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KEPENTINGAN BERSAMA PERAWAT-DOKTER DENGAN KUALITAS PELAYANAN KEPERAWATAN Anggarawati, Tuti; Wulan Sari, Novita
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 1 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v12i1.139

Abstract

Nurse is as front line of component health care provider, so it determine the image of hospital. So the quality of nursing care is ahigh impactin the quality of health services. Nurse-physician relationship is a significant role in providing health services to patients. Collaboration between nurse-physician relationships are the foundation of a broader, not only serves to protect the rights, powers and responsibilities of nurses and doctors, but also serves to improve nursing care. This study aimed to know relationship quality nurse-physician collaboration: relationship of common interest with the quality nursing services. The methods used in this study was descriptive analytic cross sectional design of the study on nurses and doctors in general hospitals Tugurejo Semarangin accordance with the inclusion and exclusion criteria of the sample at 186 with a sampling technique in probability sampling with stratified random sampling. Bivariate data analysis using Chi Square.The result show that there are a relationshipof common interest with nursing services (p= 0,000).   Keywords : Nursing services, collaboration, common interest
PENGARUH TERAPI MUSIK GAMELAN TERHADAP PENURUNAN INSOMNIA LANSIA DI MASYARAKAT Novita Wulan Sari; Tuti Anggarawati
JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA Vol. 4 No. 1 (2022): Januari : Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (948.736 KB) | DOI: 10.55606/jufdikes.v4i1.4

Abstract

Latar belakang: Peningkatan usia harapan hidup pada lansia mengindikasikan terjadinya masalah berbagai kesehatan, diantaranya masalah biologis, psikologis dan sosial. Kondisi tersebut menyebabkan seorang lansia lebih rentan untuk mengalami berbagai masalah kesehatan termasuk gangguan tidur . Gangguan tidur yang paling sering ditemukan pada lansia adalah insomnia. Salah satu tindakan komplementer yang dapat dilakukan perawat untuk menangani insomnia adalah dengan terapi musik gamelan. Tujuan : Penelitian ini bertujuan untuk menganalisa pengaruh terapi musik gamelan terhadap derajat insomnia pada lansia. Metode: Rancangan penelitian yang digunakan adalah quasi experimental pretest posttest control group design. Jumlah sampel sebanyak 12 lansia yang diambil dengan teknik purposive sampling dan dibagi ke kelompok intervensi (n=12) dan kontrol (n=12). Bentuk intervensi berupa pemberian terapi musik gamelan sebanyak 8 kali selama 2 bulan. Instrumen yang digunakan adalah KSPBJ-IRS (Kelompok Studi Psikiatri Biologi Jakarta-Insomnia Rating Scale). Data dianalisa dengan uji Mann-Whitney. Hasil: Hasil penelitian menunjukkan hasil pengukuran derajat insomnia pada kelompok intervensi memiliki mean pre test 20 (derajat ringan) dan post test 18 (tidak ada keluhan insomnia). Hasil analisis dengan uji independent t pada kelompok intervensi menunjukkan nilai p=0,002 yang artinya ada perbedaan signifikan antara pre dan post test (p<?, ?=0,05). Hasil yang berbeda diperoleh pada kelompok kontrol yaitu nilai mean pre test 22 (insomnia ringan) dan post test 22 (insomnia ringan,) nilai p=0,310 yang artinya tidak ada perbedaan signifikan antara derajat insomniai pre dan post test (p> ?, ?=0,05). Hasil penelitian membuktikan terapi musik gamelan berpengaruh terhadap penurunan derajat insomnia pada lansia. Saran : terapi musik gamelan digunakan sebagai intervensi keperawatan pada lansia yang mengalami insomnia.
Familial Experiences of Caring for Schizophrenia Patients during the Covid-19 Pandemic: A Qualitative Study Indriati Indriati; Wien Soelistyo Adi; Tuti Anggarawati; Yuni Astuti; Delisa Alfriani
Jurnal Ners Vol. 16 No. 1 (2021): APRIL 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v16i1.24130

