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Patients Compliance In Limiting Liquid Intake And Nutrition Can Regulate Biological And Biochemical Value Of Blood In Patients Through Hemodialysis Achmad Fauzi; Rusmai Triaswati; Jumari Jumari
Jurnal Ilmiah Ilmu Keperawatan Indonesia Vol 11 No 02 (2021): Jurnal Ilmiah Ilmu Keperawatan Indonesia Volume 22 June 2021: Covid-19 disease,
Publisher : STIKIM Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (404.778 KB) | DOI: 10.33221/jiiki.v11i02.1124

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Background: IDWG (Intradialytic Weight Gain) is one of the indicators to evaluate the biological value of weight change between the time of dialysis whose value is influenced by patient adherence to limit the intake of fluids and foods high in sodium, while potassium, sodium, albumin, urea and creatinine is an indicator of blood biochemical values whose value is influenced by patient adherence to limit the intake of nutrients. Objectives: Hospital hemodialysis unit Bekasi Methods: The sample was selected using the technique of Non-Probability Sampling or non-random sampling with purposive sampling method, and came up with 73 respondents. Results: Data collection was done through two types of data namely primary and secondary data. Primary data obtained from the questionnaires A and B by the respondent directly and secondary data obtained from the results of direct measurements by researchers that IDWG and blood biochemistry values obtained from the patient laboratory results. The results showed a significant relationship between the level of compliance yng patients for limiting the intake of fluids and nutrients to the IDWG, potassium, sodium, albumin, urea and creatinine with P Value successively ie, p = 0.0005; p = 0.020; p = 0.008; p = 0.013; p = 0.002; p = 0.004 with a = 0.05. Conclusion: of this study can be used in planning interventions appropriate education, in order to prevent and decrease the physical deterioration of the condition of patients on dialysis due to less or no maximum to limit fluid intake and nutrition.
Self-management: A comprehensive approach to improve quality of life among people living with HIV in Indonesia Achmad Fauzi; Nofa Anggraini; Novy Fatkhurohman
Belitung Nursing Journal Vol. 7 No. 5 (2021): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1554

Abstract

Background: People living with HIV (PLWH) today have to deal with a chronic condition that requires efficient self-management due to increased longevity. Self-management interventions have been shown to improve physical and psychological symptoms as well as clinical results in chronic diseases. However, few studies have investigated the effect of self-management on quality of life (QOL) among PLWH in Indonesia. Objective: To examine the effect of a self-management program on QOL among PLWH in Indonesia. Methods: This was a quasi-experimental study  with a comparison group in a general hospital in Jakarta, Indonesia. Of the 114 recruited PLWH, 57 were assigned to the intervention group and 57 to the comparison group. The self-management group attended a four-week program workshop. The intervention consisted of five sessions: need assessment and goal setting, maintaining a healthy lifestyle, educational participation to increase communication and self-esteem, and evaluation. The comparison group received standard educational material throughout the leaflet regarding HIV prevention. The post-test assessment was conducted immediately after intervention (T1) and two months (T2) after the intervention in both groups. QOL was measured using the World Health Organization Quality of Life (WHOQOL)-HIV brief Bahasa version. The estimations were obtained using fixed-effect regressions. The differences between T0, T1, and T2 for the intervention and comparison groups were evaluated and compared using the DI Differences method (DID). Results: The self-management program improved outcomes relative to the comparison group at T1: 1) overall QOL score increased 8.7% (95% CI 0.021–0.149), 2) physical domain saw a modest increased 8.8% (95% CI 0.017–0.125), 3) psychological domain increased 23.5 % (95% CI 0.085–0.689), and 4) environmental domain showed a modest increase of 18.7% (95% CI 0.053–0.371). At T2, the total QOL score and the physical, psychological, and environmental dimensions were significantly improved compared to the comparison group. Conclusion: The self-management program appears to improve the QOL of the life of PLWH. Nurses are advised to provide PLWH with self-management training. Future research on self-management intervention would need to be refined further to ensure that each community achieves consistent intervention outcomes.
Persepsi Pengalaman Pertama Pada Pasien Gagal Ginjal Kronik Terhadap Hemodialisis Di Rumah Sakit Ananda Bekasi Jawa Barat Yunidar Yunidar; Abdul Khamid; Achmad Fauzi
Malahayati Nursing Journal Vol 4, No 3 (2022): Volume 4 Nomor 3 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.271 KB) | DOI: 10.33024/mnj.v4i3.6065

