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The Relationship Between Fluid Intake Restrictions and Hemodialysis Adequacy for Chronic Renal Failure Patients During Hemodialysis Treatment In Hemodialysis Unit at Dr. Slamet District General Hospital Engkus Kusnadi; Siti Ratnasari Wulan
Jurnal Medika Cendikia Vol 3 (2015): Proceedings International Conference (Culturally Sensitive Intervention in the Deliver
Publisher : STIKes Karsa Husada Garut

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Abstract

Restriction of fluid intake is a factor of the hemodialysis adequacy, which is very important in the hemodialysis success therapy for patients with chronic renal failure. The purpose of this study was to assess the relationship between fluid intake restriction and hemodialysis adequacy for chronic renal failure patients during hemodialysis therapy. This study used descriptive correlational design. The independent variable was fluid intake restriction and the dependent variable was the hemodialysis adequacy. The sample in this study was 52 patients with chronic renal failure during hemodialysis therapy in hemodialysis units dr.Slamet Garut Hospital. The result showed that most of patient (73.1%) had appropriate fluid restriction. Out of this number, 78.9% was adequate and 21.9% was inadequate. The rest (26.9%) was inappropriate fluid restriction. Out of this number, 42.9% was adequate and 57.1% was inadequate. The contingenci coefesien test showed p.value = 0.012 which was less than α (0.05). Thus, H0 was rejected and it can be concluded that there was a significant relationship between fluid intake restriction and hemodialysis adequacy. For nurses in Hemodialysis Unit dr. Slamet Garut, the result can be used to promote health education using banner as a media, so that the patients and families can enhance their attention about fluid intake that consumed by the patient.
Hubungan Stres Psikologis Dengan Kejadian Gastritis di Wilayah Kerja Puskesmas Cisurupan Engkus Kusnadi; Dera Try Yundari
Jurnal Medika Cendikia Vol 7 No 1 (2020): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v7i1.128

Abstract

Gastritis disebabkan oleh beberapa faktor yang salah satunya faktor stress psikologis. Angka kejadian gastritis di Puskesmas Cisurupan cukup tinggi pada tahun 2016 menduduki peringkat pertama terjadi sebanyak 848 pasien (19,6%). Pada saat keadaan stres tanpa disadari dapat memicu produksi asam lambung secara berlebihan yang bisa mengakibatkan munculnya rasa nyeri pada lambung maka akan terjadi gastritis. Tujuan penelitian ini adalah untuk mengetahui hubungan Stres Psikologis Dengan Kejadian Gastritis di Wilayah Kerja Puskesmas Cisurupan. Penelitian ini menggunakan metode observasional analitik deskriptif dengan desain cross sectional. Sampel yang digunakan sebanyak 61 responden, penelitian dilakukan di Desa Tambakbaya RT 03 wilayah kerja Puskesmas Cisurupan. Teknik pengumpulan data menggunakan kuesioner, dan teknik analisis menggunakan chi-square. Hasil penelitian menunjukkan bahwa lebih dari setengah responden yang mengalami stres yaitu sebanyak 34 orang (55,7%), responden menderita gastritis sebanyak 39 orang (63,9%) dan ada hubungan antara stres psikologis dengan kejadian gastritis diperoleh p=0,022 dan secara statistik signifikan (p = 0,000 < 0,05), dimana semakin tinggi tingkat stres maka semakin rentan terkena gastritis. Pasien hendaknya menekan terjadinya stres karena dapat menyebabkan terjadinya gastritis, salah satu upaya mengurangi stres adalah dengan mengurangi jam kerja ataupun menambah waktu istirahat
Hubungan Keteraturan Pemakaian Kelasi Besi Dengan Kualitas Hidup Anak Penyandang Thalassemia Indriyani Ramadhanti; Iin Patimah; Engkus Kusnadi
Jurnal Medika Cendikia Vol 7 No 02 (2020): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v7i02.148

