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All Journal IJNP (Indonesian Journal of Nursing Practices) Manuju : Malahayati Nursing Journal JURNAL MUTIARA NERS Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Patria : Jurnal Pengabdian Kepada Masyarakat I Care : Jurnal Keperawatan STIKes Panti Rapih
Ni Luh Widani
Program Studi Ilmu Keperawatan Sekolah Tinggi Ilmu Kesehatan Sint Carolus Jakarta
Humanities Dentistry Education Health Professions Nursing Public Health Social Sciences Other

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HUBUNGAN RESPONSE TIME PERAWAT DENGAN TINGKAT KEBERHASILAN PENANGANAN PASIEN EMERGENCY DI IGD RS X Bintang Bisri Musthofa; Ni Luh Widani; Budi Sulistyowati
Jurnal Ilmiah Keperawatan Vol 4 No 1 (2021): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v4i1.1265

Abstract

Response time merupakan kecepatan dalam penanganan pasien, dihitung sejak pasien datang sampai dilakukan penanganan. Salah satu faktor yang mempengaruhi tingkat keberhasilan penanganan pasien adalah responsetime. Penelitianbertujuan untuk mengetahui hubungan responsetimeperawat dengan tingkat keberhasilan penanganan pasien emergencydi IGD RS X. Penelitian ini menggunakan metode kuantitatif, desain deskriptif korelatif. Pengumpulan data melalui observasi sejak pasien datang sampai dengan keputusan perawatan (going to), pada 13 Desember 2019-3 Januari 2020. Sampel sebanyak 321 Responden, diambil dengan purposive sampling. Hasil analisis univariat didapatkan mayoritas pasien usia dewasa 57,9%, jenis kelamin perempuan 54,5%, tingkat kegawatan pasien prioritas 2 94,7%, responsetime perawat sesuai 99,4%, tingkat keberhasilan penanganan pasien berhasil 99,4%. Hasil Analisis Kendall;s Tau b didapatkan secara statistik tidak ada hubungan bermakna antara responsetime perawat dengan tingkat keberhasilan penanganan pasien emergencydengan p-value 0,314 (>0,05). Kesimpulan : keberhasilan penanganan pasien tidak hanya dipengaruhi oleh reponsetime saja namun juga oleh beberapa faktor seperti kompleksitas penyakit pasien, penanganan pasien pre-hospital. Saran untuk peneliti selanjutnya dapat meneliti kompleksitas diagnosis medis pasien beserta responsetime-nya dan dihubungkan dengan tingkat keberhasilan penanganan pasien
Relationship Between Drug Consumption, Supervisors' Knowledge and Support, and Patients' Obedience to Take Tuberculosis Drugs Ni Luh Widani; Sondang Ratnauli Sianturi
IJNP (Indonesian Journal of Nursing Practices) Vol 4, No 1 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (716.86 KB) | DOI: 10.18196/ijnp.41107

Abstract

Background: Tuberculosis (TB) is a disease caused by Mycobacterium Tuberculosis generally attacking lungs, and the treatment is a minimum of six months. The recovery of TB clients requires adherence to medication treatment and Drug Consumption Supervisors (PMO). Objective: This study aims to analyze the relationship between drug consumption, supervisors' knowledge and support, and patients' obedience to take tuberculosis drugs.Method: This research employed a quasi-experiment with a total population sampling technique. The study was conducted in May-August 2019 in sector one, East Jambe, Karawang district (4 villages), and it employed 101 respondents of TB patients and 101 respondents of supervisors (family). Analysis in this study is used in the Spearman Rho Test.Result: The supervisor analysis reveals that 71.3% of the supervisors are 25-49 years old, 59.4% of them are female, 80.1% of them are unemployed, 70.3% of them have low education, and 52.5% of them are married couples. TB patient analysis reveals that 59.4% of the patients are 25-49 years old, 63.4% of them are male, and 59.4% of them have new TB The level of supervisors' knowledge is good at 78.2%, and their support is good at 63.4%, while the patients' adherence to taking drugs is good at 93.1%. The relationship analysis reveals there is no relationship between the supervisors' knowledge and patient's medication adherence (p-value 0.13); otherwise, there is a significant relationship between the supervisors' support and drug-taking adherence (p-value 0.04).Conclusion: The supervisors' knowledge does not affect adherence, but their support significantly influences the patients' obedience of taking TB drugs.
Penyuluhan Pentingnya Konsumsi Buah dan Sayur pada Remaja di Sos Desataruna Jakarta Ni Luh Widani
Patria : Jurnal Pengabdian Kepada Masyarakat Vol 1, No 1: Maret 2019
Publisher : Universitas Katolik Soegijapranata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/patria.v1i1.1779

