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Disfungsi Seksual pada Pasien Gagal Ginjal Kronis Akhyarul Anam; Sahrudi Sahrudi
Jurnal Surya Medika (JSM) Vol 6 No 1 (2020): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v6i1.1571

Abstract

Chronic kidney failure affects sexual function problems (sexual dysfunction) which tends to worsen with decreased kidney function. This study aimed to explore in-depth the response of individuals in dealing with sexual dysfunction. This study used qualitative research methods and case study approach with a single case design through semi-structured interviews. Samples were taken by purposive sampling technique in patients with chronic kidney failure who experience sexual dysfunction. Data is processed by the thematic content analysis method. The main themes found include erectile dysfunction, actions taken for sexual dysfunction problems, responses to the face of sexual dysfunction, as well as expectations for health services. Traditional alternative therapy is done, but there are no significant results. Participants' response is positively such as giving in, increasing spiritual activity, and being aware of old age. Health services for sexual dysfunction problems are highly expected.
Adaptation to Sexual Dysfunction in Patients with Chronic Renal Failure Akhyarul Anam; Lestari Sukmarini; Agung Waluyo
Jurnal Keperawatan Indonesia Vol 23, No 2 (2020): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v23i2.582

Abstract

The prevalence of chronic renal failure in Indonesia tends to increase in the lower age group (45–54 years). Chronic renal failure may lead to impaired sexual function. A descriptive phenomenology study with in-depth interviews was carried out with 12 participants, and thematic content analysis was applied. Six themes were revealed, as follows: 1) adaptation process to sexual dysfunction experienced, 2) sexual dysfunction experience, 3) importance of fulfilling sexuality needs, 4) behavior in dealing with sexual dysfunction, 5) perception of the cause of sexual dysfunction, and 6) participants’ expectation of health service related to sexual function. The experience of adapting to sexual dysfunction became a meaningful process through partner involvement. Similar research involving more heterogeneous samples would benefit further discourse. Abstrak Adaptasi Terhadap Disfungsi Seksual Pada Pasien Gagal Ginjal Kronis. Prevalensi gagal ginjal kronis di Indonesia cenderung meningkat pada kelompok usia lebih muda (45-54 tahun). Gagal ginjal kronis sering menyebabkan gangguan fungsi seksualitas (disfungsi seksual). Penelitian ini bertujuan mendapatkan gambaran mendalam tentang pengalaman proses adaptasi pasien gagal ginjal kronis yang mengalami disfungsi seksual. Desain penelitian menggunakan deskriptif fenomenologi dengan wawancara mendalam. Dua belas partisipan diperoleh dengan teknik purposive sampling. Hasil penelitian ini teridentifikasi enam tema yaitu 1) proses adaptasi terhadap disfungsi seksual yang dialami partisipan, 2) disfungsi seksual yang dialami, 3) makna pentingnya pemenuhan kebutuhan seksualitas, 4) perilaku dalam menghadapi disfungsi seksual, 5) persepsi tentang penyebab disfungsi seksual, dan 6) harapan partisipan terhadap pelayanan kesehatan terkait fungsi seksualitas. Proses adaptasi yang dialami partisipan merupakan pengalaman yang sangat bermakna karena melibatkan dirinya sendiri dan hubungan interpersonal dengan pasangannya. Penelitian sejenis dengan sampel lebih heterogen diperlukan untuk memperkaya keilmuan. Kata Kunci: disfungsi seksual, gagal ginjal kronis, pengalaman proses adaptasi pasien
Pengetahuan dan Sikap Perawat berpengaruh terhadap Tindakan Triase di Instalasi Gawat Darurat Sahrudi Sahrudi; Akhyarul Anam
Ners Jurnal Keperawatan Vol 17, No 1 (2021)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.17.1.14-20.2021

