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All Journal IJNP (Indonesian Journal of Nursing Practices) CARING (Center of Publication in Midwifery and Nursing) : Jurnal Publikasi Penelitian Kebidanan dan Keperawatan The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy
Hery Djagat Purnomo
Staff SMF/Bagian Ilmu Penyakit Dalam RSUP dr. Kariadi - Fakultas Kedokteran Universitas Diponegoro Semarang
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Gallstone and Diabetes Mellitus Purnomo, Hery Djagat; Hirlan, Hirlan
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 9, ISSUE 3, December 2008
Publisher : The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.036 KB) | DOI: 10.24871/93200886-90

Abstract

Diabetes Mellitus (DM) is a metabolic disease which has high prevalence among the population. The prevalence is increasing in accordance to life style changes in the society. Gallstone is frequently found in diabetic patients especially in women with type 2 DM. Nevertheless, studies on the prevalence of gallstone among diabetic patients population have shown inconsistent/contradictive results. Insulin resistance which is frequently found in type 2 DM patients is the underlying factor that correlates obesity, central adiposity, and low physical activity with gallstone disease. Two important physiological reasons in diabetic patients that may increase the risk of gallstone formation are: (1) Increased total cholesterol synthesis that causes bile becomes more easily transformed into cholesterol stone (lithogenic); (2) Diabetic patients have larger size and probably reduced motility of the gallbladder that cause increased formation of cholesterol crystals. However, recent study demonstrated that DM that merely exists without any contribution of other factors is not significant to increase the risk of gallstone formation. The gallstone management in diabetic patients is the same as the management in non-diabetic patients. Elective surgery with laparoscopic cholecystectomy is the treatment of choice for symptomatic cases. Drug treatment is indicated for patients with cholesterol stone, small stone (diameter <5 mm), and well-functioned cystic duct. Keywords: diabetes mellitus, gallstone, insulin resistance, cholesterol synthesis, motility, laparoscopic cholecystectomy
Seroprevalence Study of HbsAg positive in Entrant Candidates of Specialist Doctoral Program at Dr. Kariadi Hospital Semarang Purnomo, Hery Djagat; Awizar, Suyatmi
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 9, ISSUE 2, August 2008
Publisher : The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.036 KB) | DOI: 10.24871/92200842-44

Abstract

Background: Hepatitis B Virus (HBV) infection is one of main diseases that infects human kind and constitutes a serious health problem in community. As a consequence of their job, health personnel have gained higher risk to HBV infection. Medical personnel (doctors) are determined as one of the high-risk group of the HBV infection through blood transmission.The objective of this study was to determine the prevalence of HBsAg positive in doctors who were entrant candidates of medical specialist program at Dr. Kariadi hospital. Method: The study was conducted retrospectively by reviewing medical record of 1,145 doctors who were entrant candidates of medical specialist program at Dr. Kariadi hospital since April 2000 to October 2004. The HBsAg assay as a marker of HBV infection was analyzed by EIA (Enzyme Immuno Assay) Method. Results: Among the 1,145 doctors examined , the range of age was 29.34 ± 3.04 years, and more than 3-year work period as doctor was 64% (733/1,145), and less than 3-year work period as doctor was 36% (412/1,145). The prevalence of HBsAg positive in population was 3.9% (45/1,145). The seropositive of HBsAg in the group of doctors with more than 3-year work period was significantly higher than the group with less than 3-year work period (5.1% (38/73) vs. 1.6% (7/412) with p < 0.05. Conclusion: The prevalence of HBsAg positive in doctors who were entrant candidates of specialist doctoral program at Dr. Kariadi hospital was 3.9%. The prevalence of infection was higher in the group of doctors with more than 3-year work period.   Keywords: prevalence, HBsAg, doctor
Perspektif Keluarga dan Perawat tentang Kemitraan Keluarga Dalam Merawat Pasien di Intensive Care Unit Ekowati, Sri Indah; Purnomo, Hery Djagat; Utami, Reni Sulung
Journal Center of Research Publication in Midwifery and Nursing Vol 2 No 2 (2018): 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.v2i2.44

