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The Effect Of Self Efficacy Towards Independency Level Of Post-Stroke Patient In General Hospital Neuro Policlinic Ulin Banjarmasin Gaghauna, Eirene E.M; Santoso, Bagus Rahmat
Journal Of Nursing Practice Vol. 2 No. 2 (2019): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Background: Stroke is a disease of brain function disorder of the nerves in the form of local and global roomates have impact to physical and physcological. Stroke is the third causes of death in Indonesia and in South Kalimantan every 9.2 per mill areas, stroke cases had happened. There are 1258 cases in 2015 hospitalized in Ulin General Hospital.Purpose: To analyze the effect of self-efficacy on towards the Independence level of post-stroke patient in general hospital neuro policlinic Ulin BanjarmasinMethods: The methodology that use in this study is descriptive analytics, the total respondents in this study is 33 respondents. Collecting the data in this study is using the Stroke Self-Efficacy and Barthel index questionare. The Data Analyzed by Kendal Tau test.Result: According to this study to 33 respondent Obtained results. The respondents who have high self efficafy as 25 (75.7%), moderate self efficacy as many as seven respondents (21.2%) and has low self-efficacy is one respondents (3.0%) and to the independence level of post-stroke patient variables who had Categorized to independence are 14 respondents (42.4%), need minimal assistance 5 respondents (15.2%), partially need assistance in three respondents (9.0%), dependece assistance is five respondents (15.2%) and total assistance in six respondents (18.2%). the analysis result by Kendal Tau get p value = 0.044. the strength of the correlation is r = 310 it was statethat signifficant there is a moderate correlation and the direction are positive correlation.Conclusion: There signifficant There is correlation between self-efficacy to the Independence level of post-stroke patient

Handling Fever In Toddlers At Homes In The Village Of Manarap Lama Darini Kurniawati; Eirene E.M Gaghauna; Malisa Ariani
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 2 Nomor 2 Tahun 2021
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v0i0.64

Background: The prevalence of fever at the age of 0-4 years was 33.4%, cough was 28.7% and diarrhea was 11.4%. Central Agency Statistics in Indonesia (2012), children with fever as many as 90,245 children, in 2013 as many as 112,511 children. From field observations and interviews with some communities, the main problem was that the community had not been able to calculate drug doses for children under five and did not understand how to handle fever in children under five. The purpose is increase the level of knowledge and skill about fever handling of parents who have children under five in Manarap Village. Methods: Pre-test and Post-test, Educational counseling, training to measure temperature with a thermometer, training to calculate the dose of fever medicine for children under five, training in handling fever in children under five. The number of respondents are 14 people, total implementation of activities is 1 month, but educational activities and interviews are carried out for 1 day but at different times, then a follow-up plan is made after the activity. Results: Increased knowledge can be seen from the post-test value which is higher than the pre-test value, participants can measure body temperature with a thermometer correctly, participants can calculate the dose of paracetamol fever medicine for children under five, participants understand the handling of fever in children under five. Conclusion: Community service activities to treat fever in children under five through education have increased the knowledge and understanding of participants from the results of the pretest and post-test with a significant increase in scores. The hands-on practice of using a thermometer, compressing and calculating the right dose helped participants understand.

Hubungan Pengkajian Nyeri Menggunakan CPOT Terhadap Perubahan Status Hemodinamik pada pasien di ICU Bagus Rahmat Santoso; Eirene Eunike Meidiana Gaghauna
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 12, No 2 (2021): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v12i2.777