Abstract

Vegetables and fruit are important nutrients that our body needs to fulfill fiber, vitamins, minerals and some enzymes that play an important role in the functioning of the digestive system, cardiovascular system and prevent diabetes mellitus. A survey found that the consumption level of fruits and vegetables in Indonesia was still low. One factor in the low consumption of fruits and vegetables is the development of fast food. Teenager is the group of age with the least consumption of fruits and vegetables. This counseling activity was carried out to find out and increase the knowledge of teenagers about the consumption of fruits and vegetables. This activity was held in SOS Taruna Village which began with the distribution of questionnaires to 35 teenagers who were present at the time of data collection. After the data was obtained, health counseling and distribution of fruits (oranges and bananas) were carried out. The survey results obtained were mostly good at 51.4% and lack of attitudes  (51.4%). Conclusion: teenagers' knowledge and attitudes about consumption of fruits and vegetables is still lacking. Suggestion: need health education and movement to make teenagers aware of the benefits and importance of eating fruits and vegetables and then evaluated in their daily diet.
Hubungan Sedentary Behavior dengan Tekanan Darah Pada Pegawai Bank di Bandung Sharon Nafthalia; Ni Luh Widani; Sada Rasmada
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 1 No 2 (2020): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v1i2.98

Abstract

Background: In this era of modernization, sedentary behavior (SB) has developed in society. Banker work for ± 8 hours every day. Objective: This research was conducted to determine the relationship of sedentary behavior with blood pressure of bankers in Bandung. Methods: This research is a quantitative study with a cross-sectional method, which was conducted in Febuary – April 2020. The sampling technique in this study was purposive sampling of 70 employees. The Global Physical Activity Questionnaire (GPAQ) is used as a SB measurement tool that has been tested for validity and reliability (r = 0,45 – 0.63). Result: The results of univariate analysis showed that 75.5% of employees behaved in SB. The results of the Wilcoxon test analysis of systolic and diastolic blood pressure showed a significant difference (sig = 0.000). Bivariate analysis with chi – square test (α <0.05) found statistically significant correlation between SB with morning systolic blood pressure (TDS) (p value = 0.005) and diastolic blood pressure (TDD) (p value = 0.003), daytime TDS (p value = 0.002) and afternoon TDD (p value = 0.003), afternoon TDS (p value = 0.005) and afternoon TDS (p value = 0.004). Conclusion: The conclusion of this study is that there is a relationship between sedentary behavior with the three blood pressure measurements. It is expected that employees can compensate by doing moderate or vigorous activity during free time.
Hubungan Dukungan Keluarga, Dukungan Perawat, Resiliensi Dengan Kecemasan Pasien Penyakit Ginjal Kronis Dengan Hemodialisis Akibat Pandemik Covid-19 Ni Luh Widani
Malahayati Nursing Journal Vol 4, No 5 (2022): Volume 4 Nomor 5 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.213 KB) | DOI: 10.33024/mnj.v4i5.6326

Abstract

ABSTRACT The risk of infection with COVID-19 is higher for someone with comorbidities. Kidney failure patients on hemodialysis (HD) have several comorbidities such as diabetes, kidney failure, heart disease, and lung disease. Patients are very vulnerable to experiencing anxiety and patients need family support, nurse support, and resilience in the face of the COVID-19 pandemic. Quantitative research with descriptive correlative design with a cross-sectional method. This study was conducted on 93 patients who routinely undergo HD therapy from September - to October 2020. Quantitative research with descriptive correlative design with the cross-sectional method. This study was conducted on 93 patients who routinely undergo HD therapy from September - October 2020. Univariate analysis is the majority of respondents aged 41-60 years (43%), male (54.8%), Higher education (54.8%), duration of HD 24-60 months (50 %),   good family support (65.6%), good nurse support (55.9%), moderate resilience 62.4% and 60.2% not anxious. The results of the Kendal tau-C test analysis showed that there was a statistically significant relationship between the level of resilience (p-value=0.025; p<0.05) and anxiety. There was no significant relationship between family support (p-value 0.290) and no relationship between care support (p-value 0.151); (p>0.05) with anxiety. The level of resilience of CKD patients with HD is related to patient anxiety in this Covid-19 pandemic. Keywords: Family Support, Health Worker Support, Hemodialysis, Resilience  ABSTRAK Risiko  infeksi COVID-19 lebih  berisiko pada seseorang   dengan  komorbid.  Pasien gagal ginjal dengan hemodialisis (HD) memiliki beberapa komorbiditas seperti diabetes, gagal ginjal, penyakit jantung, dan penyakit paru-paru. Pasien sangat rentan mengalami kecemasan dan pasien membutuhkan dukungan keluarga, dukungan perawat, dan resiliensi dalam menghadapi pandemic covid-19. Tujuan mengedentifikasi kecemasan pasien, menganalisis   hubungan antara dukungan keluarga,  dukungan perawat, resiliensi dengan kecemasan pasien penyakit ginjal kronis dengan hemodialisis dalam pandemic COVID-19. Jenis penelitian kuantitatif   desain  deskriptif korelatif, cross-sectional.  Responden  pasien  rutin menjalani terapi HD di RS X Jakarta Pusat sebanyak 93 orang   pada Bulan September – Oktober 2020 yang memenuhi kriteria. Analisa univariate  mayoritas responden dengan  dukungan keluarga baik (65,6%), dukungan perawat baik (55,9%), tingkat resiliensi sedang 62,4% dan tidak cemas 60,2%. Hasil analisis uji Kendal tau-C didapatkan  secara statistik  ada hubungan yang bermakna antara  tingkat resiliensi (p-value=0,025 ;p<0,05) dengan kecemasan. Tidak ada  hubungan bermakna dukungan keluarga (p-value 0,290) dan hubungan dukungan perawatan (p-value 0,151) ; (p>0,05) dengan kecemasan. Tingkat resiliensi pasien PGK dengan HD ada hubungan dengan kecemasan pasien dalam pandemic Covid-19 ini.   Kata Kunci: Dukungan Keluarga, Dukungan Petugas Kesehatan, Hemodialis, Resiliensi
Pengaruh Penggantian Kateter Intravena dan Set Infus Terhadap Terjadinya Phlebitis ni luh widani
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 3, No 1 (2018)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (400.059 KB) | DOI: 10.32419/jppni.v3i1.98

