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Efektifitas Tindakan Oral Hygiene Antara Povidone Iodine 1% dan Air Rebusan Daun Sirih di Pekalongan Fajriyah, Nuniek Nizmah; Nurachmah, Elly; Gayatri, Dewi
Jurnal Ilmiah Kesehatan (JIK) Vol 4, No 1 (2012): Jurnal Ilmiah Kesehatan (JIK)
Publisher : STIKES Muhammadiyah Pekajangan Pekalongan

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Abstract

Caring for apathetic patients include oral cavity hygiene must be performed in order to prevent complication.The purpose of the study is to compare effectiveness of oral hygiene nursing care using povidone iodine 1% and using boiled water of piper betle on the number of bacteria in apathetic patients. This study was conducted in Rumah Sakit Islam Pekajangan Pekalongan. The design of this study was quasi experimental non equivalent control group with pre test and post test. Samples were selected through a systematic random sampling method. The number of eight respondents was divided into two interventions, the first intervention consisted of four respondents and the second intervention consisted of four respondents. Samples were taken through oral swab pre and post oral hygiene nursing care using povidone iodine 1% and using boiled water of piper betle. The analyses comprised of dependent and independent t- tests. The result of the study showed no significant difference berween age and the number of aerob bacteria and anaerob bacteria before oral hygiene nursing care using povidone iodine 1% and using boiled water of piper betle (p=0,232, p=0,397, α 0,05). There is no significant difference between sex and the number of aerob bacteria and anaerob bacteria before oral hygiene nursing care using povidone iodine 1% and using boiled water of piper betle (p=0,676, p=0,725, α 0,05). There is a significant difference between number of aerob bacteria and anaerob bacteria before and after oral hygiene nursing care using povidone iodine 1% and using boiled water of piper betle (p=0,002, p=0,001, α 0,05) and there is no significant difference between the number of aerob bacteria and anaerob bacteria after oral hygiene nursing care using povidone iodine 1% and using boiled water of piper betle (p=0,350, p=0.575 at α 0,05). This study concluded that povidone iodine 1% and boiled water of piper betle have the same effectiveness in reducing aerob and anaerob bacterias in the apathetic patients. Keyword : effectivity, oral hygiene, povidone iodine, piper betle Abstrak Perawatan rongga mulut pada klien penurunan kesadaran harus dilakukan untuk mencegah komplikasi, karena mikroorganisme yang berasal dari rongga mulut dapat menyebabkan infeksi atau penyakit di bagian tubuh yang lain. Tujuan penelitian adalah  mengetahui perbandingan efektifitas tindakan keperawatan oral hygiene antara povidone iodine 1% dan air rebusan daun sirih terhadap jumlah bakteri klien penurunan kesadaran. Penelitian ini dilakukan di Rumah Sakit Islam Pekajangan Pekalongan. Desain penelitian kuasi eksperimen non equivalent control group dengan pre dan post test. Sampel diambil dengan metode systematic  random sampling, pada delapan responden yang terbagi menjadi dua intervensi, intervensi pertama empat responden dan intervensi kedua empat responden, sampel diambil melalui swab mulut pre dan post tindakan keperawatan oral hygiene povidone iodine 1% dan air rebusan daun sirih, analisis menggunakan uji t dependent dan uji t independent. Hasil penelitian menunjukan bahwa tidak ada hubungan signifikan antara umur dan jumlah bakteri aerob dan anaerob sebelum tindakan keperawatan oral hygiene povidone iodine 1% dan air rebusan daun sirih (p=0,232, p=0,397, α 0,05). Tidak ada hubungan signifikan antara jenis kelamin dan jumlah bakteri aerob dan anaerob sebelum tindakan keperawatan oral hygiene povidone iodine 1% dan air rebusan daun sirih (p=0,676, p=0,725, α 0,05). Ada perbedaan yang signifikan antara jumlah bakteri aerob dan anaerob sebelum dan setelah tindakan keperawatan oral hygiene povidone iodine 1% dan air rebusan daun sirih (p=0,002 dan p=0,001, α 0,05) serta tidak ada perbedaan signifikan selisih rata-rata jumlah bakteri aerob dan anaerob sebelum dan setelah tindakan keperawatan oral hygiene povidone iodine 1% dan air rebusan daun sirih (p=0,350, p=0.575, α 0.05). Penelitian ini menyimpulkan antara povidone iodine 1% dengan air rebusan daun sirih, sama efektifnya untuk menurunkan bakteri aerob dan anaerob klien penurunan kesadaran. Kata kunci : efektivitas, oral hygiene, povidone iodine, sirih
SUITABILITY TEST OF WAGNER SCALE AND BATES-JENSEN IN EVALUATING THE HEALING GRADE OF DIABETIC ULCER PATIENTS Asbaningsih, Febrianti; Gayatri, Dewi
in process
Publisher : ETN Centre Indonesia