Abstract

Triase merupakan tindakan penting yang ada di Instalasi Gawat Darurat (IGD). Perawat triase merupakan orang pertama yang ditemui oleh pasien ketika datang  di IGD. Pengetahuan perawat tentang triase merupakan kunci dalam pengambilan keputusan dalam hal triase. Pengambilan keputusan yang efektif dapat memengaruhi keberhasilan tindakan yang dilakukan kepada pasien. Penelitian ini bertujuan untuk mengetahui pengetahuan dan sikap perawat terhadap tindakan triase di IGD Rumah Sakit Umum Daerah Koja. Metode penelitian menggunakan studi cross-sectional deskriptif kuantitatif dilakukan di IGD RSUD Koja. Instrumen penelitian berupa kuesioner terstruktur yang dikembangkan oleh peneliti dan didasarkan pada literatur yang ada tentang triase di IGD. Teknik pengambilan sampel pada penelitian ini adalah total sampling dengan jumlah sampel 60 responden.  Hasil penelitian menunjukkan adanya hubungan signifikan tingkat pengetahuan perawat IGD terhadap tindakan triase dengan P-value = 0,030 dan nilai OR = 0,99. Terdapat hubungan signifikan antara sikap perawat IGD terhadap tindakan triase dengan P-value = 0,002 dan nilai OR = 9,8. Penelitian ini merekomendasikan kepada perawat agar senantiasa mengikuti pelatihan yang berhubungan dengan tindakan kegawatdaruratan sehingga tercapainya optimalisasi pelayanan di IGD sebagai garda terdepan suatu Rumah Sakit.
Development of Diabetes Education on Online-based Application: Telemondia Atyanti Isworo; Yogi Ramadhani; Akhyarul Anam; Wahyu Ekowati; Ariesta Salwa Azalia
Proceedings Series on Health & Medical Sciences Vol. 2 (2021): Proceedings of the 2nd International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (906.093 KB) | DOI: 10.30595/pshms.v2i.225

Abstract

During the Covid 19 pandemic, a safe, efficient and effective educational method for diabetes patients is needed. Currently, an online-based education has developed, but this education is one-way, so the monitoring process is not getting enough attention. For this reason, it is necessary to develop online-based education in two directions so that there is interaction between patients, families and health workers. The purpose of this study is to develop a two-way online application-based education. The research method is research and development design. In the first phase, an online-based education development will be carried out with stages of design activities, validation and application acceptance testing. The results showed that an online application-based educational prototype named Telemondia had been composed and was validated by two diabetes education experts and two IT (Information Technology) experts. The following results from expert validation show the average aspect of ease of use of application is 90%; content clarity is 96.87%; aesthetic is 84.75%; instructional quality is 87.5; and feedback quality is 85.42% , with an average overall aspects of 87.87%. This shows that Telemondia is very feasible to use. Furthermore, in the acceptance test for 25 diabetic patients, the results of this acceptance test show ease of use of application is 92%; content clarity is 93%; aesthetic is 84%; instructional quality is 87; and feedback quality is 86%. The average overall aspect is 88.11%, which means that Telemondia can be accepted by patients. Further development will be made to add features that allow recording audio and video.
Penggunaan Instagram Berhubungan dengan Insomnia pada Mahasiswa di Jurusan Keperawatan Universitas Jenderal Soedirman Usfatun Chasanah; Wahyu Ekowati; Akhyarul Anam
Journal of Bionursing Vol 3 No 3 (2021): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.521 KB) | DOI: 10.20884/1.bion.2021.3.3.116

Abstract

Latar belakang: Mahasiswa menggunakan instagram dengan intensitas penggunaan yang bervariasi. Instagram merupakan media berbasis online yang memungkinkan penggunanya untuk membuat profil, mengunggah kegiatan sehari-hari, serta mengundang atau menerima pertemanan untuk bergabung dalam situs tersebut. Penggunaan instagram yang berlebihan diduga dapat menyebabkan perubahan kegiatan keseharian mahasiswa termasuk istirahatnya. Metodologi: Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Pengambilan sampel menggunakan teknik total sampling. Besar sampel adalah 225 responden yang memenuhi kriteria inklusi yaitu mahasiswa keperawatan angkatan 2017-2019 yang masih aktif, memiliki akun instagram, dan bersedia menjadi responden. Instrumen penelitian menggunakan kuesioner yang dibuat sendiri oleh peneliti dan telah dilakukan uji validitas dan reliabilitas. Korelasi kedua variabel diuji dengan uji Chi Square. Hasil penelitian: Karakteristik responden rata-rata berusia 20 tahun, sebagian besar perempuan, memiliki akun instagram lebih dari 1 tahun (92,9%), frekuensi mengakses perhari lebih dari 6 kali (35,1%), waktu mengakses pada malam hari (55,1%), durasi mengakses instagram kurang dari 1 jam (49,8%), dan durasi tidur sehari semalam lebih dari 5 jam (69,3%), responden mengaku mengalami insomnia (91,6%), dan gambaran penggunaan instagram kategori intens (81,8%). Hasil uji korelasi Chi Square menunjukkan p value 0,000 (p<0,05). Kesimpulan: Ada hubungan antara penggunaan instagram dengan insomnia pada mahasiswa di Jurusan Keperawatan Universitas Jenderal Soedirman. Kata kunci: instagram, insomnia, mahasiswa
Gambaran Perilaku Patuh Protokol Kesehatan Mahasiswa Anggota Unit Kegiatan Mahasiswa (UKM) Universitas Jenderal Soedirman Pascavaksinasi Covid-19 Nur Oktafiani; Annas Sumeru; Akhyarul Anam
Journal of Bionursing Vol 4 No 2 (2022): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.528 KB) | DOI: 10.20884/1.bion.2022.4.2.146