Abstract

ABSTRAKPemasangan infus adalah prosedur umum pada pasien di rumah sakit dimana komplikasi yang umum terjadi adalah phlebitis. Tujuan penelitian: menganalisis pengaruh penggantian kateter intravena (iv) dan set infus terhadap kejadian phlebitis. Metode: penelitian kuantitatif, desain Kohort, sampel sebanyak 247 diambil secara purposif, pasien dewasa yang terpasang infus perifer dirawat di RS Sint Carolus Jakarta pada Bulan November 2016.. Dilakukan pengamatan tusukan infus sejak pemasangan sampai pencabutan oleh peneliti dan dua orang asisten. Data dikumpulkan dengan melihat rekam medis untuk melihat karakteristik pasien dan lembar observasi dan VIP score (Visual infusion phlebitis score). Uji statistik yang digunakan adalah kendall-tau-C dan kendall-tau-B dengan tingkat kemaknaan p<0,05. Hasil: Kejadian phelebitis 5,3%. Analisis bivariate Kendal’s tau C menunjukkanada hubungan pemberian terapi iv bolus (p=0,03), lama pemasangan kateter iv (p=0,00) terhadap terjadinya phlebitis (p<0,05). Uji regresi logistik didapatkan variabel independen memberikan kontribusi kejadian phlebitis sebesar 24,5%. Uji probabilitas disimpulkan responden yang tidak diganti tusukan infus rutin dan set drip secara rutin berisiko phlebitis sebesar 100%. Diskusi: Hasil penelitian ini menyimpulkan pentingnya penggantian kateter intravena perifer dan penggantian set infus untuk pemberian terapi drip secara rutin untuk mencegah terjadinya phlebitis. Kesimpulan: penelitian lebih lanjut menganalisis faktor risiko phlebitis di luar faktor yang telah diteliti seperti faktor tetesan dan ketrampilan perawat dalam pemasangan infus.Kata kunci: Kateter Intravena, phlebitis, set infusEFFECT OF REPLACEMENT OF INTRAVENOUS CATHETER AND INFUSION SET ON PHLEBITIS ABSTRACTInfusion is a common procedure in patients in hospitals in which the most common complication is phlebitis. Objective: To analyze the effect of the replacement of intravenous catheter (iv) and infusion set on the incidence ofphlebitis. Methods: This research is quantitative with cohort design. 247 samples were takenpurposively, consisting of adult patients receiving peripheral infusions treated at Saint Carolus Hospital of Jakarta in November 2016. The researcher and two assistants observed infusion punctures from insertion until extraction. Data were collected by reading medical records to see patient characteristics and observation sheets and VIP (Visual infusion phlebitis) score. The statistical test used Kendall’ tau-C and Kendall’s tau-B with a significance level of p <0.05. Results: the incidence of phlebitis was 5.3%. The results of bivariate analysis using Kendal’s tau-C showed that there was a correlation between iv bolus therapy (p=0.03), iv catheter insertion time (p=0.00) to incidence of phlebitis (p<0.05). The logistic regression test found that the independent variables contributed to the incidence of phlebitis by 24.5%. the probability test concluded that respondents whose infusion puncture and set drip were not regularly replaced had a risk of phlebitis by 100%. Discussion: The results of this research concluded the importance of replacing peripheral intravenous catheter and replacing infusion sets for drip therapy regularly in order to prevent phlebitis. Conclusion: Further research is recommended to analyze the risk factors for phlebitis beyond the factors that have been investigated such as droplet factors and nurses’ skills in infusion insertion.Keywords: Intravenous catheter, phlebitis, infusion set
Efektivitas Edukasi Cairan dan Kulum Es Batu Pada Pasien Gagal Ginjal Kronik dengan Hemodialisis Terhadap Skala Haus dan Interdialytic Weight Gain di Rumah Sakit X Bogor Hormat Janner Manurung; Ni Luh Widani; Sutanto Priyo Hastono
Malahayati Nursing Journal Vol 5, No 10 (2023): Volume 5 Nomor 10 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i10.9370