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Abstract

Background : Diabetic ulcer is one of the complications of diabetes mellitus which require appropriate wound evaluation instruments to determine the proper treatment in order to avoid more severe condition. The study objective was to identify the relationship between the Wagner scale wound assessment instruments and Bates- Jensen Wound Assessment Tool (BWAT) in patients with diabetic ulcers. Methods: The study design was descriptive cross sectional study. The samples of this study were 43 patients with diabetic ulcer. The instrument used was the Wagner scale to measure the severity of the diabetic ulcers patients wound and the BWAT used to measure the severity of the patients decubitus ulcer wounds. Results: The result of statistical tests showed that there was a strong correlation between the Wagner scale instrument and the BWAT in assessing diabetic ulcer wounds (r = 0.789, p = 0.0005). Conclusions: The results of the study showed that the BWAT can be used to evaluate diabetic ulcer wounds. Therefore it could be recommended to use BWAT for evaluating wound healing in patients with diabetic ulcer is clinical setting. Keywords: Bates-Jensen Wound Assessment Tool, diabetic ulcer, Wagner scale
Mengenal Analisis Ketahanan (Survival Analysis) Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 9, No 1 (2005): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v9i1.158

Abstract

AbstrakTulisan ini bertujuan untuk mengenalkan analisis ketahanan yang dikembangkan pertama kali oleh astronom Inggris, yaitu Edmund Halley. Analisis ini menjadi salah satu alat penting dalam statistik vital dan ilmu aktuarial serta ilmu lainnya. Tulisan ini memperkenalkan tentang istilah dan metode yang digunakan dalam analisis ketahanan beserta contoh aplikasinya dalam penelitian kesehatan. AbstractThis article aims to introduce survival analysis which has been developed by Edmund Halley- an English astronomer. Survival analysis plays a vital role in vital statistic, actuarial science and many other sciences. Furthermore, this article will discuss the terminology and method that are used in survival analysis with its’ applications in health research.
FAKTOR-FAKTOR YANG MEMPREDIKSI MANAJEMEN ENERGI PASIEN HEART FAILURE Asyrofi, Ahmad; Nurachmah, Elly; Gayatri, Dewi
Jurnal Keperawatan Vol 8 No 2 (2016): September
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (18.358 KB) | DOI: 10.32583/keperawatan.8.2.2016.45-53

