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Penurunan Kejadian Luka Tekan Grade I (Non Blanchable Erythema) Pada Klien Stroke Melalui Posisi Miring 30 Derajat Dame Elysabeth Tuty Arna Uly Tarihoran; Ratna Sitorus; Lestari Sukmarini
Jurnal Keperawatan Indonesia Vol 13, No 3 (2010): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i3.250

Abstract

AbstrakMorbiditas dan mortalitas akibat dari luka tekan semakin hari semakin meningkat. Kurangnya aplikasi strategi pencegahan luka tekan berdasarkan rekomendasi terkini. Penelitian ini bertujuan mengidentifikasi pengaruh pengaturan posisi miring 30 derajat mencegah kejadian luka tekan grade I (Non Blanchable Erythema) pada klien stroke dengan imobilisasi. Metode yang digunakan quasi experiment purposive sampling, dengan 33 responden (16 kontrol dan 17 intervensi) kelompok intervensi dan control mendapatkan perawatan sesuai institusi. Kelompok intervensi diberikan aplikasi posisi miring 30 derajat dengan menggunakan penyanggah bantal segitiga. Kejadian luka tekan dievaluasi setelah 3x 24 jam. Hasil penelitian menyatakan perbandingan kejadian luka tekan sangat signifikan (p= 0,039, α= 0,05), R= 9,600, kelompok kontrol berpeluang terjadi luka tekan hampir 10 kali dibanding kelompok intervensi. Pengaturan posisi miring 30 derajat sebaiknya dijadikan sebagai strategi pencegahan luka tekan. AbstractMorbidity and mortality from pressure ulcer are increasing in number. The application of injury prevention strategies based on the recommendations. The aim of this research to identify the effect of 30 degree lateral positioning on the incidence of grade I (Non Blanchable Erythema) pressure ulcer. The method used quasi-experimental with control group study, purposive sampling technique involving 33 patients, divided into 2 groups, (control n=16, intervention n=17). Both groups received the standard of care in the hospital. The intervention group was given 30 degree lateral position by using a triangular pillow. The incidence of grade I pressure ulcer were evaluated within 3x24 hours. The result show that the incidence of pressure ulcer was statistically significant between the group (p= 0,03, α= 0,05) OR=9.600, where the control group have an almost 10 times the risk to development of grade I pressure ulcer. 30 degree lateral position should be used as a pressure ulcer prevention strategies.
PENURUNAN NYERI DENGAN KOMPRES DINGIN DI LEHER BELAKANG (TENGKUK) PADA PASIEN POST HEMOROIDEKTOMI TERPASANG TAMPON Rohmani Rohmani; Debi Dahlia; Lestari Sukmarini
JURNAL KEPERAWATAN TROPIS PAPUA Vol. 1 No. 1 (2018)
Publisher : Poltekkes Kemenkes Jayapura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/jktp.v1i1.14

Abstract

Pasien post hemoroidektomi yang terpasang tampon mengalami nyeri akibat adanya spasme internal yang disebabkan oleh regangan dan tekanan syaraf perifer dikanalis analis. Penelitian ini bertujuan mengetahui pengaruh kompres dingin di leher belakang (tengkuk) terhadap penurunan nyeri pada pasien post hemoroidektomi yang terpasang tampon. Penelitian ini menggunakan quasi experiment pre test post test design with control group dengan jumlah responden yang didapat dengan teknik concecutive sampling. Pengukuran skala nyeri menggunakan visual analog scale (VAS) dengan skor nyeri maksimal 8. Hasil uji Friedman menunjukkan adanya perbedaan rerata penurunan nyeri yang diberikan kompres dingin ditengkuk dengan p-value 0,0001. Tindakan kompres dingin lebih efektif dibandingkan dengan terapi standar dalam menurunkan skala nyeri pasien post hemoroidektomi yang terpasang tampon. Penelitian ini bertujuan untuk mengukur penurunan nyeri dengan kompres dingin di leher belakang pada pasien post hemoroidektomi terpasang tampon.
THE RELATION BETWEEN PATIENTS' PERCEPTION OF CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) AND SELF-EFFICACY IN PATIENTS WITH CAPD Yohanes Gamayana; Yulia Yulia; Lestari Sukmarini
JURNAL KEPERAWATAN CIKINI Vol. 2 No. 1 (2021): Jurnal Keperawatan Cikini
Publisher : JURNAL KEPERAWATAN CIKINI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.184 KB) | DOI: 10.55644/jkc.v2i1.53

