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The Effectiveness of Early Mobilization Left – Right Sim to Constipation on Stroke Infark Patient in the Intensive Care Unit dr. H. Mohammad Anwar Sumenep Public Hospital Puspitasari, Dian Ika; Hannan, Mujib
Journal of Ners and Midwifery Vol 4, No 2 (2017): Journal of Ners and Midwifery
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.496 KB) | DOI: 10.26699/jnk.v4i2.ART.p141-144

Abstract

Abstract: Stroke is a disturbance of acute nerve function caused by blood circulatory disorders to the brain. The impact that often occurs in stroke patients is constipation due to disease complications, drugs and minimum mobilization. Aim of this study to analyze the effect of early mobilization sim right-left to constipation in patients with stroke infarction in ICU Room RSUD dr. H. Mohammad Anwar Sumenep. The design of this research is quasi experiment with non-equivalent control group design. Population in this study were stroke infarct patients treated in ICU Room RSUD dr. H. Moh. Anwar Sumenep in August - September 2016 period as many 20 people, with a sample size of 10 people control group, and 10 treatment groups. Research instruments are Standard Operational Procedure (SOP) of mobilization, checklist and observation sheet. Data analysis using Chi square test with α (0,05). Results of the control group during pre test showed that all respondents (100%) did not defecate and at the time of post test it was found that almost all (80%) of respondents experienced defecation. While the results in the treatment group during pre test found that all respondents (100%) did not defecate and at the time of post test most (70%) of  respondents experienced defecation. The result of data analysis shows that p value = 0,025 with α = 0,05 so that p value <α meaning there is influence of left right SIM mobilization to constipation in patient of stroke infark in ICU Room RSUD dr. H. Moh. Anwar Sumenep. Right-left sim position is an independent nursing action that can reduce constipation in stroke patients unable to mobilize due to bed rest.
Pengaruh mobilisasi dini sim kanan kiri terhadap konstipasi pada pasien stroke infark di ruang ICU RSUD Dr. H. Mohammad Anwar Sumenep Puspitasari, Dian Ika; Hannan, Mujib; Suudiyah, Suudiyah
Journal of Ners and Midwifery Vol 4, No 2 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.58 KB) | DOI: 10.26699/jnk.v4i2.ART.p141-144