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ABSTRACT The results of a systematic review and meta-analysis study conducted by Hill et al (2016) showed that 13.4% of the world's population suffers from chronic kidney failure. Several occurrences of comorbidities after experiencing kidney disorders in chronic kidney failure patients undergoing hemodialysis cannot be avoided, where these complications can cause discomfort, increase stress anxiety and have a negative impact on the quality of life of patients including family dynamics. The purpose of this study was to explore the perception of the first experience of chronic kidney failure patients on hemodialysis at Ananda Hospital Bekasi, West Java. The sampling technique used was purposive sampling. The number of informants in this study was four patients with chronic kidney failure and four from families of patients with chronic kidney failure. Data were collected by in-depth interviews with four participants and four people from their families. In patients with CRF, it is carried out 1 or 2 times a week and lasts for at least 3 months continuously. Some of the effects or risks of hemodialysis must be faced by CKD patients considering this action is one of the actions that are also beneficial in maintaining their survival. The decision of a patient with chronic renal failure to undergo hemodialysis is when a patient with chronic kidney failure performs dialysis for the first time, which is not inconceivable at all. Keywords: Perception, Hemodialysis, Chronic Renal Failure ABSTRAK Hasil studi systematic review dan meta analisys yang dilakukan oleh Hill dkk (2016) menunjukkan 13,4% penduduk dunia menderita gagal ginjal kronis. Beberapa kejadian adanya penyakit  penyerta setelah mengalami gangguan ginjal pada pasien gagal ginjal kronis yang menjalani hemodialisa tidak dapat dihindari, dimana komplikasi tersebut dapat menimbulkan ketidaknyamanan, meningkatkan stress kecemasan dan berdampak buruk pada kualitas hidup pasien termasuk didalamnya dinamika keluarga. Tujuan penelitian ini untuk mengeksplorasi persepsi pengalaman pertama pada pasien gagal ginjal kronik terhadap Hemodialisis di Rumah Sakit Ananda Bekasi Jawa Barat. Teknik pengambilan sampel menggunakan purposive sampling. Jumlah informan dalam penelitian ini ada empat pasien gagal ginjal kronik dan empat dari keluarga pasien gagal ginjal kronik. Pengumpulan data dilakukan dengan wawancara mendalam pada empat orang partisipan dan empat orang dari keluarga. Pada pasien GKK dilakukan 1 atau 2 kali seminggu dan sekurang-kurangnya berlangsung selama 3 bulan secara berkelanjutan. Beberapa dampak atau resiko hemodialisa harus dihadapi oleh pasien GGK mengingat tindakan ini merupakan salah satu tindakan yang juga bermanfaat dalam mempertahankan kelangsungan hidupnya. Keputusan Pasien gagal ginjal kronik untuk dilakukan hemodalisis adalah saat pasien gagal ginjal kronik  untuk pertama kalinya melakukan cuci darah yang tidak kebayangan sama sekali. Kata Kunci: Persepsi, Hemodialisis, Gagal Ginjal Kronik
Efektifitas Metode Kangguru Mengurangi Rasa Nyeri Pada Penyuntikan Intra Muscular Pada Bayi Baru Lahir Di PMB Fitri Indah Susilowati Nursa'adah Nursa'adah; Achmad Fauzi
Malahayati Nursing Journal Vol 4, No 7 (2022): Volume 4 Nomor 7 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (45.523 KB) | DOI: 10.33024/mnj.v4i7.6509