Masalah Nyeri merupakan suatu respon alami yang bersifat langsung terhadap suatu peristiwa atau kejadian yang tidak mengenakkan karena kerusakan jaringan, seperti proses penyakit atau tindakan pengobatan dan pembedahan ( Hayati, 2014 dalam Apriani et al, 2018). Munculnya nyeri pada pasien penurunan kesadaran disebabkan oleh penyakit akut dan banyaknya intervensi dan tindakan yang dilakukan di ICU seperti: operasi, trauma, tindakan invasif, perawatan luka dan perubahan posisi pada pasien (Sutari, 2014 dalam Apriani et al, 2018).Tujuan: penelitian ini untuk menganalisis hubungan pengkajian nyeri menggunakan CPOT terhadap perubahan status hemodinamik pada pasien.Metode: Desain penelitian ini adalah penelitian korelasi yang dilakukan analisis data statistik menggunakan Mann-Whitney. Lembar penilaian skala nyeri CPOT dan Lembar Observasi Status hemodinamik.Hasil: pengukuran tingkat nyeri menggunakan CPOT Â berhubungan dengan perubahan status hemodinamik dengan kenaikan yang beragam tergantung tingkatan nyeri yang dirasakan oleh pasien.Kesimpulan: perlunya monitoring tingkat nyeri khususnya pada pasien yang menggunakan ventilator diruang Intensive care sebagai salah satu upaya monitoring status hemodinamik yang berpengaruh dalam perbaikan kondisi pasien di ICU.Â Kata Kunci: CPOT, Nyeri, Status Hemodinamik

Pengaruh Family Health Seek Behavior Terhadap Outcome Pasien Stroke Dengan Menggunakan National Institute Of Health Stroke Scale (NIHSS) di Ruang IGD Eirene Eunike Meidiana Gaghauna; Bagus Rahmat Santoso; Muhammad Alfian
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 2 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Â MasalahÂ Stroke merupakan masalah kesehatan yang utama bagi masyarakat modern saat ini. Dewasa ini, stroke semakin menjadi masalah serius yang dihadapi hampir diseluruh dunia. Hal tersebut dikarenakan serangan stroke yang mendadak dapat mengakibatkan kematian, kecacatan fisik dan mental baik pada usia produktif maupun usia lanjut (Junaidi, 2011). Menurut WHO (World Health Organization) tahun 2012, kematian akibat stroke sebesar 51%. Prevalensi stroke di Kalimantan Selatan merupakan yang tertinggi di antara provinsi lain di pulau Kalimantan yaitu sebesar 9,2 permil, sedangkan provinsi Kalimantan Barat 5,8 per mil, Kalimantan Tengah 6,2 permil, Kalimantan Timur 7,7 permil.Tujuan:Â penelitian iniÂ untukÂ mengidentifikasi pengaruh Family Health Seek Behavior terhadap outcome pasien stroke.Metode:Â Metode penelitian ini adalah observasional analitik yang dilakukan analisis data statistik menggunakan Chisquare.Â lembar observasi dari responden tentang Family Health Seek Behavior dan Outcome pasien stroke dengan nilai NIHSS.Hasil:Â AdanyaÂ pengaruhÂ positif antara perilaku family health seek behavior terhadap outcome pasien stroke dengan menggunakan nilai NIHSS di IGD RSUD Ulin Banjarmasin dimana semakin lama jeda waktu rujukan pasien akan semakin memperburuk kondisi fisik pasien stroke.Kesimpulan: PerluÂ adanyaÂ pengenalan terhadap keluarga mengenai tanda gejala stroke serta pemahaman tindakan pertama yang harus segera dilakukan.Â Kata Kunci:Â Family HealthÂ Seek Behavior, NIHSSABSTRACTIntroduction: Stroke problem is a major health problem for modern society today. Today, stroke is increasingly becoming a serious problem faced almost all over the world. This is because a sudden stroke can result in death, physical and mental disability both at productive age and elderly (Junaidi, 2011). According to the WHO (World Health Organization) in 2012, deaths from stroke were 51%. The prevalence of stroke in South Kalimantan was the highest among other provinces on the island of Kalimantan, which was 9.2 per mile, while West Kalimantan was 5.8 per mile, Central Kalimantan 6.2 per mile, East Kalimantan 7.7 per mile.Purpose: To identify family health care seeking behavior and stroke patient outcomes using NIHSS. Methods: Analytic observational which is carried out by statistical data analysis using Chi-squareResults: There was a positive influence between family health seek behavior on the outcome of stroke patients by using the NIHSS value in the ER at RSUD Ulin Banjarmasin where the longer the patient referral time lag would worsen the physical condition of the stroke patient.Conclusion: Health care provider needs to give heath education to the family regarding the signs and symptoms of stroke. Also family must to understand about first actions should be taken immediately on this situationÂ Keywords: Family Health Seek Behavior, NIHSS