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Background: CAPD is one of a few therapy that can be used to replace the kidney function. A good patient perception of CAPD can increase the self-efficacy of patients undergoing CAPD. The majority of CAPD patients are HD patients who have a perceived experience of both physical and psychological discomfort. The research objective was to determine the relation between perceptions of CAPD measures and self-efficacy in patients undergoing CAPD. Methods: This study used a cross-sectional approach. The number of samples of 75 respondents was selected by consecutive sampling technique. Results: The logistic regression test results show that there is a relation between perceptions of CAPD measures and self-efficacy in patients undergoing CAPD with the confounding variable that affected by social support. Conclusions: Nurses need to improve their abilities when assessing patient perceptions and increasing the role of social support, so that the information obtained becomes the basis for increasing self-efficacy in patients undergoing CAPD.
Persepsi Perawat dan Keluarga Pasien Tentang Pengetahuan yang Diperlukan untuk Merawat ODHA di Rumah Sakit dan di Rumah Agung Waluyo; Lestari Sukmarini; Rosakawati Rosakawati
Jurnal Keperawatan Indonesia Vol 10, No 1 (2006): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v10i1.168

Abstract

AbstrakTujuan penelitian fenomenologi ini adalah mengidentifikasi persepsi perawat dan keluarga pasien HIV/AIDS tentang pengetahuan yang diperlukan perawat dan keluarga yang merawat untuk merawat pasien HIV/AIDS di rumah sakit dan di rumah. Sejumlah 5 perawat & 5 keluarga pasien berpartisipasi dalam penelitian ini. Dari hasil analisis didapatkan 6 hal yang harus diketahui perawat. Persepsi perawat tentang pengetahuan dan keterampilan yang harus dimiliki perawat saat merawat pasien HIV/AIDS adalah: (1) pengetahuan dan keterampilan tentang konseling, (2) ARV & efek sampingnya, (3) Universal Precaution, (4) symptom management, (5) dukungan mental, dan (6) penanganan jika terpapar HIV. Sedangkan dari keluarga ada 4 hal yang harus diketahui oleh keluarga saat mereka merawat pasien di rumah, yaitu: (1) pengetahuan tentang HIV/AIDS & cara penularannya, (2) pengetahuan tentang tanda & gejala HIV/AIDS, (3) pengetahuan dan keterampilan tentang pencegahan penularan (Universal Precaution) dan (4) symptom management. Rekomendasi penelitian ini adalah perlu ada penelitian lanjut pada jumlah responden yang lebih luas. Hasil penelitian ini dapat digunakan untuk meningkatkan efektifitas asuhan keperawatan pada pasien HIV/AIDS dan juga kualitas hidup pasien saat mereka di rumah. AbstractThe purpose of this phenomenology study was to identify the nurse’s and relative’s perception on knowledge and skill needed by the nurses & relatives in caring patient in the hospital and in their house. Ten respondents (5 nurses and 5 relatives of the patients) participated the study. The findings identified knowledge & skill needed by nurses are: (1) knowledge & skill on counseling, (2) Anti Retro Viral therapy & its side effect, (3) universal precaution, (4) symptom management, (5) mental support, and (6) treatment standard on occupational exposure to HIV. The findings from the relative’s are: (1) knowledge on HIV/AIDS and how it spreads (2) knowledge on signs & symptoms of HIV/AIDS, (3) knowledge & skill on universal precaution and (4) symptom management. Some recommendations of the study were proposed that this study should be continued to have some other respondents. The result of these studies could be beneficial to improve the nursing care to the HIV/AIDS patient and their quality of life during AIDS stage, and it could be beneficial to the improvement the effectively of the nursing care of patient with HIV/AIDS.
Kualitas Hidup Pasien Gagal Ginjal yang Menjalani Hemodialisis Dengan Metode Single-use dan Reuse di RSPAD Gatot Subroto dan RS PGI Cikini Jakarta Moh. Fuad Almubarok; Lestari Sukmarini
Ners Jurnal Keperawatan Vol 12, No 2 (2016)
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (408.518 KB) | DOI: 10.25077/njk.12.2.100-115.2016

