Ning Arti Wulandari
STIKes Patria Husada Blitar

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Intradialytic Complication and Associated Factors among Patients Undergoing Hemodialysis Yeni Kartika Sari; Ning Arti Wulandari; Sandi Alfa Wiga Arsa; Iwit Rata Ari Dewi
Journal of Ners and Midwifery Vol 8, No 3 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i3.ART.p378-385

Abstract

Hemodialysis is one of the vital management options for end-stage renal disease (ERDS) patients. Adequate hemodialysis can make a good quality of patient life. Hemodialysis patient commonly has experienced intradialytic complications, and it can be life-threatening. ESRD patients who are not compliant with fluid and dietary restrictions raised Intradialytic weight gain (IDWG), and blood pressure leads to intradialytic complications. This study aimed to determine factors associated with intradialytic complications among undergoing hemodialytic patients in Blitar. The data analysis used Multiple linear regression analysis to ascertain the possible factors that influence intradialytic complications. The sample was 55 hemodialysis patients with intradialytic complications. Based on this study, the Spearman Rank correlation test results, the factor that correlated with intradialytic complications was patient compliance with a Sig (2-tailed) value of 0.016 with a correlation coefficient value of -0.26. The correlation coefficient in the results above was negative, namely -0.263 so that the correlation between the two variables was not unidirectional. The higher compliance showed, the lower the intradialytic complications. The odds ratio (OR) value between adherence and the occurrence of intradialytic complications was 3,229. That value meant that patients with kidney failure who do not comply with the diet will have a 3-fold risk of intradialytic complications compared to patients with renal failure who comply. This result emphasizes the need for constant motivation and education at frequent intervals to ensure better adherence.
Pengaruh Pendidikan Kesehatan terhadap Pengetahuan dan Sikap Siswa tentang Abortus Avinda Krisna Lukwinata; Ning Arti Wulandari
Journal of Ners and Midwifery Vol 1, No 1 (2014)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v1i1.ART.p019-023

Abstract

According to the National Commission for Child Protection in Indonesian at 2008 to 2010 abortions reached 2.5 million cases and 62.2% among teenagers. That caused by  lacking  of knowledge about abortion at teenagers. The impac of  lacking of knowledge is bad attitude towards abortion. Method: Research design was quasy experiment. Research sample was 22 students of 1 and 2 grade SMA PGRI Srengat  at April 22nd until May 5th, 2012, its choosed with total sampling. Data collected by observation using checklist. Analysis using Wilcoxon Signed Rank Test, with significant level ≤0.05. Result: The results showed that health education influence knowledge and attitude, with p value 0.001. Discussion: Health education using video and leaflet, effective to improve knowledge and attitude student about abortion.  
Pengaruh yoga terhadap Nyeri Sendi pada Lansia di PSLU Blitar Ning Arti Wulandari
Journal of Ners and Midwifery Vol 3, No 3 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i3.ART.p257-261

Abstract

The aging process is a process of gradual disappearance of the network’s ability to repair itself and maintain its normal functions. Some physical changes will occur on all systems, for example in the musculoskeletal system decreased fluid in the bone resulting in joint stiffness and joint pain. The management of joint pain with some nonpharmacological therapy one of them is yoga. The purpose of this study was to identify the effectiveness of yoga to the joint pain of elderly. Method; This study design used pre and post test without control, with the number of sample 10 elderly people by purposive sampling. This research was conducted in elderly social services Blitar 11 to 14 December 2016. The data collected by using the Visual Analog Scale (VAS). The results of this study before the elderly did yoga was 80% felt joint pain scale was after attending a yoga 50% of elderly felt mild pain, the results of statistical analysis with Paired T Test was p = 0.001 means that there was an effect on joint pain by yoga exercises. Therefore, health employee could facilitate the elderly to follow yoga by bringing yoga instructors since yoga is considering not only reduces joint pain but also reduce stress and improve the energy balance.
Aplikasi Teknik Swaddling, Side-Stomatch, Shushing, Swinging, Sucking(5S'S) terhadap Skala Nyeri dan Durasi Tangisan pada Neonatus Paska Prosedur Pengambilan Darah Ning Arti Wulandari; Erni Setiyorini
Journal of Ners and Midwifery Vol 1, No 3 (2014)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v1i3.ART.p171-176

Abstract

Neonatal care at hospital involved many invasive procedures. The invasive procedures caused pain in neonates. The role of nurse is minimize the discomfort and pain for them. Negative effect when we let the pain in long time, there are immediately effect, short term effect and long term effect. 5Ss technique is useful to make baby comfortable and soothing neonates.The purpose of this study was to analyze the application of 5Ss technique to the pain and duration of crying neonates post blood sampling procedures. Method: Research design was experimental research with Quasi- Experimental design post test only with control group. The sample consisted of 50 neonates, 25 nonates in control group and 25 neonates in the experimental group, with inclusion criteria: aterm neonates, normal apgar score. Sampling was done by purposive sampling. The data was analyze by T-test. Result: The results showed that 5ss technique had effect to pain with p=0,000 and duration of crying, with p=0,011. The research recommended for calming crying neonates and reduce pain after invasive procedures and it is expected the results of this study can be considered for standart operating procedures for calming neonates.
Aplikasi Sosiodrama dan Case Study terhadap Pembentukan Sikap dalam Pencegahan Penularan HIV/AIDS Calon Tenaga Kerja Indonesia (TKI) Ning Arti Wulandari; Erni Setiyorini
Journal of Ners and Midwifery Vol 3, No 2 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i2.ART.p175-181

