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Peran Pendamping Minum Obat (PMO) dalam Keteraturan Konsumsi Obat Klien TBC Wartonah Wartonah; Eska Riyanti; Nelly Yardes
Jurnal Keperawatan Vol 4 No 1 (2019): Vol.4 No.1 2019
Publisher : Poltekkes Kemenkes Jakarta III

Tuberculosis is a contagious pulmonary infection and the biggest cause of death after cardiovascular disease and diabetes mellitus. The non-compliance of patients with pulmonary TB in taking medication causes the patient's recovery rate to be low, high mortality rates and recurrence increases and has an impact on bacterial resistance to some anti-tuberculosis drugs and is very difficult to cure. This study aims to determine the factors most associated with adherence to taking anti-pulmonary TB drugs in the Cipayung District Health Center East Jakarta area. The research method used is Cross sectional. The sample used was 60 respondents who matched the inclusion criteria. Data collection was done using questionnaires and data analysis using Chi-Square test. Data analysis showed that there was a significantly relationship between role of PMO with OR 2,6 (p value = 0,000) with adherenceto taking anti-pulmonary TB drugs. The results showed that TB clients 2.6 times would regularly take TB medication if the PMO reminded them of taking medication

Dukungan Suami, Pengetahuan dan Sikap Pasien Dapat Mempertahankan Motivasi Menjalani Program Kemoterapi Ace Sudrajat; Dahlia Simajuntak; Nelly Yardes; Eska Riyanti; Dewi Lusiani; Sri Hendra; Sayani Sayani
Jurnal Keperawatan Vol 5 No 2 (2020): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v5i2.449

Chemotherapy drugs are proven to be effective in killing cancer cells, but chemotherapy drugs can also cause side effects such as hair loss. These side effects make patients less motivated to undergo chemotherapy programs. The drop-out rate for chemotherapy program patients at the RSCM Polyclinic is 5%. The research objective was to prove the relationship between the knowledge and attitude of the patient and the support of the husband and the patient's motivation to undergo the chemotherapy program. The research method used was cross sectional. Respondents were patients undergoing chemotherapy programs at the RSCM polyclinic. The sampling strategy used was patients who had undergone breast surgery and were actively undergoing chemotherapy. Respondents amounted to 30 people. The results of the bivariate test showed that there was a significant relationship between knowledge and motivation with a value of p = 0.032, attitudes with motivation p = 0.0001, support from husbands with motivation p = 0.0001. Meanwhile, the results of the multivariate test obtained a correlation model where two independent variables (knowledge and family support) had a very strong positive relationship with the patient's motivation to undergo chemotherapy at a significance level of 5% (p = 0.011; R-square model = 0.700). The conclusion is that the better the level of knowledge and attitude of the patient and the full support of the husband, the higher the motivation of the patient to undergo the chemotherapy program. Research recommendations for patients who have dropped out of chemotherapy.

Pengaruh Pendidikan Kesehatan Terhadap Kemampuan Klien Stroke Dalam Pencegahan Stroke Berulang Nelly Yardes; Eska Riyanti; Suratun Haryono; Ace Sudrajat
Jurnal Keperawatan Vol 7 No 1 (2022): Mei
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v7i1.922

Di Indonesia, strok adalah penyakit mematikan peringkat ketiga, kesadaran akan adanya faktor risiko masih rendah, terutama dikenalinya gejala, kurangnya optimalisasinya pelayanan dan rendahnya kepatuhan terhadap program terapi untuk pencegahan strok ulang yang rendah merupakan permasalahan yang muncul pada pelayanan strok di Indonesia. Angka kejadian strok ulang sebesar 29,52% secara umum, akan meningkat pada penderita usia 60-69 tahun (36,5%), dan pada kurun waktu 1-5 tahun (78,37%) dengan faktor resiko utama adalah hipertensi (92,7 %) dan dislipidemia (34,2%), (Siswanto,2010). Penelitian ini bertujuan mengetahui pengaruh pendidikan kesehatan terhadap kemampuan pencegahan risiko strok. Dengan desain penelitian ; kuasi-eksperimen pada group intervensi dan kontrol. Sampel yang digunakan sebanyak 28 orang penderita strok. Metode analisis yang dilakukan adalah uji Paired t test. Hasil analisis data diperoleh terdapat perbedaan bermakna skor pengetahuan dan perilaku dalam pencegahan risiko strok berulang pada kelompok intervensi dan kelompok setelah post intervensi penkes (nilai p= 0,000; p= 0.018), dan selisih rata-rata skor pengetahuan (nilai selisih = 1.178) dan selisih rata-rata skor perilaku dalam pencegahan risiko strok berulang (nilai selisih = 0.892). Kesimpulan : terdapat peningkatan pengetahuan dan perilaku klien strok dalam pencegahan strok berulang setelah dilakukan penkes selama 3 bulan.