Abstract

Abstract: Stroke is an acute nerve disorder caused by circulatory disorders to the brain. The impact that often occurs in stroke patients is constipation due to disease complications, drugs and lack of mobiliza- tion. The purpose of this researchwas to analyze the effect of early mobilization sim right left to consti- pation in patients with Stroke Infarction in ICU Hospital dr. H. Mohammad Anwar Sumenep. The design of this research was quasy experiment with non-equivalent control group design. The population in this study wwa Stroke Infarct patients treated in ICU Hospital dr. H. Moh. Anwar Sumenep in August - September 2016 as many as 20 people, with a sample size of 10 people control group and 10 treatment groups. The research instruments are Standard Operating Procedure (SOP) of mobilization, check list and observation sheet. The data analysis used Chi square test with  (0,05). The results of the control group during pre test showed that all respondents (100%) were not defective and at the time of post test it was found that almost all (80%) of the respondents had defecation. While the results in the treatment group during pre test found that all respondents (100%) did not defecate and at the time of post test most (70%) of respondents experienced defecation. The result of data analysis showed that p value = 0,025 with  = 0,05 so that p value<meaning there was an effect of left right sim mobilization to constipation in patient of Stroke Infark in ICU Room dr. H. Moh. Anwar Sumenep. Right-left sim position was an independent nursing action that can reduce constipation in stroke patients who can not mobilize due to bed rest.Keywords: left right sim, constipation, stroke infarction. Abstrak: Stroke merupakan gangguan fungsi saraf akut yang disebabkan karena gangguan peredaran darah ke otak. Dampak yang sering terjadi pada pasien stroke adalah konstipasi karena komplikasi penyakit, obat-obatan dan kurangnya mobilisasi. Tujuan penelitian ini untuk menganalisis pengaruh mobilisasi dini sim kanan kiri terhadap konstipasi pada pasien Stroke Infark di Ruang ICU RSUD dr. H. Mohammad Anwar Sumenep. Desain penelitian ini adalah quasy experiment dengan rancangan non-equivalent control group. Populasi dalam penelitian ini adalah pasien Stroke Infark yang dirawat di Ruang ICU RSUD dr. H. Moh. Anwar Sumenep pada bulan Agustus – September 2016 sebanyak 20 orang, dengan jumlah sampel sebanyak 10 orang kelompok kontrol dan 10 orang kelompok perlakuan. Instrumen penelitian berupa Standart Operational Procedure (SOP) mobilisasi, check list dan lembar observasi. Analisa data menggunakan uji statistik Chi square dengan  (0,05). Hasil penelitian pada kelompok kontrol saat pre test didapatkan bahwa seluruh responden (100%) tidak defekasi dan pada saat post test didapatkan hampir seluruhnya (80%) responden mengalami defekasi. Sedangkan hasil pada kelompok perlakuan saat pre test didapatkan bahwa seluruh responden (100%) tidak defekasi dan pada saat post test sebagian besar (70%) responden mengalami defekasi. Hasil analisa data menunjukkan bahwa p value = 0,025 dengan  = 0,05 sehingga nilai p <  yang berarti ada pengaruh mobilisasi sim kanan kiri terhadap konstipasi pada pasien Stroke Infark di Ruang ICU RSUD dr. H. Moh. Anwar Sumenep. Posisi sim kanan kiri merupakan tindakan keperawatan mandiri yang dapat menurunkan konstipasi pada penderita Stroke yang tidak dapat melakukan mobilisasi karena tirah baring.Kata kunci: Sim kanan kiri, konstipasi, Stroke Infark.
PENGARUH JALAN PAGI TERHADAP PERUBAHAN TEKANAN DARAH PADA LANJUT USIA DENGAN HIPERTENSI DI DESA KALIANGET TIMUR KECAMATAN KALIANGET KABUPATEN SUMENEP (The Effect of Walking in the Morning to Change of Blood Pressure in Elderly with Hypertension in Kaliang Puspitasari, Dian Ika; Hannan, Mujib; Chindy, Leviana Dea
JURNAL NERS LENTERA Vol 5, No 2 (2017)
Publisher : JURNAL NERS LENTERA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.844 KB)

Abstract

Introduction: Walking in the morning is a mild activity suitable for elderly people as it can help control blood pressure in the long term. Inability of the elderly to perform daily physical activity can affect blood pressure changes. This study aims to analyze the influence of walking in the morning to changes in blood pressure in the elderly with hypertension. Method: This research pre-experiment design is using one group pre-post test design, with simple random sampling technique. The population in this study were elderly with hypertension in Kalianget Timur Village as many as 71 people, 60 samples. Data analysis using Wilcoxon statistical test. Results: The results showed that before walking in the morning is most (65%) blood pressure sistole 140-159 mmHg and diastole blood pressure entirely (100%)> 100 mmHg. Then after walking in the morning blood pressure decreases most (55%) sistole blood pressure is 140-159 mmHg and almost all (88.3%) diastole blood pressure> 100 mmHg. The result of data analysis obtained p = 0,000 (
Pengaruh Jalan Pagi Terhadap Perubahan Tekanan Darah Pada Lanjut Usia Dengan Hipertensi Di Desa Kalianget Timur Kecamatan Kalianget Kabupaten Sumenep Puspitasari, Dian Ika; Hannan, Mujib; Chindy, Leviana Dea
JURNAL NERS LENTERA Vol 5, No 1 (2017)
Publisher : JURNAL NERS LENTERA