Abstract

Infectious diseases HIV / AIDS is a disease with a high mortality rate. Indonesia ranks first in the transmission of HIV / AIDS in Southeast Asia. The number of people living with HIV / AIDS in Blitar on January-July 2013 reached 66 people and 26 died. From that numbers, many cases contributed by the group of Indonesian blue collar workers (migrant workers) (Arif, 2013). The purpose of this study was to determine the effectiveness of sociodrama and a case study on the knowledge and attitude of prevention of transmission of HIV / AIDS .The design of the study was quasy Experiment with pretest and posttest control group with the sample of 50 people, who were divided into 25 groups of control and treatment. The sampling technique was purposive sampling techniques. The treatment group received treatment of sociodrama and case study whereas the control group getting a lecture. Both groups were measured on the knowledge and preventive attitude of transmission of HIV / AIDS. The study was conducted on May-June 2016. The data was collected using a questionnaire. The level of knowledge and attitude on the treatment and control groups increased. Different test level of knowledge between the treatment and control groups using the Mann Whitney, p = 0.016, which means that there was differences in knowledge in the treatment group and the control, whereas test different attitudes using T - Test , p = 0.739, which means there was no difference in attitude between the treatment groups and control. The results of this study were expected to be the input for the Department of Labor and the health Department of Blitar, Komisi Pemberantasan AIDS (KPA) in Blitar, PJTKI (Perusahaan Jasa Tenaga Kerja Indonesia).
Pengaruh Aplikasi Telehomecare terhadap Pengetahuan Penderita Tuberculosis Paru tentang Penularan Penyakit Tuberculosis Ning Arti Wulandari
Journal of Ners and Midwifery Vol 4, No 3 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v4i3.ART.p206-210

Abstract

Tuberculosis (TB) disease is transmitted through a "droplet infection". Currently it is still very difficult to cut the chain chain of transmission of tuberculosis disease, this is due to lack of knowledge of patients about the prevention of transmission of tuberculosis. Forms of health services to patients with tuberculosis currently focuses on treatment. Education is actually also given but still less than the maximum due to limited time to have a health officer reach too broad. Therefore the use of technology in providing nursing care to tuberculosis patients at home. The technique used is telehomecare, where officers will provide education and followup to tuberculosis patients through cellular telepone. The purpose of this study was to identify the effect of telehomecare application on the knowledge of pulmonary tuberculosis patients about Tuberculosis disease transmission. Method: The design of this study was one group pretest posttest design, conducted from 18 April to 30 June 2012 with a sample of 14 pulmonary tuberculosis patients in the work area of Puskesmas Kanigoro Blitar district taken from the entire population. The data obtained will be analyzed with Wilcoxon Signed Rank test. The results of this study there are differences in knowledge before and after being given education via telehomecare with a value of P = 0.02. Discussion: Telehomecare program can be applied in Puskesmas, clinic or hospital to improve nursing care service
Hubungan kadar gula darah dengan tekanan darah pada lansia penderita Diabetes Tipe 2 Erni Setiyorini; Ning Arti Wulandari; Ayla Efyuwinta
Journal of Ners and Midwifery Vol 5, No 2 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i2.ART.p163-171

Abstract

Diabetes melitus tipe 2 merupakan penyakit kronis yang disebabkan oleh tubuh yang tidak mampu menggunakan insulin secara efektif. Prevalensi diabetes tipe 2 meningkat seiring dengan usia dan pola hidup yang tidak sehat. Kadar gula darah diabetes tipe 2 yang tidak terkontrol dapat memicu berbagai macam komplikasi pada penderita diabetes tipe 2, salah satunya terjadi makroangiopati yaitu komplikasi pada pembuluh darah besar sehingga mempengaruhi perubahan tekanan darah. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kadar glukosa darah dengan tekanan darah lansia penderita diabetes tipe 2. Desain dalam penelitian ini adalah korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah lansia penderita diabetes tipe 2 yang berobat di Poli Penyakit Dalam RSUD Mardi Waluyo Blitar sebanyak 300 responden, sampel yang didapatkan sebanyak 75 responden dengan menggunakan teknik accidental sampling. Uji statistik menggunakan Spearman Rank. Hasil dari penelitian menunjukkan kadar gula darah normal sebanyak 41 responden (54,7%) dan tekanan darah normal sebanyak 42 responden (56%). Hasil uji Spearman Rank menunjukkan terdapat korelasi yang signifikan antara kadar gula darah dan tekanan darah pada lansia penderita diabetes tipe 2 ( = 0.017) dengan koefisien nilai korelasi adalah 0.274. Terdapat hubungan antara kadar gula darah dengan tekanan darah. Kadar gula darah yang terkontrol dapat mempertahankan tekanan darah dalam range normal, sehingga mencegah terjadinya hipertensi.
Kemampuan Pecinta Trail Adventure sebagai Medical First Responder pada Korban Kecelakaan Ning Arti Wulandari; Erni Setiyorini
Journal of Ners and Midwifery Vol 5, No 3 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i3.ART.p212-217

