Bayu Fandhi Achmad
Departemen Keperawatan Dasar Dan Emergensi, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada

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Perbedaan Efektivitas Terapi Menelan Berdasarkan Karakteristik Demografi Pasien Disfagia Stroke Bayu Fandhi Achmad; Aan Nuraeni; Muhammad Zafrullah Arifin
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 1, No 2 (2017)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.283 KB) | DOI: 10.22146/jkkk.35295

Abstract

Background: Increased risk of aspiration often occurs in patients with dysphagia stroke due to cranial nerve damage. The existing method for lowering aspiration risk has weaknesses so that a new therapy is needed that is swallowing therapy. Objective: This study aims to determine the effect of swallowing therapy and to identify differences in the effectiveness of swallowing therapy based on the demographical characteristics of patients with dysphagia stroke. Methods: The design of this study was quasi-experimental pretest-posttest single group design with the number of samples were 16 respondents which obtained through consecutive sampling technique. The data were collected from February-March 2016 at Stroke Unit of RSUD Dr. Harjono Ponorogo through observation using Gugging Swallowing Screen (GUSS) instrument. The data analyses used in this study were Wilcoxon test, Kruskal Wallis and Mann Whitney tests.Results: The results showed that there was a difference of effect of swallow therapy between pretest and posttest (p=0,002). Swallowing therapy had no significant effectiveness difference when applied to various demographic characteristics of respondents including age (p=0,596), gender (p=0,243), and type of stroke (p=0,524).Conclusion: Swallowing therapy has a positive effect to decrease the risk of aspiration in dysphagia stroke patients and has equally good effect if applied to a variety of patient characteristics according to the demographics of the study respondents.  ABSTRAKLatar Belakang: Peningkatan risiko aspirasi pada pasien disfagia stroke disebabkan karena kerusakan saraf kranial terutama saraf kranial V, VII, IX, X, dan XII. Metode yang digunakan untuk menurunkan risiko aspirasi adalah strategi kompensasi dan penggunaan nutrisi semisolid, akan tetapi masing-masing metode tersebut masih memiliki kelemahan sehingga dibutuhkan terapi baru yaitu terapi menelan yang mengkombinasikan kelebihan dan mengurangi kelemahan dari masing-masing terapi tersebut. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh terapi menelan dan mengidentifikasi perbedaan efektivitas terapi menelan berdasarkan karakteristik demografi pasien disfagia stroke. Metode: Desain penelitian ini adalah quasi experimental pretest-posttest single group design dengan jumlah sampel sebanyak 16 responden yang didapatkan melalui teknik consecutive sampling. Pengambilan data dilakukan dari Bulan Februari - Maret 2016 di Unit Stroke RSUD Dr. Harjono Ponorogo. Data dikumpulkan menggunakan instrumen Gugging Swallowing Screen (GUSS). Analisis data menggunakan Wilcoxon, Kruskal wallis dan Mann whitney.Hasil: Hasil penelitian menunjukkan terdapat perbedaan pengaruh terapi menelan antara pretest dan posttest (p=0,002). Tidak terdapat perbedaan efektifitas terapi menelan yang signifikan saat diterapkan pada berbagai karakteristik demografi responden yang meliputi usia (p=0,596), jenis kelamin (p=0,243), dan jenis stroke (p=0,524). Kesimpulan: Terapi menelan berpengaruh terhadap penurunan risiko aspirasi pada pasien stroke dengan disfagia serta tidak memiliki perbedaan efektifitas yang signifikan saat diterapkan pada berbagai karakteristik demografi responden, untuk itu terapi menelan memiliki efektifitas yang sama baiknya jika diterapkan pada berbagai karakteristik pasien.
Upaya Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada dalam penanggulangan banjir di Kota Bima dengan teknologi pemanen air hujan Sutono Sutono; Bayu Fandhi Achmad; Citra Indriani; Dyah Ayu Wulansari; Agus Salim Arsyad; Hari Kusnanto; Agus Maryono; Rifqi Amrillah Abdi
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.605 KB) | DOI: 10.22146/jcoemph.37315