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Abstract

Pendahuluan: Jalan pagi merupakan aktivitas ringan yang sesuai untuk orang dengan lanjut usia (lansia) karena dapat membantu mengendalikan tekanan darah dalam jangka panjang. Keterbatasan lansia untuk melakukan aktivitas fisik sehari-hari dapat mempengaruhi perubahan tekanan darah. Penelitian ini bertujuan untuk menganalisis pengaruh jalan pagi terhadap perubahan tekanan darah pada lansia dengan hipertensi. Metode: Desain penelitian pre-experiment menggunakan one group pre-post test design, dengan teknik simple random sampling. Populasi dalam penelitian adalah lansia dengan hipertensi di Desa Kalianget Timur sebanyak 71 orang, sampel sebanyak 60 orang. Analisa data menggunakan uji statistik Wilcoxon. Hasil: Hasil penelitian menunjukkan bahwa sebelum dilakukan jalan pagi sebagian besar (65%) tekanan darah sistole 140-159 mmHg dan tekanan darah diastole seluruhnya (100%) >100 mmHg. Kemudian sesudah dilakukan jalan pagi tekanan darah menurun, sebagian besar (55%) tekanan darah sistole 140-159 mmHg dan hampir seluruhnya (88,3%) tekanan darah diastole >100 mmHg. Hasil analisa data diperoleh p= 0,000 (
Pengaruh Mobilisasi Dini SIM Kanan Kiri terhadap Konstipasi pada Pasien Stroke Infark di Ruang ICU RSUD Dr. H. Mohammad Anwar Sumenep Dian Ika Puspitasari; Mujib Hannan; Su&#039;udiyah Su&#039;udiyah
Journal of Ners and Midwifery Vol 4, No 2 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v4i2.ART.p141-144

Abstract

Stroke merupakan gangguan fungsi saraf akut yang disebabkan karena gangguan peredaran darah ke otak. Dampak yang sering terjadi pada pasien stroke adalah konstipasi karena komplikasi penyakit, obat-obatan dan kurangnya mobilisasi. Tujuan penelitian ini untuk menganalisis pengaruh mobilisasi dini sim kanan kiri terhadap konstipasi pada pasien Stroke Infark di Ruang ICU RSUD dr. H. Mohammad Anwar Sumenep. Desain penelitian ini adalah quasy experiment dengan rancangan non-equivalent control group. Populasi dalam penelitian ini adalah pasien Stroke Infark yang dirawat di Ruang ICU RSUD dr. H. Moh. Anwar Sumenep pada bulan Agustus September 2016 sebanyak 20 orang, dengan jumlah sampel sebanyak 10 orang kelompok kontrol dan 10 orang kelompok perlakuan. Instrumen penelitian berupa Standart Operational Procedure (SOP) mobilisasi, check list dan lembar observasi. Analisa data menggunakan uji statistik Chi square dengan (0,05). Hasil penelitian pada kelompok kontrol saat pre test didapatkan bahwa seluruh responden (100%) tidak defekasi dan pada saat post test didapatkan hampir seluruhnya (80%) responden mengalami defekasi. Sedangkan hasil pada kelompok perlakuan saat pre test didapatkan bahwa seluruh responden (100%) tidak defekasi dan pada saat post test sebagian besar (70%) responden mengalami defekasi. Hasil analisa data menunjukkan bahwa p value = 0,025 dengan = 0,05 sehingga nilai p < yang berarti ada pengaruh mobilisasi sim kanan kiri terhadap konstipasi pada pasien Stroke Infark di Ruang ICU RSUD dr. H. Moh. Anwar Sumenep. Posisi sim kanan kiri merupakan tindakan keperawatan mandiri yang dapat menurunkan konstipasi pada penderita Stroke yang tidak dapat melakukan mobilisasi karena tirah baring.
Hubungan Perawatan Payudara pada Masa Kehamilan dengan Keberhasilan Pemberian Asi Eksklusif Dian Ika Puspitasari; Puput Kurnia Sari
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 4 No 1 (2021): MAY
Publisher : Universitas Islam Jember