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ABSTRACT Prevention of pain in newborns is by nonpharmacological means effective to reduce pain in the intramuscular injection of newborns. The use of the kangaroo method is a nonpharmacological method that can reduce intramuscular injection pain physiologically. Knowing the effectiveness of kangaroo methods reduces pain in intramuscular injections in newborns in PMB Fitri Indah Susilowati Cikarang Barat Bekasi. The study used quasi-experimental with purposive sampling with a sample of 30 people. Data techniques are included in univariate analysis using frequency distribution and bivariate analysis using statistical calculations of SPSS programs. Results showed that there was a significant effect on pain reduction between the intervention group and the control group, with a p-value (0.000) < α (0.05) showing that there were significant differences in the intervention group after kangaroo methods and in the control group at the time of intramuscular injection of newborns. There is a significant influence on the implementation of kangaroo methods on intramuscular injection pain in newborn babies so as to get optimal results. It is hoped that kangaroo methods can be implemented in the care of newborns, especially to reduce intramuscular injection pain. Keywords: Kangaroo Method, Painful, Intramuscular  Injection  ABSTRAK Pencegahan nyeri pada bayi baru lahir yaitu dengan cara nonfarmakologi efektif untuk mengurangi rasa sakit pada penyuntikan intramuskular bayi baru lahir. Penggunaan metode kanguru merupakan metode nonfarmakologi yang dapat mengurangi nyeri suntikan intramuscular secara fisiologi. Tujuan penelitian untuk mengetahui efektifitas metode kanguru mengurangi rasa nyeri pada penyuntikan intramuscular pada bayi baru lahir di PMB Fitri Indah Susilowati Cikarang Barat Bekasi. Penelitian ini menggunakan quasi esperimental dengan purposive sampling dengan sample 30 orang. Teknik data termasuk dalam analisis uivariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan perhitungan statistik program SPSS. Hasil dari penelitian ini menunjukkan bahwa terdapat pengaruh signifikan penurunan rasa nyeri antara kelompok intervensi dan kelompok kontrol, dengan p-value (0,000) < α (0,05) menunjukkan bahwa ada perbedaan signifikan terhadap kelompok intervensi setelah dilakukan metode kanguru dan pada kelompok kontrol pada saat penyuntikan intramuscular bayi baru lahir. Terdapat pengaruh yang signifikan pelaksanaan metode kanguru terhadap nyeri penyuntikan intramuscular pada bayi baru lahir sehingga mendapatkan hasil yang optimal. Diharapkan metode kanguru dapat diimplementasikan pada perawatan bayi baru lahir, khususnya untuk mengurangi nyeri penyuntikan intramuscular. Kata Kunci: Metode Kanguru, Nyeri, Penyuntikan Intramuskuler
PEMERIKSAAN KADAR GULA DARAH, KONSELING TENTANG DIABETES MELLITUS DAN KOMPLIKASINYA DI PUSKESMAS JATIBENING Arifah Rakhmawati; Abdul Khamid; Achmad Fauzi
JURNAL ANTARA ABDIMAS KEPERAWATAN Vol 4 No 2 (2021): Jurnal Antara Abdimas Keperawatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.072 KB) | DOI: 10.37063/abdimaskep.v4i2.624

