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Pengaruh Familiar Auditory Sensory Training Pada Tingkat Kesadaran Pasien Stroke Di RSD dr. Soebandi Jember Aripratiwi, Cirilia; Sutawardana, Jon Hafan; Hakam, Mulia
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 6, No 2 (2020): VOL 6, NO 2 (2020)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v6i2.26917

Abstract

ABSTRAKStroke dapat menyebabkan penurunan kesadaran. Pada kasus stroke dengan penurunan kesadaran dapat mengakibatkan pasien mengalami kematian, defisit neurologi, semakin lamanya waktu perawatan, dan akan meningkatkan biyaya perawatan. Kasus stroke dengan penurunan kesadaran banyak dijumpai di RSD dr. Soebandi Jember. Namun upaya perawat dalam meningkatkan kesadaran pasien berfokus pada terapi farmakologi sehingga memerlukan terapi non farmakologi seperti terapi Familiar Auditory Sensory Training (FAST) untuk membantu proses pemulihan kesadaran. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh FAST pada tingkat kesadaran pasien stroke. Penelitian didesain dengan quasi experimental menggunakan rancangan Non equivalent control group melibatkan 29 pasien stroke yang mengalami penurunan kesadaran. 29 pasien dibagi menjadi 15 kelompok intervensi yang diberi terapi FAST selama tiga hari. FAST diberikan 3 kali sehari. 14 pasien berikutnya dalam kelompok kontrol hanya dilakukan pemeriksaan GCS. Tingkat kesadaran pasien diukur menggunakan instrumen Glasgow Coma Scale (GCS) yang terdiri dari 3 komponen yakni respon mata, verbal, dan motorik. Data dianalisis dalam SPSS menggunakan uji Mann-Whitney dan uji Wilcoxon. Hasil analisis uji baik pada kelompok intervensi maupun kontrol diperoleh nilai p 0,010 (nilai p α). Hasil uji yang signifikan membuktikan bahwa ada pengaruh FAST dalam meningkatkan kesadaran pasien stroke. FAST dapat dijadikan terapi nonfarmakologi untuk membantu proses pemulihan kesadaran pada pasien stroke.ABSTRACTStroke can cause a decrease in consciousness. In the case of stroke with decreased consciousness can result in the patient experiencing death, neurological deficits, the longer treatment time, and will increase the cost of treatment. Cases of stroke with decreased consciousness are often found in RSD dr. Soebandi Jember. However, nurses' efforts in increasing patient awareness focus on pharmacological therapy so that it requires non-pharmacological therapy such as Familiar Auditory Sensory Training (FAST) therapy to help the process of recovering consciousness. The purpose of this study was to determine the effect of FAST on the level of awareness of stroke patients. This study involved 29 stroke patients who experienced a decrease in consciousness. 29 patients were divided into 15 intervention groups who were given FAST therapy for three days. FAST is given 3 times a day. The next 14 patients in the control group only performed GCS examination. The level of patient awareness was measured using the Glasgow Coma Scale (GCS) instrument consisting of 3 components namely eye, verbal, and motor response. Data were analyzed in SPSS using the Mann-Whitney test and Wilcoxon test. The results of the test analysis in the intervention and control groups obtained p-value 0.010 (p-value α). Significant test results prove that there is an influence of FAST in increasing stroke patient awareness. This study shows that nurses should be able to increase the application of nonpharmacological therapies such as FAST to help the process of recovering consciousness in stroke patients.
The Assessment of Muscle Strength in Fracture Patients with Manual Muscle Testing: Narrative Literature Review Hidayah, Nurul; Hakam, Mulia; Kushariyadi, Kushariyadi
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 7, No 1 (2021): Volume 7, Nomor 1 (2021)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v7i1.26804

