Ristina Mirwanti
Fakultas Keperawatan Universitas Padjadjaran

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Pasien Paska Stroke Pada Fase Subacute: Informasi Yang Dibutuhkan Sri Hartati Pratiwi; Eka Afrima Sari; Ristina Mirwanti
Malahayati Nursing Journal Vol 4, No 2 (2022): Volume 4 Nomor 2 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.474 KB) | DOI: 10.33024/mnj.v4i2.5901

Abstract

ABSTRACT: POST STROKE PATIENTS IN THE SUBACUTE PHASE: INFORMATION REQUIRED Introduction: Post-stroke patient care in the subacute phase is carried out independently by the patient and family at home. Post-stroke patients must have adequate knowledge to carry out self-care at home. The lack of information obtained by post-stroke patients can affect the patient's ability to carry out self-care so that his health status decreases. Therefore, nurses as educators must be able to provide information according to the needs of post-stroke patients.Purpose: This study was conducted to determine the information needs of post-stroke patients in the sub-acute phase so that the nursing care provided is in accordance with the patient's needs.Method: This study is a quantitative descriptive study conducted on post-stroke patients at the Neurology Polyclinic, one of the hospitals in Bandung. The sample technique used was consecutive sampling as many as 83 people. The inclusion criteria of post-stroke patients in this study were having full awareness and not experiencing aphasia. The instrument used in this study was based on the concept of the needs of post-stroke patients Kevitt (2009) and Moreland (2009) with a validity coefficient of 0.73 and an r of 0.75.Result: The information needs of post-stroke patients in a row include information about self-management to prevent recurrence or stroke recurrence ( = 1,59), nformation about nutrition that must be taken ( = 1,54), information about risks and side effects of treatment ( = 1,49), information about certainty of disease condition ( = 1,48), and information about stroke   ( = 1,45).Conclusion: Post-stroke patients need all information related to stroke, especially regarding self-management. Therefore, health workers are expected to provide education according to patient needs. Education for stroke patients can be done using various media and focuses on the patient. Keywords: Informations needs, Subacute, Stroke Patients         INTISARI: PASIEN PASKA STROKE PADA FASE SUBACUTE: INFORMASI YANG DIBUTUHKAN Latar Belakang: Perawatan pasien post stroke pada fase subacute dilakukan secara mandiri oleh pasien dan keluarga di rumah. Pasien paska stroke harus memiliki pengetahuan yang adekuat untuk menjalankan perawatan diri di rumah. Kurangnya informasi yang didapatkan pasien paska stroke dapat mempengaruhi kemampuan pasien menjalankan perawatan diri sehingga status kesehatannya menurun. Oleh karena itu, perawat sebagai edukator harus mampu memberikan informasi sesuai kebutuhan pasien paska stroke.  Tujuan: Penelitian ini dilakukan untuk mengetahui kebutuhan informasi pasien paska stroke pada fase subacute agar asuhan keperawatan yang diberikan sesuai dengan kebutuhan pasien.Metoda Penelitian: Penelitian ini merupakan penelitian deskriptif kuantitatif yang dilakukan kepada pasien paska stroke di Poliklinik Saraf dua Rumah Sakit di Bandung. Teknik sample yang digunakan adalah consecutive sampling sebanyak 83 orang. Kriteria inklusi pasien paska stroke dalam penelitian ini adalah memiliki kesadaran penuh dan tidak mengalami aphasia. Instrumen yang digunakan dalam penelitian ini disusun berdasarkan konsep kebutuhan pasien paska stroke khususnya bagian kebutuhan informasi yang dikembangkan oleh Kevitt (2009) dan Moreland (2009) dengan koefisien validitas 0,73 dan r 0,75.Hasil: Kebutuhan informasi pasien paska stroke secara berturut-turut diantaranya adalah informasi mengenai manajemen diri untuk mencegah kekambuhan atau stroke ulang ( = 1,59), informasi mengenai nutrisi yang harus dijalani ( = 1,54), informasi mengenai resiko dan efek samping pengobatan ( = 1,49), informasi mengenai kepastian kondisi penyakit ( = 1,48), dan informasi mengenai penyakit stroke ( = 1,45).Kesimpulan: Pasien paska stroke membutuhkan semua informasi yang berkaitan dengan stroke khususnya mengenai manajemen diri. Oleh karena itu, petugas kesehatan diharapkan dapat memberikan edukasi sesuai dengan kebutuhan pasien.  Edukasi pada pasien stroke dapat dilakukan dengan menggunakan berbagai media dan berfokus pada pasien. Kata Kunci : Kebutuhan informasi, Pasien Stroke, subacute
Pemberdayaan Kader Kesehatan dalam Mengkaji Self-Care pada Pasien Hipertensi Eka Afrima Sari; Ristina Mirwanti; Yusshy Kurnia Herliani
JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) Volume 4 Nomor 4 Agustus 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i4.3996