Abstract

Kecelakaan lalu lintas merupakan masalah yang besar namun belum mendapatkan fokus perhatian tatanan kesehatan. Diperkirakan 1,2 juta orang di dunia  terbunuh dan 50 juta orang luka-luka setiap tahunnya akibat kecelakaan. Ternyata bukan hanya berkendara di jalan raya saja, berkendaraan di jalur ekstrim seperti yang dilakukan oleh para pecinta trail adventure  juga beresiko mengalami kecelakaan. Tujuan penelitian ini mengidentifikasi kemampuan pecinta adventure sebagai medical first responder pada korban kecelakaan. Desain dalam penelitian ini adalah deskriptif eksploratif, dengan jumlah sampel 57 orang anggota CROSSTRABS Komunitas Trail Adventure Blitar Selatan yang diambil dari seluruh populasi. Penelitian ini dilakukan di tanggal 25 November 2018 di Tulungagung dalam acara HOT Enduro 2018, pengumpulan data dengan menggunakan kuesioner. Hasil penelitian ini adalah 81% dari 57 responden memiliki kemampuan kurang, 18% mempunyai kemampuan cukup dan 1% mempunyai kemampuan baik dalam berperan sebagai  medical first responder pada korban kecelakaan. Hasil penelitian menunjukkan bahwa kemampuan pecinta trail adventure sebagai medical first responder terbanyak adalah dalam kategori kurang. Oleh sebab itu sangat di perlukan pelatihan tentang medical first respons pada pecinta trail adventure, sehingga kemampuan sebagai medical first responder meningkat.
Hubungan Paritas Ibu Postpartum Dengan Peran Ayah Asi (Breastfeeding Father) Ning Arti Wulandari; Anita Rahmawati; Nuraini Wahida
JURNAL CITRA KEPERAWATAN Vol 7 No 2 (2019): JURNAL CITRA KEPERAWATAN
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.266 KB) | DOI: 10.31964/jck.v7i2.114

Abstract

Paritas merupakan keadaan melahirkan anak baik hidup ataupun mati, tetapi bukan aborsi, tanpa melihat jumlah anaknya. primipara mengalami kecemasan dalam proses menyusui. Pada ibu primipara mempunyai pengalaman yang kurang dalam merawat bayi, sehingga merasa sangat cemas jika ada kondisi bayi yang menunjukan ketidak nyamanan misalnya menanggis. Peran ayah dalam proses menyusui atau peran ayah ASI (breastfeeding father) merupakan faktor penting dalam mendukung kesuksesan menyusui/pemberian ASI. Tujuan penelitian ini untuk mengetahui adakah Hubungan paritas ibu postpartum dengan Peran Ayah ASI (Breastfeeding Father). Desain penelitian ini adalah cross sectional. Jumlah sampel dalam penelitian ini sebanyak 26 yang diambil secara purposive sampling dari 35 orang ibu postpartum di Desa Poleman Kecamatan Dampit dengan kriterian inklusi bersuami dan tinggal serumah dengan suami, dapat membaca dan menulis dan ibu yang telah menjalani masa postpartum lebih dari 10 hari sampai hari ke 40. Instrumen pengumpulan data nya adalah kuisioner. Hasil penelitian menunjukkan bahwa 54% responden merupakan ibu multipara dan 68% merasakan peran ayah ASI yang kurang. Dari analisis spearman’s p=0,001 atau < 0,05 hal ini menunjukkan ada hubungan yang signifikan antara paritas dengan peran ayah ASI pada ibu postpartum. Berdasarkan hasil penelitian ini makan disarankan pemberi layanan kesehatan untuk memberikan edukasi dan konseling tentang peran ayah ASI pada ibu dan suami di awal kehamilannya
Releated Factors To The Social Interactions Of School-Age Children During The Covid 19 Pandemic Ning Arti Wulandari; Erni Setiyorini; Khusnul Arifianti
STRADA Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.217 KB) | DOI: 10.30994/sjik.v10i1.683

Abstract

Social distancing is recommended to prevent transmission Covid 19. Countries have made policies to dismiss schools to prevent transmission to children. The situation will have an impact on children's social interactions. This study is to identify the factors that influence social interaction in school age children during the Covid 19 pandemic. The design of this study uses correlation. This research was conducted in June 2020, with interviews via videocall to 73 respondents . The results showed that there was a relationship between children's social interactions with smartphone using intensitys (P value = 0,000) and parents' work (P value = 0.034), while the gender were unrelated. Data analysis uses multiple logistic regression. The covid 19 pandemic this has changed the pattern of communication into online, so that even though it is enacted psychically distancing pre-school age children can still do social interactions by using smart phones.