Abstract

Thalassemia is a condition in which a person has a genetic blood disorder characterized by deficiency of the globin chain in hemoglobin. The problem that arises in people with thalassemia is non-compliance in taking iron chelation therapy drugs. Thalassemia as a chronic, lifelong disease requires continuous treatment and treatment, one of which is iron chelation therapy. Iron chelation therapy is able to get rid of the buildup of iron in the body as a result of routine blood transfusions through feces and urine. So that the regular use of iron chelation therapy can affect the quality of life of people with thalassemia. The purpose of this study was to determine the relationship between regular use of iron chelation and quality of life in children with thalassemia in dr. Slamet Garut. The research method used is descriptive analytic using a quantitative approach with the correlation study research design. The sample was calculated based on a correlative research formula totaling 44 people using purposive sampling technique. The results showed that more than half of the respondents (81.6%) did not regularly perform iron chelation therapy, and more than half of the respondents (54.5%) had poor quality of life. There is a significant relationship between regular use of iron chelation and quality of life in children with thalassemia, with a p value = 0.014. So it can be concluded that there is a positive relationship between regular use of iron chelation and quality of life in children with thalassemia at the Dr. Slamet Garut Regional Hospital in 2016. Based on the results of this study, it is recommended that people with thalassemia, especially parents, regularly carry out iron chelation therapy in order to improve the health status and quality of life of children
UPAYA PENCEGAHAN DAN PENGENDALIAN COVID-19 STIKES KARSA HUSADA GARUT Andhika Lungguh Perceka; engkus kusnadi; Hasbi Taobah Ramdani; Dede Suharta; Desy Syswianti; N. Ai Erlinawati; Wahyudin
Jurnal Pengabdian Masyarakat DEDIKASI Vol 1 No 01 (2020): Jurnal Pengabdian Masyarakat DEDIKASI
Publisher : LP4M STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.882 KB) | DOI: 10.33482/ddk.v1i01.2

Abstract

Corona virus Disease 2019 (COVID-19) is a new type of disease that has never been previously identified in humans. The virus that causes COVID-19 is called Sars-CoV-2. Corona viruses are zoonotic (transmitted between animals and humans). The community service program The Covid 19 Prevention and Control Program aims to increase the knowledge and ability of the community in dealing with the Covid 19 pandemic that has spread in society and to know the level of community compliance with 3M (using masks, maintaining distance and washing hands). The target of this service activity is the people who work in the market, the terminal in Garut as many as 300 respondents. The method of this activity was a one-by-one or interpersonal counseling approach. The team made teaching aids in the form of pamphlets, brochures, hand sanitizers themselves in the D3 Pharmacy Study Program laboratory to be distributed to the public. Each team that provided masks and handsanitizers, gave direct instructions on how to use them. This was done because it could not be done in a crowd as a social distancing effort in the interest of preventing the spread of Covid-19 in society. Based on the results of counseling on prevention and control of covid 19, the results in the Ciawitali market that the percentage of community compliance for 3M before 20% counseling increased to 60% of 100 respondents, in the Wanaraja market the percentage of community compliance for 3M before 30% counseling increased to 50% of 100 respondents, At the Ciawitali Terminal, the percentage of community compliance for 3M before counseling was 30% increased to 74% of 50 respondents, in Tarogong Square the percentage of community compliance for 3M before extension 50% increased to 84% of 50 respondents. Thus, this mentoring activity can be said to be successful because it is able to increase the knowledge and abilities of participants in participating in community service activities.
IMPLEMENTASI PROMOSI KESEHATAN TENTANG MENJAGA KEBUGARAN FISIK USIA LANJUT DI RW 05 DESA JAYARAGA KECAMATAN TAROGONG KIDUL GARUT Iin Patimah; Tantri Puspita; Rudy Alfiyansah; Eldessa Vava Rilla; Hasbi Taobah Ramdani; wahyudin; Engkus Kusnadi; Andhika Lungguh Perceka
Jurnal Pengabdian Masyarakat DEDIKASI Vol 1 No 01 (2020): Jurnal Pengabdian Masyarakat DEDIKASI
Publisher : LP4M STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (148.382 KB) | DOI: 10.33482/ddk.v1i01.9

Abstract

The health status of the elderly is not as good as at a young age. Often the elderly suffer from various diseases that generally occur due to decreased organ function. Based on the initial study we conducted in RW 05 Jayaraga Village, Tarogong Kidul Garut District, there were 80 elderly, 30 women and 50 men. Of the 80 elderly, there are 40 elderly who frequently visit Pos Bindu, and 20 elderly who experience health problems such as hypertension and gout. The activity of the elderly is to always come every month to the bindu post to have their health checked. The objectives of this community service are: providing an understanding of maintaining fitness in old age, health education for the elderly and preventing disease in old age. The methods used in this community service are: Lecture method on maintaining fitness in old age, and demonstration method in the form of gymnastics for the elderly. The target of this activity is the elderly with a total of 80 people. The urgency of this community service activity is that old age is seen as a period of decline, a period where the elderly feel a decrease in the decline that occurs in them both physically and psychologically. Some elderly people still view old age with an attitude that shows hopelessness, is passive, weak and dependent on relatives. The elderly do not have enough effort to develop themselves so that the elderly experience deterioration both physically and mentally. So it can be concluded so that it can be concluded that the implementation of these activities has been going well. It can be seen from the results that participants can understand and respond to the material we convey and participants can do elderly exercise.
TRAUMA HEALING, SCREENING PENYAKIT TIDAK MENULAR, PEMBERIAN SEMBAKO DAN AIR BERSIH BAGI KORBAN BENCANA ALAM BANJIR BANDANG DESA CINTA MANIK KECAMATAN KARANG TENGAH KABUPATEN GARUT Engkus Kusnadi; Angga Dipa Nagara; Hasbi Taobah Ramdani; Zahara Farhan; Novie Melliasany
Jurnal Pengabdian Masyarakat DEDIKASI Vol 2 No 02 (2021): Jurnal Pengabdian Masyarakat
Publisher : LP4M STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (765.679 KB) | DOI: 10.33482/ddk.v2i02.18