Abstract

Introduction: Decreased muscle strength in fracture patients can be caused by postoperative immobilization, thus requiring early immobilization to accelerate the fracture healing process. The principle of early immobilization is the same as the assessment of muscle strength, namely flexion, extension, and rotation to determine muscle strength in fracture patients. Objectives: To determine the decrease in muscle strength with the Manual Muscle Testing (MMT) method in fractured and non-fractured patients. Methods: Narrative literature review was chosen in this research design. Literature search through seven databases with keywords using boolean operators and found 6533 articles. The selection process is based on several criteria: the publication year 2015-2020, full-text access, National (SINTA) / International (Scimagojr) indexed articles, in English or Indonesian, so that 11 articles were reviewed in this study. Results: MMT is a reliable measurement tool, does not require additional tools to assess muscle strength and is universal (can assess muscle strength in fractures and non-fractures). Discussion: MMT examination needs to be performed on fracture patients to determine muscle strength to accelerate the muscle recovery process.ABSTRAK Pendahuluan:  Penurunan kekuatan otot pada pasien fraktur disebabkan imobilisasi post operasi, sehingga memerlukan early immobilization untuk mempercepat proses penyembuhan fraktur. Prinsip early immobilization sama dengan penilaian kekuatan otot yaitu melakukan fleksi, ekstensi, dan rotasi guna mengetahui kekuatan otot pada pasien fraktur. Tujuan: Untuk mengetahui adanya penurunan kekuatan otot dengan metode Manual Muscle Testing (MMT) pada pasien fraktur dan non fraktur. Metode:Narrative literature review dipilih dalam desain penelitian ini. Pencarian literatur melalui tujuh database dengan kata kunci menggunakan boolean operator dan ditemukan 6533 artikel. Proses seleksi berdasarkan beberapa kriteria: tahun publikasi 2015-2020, akses full text, artikel terindeks Nasional (SINTA)/Internasional (Scimagojr), berbahasa Inggris atau bahasa Indonesia, sehingga didapatkan sebanyak 11 artikel yang direview pada penelitian ini. Hasil : MMT merupakan alat ukur yang reliable, tidak memerlukan alat tambahan untuk melakukan penilaian kekuatan otot, dan universal (dapat menilai kekuatan otot pada fraktur maupun  non fraktur). Diskusi : Pemeriksaan MMT perlu dilakukan pada pasien fraktur untuk mengetahui tingkat kekuatan otot sehingga  mempercepat proses recovery otot. 
HUBUNGAN MANAJEMEN ENERGI DENGAN KELELAHAN PADA PASIEN DIABETES MELITUS TIPE 2 Nisrina Na'ilah Rahmatika; Jon Hafan Sutawardana; Mulia Hakam
Jurnal Keperawatan Priority Vol. 5 No. 1 (2022)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v5i1.2103

Abstract

Metabolic disorders in blood sugar levels are caused by damage to insulin secretion so that it affects energy production. Fatigue is one of the complaints and symptoms of Diabetes Mellitus (DM) patients. This study aims to analyze the relationship between energy management and fatigue in patients with diabetes mellitus. This study used a correlational design with a cross sectional approach. Calculation of the sample in this study using the Slovin formula, which obtained 34 respondents with diabetes mellitus at the Kejayan Health Center, Pasuruan Regency using purposive sampling technique. Data collection in this study used an energy management questionnaire and Multidimensional Fatigue Invantory (MFI20). The results show that in energy management, energy management in patients with diabetes mellitus is obtained with a good category of 55,9%. On fatigue, the median result is 60.50 with a min-max value of 34-73. The correlation test showed that there was a relationship between energy management and fatigue (p = 0,033, r = -0,366, = 0,05). There is a negative correlation which shows that the higher the energy management, the lower the fatigue felt. Fatigue felt by diabetic patients does not go away easily so that energy management must be carried out properly. It is expected that diabetes mellitus patients maintain good energy management. It is a concern for nurses in improving energy management of diabetes mellitus patients to reduce the fatigue they feel.
Pengaruh Terapi Emotional Freedom Technique (EFT) terhadap Depresi pada Klien Hipertensi Mila Yuni Sahlia; wantiyah wantiyah; mulia hakam
Pustaka Kesehatan Vol 6 No 3 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i3.11687