Abstract

 ABSTRAK Hipertensi merupakan merupakan penyakit kronis yang dapat dikendalikan salah satunya dengan perawatan diri (self-care). Sehingga diharapkan dengan self-care akan meningkatkan derajat kesehatan dan kualitas hidup. Untuk mencapai keberhasilan dalam mengendalikan hipertensi, diperlukan keterlibatan unsur masyarakat, salah satunya kader kesehatan. Kader kesehatan dapat berperan serta dalam mendampingi dan men-support pasien hipertensi dalam self-care hipertensi. Namun, belum ada program yang secara khusus melatih kader kesehatan dalam mengkaji self-care hipertensi. Sehingga program pengabdian masyarakat yang berorientasi pada pemberdayaan kader kesehatan dalam self-care hipertensi diperlukan guna mencegah komplikasi dan meningkatkan kualitas hidup pasien hipertensi. Kegiatan ini bertujuan meningkatkan pengetahuan kader dalam mengkaji self-care pada pasien hipertensi. Metode kegiatan berupa pendidikan masyarakat yaitu pelatihan kader kesehatan dalam mengkaji self-care pasien hipertensi. Target dan sasaran pada kegiatan ini adalah kader kesehatan di wilayah kerja Puskesmas Pasundan Kota Bandung sebanyak 37 orang. Luaran kegiatan ini adalah peningkatan pengetahuan kader dalam mengkaji self-care pada pasien hipertensi. Evaluasi dilaksanakan dengan mengukur pengetahuan kader kesehatan sebelum dan setelah dilakukan pelatihan. Hasil kegiatan didapatkan bahwa terdapat perbedaan pengetahuan (α 0.000) setelah mengikuti pelatihan. Kegiatan pengabdian pada masyarakat berupa pelatihan kader kesehatan dalam mengkaji self-care hipertensi ini efektif dalam meningkatkan pengetahuan kader kesehatan mengenai hipertensi dan self-care hipertensi. Kata Kunci: Hipertensi, Kader Kesehatan, Self-Care  ABSTRACT Hypertension is a chronic disease that can be controlled by self-care. It is hoped that self-care will improve the health and quality of life. To achieve success in controlling hypertension, it is necessary to involve one element of the community (health cadre). Health cadres can participate in assisting and supporting hypertensive patients in self-care hypertension. However, there is no program that specifically trains health cadres in assessing hypertension self-care. So that community service programs oriented to empowering health cadres in hypertension self-care are needed to prevent complications and improve the quality of life for hypertensive patients. The purpose of this activity is to increase health cadre knowledge in assessing self-care in hypertensive patients. The method of activity is the training of health cadres in assessing self-care for hypertensive patients.  The target of this activity was 37 health cadres in the work area of Pasundan Health Center in Bandung City. The outcome of activities is an increase in cadre knowledge in assessing self-care in hypertensive patients. Evaluation is seen from the knowledge of health cadres before and after training. The result of the activity was that there were differences in knowledge of health cadres (α 0.000) after attending the training. Health cadre training in assessing hypertension self-care is effective in increasing health cadres’ knowledge about hypertension and hypertension self-care. Keywords: Health Cadres, Hypertension, Self-Care
Perbedaan Self-Efficacy Pencegahan Hipertensi Sebelum dan Sesudah Diberikan Edukasi Menggunakan Workbook pada Tenaga Kependidikan Kesehatan pada Salah Satu Perguruan Tinggi di Jawa Barat Ristina Mirwanti; Melinda Ardian Dwi Cahya; Aan Nuraeni
Jurnal Keperawatan Muhammadiyah Vol 7 No 3 (2022): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v7i3.13403