Abstract

ABSTRAK Pendahuluan: Pasien heart failure (HF) sering mengalami intoleransi aktifitas dan keletihan yang membutuhkan intervensi manajemen energi untuk menghasilkan toleransi aktifitas, ketahanan, konservasi energi, dan self-care activity daily living. Metode: Penelitian bertujuan menganalisis faktor-faktor yang berhubungan dengan manajemen energi pasien heart failure. Desain cross sectional, sampel 132 responden, teknik consecutive sampling. Hasil: menunjukkan hubungan signifikan pengetahuan, ansietas, dan dukungan sosial dengan manajemen energi, dan ansietas menjadi faktor dominan. Implikasi: pengkajian keperawatan penting mengkaji faktor prediktor manajemen energi.Diskusi: Intervensi program edukasi pasien, penurunan ansietas, dan edukasi keluarga dapat meningkatkan pengetahuan, menurunkan ansietas, dan meningkatkan dukungan kepada pasien heart failure agar dapat meningkatkan manajemen energinya.   Kata kunci: Ansietas; depresi; dukungan sosial; heart failure; manajemen energi; pengetahuan   ABSTRACT Introduction:Patients with heart failure often experience activity intolerance and fatique which need energy management intervention in order to produce activity tolerance, endurance, energy conservation, and self-care activity daily living. Methods:This research aims at analyzing the facors dealing with energy management of the patients with heart failure. This research used cross-sectional design and  consecutive sampling technique with 132  respondents. Results:The finding of this research shows a significant knowlege correlation, between anxiety, and social support factors with energy management, and anxiety became the dominant factor. The implication is that it is important for nursing care assesment to analyse the predictor factors of energy management. Discussion:Patient education of intervention program, anxiety reduction, and family education can broaden knowlege, and increase the supports for patients with heart failure to increase their energy  management   Keywords: Anxiety; depression; social support; heart failure; energy management;knowledge.
Peningkatan Ekspresi Transforming Growth Factor Beta 1 (TGF β1) Pada Luka Diabetes Melitus Melalui Balutan Modern Heri Kristianto; Elly Nurachmah; Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.226

Abstract

AbstrakEkspresi transforming growth factor beta 1 pada luka diabetes melitus mengalami penurunan yang berdampak terhadap proses penyembuhan luka. Penelitian ini bertujuan untuk membandingkan perawatan luka modern dressing dengan metode konvensional terhadap ekspresi transforming growth factor beta 1 pada luka kaki diabetes melitus. Penelitian menggunakan quasi experimental pretest-posttest design dengan metode pengumpulan sampel secara consecutive sampling. Pengukuran ekspresi transforming growth factor beta 1 dilakukan pada hari ke-0 (pretest) dan ke-4 (posttest). Hasil penelitian didapatkan data pada kelompok modern terjadi peningkatan ekspresi transforming growth factor beta 1, sedangkan pada kelompok konvensional terjadi penurunan ekspresi transforming growth factor beta 1. Disimpulkan bahwa teknik perawatan luka secara modern mampu meningkatkan ekspresi transforming growth factor beta 1dibandingkan teknik konvensional pada luka kaki diabetes melitus. AbstractReduction of expression of transforming growth factor beta 1 in diabetic ulcers affects overall wound healing. This study tried to draw a comparison of transforming growth factor beta 1 level between modern dressing and conventional dressing in diabetic foot ulcer. This study applied a quasi-experimental pretest-posttest design and a consecutive sampling method of data collection. Immunohistochemical analysis of transforming growth factor beta 1 level was measured on the day 0 (pretest) and the day 4 (posttest). In this study, the modern dressing application improves transforming growth factor beta 1 level. Meanwhile, the conventional dressing application decreases transforming growth factor beta 1 level. Thus, it can be concluded that the modern dressing application can increase transforming growth factor beta 1 level.
Hubungan Motivasi dan Komitmen Organisasi dengan Kinerja Perawat dalam Pelaksanaan Dokumentasi Asuhan Keperawatan Nur Miladiyah; Mustikasari Mustikasari; Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 18, No 1 (2015): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i1.392