Abstract

Hypertension is a disease that characterized by increased of systolic and diastolic bloodpressure that can cause problems in both physical and psychological problems. One ofpsychological problems is depression. EFT therapy is a relaxation technique that could beused to decrease depression in hypertension client. The purpose of this study was to analyzethe effect of EFT therapy on depression in hypertension client. This research usedquasi experimental method with control group pretest-posttest design. The sampling techniquewas consecutive sampling involving 20 respondents that divided into 10 respondentas intervention group who got EFT therapy and 10 respondents as control group who doneactivity daily. Data were analyzed by using Wilcoxon and Mann Whitney U Test with 95%CI (ɑ=0,05). The result showed that there was a difference of depression before given EFTin intervention group (p=0,003), while in control group there was no difference (p=1,000).There was significant difference of depression on client hypertension in both interventionand control group (p=0,001).The relaxation effect of EFT therapy stimulates the pituitarygland to release endorphin hormone to produce serotonin hormone and dopamine hormone.The conclusion is EFT therapy can reduce depression in hypertension clients, thereforeit can be applied as one of the non-pharmacological therapy in hypertension client. Keywords: EFT Therapy, Depression, Hypertension
Pengaruh Terapi Kompres Dingin Terhadap Nyeri Post Operasi ORIF (Open Reduction Internal Fixation) pada Pasien Fraktur di RSD Dr. H. Koesnadi Bondowoso (The Effect of Cold Compress Therapy toward Post Operative Pain in Patients ORIF Fracture in RSD Dr. H. Amanda Putri Anugerah; Retno Purwandari; Mulia Hakam
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Fracture is a break of continuity of bone, usually caused by trauma or physical exertion. Pain is themost common complaint in patients with fracture. One of the interventions that can reduce fracturepain is giving cold compress using a towel put in ice cubes mixed with water and put it on the skinthat do for 10 minutes. The purpose of this research was to analyze the effect of cold compresstherapy against post operative pain in patients ORIF fracture. This research method was preexperimental with one group pretest-posttest design. The sampling technique was quota samplinginvolving 10 respondents. The independent variable was cold compress therapy and dependentvariable was post operative pain. The data were analyzed using wilcoxon test with significant levelof α = 0,05. Mean of respondent pain score before intervention was 3,7 and score after interventionwas 2,9. The result showed a significant difference between pretest and posttest (p = 0,005). Thisresult indicates that there is significant effect of cold compress therapy on post operative pain inpatients ORIF fracture. Nurse was suggested to apply cold compress therapy as one ofinterventions to decrease post operative pain in patients ORIF fracture.Keywords: ORIF, cold compress, post operative pain
Faktor - Faktor yang Mempengaruhi Kesiapsiagaan Perawat dalam Menghadapi Bencana Banjir di Kecamatan Gumukmas Kabupaten Jember (Factors Influencing Nurse Preparedness in the Face of Flooding in Gumukmas District in Jember) Dewi Amaliyah Wahidah; Rondhianto Rondhianto; Mulia Hakam
Pustaka Kesehatan Vol 4 No 3 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Preparedness is activities which is being undertaken to anticipating disaster to well organize. Nursehas responsibility to manage disaster to minimize the impact of disaster. There are many factors(age, years in nursing, previous experience with disaster situation, worked in a post disaster shelter,self regulation and health care climate) influence nurse to take well preparedness. The objective ofthe research is to analyze the factors influence preparedness. The descriptive analitic with crosssectional approach. The sample of the research are 16 nurses. The data taken using questionnairefrom Emergency Preparedness Information Questionnaire that have been modiefied. The analyze ofdata using spearman rho test and logistic regression (with α = 0,05). The result of bivariat analyzethere are significant relations between age, years in nursing, previous experience with disastersituation, worked in a post disaster shelter, self regulation, health care climate with preparedness (p< α = 0,05). From multivariat analyze we know that years in nursing is variable dominan factor thatinfluence nurse preparedness (p = 0,020 < α = 0,05). The result indicated that years in nursing ofthe nurse preparedness to face disaster.Keywords : Preraredness nurse, manage disaster, flooding
Hubungan Gaya Pengasuhan dan Struktur Kekuatan Keluarga dengan Risiko Penyalahgunaan NAPZA: Alkohol pada Remaja di SMA Kecamatan Kalisat Kabupaten Jember (Relationship between Parenting Style, Family Power Structure and Risk of Drug Abuse: Alcohol in Adol Lina Nur Khumairoh; Latifa Aini Susumaningrum; Mulia Hakam
Pustaka Kesehatan Vol 6 No 1 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i1.6867