Abstract

Flood disaster in Bima Town, West Nusa Tenggara Province, Indonesia at the end of 2016 affected 105,753 people. For the period of the disaster, water flooding whole area of the town. Universitas Gadjah Mada (UGM) represented by Faculty of Medicine, Public Health, and Nursing supported by the Faculty of Medicine Alumni Association (KAGAMADOK) sent two response teams to the disaster area with the aims to assess health status of the refugees and to create rainwater harvesting tool. There were two teams assigned to the flood management in Bima. First team assigned to establish database and health cluster information analysis, performed needs assessment at refugee camp and affected area, and sent the patient to emergency health service. Regarding to the first team assessment results, second team assigned to create rainwater harvesting tool. First UGM team discovered that communities experiencing high prevalence of dermatology disease, meanwhile the medicine livestock diminished. Escalation of diarrhea cases especially in children and limited community health surveillance in Bima Town were also identified by the team. The second team was in a mission to accomplish environmental studies associated with flood disaster and implement rainwater harvesting technology. Rainwater harvesting technology implemented based on data collection and analysis from the first team. Rainwater harvesting technology used to supply community water necessities since the groundwater in disaster area remain muddy and smells. Application of rainwater harvesting equipment completed at Penanae and Mpunda Primary Health Care. Deployment of the UGM Bima disaster response team expected to spring positive benefits to the flood affected communities, and in addition expected that the assistance from UGM established sustainably.
The COVID-19 pandemic and its impacts on sub-urban society in Yogyakarta, Indonesia: A qualitative study Bayu Fandhi Achmad; Shalmannuary Nisya Allquarismy; Siska Pratiwi; Yohannes Aruna Kertiyasa; Dewanggani Kirana; Dhyanti Mutiasari; Vineshankar Ravichandar; Yosafat Budiharjo Santoso Simanungkalit; Dionisia Setya; Farah Nabila Firry; Syaiful Ghozali; Wahida Yuyun Suciati
Journal of Community Empowerment for Health Vol 4, No 1 (2021): Special Issue of COVID-19
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.60275

Abstract

Indonesia is the country which has the most COVID-19 cases in South East Asia. The COVID-19 pandemic is causing serious psychological, social, and economic impacts particularly on the sub-urban society. This study aimed to explore the impacts of the COVID-19 pandemic on sub-urban society in Yogyakarta, Indonesia. This study used a hermeneutics phenomenological approach. that enrolled seven participants who reside in the sub-urban area of Yogyakarta province in June 2020. Semi-structured interviews were conducted with participants through Whatsapp mobile application and analyzed using interpretive phenomenological methods. Results showed that the impact of the COVID-19 pandemic can be summarized into three themes. First, the impacts include negative emotions that arise due to psychosomatic symptoms, fear of losing loved ones, stereotypes and anxiety concerning contracting COVID-19 infection; Second, limited social interaction in the community and strict travel restrictions; and third, job and income losses including layoffs from work and fear of not being able to meet family basic needs. The COVID-19 pandemic is causing several serious impacts involving psychological, social, and economic concerns that are disrupting the sub-urban society. Individual coping and family support are needed in the current situation.
Effect of disaster preparedness training towards knowledge of COVID-19 among rural society in Banjararum Village, Kulon Progo Regency, Yogyakarta Sutono Sutono; Bayu Fandhi Achmad
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.63528