Abstract

Background: The transmission of Covid-19 continues to this day, all strategic and policy efforts are carried out by the government to prevent the spread of Covid-19. One of the important strategies currently being carried out by the government is to carry out mass vaccination against Covid-19. A person who has been vaccinated against Covid-19 still has a risk of being able to infect and be infected with Covid- 19 if they do not apply health protocols properly. This research has been done a lot, but research on student members of UKM has never been done. Therefore, researchers are interested in conducting research on the description of the behavior of complying with the health protocols of students who are members of the Jenderal Soedirman University student activity unit after the Covid-19 vaccination. Method: This quantitative descriptive study used a cross-sectional design. A total sample of 314 UKM member students was taken using a simple random sampling method and data collection for this study used a questionnaire via a Google form. The results of the analysis are presented in the form of frequency distribution tables and percentages. Results: The behavior of obeying the health protocols of students who are members of the Jenderal Soedirman University student activity unit after the Covid-19 vaccination is included in the level of compliance with a sufficient percentage of 50.6%. The behavior of complying with the health protocol after the Covid-19 vaccination is based on the characteristics of respondents who have a good level of behavior, namely at the age of 21 years (33.1%), female (79.7%), from the 2020 class (34.5%), coming from FIKES (23%), members of UKM KSR PMI (14.2%), and has been vaccinated against Covid-19 dose 2 (97.3%). Conclusion: Most of the student members of the UKM members of Jenderal Soedirman University have sufficient behavior to comply with the post-Covid-19 health protocol.
Gambaran Perilaku Makan pada Penonton Food Vlog (Video Blog) yang Mengalami Berat Badan Berlebih Annas Sumeru; Akhyarul Anam; Rizak Tiara Yusan; Ayu Annisa Damayanti
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.103 KB) | DOI: 10.31539/jks.v6i1.4630

Abstract

This study aims to obtain information about eating patterns in food vlog viewers who are overweight. This research method is to use quantitative research methods. The results of the study were obtained from 46 participants who were overweight and were analyzed using univariate analysis. Most of them are in the adult age group, aged 26-45 years, amounting to 58.7%. The sex between female and male participants was almost the same, with the proportion of female participants being more, namely 54.3%. Most of the participants had worked. Namely, 78.3% and the majority of those who filled out the questionnaire came from the Javanese tribe of 76.1%. In short, obesity is a health problem that every individual must realize because it can cause other health problems, such as hypertension and diabetes mellitus. Viewers of food vlogs need to get balanced information about proper nutrition, diet, and activity to support optimal health status, especially the body mass index that suits each individual. Keywords: Food Vlog, Social Media, Obesity, Overweight, Youtube
Spiritual Emotional Freedom Technique (SEFT) untuk Menurunkan Tingkat Kecemasan pada Pasien Hipertensi Akhyarul Anam; Arif Setyo Upoyo; Atyanti Isworo; Agis Taufik; Yunita Sari
Jurnal of Community Health Development Vol 2 No 1 (2021): Journal Of Community Health Development terbitan bulan Januari 2021
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (530.823 KB)

Abstract

Abstract Hypertension is a state of increased blood pressure of more than 140/90 mmHg. Hypertension can be caused by individual anxiety and stress factors, and the state of hypertension can trigger anxiety in patients. Efforts that can be made to prevent and overcome anxiety in hypertension can be achieved with independent treatments or interventions such as Spiritual Emotional Freedom Tehnique (SEFT) spiritual therapy that is effective in maintaining blood pressure stability in the normal range. The purposed of this study was to determine of effectiveness health cadres and hypertension sufferers will increase their knowledge and skills on how to reduce anxiety through SEFT therapy. This program was carried out through health education through information transfer, discussion, demonstration, and ongoing assistance to cadres. Participants in this activity were 36 elderly Posyandu health cadres in Mersi Sub-District, Purwokerto Timur District. Knowledge scores were measured before and after education. The mean value of the pre test was known to be 52.78 while the mean value of the post test was 83.33. The results of paired t test analysis revealed that the value of p = 0,000 showed that there were significant differences between the scores of health cadres' knowledge scores on the understanding of SEFT therapy to reduce anxiety in patients with hypertension between before and after education. SEFT complementary therapy training can effectively improve the knowledge and skills of health cadres and hypertension sufferers in reducing anxiety.
Spiritual Emotional Freedom Technique (SEFT) untuk Menurunkan Tingkat Kecemasan pada Pasien Hipertensi Akhyarul Anam; Arif Setyo Upoyo; Atyanti Isworo; Agis Taufik; Yunita Sari
Jurnal of Community Health Development Vol 1 No 01 (2020): Journal Of Community Health Development terbitan bulan Juli 2020
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.223 KB)

