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Nasrun Pakaya
Universitas Negeri Gorontalo
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OBEDIENCE FACTOR FOR OFFICERS TO WASH THEIR HANDS IN HEALTH FACILITIES Nasrun Pakaya; Febriyanti Umar; Agus Ishak; Wirda Y. Dulahu
Journal Health & Science : Gorontalo Journal Health and Science Community Vol 6, No 1 (2022): APRIL: JOURNAL HEALTH AND SCIENCE : GORONTALO JOURNAL HEALTH AND SCIENCE COMMUNI
Publisher : Gorontalo State University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/gojhes.v5i3.14031

Abstract

Mencuci tangan merupakan salah satu pencegahan terjadinya penyebaran kontaminasi silang. Terdapat faktor yang menyebabkan petugas kesehatan tidak patuh terhadap prosedur mencuci tangan sehingga dapat menyebabkan infeksi silang terjadi. Kebaruan penelitian ini adalah meneliti kepatuhan petugas melakukan cuci tangan di fasilitas kesehatan. Tujuan penelitian ini untuk menganalisis dan mensintesis bukti-bukti literature tentang faktor budaya kerja, sarana dan prasarana terhadap pelaksanaan  hand hygiene. Kajian dalam pencarian literature menggunakan tekhnik kajian Litterature Review. Dimana Literature Review ini menggunakan beberapa jurnal penelitian yang relevan dengan Faktor Budaya Kerja, Faktor Fasilitas dapat mempengaruhi pelaksanaan Hand Hygiene di ruang perawatan yang diakses dari basis data berbahasa Inggris dan Indonesia (Pencarian menggunakan PICOT Framework di database: Ebscho, Sciencedirect, Pubmed, Proquest dan Google Scholar) yang diterbitkan dari tahun 2015 sampai tahun 2020. Hasil literature menunjukkan faktor yang mempengaruhi budaya kerja terdiri dari supervisi kepala ruangan dan tipe kepemimpinan, sedangkan fasilitas kerja terdiri dari media poster, cairan antiseptic yang selalu tersedia serta tempat cuci tangan yang mudah dijangkau. Kesimpulan penelitian ini adalah fasilitas cuci tangan, ketersediaan antiseptik dan ksetersediaan tempat cuci tangan yang mudah dijangkau faktor yang dapat meningkatkan kepatuhan petugas dalam melakukan cuci tangan.  Kata kunci: Cuci Tangan; Fasilitas; Petugas Kesehatan. Abstrac Hand washing is one way to prevent the spread of cross-contamination. There are factors that cause health workers to not comply with hand washing procedures so that cross-infection can occur. The novelty of this study was to examine the compliance factor of officers doing hand washing in health facilities, literature review. The purpose of this study was to analyze and synthesize evidence/literature on the factors of work culture, facilities and infrastructure for the implementation of hand hygiene. The study in the literature search used a literature review used several research journal that were relevant to work culture factors, facility factor could affect the implementation of hand hygiene in the treatment room which were accessed from English and Indonesian Language databases (Search method using PICOT Framework in databases: Ebscho, Sciencedirect, Pubmed, Proquest and Google Schola) published  from 2015 to 2020. Literature results show that the factors that influence the work culture consist of supervision of the head of the room and the type of leadership, while the work facilities consist of poster media, antiseptic liquid which is always available and an easily accessible handwashing area. The conclusion of this research is hand washing facilities, the availability of antiseptics and the availability of hand washing facilities that are easily accessible are factors that can increase the compliance of officers in washing hands.
Faktor Risiko Kejadian Penyakit Jantung Koroner (PJK) Pada Pasien Diabetes Melitus Tipe II Nasrun Pakaya
Jambura Nursing Journal Vol 4, No 1: January 2022
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v4i1.13489