THE RELATIONSHIP BETWEEN THE CLASSIFICATION OF HEART FAILURE PATIENTS WITH RENAL CREATININE UREA LEVELS IN TULIP IIC ULIN PUBLIC HOSPITAL BANJARMASIN Bagus Rahmat Santoso; Eirene Eunike Meidiana Gaghauna
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 6, No 1 (2015): DINAMIKA KESEHATAN JURNAL KEBIDANAN DAN KEPERAWATAN
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126 KB)

Background : Classification of heart failure is a stage heart failure based on signs and symptomscaused. Most patients with low of Glomerular Filtration Rate (GFR) is also in a lower NYHAfunctional class. Increasing concentrations of substances urea and creatinine is proportional to thenumber of functional nephron reduction, so it is an important tool to assess the degree of renalfailure.Methods : This study used a cross-sectional approach. Research sampling technique used in thisresearch is purposive sampling with the number of sample is 56 samples. Data were collected byusing a check list. Data were analyzed using Chi Square with significant value of p 0.05.Result : Results showed respondents with lower levels of urea + normal were 38 respondents(67.9%) and high urea levels as much as 18 respondents (32.1%). Based on the results of thebivariate analysis using Chi-square test p = 0.490 obtained because p 0.05 (0.490 0.05), it can bestated there was no relationship between heart failure class with urea in Tulip IIC Ulin PublicHospital Banjarmasin. And the results showed respondents with low creatinine levels were 38normal + respondents (67.9%) and creatinine levels were higher by 18 respondents (32.1%). Basedon the results of the bivariate analysis using Chi-square test p = 0.421 obtained because p 0.05(0.421 0.05), it can be stated there was no relationship between the classes of heart failure withcreatinine levels in Space Tulip IIC Ulin Public Hospital Banjarmasin.Conclusion : Results of the analysis showed that there is no relationship between the classificationof heart failure patients with renal creatinine urea levels in tulip IIC Ulin Public HospitalBanjarmasin.Keywords: Classification of Heart Failure, Urea, Creatinine

Pengaruh Perdarahan Intracerebral Terhadap Penurunan Nilai Revised Trauma Score (RTS) Pada Pasien Trauma Kepala Di RSUD Ulin Banjarmasin Bagus Rahmat Santoso; Eirene Eunike Meidiana Gaghauna
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 10, No 2 (2019): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Background: Patient care with head trauma must be done quickly and accurately. One who is required to conduct as an assessment can use the Revised Trauma Score (RTS). However, the decline is the value of RTS also caused by several things, one of which is intracranial hemorrhage.Objective: This Research to determine the effect of intracerebral hemorrhage on decreasing of the Revised Trauma Score (RTS) in head trauma patients.Methods: The sample in this research are40 head trauma patients who entered the IGD Ulin public Hospital on April - August 2019 using accidental sampling technique. The analytical method in this study is using the chi-square test.Results: There were 13 patients (32.5%) who had bleeding with low RTS, so it can be said as be serious, but there were 6 patients (15%) who experienced bleeding with moderate RTS values and 1 patient (2.5%) had bleeding but with High RTS results. Otherwise patients who did not experience bleeding there are 15 patients with high RTS values, 4 patients (10%) with moderate RTS values, and 1 patient with low RTS values. Chi-Square analysis test results obtained a value of p = 0.000 a which statistically there is a difference in intracerebral hemorrhage with a decrease in RTS in head trauma patients at IGD Ulin Public Hospital.Conclusion: Intracerebral hemorrhage in head trauma patients can influence the decrease in blood pressure, respiratory status and level of patient consciousness, which indirectly influences to the decrease of RTS values.Â Keywords: Intracerebral Hemorrhage, Revised Trauma Score (RTS), Head TraumaÂ Latar Belakang: Perawatan pasien untuk trauma kepala harus dilakukan dengan cepat dan akurat. Salah satu yang diperlukan untuk melakukan scoring dapat menggunakan Revised Trauma Score (RTS). Namun penururan nilai RTS juga dipengaruhi beberapa hal salah satunya perdarahan intracranial.Tujuan: penelitian untuk mengetahui pengaruh perdarahan intracerebral terhadap penurunan nilai Revised Trauma Score (RTS) pada pasien trauma kepalaMetode Penelitian: Sampel pada penelitian ini berjumlah 40 orang pasien trauma kepala yang masuk ke IGD RSUD Ulin pada bulan April - Agustus 2019 dengan cara pengambilan sampel menggunakan teknik accidental sampling. Metode analisis yang digunakan pada penelitian ini yaitu menggunakan chi-square test.Hasil: Terdapat 13 pasien (32,5%) mengalami pendarahan dengan nilai RTS rendah sehingga dapat dikatakan serius, tetapi ada 6 pasien (15%) yang mengalami pendarahan dengan nilai RTS sedang dan 1 pasien (2,5%) mengalami pendarahan tetapi dengan hasil RTS Tinggi. Begitu sebaliknya pasien yang tidak mengalami pendarahan ada 15 pasien dengan nilai RTS tinggi, 4 pasien (10%) dengan nilai RTS sedang, dan 1 pasien dengan nilai RTS rendah. Hasil uji analisis Chi-Square didapatkan nilai p= 0.000 a yang secara statistik ada pengruh perdarahan intraserebral dengan penurunan nilai RTS pada pasien trauma kepala di RSUD Ulin Banjarmasin.Kesimpulan: Perdarahan intraserebral pada pasien trauma kepala dapat mempengaruhi terjadinya penurunan tekanan darah, status pernafasan dan tingkat kesadaran pasien, yang secara tidak langsung berpengaruh terhadap penurunan nilai RTS.Â Kata Kunci: Perdarahan Intraserebral, Revised Trauma Score (RTS), Trauma Kepala