Abstract

ABSTRACT Thirst and increased body weight between dialysis (IDWG) are the most common complaints of chronic kidney failure patients undergoing hemodialysis therapy. Possible complicationsnamely edema, shortness of breath, cardiopulmonary disorders. This research aims to determine the effectiveness of education on fluids and ice cubes in chronic kidney failure patients undergoing hemodialysis on the level of thirst and IDWG at Hospital X Bogor. Quasi-experimental research design pre and post test with the control group. Consecutive sampling consisted of 80 respondents, each group consisting of 40 respondents. Educational intervention on fluids and ice cubes 3 times a day for 2 weeks, in July-August 2022. Thirst level and IDWG measurements were carried out in the first week and fourth week. The results of univariate analysis of the majority of respondents on a moderate thirst scale (52.5%) and moderate level of IDWG (56%). The results of bivariate analysis with the marginal homogeneity test, t dependent test and independent t test There is a significant effect of thirst scale and IDWG before and after education on liquids and ice cubes with a p-value of 0.000; (p<0.05). The results of the Ancova test multivariate analysis of the variables age, sex and duration of hemodialysis did not affect the level of thirst and IDWG with a p-value > 0.05. There issignificant effect of fluid education and ice cube intervention simultaneously on the level of thirst and IDWG (p-values 0.000)after controlling for age, sex and duration of hemodialysis. This study recommends the need for education on fluids and ice cubes as an intervention in nursing care for chronic kidney failure undergoing hemodialysis therapy to avoid complications due to excess fluid. Keywords: Fluid Education, Ice Cube Cup, IDWG, Thirst Scale   ABSTRAK  Rasa haus dan peningkatan berat badan antar dialisis (IDWG) merupakan hal yang paling sering dikeluhkan pasien gagal ginjal kronik yang menjalani terapi hemodialisis. Komplikasi yang mungkin terjadi yaitu edema, sesak nafas, gangguan cardiopulmonary. Penelitian ini bertujuan mengetahui efektivitas edukasi cairan dan kulum es batu pasien gagal ginjal kronik yang menjalani hemodialisis terhadap tingkat haus dan IDWG di Rumah Sakit X Bogor. Desain penelitian Quasi Experimen pre dan post test dengan kelompok kontrol. Pengambilan sampel  consecutive sampling berjumlah 80 responden, masing-masing kelompok 40 responden. Intervensi edukasi cairan dan kulum es batu 3x sehari selama 2 minggu, pada Bulan Juli-Agustus 2022.   Pengukuran tingkat haus dan IDWG dilakukan pada minggu pertama dan minggu ke empat. Hasil analisis univariat mayoritas responden skala haus  sedang (52,5%) dan IDWG tingkat sedang (56 %). Hasil analisis bivariat dengan uji marginal homogeneity, uji t dependent dan uji t independent   Ada pengaruh signifikan skala haus dan IDWG sebelum dan sesudah edukasi cairan dan kulum es batu dengan  p- value 0,000 ; (p<0,05). Hasil analisis multivariate  uji Ancova variabel usia, jenis kelamin dan lama hemodialisis tidak mempengaruhi tingkat haus dan IDWG dengan p- value > 0,05.  Ada pengaruh yang signifikan edukasi cairan dan intervensi kulum es batu secara simultan terhadap tingkat haus dan IDWG (p- value 0,000) setelah dikontrol usia, jenis kelamin dan lama hemodialisis. Penelitian ini merekomendasikan perlunya   edukasi cairan dan kulum es batu sebagai salah satu intervensi dalam asuhan keperawatan gagal ginjal kronik yang menjalani terapi hemodialisis agar terhindar dari komplikasi akibat kelebihan cairan. Kata Kunci : Edukasi Cairan, IDWG, Kulum Es Batu, Skala Haus
Co-Authors Bintang Bisri Musthofa Budi Sulistyowati Hormat Janner Manurung Sada Rasmada Sharon Nafthalia Sondang Ratnauli Sianturi Sutanto Priyo Hastono