Abstract

Penyakit jantung Koroner/ Coronary Artery Disease (CAD) merupakan suatu kondisi terbentuknya plak yang membesar di dinding pembuluh arteri Koroner dan menyebabkan minimnya aliran darah ke otot jantung. Faktor risiko penyakit jantung koroner (PJK) salah satunya adalah diabetes mellitus yang perlu dilakukan perawatan yang baik untuk mencegah kematian. Penelitian ini bertujuan untuk mensitesis bukti-bukti/ literatur tentang berbagai faktor risiko terhadap kejadian penyakit jantung koroner (PJK) pada pesien Diabetes Melitus (DM) tipe 2. Pencarian menggunakan PICOT Framework di database: Ebscho, Sciencedirect, Pubmed, Proquest dan Google Scholar, yang dibatasi dalam kurun waktu 5 tahun terakhir 2015-2020 didapatkan 5 Jurnal Internasional. Literatur menunjukkan bahwa dyslipidemia, jenis kelamin (laki-laki), merokok, penyakit arteri perifer, peningkatan tekanan darah sistolik, lamanya waktu menderita Diabetes Melitus, defisiensi vitamin D, aktifitas fisik, dan glycemic variability memiliki hubungan dengan kejadian PJK serta dapat memperberat penyakit jantung koroner pada pasien Diabetes Melitus. Perubahan gaya hidup perlu dilakukan, untuk mencegah dan mengurangi keadaan memburuk kondisi penyakit serta terjadinya penyakit jantung koroner.
Efek Extracorporeal Membrane Oxygenation Terhadap Hemodinamik Pasien Kritis Dengan Acute Respiratory Distress Syndrome di Intensive Care Unit : Literature Review: Efek Extracorporeal Membrane Oxygenation Terhadap Hemodinamik Pasien Kritis Dengan Acute Respiratory Distress Syndrome di Intensive Care Unit : Literature Review Nasrun Pakaya; Iin Pratiwi Adjami; Susanty Monoarfa
Ahmar Metastasis Health Journal Vol. 1 No. 4 (2022): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v1i4.95

Abstract

Introduction: Acute Respiratory Distress Syndrome (ARDS) is a lung disease characterized by the occurrence of hypoxia and stiff lungs and increased vascular permeability. One of the collaborative measures that can be used is Extracorporeal Membrane Oxygenation (ECMO). The purpose of this literature study is to synthesize evidence or literature on the effects of extracorporeal membrane oxygenation (ECMO) on hemodynamics in critically ill patients with acute respiratory distress syndrome (ARDS). This literature review research method uses the PUBMED database of 8 journal articles, Science direct 3 journal articles, and research gate 3 journal articles. The results showed that there was a relationship between Extracorporeal Membrane Oxygenation (ECMO) and the patient's respiratory and hemodynamic status. The use of Extracorporeal Membrane Oxygenation (ECMO) can largely improve the respiratory status and hemodynamic status of critically ill patients with Acute Respiratory Distress Syndrome (ARDS). Most of the journal articles analyzed show that ECMO can improve respiratory status compared to the hemodynamic status of critically ill patients with Acute Respiratory Distress Syndrome (ARDS). Pendahuluan: Acute Respiratory Distress Syndrome (ARDS) termasuk penyakit paru ditandai dengan terjadinya hipoksia serta paru-paru yang kaku dan peningkatan permeabilitas pembuluh darah . Salah satu tindakan kolaboratif yang dapat digunakan yaitu Extracorporeal Membrane Oxygenation (ECMO).  Tujuan studi literature ini adalah Untuk mensintesis bukti-bukti atau literatur tentang Efek Extracorporeal Membrane Oxygenation (ECMO) Terhadap Hemodinamik Pasien Kritis Dengan Acute Respiratory Distress Syndrome (ARDS). Metode penelitian literature riview ini menggunakan data base PUBMED 8 artikel jurnal, Science direct 3 artikel jurnal, dan research gate 3 artikel jurnal. Hasil penelitian menunjukan ada hubungan Extracorporeal Membrane Oxygenation (ECMO) dengan status pernapasan dan hemodinamik pasien. Penggunaan Extracorporeal Membrane Oxygenation (ECMO) sebagian besar dapat meningkatkan status pernapasan serta status hemodinamik pasien kritis dengan Acute Respiratory Distress Syndrome (ARDS). Sebagian besar artikel jurnal yang dianalisis menunjukkan ECMO dapat meningkatkan status pernapasan dibandingkan dengan status hemodinamik pasien kritis dengan Acute Respiratory Distress Syndrome (ARDS).
Pengaruh Thermoterapy terhadap Penurunan Tingkat Nyeri Dada Pasien Infark Miocard Acute di Ruang ICU RSUD Toto Kabila Zulkifli B Pomalango; Nasrun Pakaya
Jurnal Ilmiah Universitas Batanghari Jambi Vol 22, No 2 (2022): Juli
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v22i2.2338