Bahasa Inggris Eirene Eunike Meidiana Gaghauna
Journal of Nursing Invention Vol 2 No 1 (2021): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.908 KB)

BACKGROUND Health provider are profesional staff who has wide competencies and services in order to maintaining and increasing the quality of health service based on patient centered care. OBJECTIVE The purpose of this study was to describe the function and role of Interprofesional Education and Interprofesional Collaboration thrcough Critical Care Nursing Perspective METHODS Non-systematic review literature study method has been applied.The author hans been used scientific article from several database including Science Direct, BMJ, Google Scholar and Reflevtive Journal. . CONCLUSION The implementation of Interprofesional Education and Interprofesional Collaboration are very important as provisions to the student as a leader in the future

Hubungan Pengkajian Nyeri Menggunakan CPOT Terhadap Perubahan Status Hemodinamik pada pasien di ICU Eirene Eunike Meidiana Gaghauna; Bagus Rahmat Santoso
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 12, No 2 (2021): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v12i2.777

Masalah Nyeri merupakan suatu respon alami yang bersifat langsung terhadap suatu peristiwa atau kejadian yang tidak mengenakkan karena kerusakan jaringan, seperti proses penyakit atau tindakan pengobatan dan pembedahan ( Hayati, 2014 dalam Apriani et al, 2018). Munculnya nyeri pada pasien penurunan kesadaran disebabkan oleh penyakit akut dan banyaknya intervensi dan tindakan yang dilakukan di ICU seperti: operasi, trauma, tindakan invasif, perawatan luka dan perubahan posisi pada pasien (Sutari, 2014 dalam Apriani et al, 2018).Tujuan: penelitian ini untuk menganalisis hubungan pengkajian nyeri menggunakan CPOT terhadap perubahan status hemodinamik pada pasien.Metode: Desain penelitian ini adalah penelitian korelasi yang dilakukan analisis data statistik menggunakan Mann-Whitney. Lembar penilaian skala nyeri CPOT dan Lembar Observasi Status hemodinamik.Hasil: pengukuran tingkat nyeri menggunakan CPOT berhubungan dengan perubahan status hemodinamik dengan kenaikan yang beragam tergantung tingkatan nyeri yang dirasakan oleh pasien.Kesimpulan: perlunya monitoring tingkat nyeri khususnya pada pasien yang menggunakan ventilator diruang Intensive care sebagai salah satu upaya monitoring status hemodinamik yang berpengaruh dalam perbaikan kondisi pasien di ICU. Kata Kunci: CPOT, Nyeri, Status Hemodinamik The Effect of Family Health Seek Behavior to the Outcome of Stroke Patient using National Institute of Health Stroke Scale (NIHSS) in Emergency Department Introduction: Pain is a natural response that is direct to an unpleasant event or event due to tissue damage, such as a disease process or treatment and surgery (Hayati, 2014 in Apriani et al, 2018). The emergence of pain in patients with decreased consciousness is caused by acute illness and the many interventions and actions carried out in the ICU such as: surgery, trauma, invasive procedures, wound care and position changes in patients (Sutari, 2014 in Apriani et al, 2018).Purpose: To analyze the relationship of pain assessment using CPOT to changes in hemodynamic status in patients.Results: The design of this research is correlation research which is analyzed statistical data using Mann-Whitney. CPOT pain scale assessment sheet and Hemodynamic Status Observation Sheet.Conclusion: the need for monitoring the level of pain, especially in patients who use a ventilator in the intensive care room as an effort to monitor hemodynamic status that affects the improvement of the patient's condition in the ICU Keywords: CPOT, Hemodynamic Status, Pain