Abstract

There are many health education methods, most of which do not involve the participants actively. Workbooks are educational media that encourage a person's active role and are expected to increase self-efficacy, where self-efficacy itself is a predictor of self-care management behavior. This study aimed to identify differences in hypertension prevention's self-efficacy before and after health education using a workbook. This study used a quasi-experimental method with a pre-post-test design with a control group. This study's population was teaching staff in two health faculties at one of the universities in West Java, Indonesia. The sample was determined using the convenience sampling technique and obtained 24 respondents divided into the control and intervention groups. Data collection using the instrument "self-efficacy for prevention of hypertension." The data were analyzed using the median and frequency distribution, while for the different tests, the Wilcoxon test and the Mann Whitney test were used. The median pre-test for self-efficacy was 105 and 110, while the post-test was 104.5 and 110.5 in the control and intervention groups. While the p-value of the difference test between the two groups before the intervention was 0.326 (p> 0.05), while after the intervention, the p-value was 0.002 (p <0.05). This study indicated a significant difference in the self-efficacy of hypertension prevention after being given education using a workbook in the two groups, where the self-efficacy score in the intervention group was higher than the control group. As a recommendation, workbooks can be used as an educational tool for hypertension prevention to increase self-efficacy.
Maternal characteristics and stunting in children aged 24–60 months in West Jawa, Indonesia: A retrospective study Felantina Restyar Nintyas; Maria Komariah; Sukmawati Sukmawati; Laili Rahayuwati; Ristina Mirwanti; Theresia Eriyani
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i8.13407

Abstract

Background: Stunting is a nutritional health problem that can have both short and long-term adverse effects on children and will ultimately lead to a decrease in human resources.Purpose: To determine the relationship between maternal characteristics and the incidence of stunting in children aged 24-60 months in Sukamulya Village.Method: Quantitative research with a case-control approach. The sample in this study amounted to 93 respondents. Data analysis that will be used in this study is univariate and bivariate analysis using Chi-square Results: The results of the bivariate statistical test showed that there was a relationship between maternal height (p-value=0.000) and maternal age at pregnancy (p-value= 0.000) on stunting of toddlers aged 24-60 months in Sukamulya Village The results of bivariate statistical tests showed there was no relationship between birth spacing (p-value=0.147) to stunting of toddlers aged 24-60 months in Sukamulya Village.Conclusion: Factors associated with the incidence of stunting are maternal height and age at pregnancy and factors that are not associated with the incidence of toddler stunting are birth spacing.
Maternal knowledge regarding antenatal care services, history of exclusive breastfeeding and stunting among toddlers in West Java, Indonesia Astri Mufti Aini; Maria Komariah; Lilis Mamuroh; Laili Rahayuwati; Yanti Hermayanti; Ristina Mirwanti; Theresia Eriyani
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 2 (2024): Volume 7 Number 2
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i2.226

Abstract

Background: A mother's knowledge of ANC can increase interest and motivation in carrying out pregnancy checks which aim to detect problems early. Exclusive breastfeeding is one effort that can be made to meet nutritional needs to prevent stunting. Purpose: Analyzing the correlation between maternal knowledge of ANC, exclusive breastfeeding history, and stunting incidence in Hamlet III, Sukamulya Village. Method: Quantitative correlational, with a population of 68 families of stunted toddlers living in Hamlet III, Sukamulya Village. The sample size used for the research is total sampling. Secondary data is used for the research with instruments that include a combination of "Environmental Modification through Sanitation, Clean Water, Hygiene and Nutrition for Stunting Prevention" with the research instruments of Khairani, (2012) and Fitriani, (2021). The data analysis method used is univariate and bivariate analysis (Spearman rho). Results: There was no significant relationship between ANC knowledge and the incidence of stunting, obtained r=0.114 and ρ=0.353. Likewise, exclusive breastfeeding also did not show a significant relationship with the incidence of stunting, obtained r=0.007 and p=0.955. Conclusion: There is no relationship between maternal ANC knowledge and exclusive breastfeeding with the incidence of stunting.