Abstract

Indonesia is a disaster laboratory with 13 types of disasters in it. The history of disaster events shows that there has been an increase in disasters from time to time. The increasing vulnerability factor and still limited capacity also cause disaster risk to increase in the future. Based on the above background, universities must uphold the Tridharma of Higher Education, so that the Community Service Program is held. This service was carried out in Cintamanik Village, Karang Tengah District, Garut Regency. This service is a collaboration between lecturers and students. In Garut Regency there was a flash flood on November 28, 2021 which resulted in physical and building damage in two villages in Karang Tengah sub-district, namely Cinta and Cinta Manik villages. The implementation method used is, indoor games for children, PTM examination for the elderly, and the provision of clean water. This activity will be held on December 23, 2021 in Cinta Manik Village, Karang Tengah District, Garut Regency. The target for this community service is 20 (twenty) children and 100 (one hundred) elderly residents in Cinta Manik Village. The main purpose of PTM activities is to increase community participation in the prevention and early detection of non-communicable disease risk factors (PTM). From this community service activity, clean water infrastructure is needed, trauma healing for children and examination of non-communicable diseases for the elderly
Penyuluhan kesehatan tentang diet pada pasien hipertensi di Kecamatan Banyuresmi Kab. Garut iin Patimah; Rudy Alfiyansah; Eldessa Vava Rilla; Engkus Kusnadi; Wahyudin; Aceng Ali Awaludin
Jurnal Pengabdian Masyarakat DEDIKASI Vol 1 No 02 (2020): Jurnal Pengabdian Masyarakat
Publisher : LP4M STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.364 KB) | DOI: 10.33482/ddk.v1i02.21

Abstract

Hypertension is persistent blood pressure where the systolic blood pressure is above 140 mmHg and the diastolic blood pressure is above 90 mmHg. In the elderly population, hypertension is defined as a systolic blood pressure of 160 mmHg and a diastolic pressure of 90 mmHg. With increasing age, the structure and function of the human body system changes, be it physical, mental, social and emotional. This will affect various aspects of life in old age. The purpose of this community service in addition to wanting to know the number of people with hypertension, improving the health status of residents in the Banyuresmi Garut District and providing counseling education about the dangers of hypertension. The methods used are health checks, blood sugar checks, uric acid, cholesterol and blood pressure checks. And health promotion related to diet in people with hypertension. This counseling activity is an activity that has a positive impact because it can increase knowledge to the elderly about hypertension in the Banyuresmi District, Garut Regency.
Gambaran Motivasi Masyarakat Untuk Melaksanakan Vaksinasi Covid 19 di Kabupaten Garut Engkus Kusnadi; Angga Dipa Nagara; Dede Suharta
Jurnal Medika Cendikia Vol 9 No 02 (2022): Jurnal Medika Cendikia
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/medika.v9i1.168