Abstract

The number of COVID-19 daily cases in Indonesia reached a record high in 2021, and the prevalence of active cases increased beyond hospital capacity. Disaster preparedness training involving the key role of society is substantial to stop the spread of COVID-19. This study aimed to determine the effect of disaster preparedness training towards the knowledge of COVID-19 pandemic among rural society. The intervention involved 29 participants, who were located in a rural area of the Special Region of Yogyakarta Province. Participants were required to complete the pre-test and post-test to determine the effect of disaster preparedness training on participant knowledge. There was a significant effect of disaster preparedness training on public knowledge about COVID-19 (P <0.005). There was an increase in the mean score between pre-test (9.93) and post-test (11.68). By increasing society’s knowledge, the society can play a maximum role in COVID-19 prevention and control measures.
Is the forum of disaster risk reduction ready?: Disaster preparedness in a community setting Happy Indah Kusumawati; Sutono Sutono; Sri Setyarini; Bayu Fandhi Achmad; Angela Dwi Hesti Ariningtyas; Istighfarlin Widyanita; Syahirul Alim
Journal of Community Empowerment for Health Vol 4, No 3 (2021)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.65495

Abstract

A community-based forum, Forum Pengurangan Resiko Bencana (FPRB), or Forum of Disaster Risk Reduction was established to accommodate and collaborate with stakeholders to optimize disaster management according to local capacity. However, evaluation of disaster preparedness among FPRB members is rarely done. Therefore, this study aimed to determine the disaster preparedness and level of Basic Life Support (BLS) knowledge among FPRB members in Bantul. A descriptive study was conducted with a cross-sectional design. Participants (n=77) were members of FPRB in Poncosari sub-district, Srandakan district, and Girirejo sub-district, Imogiri district, Bantul Regency. The survey was undertaken using the modified Disaster Preparedness Indonesian Institute of Science (LIPI)-UNESCO 2006 questionnaire and modified BLS American Heart Association (AHA) 2015 questionnaire. Univariate analysis was utilized to analyze data. Overall, the majority (52%) of disaster preparedness levels among FPRB members was categorized as strong level (median = 29). Related to the disaster preparedness aspect, 89% had good disaster knowledge, followed by resource mobilization (75%), urgent plan (60%), and early warning (53%). The median score of BLS knowledge was 5.38 (min-max = 2-9). Most of the participants (56%) had a good level of BLS knowledge. This study highlights that the disaster knowledge aspect is indicated as a highly familiar aspect while the early warning aspect is identified as a low familiar one. This study assists policymakers to develop a strategic plan to promulgate further disaster and first aid training in the community setting.
E-LEARNING SATISFACTION ANALYSIS OF CLINICAL ROTATION NURSING STUDENTS Totok Harjanto; Bayu Fandhi Achmad; Dimas S. E. W. Sumunar
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 8, No 2 (2023)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v8i2.512

Abstract

ABSTRACTObjective: To identify the learning satisfaction of clinical rotation nursing management students. Methods: A descriptive study took place in a class of clinical rotation nursing management. Participants were 22 female clinical rotation nursing student who were in the nursing management stage period September-October 2017. Eligible criteria for the students are voluntary participating in the research, fully engaged in the whole learning activities and following brief introduction and course evaluation. Research instrument is the form of learning satisfaction questionnaire developed by Center of Innovation and Academic Policy UGM. Validity test incorporate product moment resulting 13 valid items. 10 items required modification to meet the validity. Cronbach’s Alpha reliability test yields internal consistency value of 0.839. Data analyses were using frequency distribution with means considered as cutoff point. Results: Clinical rotation nursing students have a similar learning satisfaction between high and low (50%: 50%). Discussion: Based on 4 attributes of the questionnaire, the majority of respondents have high satisfaction on the aspect of online assignment (54.5%), aspect of online lecture materials and eLearning facilities have the same satisfaction (50%: 50%) and the online discussion aspect of the majority of respondents have low satisfaction (54.5 %). Conclusion: Clinical rotation students in nursing management show the same level of satisfaction between high and low on e-learning. Development of learning media and electronic learning delivery methods required to value the benefits in the future.Keywords: clinical rotation; e-learning; nursing student; students’ satisfaction.