Abstract

Introduction: Due to the Covid-19 pandemic, families are facing problems caring for and implementing Covid-19 health protocols when caring for schizophrenia patients. A lack of knowledge and behavior changes make it difficult for the families to care for the schizophrenia patients. This study aims to explore the familial experiences of caring schizophrenia patients during the Covid-19 pandemic.Methods: A phenomenological qualitative design was undertaken as of November 2020. A total of 10 participants via the purposive sampling technique were recruited. The study was conducted in Semarang, Indonesia. We used semi-structured interviews to obtain the data and we used thematic content analysis to examine it.Results: From the 10 participants, we got 3 themes, namely family fears, financial problems, and health treatment access. The themes were obtained from the families of the patients who care for them on a daily basis. During the Covid-19 pandemic, caring for schizophrenia patients has become more difficult and the cause of a lot of worry.Conclusion: The families experienced several problems when caring for schizophrenia patients. The families experienced fear of the schizophrenia patients being infected by Covid-19, the families worried about whether or not the schizophrenia patients would experience a relapse and they felt stressed due to the news circulating. The families also had to spend more money to cover the cost of the patient’s care and transportation, and the schizophrenia patients were rarely controlled because of the family’s fears. This problem can be an issue for nurses who should strive to provide proper education and plan interventions for schizophrenia patients at the family level.
TINGKAT KEPUASAN PNS, TNI, PURNAWIRAWAN DAN KELUARGA TERHADAP PELAYANAN BPJS Tuti Anggarawati; Kodir Kodir
JURNAL KEPERAWATAN SISTHANA Vol. 7 No. 1 (2022): Maret : Jurnal Keperawatan Sisthana
Publisher : SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (944.792 KB) | DOI: 10.55606/sisthana.v7i1.13

Abstract

Jaminan Kesehatan Nasional diselenggarakan untuk memberikan perlindungan kesehatan dalam bentuk manfaat pemeliharaan kesehatan dalam rangka memenuhi kebutuhan dasar kesehatan yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayar oleh pemerintah. Setiap peserta JKN mempunyai hak mendapat pelayanan kesehatan. Rumah sakit sebagai fasilitas kesehatan tingkat lanjut yang bekerjasama dengan Badan Penyelenggara Jaminan Sosial akan memberikan pelayanan yang terbaik kepada pelanggan. Tetapi pada kenyataannya masih banyak keluhan dari peserta BPJS setelah mendapatkan pelayanan di rumah sakit yang bermitra dengan BPJS sehingga rumah sakit berupaya untuk memperbaiki mutunya dengan melihat bagaimana tingkat kepuasan pelanggan terhadap pelayanan yang diberikan. Penelitian ini menggunakan metodologi penelitian secara deskriptif dengan sampel anggota TNI, PNS, Purnawirawan dan keluarga dengan teknik accidental sampling. Hasilnya adalah 100 responden dari bagian pendaftaran dan 100 responden dari bagian rawat jalan berada pada tingkat puas dari pelayanan yang diberikan sebesar 59,7 dan 67,5, kemudian di Unit Gawat Darurat dengan responden 53 menyatakan tingkat kepuasan pada kategori puas 62,26. Untuk meningkatkan kualitas pelayanan sehingga tingkat kepuasan pelanggan meningkat sebaiknya rumah sakit menyediakan dan menambahkan sarana prasarana, mengadakan pelatihan-pelatihan yang berguna untuk peningkatan pengetahuan dan kompetensi karyawan, dan melakukan penilaian kepuasaan pelanggan secara berkala.
PENERAPAN TERAPI EXPRESSIVE WRITING UNTUK MENURUNKAN STRESS PADA MAHASISWA YANG SEDANG MENYELESAIKAN KARYA TULIS ILMIAH Nanang Khosim Azhari; Tuti Anggarawati; Elisa Wahyu
JURNAL KEPERAWATAN SISTHANA Vol. 7 No. 1 (2022): Maret : Jurnal Keperawatan Sisthana
Publisher : SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1012.081 KB) | DOI: 10.55606/sisthana.v7i1.15