Abstract

Wabah virus corona yang disebabkan oleh coronavirus SARS-CoV-2 telah membawa serangkaian perubahan dalam banyak aspek kehidupan ekonomi dan sosial masyarakat. Pemerintah telah mencoba mengatasi wabah dengan mempertimbangkan serangkaian tindakan, tidak semuanya sesuai dengan opini publik. Selama ini pesatnya pertumbuhan jumlah kasus secara global telah menimbulkan kepanikan, ketakutan, dan kecemasan di kalangan masyarakat. Topik vaksinasi merupakan salah satu tema yang menimbulkan serangkaian pertanyaan bagi massyarakat, sebagian besar terkait dengan keamanan seluruh proses. Tujuan penelitian ini untuk mengetahui Gambaran Motivasi Masyarakat untuk melaksanakan vaksinasi Covid 19 di Kabupaten Garut. Desain yang digunakan adalah deskriptif kuantitatif. Besar sampel menggunakan rumus proporsi sebanyak 96 responden, Teknik sampling menggunakan Multi Stage Random Sampling. Hasil penelitian sebagian kecil responden untuk kategori motivasi tinggi sebanyak 13 responden (13,5%), lalu sebagian besar responden untuk kategori motivasi sedang sebanyak 55 responden (57,3%) dan hampir separuhnya responden untuk kategori motivasi kurang sebanyak 28 responden (29,2%). Penelitian dapat dijadikan referensi untuk penelitian selanjutnya tentang faktor-faktor yang mempengaruhi kegiatan vaksinasi
NORMATIVE PLAY TOWARD REDUCING FEAR INPRE-SCHOOL AGE CHILDREN AT DR. SLAMET HOSPITAL GARUT 2012 Engkus Kusnadi
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 1, No 2 (2014): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.02 KB) | DOI: 10.24990/injec.v1i2.77

Abstract

Introduction. The fear experienced by a child aged 4-6 years who were hospitalized from a few things, namely the procedure to the patient, lack of adequate information, the foreign environment and with the development of son, the team of health care providers (doctors, nurses, laboratory personnel). Play is the work of a child, wherever they are playing is a necessity. The purpose of this study was to identify the influence of normative play on fear reduction pre-school children were hospitalized. Methods. This study used a quasi experimental with one group pre-post design on a sample of 24 pre-school children who were treated at the General Hospital dr. Slamet Garut. Fear experienced by children will be measured using an instrument Revised Child Medical Fear Scale was modified. Results. The results showed that the average (mean) scale fear before normative play (16.58) was higher than the average scale normative scared after play (7.75) at pre-school age children. The results of hypothesis testing using a pair t test produces p value of 0.0005 (<0.05). Normative play has significant effect in reducing the fear of pre-school children who were treated in dr. Slamet Garut hospital. Discussion. Therefore the child care room should be equipped with a playroom for the children who were treated and play therapy should be used as a standard operating procedure in reducing the fear of going to be the action of nursing and other health actions.  Keywords: normative play, fear, pre-school age children
Hubungan Dukungan Keluarga dengan Pola Aktifitas pada Pasien Gagal Jantung di Ruang Penyakit Dalam Kelas 3 RSUD dr. Slamet Garut Sulastini Sulastini Sulastini; Engkus Kusnadi; Rina Rismawati; Bambang Aditya Nugraha
Jurnal Keperawatan 'Aisyiyah Vol. 5 No. 2 (2018): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.596 KB)

Abstract

Gagal jantung bukan merupakan suatu penyakit yang berdiri sendiri melainkansebuah sindrom klinis yang dikarakteristikan dengan kelebihan volume darah,tidak adekuatnya perfusi jaringan, dan penurunan toleransi aktivitas sehari- hari.Pola aktifitas pada pasien dengan gagal jatung sangat terbatas, pola aktifitas akanberubah terutama pada saat pasien mengalami sesak nafas yang cukup berat.Intoleransi aktivitas pada penderita gagal jantung satu dengan yang lain dapatberbeda tergantung dari kapasitas fungsional. Dukungan keluarga sangatlahpenting bagi pasien dengan gagal jantung, selain membantu dalam hal perawatandiri dan terapi, dalam kaitanya dengan kualitas hidup pasien dukungan keluargajuga sangat diperlukan dalam hal psikologis. Penelitian ini menggunakan metodedeskritif korelasi. Penelitian ini dilakukan di Ruang Penyakit Dalam Kelas 3 RSUDdr. Slamet Garut. Populasi adalah semua pasien gagal jantung dan keluarga yangdirawat di Ruang Penyakit Dalam Kelas 3 RSUD dr. Slamet Garut. Sampel ditentukandengan Non Probability Sampling yaitu quota sampling dengan jumlah sampel96 orang. Hasil penelitian didapatkan bahwa pasien gagal jantung yang dirawatsebagian pasien mendapatkan dukungan keluarga yang tinggi sebanyak 50%dan lebih dari sebagian responden tidak melakukan aktivitas secara berlebihansebanyak 55,2%. Terdapat hubungan bermakna antara dukungan keluarga denganpola aktivitas pasien gagal jantung dengan nilai p-value 0,00 (<0,05) dan dengankoefisien korelasi (r) 0,466. Mengingat terdapat beberapa temuan dalam penelitianserta keterbatasan dalam penelitian ini, maka diharapkan pada masa mendatangberbagai pihak dapat meneliti lebih lanjut faktor-faktor yang mempengaruhi padaproses penyembuhan pasien gagal jantung.