Abstract

Motivasi dan komitmen organisasi merupakan faktor yang meningkatkan dan membangun kinerja perawat secara konstruktif dalam menghasilkan kualitas asuhan keperawatan yang bermutu. Penelitian ini bertujuan untuk mengetahui hubungan motivasi dan komitmen organisasi dengan kinerja perawat dalam pelaksanaan dokumentasi asuhan keperawatan di sebuah Rumah Sakit di Bekasi. Jenis penelitian ini adalah deskriptif korelasi dengan rancangan cross sectional. Sampel penelitian ini adalah seratus enam perawat pelaksana dengan menggunakan kuesioner dan observasi dokumentasi asuhan keperawatan. Analisis dengan univariat, bivariat (chi square), dan multivariat (regresi logistik berganda). Hasil penelitian menunjukkan bahwa ada hubungan antara motivasi dan kinerja perawat dalam pelaksanaan dokumentasi asuhan keperawatan (p= 0,000; α= 0,05). Motivasi ekstrinsik memengaruhi kinerja perawat dua puluh enam kali lebih tinggi (OR= 26,708) setelah dikontrol oleh variabel umur, status kepegawaian, dan masa kerja. Perlu dilakukan audit dokumentasi sebagai bagian dari penilaian kinerja perawat. Abstract Motivation and Organizational Commitment Determine Nursing Quality and Performance in ones Hospital Bekasi. Motivation and organizational commitment is a factor that can increase positive attitudes towards work and build constructively nurses performance in producing quality nursing care quality. Study is to examine the relationship between motivation and commitment to the organization's performance in implementing nursing documentation of nursing care in hospitals Bekasi. This descriptivestudy with cross sectional correlation. Sample of 106 nurses using questionnaires and observation documentation of nursing care with univariate analysis, bivariate (chi-square) and multivariate (multiple logistic regression). The research results concluded there was relationship between motivation with nurses' performance in implementing nursing care documentation (p= 0.000; α = 0.05). Extrinsic motivation could affect the performance of nurses 26 times higher (OR= 26.708) after controlled by age, employment status, and years of service. Audit documentation needs to be done as part of the performance assessment nurse. Keywords: Documentation of nursing, motivation, organizational commitment, performance
SUITABILITY TEST OF WAGNER SCALE AND BATES-JENSEN IN EVALUATING THE HEALING GRADE OF DIABETIC ULCER PATIENTS Asbaningsih, Febrianti; Gayatri, Dewi
Jurnal Luka Indonesia Vol 2 No 2 Juni 2016
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v0i0.22

Abstract

Background : Diabetic ulcer is one of the complications of diabetes mellitus which require appropriate wound evaluation instruments to determine the proper treatment in order to avoid more severe condition. The study objective was to identify the relationship between the Wagner scale wound assessment instruments and Bates- Jensen Wound Assessment Tool (BWAT) in patients with diabetic ulcers. Methods: The study design was descriptive cross sectional study. The samples of this study were 43 patients with diabetic ulcer. The instrument used was the Wagner scale to measure the severity of the diabetic ulcers patient's wound and the BWAT used to measure the severity of the patient's decubitus ulcer wounds. Results: The result of statistical tests showed that there was a strong correlation between the Wagner scale instrument and the BWAT in assessing diabetic ulcer wounds (r = 0.789, p = 0.0005). Conclusions: The results of the study showed that the BWAT can be used to evaluate diabetic ulcer wounds. Therefore it could be recommended to use BWAT for evaluating wound healing in patients with diabetic ulcer is clinical setting. Keywords: Bates-Jensen Wound Assessment Tool, diabetic ulcer, Wagner scale
SUITABILITY TEST OF WAGNER SCALE AND BATES-JENSEN IN EVALUATING THE HEALING GRADE OF DIABETIC ULCER PATIENTS Asbaningsih, Febrianti; Gayatri, Dewi
Jurnal Luka Indonesia Vol 2 No 2 Juni 2016
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v0i0.22