Kepatuhan Penerapan Protokol Kesehatan Pencegahan Covid19 Dipengaruhi Pengetahuan, Sikap dan Kebijakan Pemerintah Ace Sudrajat; Dewi Lusiani; Eska Riyanti; Nelly Yardes; S. Hariyanto; Endang Banon
Jurnal Keperawatan Vol 7 No 1 (2022): Mei
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v7i1.924

Coronavirus merupakan virus RNA strain tunggal positif, berkapsul dan tidak bersegmen termasuk ordo Nidovirales. Desember 2019 muncul kasus pneumonia misterius di Wuhan, provinsi Hubei. Tanggal 11 Februari 2020, World Health Organization memberi nama penyakitnya sebagai Coronavirus disease 2019 (COVID-19). Kasus terinfeksi covid-19 dunia 512.000.000 dan meninggal 6.230.000 jiwa, kemudian di Indonesia kasus terinfeksi 6.040.000 dan meninggal 156.000 jiwa (Jayani, D.H., 28 April 2022). Tujuan penelitian adalah untuk mengetahui hubungan antara pengetahuan, sikap dan kebijkan new normal terhadap kepatuhan penerapan protokol kesehatan mencegah penularan Covid-19. Metode penelitian yang digunakan adalah analitik korelational. Sampel adalah mahasiswa Poltekkes Kemenkes Jakarta III sebanyak 330 mahasiswa. Strategi sampling Purposive sampling. Hasil uji bivariat diperoleh tidak ada hubungan antara pengetahuan covid-19 dengan kepatuhan penerapan protokol kesehatan pencegahan covid-19 nilai-p= 0.945, tidak ada hubungan kebijakan new normal dengan kepatuhan penerapan protokol kesehatan pencegahan covid-19 nilai-p= 0.273, terdapat hubungan yang signifikan antara sikap individu dengan kepatuhan penerapan protocol pencegahan covid-19 dengan nilai-p= 0.047. Hasil uji multivariate disimpulkan responden berpeluang patuh menerapkan protokol kesehatan 0.543 kali ditambah 2.244 kali bila berusia diatas 20 tahun ditambah 3.683 kali bila memiliki sikap yang baik dalam penerapan protokol kesehatan.

Terapi “Sehat Jasmani dan Rohani” Menurunkan Tingkat Kecemasan Lansia Eska Riyanti; Pudjiati Pudjiati; Nelly Yardes
Jurnal Keperawatan Vol 7 No 2 (2022): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v7i2.939

Masalah psikologis yang paling banyak diderita oleh para lanjut usia adalah kecemasan. Adapun penyebab yang umumnya ditemui diantaranya: (1) Kurangnya aktifitas sosial dengan teman atau relasi (2) Kehilangan pasangan (3) Kehilangan hubungan dengan anak-anak yang menikah (4) Menghadapi kematian. Paket “SAHAJA” atau “Sehat Hati dan Jiwa“ merupakan bentuk psikoterapi yang dikembangkan peneliti untuk menurunkan tingkat kecemasan pada lansia dengan menggabungkan beberapa bentuk psikoterapi yaitu relaksasi dan berdzikir. Penelitian ini bertujuan mengetahui pengaruh paket “SAHAJA” terhadap tingkat kecemasan lansia. Populasi dari penelitian adalah seluruh lansia dengan teknik sampling menggunakan simple random sampling, besar sampel 30 orang. Desain penelitian yang digunakan dekriptif analitik dengan pendekatan kuasi ekperimen. Uji analisis data yang digunakan adalah univariat, bivariat dengan paired t-test untuk pengaruh intervensi paket “SAHAJA” terhadap tingkat kecemasan lansia. Hasil penelitian diketahui adanya pengaruh pemberian terapi “SAHAJA” terhadap tingkat kecemasan lansia. Dengan melakukan terapi “SAHAJA” secara teratur dalam waktu dan jangka waktu yang lebih lama dapat memberikan pengaruh yang lebih efektif lagi dalam menurunkan tingkat kecemasan lansia.

Pengaruh Konsumsi Putih Telur pada Lansia dengan Hipertensi Pudjiati Pudjiati; Yeti Resnayati; Tjutju Rumijati; Nelly Yardes; Eska Riyanti
Jurnal Keperawatan Vol 8 No 1 (2023): Mei
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v8i1.1094

WHO (2016) states that one in three adults worldwide has high blood pressure and this increase occurs with age, from one in ten people in their 20s and 30s to five in ten people in their 50s. In Indonesia, based on the 2018 Riskesdas, the prevalence of hypertension was 45.9% at the age of 55-64 years, 57.6% at the age of 65 years, 74% and 63.8% at the age of 75 years. Research conducted by dr. Zhipeng Yu from Jilin University, China, mentioned that the content in egg whites called RVPSL can indeed nourish blood vessels and reduce the risk of hypertension. This study aims to determine the effect of giving egg whites on reducing blood pressure in the elderly with hypertension. The research design is quasi-experimental with one group pretest-posttest. The samples used were 40 elderly people with hypertension. The analytical method used is the Paired t test. The results of data analysis showed that there was a significant difference in the first measurement of Systole before and after the intervention (p value = 0.001) with a greater difference in average value (difference value = 11.257 mmHg). while in the first measurement of diastole, the results of the analysis showed that there was a significant difference before and after the intervention (p value = 0.001), the average difference after the intervention (difference value = 7.980 mmHg). Consumption of egg whites on a regular basis and increases the work of ACE in the vessels which allows obtaining blood pressure stability. The conclusion is that there is a significant decrease in blood pressure in the elderly with hypertension by 8 to 11 mmHg after giving 1 egg white for 5 weeks.

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