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Abstract

Perawatan payudara sejak masa kehamilan merupakan salah satu faktor yang dapat  mempengaruhi kelancaran ASI sejak awal menyusui. Kegagalan memulai proses menyusui setelah kelahiran bayi akan mempengaruhi kelangsungan pemberian ASI eksklusif. Penelitian ini bertujuan untuk mengetahui hubungan perawatan payudara pada masa kehamilan dengan pemberian asi eksklusif di Puskesmas Kecamatan Arjasa. Penelitian ini adalah deskriptif analitik dengan pendekatan studi retrospectif. Subjek penelitian adalah sebagian ibu di Kecamatan Arjasa yang memiliki bayi usia 6 – 12 bulan (n=79). Data penelitian dianalisis menggunakan uji Chi-square (p=0,001), menunjukkan ada hubungan perawatan payudara pada masa kehamilan dengan keberhasilan     pemberian ASI Eksklusif di Puskesmas Kecamatan Arjasa Kabupaten Sumenep. Perawatan payudara penting untuk diajarkan kepada ibu hamil untuk menunjang kelancaran ASI dan memenuhi ASI eksklusif sesuai dengan rekomendasi WHO. Kata kunci: Perawatan payudara; Kehamilan; ASI ekslusif
PENGARUH MUSIK SUARA ALAM TERHADAP TEKANAN DARAH IBU HAMIL DI POLINDES PAGAR BATU KECAMATAN SARONGGI KABUPATEN SUMENEP Eko Mulyadi; Dian Ika Puspitasari; Dian Permatasari
Wiraraja Medika : Jurnal Kesehatan Vol 3 No 1 (2013): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

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Abstract

Hipertensi selama kehamilan dapat berkembang menjadi preeklampsia yang merupakan masalah obstetri diseluruh dunia maupun di Indonesia dan dapat menyebabkan morbiditas maupun mortalitas pada ibu dan bayi. Di Jawa Timur terjadi 535 kasus kematian maternal dengan salah satu penyebabnya adalah eklampsia (25,9%). Hipertensi dapat disebabkan karena adanya tekanan emosional/ stress. Salah satu teknik relaksasi yang dapat dilakukan adalah mendengarkan musik yang tenang. Mendengarkan musik merupakan pilihan alternatif untuk mencapai keadaan relaks sehingga akan mengurangi stres dan depresi yang dialami. Musik akan menstimulasi hipotalamus sehingga akan menghasilkan perasaan tenang yang akan berpengaruh pada produksi endorpin, kortisol serta katekolamin dalam mekanisme pengaturan tekanan darah.Penelitian ini merupakan penelitian quasy-experiment yaitu non randomized control group pre-post test design. Populasi sebanyak 20 orang dengan jumlah sampel terdiri dari 10 orang kelompok kontrol dan 10 orang kelompok perlakuan. Penelitian ini dilakukan pada ibu hamil di Polindes Pagar Batu Desa Saronggi Kec.Saronggi Sumenep. Analisa data menggunakan uji statistik chi square.Hasil penelitian menunjukkan bahwa pada kelompok perlakuan, lebih dari separuh (55,5 %) tekanan darah pada ibu hamil turun dengan penurunan tekanan darah terbesar hingga 23,4 Mm/Hg. Sedangkan pada kelompok kontrol, lebih dari separuh (66,6 %) tekanan darah pada ibu hamil naik dengan peningkatan tekanan darah terbesar hingga 13,37 Mm/Hg.Uji statistik didapatkan hasil sebesar 0,029 lebih kecil dari α 0,05, yang berarti ada pengaruh pemberian musik suara alam terhadap tekanan darah ibu hamil.Diharapkan pada tenaga kesehatan untuk menjelaskan kepada ibu hamil yang mengalami hipertensi bahwa terapi musik sangatlah penting digunakan pada ibu hamil dengan hipertensi karena dapat menurunkan tekanan darah.Kata kunci : Musik, Hipertensi, Ibu hamil
PENGARUH KINERJA DALAM MENINGKATKAN KEPUASAN KERJA PERAWAT DI RUANG INTERNA RSUD MOH. ANWAR KABUPATEN SUMENEP Zakiyah Yasin; Dian Ika Puspitasari
Wiraraja Medika : Jurnal Kesehatan Vol 4 No 1 (2014): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