Abstract

Background : Diabetic ulcer is one of the complications of diabetes mellitus which require appropriate wound evaluation instruments to determine the proper treatment in order to avoid more severe condition. The study objective was to identify the relationship between the Wagner scale wound assessment instruments and Bates- Jensen Wound Assessment Tool (BWAT) in patients with diabetic ulcers. Methods: The study design was descriptive cross sectional study. The samples of this study were 43 patients with diabetic ulcer. The instrument used was the Wagner scale to measure the severity of the diabetic ulcers patient's wound and the BWAT used to measure the severity of the patient's decubitus ulcer wounds. Results: The result of statistical tests showed that there was a strong correlation between the Wagner scale instrument and the BWAT in assessing diabetic ulcer wounds (r = 0.789, p = 0.0005). Conclusions: The results of the study showed that the BWAT can be used to evaluate diabetic ulcer wounds. Therefore it could be recommended to use BWAT for evaluating wound healing in patients with diabetic ulcer is clinical setting. Keywords: Bates-Jensen Wound Assessment Tool, diabetic ulcer, Wagner scale
Hubungan Jarak Pemasangan Terapi Intravena Dari Persendian Terhadap Waktu Terjadinya Flebitis Dewi Gayatri; Hanny Handiyani
Jurnal Keperawatan Indonesia Vol 11, No 1 (2007): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v11i1.178

Abstract

AbstrakPenelitian ini bertujuan untuk mengidentifikasi hubungan jarak pemasangan terapi intravena dari persendian dengan waktu terjadinya flebitis. Desain penelitian yang digunakan adalah penelitian kohort prospektif dengan lama pengamatan 72 jam. Sampel yang diambil berjumlah 120 responden. Teknik analisis yang digunakan dalam penelitian ini adalah survival analysis. Penelitian ini menyimpulkan bahwa semakin jauh jarak pemasangan terapi intravena dari persendian maka risiko untuk terjadi flebitis akan semakin meningkat. Hal ini dapat disebabkan karena kurangnya fiksasi dan dekatnya persambungan selang kanul dengan persendian lainnya. Faktor lain yang akan meningkatkan risiko terjadinya flebitis adalah cairan dengan osmolalitas tinggi dan pemakaian balutan konvensional. Hal utama yang direkomendasikan dari penelitian ini adalah pemasangan terapi intravena sebaiknya berjarak minimal 3-7 cm dari persendian serta diperlukan penelitian lanjutan di mana jumlah sampel dan desain yang lebih baik diterapkan. AbstractThis research aimed to identify the relationship between the distance vein puncture site from joint and survival rate of phlebitis. This research used cohort design with 72 hour observation. The size sample of this research was 120 respondents. Analysis methods which using in this research was survival analysis. The conclusions of this research are the distance vein puncture which far joint can increase phlebitis probability, osmolality and types of dressing can increase phlebitis probability too. The recommendations of this research are the inserting of infusion therapy is minimum 3-7 cm from joint and use the modern dressing. Besides that, the research have been recommending the next research which is using better design and bigger samples size.
Dukungan Psikologis Keluarga Berpengaruh Dominan terhadap Tipe Demensia pada Lansia Ros Endah Happy Patriyani; Junaiti Sahar; Dewi Gayatri; Raden Siti Maryam
Jurnal Ilmu dan Teknologi Kesehatan Vol 7 No 1 (2019): September 2019
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.985 KB) | DOI: 10.32668/jitek.v7i1.186

Abstract

This study purposes to know the difference of elder’s characteristics and family support to types of dementia for elderly. Study’s design was analytic correlation that applied cross sectional approach. Sampling technique was simple random sampling with multistage random sampling. There were 109 elderly with dementia in the age of 60 years old or more. Types of dementia was measured by Mini Mental State Examination. T test independent was used as statistical test. A multiple regression linier used to get elderly ‘s characteristics that influence dominantly types of dementia. There were the elder’s age (p=0,000) and the elder’s educational background (p=0,000). Based on the type of support, this study found significant differences on phsycological support (p=0,011), appraisal support (p=0,013), instrumental support (p=0,030). Type of family’s support that dominantly influence type of dementia was phsycological support. It can be cloncluded that phsycological support can increase elder’s spirit and motivation to have healthy life. This study recommended that to prevent dementia become worse needs nursing care that includes promotion and prevention such as early detection, health education about dementia, and family still consistently provides support to elderly.