQuest, CINAHL, and Science Direct was limited from 2011-2019, English, and full text articles. The literature review used the keywords breast cancer, sexual function, sexual counseling model, sexual health models. 7 articles met the inclusion criteria. PLISSIT stands for four level of intervention, namely Permission, Limited Information, Specific Suggestions, and Intensive Care. This model is designed for sexual problems, including nursing care measures in the sexual dimension. The frequency of counseling sessions was conducted once a week, for five weeks, with a duration of approximately 90-120 minutes. The PLISSIT Model is effective in improving sexual function in women with breast cancer. Application of the PLISSIT model approach, namely Permission, Limited Information, Specific Suggestions, and Intensive Care to be used in dealing with sexual function problems in women with breast cancer Keywords: Breast Cancer, PLISSIT Model , Sexual Counseling Model, Sexual Function  ABSTRAK Sebagai salah satu pengobatan kanker payudara yang paling umum, mastektomi memiliki dampak yang negatif pada kualitas kehidupan seksual dan fungsi seksual pada perempuan yang menjalaninya. Berbagai strategi telah diusulkan untuk menyelesaikan masalah seksual pada perempuan dengan kanker payudara. untuk mengidentifikasi efektivitas dari konseling seksual dengan menggunakan model PLISSIT terhadap fungsi seksual perempuan yang menderita kanker payudara. Database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, PubMed, ProQuest, CINAHL, dan Science Direct terbatas untuk tahun 2011 hingga 2019, bahasa Inggris dan teks lengkap. Tinjauan literatur menggunakan kata kunci fungsi seksual, kanker payudara, model konseling seksual, model kesehatan seksual. Dalam pencarian artikel menggunakan. 7 artikel memenuhi kriteria inkulusi. PLISSIT adalah singkatan dari empat tingkat intervensi yaitu Permission, Limited Information, Specific Suggestions, and Intensive Care. Model ini dirancang untuk masalah seksual, termasuk tindakan asuhan keperawatan dalam dimensi seksual. Frekuensi sesi konseling dilakukan seminggu sekali, selama lima minggu, dengan durasi kurang lebih 90-120 menit. Model PLISSIT efektif dalam meningkatkan fungsi seksual pada perempuan dengan kanker payudara. Penerapan pendekatan model PLISSIT yakni Permission, Limited Information, Specific Suggestions, and Intensive Care dalam digunakan dalam menangani masalah fungsi seksual pada perempuan dengan kanker payudara. Kata Kunci: Fungsi Seksual, Kanker Payudara, Model Konseling Seksual, Model PLISSIT
PENGARUH TERAPI TERTAWA TERHADAP TINGKAT KECEMASAN PADA LANSIA DI UPTD PELAYANAN SOSIAL LANJUT USIA TRESNA WERDHA LAMPUNG Yulia Indah Permata Sari
Jurnal Ners Vol. 7 No. 1 (2023): APRIL 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i1.12058

Abstract

Penuaan merupakan proses alami dimana lansia sering mengalami penurunan kondisi fisik dan psikologis, menurunnya penghasilan karena pensiun, serta kesepian akibat ditinggal oleh pasangan, keluarga atau teman sebaya. Masalah-masalah tersebut dapat menyebabkan kecemasan pada lansia. Jika kecemasan terjadi secara terus-menerus, maka akan berdampak pada kualitas hidup lansia. Ada berbagai cara yang dapat dilakukan untuk menurunkan kecemasan secara farmakologis dan non-farmakologis. Salah satu tindakan non-farmakologis dalam mengatasi kecemasan adalah terapi tertawa. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi tertawa terhadap tingkat kecemasan pada lansia di UPTD PSLU Tresna Werdha Lampung. Penelitian ini menggunakan desain pre-eksperimental dengan pendekatan one group pre-post test design dengan besar sampel 36 lansia yang berusia 60-72 tahun, menggunakan probability sampling dengan teknik simple random sampling. Instrumen yang digunakan kuesioner Geriatric Anxiety Scale (GAS). Data dianalisis menggunakan uji Wilcoxon Signed Rank Test. Hasil analisis p = 0,000 dimana p<0,05 berarti ada pengaruh terapi tertawa terhadap tingkat kecemasan lansia di UPTD PSLU Tresna Werdha Lampung. Simpulan dari penelitian ini bahwa terapi tertawa mampu menurunkan tingkat kecemasan pada lansia karena mampu merangsang pengeluaran endorfin yang berperan sebagai penenang dan meningkatkan suasana hati.