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All Journal LINK Jurnal Keperawatan Silampari CARING (Center of Publication in Midwifery and Nursing) : Jurnal Publikasi Penelitian Kebidanan dan Keperawatan Journal of Applied Health Management and Technology Jurnal Studi Keperawatan Journal of Midwifery Science: Basic and Applied Research
Joni Siswanto
Poltekkes Kemenkes Semarang
Health Professions Medicine & Pharmacology Nursing Public Health Other

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OXYGEN THERAPY SUPPLY TO HAEMODYNAMIC STATUS IN PATIENT WITH ACUTE MYOCARDIAL INFARCTION Novita Kurnia Wulandari; Joni Siswanto; Sri Widiyati
Journal of Applied Health Management and Technology Vol 2, No 1 (2020): January 2020
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (26.702 KB) | DOI: 10.31983/jahmt.v2i1.5505

Abstract

Haemodynamic status which influences to serious condition of AMI. Observing the blood pressure, mean artery pressure, and heart rate are the main parameter of haemodynamic. One of the intervention to AMI patient aim to prevent the expansion of heart attack, also decrease pre-load and after-load with oxygen therapy supply. This study aimed to know the influence oxygen therapy supply to haemodynamic status in patient with AMI in Emergency Instalation of RSUD Dr. Moewardi Surakarta. This study was a Pre Experimental Research with One Group Pre-post Test Design conducted one group of AMI patients who observed in haemodynamic status (blood pressure, mean artery pressure, and heart rate) before and after oxygen therapy supply. Research showed that 30 respondent with systolic (t = 6,662, p value0,05 is 0,000), dyastolic (Z = -3,763, p value0,05 is 0,000), mean artery pressure (t = 5,879, p value0,05 is 0,000), and heart rate (Z = -2,976, p value0,05 is 0,003). The conclusion showed p value0,05 so it means that oxygen therapy supply affects haemodynamic status in patient with Acute Myocardial Infarction.  
PELATIHAN INSTRUKTUR KLINIK : METODE PERSEPTOR DALAM PEMBELAJARAN KLINIK DI LINGKUNGAN DINAS KESEHATAN KOTA SEMARANG Kurniati Puji Lestari; Joni Siswanto; Iis Sriningsih; Sri Eny Setyowati
Jurnal LINK Vol 15, No 1 (2019): MEI 2019
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.38 KB) | DOI: 10.31983/link.v15i1.3923

Abstract

Pembelajaran klinik merupakan kebutuhan primer dalam proses pendidikan tahap profesi ners agar lulusan mampu memberikan layanan kesehatan yang berkualitas. Pembelajaran klinik yang baik harus didukung oleh instruktur klinik yang mampu menjadi role model. Instruktur klinik berwenang dan bertanggung jawab untuk mengatur proses pembelajaran klinik di wahana praktik. Oleh sebab itu dibutuhkan pelatihan untuk meningkatkan pemahaman dan kesiapan instruktur klinik dalam melaksanakan peran dan tanggung jawabnya. Kegiatan ini bertujuan untuk memberikan kejelasan akan peran fungsi dan tanggung jawab instruktur klinis dalam membimbing peserta didik di tatanan klinik. Pemberian materi melalui pendidikan Pembelajaran Klinik, diskusi interaktif dan simulasi pembelajaran klinik. Strategi pembelajaran yang digunakan yaitu ceramah, metode demonstrasi untuk memberikan keterampilan tentang preceptorship dan proses evaluasi, simulasi, metode diskusi, dan pendampingan bimbingan klinik. Berdasarkan hasil evaluasi didapatkan sebagian besar peserta menyatakan tema pelatihan bagus (63,4%), ketepatan waktu cukup (49,6%), suasana bagus (60,1%), kelengkapan materi bagus (70,6%), pelayanan atau sikap penyelenggaraan bagus (61,6%), media atau alat bantu bagus (57,2%). Rerata nilai pembicara sebesar 84,85 (rentang nilai 25-100) termasuk dalam kategori baik. Rerata nilai pre-test sebesar 30,45 dan nilai post-test sebesar 45,5 (rentang nilai 0-100) dengan rerata peningkatan nilai antara pre dan post-test sebesar 10,9. Kegiatan ini dapat meningkatkan pemahaman pembimbing klinik tentang metode perseptorship dan dapat diadopsi untuk dilaksanakan di wahana praktik lain. Ketepatan waktu pelatihan perlu diperhatikan. Evaluasi kegiatan tidak hanya menilai pengetahuan instruktur klinik tetapi juga menilai sikap atau kesiapan dalam pelaksanaan metode preceptorship.
Terapi Murottal dengan Akupresur terhadap Tingkat Kecemasan dan Kadar Gula Darah pada Pasien dengan Penyakit Jantung Koroner Farid Hajiri; Sri Endang Pujiastuti; Joni Siswanto
Jurnal Keperawatan Silampari Vol 2 No 2 (2019): 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 (626.646 KB) | DOI: 10.31539/jks.v2i2.507