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Pendahuluan: Indonesia merupakan Negara terbanyak ke empat di dunia untuk jumlah penderita terbanyak diabetes mellitus setelah India, Cina dan Amerika Serika. Diabetes melitus merupakan suatu kumpulan problema anatomik dan kimiawi yang merupakan akibat dari sejumlah faktor. Pasien dengan Diabetus Mellitus biasanya datang ke pelayanan kesehatan dengan komplikasi. Metode: Metode penelitian dengan pemeriksaan kadar gula darah dan penyuluhan tentang diabetes mellitus, komplikasi dan penatalaksanaannya Hasil: Pada kegiatan ini di dapatkan hasil pemeriksaan kadar gula darah 9 orang (20,5%) dalam kategori bukan DM, 26 orang ( 59%) dalam kategori belum pasti DM, dan 9 orang (20,5%) dalam kategori DM. Berdasarkan hasil dari pemeriksaan kadar gula darah diharapkan lansia dan masyarakat sekitar panti dapat lebih menerapkan pola hidup sehat seperti mengontrol pola makan, melakukan aktivitas fisik sesuai kemampuan dan juga bisa mengontrol kadar gula darahnya dengan pemeriksaan yang teratur. Kesimpulan: Bagi yang sudah terdeteksi menderita Diabetus mellitus diharapkan untuk selalu memeriksakan diri ke petugas kesehatan minimal 1 bulan sekali.
Nurse’s Experience in Caring End-of-Life Patients in Intensive Care Unit RSPI Prof. Dr Sulianti Saraso Jakarta Year 2021 Puguh E Mintarto; Achmad Fauzi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 1 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1029.528 KB) | DOI: 10.33755/jkk.v8i1.312

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Aims: To explore nurse's experience in caring of end-of-life patients in intensive care unit rspi prof. Dr sulianti saraso jakarta year 2021 Design: The type of research used in this research is qualitative research with a phenomenological approach Methods : The subjects in this study were fiven nurses in the ICU RSPI Prof. Dr. Sulianti Saroso. Data analysis was carried out with the stages of data reduction, data presentation and leverage. Results: Based on the results of research interviews, we found four three themes as follow:  1) Nurses have good mastery; 4) Nurse emotional control; 3) Nurse response toward end-of-life care. Conclusions: This study found that nurse experience positively while caring of patients in end-of-life care, even sometime they still need to control their emotion of being empathy to the patients’ condition. Comprehensive and continue training related to end of life care is require to enhance and update nurse knowledge and skill of end-of life care.
Comparison of Oral Hygiene Using Chlorhexidine Solution and Hexadol Solution Towards Prevention of Ventilator Associated Pneumonia in Patients with Mechanical Ventilators Indriana Natalia; Achmad Fauzi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 8 No. 1 (2022): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (981.966 KB) | DOI: 10.33755/jkk.v8i1.313

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Aims: This study aimed to determine the effect oral hygiene using chlorhexidine solution and hexanol solution towards prevention of ventilator associated pneumonia in patients with mechanical ventilators. Design: This type of research is a quasi-experimental study with a Control Group Pretest-Posttest research design Methods: The data used in this study are primary data with data collection techniques using the observation sheet. Test the hypothesis using the Independent T-Test method Results: The results showed that there was no significant difference between oral hygiene using Chlorhexidine and Hexadol in the prevention of VAP in Bekasi District Hospital with p value = 0.933 (p value > alpha 0.05). Conclusions : It can be concluded that there is no difference in oral hygiene using chlorhxidine and hexadol on the prevention of VAP. Future study should conducted similar study using more rigors methods and large sample.
TERAPI RELAKSASI OTOT PROGRESIS UNTUK MENGATASI INSOMNIA DI MASA PANDEMI COVID-19 Chusnul Chotimah; Achmad Fauzi; Asep Barkah
JURNAL ANTARA ABDIMAS KEPERAWATAN Vol 3 No 2 (2020): Jurnal Antara Abdimas Keperawatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.923 KB) | DOI: 10.37063/abdimaskep.v3i2.492