Abstract

Latar belakang: Mahasiswa tingkat akhir memiliki tanggungjawab menyelesaikan tugas akhir yaitu menyelesaikan karya tulis ilmiah sebagai syarat kelulusan dan memperoleh gelar. Dalam proses menyelesaikan karya tulis ilmiah terdapat berbagai kendala yang menyebabkan stress pada mahasiswa. Salah satu upaya yang dapat dilmelakukan terapi expressive writing. Tujuan : menggambarkan penurunan skor stress pada mahasiswa tingkat akhir sebelum dan sesudah dilakukan terapi expressive writing. Metode: Rancangan penelitian yang digunakan adalah deskriptif dengan metode pendekatan studi kasus. Subyek dalam penelitian menggunakan dua orang mahasiswa tingkat akhir yang mengalami stress ringan sampai stress sangat berat. Penilaian skor stress diukur dengan menggunakan alat ukur Depression Anxiety Stress Scale (DASS). Hasil: Hasil studi kasus didapatlan bahwa skor stress pada subyek I dengan skor 41 dengan kategori stress sangat verat turun menjadi skor 20 dengan kategori stress sedang, dan untuk subyek II dengan skor 39 dengan kategori stress sangat berat turun menjadi 20 akukan dilakukan untuk mengurangi stress adalah dengan dengan kategori stress sedang. Saran : terapi expressive writing dapat digunakan dalam menurunkan skor stress pada mahasiswa tingkat akhir yang sedang menyelesaikan karya tulis ilmiah
PENERAPAN TERAPI MUSIK DANGDUT RITME CEPAT TERHADAP PERBEDAAN TINGKAT DEPRESI PADA PASIEN DEPRESI DI RSJD Dr. AMINO GONDHOHUTOMO PROVINSI JAWA TENGAH: IMPLEMENTATION OF MUSIC THERAPY DANGDUT RITME FAST TO DIFFERENT LEVEL DEPRESSION ON PATIENTS DEPRESSION IN RSJD Dr. AMINO GONDHOHUTOMO CENTRAL JAVA PROVINCE Eka Yuninda Lutfiani; Tuti Anggarawati
JURNAL KEPERAWATAN SISTHANA Vol. 4 No. 1 (2019): Maret : Jurnal Keperawatan Sisthana
Publisher : SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (726.415 KB)

Abstract

Depression is one form of psychiatric disorders in nature of feeling (affective or disorder) is characterized by melancholy, lethargy, feeling of no use, and despair. A nursing action that needs to be administered to patients with depression disorder with the provision of music therapy. Music therapy is a therapy that can improve the effects of analgesics, comfort effects that can reduce depression. Musik used with dangdut music fast rhythm. The purpose of this case study illustrates the changes in depression levels before and after the dangdut music therapy performed rapidly in the space Gatot Kaca RSJD Dr. Amino Gondhohutomo. This type of research is descriptive by using case study approach method. Subyek in this case study were two patients with mild to moderate depression, 18 to 20 years og age, and like dangdut music. Analysis was done descriptively and measured using an HRS-D scale assessment. The result of analysis after the music therapy dangdut fast rhythm for 4 times on subjects I and subjects II, showed that the occurrence of decreased depression rate with subjects I score 13 (mild depression) to 6 (normal) and subjects II 16 (moderate depression) to 12 (mild depression). Recommendations for nurse may continue nursing actions to lower dep levels.
PERSEPSI REMAJA TERHADAP PERILAKU HOMOSEKSUAL: Adolescents' Perceptions of Homosexual Behavior Nanang Khosim Azhari; Tuti Anggarawati; Nadhea Bunga Aprilia; Tria Friska Ningrum
JURNAL KEPERAWATAN SISTHANA Vol. 4 No. 2 (2019): September : Jurnal Keperawatan Sisthana
Publisher : SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (731.275 KB)

Abstract

Homosexuals or currently better known as LGBT (lesbian, gay, bisexual and transgender) is a phenomenon that has graced the media lately. Starting from the prosecution for legalizing same-sex marriage, the pros and cons of its existence, prostitution of minors for gays to prosecution by certain groups to criminalize homosexuals. Although homosexuals have existed for a long time, it is not yet known for certain the cause of this same-sex liking. Including the debate whether homosexuality is classified as a nuisance, risk or grace (normal). Homosexuality is a feeling of being attracted to the same sex (Stuart, 2013). Homosexuality does not occur between men and men (gay) or women and women. Another understanding according to Behrman, et al (2012) states that homosexuality is a physical and romantic force of the same sex. Currently, the phenomenon of homosexuality is better known as the term LGBT (lesbian, gay, bisexual and transgender). This phenomenon has existed since ancient times, but nowadays homosexual behavior has begun to tend to be carried out openly. This is different from ancient times where homosexual behavior was carried out in secret (Budiarty, 2011).
PESIAR DAN IJIN BERMALAM MENURUNKAN KECEMASAN MAHASISWA BARU AKPER KESDAM IV/DIPONEGORO: CRUISE AND NIGHT PERMISSION REDUCE ANXIETY OF NEW STUDENTS OF AKPER KESDAM IV/DIPONEGORO Tuti Anggarawati; Novita Wulan Sari; Zara Bunganingrum; Lutfiana Dwi Arsih
JURNAL KEPERAWATAN SISTHANA Vol. 5 No. 1 (2020): Maret : Jurnal Keperawatan Sisthana
Publisher : SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (725.393 KB)