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Abstract

PerformanceJob satisfactionisanemotionalattitude offunandloves the job. The attitudeandmorale, disciplineandperformance.performanceis onethat affects thejob satisfactionof nurses. This study aimstodetermine the effect ofincreasing theperformance ofthejob satisfactionof nursesin thehospitalsInterneSumenep. The method usedis themethod ofanalyticresearchwithcross sectional approach. Total population of15nurses, the datacollectedbyquestionnairesandobservationswere analyzedusing theSpearmanRankTestStatisticsandRegressiontestwithsignificance level0.05. The results showed thatnurseswho have apoorperformancethenproducesbetter theperformanceis lessthanthe test resultsStatisticsshows theSpearmanRank(p =0.045<α =0.05) so thatH1is accepted, it meansthere isinfluence betweenperformanceand job satisfaction. Based on these resultsit can be concludedthat theperformance ofan effectin increasingthe job satisfactionof nurses. Keywords: NursePerformance, Job Satisfaction
HUBUNGAN KOMPETENSI PERAWAT GAWAT DARURAT DENGAN KINERJA PERAWAT DI INSTALASI GAWAT DARURAT (IGD) RSUD dr. H. MOHAMMAD ANWAR SUMENEP DAN RSUD SAMPANG Dian Ika Puspitasari; Edi Widjajanto; Ika Setyo Rini
Wiraraja Medika : Jurnal Kesehatan Vol 5 No 2 (2015): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

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Abstract

Emergency department (ED) is initial services in hospital. Nurse on ED must have more capability than nurse in other department. Nurse in ED have to be fast, skilled and ready every time. Patient criteria in ED make nurse have to understand wide range of nursing competency. Competency including work readiness and work behaviour. Nurse’s competency related to work capability so can be use to predict nurse performance. The purpose of this study is to know relationship between emergency nurse’s competency with nurse’s performance in Emergency Department RSUD dr. H. Moh. Anwar Sumenep and RSUD Sampang. The design of this study is  correlational analytic with cross sectional approach. Purposive sampling was used as sampling technique so the participant became 30 nurse. Pearson correlation results indicate that there is a relationship between emergency department nurse competency based on diagnostic function (p value = 0.014), implementation of therapeutic intervention (p value = 0,020) and organizing the work roles (p value = 0.005) with the nurse performance. Emergency nurse competencies which is not related to nurse performance are effective management (p value = 0.890) and the role of helper (p value = 0.056). Correlation confounding variables results showed that there is a relationship between compensation (p value = 0.044) and work environment (p value = 0.037) with nurse performance. Based on the multiple linear regression analysis with backward method shows the most dominant competence that affect nurse performance is implementation of therapeutic intervention and the organizing work roles (52.4%). Confounding variables that greatly affect the nurse performance are working environment (14.7%). Nurse that usually applying skill on emergency nurse competencies will be more competent on doing their nursing skill for patient, and then nurse’s performance become better.   Keywords: Nurses competencies, Nurse performance, Emergency Department (ED)
PENGARUH TINGKAT PENGETAHUAN TENTANG KESEHATAN REPRODUKSI TERHADAP PERILAKU SEKSUAL SISWA DALAM BERPACARAN (Studi Kasus Di SMK Kesehatan Mulia Husada Kabupaten Sumenep) Dian Ika Puspitasari; Zakiyah Yasin; Ike Yulianti
Wiraraja Medika : Jurnal Kesehatan Vol 3 No 2 (2013): Wiraraja Medika - Jurnal Kesehatan
Publisher : Fakultas Ilmu Kesehatan

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Abstract

With existence of information current through media a period of good in the form of magazine, newspaper, tabloid and also electronic media like radio, television, and computer can influence adolescent to do things which per me risk for example braiding the relation of sexual external marries, liquor, narkoba which can result pregnancy is not wanted and other reproduction risk, also is infected sexual catching infection is including HIV/AIDS.Intention of this research is to know relation between level of knowledge about health of reproduction to sexual behaviour in having an affair by using design cross sectional. As population in this research is students SMK Kesehatan Mulia Husada Sumenep, Sub-Province Sumenep and its the sample is Students SMK Kesehatan Mulia Husada Sumenep, Sub-Province Sumenep which or medium of haves an affair with number of 71 and way of sampling with technique cluster random sampling and data is presented in the form of tables and analysed with rank spearman ( rho).Result of research of shows level of good knowledge 48 responders (68%) and unfavourable sexual behaviour 36 responders (51%), test result rank spearman ( rho) shows ρ = 0,021 < ά 0,05 refusing H0 so that inferential that there is medium relationship between health knowledges of reproduction with student sexual behaviour in having an affair.From result of research of shows that there is relation between level of knowledge of student with sexual behaviour, in consequence improvement of knowledge of student about education of sexual needs defended and improved.Keyword :Reproduction Health, Sexual behaviour, Student.