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Abstract Haemodialysis may impact on various aspects of patients, including: their daily activities, social roles and psychological aspects. The application of re-use and single-use methods of haemodialysis could be resulting in different quality of life of haemodialysis patients. This study aimed to explore quality of life of kidney failure patients undergoing haemodialysis with single-use and re-use methods. This descriptive study used cross sectional approach, recruited 70 kidney failure patients undergoing haemodialysis by consecutive sampling technique. Data collecting used KDQOL-SF 36 questionnaires and medical record, analysis used univariat and  bivariate: T-test and chi-square test to determine the relating factors of quality of life. The result revealed that there were 45,7% respondents with single-use method had good quality of life and 34,30% respondents with re-use method had good quality of life. The related factors of quality of life were adequacy (P: 0,001), Hb (P: 0,003), albumin (P: 0,001), blood pressure (P: 0,002), and periode of haemodialysis (P: 0,030). The quality of life among those patients (single-use and re-use method) mostly were poor. It is necessary to evaluate quality of life on these patients regularly and consistently, thus initiate to develop nursing management to increase their quality of life. Keywords   :  Kidney Failure Patients, Single-use and Re-use Haemodialysis Methods, Quality of Life Abstrak Hemodialisis (HD) dengan metoda single-use dan re-use berdampak terhadap aktivitas harian, peran sosial dan aspek psikologis. Pemakaian metoda ini dapat menghasilkan kualitas hidup yang berbeda pada pasien gagal ginjal. Penelitian ini bertujuan untuk mengetahui kualitas hidup pasien gagal ginjal yang menjalani hemodialisis dengan metoda single-use dan re-use. Penelitian ini menggunakan desain deskriptif cross sectional dan melibatkan 70 pasien gagal ginjal yang dipilih dengan teknik consecutive sampling. Pengumpulan data dilakukan dengan kuesioner KDQOL-SF 36 dan catatan rekam medik. Analisa data menggunakan univariat dan bivariat: T-test dan Chisquare untuk melihat hubungan beberapa faktor dengan kualitas hidup. Terdapat 45,70% responden dengan metoda single-use yang memiliki kualitas hidup yang baik dan 34,30% responden dengan metoda re-use yang memiliki kualitas hidup yang baik. Faktor yang berhubungan dengan kualitas hidup adalah: adekuasi (P value 0,001), Hb (P value 0,003), albumin (P value 0,001), tekanan darah (P value 0,002) dan lama menjalani hemodialisis (P value 0,030). Responden yang berkualitas hidup baik masih rendah jumlahnya, maka perlu melakukan evaluasi penilaian kualitas hidup secara reguler dan konsisten untuk selanjutnya menjadi tolok ukur mengupayakan manajemen keperawatan dalam meningkatkan kualitas hidup pasien. Kata kunci : Pasien Gagal Ginjal, Metoda HD single-use dan re-use, Kualitas Hidup
Mekanisme Kerja Tim Keperawatan di Ruang Model Praktek Keperawatan Profesional (MPKP) IRNA B Lt.IV Kanan RSUPN-Cipto Mangunkusumo Lestari Sukmarini
Jurnal Keperawatan Indonesia Vol 2, No 6 (1999): May
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v2i6.92

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Tulisan ini bertujuan memberikan suatu informasi tentang “Praktek Keperawatan Profesional” yang dilaksanakan di ruang model IRNA B Lt. IV kanan RSUPN Cipto Mangunkusumo atas kerjasama FIK-UI dengan RSUPN Cipto Mangunkusumo. Model Praktek Keperawatan Profesional (PKP) ini sebagai upaya mewujudkan pelayanan keperawatan yang bermutu dan professional.Pada penerapan model PKP ini berfokus pada pemberian asuhan keperawatan yang komprehensif dengan didukung dinamika kerja antar anggota tim dan kolaborasi yang lebih jelas dan terpadu.Adapun mekanisme kerja pada model PKP ini memiliki tiga spek utama, yaitu: ketenagaan yang memadai dan professional, metoda pemberian asuhan keperawatan : tim primer dan aspek sistem dokumentasi. Professional Nursing Practice model has been being utilized either in developed countries or in developing countries. In Indonesia, specifically in Jakarta it has been being employed for almost 3 years. The purpose of this article is todesiminate information on Professional Nursing Practice in Irna B, IV floor RSUPN Cipto Mangunkusumo. This professional practice model is based on a cooperation between FIK-UI and RSUPN Cipto Mangunkusumo to improne the delivery of nursing service the focus is on comprehensive ness of the nursing care which is supported by group dynamic and integrated collaboration. There are 3 main aspects of working mechanism in this model namely: adequate nursing personnel, method of nursing assignment, and documentation system.
Analisis Faktor yang Memengaruhi Self Management Behaviour pada Pasien Hipertensi Lia Mulyati; Krisna Yetti; Lestari Sukmarini
Jurnal Keperawatan Padjadjaran Vol. 1 No. 2 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (679.419 KB) | DOI: 10.24198/jkp.v1i2.59