Abstract

Chest pain in patients with acute myocardial infarction is a symptom that arises due to blockage in the coronary arteries which is a serious problem, because it will cause a decrease in cardiac output, so that the blood supply that carries oxygen and nutrients to tissues or cells also decreases. Appropriate use of analgesics or in combination is the most effective management for reducing pain intensity. However, in reality not all pain can be intervened with systemic analgesics. One of the non-pharmacological treatments to reduce chest pain is to use thermotherapy or application of heat to the body to reduce symptoms of acute pain and chronic pain. This study aims to determine the effect of thermotherapy on the pain level of patients with acute myocardial infarction in the ICU room of RSUD Toto Kabila. This study uses a Quasi Experiment One Group Pretest-Posttest Design. The sample used was 30 patients who were determined by Accidental Sampling. Data were collected using a pain level observation sheet and analyzed using the Wilcoxon Rank Test. The results showed that there was an effect of thermotherapy on decreasing the level of chest pain in patients with acute myocardial infarction, before being given thermotherapy the chest pain level with a mean value of 6.40, SD 0.516 and after being given thermotherapy chest pain level with a mean value of 2.40, SD 0.699. The statistical test results obtained the Wilcoxon rank test with a p-value of 0.004 (<α 0.05). It is recommended that thermotherapy be a non-pharmacological action, especially nursing interventions to reduce the level of chest pain in patients with acute myocardial infarction.
Prone Position Pada Dewasa dan Bayi Terhadap Saturasi Oksigen di Ruangan Intensive Nasrun Pakaya; Ayu Thirta Lestari; Zulkifli B Pomalango; Jerawati Yunus
Jambura Nursing Journal Vol 4, No 2: July 2022
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v4i2.14066

Abstract

Posisi prone merupakan merubah posisi klien berbaring diatas abdomen dengan kepala menoleh ke samping, implementasi posisi pronasi ini meningkatkan oksigenasi serta mengurangi mortalitas pada pasien. Penelitian ini menggunakan metode literature review dari beberapa jurnal/ artikel yang diterbitkan dari tahun 2017 sampai tahun 2021. Pengujian kualitas studi menggunakan PICOT framework yang berfokus pada populasi, intervensi, pembanding intervensi, hasil yang diharapkan dan waktu/tahun jurnal. Penelusuran artikel/ jurnal penelitian yang terpublikasi melalui, Perpunas, database Google Scholar dan EBSCO serta yang digunakan yaitu sebanyak 6 jurnal dengan persentasi 60% sedangkan EBSCO 30% dan Perpunas 10%. Ada pengaruh prone position dengan SPO2 pada bayi dan dewasa, ada pengaruh prone position terhadap pola tidur dan BB pada bayi. Penelitian didapatkan bahwa posisi pronasi merupakan intervensi yang layak, aman, tidak memerlukan banyak biaya dan mudah diimplementasikan pada pasien dengan sedikit efek samping. Pelaksanaan intervensi posisi prone pada pasien, kondisi pasien harus dipantau secara kontinyu, tidak hanya pada orang dewasa dan lansia posisi prone juga dapat dilakukan pada bayi, terutama pada bayi premature
THE RELATIONSHIP BETWEEN CARING NURSES AND PATIENT SATISFACTION IN THE ER ROOM OF ALOEI SABOE HOSPITAL, GORONTALO CITY Nasrun Pakaya; Ibrahim Sulemen; Mihrawaty Antu
Journal Health & Science : Gorontalo Journal Health and Science Community Vol 6, No 3 (2022): OKTOBER: JOURNAL HEALTH AND SCIENCE : GORONTALO JOURNAL HEALTH AND SCIENCE COMMU
Publisher : Gorontalo State University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/gojhes.v6i3.16350