Abstract

Adolescence is one of population at risk of drug abuse. One kind of drug is alcohol. A family has avery important role in the risk of alcohol abuse in adolescents. A family simultaneously has structureand function which very important for adolescent development. This study aimed to analyze therelationship between parenting style, family power structure and risk of drug abuse: alcohol inadolescents in the high school of Kalisat Sub-district of Jember Regency. The research method wasanalytical observation with cross sectional approach. Respondents were 249 adolescents withmultistage random sampling. Independent variable is parenting style, family power structure; andrisk of drug abuse: alcohol is dependent variable. The data were analyzed by chi square (α = 0,05).The result showed that significant relationship between parenting style and risk of drug abuse:alcohol (p value 0,000); significant relationship between family power structure and risk of drugabuse: alcohol (p value 0,004). Family power can protect adolescents from the risk of alcoholabuse. There are rules must be believed and performed by adolescents. Furthermore, family canperform parenting with balance of freedom and responsibility of adolescents. However, parents shallconsider the personality of their adolescents.Keywords: risk of alcohol abuse, parenting style, family power structure
Motivasi Perawat dalam Pemenuhan Kebutuhan Spiritual pada Klien di Ruang Rawat Inap Rumah Sakit Daerah Balung (Nurses Motivation to Patients Spiritual Needs Fulfillment at Balung Hospital) Ahmat Robbi Tricahyono; Retno Purwandari; Mulia Hakam
Pustaka Kesehatan Vol 3 No 3 (2015)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Nursing care is done by considering individuals as the holistic (bio-psycho-socio-spiritual) creature, particularly in fulfilling spiritual needs. This research was intended to analyze the relationship between the nurses motivation and patients spiritual needs fulfillment at Balung Hospital. This research applied observational analytic method with cross sectional. Sampling technique used total sampling by involving 48 respondents. Data was analyzed using nonparametric Chi Square. The result of the analysis reveal that the majority of the motivation of the nurses was influenced by extrinsic motivation, 72,7% of high motivation and good spiritual fulfillment, 38,5% of low motivation was good spiritual fulfillment, 61,5% of low motivation was bad spiritual fulfillment, and 27,3% of high motivation was bad spiritual fulfillment. Results of statistical analysis showed that the p-value is 0,037 (α=0,05) which indicates the relationship between nurses motivation and spiritual needs fulfillment to patients at Balung Hospital. Fulfilling spiritual needs is an important aspect in the process of treating the clients. It is the nurse’s duties to observe then fulfill the patients spiritual needs. Hence, coordination with other medical team through various discussions is an immediate importance. Nurses are expected to meet the patients needs of spiritual aspects in order to achieve a more holistic nursing care.   Keywords: nursing care, motivation, spiritual fulfillment
Pengaruh Relaksasi Aromaterapi Jasmine terhadap Kualitas Tidur pada Lansia di Karang Werdha Mahda Febriyanti Eka Pertiwi Putri; Murtaqib Murtaqib; mulia hakam
Pustaka Kesehatan Vol 6 No 3 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i3.11745

Abstract

During the quality of sleep the elderly is good, some changes that will occur to the elderly arenormal as well, but if not, it will cause health problems. This research aims to analyze theeffect of jasmine aromatherapy relaxation on sleeping quality to the elderly at elderlyassociation in Jenggawah Jember. This research used quasy experimental design methodwith pre-post test and control group design. Sleeping quality was measured using a PSQIquestionnaire and interventions which were given for 28 days. The result of dependent t testshowed no significant difference on the average score of control group (p value = 1,000).While in the intervention group there was a decrease in the mean score of PSQI after beinggiven jasmine aromatherapy relaxation, so that there was a significant difference in sleepingquality of the intervention group (p value = 0,001). Independent t tests showed significantdifferences between the control group and the intervention group after jasmine aromatherapyrelaxation (p value = 0,001). Overall, jasmine aromatherapy relaxation can improve sleepingquality in the elderly, so that jasmine aromatherapy relaxation may be used as an alternativenon-pharmacological treatment which has no adverse side effects compared to the use oflong-term sleeping pills that would give negative side effects to its users. Keywords: aromatherapy, sleeping quality, elderly.
Pengaruh Metode Biblioterapi terhadap Pengetahuan Remaja tentang Hygiene Menstruasi di SMP Negeri 2 Mayang Kabupaten Jember (The Effect of Bibliotherapy Method toward knowledge of Adolescents at SMP Negeri 2 Mayang Jember District) Irma Yanti Hidayah; Ratna Sari Hardiani; Mulia Hakam
Pustaka Kesehatan Vol 4 No 2 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Adolescent is one of the period human development that is very important. In this case so many instances life and change that will matter with a teenager will determine the quality of life in adulthood. Reproductive health problems happened in adolescents largely caused by infection that can happen because a lack of maintenance adolescent to instrument reproduction. Hygiene menstruation is the hygiene individuals with a crucial role in behavior health a woman hygiene a particularly when menstrual reproduction. The purpose of this research is analyst influence method of bibliotherapy toward knowledge of adolescents about hygiene menstruation at SMP Negeri 2 Mayang Districts of Jember. Design used is quasi experimental with nonequivalent control group design. The sampling method used is cluster sampling with sample students as many as thirty students. The analyzed used Mann Whitney. Pre test results showed 76,7% sufficient knowledge at twenty three students and 3,4 % (one students) good knowledge. The post test on fifteen students intervention’s group 80% (twelve students) good knowledge and 20% (three students) sufficient knowledge, while in the control group because not given method bibliotherapy 100 % sufficient knowledge. The researcher suggest the school to do bibliotherapy method to increase knowledge about hygiene menstruation students. Keywords: bibliotherapy, hygiene menstruation, adolescent