Abstract

Perawatan pasien di Intensive Care Unit (ICU) tidak hanya melibatkan petugas kesehatan, tetapi juga memerlukan peran keluarga. Keluarga juga mengalami stres dan kecemasan selama menunggu pasien di ICU. Patient-Family Centered Care (PFCC) merupakan paradigma baru dalam pelayanan kesehatan yang menempatkan pasien dan keluarga sebagai fokus pemberian asuhan keperawatan. Kemiraan keluarga sangat berperan dalam merawat pasien di ICU. Penelitian ini bertujuan untuk mengeksplorasi perspektif keluarga dan perawat tentang kemitraan keluarga dalam merawat pasien di ICU. Desain penelitian adalah kualitatif dengan pendekatan fenomenologi intepretatif. Informan adalah 10 perawat ICU dan 10 keluarga pasien sesuai dengan kriteria inklusi dan ekslusi yang diambil dengan metode purposive sampling. Penelitian dilakukan di Rumah Sakit Umum Pusat di Kota Semarang pada bulan April sampai Mei 2018. Analisis data dengan teknik intepretative phenomenological analysis (IPA). Hasil penelitian menunjukkan 4 tema utama tentang makna kemitraan keluarga, bentuk kemitraan keluarga, pengaruh kemitraan keluarga, dan tantangan penerapan kemitraan keluarga di ICU. Kemitraan antara perawat dan keluarga diartikan sebagai keadaan dimana perawat sebagai sumber informasi tentang kondisi pasien, perawat memberikan dukungan dan menghargai keluarga, kolaborasi antara pasien dan perawat, partisipasi keluarga dalam memberi dukungan bagi pasien, keluarga bisa mengungkapkan perasaanya pada perawat. Kemitraan keluarga meningkatkan kenyamanan pasien, tetapi mempengaruhi pemberian asuhan keperawatan dan menambah beban kerja perawat. Perspektif keluarga tentang perawatan ICU dan ketidaksiapan perawat menjadi tantangan penerapan kemitraan keluarga di ICU. Kesimpulan dari peneliian ini adalah keluarga dan perawat memahami makna dan pengaruh kemitraan dalam merawat pasien di ICU, tetapi masih terdapat tantangan dan hambatan dalam penerapannya.
The Influence of Use Artery-Femoral Band (ARFEBAND) to Haematom Incident in Patients After Percutaneus Coronary Intervention (PCI) Junait, Junait; Purnomo, Hery Djagat; Ropyanto, Chandra Bagus
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.2173

Abstract

AbstractBackground: Haematoma is the main vascular complication in the patients after percutaneous coronary intervention (PCI). This incidents is important to be prevented and be overcome because the internal bleeding is not easy to be control and it can be make extend the mass of patients to inpatient in the hospital. Artery-femoral Band (arfeband) is a device designed that worthy and safe to keep the stability of haemostasis after PCI. Aim: it is to know the influence of use arfeband to haematoma incidents in patients after PCI. Methods: this research used the quasy - experiment pre-post control trial design, it involves 121 patients after the elective of PCI that receives the intervention group (IG) and control group (CG) that is done for 6 hours after the removal of the sheath femoral artery, 60 IG used arfeband and 61 CG with the sand bag. The measurement of diameter haematoma is done when before and after intervention. Results: this research shows that before the intervention, there are no differences that significant between IG and CG p=0,909. There are the significant differences to haem atom incidents after the use of IG with P0,05, OR 0,398 with CI 95%  0,172 – 0,919. It means that arfeband is reducing the haematoma incidents for 60,2 %. The size of the diameter of pre and post procedure, it is decrease in average of 30,4(±13,6)mm to be 10,9 (±15,9) p0,05. Conclusion: The intervention of use arfeband influences to decrease the haematoma incidents significantly after percutaneous coronary intervention (PCI). 
Co-Authors Adjeg Tarius Ari Fahrial Syam Chandra Bagus Ropyanto Hirlan Hirlan Junait, Junait Marcellus Simadibrata Reni Sulung Utami Sri Indah Ekowati Suyatmi Awizar