Abstract

The purpose of this study was to determine the effect of murottal and acupressure combination therapy on anxiety levels and blood sugar levels in patients with coronary heart disease, as well as describing the level of anxiety and pre and post blood sugar levels in the administration of combination therapy and non-combination therapy, and analyze the effect and differences in therapy combination and non-combination of anxiety and blood sugar levels. This study was a paired comparative analytic study using an experimental design with a control group pretest posttest design. Significant results in the Anova repeated measurement test on anxiety levels obtained p value <0.05 which means there is a significant influence of murottal and acupressure on anxiety levels, on blood sugar levels p values> 0.05 which means there is no significant effect of murottal and acupressure on blood sugar level. Conclusion, combination therapy between murottal with acupressure for 2x15 minutes a day is more effective in reducing anxiety of coronary heart patients in measurement 1 and measurement 2. Murottal therapy with acupressure and murottal therapy has no effect on blood sugar in measurement 1 and measurement 2. Keywords: Acupressure, Blood Sugar Levels, Anxiety, Al-Qur'an Murottal, Coronary Heart Disease
Basic Services at Primary Health Care based on Satisfaction Levels Epi Saptaningrum; Joni Siswanto; Ajeng Titah Normawati
Jurnal Studi Keperawatan Vol 2, No 1 (2021): March 2021
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.374 KB) | DOI: 10.31983/j-sikep.v2i1.6802

Abstract

Research background : Primary Health Care one of the public health services has the main task of providing community health development and basic health services, through increasing public access to health services with a priority for promotive and preventive efforts combined in a balanced manner with curative and rehabilitative efforts. (MOH, 2003). One of the indicators of the success of individual health services at primary health care is patient satisfaction. Satisfaction according to Kotler (in Supranto, 2001) is defined as a post-consumption assessment, that a selected product can meet or exceed consumer expectations, thereby affecting the decision-making process for repurchasing the same product.Research purposes: To determine the level of patient satisfaction with basic health services in Primary Health Care throughout Blora Regency which is seen from the dimensions: responsiveness (responsiveness), reliability (reliability), assurance (assurance), empathy (empathy) and tangible (direct evidence).Research Methods: Design This study was a cross-sectional descriptive survey, conducted in 10 primary health care included in the Blora Regency area. The research subjects were inpatients and outpatients. Samples were taken as many as 300 respondents. The sampling technique in this study was cluster and random sampling in the selection of health centers and the selection of respondents using accidental sampling. Data were collected using a questionnaire consisting of 42 question items. To analyze data using a frequency distribution using a computerResearch Discusion : shows the tendency of patients to be satisfied and very satisfied with the services provided by the health center. Although few are dissatisfied. However, from one puskesmas to another varies in the level of satisfaction.Conclusion: Patients are more satisfied and very satisfied than those who are less satisfied with the services of health workers at the primary health care
Pengaruh Range of Motion (ROM) Aktif Terhadap Fleksibilitas Sendi Lutut Pada Lanjut Usia Tavip Indrayana; Warijan Warijan; Joni Siswanto
Jurnal Studi Keperawatan Vol 1, No 1 (2020): March 2020
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (896.06 KB) | DOI: 10.31983/j-sikep.v1i1.5646