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Pendahuluan: Pandemi Covid 19 saat ini memberikan tekanan dan stressor tersendiri bagi masyarakat. Banyaknya permasalahan yang timbul karena pandemi tersebut mengakibatkan kecemas karena merasa takut terinfeksi, perubahan pola hidup sehingga mempengaruhi kualitas tidur seseorang. Banyak masyarakat yang menjadi susah tidur atau sering disebut dengan insomnia. Insomnia merupakan suatu keadaan susah memulai untuk tidur dimalam hari dan terbangun lebih awal di esok harinya. Seseorang yang mengalami Insomnia juga di sertai dengan rasa gelisah, dan tidak nyaman. Metode: Penelitian ini menggunakan jenis penelitian kualitatif dengan menggunakan pendekatan fenomenologi interpretif. Hasil: Pemberian terapi otot progresif dilakukan setiap hari selama empat minggu. Setelah diberikan intervensi selama empat minggu, terjadinya penurunan gejala insomnia pada klien ditandai dengan peningkatan kualitas tidur. Kesimpulan: Terapi relaksasi otot progresif dapat digunakan untuk menurunkan nyeri dan kecemasan yang menyebabkan insomnia.
PEMBAGIAN MASKER DAN VITAMIN C DALAM PENCEGAHAN PENULARAN COVID-19 PADA PEDAGANG DI PASAR JATIASIH Isnaeni; Achmad Fauzi; Chusnul Chotimah
JURNAL ANTARA ABDIMAS KEPERAWATAN Vol 4 No 1 (2021): Jurnal Antara Abdimas Keperawatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (346.948 KB) | DOI: 10.37063/abdimaskep.v4i1.554

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Pendahuluan: Coronavirus Disease 2019 (COVID-19) adalah penyakit jenis baru yang belum pernah diidentifikasi sebelumnya pada manusia dan menyebabkan gangguan pada saluran pernapasan manusia. Pasar menjadi salah satu tempat yang berpotensial terjadinya penularan COVID-19. Sudah banyak kasus penularan COVID-19 yang terjadi di dalam pasar yang ada di Indonesia Metode: Metode pengabdian yang dilakukan adalah pembagian masker dan vitamin C serta edukasi tentang pencegahan COVID-19 kepada para pedagang yang berjualan di pasar Jatiasih Hasil: Kegiatan pengabdian dapat berjalan dengan baik. Pihak pengelola dan kepolisian setempat mendukung kegiatan pengabdian yang dilakukan. Para pedagang mulai sadar dan memakai masker setelah kegiatan pengabdian ini dilakukan walaupun belum semua pedagang menjadi sadar. Kesimpulan: Komunikasi, Edukasi dan Informasi (KIE) perlu secara berkala dilakukan kepada para pedagang di dalam pasar karena kesadaran pedagang untuk mematuhi protokol Kesehatan cukup rendah.
PEMBERDAYAAN KADER POSYANDU LANSIA DALAM DETEKSI DINI RISIKO DAN PENCEGAHAN DEPRESI PADA LANJUT USIA DI JATIASIH Abdul Khamid; Achmad Fauzi; Chusnul Chotimah
JURNAL ANTARA ABDIMAS KEPERAWATAN Vol 2 No 1 (2019): Jurnal Antara Abdimas Keperawatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.105 KB) | DOI: 10.37063/abdimaskep.v2i1.563

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Pendahuluan: Menurut World Health Organization (WHO), gangguan Depresi menempati urutan kedua beban penyakit di dunia Tahun 2020. Data Riskesdas menyebutkan prevalensi depresi di Indonesia 6,1 per Mil dan hanya 9% yang menjalani pengobatan medis. Metode: Metode yang digunakan yaitu pembekalan / pelatihan kader tentang deteksi dan pencegahan depresi pada lansia melalui ceramah, diskusi, screening, simulasi, pre dan post test, dengan sasaran kader dipos yandu lansia yang berjumlah 30 orang. Hasil: Pemahaman kader mengalami peningkatan dari nilai rata-rata 52,8 menjadi 81,8 tentang deteksi faktor risiko dan gejala serta pencegahan depresi pada lansia. dan gejala serta pencegahan depresi Kesimpulan: Kegiatan pengabmas memberikan manfaat peningkatan pemahaman kader dan peningkatan partisipasi kader dalam deteksi dini resiko dan gejala serta pencegahan depresi. Kader kesehatan diharapkan melakukan screening lanjutan kepada semua lansia diwilayahnya sehingga dapat dilakukan tindakan lanjutan dalam rangka memenuhi kesejahteraan lanjut usia.