Abstract

Latar Belakang : Hipertensi merupakan suatu keadaan terjadinya peningkatan tekanan darah lebih dari 140/ 90 mmHg. Hipertensi dapat disebabkan oleh faktor kecemasan dan stress individu, dan keadaan hipertensi dapat memicu terjadinya kecemasan pada penderita. Upaya yang dapat dilakukan untuk mencegah dan mengatasi kecemasan pada hipertensi dapat dicapai dengan pengobatan maupun intervensi mandiri seperti terapi spiritual Spiritual Emotional Freedom Tehnique (SEFT) yang efektif. SEFT telah banyak dibuktikan dalam menurunkan tingkat kecemasan, sehingga dapat diharapkan mampu menurunkan kecemasan pada pasien hipertensi dan menjaga kestabilan tekanan darah dalam rentang normal. Tujuan: Diharapkan para kader kesehatan dan penderita hipertensi mengalami peningkatan pengetahuan dan keterampilan tentang cara menurunkan kecemasan melalui terapi SEFT. Metode: Program ini dilakukan melalui pendidikan kesehatan melalui transfer informasi, diskusi, demonstrasi, dan pendampingan secara berkelanjutan kepada para kader. Partisipan kegiatan ini adalah adalah 36 orang kader kesehatan posyandu lansia di Kelurahan Mersi Kecamatan Purwokerto Timur. Hasil: Skor pengetahuan di ukur sebelum dan sesudah pemberian edukasi. Nilai rata- rata pre test diketahui 52,78 sedangkan nilai rata- rata post test 83.33. Hasil uji analisis paired t test diketahui nilai p=0,000 yang menunjukkan ada perbedaan yang bermakna antara nilai skor pengetahuan kader kesehatan terhadap pemahaman tentang terapi SEFT untuk menurunkan kecemasan pada penderita hipertensi antara sebelum dan sesudah dilakukan edukasi. Kesimpulan: Pelatihan terapi komplementer SEFT efektif dapat meningkatkan pengetahuan dan keterampilan kader kesehatan serta para penderita hipertensi dalam menurunkan kecemasan.
Deteksi Dini dan Pencegahan Kerusakan Ginjal Melalui Pemeriksaan Tekanan Darah dan Glukosa Darah Secara Rutin Pada Kader Kesehatan Purwokerto Annas Sumeru; Yunita Sari; Akhyarul Anam
Jurnal of Community Health Development Vol 2 No 2 (2021): Journal Of Community Health Development terbitan bulan Juli 2021
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (733.224 KB) | DOI: 10.20884/1.jchd.2021.2.2.3370

Abstract

Kidney disease is a disease that is feared by many people because the kidneys fail to function to remove metabolic waste. There are 15 health cadres in Sokanegara sub-district, some of which are new cadres who are being trained to replace the old cadres. Through this science and technology application program, it is hoped that health cadres will gain knowledge and skills about early detection and efforts to prevent kidney failure. This science and technology application program is carried out through needs-based health education through extension methods, discussions, and demonstrations on preventing kidney damage. Extension activities increase the knowledge of health posyandu cadres, the knowledge score is measured before and after the provision of education, the average pre-test score for the knowledge of health cadres obtained is 63.3, while the average post-test score for the knowledge of health cadres is 82. The results of the paired t test analysis showed that the value (p = 0.00). The results of the analysis indicate that there is a significant relationship or difference between the scores of knowledge scores of health cadres in Sokanegara sub-district, East Purwokerto sub-district on the understanding of early detection and prevention of kidney failure before and after education. The PKM program for implementing science and technology has been running smoothly and has produced services in the form of providing counseling by experts in the health sector on early detection and prevention of kidney failure, modules, and published texts.