Abstract

ABSTRACTBackground : Joint flexibility decreases in old age due to a degenerative process resulting in changes in joints, connective tissue and cartilage in the elderly. Decreasing flexibility is also due to reduced elasticity of muscle fibers, where connective tissue in muscle fibers increases (Mariyam, 2008).Objective : The aim of this study was to analyze the effect of active exercise (ROM) on the lower extremities on increasing the flexibility of the knee joint in the elderlyMethods : This study using a quasi-experimental approach with One group pre-test and post-test design. The sampling technique uses the Slovin method of 42 people, obtained a sample of 25 elderly. Exercise is done twice a day for 8 days. Measurements were made on day 1, day 4 and day 8 of the study using a Goniometer measuring instrument..Result : The results of measurement I average of the right knee joint 117.52o, measurement II = 122.24, measurement III = 126, 36o. From the analysis with Paired simple t-Test between the measurements I and II, it was found that the different test measurements I and II t count value was equal to -1.908 with 0.068. Because sig 0.05, it can be concluded that Ho is accepted, meaning that the average angle of ROM before and after training is the same (not different). In the different test measurements II and III the value of t count is equal to -2.152 with sig 0.042.Conclusion : Because sig 0.05, it can be concluded that Ho is rejected, meaning that there is a difference in ROM angle after training between days 4 to 8 with the first day to day 4. Thus it can be stated that active ROM exercises affect the angle of ROM of the knee joint elderly after exercise ROM between day 4 to day 8. Keywords: active ROM exercise, flexibility of knee joint, elderly.
Kepatuhan Masyarakat Melakukan Cuci Tangan dalam Pencegahan Covid-19 Joni Siswanto; Epi Saptaningrum; Ajeng Titah Normawati
Journal Center of Research Publication in Midwifery and Nursing Vol 6 No 2 (2022): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v6i2.251

Abstract

Latar Belakang: Pandemi COVID-19 (Corona Virus) menjadi permasalahan global paling serius dalam satu abad terakhir dan saat ini masih menjadi wabah yang belum mereda di hampir seluruh dunia. Cuci tangan merupakan salah satu tindakan yang mudah dan murah untuk mencegah penyebaran penyakit termasuk COVID-19.Tujuan Penelitian: Penelitian ini bertujuan untuk mendeskripsikan tigkat kepatuhan masyarakat dalam melakukan cuci tangan dengan benar untuk mencegah COVID-19. Metedologi: Penelitian ini merupakan studi deskriptif yang melibatkan 30 orang sebagai responden. Kepatuhan responden dalam melakukan cuci tangan dikaji melalui wawancara dan pengisian kuisioner berdasarkan SOP cuci tangan 6 langkah yang direkomendasikan oleh WHO. Hasil: Hasil akhir menggambarkan bahwa dari 30 masyarakat yang terdiri dari remaja, dewasa dan lansia terdapat 70% masyarakat yang kurang patuh melakukan cuci tangan dalam mencegah penyebaran COVID-19. Kesimpulan: Kepatuhan masyarakat melakukan cuci tangan dengan benar dalam studi ini masih dalam kategori sedang. Kondisi tersebut memberikan implikasi berupa peluang peningkatan risiko penyebaran COVID-19 dan perlu adanya intervensi peningkatan kesadaran masyarakat untuk mematuhi melakukan cuci tangan dengan benar.
Effectiveness of Akper Student Assistance to Mothers whose Children are Stunting Tutik Setyowati; Yuni Astuti; Joni Siswanto
Journal of Midwifery Science: Basic and Applied Research Vol 4, No 1 (2022): Juli 2022
Publisher : Prodi DIII Kebidanan Blora Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.48 KB) | DOI: 10.31983/jomisbar.v4i1.8972

Abstract

Cases Stunting in children can be a predictor the low quality of a country's human resources. The state of stunting causes poor cognitive abilities, low productivity, and increased risk of disease resulting in long-term losses for the Indonesian economy. Nutrition problems, especially stunting in infants, can inhibit a child's development, with negative impacts that will last in the next life such as intellectual decline, susceptibility to non-communicable diseases, decreased productivity to cause poverty and the risk of giving birth to babies with low birth weight. Knowing the effectiveness of the assistance of Akper students to mothers who have children Stunting to Height / Length of Child Body. This research is a quasi-experimental quantitative research with a Pre and Post Test with Control Group Control Test design, where mothers who have stunting children are assisted by acper students by providing health education 6 properly taking medicine, immunization, breastfeeding Exclusive, MP-ASI, Nursing Mothers Nutrition and Benefits of Zynk and Fe. After mentoring, a re-evaluation of body length / height was then compared with the control group. Analysis of different tests using the Mann Whitney Test.The results of the statistical analysis of the treatment group accompanied by the student akper to the addition of the stunting length / height of the child obtained p = 0,000 (P0.05), the control group p = 0,000 (P0.05). Although equally significant changes occur in body length / height, if examined based on nutritional status (TB / Age) the control group only changes its status from very short to short. Adds because it is still involved in a period of growth and development but is not maximal compared to the assistance was carried out. This means that the child who is a control group is still in a stunting condition. However, the treatment group, from very short status to normal status, is free from stunting status. While Mann Whytney's different test in the treatment group and the control group results p = 0,000 (P0.05), meaning that the Akper student assistance for mothers whose children are stunting effectively increases the length / height of the child compared to the control group. The assistance of Akper students to mothers who have stunting children effectively increases the length / height of the child.
Pengelolaan Anak Dengue Haemoragic Fever dengan Fokus Studi Defisit Volume Cairan Joni Siswanto; erni nuryanti; Siti Kistimbar; Dhelya Novita; Yuni Astuti
Jurnal Studi Keperawatan Vol 4, No 1 (2023): MARCH 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i1.9544