Abstract

The incidence of depression and anxiety that increases at the age of more than 15 years cannot be separated from the role and identity of students. Someone who has just entered the world of campus will be different from the condition of students who have been around for a long time with the world of campus. This condition is coupled with the position of students who have to live in dormitories where their friends in their environment do not match what they want and there are regulations that must be implemented as residents of the dormitory. Not a few students who experience social anxiety while undergoing college. The impact that arises due to anxiety is very influential on the lives of students. Cruise activities and overnight permits are intended to relieve temporary fatigue from the hectic academic activities by doing personal activities outside the dormitory. The purpose of this study was to determine the effect of cruises and overnight permits on reducing anxiety for new students. This research method is a quasi-experimental one group pre-test post-test design. The research sample uses total sampling. This study uses the DSS-21 instrument. The results showed that the highest level of anxiety during the pre-test was at the moderate level of anxiety as many as 19 children (29%), after the post-test showed the highest results at the normal level of anxiety as many as 28 children (43%), with a p-value is 0.000. The conclusion is that there is an effect of cruises and overnight permits on reducing anxiety in new students. The results of this study can be used for new students who experience anxiety due to facing new situations.
PENGARUH PENDIDIKAN KESEHATAN TEKNIK MENYUSUI PADA IBU POSTPARTUM SECTIO CAESAREA DI RUMKIT BHAKTI WIRA TAMTAMA SEMARANG: THE EFFECT OF HEALTH EDUCATION ON BREASTCHING ENGINEERING ON POSTPARTUM SECTION CAESAREA MOTHERS IN RUMKIT BHAKTI WIRA TAMTAMA SEMARANG Yuni Astuti M.Kep; Tuti Anggarawati; Arifa Nur Khasanah; Dwi Riyanti
JURNAL KEPERAWATAN SISTHANA Vol. 5 No. 1 (2020): Maret : Jurnal Keperawatan Sisthana
Publisher : SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (711.093 KB)

Abstract

Breastfeeding is an activity that can bring happiness to mothers. Breastfeeding benefits by helping the mother from the delivery process, making the uterus contract quickly and prevent bleeding. Postpartum often have problems in the process of breastfeeding, especially mothers with caesarean section. Post SC delay in breastfeeding is caused by a lack of knowledge about how to breastfeed because the mother does not have adequate knowledge, the mother does not understand how to breastfeed properly, the benefits of breastfeeding and also the impact if the mother does not breastfeed her baby. One of the efforts to increase knowledge about breastfeeding is by providing health education. Giving information to post partum SC is very important in the success of mothers in providing exclusive breastfeeding. The purpose of knowing the effect of health education on breastfeeding techniques is correct in post partum SC. The research design will be conducted using pre-experimental (One group pre-posttest design) and sample selection using purposive sampling. The results of the influence of health education on breastfeeding techniques to increase knowledge of postpartum SC mothers with a p value of 0.001
Pengaruh Kompres Kubis Terhadap Breast Engorgement Ibu Postpartum Sectio Caesarea Yuni Astuti; Tuti Anggarawati
Indonesian Journal of Nursing Research (IJNR) Vol 2, No 1 (2019)
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.32 KB) | DOI: 10.35473/ijnr.v2i1.232

Abstract

Sectio caesarea is a delivery by making an incision in uterus through the frontwall of the abdomen. Sectio caesarea actions cause pain due to surgery. She also had pain, fatigue and prolonged labor process can cause breast engorgement. Engorgement is a condition where the breasts become full due to static ASI lymphatic flow, increased congestion and vascularity, and can lead toaccumulation of intra-caudal pressure that will affect the segment of the breast so that the whole pressure increased breast. Non-pharmacological management used to overcome this problem is to use cabbage compresses. Cabbage leaves contain an amino acid that is believed to reduce the breast engorgement. This study aims to determine the effect of cabbage compress to decrease breast engorgement scale of post partum section caesarea. This study used a quasi-experimental research design with a one group pre-post test design. Sampling technique with consecutive sampling. Population in this study were post partum section caesarea with breast engorgement in Rumkit Bhakti Wira Tamtama from June to August 2017. The analysis using the Wilcoxon test. Results has difference in scale breast engorgement before and after cabbage compress on postpartum maternal section caesarea with p value 0,001 (<0,05). Conclusion there are significant cabbage compress to decrease postpartum sectio caesarea with breast engorgement after compresses cabbage. This intervention is recommended to increase the comfort of post partum sectio caesarea with breast engorgement.