Abstract

Penerapan Caring dapat dinilai dari sudut pandang pasien dan perawat. Persepsi pasien yang puas dengan caring perawat akan meningkatkan penilaian terhadap kepuasan mereka. Penerapan Caring bagi perawat sangat bermanfaat untuk meningkatkan kepekaan, rasa cinta kasih, hubungan perawat-klien, meningkatkan kepuasan kerja, kepuasan pasien serta profesionalme perawat. Tujuan penelitian ini adalah mengetahui hubungan perilaku caring perawat dengan kepuasan pasien di ruangan UGD RS. Aloei Saboe Kota Gorontalo. Penelitian ini dilakukan di Rumah Sakit Aloei Saboe Kota Gorontalo yang waktu penelitiannya disesuaikan dengan jangka waktu penelitian kolaboratif dua bulan terhitung mulai Maret 2022 – April 2022. Desain penelitian ini mengunakan jenis penelitian Cross Sectional dengan opulasi dalam penelitian ini yaitu seluruh pasien yang masuk di ruangan Unit Gawat Darurat. Teknik pengambilan sampel mengunakan purposive sampling dengan jumlah sampel sebanyak 70 responden. Hasil penelitian didapatkan bahwa sebagian besar merasa puas dengan pelayanan dan menilai perawat memiliki Caring yang baik sebesar 92%. Hasil ini meningkat dibandingkan penelitian sebelumnya pada tahun 2020 yang mengatakan bahwa perawat  memiliki perilaku Caring (58,9%) dengan p-value 0.04 lebih kecil dari 0.05. Penelitian ini menggunakan hasil analisis menggunakan uji Fisher’s Exact Test didapatkan nilai p=0,001. Hal ini berarti p-value lebih kecil dari alpha (5%), sehingga dapat disimpulkan bahwa ada hubungan yang bermakna antara perilaku caring perawat dengan kepuasan pasien di ruangan UGD  (p=0,001 0,05).Kata kunci : Caring ; Kepuasan ; IGD.AbstractThe application of Caring can be assessed from the point of view of the patient and the nurse. Perceptions of patients who are satisfied with caring nurses will increase the assessment of their satisfaction. The application of Caring for nurses is very useful in increasing sensitivity, love, nurse-client relationships, increase job satisfaction, patient satisfaction, and nurse professionalism. The purpose of this study was to determine the relationship between nurse caring behavior and patient satisfaction in the emergency room of the hospital. Aloei Saboe Gorontalo City. This research was conducted at the Aloei Saboe Hospital, Gorontalo City. The research time was adjusted to a two-month collaborative research period starting from March 2022 – April 2022. The design of this study used a cross sectional research type, with the population in this study being all patients who entered the unit room. Emergency. The sampling technique used purposive sampling with a total sample of 70 respondents. The results of the study found that most were satisfied with the service and assessed that nurses had good Caring 92%. This result is an increase compared to the previous study in 2020, which said that nurses had Caring behavior (58.9%) with a p-value of 0.04 less than 0.05. The results of the study using the analysis of Fisher's Exact Test the results obtained p value = 0.001. This means that the p-value is smaller than the alpha (5%), so it can be concluded that there is a significant relationship between nurse caring behavior and patient satisfaction in the emergency room (p=0.001 0.05).
Range Of Motion (ROM) on Muscle Strength in Stroke Patients : Literature Review Nistain Kune; Nasrun Pakaya
Jambura Nursing Journal Vol 5, No 1: January 2023
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jnj.v5i1.17896

Abstract

Background: Stroke is a disturbance of the function of the nervous system that occurs suddenly due to problems with blood circulation in the brain. The purposed of this literature study is to synthesize evidence or literature about the Effect of Range Of Motion (ROM) on Muscle Strength in Stroke Patients. Method: This literature study applied the PICOT framework with the Google Scholar database, research gate, and PUBMED. Results: Show a correlation between Range of Motion (ROM) and Muscle Strength in Stroke Patients. In addition, ROM also increases the range of motion of joints in stroke patients. Conclusion: From this literature review, it can be concluded that 66.6% of research shows a correlation between ROM and muscle strength in stroke patients. In addition, about 33.3% of research shows that ROM therapy can increase the range of motion of joints in stroke sufferers.
Co-Authors Agung Dwi Laksono Agus Ishak Agustina A. Seran Anita Dewi Prahastuti Sujoso Ayu Thirta Lestari Febriyanti Umar Hari Basuki Notobroto Ibrahim Sulemen Iin Pratiwi Adjami Ika Wulansari Ilyas Ibrahim Jerawati Yunus K Kusnanto Masruroh - Mihrawaty Antu Nikmatur Rohmah Nistain Kune Nur Baharia Marasabessy Rika Subarniati Triyoga Susan Monoarfa Wirda Y. Dulahu Zulkifli B. Pomalango