Abstract

Latar belakang : Dengue Haemoragic Fever (DHF) adalah infeksi yang disebabkan oleh virus dengue. Virus ini ditularkan dari orang ke orang melalui gigitan nyamuk Aedes Aegepty.Bahaya DHF jika tidak tertangani dengan baik dapat terjadi kerusakan otak, kerusakan hati, kejang dan syok. DHF tidak hanya menimbulkan gejala biasa namun disertai juga dengan gejala seperti hipotensi, kesulitan bernapas, denyut nadi melemah, berkeringat dingin dan pupil mata melebar. Kondisi ini tidak bisa sembuh hanya dengan dibiarkan. Pasalnya DHF bisa menyebabkan kegagalan fungsi organ, sehingga mungkin bisa berujung pada kematian.Tujuan : Mampu melaksanakan asuhan keperawatan pada pasien DHF dengan Defisit Volume CairanMetoda : Metode yang digunakan dalam memberikan asuhan keperawatan menggunakan metode deskriptif dengan pendekatan studi kasus dan menggunakan proses pendekatan keperawatan.
Effectivenes Of Puzzle Play Therapy To Reduce Anxiety, Case Study In Pre-School Age Children Who Undergo Chemotherapy At Rsup Dr. Kariadi Semarang Sutarmi Sutarmi; Siti Musyarofah; Warijan Warijan; Tavip Indrayana; Joni Siswanto
Jurnal Studi Keperawatan Vol 4, No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10323

Abstract

ABSTRACTBackground: Children with cancer will undergo various treatments and the most common is chemotherapy. Chemotherapy and repeated hospitalization make children uncooperative with health workers and anxious. One of the cooperative and collaborative efforts that can be done to overcome children's anxiety is by playing puzzle therapy. Purpose: Knowing the effect of the application of puzzle play therapy on reducing anxiety in preschool children (3-6 years) undergoing chemotherapy during hospitalization. Methods: Case study design based on inclusion and exclusion criteria. The number of respondents was 3 clients. Observation using the instrument of measuring the level of anxiety Preschool Anxiety Scale Revised (PASR). The intervention was carried out for 10-15 minutes 1 hour before chemotherapy. Discussion: There were 3 respondents aged 3-6 years, most of them were women who did not receive chemotherapy for the first time. 2 out of 3 clients experienced severe anxiety and 1 client experienced moderate anxiety, the child seemed to cry, was silent, avoided eye contact, looked tense. After the puzzle play therapy intervention, 2 clients experienced moderate anxiety and 1 client experienced mild anxiety, the three clients seemed calm, didn’t cry, tensed less. Recommendation: In this case study the application of puzzle play therapy can reduce the anxiety level of preschool children undergoing chemotherapy with hospitalization. It is hoped that by carrying out this case study, it can add insight, references, and innovations in non-pharmacological actions for preschool children who are undergoing chemotherapy with anxiety.Keywords: anxiety level; pre-school; chemotherapy; hospitalization; puzzle play therapy.
Co-Authors Ajeng Titah Normawati Dhelya Novita Epi Saptaningrum Epi Saptaningrum Erni Nuryanti Farid Hajiri Iis Sriningsih Kurniati Puji Lestari Novita Kurnia Wulandari Siti Kistimbar Siti Musyarofah Sri Endang Pujiastuti Sri Eny Setyowati Sri Widiyati Sutarmi Sutarmi Tavip Indrayana Tavip Indrayana Tutik Setyowati Warijan Warijan Warijan Warijan YUNI ASTUTI Yuni Astuti