T Tinjauan Naratif: Peran Fungsi Interprofessional Education (IPE) dan implementasi Interprofessional Collaboration (IPC) dalam Pendidikan Kesehatan melalui perspektif Keperawatan Kritis Eirene Eunike Meidiana Gaghauna
Journal of Nursing Invention Vol. 2 No. 1 (2021): Journal of Nursing Invention
Publisher : LPPM Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/jni.v2i1.44

BACKGROUND Health provider are profesional staff who has wide competencies and services in order to maintaining and increasing the quality of health service based on patient centered care. OBJECTIVE The purpose of this study was to describe the function and role of Interprofesional Education and Interprofesional Collaboration thrcough Critical Care Nursing Perspective METHODS Non-systematic review literature study method has been applied.The author hans been used scientific article from several database including Science Direct, BMJ, Google Scholar and Reflevtive Journal. . CONCLUSION The implementation of Interprofesional Education and Interprofesional Collaboration are very important as provisions to the student as a leader in the future

Effectiveness of Slow Stroke Back Massage Using Ylang Essential Oil on Reducing Blood Pressure Hypertension Patients Normaliyanti; Muhammad Riduansyah; Eirene Eunike Meidiana Gaghauna
Journal of Advances in Medicine and Pharmaceutical Sciences Vol 1 No 2: November 2022
Publisher : Lamintang Education and Training Centre, in collaboration with the International Association of Educators, Scientists, Technologists, and Engineers (IA-ESTE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36079/lamintang.jamaps-0102.443

Hypertension is a chronic condition when the blood pressure on the increase the blood vessels. Hypertension cases in Banjar Regency in 2021 were 15,083 cases. One of the non-pharmacological therapies that can reduce blood pressure is slow stroke back massage using ylang essential oil. Slow stroke back massage using ylang essential oil can have an effect on relaxation, blood circulation and is also useful as a lowering of blood pressure. The purpose of this study was to determine the effectiveness of slow stroke back massage using ylang essential oil on reducing blood pressure in patients with hypertension in Paku Alam village. This research method uses a one group pretest posttest design. The population in this study were patients with hypertension in the village of Paku Alam RT.03. The number of samples in this study were 10 people taken by purposive sampling technique. Data were analyzed using paired t-test. The research instrument uses Standard Operating Procedures (SOP) and observation sheets. The results of this study found that blood pressure decreased after giving slow stroke back massage using ylang essential oil. The results of the analysis test obtained that the systolic p value = 0.00 < (0.05) and the diastolic p value = 0.004 < (0.05) . So it can be concluded that there is an effectiveness of slow stroke back massage using ylang ylang essential oil on reducing blood pressure in patients with hypertension in Paku Alam Village.

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