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Hipertensi merupakan penyakit kronik yang penanganannya diperlukan kemampuan untuk mengelola perilaku diri sendiri (self management behaviour) dalam kehidupan sehari-hari seperti; pengaturan diet, olah raga, minum obat serta kemampuan mengelola stres. Self management behaviour (SMB) merupakan landasan untuk dapat mengontrol hipertensi dan mencegah terjadinya komplikasi hipertensi. Tujuan dari penelitian ini adalah mengidentifikasi faktor-faktor yang memengaruhi SMB dan menganalisis faktor yang paling dominan memengaruhi SMB pada pasien hipertensi di Rumah Sakit Umum Daerah 45 Kuningan. Penelitian ini menggunakan metode penelitian deskriptif analitik studi cross sectional, dengan menggunakan uji chi squaredan regresi logistik. Hasil penelitian didapatkan ada hubungan antara keyakinan terhadap efektivitas terapi (p=0.005; OR=3,48), self-efficacy(p=0.003; OR=3,67), dukungan sosial (p=0.015; OR=2,87) dan komunikasi antar petugas pelayanan kesehatan dengan pasien (p=0.002; OR=3,27) dengan SMB. Komunikasi antar petugas kesehatan dengan pasien merupakan faktor paling dominan memengaruhi kesuksesan SMB sehingga kemampuan komunikasi sangat diperlukan dalam implementasi asuhan keperawatan.Kata kunci:Hipertensi, kontrol hipertensi, self management behaviour AbstractHypertension is a chronic disease which requires to be controlled with self-management behaviour, such as diet, exercise, medication and stress management. Self-management behaviour (SMB) is the basis for controlling hypertension and preventing complications of hypertension. The purpose of this study was to determine several factors affecting the SMB and to identify the most dominant factor associated with the SMB in patient hypertension in General Hospital 45 Kuningan, West Java. The data were analyzed using chi square and logistic regression tests. The results showed that there were significant relationships between belief in the effectiveness of therapy (p=0.005;OR= 3.48), self-efficacy (p=0.003; OR=3.67), social support (p=0.015; OR=2.87), and communication between health professional and patient (p=0.008; OR=3.27) and the SMB. Communication between health care workers and patients was identified to be the dominant factor affecting the SMB. Therefore, the ability to communicate effectively is a requirement in the nursing care of patients with hypertension. Key words: Hypertension, control hypertension, self management behaviour
Efikasi Diri, Kepatuhan, dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 (Self Efficacy, Adherence, and Quality of Life of Patients with Type 2 Diabetes) Handono Fatkhur Rahman; Yulia Yulia; Lestari Sukmarini
Pustaka Kesehatan Vol 5 No 1 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Self-efficacy and adherence are important factor in improving the quality of life of patients with type 2 diabetes. This study aimed to determine the relationship between self-efficacy and adherence to the quality of life of patients with type 2 diabetes mellitus. This study was a cross-sectional, with sample of 125 patients with type 2 diabetes mellitus. The Diabetes Management Self-Efficacy (DMSES), the Diabetes Activities Questionare (TDAQ), and the Diabetes Quality of Life (DQOL) were employed as instruments. The results showed that self-efficacy (0.0005), and adherence (0.0005) were significantly associated with quality of life and the most dominant variable is adherence. Multivariate test results indicate that the variable self-efficacy, adherence, depression, and education level determines quality of life of diabetic patients. This study suggestion the need for nursing assessment and interventions that focus on the self-efficacy and adherence diabetes mellitus patient. Keywords: self efficacy, adherence, quality of life, diabetes type 2